Improving Patient Outcomes

2763 Words Nov 27th, 2012 12 Pages
Patient Centered Outcomes

Nursing 300: Foundations of Professional Nursing By: Jayme Shulman, RN 0ctober 28, 2012

America’s health care system has become very complex with a rise in health costs, patients with complex medical issues, and Medicare cuts. Nurses must find a way to juggle the health care industry while maintaining positive patient outcomes. Patients will either have good or bad outcomes during or after their care based on the decisions of the nurse and the interdisciplinary team. The new goal in healthcare is for outcomes to be patient centered. This means that the patient is looked at holistically and also that the patient is equally involved in the care planning process as the nursing and medical staff. This
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Many hospitals and some healthcare facilities have attempted to research how the nursing practice model correlates with patient outcomes. “Hospital studies frequently consider attributes of medical staff but neglect attributes of nursing staff.” (Weisman). Some of the factors to consider when looking the nursing practice model are structural dimensions such as nurses’ individual level of practice and education, management per unit rather than traditional supervisors, case management, and the degree to which nursing or multidisciplinary teams are employed. The National Center for Nursing Research (NCNR) and the Division of Nursing, have funded two research projects in Arizona and New York. “The University of Rochester School of Nursing is implementing and evaluating an Enhanced Professional Practice Model for Nursing, designed to increase nurses’ control over practice at the unit level and to provide professional compensation.” (Weisman). The experiment will include five hospitals and the patient outcomes being studied include morbidity and mortality, patients’ perceptions of the hospital experience, and unplanned hospital readmission up to 30 days after discharge. “The University of Arizona College of Nursing is implementing and evaluating a unit-based Differentiated Group Professional Practice Model that includes three components: group governance (including participative management, staff bylaws, peer
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