Bridging the Continental Divide; Promoting Continuity Across the Care Continuum

2.50
Hdl Handle:
http://hdl.handle.net/10755/164998
Category:
Abstract
Type:
Presentation
Title:
Bridging the Continental Divide; Promoting Continuity Across the Care Continuum
Author(s):
Kaplan, Gabriela; Blecher, Carol
Author Details:
Gabriela Kaplan, RN, MSN, AOCN, CNS, Oncology, Trinitas Regional Medical Center, Elizabeth, New Jersey, USA, email: gkaplan@trinitas.org; Carol S. Blecher, RN, MSN, AOCN, APN-C
Abstract:
Clinical/Evidence Based Practice: Patient care has become increasingly fragmented. People have physicians for almost every body system and visit these doctors in a variety of settings. This is no less true in Oncology, where treatment and follow up is provided in the outpatient area and acute care for the critically ill oncology patient is in-patient. Continuity of care has always been a goal in health care. JCAHO has identified effective communication as a National Patient Safety Goal. It is vital that information flows between the care areas in a timely, accurate and complete manner. It is also important that patients and their significant others have all of the information from the various care areas, so that they have a complete picture of their care. This should lead to decreased medication errors, better utilization of services and increased staff and patient satisfaction. Our primary goal is to provide seamless oncology care as well as to develop a patient guidebook that is valuable and useful for patients and their significant others. This will quantify the value of the APN role in coordinating care along the continuum and promote adherence in follow up care. The inpatient and outpatient APNs developed a protocol for monitoring patients and communication. Nursing rounds now promote communication between areas and weekly patient care/status updates. Direct communication between the APNs was instituted on admission or discharge of a patient. Develop an individualized patient education/survival looseleaf book to be started at diagnosis and added to during treatment. APNs role model professional and collegial behavior through team teaching the Basic Oncology and Chemotherapy courses, as well as interfacing frequently on all units. We are planning to obtain feedback from the patients and their significant others regarding their ability to understand the diagnosis, treatment plan and interventions. We will also evaluate staff satisfaction to see if our interventions assisted them in their understanding of the care plan and in provision of care. Continuity of care and collaboration between the in and outpatient areas should improve adherence to treatment plan, with fewer patients lost to follow up and increased patient/significant other satisfaction.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleBridging the Continental Divide; Promoting Continuity Across the Care Continuumen_GB
dc.contributor.authorKaplan, Gabrielaen_US
dc.contributor.authorBlecher, Carolen_US
dc.author.detailsGabriela Kaplan, RN, MSN, AOCN, CNS, Oncology, Trinitas Regional Medical Center, Elizabeth, New Jersey, USA, email: gkaplan@trinitas.org; Carol S. Blecher, RN, MSN, AOCN, APN-Cen_US
dc.identifier.urihttp://hdl.handle.net/10755/164998-
dc.description.abstractClinical/Evidence Based Practice: Patient care has become increasingly fragmented. People have physicians for almost every body system and visit these doctors in a variety of settings. This is no less true in Oncology, where treatment and follow up is provided in the outpatient area and acute care for the critically ill oncology patient is in-patient. Continuity of care has always been a goal in health care. JCAHO has identified effective communication as a National Patient Safety Goal. It is vital that information flows between the care areas in a timely, accurate and complete manner. It is also important that patients and their significant others have all of the information from the various care areas, so that they have a complete picture of their care. This should lead to decreased medication errors, better utilization of services and increased staff and patient satisfaction. Our primary goal is to provide seamless oncology care as well as to develop a patient guidebook that is valuable and useful for patients and their significant others. This will quantify the value of the APN role in coordinating care along the continuum and promote adherence in follow up care. The inpatient and outpatient APNs developed a protocol for monitoring patients and communication. Nursing rounds now promote communication between areas and weekly patient care/status updates. Direct communication between the APNs was instituted on admission or discharge of a patient. Develop an individualized patient education/survival looseleaf book to be started at diagnosis and added to during treatment. APNs role model professional and collegial behavior through team teaching the Basic Oncology and Chemotherapy courses, as well as interfacing frequently on all units. We are planning to obtain feedback from the patients and their significant others regarding their ability to understand the diagnosis, treatment plan and interventions. We will also evaluate staff satisfaction to see if our interventions assisted them in their understanding of the care plan and in provision of care. Continuity of care and collaboration between the in and outpatient areas should improve adherence to treatment plan, with fewer patients lost to follow up and increased patient/significant other satisfaction.en_GB
dc.date.available2011-10-27T12:10:44Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:10:44Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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