Exploring Nurse Perspectives and Practice of Patient and Family-Centered Care in the Perioperative Environment

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Exploring Nurse Perspectives and Practice of Patient and Family-Centered Care in the Perioperative Environment

Dumont, Amy - Dissertation

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title: Exploring Nurse Perspectives and Practice of Patient and Family-Centered Care in the Perioperative Environment

creator: Dumont, Amy

subject: Dissertations, Academic.

description: Background: As part of national efforts to improve health care quality and safety, leading organizations such as the Institute of Medicine and the Joint Commission have recommended that hospitals adopt patient-centered practices. Shields (2007) and Gabrielson (1997) note a paucity of literature describing patient and family-centered care in the setting of surgical services. Patient-and family-centered care is a model of health care that utilizes a partnership model for care delivery.Purpose: This capstone project explores the perceptions and practices related to patient and family-centered care among nurses providing clinical care during the perioperative period in a community hospital.Participants: A total of 37 nurses were recruited for the pre/post questionnaire portion of the study. The majority of the participants (83%) were registered nurses with a bachelor’s degree. Two focus groups were also held, comprised of 3 and 4 registered nurses respectively.Methods: A convenience sample pre-and post-test design which included questionnaires, educational sessions, and focus groups was utilized with nurses in surgical services. The questionnaire examined the current practices of the nurses and what nurses thought were necessary practices. Results were compared before and after an educational session to determine whether the intervention led to a change in nurses’ attitudes about patient and family-centered care. Focus groups were conducted to capture in-depth information about nurses’ perceptions and suggestions for implementing patient and family-centered care.Results: Results of this study indicated perioperative nurses did not consistently apply principles of patient and family-centered care in their current practice. After participating in an educational session, the nurses were less likely to say that they were practicing patient and family-centered care and more likely to rate this type of care as necessary. Barriers and facilitators identified by nurses for advancing patient and family-centered care in a perioperative environment of a community hospital were explored in the two focus groups. Barriers were found to be a lack of: information sharing, educational support and collaboration/participation with patient and family. Facilitators to patient and family-centered care were: educational support services, presence/participation of family, and skill mix of currentstaff.Implications for practice: Organizational barriers inhibit delivery of patient and family-centered care and require administrative and organizational leaders to fully support a shift in culture (Coyne et al., 2011). To overcome identified barriers, results suggest a need for the evaluation of current hospital culture in order to assess what methods are already working and what the practice improvement needs are. Education about patient and family-centered care needs to be evaluated in order to ensure that nurses’ knowledge is consistent with hospital goals. Implementing a committee may assist with implementation of patient and family-centered care principles. This capstone project supports the importance of theory-guided practice by revealing the link between patient and family-centered care and Watson’s Caring Theory. Together, these concepts produce compassionate, respectful, and trustworthy exchanges in an environment whose goal is healing.

publisher: Simmons College (Boston, Mass.)

contributor:

date: 2015

type: Text

format: 1 PDF (89 Pages)

identifier: td_np_2015_ad

source:

language: English

relation:

coverage:

rights: Material from the Simmons University Archives collections are made available for study purposes only. For more information, or to request rights to reproduce or reuse any material, contact the University Archives at archives@simmons.edu.

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