Implementation of a Patient Centered Care Tool on an Acute Care of the Elderly (ACE) Unit
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Date
2023-08
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Publisher
The Ohio State University
Abstract
Background: Despite the importance of patient centered care (PCC), adoption into routine acute care
practice remains inconsistent (Moore et al., 2017). Older adults who are frail or have cognitive
impairment can be easily overlooked in the acute care setting. One strategy for implementing PCC is the
use of a "Get to Know Me" (GTKM) tool to help improve communication, identify patient values and
personalize care interventions (Fick et al., 2013).
Aims: The purpose of this DNP project was to promote PCC on an ACE unit through use of a "Get to
Know Me" poster with the aims to increase patient satisfaction and nursing perception of providing
patient centered care.
Methods: This was a quality improvement (QI) project that was conducted over 4 weeks on an ACE unit
in a community hospital. The GTKM posters were completed using information from patients/family and
posted during the hospital stay. Patient satisfaction was measured through interviews performed at
random with 3-4 patients/family members weekly. The Person-Centered Care Assessment Tool (P-CAT)
was used to describe nurse perceptions pre- and post-implementation. Additionally, nursing perceptions
of the poster were collected weekly during audits of completion.
Results: Increased perception of patient centered care was accomplished by a 24% increase in "Agree"
and "Strongly Agree" responses on the P-CAT survey subscale 1. Of the patients/families interviewed
83% reported that they perceived the poster as being helpful in the care received. Both nursing and
patient/families reported the GTKM poster increased communication.
Conclusion: The "Get to Know Me" poster was perceived as a useful tool for providing patient centered
care and increasing communication on an ACE Unit by nursing staff and patients/families
Description
Keywords
Quality improvement, patient-centered care, geriatrics, acute care, patient satisfaction