ABSTRACT
ABSTRACT: Care for the Caregiver is a peer-to-peer program that provides support and guidance to clinicians who have experienced an unexpected and emotionally distressing event. Its development was preceded by communication and resolution programs that were endorsed by the Joint Commission in 2001, subsequently introduced at several U.S. medical centers, and in 2009 were incorporated within demonstration projects funded by the Agency for Healthcare Research and Quality. In August 2014, the authors introduced the Care for the Caregiver program across the MedStar Health System, which includes seven hospitals in Maryland and three in the District of Columbia. Here, they describe how the program was initially conceived and structured-and how it evolved in response to the current pandemic.
Subject(s)
Caregiver Burden/prevention & control , Nurse's Role/psychology , Nursing Staff, Hospital/psychology , Self-Help Groups/organization & administration , Social Support , Adaptation, Psychological , COVID-19 , Caregivers , Critical Care/psychology , District of Columbia , Humans , Interprofessional Relations , MarylandABSTRACT
Critical care clinicians involved serious adverse events may experience a constellation of distressing emotions that may interfere with home and work life. Offering support after a serious adverse event may restore a clinician's ability to cope with the event, reestablish emotional balance and assist a clinician to function capably in the workplace and at home. A description of a care for the caregiver program implementation at a 10-hospital health system provides a roadmap to implement this program in other hospitals and health systems.
Subject(s)
Caregivers/psychology , Health Personnel/psychology , Medical Errors/adverse effects , Critical Care/psychology , Critical Care Nursing , Hospitals , HumansABSTRACT
Strategic planning and thinking skills are essential for today's nurse leaders. Doctor of nursing practice (DNP) programs provide an opportunity for developing effective nurse strategists. A well-designed strategy course can stimulate intellectual growth at all levels of Bloom's Taxonomy. Discussion forums in online education provide new opportunities for rich interaction among peers en route to development of well-informed strategic plans. An interprofessional perspective adds a rich and vital aspect to doctoral nursing education and it serves to inform strategic plan development. A roadmap for teaching strategic planning to current and future nursing leaders will guide the integration of essential content into DNP programs.
Subject(s)
Education, Nursing, Graduate/trends , Leadership , Professional Competence , HumansABSTRACT
BACKGROUND: The application of bar-code technology to medication administration is growing, and its benefits are increasingly recognized. This article describes a hospital's experience with bar-code point-of-care (BPOC) technology and discusses the benefits of BPOC, considers the essential role of the pharmacist when implementing BPOC in a hospital setting, and provides a financial model for cost avoidance using a BPOC system. IMPLEMENTING BPOC: In 1998 Northern Michigan Regional Health System (Petoskey, Mich) partnered with a software company to create a BPOC system. Major milestones associated with implementation were involving and preparing end users, examining the hospital's entire medication process, updating the formulary and mapping drugs accurately, and identifying a process to maximize bar-code label attachment to medications. RESULTS: Visibility of prevented errors increased as compared with occurrence reports. Among the prevented errors, approximately 25% of the not-due errors occurred between shifts or between caregivers; wrong-dose errors included nurse attempts to give one tablet when two were ordered and giving two tablets when one was ordered; and wrong-patient errors were predominantly associated with intravenous piggyback medications. Omitted doses or missed doses were virtually eliminated by BPOC. DISCUSSION: A BPOC system provides a much-needed safety net at the bedside to avert potentially injurious medication errors. Another benefit that a BPOC system provides is a record of actual medication administrations. Conducting a thorough assessment of a hospital's readiness for a BPOC system will guide system implementation and help avoid potential installation pitfalls.
