Discovering and Defining the role of Nursing in Healthcare design: - - PowerPoint PPT Presentation

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Discovering and Defining the role of Nursing in Healthcare design: - - PowerPoint PPT Presentation

Discovering and Defining the role of Nursing in Healthcare design: the importance of being at the table Kate Newcomb-DeSanto MSN RN MSW The University of Pennsylvania Health System At Penn Medicine since 2004 Various roles How I came


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Kate Newcomb-DeSanto MSN RN MSW The University of Pennsylvania Health System

Discovering and Defining the role of Nursing in Healthcare design: the importance

  • f being at the table
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ž At Penn Medicine since 2004 ž Various roles ž How I came to be involved in the PennFIRST

Pavilion project

ž A little about our current project and the

team

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“For the sick it is important to have the best.” ~Florence Nightingale

ž Notes on Nursing ž Sanatorium Model ž Discipline Segregation ž Ward Design

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ž Hospital design evolves with a definite nod to

providing a better setting for patients:

¡ More private rooms ¡ Inclusion of family in patient room design ¡ Areas of respite for staff and family ¡ Intelligent use of the environment (natural

light, green spaces, healing gardens, products to simulate environmental engagement)

¡ Realization that design can drive a care model

(AND vise versa): either successfully OR unsuccessfully

¢ Further, design can drive staffing needs and overall

FTE’s.

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Patient Care Outcomes Impact on Practice and Delivery of Care Consciousness

  • f Space
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ž What impact does the space in which we

practice and care for patients have on HOW we do that?

¡ Leftover or less inclusively planned spaces

impact ability of nurses and caregivers to meet patient needs and goals and drive outcomes

ž Determining Care models and Staffing Models

and informing design proactively:

¡ Distributed care/supplies/teaming ¡ Colocation of disciplines ¡ Environmental Inclusion and mindfulness (noise

reduction via design, technological strategies)

¡ Versatility

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ž Inclusion of Nurses in the design process

creates:

¡ An overall inclusive process ¡ The ability to create an environment that

supports the chosen/ideal model of care delivery

¡ Less wasted time in the design process, and the

potential for monetary savings

¡ A contagious excitement among staff of all levels

regarding feeling “listened to” and heard.

¡ A higher performing design team with more

favorable outcomes.

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ž What outcomes can be tied to design and

what outcomes can be influenced by the inclusion of Nursing in the process?

¡ Creation of a healing environment

¢ Decreased noise ¢ Increased teaming across disciplines ¢ Better air quality, thermal comfort ¢ Privacy ¢ Light ¢ Views of nature and visual serenity/stimulation

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ž Teaming is KEY

¡ Working in a high performing team ¡ Willingness to engage with others ¡ Open mindedness ¡ Inclusive attitude

ž Creating partnerships and identifying

“Champions”

¡ Delegation on large scale projects (with

  • versight)

¡ Creating process and parameters ¡ Identifying decision makers

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ž Now more than ever healthcare organizations

are searching for tools and strategies that will reduce error, help mitigate risk, and optimize reimbursements.

ž Does design have a role to play? Of course. But it

can’t be considered in a silo. What is required? A systems approach that considers design in the context of the organization, operations, and people.

ž Issues and impacts in six critical safety areas:

infections, falls, medication errors, security, injuries of behavioral health, and patient handling

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