A program evaluation of the Patient CaringTouch System: A pre- and postimplementation assessment

被引：9

作者：

Breckenridge-Sproat, Sara T. ^{[1
]}

Swiger, Pauline A. ^{[2
]}

Belew, Donna L. ^{[3
]}

Raju, Dheeraj ^{[2
]}

Patrician, Patricia A. ^{[2
]}

Loan, Lori A. ^{[2
]}

机构：

[1] US Army, Reg Hlth Command Europe, Sembach, Germany

[2] Univ Alabama Birmingham, Sch Nursing, Birmingham, AL USA

[3] Geneva Fdn, Tacoma, WA USA

来源：

NURSING OUTLOOK | 2017年 / 65卷 / 05期

关键词：

Care delivery model; Patient outcomes; Practice environment; Military nursing; Patient CaringTouch System; PRACTICE ENVIRONMENT; SAFETY OUTCOMES; NURSE OUTCOMES; CARE; QUALITY; SATISFACTION; PARTNERSHIP; INDICATORS; HOSPITALS; MORTALITY;

D O I：

10.1016/j.outlook.2017.06.011

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Background: The Patient CaringTouch System (PCTS) is an innovative, strategic and patient-centric framework developed by the Army Nurse Corps for nursing care delivery that is designed to reduce nursing care variation and improve patient and nurse outcomes. Purpose: This manuscript describes a program evaluation of the PCTS. Methods: A pre and post design was used to describe changes in patient and nursing measures following PCTS implementation. Discussion: Overall there was a good uptake of the PCTS; however, concurrent with initiation of the PCTS, declines in staffing levels and increases in patient acuity were noted. Medication administration error rates declined, but fall with injury rates increased. Pain reassessment following pain medication administration improved, as did several aspects of the nursing practice environment. Nurses' job dissatisfaction and intent to leave increased; however, potentially preventable losses decreased. Conclusions: The program evaluation results will be used to target areas for improvement so that the PCTS may be sustained.

引用

页码：S109 / S119

页数：11

共 57 条

[1] Identification of the Psychometric Properties of the Leadership Influence Over Professional Practice Environments Scale
Adams, Jeffrey M.
Nikolaev, Nikolay
Erickson, Jeanette Ives
Ditomassi, Marianne
Jones, Dorothy A.
[J]. JOURNAL OF NURSING ADMINISTRATION, 2013, 43 (05): : 258 - 265
[2] Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction
Aiken, LH
Clarke, SP
Sloane, DM
Sochalski, J
Silber, JH
[J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (16): : 1987 - 1993
[3] Effects of hospital care environment on patient mortality and nurse outcomes
Aiken, Linda H.
Clarke, Sean P.
Sloane, Douglas M.
[J]. JOURNAL OF NURSING ADMINISTRATION, 2008, 38 (05): : 223 - 229
[4] [Anonymous], LEARNING STAT R A TU
[5] [Anonymous], 1988, STAT POWER ANAL SOCI
[6] [Anonymous], 2008, PATIENT SAFETY QUALI
[7] Structural empowerment, magnet hospital characteristics, and patient safety culture - Making the link
Armstrong, KJ
Laschinger, H
[J]. JOURNAL OF NURSING CARE QUALITY, 2006, 21 (02) : 124 - 132
[8] Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems
Barach, P
Small, SD
[J]. BMJ-BRITISH MEDICAL JOURNAL, 2000, 320 (7237): : 759 - 763
[9] CONTROLLING THE FALSE DISCOVERY RATE - A PRACTICAL AND POWERFUL APPROACH TO MULTIPLE TESTING
BENJAMINI, Y
HOCHBERG, Y
[J]. JOURNAL OF THE ROYAL STATISTICAL SOCIETY SERIES B-STATISTICAL METHODOLOGY, 1995, 57 (01) : 289 - 300
[10] Breckenridge-Sproat S.T., 2015, Clinical Nursing Studies, V3, P72

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