Implementation of a Patient Centered Care Tool on an Acute Care of the Elderly (ACE) Unit

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The Ohio State University

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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



Quality improvement, patient-centered care, geriatrics, acute care, patient satisfaction