2.50
Hdl Handle:
http://hdl.handle.net/10755/183061
Category:
Abstract
Type:
Presentation
Title:
A Meaningful Nursing Care Plan?
Author(s):
DeLorey, Denise; Rheingrans, Jennifer
Author Details:
Denise DeLorey, RNC, Sarasota Memorial Health Care, Sarasota, FL, email: cardio@comcast.net; Jennifer Rheingrans
Abstract:
Purpose: To describe how improved communication of patient-specific nursing care was achieved at a nonprofit community Magnet hospital by redesigning nursing care plans.

Methods: Staff nurses (including members of the informatics shared governance group) and nursing leadership worked together to re-create the nursing care plan system. The goals were to demonstrate the critical thinking of nurses (in place of task-driven documentation), and to create a useful tool for nurses to communicate patient specific information. After consulting regulatory and professional organizations (Joint Commission, CMS, and Magnet), the Care Plan group re-designed the nursing care plan based on the nursing process. Professional standards of care were emphasized as the primary means of delineating "normal" nursing care in order to reduce redundant and unnecessary charting. The patient-specific components were then included in the following sections of the care plan: nursing high priority issue (name); completed interventions and results; planned interventions; and outcome status. A new electronic screen was designed to incorporate and share interdisciplinary planning information. The new care plan process was disseminated to all nurses via nursing forums, presentations, creation of a unit-based Super-User resource group, HealthStream eLearning, and one-to-one instruction. Super-Users monitored care plan assimilation through biweekly nurse and chart audits. The audits evaluated the following care plan attributes: patient-specific; nursing process; standards of care; high-priority issue; and appropriate completion.

Findings: Initial audit findings indicated that nurses use of care plans were appropriate ranging from 75-86% of the time. Subsequent audit findings have improved with the most recent values ranging from 82-93% appropriate.

Discussion: Current challenges include adoption of a "novel" nursing care plan format, as well as the logistics of maintaining a simple and precise documentation system. Long-term plans include an emphasis on the unique contribution of professional nurses throughout many other forms of documentation.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
6th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Magnet Hospitals of Florida; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Kissimmee, Florida
Description:
6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, 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 Meaningful Nursing Care Plan?en_GB
dc.contributor.authorDeLorey, Deniseen_US
dc.contributor.authorRheingrans, Jenniferen_US
dc.author.detailsDenise DeLorey, RNC, Sarasota Memorial Health Care, Sarasota, FL, email: cardio@comcast.net; Jennifer Rheingransen_US
dc.identifier.urihttp://hdl.handle.net/10755/183061-
dc.description.abstractPurpose: To describe how improved communication of patient-specific nursing care was achieved at a nonprofit community Magnet hospital by redesigning nursing care plans.<br/><br/>Methods: Staff nurses (including members of the informatics shared governance group) and nursing leadership worked together to re-create the nursing care plan system. The goals were to demonstrate the critical thinking of nurses (in place of task-driven documentation), and to create a useful tool for nurses to communicate patient specific information. After consulting regulatory and professional organizations (Joint Commission, CMS, and Magnet), the Care Plan group re-designed the nursing care plan based on the nursing process. Professional standards of care were emphasized as the primary means of delineating &quot;normal&quot; nursing care in order to reduce redundant and unnecessary charting. The patient-specific components were then included in the following sections of the care plan: nursing high priority issue (name); completed interventions and results; planned interventions; and outcome status. A new electronic screen was designed to incorporate and share interdisciplinary planning information. The new care plan process was disseminated to all nurses via nursing forums, presentations, creation of a unit-based Super-User resource group, HealthStream eLearning, and one-to-one instruction. Super-Users monitored care plan assimilation through biweekly nurse and chart audits. The audits evaluated the following care plan attributes: patient-specific; nursing process; standards of care; high-priority issue; and appropriate completion.<br/><br/>Findings: Initial audit findings indicated that nurses use of care plans were appropriate ranging from 75-86% of the time. Subsequent audit findings have improved with the most recent values ranging from 82-93% appropriate.<br/><br/>Discussion: Current challenges include adoption of a &quot;novel&quot; nursing care plan format, as well as the logistics of maintaining a simple and precise documentation system. Long-term plans include an emphasis on the unique contribution of professional nurses throughout many other forms of documentation.en_GB
dc.date.available2011-10-28T16:12:54Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:12:54Z-
dc.conference.date2009en_US
dc.conference.name6th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostMagnet Hospitals of Floridaen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationKissimmee, Floridaen_US
dc.description6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, 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.