Communicating the value of the work and the role of

caregiver is essential. A caring team works together to

promote harmony and healing among themselves as well as

those they serve, influencing the whole system.

Effective communication and collaboration between

nurses, physicians and ancillary staff is essential to positive

patient outcomes. This project focuses on addressing

multidisciplinary collaboration and effectiveness in order

to plan more efficient and satisfying discharge outcomes

with patients.

We intend to create a caring relationship with our patients

that promotes knowledge, growth, and empowerment and

enhances their awareness of health and well-being.

This project is a part of our organization’s effort in bringing human caring

science into the active practice of nursing staff in a 40 bed

Medical-Surgical/Telemetry-Stroke unit.

This project was designed to improve the way we round on our patients,

discharge process and patient flow (ED-Bed). The nurse manager and assistant

nurse managers utilized a valuable approach in rounding by creating a rounding

tool that emphasizes the caring-healing relationship between the nurses and the

patient.

I would like to acknowledge Kaiser Permanente’s leaders for bringing

the Caring Theory to our medical center. Deep appreciation to ninth

floor staff and management team in embracing the positive changes in

the unit.

The purpose of this project is to develop helping, trusting

and caring relationships with patients, families and the

members of the health care team.

Our aim is to improve the patient flow and service

experience of our patients through effective communication

and creation of a trusting relationship among caregivers.

We developed a tool to measure the caring/healing

relationship between the health care team and the patient.

This tool includes assessment of the patient’s

perceptions of caring, nurses caring behaviors,

abilities and efficacy.

It also helps to transform tasks into caring healing

interactions, creating a higher level of consciousness.

Healing and wellness are facilitated through an efficient

discharge process.

BACKGROUND

PURPOSE

SETTINGS/ PROJECT DESCRIPTION / PROCESS RESULTS/CONCLUSIONS

ACKNOWLEDGMENTS

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LOGOin this area.

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A commitment to sustain an authentic trusting-caring relationship with another is the foundation of professional nursing practice.

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The Care rounds statements were focused on :

Communicating the daily routine and expectations on newly admitted

patients.

Asking if they know who is caring for them that day and if the nurses

are responsive to their needs in a courteous and respectful way.

Asking if they are kept informed about their daily care and pain

management.

Patients were asked about the consistency of the health care team in

providing care with loving kindness and patients were asked if they felt

that their cultural traditions and spiritual beliefs were supported.

Through consistent care rounds we assess the patients needs, experience,

and gauge Readiness for Discharge:

Patient’s discharge plan is discussed as early as admission.

We review the next day targeted discharge list, track and monitor the

progress of discharge readiness.

We follow-up on action items to facilitate next day timely discharge e.g.

pending tests, teaching, PT eval, transportation arrangement s and DME

(Durable medical equipment).

In AM we project the patients who potentially will be discharged in time

groupings (<1100H, 1100H-1500H, >1500H).

Developing a Helping-Trusting Caring Relationship

Vanessa A. Martinez, RN, BSNKaiser Permanente Oakland Medical Center, Oakland, California

Creating a culture for trusting caring relationships among

caregivers through a cross-functional team and improved

patient flow, as demonstrated by :

Making room for more admissions from ED or transfers.

Decreasing and eliminating overcrowding and surge alerts of

admissions during late afternoons.

Receiving positive feedback from our patients for the

excellent caring experience they had during their hospital stay:

quotes like “I want to take my Nurse home with me”

Receiving nurse award recognitions from patients two

months in a row for going above and beyond with care.

Linking staff engagement with all our initiatives in quality,

safety and patient satisfaction through skin and fall rounds, no

HAPU (hospital acquired pressure ulcer) and CLBSI (central

line blood stream infection).

Increasing patient satisfaction service scores to six points.

Decreasing patient overall length of stay