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Nursing industry trends:
Patient-centric care

BD Institute for Medication Management Excellence

Nursing industry trends: Patient-centric care


PUBLISHED: Oct 8, 2018

Kelly Larrabee Robke, RN, MBA, MS; Rachelle Landry, RN, BSN


Patient-centric care is important in improving patients' perceived quality of care.¹ While many factors may influence the successes of the patient-centric care model, a patient's experiences with nursing activities over the course of a care encounter are reported to have the most direct impact on service and quality of care ratings.² ³ For this reason, it is essential for nurses at the bedside and leading patient care initiatives to share their knowledge in order to influence and lead in care delivery operations, including medication management.

Empowering nursing practice with information: Medication management data

As a major component of nursing value-added care activities, medication management activities represent a potential opportunity to influence and improve patient-centric care models. In the course of a shift, nurses are often challenged with fragmented or incomplete representation of information around medication delivery status, dispensing trends, and administration activities, all of which occur in a complex environment of care.

The medication administration process (MAP) can represent up to 40% of nursing activity. It involves assessing the patient, gathering medications, confirming the "rights" of medication management, administering medication, documenting administration and observing for therapeutic effects.4 In US healthcare, over 60% of patients are prescribed at least one medication; 15% take five or more medications.5 When caring for hospital inpatients, medication errors occur at a rate between 4.8-5.3%, and are the cause for 1 of 131 outpatient and 1 of 854 inpatient deaths.6 Providing nurse innovators and leaders with relevant, streamlined, and robust data around risk factors that contribute to medication management errors and adverse events represents one example of an area for innovation in future nursing practice. Nursing innovation and collaboration in medication management can position the nursing community as owners and inter-professional leaders of patient practice evolution, reflecting the underlying expectations that make nursing the most respected profession in the United States today.7

Opportunities to improve patient-centric care models

As the largest group of care providers in the US health system workforce,8 nurses serve in a unique role in which they both execute on ordered care and act as advocate for patients and their families to other parts of the healthcare delivery system.9 These factors have the potential to place nursing in a collaborative role, one in which they may influence the environment of care.9

Partnering with nurses to establish and extend innovation and leadership in patient-centric care

To elevate nursing practice and advocate for our largest group of stakeholders, BD is launching an effort to partner with nurses and understand our nursing customers via the Nursing Activation Initiative. Through this initiative, nurses will be engaged to share their expertise in clinical care delivery, as clinician practitioners and inter-professional leaders with knowledge and beneficial perspectives that have the potential to drive medication management strategy. 

Learn more

Each month on the BD Institute for Medication Management Excellence blog, thought leaders explore topics of critical importance to medication management, and provide additional ways to learn.

Now that you've read about nursing industry trends in patient-centric care, dig deeper by reading the latest thinking on optimized workflows and value-added care activity as a critical need for nursing practice. Then discover an inescapable truth of medication errors as identified by a recent HIMSS Analytics survey.

 

References

  1. Small D, Small R. Patients First! Engaging the Hearts and Minds of Nurses with a patient centric practice model. Online Journal of Issues in Nursing. 2011 (16)2.
  2. Otani K. Kurz R. The impact of nursing care and other healthcare attributes on hospitalized patient satisfaction and behavioral indicators. Journal of Healthcare Management 2004: 49 (3): 180-196.
  3. Otani K, Waterman B, Dunagan W. Patient Satisfaction: How patient health conditions influence their satisfaction. 2012: Journal of Healthcare Management 57 (4).
  4. Huynh N, Snyder R, Vidal M, et al. Assessment of the Nurse Medication Workflow Process. Journal of Healthcare Engineering. 2016.
  5. Firger J. Prescription drugs on the rise: estimate suggests sixty percent of Americans take at least one medication. Newsweek. November 3, 2015.
  6. Wittich C, Burkle C, Lanier W. Medication Errors: An Overview for Clinicians. Mayo Clinic Proceedings. 2014 89(8).
  7. Brenan M. Nurses Keep Healthy Lead as Most Honest, Ethical Profession. Gallup.com. 2017.
  8. S. Department of Health and Human Services, Health Resources and Services Administration, National Center for Health Workforce Analysis. Supply And Demand Projections of the Nursing Workforce: 2014-2030. Rockville, Maryland; 2017.
  9. Montoya, I. and Kimball, O. (2012) Nursing services: an imperative to healthcare marketing. Journal of Nursing Education and Practice, 2(4).
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