I CARE in Nursing Essay Paper
I CARE in Nursing Essay Paper
Rounding is a component of health care efforts to improve patient experiences. It is a structured means for promoting patient-centered communication in a health care setting between the health care team, patient and family members to ensure the best care outcomes. If effectively and consistently applied, rounding offers significant benefits to include giving the members of the interprofessional team more time for patient care tasks as they are proactive, rather than reactive, and have greater control over their time. In addition, it improves patient experiences, improves patient perception of their care, reduces skin breakdown, reduces fall incidences, and reduces calls lights thereby increasing the team member’s satisfaction and efficiency. Rounding is critical to any inpatient care setting since it helps in achieving the health care commitment to patient centered excellence (Cherry & Jacob, 2013). I CARE in Nursing Essay Paper The present essay conducts an analysis of how rounding can benefit from applying compassion, advocacy, resilience, and evidence-based practice as iCARE components.
iCARE is a tool and model that is designed to help medical personnel deliver care that achieves the best possible patient outcomes. It provides a set of simple reminders of how the interprofessional team, regardless of its role, shapes the experiences of colleagues, patient, and family members through rounding. Whether providing direct or indirect care, or simply walking through the corridors at the facility, rounding presents an opportunity for the team members to foster a welcoming environment and an opportunity to make a lasting impression. Besides that, incorporating iCARE model in rounding helps to make the patients feel support, is the right thing to do, and supports the facility’s mission. The model makes use of interprofessional team members (such as nurses physicians, case managers, social workers, occupational, physical and respiratory therapists, pharmacists, patient and family members) who work together to positively impact health care. The team brings together different disciplines with a goal for information sharing and collaboratively arrive at a care plan. This has been positively associated with patient safety and length of stay (Grinspun & Bajnok, 2018).
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Compassion
The interprofessional team makes use iCARE model to achieve compassion through being empathetic to the patient’s feelings and making them more comfortable. The rounding presents an effective way for the team members, patients and family members to share their thoughts and feelings with each other. This helps them understand that they are not isolated, their feelings are mirrored by others and that they are supported (Peper et al., 2012). It helps the medical personnel to continue providing high quality care even in the midst of emotional situations. In addition, the rounding process helps in achieving closure for troubling experiences that could end up niggling at their consciousness for a long time if left unaddressed. Unlike typically meetings involving the interprofessional team in which the overarching goal is to solve existing problems and focus entirely on the team, rounding that incorporate compassion as a component of iCARE are different. That is because the rounding seeks to bring problems of health care into a wider forum that involves the team, patient and family, a process that requires much courage from all participants. The process is not sterile but leads to proactive action with a focus on rethinking the way health care is organized and seeking to finding better solutions (Peper et al., 2012).
Advocacy
The iCARE model has redefined the concept of advocacy in rounding. The team engages in advocacy through connecting patients to resources, double checking for errors, protecting the rights of patients, educating patients, giving patients a voice and ensuring safety (Huff Kline & Peterson, 2015). The rounding brings together medical personnel, patients and family members so that the medical personnel have an opportunity to guide the patients and family members through the facility’s health care systems. This includes helping them go through the process of being screened, diagnosed, treated and follow-up of the medical condition. As patients’ advocates, the medical personnel help the patients to communicate with their health care providers to get the information needed to make intelligent and informed health care decisions. In addition, the rounding achieves advocacy objectives by setting up appointments for medical tests and getting social, legal and financial support. In fact, as patient advocates work with the patients and their loved ones (family and friends) to help them understand what happens next in the care process and what they can do. They explain the tests being performed, describe the diagnosis givens, and explain the available treatments. Also, they answer any questions posed. Besides that, they handle some of the patients’ complaints that could include complaints about bed linens, a nurse, and misconduct (Huff Kline & Peterson, 2015).
Resilience
The iCARE model facilitates resilience as an intrinsic ability of the rounding to adjust the interprofessional team’s functioning before, during and after disturbances and changes so that the required health care operations are sustained even in the presence of continuous stress and major mishap. The team actions that exhibit resilience include visualizing expectations, sustaining a hopeful outlook, keeping a long-term perspective, accepting circumstances that cannot be changed, and maintaining good relationships (Black, 2016). In this case, resilience offers the means through which the team can target resources by integrating patient safety and care outcomes concerns. Through incorporating resilience, the team gains the capacity to cope with and recover from unexpected developments, such as maintaining the ability to adapt when a patient’s recovery does not proceed as expected and goes beyond the team’s customary abilities. Through understanding resilience, rounding creates the difference between inadvertently creating complexities and missing signals, and managing the care process well. To achieve effectiveness, the team repeatedly applies resilience to constantly look for indicators specifying how it actually operates and to use the information to better calibrate its activities (Black, 2016).
