| Learning Objective #1: Describe a new model of care for hospitalized elders and their families | |||
| Learning Objective #2: Identify components of quality geriatric care and family-centered care for elders and their families |
This project was focused on the evaluation of patient and family outcomes with implementation of a new model of care for hospitalized elders. NCQI was a joint initiative between two New York health care systems, Mount Sinai NYU Health and the North Shore-Long Island Jewish Health System. Purpose: NCQI is a quality improvement program based on an integration of components of the national demonstration project, Nurses Improving Care to the Hospitalized Elderly (NICHE), and the national model of Family-Centered Care. Staff nurses received formal education integrating best practice protocols focused on common geriatric syndromes, preparation in family-centered care, and, nurse-nurse consultation rounds with geriatric advanced practice nurses. Specific Aims: The aims of this project were to determine whether the new NCQI model of care improved hospital quality indicators (patient falls, pressure ulcers, physical restraints), family satisfaction with nursing care; and functional and cognitive decline among hospitalized elders. Design: Quality indicators of nursing care that were examined to determine the effect of the NCQI included falls, pressure ulcers and restraint episodes. In addition, a sample of 180 patients aged 65 years or older and admitted to the 18 NCQI units were evaluated at admission and discharge to determine changes in functional and cognitive status. Change in patient status was calculated as the difference in Mental Status (MMSE), ADL, and IADL scores between admission and discharge. Results and Conclusions: Results indicated changes in patient outcomes (falls, pressure ulcers, physical restraints), and improvements in cognitive and functional status of patients cared for by nurses participating in the NCQI project. In addition, there were positive outcomes noted among the nursing staff in their use of evidenced-based practice.
Funding Source: Mount Sinai NYU Health and North Shore-Long Island Jewish Health System, New York Health Alliance
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