The Pursuit of Genuine Partnerships with Patients and Family Members: The Challenge and Opportunity for Executive Leaders

Taylor, Jane; Rutherford, Patricia

doi:10.1097/01974520-201004000-00002

Cited by 7 publications

(4 citation statements)

References 10 publications

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“…Implementation of the intervention in this study required nurses to facilitate interactions among themselves, the multimedia program, and patients to create opportunities for patients to discuss their goals of recovery and negotiate pain management. This element required a patient-centered approach [ 21 - 23 ], which can be difficult to achieve in practice when nurses perceive that their workload is already high. Several acute care studies have reported that nurses spend only a small amount of time with each patient [ 24 - 27 ], and the acuity levels of the patients in the postoperative context also result in some patients being allocated more time than others [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

A Nurse-Led Multimedia Intervention to Increase Patient Participation in Recovery After Knee Arthroplasty: Hybrid Type II Implementation Study

McDonall¹,

Redley²,

Livingston³

et al. 2022

JMIR Hum Factors

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Background Advances in digital technology and the use of multimedia platforms to deliver information provide clinicians with a unique opportunity to develop innovative ways to consistently provide high-quality, accessible, and evidence-based information to support patient participation. Introducing new technologies into everyday acute care clinical practice can be difficult. Objective The aim of this paper was to provide a description of an implementation strategy and the subsequent evaluation undertaken to examine the contextual factors important to the successful adoption of new technology by nurses in the context of acute postoperative care. Methods Implementation of the intervention and process evaluation was undertaken in 3 phases: phase 1, preimplementation stakeholder engagement and identification of barriers and enablers to implementation; phase 2, supported implementation of the intervention; and phase 3, evaluation of uptake, usability, and acceptability of the intervention in clinical practice. Results The outcomes of the implementation of the multimedia intervention in the context of acute postoperative care were positive. Of the 104 patients in the intervention group, 103 (99%) received the intervention. All 103 patients completed the 8-item intervention questionnaire and 93.3% (97/103) were interviewed on day 3 to evaluate usability, uptake, and acceptability. Of these 97 patients, almost all (n=94, 91%) found the program easy to use and most (n=64, 62%) could view the MyStay Total Knee Replacement program as often as they wanted. The findings also suggest that the time to implement the program was minimal (5-10 minutes). Collaboration with nurses and patients before and during implementation to identify potential barriers to successful implementation of the intervention was essential to develop timely strategies to overcome these barriers. To ensure end-user engagement, careful consideration was given to nurses’ views on who was responsible for facilitating this intervention. Conclusions The findings provide evidence that the structured implementation of the multimedia intervention was robust and successful in terms of patient participant recruitment and application; however, it was difficult to assess the level of engagement by nurse clinicians with the program. Trial Registration Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12614000340639; https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12614000340639

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Section: Discussionmentioning

confidence: 99%

A Nurse-Led Multimedia Intervention to Increase Patient Participation in Recovery After Knee Arthroplasty: Hybrid Type II Implementation Study

McDonall¹,

Redley²,

Livingston³

et al. 2022

JMIR Hum Factors

View full text Add to dashboard Cite

show abstract

“…Implementation of the intervention in this study required nurses to facilitate interactions among themselves, the multimedia program, and patients to create opportunities for patients to discuss their goals of recovery and negotiate pain management. This element required a patient-centered approach [21][22][23], which can be difficult to achieve in practice when nurses perceive that their workload is already high. Several acute care studies have reported that nurses spend only a small amount of time with each patient [24][25][26][27], and the acuity levels of the patients in the postoperative context also result in some patients being allocated more time than others [28].…”

Section: Embedding Interventions Into Clinical Practice Has Been Repo...mentioning

confidence: 99%

A Nurse-Led Multimedia Intervention to Increase Patient Participation in Recovery After Knee Arthroplasty: Hybrid Type II Implementation Study (Preprint)

McDonall¹,

Redley²,

Livingston³

et al. 2022

Preprint

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BACKGROUND Advances in digital technology and the use of multimedia platforms to deliver information provide clinicians with a unique opportunity to develop innovative ways to consistently provide high quality, accessible, evidence-based information to support patient participation. Introducing new technologies into everyday acute care clinical practice can be difficult. OBJECTIVE This paper provides a description of an implementation strategy and subsequent evaluation undertaken to examine the contextual factors important to the successful adoption of new technology by nurses in the context of acute postoperative care. METHODS Implementation of the intervention and process evaluation were undertaken in three phases: Phase-1: pre-implementation stakeholder engagement, identification of barriers and enablers to implementation. Phase-2: supported implementation of the intervention and Phase-3: evaluation of uptake of the intervention in clinical practice. RESULTS Outcomes of implementation of the multimedia intervention in the context of acute postoperative care were positive. A total of 104 patients were in the intervention group, of these 97 (93%) patients were interviewed on Day 3 to evaluate usability and feasibility. Patients found the program easy to use, had high satisfaction with the content and the program required minimal time for orientation. Collaboration with nurses and patients prior to and during implementation to identify potential barriers to successful implementation of the intervention was essential to develop timely strategies to overcome these. To ensure end-user engagement, careful consideration was given to nurses’ views on who were responsible for facilitating this intervention. CONCLUSIONS The findings provide evidence that the structured implementation of the multimedia intervention was robust and successful in terms of patient participant recruitment and application, however, it was difficult to assess the level of engagement by nurse clinicians with the program.

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“…Executive leadership is essential for achieving the cultural transformation needed to support genuine partnerships with patients and families throughout their organizations. 25 Leadership that is engaged and provides the resources needed to sustain strategies for patient-family input is critical for successful adoption of these practices. Organizations and systems that uphold patient partnerships as an integrated core value will exemplify professionalism and stand apart from others.…”

Section: Charter Domainsmentioning

confidence: 99%

The Charter on Professionalism for Health Care Organizations

et al. 2017

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In 2002, the Physician Charter on Medical Professionalism was published to provide physicians with guidance for decision making in a rapidly changing environment. Feedback from physicians indicated that they were unable to fully live up to the principles in the 2002 charter partly because of their employing or affiliated health care organizations. A multistakeholder group has developed a Charter on Professionalism for Health Care Organizations, which may provide more guidance than charters for individual disciplines, given the current structure of health care delivery systems.This article contains the Charter on Professionalism for Health Care Organizations, as well as the process and rationale for its development. For hospitals and hospital systems to effectively care for patients, maintain a healthy workforce, and improve the health of populations, they must attend to the four domains addressed by the Charter: patient partnerships, organizational culture, community partnerships, and operations and business practices. Impacting the social determinants of health will require collaboration among health care organizations, government, and communities.Transitioning to the model hospital described by the Charter will challenge historical roles and assumptions of both its leadership and staff. While the Charter is aspirational, it also outlines specific institutional behaviors that will benefit both patients and workers. Lastly, this article considers obstacles to implementing the Charter and explores avenues to facilitate its dissemination.

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The Pursuit of Genuine Partnerships with Patients and Family Members: The Challenge and Opportunity for Executive Leaders

Cited by 7 publications

References 10 publications

A Nurse-Led Multimedia Intervention to Increase Patient Participation in Recovery After Knee Arthroplasty: Hybrid Type II Implementation Study

A Nurse-Led Multimedia Intervention to Increase Patient Participation in Recovery After Knee Arthroplasty: Hybrid Type II Implementation Study

A Nurse-Led Multimedia Intervention to Increase Patient Participation in Recovery After Knee Arthroplasty: Hybrid Type II Implementation Study (Preprint)

The Charter on Professionalism for Health Care Organizations

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