P426 IMPLEMENTATION OF MODULAR NURSING IN THE CARDIOLOGY CONTEXT: EXPERIENCE AND RESULTS IN THE CONEGLIANO HOSPITAL

Autor: E Mazzariol, M Canzian, M Cesaro, M Tonegutti, M Bottega, S Migotto, A Coppe, R Mantovan, M Salemi
Rok vydání: 2023
Předmět:
Zdroj: European Heart Journal Supplements. 25:D213-D213
ISSN: 1554-2815
1520-765X
Popis: Introduction In response to regional requirements and the ever–increasing complexity of the needs of the patients, the UOC Health Professions of the ULSS 2 Marca Trevigiana Company, in collaboration with the team of the Cardiology UOC of the Conegliano Hospital decided, in the year 2022, to start a Field Training project (FSC) oriented towards the implementation of Modular Nursing (MN) in the specific context. Methods The project involved all the staff of the Cardiology, Hemodynamics, and Intensive Care Unit, with the contribution of the Coordinator and the support of the Health Professions Unit. 4 working groups were therefore formed, relating to the User Path in the care setting, Nursing Handover, Management of care–organizational resources and Indicators of the quality of care. Furthermore, we surveyed to collect the perception of the care staff concerning Relationship Time, Clinical Risk, Safety of Professional Action, and Continuity of Care. Results During the process, each working group presented the results of the work developed, which were: the description of the admission and discharge paths, the structuring of a Handover model based on the SBAR method, the definition of standard Care Plans for care cases, the analysis of the data deriving from the collection of defined indicators and the perception of the care staff pre–post implementation of the Care Model. The first data that emerged shows a 26% decrease in phlebitides observed in patients and an average reduction of 4 minutes in the Handover process. Furthermore, the survey conducted shows how nurses, with the introduction of the NM, perceive they have more time for the relationship with patients and family members (42.6%), a reduction (65%) of interruptions in the management of drug therapy, and an improvement in the quality of information given and received during the handover (95.6%) between shifts. Discussion The data collected demonstrates how the implementation of the MN has had positive effects not only on the organizational well–being and the working methods of the assistance staff but has also contributed to better management of assistance needs. Moreover, in this first phase, the increase in the Safety of Care provided emerges, thus, the continuity of care even after discharge.
Databáze: OpenAIRE
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