Changing Hospital Culture: Collaborative Response to Emergency Cesarean Sections

2.50
Hdl Handle:
http://hdl.handle.net/10755/603000
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Changing Hospital Culture: Collaborative Response to Emergency Cesarean Sections
Other Titles:
Being Aware of Cultural Differences in the Clinical Setting [Session]
Author(s):
Schuch, Barbara C.; Krempel, Sally M.; Krempel, Sally M.
Lead Author STTI Affiliation:
Epsilon Upsilon
Author Details:
Barbara C. Schuch, MSN, RNC-OB, C-EFM, bschuch@macneal.com; Sally M. Krempel, RNC-OB
Abstract:
Session presented on Monday, November 9, 2015: “Changing Hospital Culture: Collaborative Response to Emergency Cesarean Sections” Problem Based upon the American College of Obstetrics and Gynecology’s (ACOG) and the American Academy of Pediatrics (AAP) recommended standard (30 minutes from decision to incision for emergency cesarean sections) the “30-minute rule,” a preliminary data review of “decision to incision” time audits, identified discrepancies in standardized communication and collaboration between medical and nursing staff. Purpose This four part educational program aimed to change the culture and create an effective and collaborative response to emergency cesarean sections: I-NICHD Nomenclature: Speaking a Common Language When Interpreting Fetal Heart     Rate Tracings II-Concepts for Teamwork Training in      Obstetrics Background and Significance III-Neonatal Outcomes IV-Potential Postpartum Outcomes   Development/ Program Implementation By integrating Kurt Lewin’s “Change Management Model,” this educational program’s aim was to change the culture and create an effective and collaborative response to emergency cesarean sections. The methodology of this interprofessional program incorporated a broad range of instruction (didactic lecture, fetal strip review & simulation). Focus was on standardized communication, interprofessional teamwork training, potential maternal/ infant outcomes and simulation of emergency cesarean section scenarios.   Evaluation/ Results/Barriers Through implementation of this four part educational program, in conjunction with the development of departmental guidelines, ongoing data collection, and quality improvement review, this program was able to facilitate and sustain effective inter-professional collaboration and has made a significant impact on compliance with the ACOG “30-minute rule” standard, see (Table 1) Decision to Incision Data* Barriers to sustained culture change continue to be identified through the debriefing of each individual case and addressed through the provider and nurse “peer review process.” Compliance with Standardized Nomenclature for Fetal Monitoring (NICHD language) Teamwork  Following ER C/S Guidelines  RN, Physician & Anesthesia Delays Improving patient safety and quality of care was the primary focus of the project.   (Table 1) *2013-2014 Decision to Incision Data Cases which met the “30-min. Rule” standard ACOG Benchmark (% Compliance) *March 2013-December 2014 data, reflect post education results   1st quarter 2013-45% compliance *2nd quarter 2013-72% compliance   3rd quarter 2013-38% compliance   4th quarter 2013-89% compliance 1st quarter 2014-89% compliance 2nd quarter 2014-85% compliance 3rd quarter 2014-92% compliance 4th quarter 2014-62% compliance
Keywords:
Standardized Communication; Teamwork; Interdisciplinary Collaboration
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15E10
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleChanging Hospital Culture: Collaborative Response to Emergency Cesarean Sectionsen
dc.title.alternativeBeing Aware of Cultural Differences in the Clinical Setting [Session]en
dc.contributor.authorSchuch, Barbara C.en
dc.contributor.authorKrempel, Sally M.en
dc.contributor.authorKrempel, Sally M.en
dc.contributor.departmentEpsilon Upsilonen
dc.author.detailsBarbara C. Schuch, MSN, RNC-OB, C-EFM, bschuch@macneal.com; Sally M. Krempel, RNC-OBen
dc.identifier.urihttp://hdl.handle.net/10755/603000en
dc.description.abstractSession presented on Monday, November 9, 2015: “Changing Hospital Culture: Collaborative Response to Emergency Cesarean Sections” Problem Based upon the American College of Obstetrics and Gynecology’s (ACOG) and the American Academy of Pediatrics (AAP) recommended standard (30 minutes from decision to incision for emergency cesarean sections) the “30-minute rule,” a preliminary data review of “decision to incision” time audits, identified discrepancies in standardized communication and collaboration between medical and nursing staff. Purpose This four part educational program aimed to change the culture and create an effective and collaborative response to emergency cesarean sections: I-NICHD Nomenclature: Speaking a Common Language When Interpreting Fetal Heart     Rate Tracings II-Concepts for Teamwork Training in      Obstetrics Background and Significance III-Neonatal Outcomes IV-Potential Postpartum Outcomes   Development/ Program Implementation By integrating Kurt Lewin’s “Change Management Model,” this educational program’s aim was to change the culture and create an effective and collaborative response to emergency cesarean sections. The methodology of this interprofessional program incorporated a broad range of instruction (didactic lecture, fetal strip review & simulation). Focus was on standardized communication, interprofessional teamwork training, potential maternal/ infant outcomes and simulation of emergency cesarean section scenarios.   Evaluation/ Results/Barriers Through implementation of this four part educational program, in conjunction with the development of departmental guidelines, ongoing data collection, and quality improvement review, this program was able to facilitate and sustain effective inter-professional collaboration and has made a significant impact on compliance with the ACOG “30-minute rule” standard, see (Table 1) Decision to Incision Data* Barriers to sustained culture change continue to be identified through the debriefing of each individual case and addressed through the provider and nurse “peer review process.” Compliance with Standardized Nomenclature for Fetal Monitoring (NICHD language) Teamwork  Following ER C/S Guidelines  RN, Physician & Anesthesia Delays Improving patient safety and quality of care was the primary focus of the project.   (Table 1) *2013-2014 Decision to Incision Data Cases which met the “30-min. Rule” standard ACOG Benchmark (% Compliance) *March 2013-December 2014 data, reflect post education results   1st quarter 2013-45% compliance *2nd quarter 2013-72% compliance   3rd quarter 2013-38% compliance   4th quarter 2013-89% compliance 1st quarter 2014-89% compliance 2nd quarter 2014-85% compliance 3rd quarter 2014-92% compliance 4th quarter 2014-62% complianceen
dc.subjectStandardized Communicationen
dc.subjectTeamworken
dc.subjectInterdisciplinary Collaborationen
dc.date.available2016-03-21T16:41:11Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:41:11Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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