Patient-Centered CareHow to implement and promote Patient and

Family-Centered Care in your nursing career.

Patient and Family-Centered Care practices must be implemented from the TOP DOWN and from the BOTTOM UP.

The Common Theme:

Objective: For a healthy work environment, nurses need to be able to “walk their talk”. They can engage in this best practice skill through engaging in control of their nursing practice, and developing a patient-centered culture. Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., ... Waldo, M. (2009). Walk the talk: promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77-93. doi:10.4037/ccn2009586

Walk The Talk: Promoting Control of Nursing Practice and a Patient-

Centered Culture

1. “PRACTICE WHAT YOU PREACH”2. Element 1: Through “Control of Nursing Practice”3. Element 2: Through “Patient-Centered Culture”4. How a nurse can participate in creating a culture

that is healthy, and that they want to work in.5. Examples to follow: Magnet Hospitals

Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., ... Waldo, M. (2009). Walk the talk: promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77-93. doi:10.4037/ccn2009586

Walk the Talk- 5 Main Points

Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., ... Waldo, M. (2009). Walk the talk: promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77-93. doi:10.4037/ccn2009586

1. “PRACTICE WHAT YOU PREACH”2. Element 1: Through “Control of Nursing Practice”3. Element 2: Through “Patient-Centered Culture”4. How a nurse can participate in creating a culture

that is healthy, and that they want to work in.5. Examples to follow: Magnet Hospitals

Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., ... Waldo, M. (2009). Walk the talk: promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77-93. doi:10.4037/ccn2009586

Walk the Talk- 5 Main Points

Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., ... Waldo, M. (2009). Walk the talk: promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77-93. doi:10.4037/ccn2009586

1. “PRACTICE WHAT YOU PREACH”2. Element 1: Through “Control of Nursing Practice”3. Element 2: Through “Patient-Centered Culture”4. How a nurse can participate in creating a culture

that is healthy, and that they want to work in.5. Examples to follow: Magnet Hospitals

Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., ... Waldo, M. (2009). Walk the talk: promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77-93. doi:10.4037/ccn2009586

Walk the Talk- 5 Main Points

Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., ... Waldo, M. (2009). Walk the talk: promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77-93. doi:10.4037/ccn2009586

Magnet Hospital Examples

To work in a healthy environment- TAKE ACTION!!

Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., ... Waldo, M. (2009). Walk the talk: promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77-93. doi:10.4037/ccn2009586

Walk the Talk- Summary

Objective: Address the need for further widespread implementation of patient-family centered care at the ORGANIZATIONAL level.

Abraham, M., Moretz, J. G. (2012). Implementing patient- and family- centered care: part I - understanding the challenges. Pediatric Nursing. 38(1). 44-47.

Implementing Patient- and Family-Centered Care: Part 1- Understanding

the Challenges

Abraham, M., Moretz, J. G. (2012). Implementing patient- and family- centered care: part I - understanding the challenges. Pediatric Nursing. 38(1). 44-47.

Core Concepts

1. Primarily in pediatric settings2. Some organizations have had success with

implementation3. Evidence shows patient-family centered care is

beneficial for patient outcomes4. Attitudinal and organizational challenges make

things hard!5. Patient-family centered care should not only be

the nurses responsibilityAbraham, M., Moretz, J. G. (2012). Implementing patient- and family- centered care: part I - understanding the

challenges. Pediatric Nursing. 38(1). 44-47.

5 Main Points

Objective: Presents ideas on how to successfully implement patient-family centered care into an

organization.

Moretz, J. G., Abraham, M. (2012). Implementing patient- and family- centered care: part II - Strategies and resources for success. Pediatric Nursing. 38(2). 106-109.

Implementing patient- and family- centered care: part II - Strategies and

resources for success.

1. Many nurses support patient-family centered care but need guidance on implementing it

2. Educating a core team is very important3. Education of others and sustaining improvements4. Telling stories can keep the morale of employees up5. Patient-family centered care is a journey not a

destination!Moretz, J. G., Abraham, M. (2012). Implementing patient- and family- centered care: part II - Strategies and resources for

success. Pediatric Nursing. 38(2). 106-109.

5 Main Points

Moretz, J. G., Abraham, M. (2012). Implementing patient- and family- centered care: part II - Strategies and resources for success. Pediatric Nursing. 38(2). 106-109.

Institute for Patient and family Centered Care

1. Do you see any challenges in implementation of Patient- and Family-Centered Care (PFCC)?

2. What types of PFCC have you seen in Kaiser that you liked or disliked?

3. Could PFCC help avoid problems like those seen in the Lewis Blackman Story?

4. Would you be on a PFCC “core team” if your hospital offered one?

CONCLUSION