2.50
Hdl Handle:
http://hdl.handle.net/10755/182631
Category:
Abstract
Type:
Presentation
Title:
A Culture of Mobility
Author(s):
Rawls, Mary Catherine
Author Details:
Mary Catherine Rawls, RN, MS, BC, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA, email: mary.catherine.rawls@hitchcock.org
Abstract:
Poster Presentation: Demand for total joint replacement has increased as baby-boomers age and the elderly remain active and functioning. Access and capacity for our orthopaedic population had decreased despite wanting to add 200 more surgeries/year to our 1100. To ensure that nursing care, physical therapy and discharge planning methods were best practice and evidence-based, a steering committee reviewed our patient processes from prehab to rehab. Five areas for improvement were identified. The orthopaedic unit embraced a "Culture of Mobility" as the underlying framework for change. A nursing unit ambassador group was established to identify, develop and champion revised patient care processes through education and practice changes. Partnerships with physicians, out-patient clinics, physical therapy, discharge planners and patients were improved and strengthened. Changes in practice and processes to support an increasingly mobile patient population included revised kardexes, different patient chairs, standardized order sets, a dedicated in-patient orthopaedic television channel, a pre-op DVD and website, updated teaching booklets, funding availability to send staff to national conferences, increasing focus on healthy living for healing, topic of the month bulletin boards and daily orthopaedic care team huddles. Outcome measurements were monitored and demonstrated an increase in capacity, patient and staff knowledge and satisfaction, and decreases in length of stay, infection, falls and staff injury rates. The successful adoption of a "Culture of Mobility" shifted paradigms and enabled our medical center to increase access and capacity. The experience and collaborative learning has applicability for patient care settings where struggles with similar system processes and barriers occur.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2007
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Atlanta, Georgia, USA
Description:
"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, 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.titleA Culture of Mobilityen_GB
dc.contributor.authorRawls, Mary Catherineen_US
dc.author.detailsMary Catherine Rawls, RN, MS, BC, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA, email: mary.catherine.rawls@hitchcock.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182631-
dc.description.abstractPoster Presentation: Demand for total joint replacement has increased as baby-boomers age and the elderly remain active and functioning. Access and capacity for our orthopaedic population had decreased despite wanting to add 200 more surgeries/year to our 1100. To ensure that nursing care, physical therapy and discharge planning methods were best practice and evidence-based, a steering committee reviewed our patient processes from prehab to rehab. Five areas for improvement were identified. The orthopaedic unit embraced a "Culture of Mobility" as the underlying framework for change. A nursing unit ambassador group was established to identify, develop and champion revised patient care processes through education and practice changes. Partnerships with physicians, out-patient clinics, physical therapy, discharge planners and patients were improved and strengthened. Changes in practice and processes to support an increasingly mobile patient population included revised kardexes, different patient chairs, standardized order sets, a dedicated in-patient orthopaedic television channel, a pre-op DVD and website, updated teaching booklets, funding availability to send staff to national conferences, increasing focus on healthy living for healing, topic of the month bulletin boards and daily orthopaedic care team huddles. Outcome measurements were monitored and demonstrated an increase in capacity, patient and staff knowledge and satisfaction, and decreases in length of stay, infection, falls and staff injury rates. The successful adoption of a "Culture of Mobility" shifted paradigms and enabled our medical center to increase access and capacity. The experience and collaborative learning has applicability for patient care settings where struggles with similar system processes and barriers occur.en_GB
dc.date.available2011-10-28T15:32:57Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:32:57Z-
dc.conference.date2007en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.description"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, USA.en_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.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.