Paper
Wednesday, July 21, 2004
9:30 AM - 10:00 AM
Wednesday, July 21, 2004
2:30 PM - 3:00 PM
This presentation is part of : Posters
Patient Care Transformation Delivery Model
Karen N. Drenkard, MSN, BSN, CNAA, CPHQ1, Gene S. Rigotti, MSN, BSN1, Ellen M. Swartwout, MSN, BSN, CNA1, and Barbara R. Heller, EdD, RN, FAAN2. (1) Professional Practice, Inova Health System, Falls Church, VA, USA, (2) Center for Health Workforce Development, University of Maryland, Baltimore, Baltimore, MD, USA
Learning Objective #1: Identify how to design and implement a alternative nursing care delivery model in an acute care setting
Learning Objective #2: Describe how to improve nurse satisfaction and retention through decreasing inpatient work intensity and utilize this gained time to implement "caring" behaviors with patients
A growing body of evidence suggests the need for restructuring the hospital work environment and transforming patient care delivery systems in order to encourage and promote nurse retention. This poster presentation describes a pilot project funded by the Bureau of Health Professions (HRSA) which is designed to enhance nurse satisfaction and retention while increasing patient satisfaction and quality of care in the hospital-based acute care setting.

The goal of the project is to design and implement a nursing care delivery model that decreases work intensity through process improvements in medication administration, admissions/transfer/discharge, documentation and patient transport. The time saved is then utilized to create an environment in which nurses can provide holistic patient centered care that focuses on implementation of nursing interventions based on a framework derived from Watson’s Theory of Human Caring. Interventions include such techniques as visualization and imagery, relaxation and meditation, intentionality and centering activities, and therapeutic touch.

The impact of the proposed nursing care delivery model and interventions will be measured on four like-specialty units as compared to four control units. Indicators focus on nurse and patient satisfaction, nurse turnover and retention, caring assessments and work intensity measures. Strategies for transformation of the work environment will be described as well as the plan for evaluation of evidence-based practices.

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Sigma Theta Tau International
July 21, 2004