Quiet Time Improves the Patient Experience
| Autor: | Christine Hedges, Pamela Ball, Candice Hunt |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Sleep Wake Disorders
medicine.medical_specialty Psychological intervention 03 medical and health sciences 0302 clinical medicine Patient satisfaction Acute care Surveys and Questionnaires Patient experience Health care Patients' Rooms otorhinolaryngologic diseases medicine North Carolina Humans 030212 general & internal medicine General Nursing 030504 nursing business.industry musculoskeletal neural and ocular physiology medicine.disease Test (assessment) Noise Patient Satisfaction QUIET Health Facility Environment Medical emergency 0305 other medical science business Psychology psychological phenomena and processes Total Quality Management |
| Zdroj: | Journal of nursing care quality. 34(3) |
| ISSN: | 1550-5065 |
| Popis: | Background A quiet environment promotes rest and healing but is often challenging to provide in a busy acute care setting. Improving quiet in the hospital for designated hours improves patient satisfaction. Such efforts have typically been the primary responsibility of the nursing staff. Local problem Two medical units with consistently low Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS) "always quiet" scores were chosen for this study. Methods A multidisciplinary team used Lean methods and the Model for Improvement to test interventions for quiet time (QT) and used HCAHPS "always quiet" scores as the primary outcome measure. Interventions The team instituted nighttime and afternoon QT supported by rounding and scripting, dimming lights, lowering staff voices, offering a sleep menu at night, and replacing noisy wheels. Results Quiet scores improved on both units after 11 months. Conclusions Noise in hospitals is often beyond the scope of nurse-driven improvement; however, a QT protocol led by nurses, developed by multiple stakeholders, and focused on changing expectations for quiet can lead to measurable improvements in patient perception of quiet. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|