Date of Graduation
Summer 8-5-2020
Document Access
Project/Capstone - Global access
Degree Name
Master of Science in Nursing (MSN)
College/School
School of Nursing and Health Professions
First Advisor
Dr. Catherine Coleman
Abstract
Abstract
Many clinical outcomes that occur in the emergency room determine the patient’s continued care and experience in the hospital and beyond as well as influence the organizational reputation in the community. Mack and Fill emphasize that “an ED visit is a significant encounter between a patient and a hospital and one that affects ‘repurchase’ decisions for future health care” (as cited in Welch, 2010, p. 65). Thus, patient experience in the emergency department necessitates continued quality improvement efforts. The emergency room, or “the front door to the hospital”, provides equitable and affordable care to patients who need urgent medical evaluation. A proposed intervention to optimize the patient experience is a structured nurse leader rounding, consisting of a patient informational interview, based on the AIDET approach, and real-time nurse coaching, which is a best practice from the STAR Feedback model. An alternative evidence-based tool which can be used to assess patient experience during informational interviews is the Watson Caritas Patient Score. The questions of the informational interviews correlate with the 4 CAHPS questions of interest: (1) Courtesy and respect by nurses; (2) Confidence and trust in the nurses; (3) Nurses explaining things in a way you could understand; (4) Likelihood to recommend this emergency department to friends and family. CAHPS scores for ED patients for these questions and the patient survey summary star ratings are the outcome measures for this project. This evidence-based, quality improvement project aims to accentuate the service mindset and patient experience as an organizational priority. After attending the training sessions, nurse leaders will consistently engage in rounding according to the newly proposed policy.
Recommended Citation
Shishkina, Polina, "Nurse Leader Rounding: A Stellar Strategy to Improve the Patient Experience of Care in the Emergency Department" (2020). Master's Projects and Capstones. 1066.
https://repository.usfca.edu/capstone/1066
