Is your patient ready to make change?
Student Workbook. This student workbook was prepared for the Agency for Healthcare Research and Quality by RAND Corporation under contract 290-06-00017-7. It is one component of a four-part set of training modules intended for use in long-term care facilities to improve patient …
How do you respond to changes in a patient’s condition?
Mar 01, 2022 · Using the framework of the Stages of Change model,4 the goal for a single encounter is a shift from the grandiose (“Get patient to change unhealthy behavior.”) to the …
What should physician practice look for when changing patient behavior?
Jan 13, 2016 · That standard is PC.02.01.19 in the Provision of Care chapter: “The hospital recognizes and responds to changes in a patient’s condition.”. The rationale behind this …
How can physicians engage patients in contemplating change?
Feb 29, 2016 · Re-audit of current practice and ongoing review to see whether change has been successful ... in practice can offer a wealth of experience for nurses to demonstrate their …
How can we determine a patient's willingness to change?
How do you assess the change of stage?
What is considered a change in condition?
How do you successfully implement change in healthcare?
- Invite suggestions from everybody possible.
- Hold frequent formal and informal meetings.
- Involve teams in planning and implementation.
- Manage individual's expectations of the change with care.
- Communicate, communicate, and communicate during change.
How do you score readiness to change questionnaire?
What is one reason that observing and reporting changes in residents condition is important?
Why it is important to identify and respond correctly to any changes in the condition or needs of an individual?
Why is it important to report changes in a persons health and wellbeing?
How do you implement changes effectively?
- Identify the change and perform an impact assessment. ...
- Develop a plan. ...
- Communicate the change to employees. ...
- Provide reasons for the change. ...
- Seek employee feedback. ...
- Launch the change. ...
- Monitor the change. ...
- Evaluate the change.
What are the main principles of healthcare change management?
- Understand Change.
- Plan Change.
- Implement Change.
- Communicate Change.
What are some change management strategies?
- Plan Carefully. ...
- Be as Transparent as Possible. ...
- Tell the Truth. ...
- Communicate. ...
- Create a Roadmap. ...
- Provide Training. ...
- Invite Participation. ...
- Don't Expect to Implement Change Overnight.
What does it mean when a resident's condition changes?
A change in a resident's condition may mean that he or she is at risk. Action can be taken only if changes are noticed and reported, the earlier the better. Changes that are not reported can lead to serious outcomes, including medical complications, transfer to a hospital, or even death.
How to thank participants for attending a test?
Thank your participants for attending. Let them know that you enjoyed being with them. Hand out the post-tests. Emphasize how important it is to complete the post-tests because they can get feedback on what they've learned (based on their answers to the pre- and post-tests). Tell participants that you will provide the correct answers and rationales for the tests after they are done.
Is the Student Workbook a prepared speech?
The Student Workbook is not meant to be used as a prepared speech. It assumes that you know the subject and offers material you may want to use. The suggested slides ( Appendix 1-A) are meant to trigger your presentation. You will find it useful to practice speaking with them.
What is learning through acting?
"Learning through acting" gives participants a chance to use what they know and practice something new in a real-world setting. It can help them see a situation from different points of view. It also helps them develop communications skills.
When to use stand up lecture?
It's best used when a large amount of information needs to be delivered to a silent audience. In an "interactive lecture" you still speak most of the time and control the subject being addressed, but the audience participates in different ways—asking or answering questions, giving examples from their experience, and expressing opinions.
What are some examples of measurement?
Examples of measurement (data) include a "process measure" like compliance rates for use of the Early Warning Tool or SBAR, or documented nursing notes in a resident's chart on reports of change.
What is the importance of finding the right person to teach the module?
It is essential to find someone that the participants will look up to and respect for their knowledge of the area. A person who teaches well is also very important and not always easy to find. The person can be a lead nurse or other clinician, a QI officer, or a special guest teacher.
What are the two techniques used in primary care?
Two techniques useful in the primary care setting are the Readiness to Change Ruler and the Agenda-Setting Chart. 26, 27 The Readiness to Change Ruler, which is incorporated in Figure 1, 4, 26, 27 is a simple, straight line drawn on a paper that represents a continuum from the left “not prepared to change” to the right “ready to change.” Patients are asked to mark on the line their current position in the change process. Physicians should then question patients about why they did not place the mark further to the left (which elicits motivational statements) and what it would take to move the line further to the right (which elicits perceived barriers). Physicians can ask patients for suggestions about ways to overcome an identified barrier and actions that might be taken before the next visit.
