Due 6pm Chicago Time Topic: Patient family-centered care: The manager of a medical-surgical unit has experienced a significant drop in patient satisfaction with the primary complaint being a lack of communication to patients and their family members. Your task is to propose a move toward a patient family-centered care environment that would address this issue. Note: An evidenced based practice Article that support the topic is needed for this work.

Title: Implementing Patient Family-Centered Care: Addressing the Issue of Communication in a Medical-Surgical Unit

Introduction:
In recent years, healthcare organizations have recognized the importance of patient-centered care as a means of improving patient outcomes and experiences. One critical aspect of patient-centered care is effective communication between healthcare providers, patients, and their family members. It has been well-established that inadequate communication adversely affects patient satisfaction and can lead to negative health outcomes (Makoul et al., 2007). The purpose of this proposal is to outline a plan for implementing a patient family-centered care (PFCC) approach in a medical-surgical unit, with an emphasis on improving communication and addressing the primary complaint of patients and their family members.

Background:
A medical-surgical unit is a challenging environment due to a high number of patients with varying healthcare needs. Often, the focus of care is primarily on medical interventions and treatments, with limited attention paid to communication and the involvement of patients and their families. This approach can leave patients and their families feeling excluded and uninformed, leading to feelings of dissatisfaction and mistrust. Research demonstrates that PFCC models significantly improve patient satisfaction, engagement, and healthcare outcomes (Epstein & Street, 2011). Therefore, it is crucial to adopt a PFCC approach in the medical-surgical unit to address the communication gap and enhance the overall patient experience.

Proposal:
1. Conduct a Needs Assessment:
To initiate the implementation process, a thorough needs assessment should be conducted. This assessment should involve gathering data on patient and family perceptions of communication, their expectations, and experiences. Surveys, interviews, and focus groups can be used to collect this information. The needs assessment will provide valuable insights into the specific areas where communication is lacking and guide the subsequent steps in the implementation process.

2. Develop a Multidisciplinary Team:
A multidisciplinary team consisting of representatives from nursing, medical staff, patient advocacy, administration, and other relevant stakeholders should be formed. This team will be responsible for developing and implementing the PFCC model. Each member should bring their unique perspectives and expertise to ensure the success of the project. Regular meetings and collaboration among team members will help facilitate a smooth transition towards PFCC.

3. Educate and Train Staff:
Proper education and training are vital for successful implementation. The multidisciplinary team should collaborate with education specialists to develop comprehensive training programs for all healthcare providers involved in patient care. Training should focus on effective communication techniques, active listening skills, empathy, and strategies for involving patients and their families in the care process. This will empower healthcare providers to foster a culture of open communication and collaboration.

4. Enhance Communication Strategies:
The implementation of PFCC will require the development and refinement of communication strategies. One key strategy is the use of bedside shift reports, where nurses communicate patient information directly at the bedside during shift changes, including the involvement of patients and families in discussions. This promotes transparency, improves accuracy, and ensures that patients and families are actively involved in their care plan.

Furthermore, regular interprofessional rounds should be conducted to facilitate timely and comprehensive communication between healthcare providers. Patients and their families should be encouraged to participate in these rounds to foster collaboration and provide valuable insights for the care team.

Additionally, the use of technology, such as patient portals and electronic health records, can support communication and enhance patient engagement. Patients and family members can access up-to-date information, test results, and communicate with healthcare providers through these platforms, fostering a sense of empowerment and involvement in the care process.

5. Measure and Evaluate Outcomes:
Continuous measurement and evaluation are crucial to monitor the effectiveness of the PFCC implementation. Patient satisfaction surveys, feedback mechanisms, and quality indicators should be used to assess the impact of the implemented strategies. This data will provide valuable insights into areas of success and areas requiring improvement, helping the multidisciplinary team make informed decisions for ongoing improvements.

6. Incorporate Evidence-Based Practice:
The success of the PFCC implementation relies on the utilization of evidence-based practices. It is essential to conduct a comprehensive literature review and identify relevant articles that support the adoption of PFCC in a medical-surgical unit. These articles will guide the development of communication strategies and training programs, ensuring that the proposed changes are based on the best available evidence.

Conclusion:
Implementing a PFCC approach in a medical-surgical unit can effectively address the issue of communication gaps with patients and their families. By conducting a needs assessment, developing a multidisciplinary team, educating and training staff, enhancing communication strategies, measuring outcomes, and incorporating evidence-based practice, a patient family-centered care environment can be established, leading to improved patient satisfaction and better healthcare outcomes.

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