Dialing in the Family: Testing a New Model of Care Delivery

Tuesday, 13 July 2010

Sandra A. Sojka, PhD, RN
Marcella Niehoff School of Nursing, Loyola University Chicago, Maywood, IL
Deborah A. Jasovsky, PhD, RN
Healthcare Administration, Loyola University Medical Center, Maywood, IL

Learning Objective 1: Identify common family preferences for their involvement in patient care.

Learning Objective 2: Recognize how this new model of care incorporates family preferences in care delivery.

Purpose:   To compare how family preferences for participation in patient care are met on units where the Magis Model of Care has been formally implemented versus traditional care units.  Additional objectives include examination of patient demographics, patient satisfaction, patient outcomes, and nurse staffing.  This research aims to answer three questions, including:  Are there differences between units with Magis Model of Care and traditional model of care delivery in how family preferences are met?  Do family or patient demographics influence how family preferences are met?  What relationships exist among patient satisfaction scores, nurse staffing, patient outcomes and extent to which family preferences are met? Methods: Descriptive study design utilized surveys of family members at discharge over a three month period.  After IRB approval, trained nurse leaders obtained daily discharge list and recruited family participants from sister units.  Data collection is currently underway using the Family Preference Index (Li, 2002; Messecar & Powers, 2008) with previously published validity and reliability and adapted for this study.  Responses from family members of hospitalized patients from four study units will be compared. Unit-based patient satisfaction scores, nurse staffing, and patient outcomes (pressure ulcers and patient falls) will also be examined. Results: Data collection will continue until February, 2010, at which time it is expected that more than 200 completed surveys will have been returned for analysis. Conclusion: Data analysis is targeted to answer the research questions using chi square and other appropriate statistics.  Based upon the research findings, nurse leaders will draw conclusions about whether the Magis Model of Care influences how nurses meet family expectations for care giving, patient satisfaction, nurse staffing, and patient outcomes.

Li, H (2002).  Family caregivers’ preferences in caring for their hospitalized elderly relatives.   Geriatric Nursing, 23(4), 204-207.

Messecar, B and Powers, B.A. (2008).  The family preferences index.  AJN, 108(9), 52-59.