What is maintenance and relapse prevention?
Maintenance and relapse prevention involve incorporating the new behavior “over the long haul.” Discouragement over occasional “slips” may halt the change process and result in the patient giving up. However, most patients find themselves “recycling” through the stages of change several times before the change becomes truly established.
What is the role of a family physician?
One role of family physicians is to assist patients in understanding their health and to help them make the changes necessary for health improvement. Exercise programs, stress management techniques and dietary restrictions represent some common interventions that require patient motivation.
What is the precontemplation stage?
PRECONTEMPLATION STAGE. During the precontemplation stage, patients do not even consider changing. Smokers who are “in denial” may not see that the advice applies to them personally. Patients with high cholesterol levels may feel “immune” to the health problems that strike others.
What is the goal of precontemplation?
The task for physicians is to empathetically engage patients in contemplating change ( Table 2). 6 During this stage, patients appear argumentative, hopeless or in “denial,” and the natural tendency is for physicians to try to “convince” them, which usually engenders resistance.
What are the emotions of patients?
Patients can be overwhelmed by a variety of beliefs and emotions: frustration, feeling they have little to no control over their diagnosis and health condition, uncertainty over the course of their treatment and prognosis, fear, worries, and overall dissatisfaction with the healthcare system.
Why do patients seek professional help?
Patients seek professional help because they are in pain or are concerned.
Instructor Guide
Principal Message
- The single most important message your audience should come away with is that it is essential to notice and report change in a resident's condition, and it is everyone's responsibility to do so. Staff should know the signs of illness in older adults and other nursing center residents, and they should know how to watch for and report changes in a resident's condition. Staff also should un…
Principal Audiences
- This training is geared towards licensed nurses (RNs/LPNs/LVNs), occupational and physical therapists, and nursing assistants. However, portions of the training are relevant for custodial and activities staff, who also are important for identifying change. The training is designed to be accessible and relevant to all these care providerwws. So you can teach your participants all tog…
Workbook Content Overview
- Clinical Content
A change in a resident's condition may mean that he or she is at risk. Action can be taken only if changes are noticed and reported, the earlier the better. Changes that are not reported can lead to serious outcomes, including medical complications, transfer to a hospital, or even death. In orde… - Content by Session
This module is designed for presentation in two sessions. The first session introduces the importance of detecting change and describes how to detect change. The second session discusses the top 12 changes to watch for and describes how to use tools to document and get …
Objectives of The Session
- Objectives are separated into knowledge and performance objectives. Suggested slides are provided in Appendix 1-Aof this Instructor Guide, but they are not in the Student Workbook. You can use these at the start of the session and even have them up on a flip chart or screen that stays on the side of the room during the session. Alternatively, you can return to them at the en…
Preparing For A Session
- 1. Assess the Needs of Your Audience
These training materials are meant to be used as a complete package. However, you may tailor them to the needs of participants and current practice at their nursing center. To determine needs, you may use a survey or talk to individuals familiar with the nursing center. Whether you choose … - 2. Consider Your Teaching Method
Most instructors find that a combination of methods—lecture and interactive—works best. Consider using a selection of these teaching methods: 1. Lecture with slides. 2. Whole group discussion. 3. Break-out group discussion. 4. Case discussion. 5. Role play. Suggestions for way…
Giving Your Presentation
- Introduce yourself and your purpose in being there.
- Hand out the pre-tests. Explain that pre- and post-tests help participants evaluate themselves and help you evaluate the course. Have participants complete the pre-test.
- Introduce the topic and review session objectives (using slides).
- Present the material.
Recommended Teaching Methods
- For this module, a mix of teaching methods may be the best—some interactive lecture, some case discussion, and some role play.
Translating The Teaching Into Practice
- It is often hard to get what is taught in a classroom or in-service learning session translated into action as part of resident care. Even if the teaching has gone well and the learning was taken in and appreciated, it can be hard to put the new learning into practice. There are many possible barriers. For instance, the system of care may not accommodate the new practice, or the cultur…
Quality Improvement
- "Quality Improvement" (QI) is an approach that may be used by nursing staff and managers to improve quality and safety in patient care. The three main components are to: 1. Gain knowledge and skills to understand systems of care and minimize adverse outcomes. 2. Apply methods to identify, measure, and analyze problems with care delivery. 3. Act on the results of data collectio…