Embedded Files
Improving the Staffing Structure at an Acute Inpatient Psychiatric Facility
Improving the Staffing Structure at an Acute Inpatient Psychiatric Facility
Assessment and Diagnosis of the Problem
Assessment and Diagnosis of the Problem
Nurses provide the most direct patient care across a continuum of healthcare settings, including the psychiatric setting. Individuals with chronic and severe mental illness warranting an inpatient level of care face a myriad of complexities that impact their quality of life. Subtle changes in patients’ mental status can indicate improvement or deterioration in their condition. Quality nursing documentation in the healthcare record provides clear multidisciplinary communication and supports clinical decision-making and professional practice. Nursing documentation in the medical record contributes to the quality of care and improvements in patient satisfaction. Conversely, deficits in nursing documentation can contribute to adverse patient outcomes. Pocasset Mental Health Center’s Inpatient Unit (PMHC IPU) identified inconsistent nursing documentation of medication teaching as an area needing improvement. The Fishbone diagram depicts the documentation compliance problem and associated factors. The following three areas were recurring themes found during the problem analysis: lack of training, knowledge deficits, and insufficient auditing. A lack of time due to the staffing structure was identified as a key contributor to these problem areas.
Nurses provide the most direct patient care across a continuum of healthcare settings, including the psychiatric setting. Individuals with chronic and severe mental illness warranting an inpatient level of care face a myriad of complexities that impact their quality of life. Subtle changes in patients’ mental status can indicate improvement or deterioration in their condition. Quality nursing documentation in the healthcare record provides clear multidisciplinary communication and supports clinical decision-making and professional practice. Nursing documentation in the medical record contributes to the quality of care and improvements in patient satisfaction. Conversely, deficits in nursing documentation can contribute to adverse patient outcomes. Pocasset Mental Health Center’s Inpatient Unit (PMHC IPU) identified inconsistent nursing documentation of medication teaching as an area needing improvement. The Fishbone diagram depicts the documentation compliance problem and associated factors. The following three areas were recurring themes found during the problem analysis: lack of training, knowledge deficits, and insufficient auditing. A lack of time due to the staffing structure was identified as a key contributor to these problem areas.
Situation Assessment
Situation Assessment
Danielle Sullivan, MSN, RN, Director of Nursing, Pocasset Mental Health Center
Page updated
Google Sites
Report abuse