Friday, May 20, 2011

Research Proven: Waiting Room Video Improves Patient Satisfaction

A 2008 report to the Candian Journal Of Medicine investigated the question,  "Does a waiting room video about what to expect during an emergency department visit improve patient satisfaction?"  Ms. Linda Papa, MDCM, MSc et all (1) revealed  their investigation involved creating,  " instructional waiting room video that explained what patients should expect during their emergency department (ED) visit and sought to determine whether preparing patients using this video would 1) improve satisfaction, 2) decrease perceived waiting room times and 3) increase calls to an outpatient referral line in an ambulatory population.

At CNtv we've always worked hard to produce content that is evidenced based and relevant to patient, family and staff members in the context of their location and information needs witnin the healthcare institution. ED STAT GUIDE is an excellent value and choice for content that educates and  explains what patients, families and visitors should expect during their ED visit. The report stated the cost to produce their test video was approximately $4,500.00

Ms. Papa concluded: "This study suggests preparing patients for their ED experience by describing the ED process of care through a waiting room video can improve ED patient satisfaction and the knowledge of outpatient clinic resources in an ambulatory population. Although perceived waiting room time is the strongest predictor of satisfaction, an instructional waiting room video appears to be a tool that can improve ED patient satisfaction in a discharged ambulatory population. In particular, our findings underscore the importance of educating patients about ED processes of care."

(1) "Does a waiting room video about what to expect during an emergency department visit improve patient satisfaction?" Linda Papa, MDCM, MSc;* David C. Seaberg, MD;† Elizabeth Rees, BSc;‡ Kevin Ferguson, MD;† Richard Stair, MD;† Bruce Goldfeder, MD;† David Meurer, MD† From the *Department of Emergency Medicine, Orlando Regional Medical Center, University of Florida, Orlando, Fla., the †Department of Emergency Medicine, University of Florida, Gainesville, Fla., and the ‡College of Medicine, University of Florida, Gainesville, Fla.
CJEM 2008;10(4):347-354

Friday, May 6, 2011

Healthy Work Environment For Nurses Effects Health & Safety of Patients

By Robert Sampson, RN, CEO
Certified  Digital Signage Network Expert, Inc.

“People will not believe in [an organizational] change effort unless 
they have the opportunity to plan it, experience it, provide feedback, and own it.
Involvement supports and sustains motivation, the essential ingredient for change.”
–Robert F. Allen 
Advocate for cultural change and wellness

Healthy work environments for nursing have a direct effect on patient safety and health as reported in their 2005 report, AACN STANDARDS FOR ESTABLISHING AND SUSTAINING HEALTHY WORK ENVIRONMENTS by Executive Editor Connie Barden, RN, MSN, CCRN, CCNS, et all

Ms. Barden stated , "Six standards for establishing and sustaining healthy work environments have been identified. The standards represent evidence-based and relationship-centered principles of professional performance. Each standard is considered essential since studies show that effective and sustainable outcomes do not emerge when any standard is considered optional."

"The standards for establishing and sustaining healthy work environments are:
  • Skilled Communication
    • Nurses must be as proficient in communication skills as they are in clinical skills.
  • True Collaboration
    • Nurses must be relentless in pursuing and fostering true collaboration.
  • Effective Decision Making
    • Nurses must be valued and committed partners in making policy, directing and evaluating clinical care and leading organizational operations.
  • Appropriate Staffing
    • Staffing must ensure the effective match between patient needs and nurse competencies.
  • Meaningful Recognition
    • Nurses must be recognized and must recognize others for the value each brings to the work of the organization.
  • Authentic Leadership
    • Nurse leaders must fully embrace the imperative of a healthy work environment, authentically live it and engage others in its achievement."
As I read the report, I realized the RN VITAL SIGNS (CNtv Multimedia  Tablet TVs for nursing workstations) would be an excellent visual educaiton platform to reinforce those essential principals and deliver a positive impact on your nursing culture. 

Our RN VITAL SIGNS and syndicated personal and professional development programs can assist your organization's support for critical elements and standards related to establishing and sustaining a healthy work environment.  Your workstation TVs will surely reinforce nursing education, retention and practice.

In addition to RN VITAL SIGNS we recommend two very effective adult education courses suitable for corporate wellness programs:
“We cannot be truly human apart from communication … 
to impede communication is to reduce people to the status of things.”
–Paulo Freire 
International educator, Community activist

The report states the importantance of communication standards, "...Nurses must be as proficient in communication skills as they are in clinical skills.." and cited a very important fact, "...according to data from the Joint Commission on Accreditation of Healthcare Organizations, breakdown in team communication is a top contributor to sentinel events.6"

I believe,  RN VITAL SIGNS can be effectively used for Nursing Recognition; another report standard. Ms. Barden states, "Recognition of the value and meaningfulness of one’s contribution to an organization’s work is a fundamental human need and an essential requisite to personal and professional development. People who are not recognized feel invisible, undervalued, unmotivated and disrespected. A majority of nurses are dissatisfied with the recognition they receive from their employer.1

This lack of recognition leads to discontent, poor morale, reduced productivity and suboptimal care outcomes. Inadequate recognition is cited as a primary reason for turnover among employees and is linked to decreasing nurse satisfaction.2-4

Three out of four American Association of Critical-Care Nurses’  members and constituents rank recognition for their contributions as a central element of a healthy work environment.5 Hospitals recognized for attracting and retaining nurses emphasize personal growth and development, and provide multiple rewards for expertise and opportunities for clinical advancement.6"

“It is ethical to request, encourage and deliver feedback on all facets of individual and organizational performance. It is unethical to ignore, discourage or fail to give feedback.” 
–David Thomas 
Ethicist, Ethics of Choice Training Program

RN VITAL SIGNS  is also an excellent communication tool to visually  report essential feedback to your nursing staff. CNtv can create a custom "Hospital Performance Dashboard" with immediate actionable  feedback information.  You choose what and when to display the feedback;  hourly, daily, weekly, monthly, such as: 
  • Key Performance Indicators
  • Patient & Staff Satisfaction Surveys
  • Core Measures
You may wish to visit the AACN website and download their assessment tool for your nursing work environment. They state, "A healthy work environment is imperative to ensure patient safety, enhance staff satisfaction and retention, and maintain an organization's financial viability. Using the web-based AACN Healthy Work Environment Assessment, you and your team can collectively measure your work environment's current health against the American Association of Critical-Care Nurses Standards for Establishing and Sustaining Healthy Work Environments."

Please review my previous post "Vital Signs for Nursing; Changing The Culture Saves Lives & Reduces Costs" for more insights, information and innovative ideas for improving nursing culture with RN VITAL SIGNS.