Paraphrasing /rewording Rationale

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yfrgreubirl517

Health Medical

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Can you re-write the attached document.I want it to be reworded .make it original

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Rationale Patient and family engagement creates an environment where patients, families, clinicians, and hospital staff all work together as partners to improve the quality and safety of hospital care. Patient and family engagement encompasses behaviors by patients, family members, clinicians, and hospital staff as well the organizational policies and procedures that support these behaviors. Bedside shift report is a clinical expression of engaging patients and families as essential partners in the health care team. Communication during transitions in care, such as nurse shift changes, is extremely important for ensuring that the handoff is safe and effective. Allowing the patient and family to be involved in nurse bedside shift report gives them the opportunity to hear what has occurred throughout the shift and the next steps in their care. It also gives them the chance to ask questions and provide input into the care process. Bedside shift report can improve: • Patient safety and quality. Bedside shift report is an opportunity to make sure there is effective communication between patients and families and nursing staff. One study found that more than 70 percent of adverse events are caused by breakdowns in communication among caregivers and between caregivers and patients.1 Studies have shown that bedside shift report improves patient safety and service delivery.2,3 For example, one study showed a decrease in patient falls during change of shift, dropping from one to two patient falls per month to one patient fall in six months.4 Improved communication during shift report can help catch potential medical Patient safety and quality. Bedside shift report is an opportunity to make sure there is effective communication between patients and families and nursing staff. One study found that more than 70 percent of adverse events are caused by breakdowns in communication among caregivers and between caregivers and patients.1 Studies have shown that bedside shift report improves patient safety and service delivery.2,3 For example, one study showed a decrease in patient falls during change of shift, dropping from one to two patient falls per month to one patient fall in six months.4 Improved communication during shift report can help catch potential medical errors in blood incompatibility, catheter-associated urinary tract infections, and air embolism, all of which are on the Centers for Medicare and Medicaid Servic The Nurse Bedside Shift Report strategy is flexible and adaptable to each hospital’s environment and culture. As such, this guidance provides choices and questions for hospital leaders on how to implement this strategy. It may be helpful to implement this strategy initially on a small scale (e.g., a single unit). Identify lessons learned from the single-unit pilot implementation, refine your approach, and then spread it to more units. In this way, you can build on your successes as a pathway to broader dissemination and wider scale change. Set aims to implement Nurse Bedside Shift Report Any quality improvement initiative requires setting aims. The aim should be time specific, measurable, and define who will be affected. For example, an aim for bedside shift report could be “to have 95 percent of nurses implement bedside shift report within 6 months.” Other aims could be “reduce the average number of call lights by the end of shift report within 2 months” or “reduce the number of patient falls during shift report within 3 months.” As another example, hospitals may want to improve patients’ experience of care as measured by the CAHPS® Hospital Survey. Questions related to nursing include: • Q1: During this hospital stay, how often did nurses treat you with courtesy and respect? • Q2: During this hospital stay, how often did nurses listen carefully to you? Q3: During this hospital stay, how often did nurses explain things in a way you could understand? If a hospital wants to improve its CAHPS Hospital Survey scores related to nurse communication, an aim might be “to improve scores on CAHPS Hospital Survey Questions 1, 2, and 3 by 5 percent within 1 year.” Bedside shift report can also help meet other goals related to patient safety and never events by improving communication during nurse transitions, for example: • Reduce the incidence of never events by 5 percent by the end of the fourth quarter • Reduce the incidence of vascular catheter-associated infections by 10 percent in 3 months • Reduce the incidence of patient falls by 20 percent in 6 months Once the team has set specific aims for improvement, it may be helpful to identify a point person as the primary person staff would contact with any kind of question. This person may not have the answers to all questions but can facilitate the process of getting answers. This way, people are clear about whom to go to, and that person will hear all the questions and concerns. The point person can then coordinate with the multidisciplinary team to decide how to use and adapt each of the tools in this strategy. Reference: Chaboyer W, McMurray A, Wallis M. Bedside nursing handover: a case study. Int J Nurs Pract 2010;16(1):27–34. 3. Chaboyer W, McMurray A, Johnson J, et al. Bedside handover: quality improvement strategy to ‘transform care at the bedside.’ J Nurs Care Qual 2009;24(2):136–42. 4. Athwal P, Fields W, Wagnell E. Standardization of change-of-shift report. J Nurs Care Qual 2009;24(2):143–7.
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Here you go! Look it over and see how you like it. If there's anything else you'd like me to change about it, just let me know and I'd be happy to fix it :)

Rationale
If a patient and their family interact with the hospital more, then the family and hospital employees can
build a relationship that can make hospitals a safer place. The behaviors of all members involved in the
care process, including but not limited to members of the family as well as the doctors and other
hospital workers are the foundation of these interactions. There are specific policies put in place to
support these interactions as well. There is a clinical expression known as “bedside shift report” which
measures the level of family interaction with the hospital workers. The goal is to create an environment
where doctors and patients work together to make care as effective as possible.
One of the most important things to ensure safety in health care is communication between health care
practitioners. Every doctor or nurse who works on a patient should be aware ...


Anonymous
Really great stuff, couldn't ask for more.

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