Training residents and nurses to work as a patient-centered care team on a medical ward

Heather S. Laird-Fick, David Solomon, Christine Jodoin, Francesca C. Dwamena, Kim Alexander, Larry Rawsthorne, Tammy Banker, Nandu Gourineni, Feras Aloka, Richard M. Frankel, Robert C. Smith

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Objective: To train medical residents and nurses to work together as a patient-centered care (PCC) team on a medical ward and test its feasibility, nurses' learning, and patient outcomes. Method: Working with administrative leadership, we consolidated residents' patients on one 32-bed ward. Already training residents in an evidence-based patient-centered method, we now trained 5 nurse leaders similarly, and they then trained all staff nurses. A national consultant visited twice. Specific team-building activities for nurses and residents fostered ward interactions. We used a retrospective pre/post/6-month post-design to evaluate nurses' knowledge and self-efficacy of patient-centered skills. Patients were assigned non-randomly to our unit or comparison units from our emergency room; using a post-test only design, the primary endpoint was patient satisfaction. Results: 28 trained nurses showed improvement in knowledge (p=0.02) and self-efficacy (p=0.001). 81 treatment patients showed no improvement in satisfaction (p=0.44). Conclusion: Training nurses in patient-centered practices were effective. Unique in this country, we also trained nurses and residents together as a PCC team on a medical ward and showed it was feasible and well accepted. Practice implications: We provide a template for team training and urge that others explore this important new area and contribute to its further development.

Original languageEnglish (US)
Pages (from-to)90-97
Number of pages8
JournalPatient Education and Counseling
Volume84
Issue number1
DOIs
StatePublished - Jul 2011

Keywords

  • Nursing education
  • Patient-centered
  • Physician-nurse collaboration
  • Relationship-centered
  • Residency education
  • Teamwork training

ASJC Scopus subject areas

  • Medicine(all)

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    Laird-Fick, H. S., Solomon, D., Jodoin, C., Dwamena, F. C., Alexander, K., Rawsthorne, L., Banker, T., Gourineni, N., Aloka, F., Frankel, R. M., & Smith, R. C. (2011). Training residents and nurses to work as a patient-centered care team on a medical ward. Patient Education and Counseling, 84(1), 90-97. https://doi.org/10.1016/j.pec.2010.05.018