Evidence-Based Practice
Rounding is conducted in a timely and purposeful manner as a best practice intervention to proactively address problems before they occur, reduce occurrences of preventable patient events, ensure patient safety, and meet the patient care needs. The interprofessional team uses rounding intervention to improve their responsiveness and patient communication. The team members apply a problem-solving and conscientious approach to clinical practice that incorporates the best evidence from research, publications, patients’ views and professional expertise to make clinical decisions (Grinspun & Bajnok, 2018). This creates an organized approach and supportive infrastructure that encompasses all the team members to meet the patients’ needs during their hospital stay as a key factor. With the shift towards value based care, the rounding activities and processes prioritize communication as a financial and strategic priority. The improved communication offers gains in other experiences of care dimensions, particularly communication about medication, pain management and responsiveness of medical personnel, thereby acting as a catalyst for improving patient care safety and quality through evidence-based practice. As such, rounding that incorporates iCARE components provides an evidence-based structure that improves patient experiences and promotes a culture of patient-centered care through proactive communication (Grinspun & Bajnok, 2018).
Summary
Compassion, advocacy, resilience and evidence-based practice are core values adopted to improve rounding. The health care team is expected to adopt and embrace these core values as they engage with team members, colleagues, patients and family members. It is clear that iCARE model is more than just characteristics of rounding. It is a code of values that allows the medical facility to provide the highest possible service levels. The component of compassion allows for the understanding of others perspective by sharing thoughts and feelings with each other. The component of advocacy allows for representation and information dissemination by connecting patients to resources, double checking for errors, protecting the rights of patients, educating patients, giving patients a voice and ensuring safety. The component of resilience allows for system adaptability to respond to unexpected events by visualizing expectations, sustaining a hopeful outlook, keeping a long-term perspective, accepting circumstances that cannot be changed, and maintaining good relationships. The component of evidence-based practice allows the team to proactively address problems by applying a problem-solving and conscientious approach to clinical practice that incorporates the best evidence from research, publications, patients’ views and professional expertise to make clinical decisions. The four components are all targeted at improving care outcomes and patient experiences through rounding activities.
References
Black, B. (2016). Professional nursing: concepts & challenges. New York, NY: Elsevier Health Sciences.
Cherry, B. & Jacob, S. (2013). Contemporary nursing, issues, trends, & management (6th ed.). Amsterdam: Elsevier Health Sciences.
Grinspun, D. & Bajnok, I. (2018). Transforming nursing through knowledge: best practices for guideline development, implementation science, and evaluation. Indianapolis, IN: Sigma Theta Tau International.
Huff, R., Kline, M. & Peterson, D. (2015). Health promotion in multicultural populations: a handbook for practitioners and students (3rd ed.). Thousand Oaks, CA: SAGE Publications, Inc.
Pepper, J., Jaggar, S., Masson, M., Finney, S. & Dusmet, M. (2012). Schwartz Rounds: reviving compassion in modern healthcare. Journal of the Royal Society of Medicine, 105(3), 94-95. DOI: 10.1258/jrsm.2011.110231
This paragraph(s) is to introduce the paper. Explain the type of work setting you are discussing and whether interprofessional teams are present. If present, indicate a team function that could be improved. If not present, indicate what type of team you think might work well in this setting and how it might function. Remember this is a scholarly APA assignment so you cannot use first person. Remember also that you will keep all the bolded headings and just remove the non-bolded content when you start your paper.
Compassion
In this paragraph, describe a nursing action that could contribute to compassion through interprofessional team support; describe how this might impact the culture of your unit or organization; and possible impact on patient outcomes.
Advocacy
In this paragraph, describe a nursing action that could contribute to advocacy through interprofessional team support; describe how this might impact the culture of your unit or organization; and possible impact on patient outcomes.
Resilience
In this paragraph, describe a nursing action that could contribute to resilience through interprofessional team support; describe how this might impact the culture of your unit or organization; and possible impact on patient outcomes.
Evidence-Based Practice
In this paragraph, describe a nursing action that could contribute to evidence-based practice through interprofessional team support; how this might impact the culture of your unit or organization; and possible impact on patient outcomes.
Summary
Provide a clear and concise summary. Include a summary statement of how iCARE components can support interprofessional teams and patient outcomes through nursing actions. Address how you may be able to influence this process of support for interprofessional teams on your unit or in your organization.
References
Select at least one scholarly nursing article from CINAHL as a resource for your paper. Additional scholarly sources can be used but are optional. I CARE in Nursing Essay Paper
