PFCC In Practice

Family Presence and Visitation Policy 

image of family and patient

The UMHS PFCC Program was recently recognized as an exemplar hospital by the Institute of Patient and Family Centered Care due to its Family Presence and Visitation Policy. 

Bedside Shift-to-Shift Nursing Report

The Joint Commission identified communication failures during shift reports as a leading cause of sentinel events in the United States. Many units at UMHS have adopted, or are working toward adopting, a bedside shift report policy.

image of bedside shift report invite
The Internal Medicine Unit 6B has been a leader in promoting Patient and Family Centered Care, including conducting shift-to-shift nursing reports at the bedside. Pictured: Chad Roath, BSN, RN and Kathleen Partyke, BSN, RN.

Traditionally, nursing reports during shift change have taken place at a central nursing station or through voice-taping technology. This system can lead to reports that are incomplete or incorrect, and/or are beset by interruptions. Moving shift reports to the bedside:

  • provides opportunities for patient and family involvement enabling patients to contribute information and correct inaccuracies,
  • gives patients the chance to ask questions and learn first-hand about their plan of care which can smooth the transition from hospital to home,
  • heightens transparency in care delivery, 
  • demonstrates to patients and families that the care providers work together as a team, and
  • strengthens relationships between nurses.

The bedside report is one more way to improve patient-centeredness — treating patients and families with dignity and respect, sharing information, inviting involvement and pursuing collaboration.  More so, bedside nursing reports provide the opportunity to improve patient safety.

Citation: The Bedside Shift Report: Engaging Patients and Families as Partners

Family-Centered Rounding

image of Family-Centered rounds

 

Interdisciplinary teams do their rounds at the bedside, in partnership with parents and their families.
 

Rounding Model Graph

Traditional Model vs. Patient and Family Centered Care Model
DEFICITS   STRENGTHS
Control  image of arrow, pointing to the right Collaboration
Expert Model  image of arrow, pointing to the right Partnership Model
Restrict Information  image of arrow, pointing to the right Share Information
Exclusionary  image of arrow, pointing to the right Inclusive
Dependence  image of arrow, pointing to the right Independence

 

Creating Patient-Centered Outcomes

The UMHS Cardiac Rehab PFSAC helped facilitate a complete overhaul of the orientation process – including family being invited to orientation and classes, patients connecting with telemetry, and the addition of a PFCC presentation that deals with the social/psychological aspects of rehab. The committee changed the format of the orientation to be patient-centered, focusing on what a person entering cardiac rehab needs to know from the patient’s perspective, addressing fears and expectations, and sharing patient stories, versus the paperwork driven, staff-oriented way.

image of Cardiac Rehab team
Cardiac Rehab PFSAC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Evan Newport HOPE Award 

The Evan Newport HOPE (“Helping Our Patients Everyday”) Award was developed by a PFCC Advisor and his son to recognize individuals - staff, faculty, and volunteers, and teams who demonstrate Patient & Family Centered Care principles in their everyday actions and create and sustain PFCC culture change in their respective departments/units. The HOPE Awards was presented in December of 2015. Please read more here.

 

image of HOPE Award logo