The LOTUS: A Journey to Value-Based, Patient-Centered Care
| Autor: | Liza Barbarello Andrews, Meghan Rolston, Joanne Pelligrino, Ted Taylor, Nina Roberts, Carol Ash, Melina Hughes, Natalie Jones |
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| Rok vydání: | 2019 |
| Předmět: |
Scope of practice
New Jersey Magnet Recognition Program Restructuring media_common.quotation_subject fungi Hospitals Community Community hospital Intensive Care Units Patient safety Nursing Multidisciplinary approach Patient-Centered Care Health Facility Merger Humans Quality (business) Social determinants of health Psychology General Nursing Quality of Health Care media_common |
| Zdroj: | Creative Nursing. 25:17-24 |
| ISSN: | 1946-1895 1078-4535 |
| Popis: | In response to the merger of our 248-bed community hospital with a new health system, a multidisciplinary team began a journey of holistic transformation via the evolution of a new rounding process called Leadership, Ownership, Transformation, Unity, and Sustainability (LOTUS) in the 20-bed ICU. Morphing from a hierarchical practice structure with limited engagement of multidisciplinary members, the LOTUS initiative (named for the blossom whose petals surround its core, the patient) afforded each discipline (petal) an equal voice and allowed a once-fragmented team to work cohesively, collaboratively, and at the highest level of the scope of practice for each discipline, thus affording expert guidance during care planning while providing a method to collect quality metrics. LOTUS allows us to view our patients in a new way as we refocused goal determination on patients and their families. The restructuring and evolution into a high-functioning team was targeted with the goal of enhancing quality critical care for patients, which, in the literature, has correlated with improved patient safety and decreased mortality and ICU length of stay. |
| Databáze: | OpenAIRE |
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