swot analysis, assessment and smart goals

 Improving
Hand-off
Report

Student Names

Team Name and First/Last Names of Participants

Problem 

Report (timing and hand off errors):  The unit manager of a medical surgical unit has observed that change of shift report takes greater than 45 minutes.  In addition, staff has complained that their peers do not include vital data (IV sites, dressing sites, DVT prevention measures….) in report leading to errors, leave patients in disarray, and leave tasks incomplete.  Our task is to propose a change that will address these issues. 

Report (timing and hand off errors:  Unit managers observed that there was miscommunication between staff during shift report.  Often times leaving out important patient information as well as taking a significant amount of time to relay the information. Our goal it to offer a change that will address these issues. 

Now here is our SWOT analysis starting off with Derrick talking about the strengths.

Majka 

“Communication failures compromise patient treatment, care quality, and safety. It also leads to medical errors, the third leading cause of deaths in the United States” (Ghosh, et all., 2015)

“The varying parties and large amount of complex information included in patient handoff reports frequently contribute to informational gaps and omissions in the handoff report that can lead to sentinel events and patient hard” (Staggers & Blaz, 2013)

“Research has identifed handovers as a risky time in the care process, when information may be lost, distorted or misinterpreted (Borowitz et al 2008, Owen et al. 2009, Philibert 2009)

Report (timing and hand off errors):  The unit manager of a medical surgical unit has observed that change of shift report takes greater than 45 minutes.  In addition, staff has complained that their peers do not include vital data (IV sites, dressing sites, DVT prevention measures….) in report leading to errors, leave patients in disarray, and leave tasks incomplete.  Your task is to propose a change that will address these issues. 

Increase of errors during patient hand-off report leading to missed information and incomplete tasks 

Hand-off report time is taking a greater deal of time 

Our task is to implement the use of SBAR as the standard hand-off report between shifts in order to reduce errors and decrease the time spent giving report. 

2

SWOT

Strengths:
Multidepartment focus addressing handoff report problems(Robins et al., 2017)
Solutions shorten time taken in report while increasing quantity of pertinent information. (Stewart & Hand, 2017)
SBAR is supported by the Joint Commision (Stewart & Hand, 2017)
Proven error reduction due to use of SBAR tool. (Stewart & Hand,

© 2018 Global Journal on Quality and Safety in Healthcare | Published by Wolters Kluwer ‑ Medknow 33

Abstract

Original Article

IntroductIon
Why do we need family involvement in patient care?
Patient‑centered care is one of the six domains of quality
identified in the Institute of Medicine Report “Crossing the
Quality Chasm.”[1] Involving the family in patient’s care is
critical as it has multiple benefits for the patients themselves,
staff, and the organization [Table 1].

Family members (FMs) play important roles in the care of
patients including contribution to decision‑making, assisting
the health‑care team in providing care, improving patient
safety and quality of care, assisting in home care, and
addressing expectations of patient’s family and society at
large.[2,3]

Societies vary in the structure and hierarchy of the family
unit, and therefore, the size of extended families and the roles
of different members among cultures. There are many factors
affecting family dynamics including religion, educational,
cultural, and legal variables, in addition to the prevailing
health‑care culture in relation to the family’s involvement

in a patient’s care. Middle Eastern and other developing
countries share many issues related to family dynamics
including large extended families that are heavily involved
in patient care and committed to the personal care of their
loved ones.[4‑6]

From our experience, extended families with diverse members
background and educational levels represent a challenge to the
health‑care providers in terms of communication and family
involvement and may lead to conflicts and dissatisfaction of
staff and family.[7‑9]

Despite the call by different international bodies to increase
patient involvement, there is no agreement to what is this
involvement means and how it should take place.[3,10‑12]

Background: Family involvement is a critical component of patient‑centered care that impacts the quality of care and patient outcome. Our aim
was to develop a patient‑ and family‑based communication model suitable for societies with extended families. Methods: A multidisciplinary
team was formed to conduct a situational analysis and review the patterns of family involvement in our patient population. Patient complaints
were reviewed also to identify gaps in communication with families. The team proposed a model to facilitate the involvement of the family
in the patient’s care through the improvement of communication. Results: A communication model was developed keeping the patient in the
center of communication but involving the family through identifying the most responsible family member. To assure structured measurable
contact, mandatory points of communication were defined. The model streamlines communication with the family but maintaining the patients’
rights and autonomy. Conclusion:

Student Name: Therese Prisca Nkou

EBP Journal Article in APA Format:

Jazieh, A. R., Volker, S., & Taher, S. (2018). Involving the family in patient care: A culturally tailored communication model. Global Journal on Quality and Safety in Healthcare1(2), 33-37.
https://doi.org/10.4103/JQSH.JQSH_3_18

Is this an Evidence Based Article? Name of Journal and Year article was written?


Yes

Name of Journal: Global Journal on Quality and Safety in Healthcare.

Year: 2018

.2 points

State the problem

What was the goal of the project in the article?

Does this project correlate with your problem? State how?

What are you trying to achieve? Does this article support this goal?

Problem: Lack of patient satisfaction in the medical surgical unit is on the rise and one of the main reasons is poor communication between health workers and the patients and their families. Poor communication can result from language barrier, insufficient knowledge, and multitasking among healthcare workers among other reasons.

Goal: The goal of this project was to achieve patient-family-centered care where the family is fully involved in the care plan by determining the order in which the family members contribute directly to the patient’s well-being. When the patient and their family feel and engage with their role in healthcare patient’s quality of life and satisfaction is increased.

The goal of the project is to achieve high patient satisfaction by providing a communication environment that includes the patients and their families. To achieve this goal the group was to propose a move toward a patient-family-centered care environment to tackle the problem of poor communication which is one of the main reasons for the lack of patient satisfaction. This goal correlates with the chosen journal article’s aim since the article is aimed at family involvement in patient care using a culturally tailored communication model. The article’s suggestive communication mode can be applied to the medical surgical unit and improve communication among healthcare workers, patients, and their families.

.2 points

Strengths (Internal)

What’s was good about your article?

Staff input: Staff input was very effective in making the study successful as it involved members from the intensive care units (ICU), medical and surgical specialists, religious affairs, social services, patients, and their families. All these members formed a multidisciplinary team that was to evaluate the communication gaps that exist and see how t