Patient-Centered Care: Nursing’s Role in Quality & Safety

Speaker: Mr. Anil Kumar Bojja

Director of Nursing, Hayat National Hospital- al Inma Medical Services, Saudi Arabia

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Description

Nurses play a pivotal role in ensuring quality and safety through patient-centered care, which emphasizes empathy, communication, and shared decision-making. By actively involving patients and families in care planning, nurses help improve treatment adherence, satisfaction, and outcomes. Their frontline presence enables early detection of complications and swift intervention, directly impacting patient safety. This session will explore real-world scenarios where nursing leadership and vigilance have transformed care quality across diverse clinical settings.

Summary Listen

  • Patient-centered care (PCC) prioritizes individual patient needs, preferences, and values in all clinical decisions. Key elements include respect, consideration of backgrounds, and addressing patient needs, improving satisfaction, outcomes, and safety while reducing medical errors and healthcare costs. Nurses play a crucial role in advocating for patients, delivering care, and ensuring their satisfaction, acting as a bridge between patients, families, and healthcare teams.
  • Effective communication is vital, especially therapeutic communication, using techniques like the teach-back method for patient education. SBAR communication ensures clear information exchange between healthcare professionals. Patient and family educators are essential for planning discharge, offering comprehensive education about treatment options, self-management, and coordination with post-discharge care.
  • Patient safety involves minimizing risk and protecting individuals from harm. Nurses are central to this, orienting patients to their surroundings, detecting deteriorations early using tools like modified early warning scores, and escalating concerns. Medication safety, following the rights of medication administration, and infection control are crucial aspects of preventing errors and hospital-acquired infections.
  • As advocates, nurses collaborate with multidisciplinary teams, participate in care rounds, empower patients, and address ethical considerations, respecting cultural and ethical values. Nurses must have the knowledge and skills to implement complex care plans. Shared decision-making involves patients, families, and healthcare providers in planning care, cultural sensitivity is paramount and patient education must be clear.
  • Key strategies for PCC include shared decision-making, interdisciplinary collaboration, cultural competency, emotional support, and engagement tools like bedside shift reports and patient portals. Challenges include staffing ratios, time constraints, lack of cultural competency training, and communication breakdowns.
  • Overcoming challenges involves checklists, team-based care, time management, and integrating PCC into handover routines. Measuring quality involves patient satisfaction surveys (e.g., HCAHPS, Press Ganey) and monitoring nursing-sensitive indicators such as pressure ulcers, falls, medication errors, and infection rates. Continuous quality improvement involves nurses participating in initiatives, identifying gaps, implementing RCA's, and encouraging OVRs.
  • Education and training, emphasizing PCC, CPDs, and participation in webinars and conferences are essential. Leadership in nursing involves championing PCC, mentorship, and advocating for patient rights, responsibilities, and safety standards in policy-making. Future outlooks involve continued emphasis on PCC, quality improvement, and patient safety, solidifying the nurse's role as a leader.

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