2.50
Hdl Handle:
http://hdl.handle.net/10755/162626
Type:
Presentation
Title:
Implementation of the Primary Nursing Model in Emergency Nursing Practice
Abstract:
Implementation of the Primary Nursing Model in Emergency Nursing Practice
Conference Sponsor:Emergency Nurses Association
Conference Year:1999
Author:Marjorie, , Keyes
Contact Address:Baystate Medical Center, 759 Chestnut Street, Springfield, MA, 01199
Contact Telephone:USA
Co-Authors:Ann M. Maynard, Paula Jessen
Clinical Topic: Primary nursing is a nursing model that has been reported to improve nursing care, increase patient satisfaction and increase job satisfaction for nurses. Our institution has made a commitment to establish primary nursing as part of the practice of all registered nurses.

The purpose of this clinical project was to increase professional accountability, patient satisfaction, and staff satisfaction in the emergency department. This was achieved by changing our patient care delivery model to the Primary Nursing Practice Model utilizing the five principles of primary nursing. Those principles include: (1) one to one patient relationships; (2) continuity of care; (3) 24-hour accountability; (4) care giver-to-care giver communication; and (5) care planner as care giver.

Implementation: Under the guidance of the Director of Clinical Practice, planning and implementation in the emergency department included the following steps: (1) formulation of a philosophy of primary nursing that was congruent with the identified needs of emergency nursing; (2) evaluation of staff readiness; (3) development of a primary nursing work plan; (4) education of ED management, physicians, nursing and ancillary staff; (5) development of an evaluation tool to monitor the implementation process and measure outcomes; (6) re-evaluation and modification of the original work plan based on weekly audits done during the implementation process; and (7) celebration of successful implementation.

Outcomes: Outcomes were measured utilizing the following methods: (1) chart reviews for assessment and documentation; (2) evaluation tool specific to components of primary nursing; (3) patient rounds; (4) evaluation of communication with long term care facilities and the correctional facility; (5) patient satisfaction indicators; and (6) informal queries of nursing staff and other staff.

Implementation of the Primary Nursing Practice Model in the emergency department has had the following effects: (1) increased accountability; (2) improved documentation of an enhanced professional practice; (3) increased patient satisfaction with nursing care; (4) connected ED care with the patient continuum of care; and (5) enhanced role satisfaction of nurses.

Recommendations: Recommendations resulting from the implementation of primary nursing in the ED include: (1) identification of nursing-sensitive clinical outcomes with the incorporation of the Primary Nursing Practice Model into ED practice; (2) investigation of the impact of the model on patient compliance and ongoing health status; and (3) expansion of the continuum of care to other identified providers and agencies. [Clinical Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImplementation of the Primary Nursing Model in Emergency Nursing Practiceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162626-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Implementation of the Primary Nursing Model in Emergency Nursing Practice</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1999</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Marjorie, , Keyes</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Baystate Medical Center, 759 Chestnut Street, Springfield, MA, 01199</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Ann M. Maynard, Paula Jessen</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: Primary nursing is a nursing model that has been reported to improve nursing care, increase patient satisfaction and increase job satisfaction for nurses. Our institution has made a commitment to establish primary nursing as part of the practice of all registered nurses.<br/><br/>The purpose of this clinical project was to increase professional accountability, patient satisfaction, and staff satisfaction in the emergency department. This was achieved by changing our patient care delivery model to the Primary Nursing Practice Model utilizing the five principles of primary nursing. Those principles include: (1) one to one patient relationships; (2) continuity of care; (3) 24-hour accountability; (4) care giver-to-care giver communication; and (5) care planner as care giver.<br/><br/>Implementation: Under the guidance of the Director of Clinical Practice, planning and implementation in the emergency department included the following steps: (1) formulation of a philosophy of primary nursing that was congruent with the identified needs of emergency nursing; (2) evaluation of staff readiness; (3) development of a primary nursing work plan; (4) education of ED management, physicians, nursing and ancillary staff; (5) development of an evaluation tool to monitor the implementation process and measure outcomes; (6) re-evaluation and modification of the original work plan based on weekly audits done during the implementation process; and (7) celebration of successful implementation.<br/><br/>Outcomes: Outcomes were measured utilizing the following methods: (1) chart reviews for assessment and documentation; (2) evaluation tool specific to components of primary nursing; (3) patient rounds; (4) evaluation of communication with long term care facilities and the correctional facility; (5) patient satisfaction indicators; and (6) informal queries of nursing staff and other staff.<br/><br/>Implementation of the Primary Nursing Practice Model in the emergency department has had the following effects: (1) increased accountability; (2) improved documentation of an enhanced professional practice; (3) increased patient satisfaction with nursing care; (4) connected ED care with the patient continuum of care; and (5) enhanced role satisfaction of nurses.<br/><br/>Recommendations: Recommendations resulting from the implementation of primary nursing in the ED include: (1) identification of nursing-sensitive clinical outcomes with the incorporation of the Primary Nursing Practice Model into ED practice; (2) investigation of the impact of the model on patient compliance and ongoing health status; and (3) expansion of the continuum of care to other identified providers and agencies. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:31:22Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:31:22Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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