Coaching and counseling of patients encompasses communication and teamwork. The CCTM RN guides and directs patients to improve their care. This section contains 5 A's Behavior Change Model, Patient-Provider Interaction, Standard Operating Procedures, and Community and Organizational Policies.
With support from The Commonwealth Fund, The Robert Wood Johnson Foundation, and the Paul Beeson Faculty Scholars in Aging, Dr. Coleman and colleagues designed a 15-item uni-dimensional measure, the Care Transitions Measure (CTM®), to assess the quality of care transitions.
The CALNOC registry captures and benchmark unit data, structural measures, process measures, and outcome measures.
The AHCP is designed to clearly present the information needed by patients to prepare them for the days between discharge and the first visit with their ambulatory care physician.
The core concept of the reconceptualized model of certified practice - the AACN Synergy Model for Patient Care - is that the needs or characteristics of patients and families influence and drive the characteristics or competencies of nurses. Synergy results when the needs and characteristics of a patient, clinical unit or system are matched with a nurse's competencies.
This resource is a modified version of the LACE tool, focused on nursing; and incorporating additional checklists for more comprehensive discharge planning and assessment.
The LACE tool is one of meany designed to assess risk of patient readmission or death upon discharge.
The 8P Screening Tool is designed to identify a patient's risk for adverse events after discharge.
The National Database of Nursing Quality Indicators® (NDNQI®) delivers evidence to support the importance of nurse sensitive measures in overall patient experience strategy.
The CALNOC registry captures and benchmarks unit data, structural measures, process measures, and outcome measures.
Dementia Care MappingTM is designed to empower staff teams to engage in evidence-based critical reflection in order to improve the quality of care for people living with dementia. It provides a direct and ongoing evidence base for practice and practice change. As such, it provides an excellent example of the principles of care mapping, in general; for any condition.