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 Frankel, Robert C. Smith

Research output: Contribution to journalArticle

7 Citations (Scopus)

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

Fingerprint

Patient-Centered Care
Patient Care Team
Nurses
Self Efficacy
Consultants
Patient Satisfaction
Hospital Emergency Service
Learning

Keywords

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

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Laird-Fick, H. S., Solomon, D., Jodoin, C., Dwamena, F. C., Alexander, K., Rawsthorne, L., ... 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

Training residents and nurses to work as a patient-centered care team on a medical ward. / Laird-Fick, Heather S.; Solomon, David; Jodoin, Christine; Dwamena, Francesca C.; Alexander, Kim; Rawsthorne, Larry; Banker, Tammy; Gourineni, Nandu; Aloka, Feras; Frankel, Richard; Smith, Robert C.

In: Patient Education and Counseling, Vol. 84, No. 1, 07.2011, p. 90-97.

Research output: Contribution to journalArticle

Laird-Fick, HS, Solomon, D, Jodoin, C, Dwamena, FC, Alexander, K, Rawsthorne, L, Banker, T, Gourineni, N, Aloka, F, Frankel, R & Smith, RC 2011, 'Training residents and nurses to work as a patient-centered care team on a medical ward', Patient Education and Counseling, vol. 84, no. 1, pp. 90-97. https://doi.org/10.1016/j.pec.2010.05.018
Laird-Fick HS, Solomon D, Jodoin C, Dwamena FC, Alexander K, Rawsthorne L et al. Training residents and nurses to work as a patient-centered care team on a medical ward. Patient Education and Counseling. 2011 Jul;84(1):90-97. https://doi.org/10.1016/j.pec.2010.05.018
Laird-Fick, Heather S. ; Solomon, David ; Jodoin, Christine ; Dwamena, Francesca C. ; Alexander, Kim ; Rawsthorne, Larry ; Banker, Tammy ; Gourineni, Nandu ; Aloka, Feras ; Frankel, Richard ; Smith, Robert C. / Training residents and nurses to work as a patient-centered care team on a medical ward. In: Patient Education and Counseling. 2011 ; Vol. 84, No. 1. pp. 90-97.
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