Dissertation
Among hospitalized adults, what is the effect of medication discussion by a pharmacist, compared to a registered nurse on patient satisfaction
Doctor of Nursing Practice (D.N.P.), Drexel University
2016
DOI:
https://doi.org/10.17918/etd-6830
Abstract
This project took place in a 169-bed hospital in Coatesville, PA. This hospital has poor Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores and is receiving a reduction in payment from the Centers of Medicare & Medicaid Services (CMS). The CMS links HCAHPS scores with reimbursement to hospitals as a component of the Hospital Value-Based Purchasing (HVBP) program (Huppertz & Smith, 2014). The HCAHPS survey is a standardized survey instrument and data collection methodology for measuring patients' perception on hospital care (Centers for Medicare & Medicaid Services, 2014). The aim of this project was to change the care delivery model on the nursing care units as a solution to increasing the HCAHPS in the area of medication communication. By incorporating the pharmacists into the healthcare team, they will be in an ideal position to support nursing by educating the patients on their medications (Chisholm-Burns, Lee, Spivey, Slack, Herrier, Hall-Lipsy, &Wunz, 2010, p.932). The two questions in the standardized tool that gauge patient satisfaction in the area of medication education are Question (1) Before giving you any new medicine, how often did hospital staff tell you what the medicine was for? Question (2) Before giving you any new medicine, how often did hospital staff describe possible side effects in a way you could understand? To achieve this aim, pharmacists were placed on the 51-bed Progressive Care Unit (PCU) and scripted on how to enter the patients' room and engage the patient in a medication discussion. Data was collected from the patient population from Quarter 1 of the previous fiscal year prior to changing the care delivery model (current practice) and compared to the Quarter 1 results of the current fiscal year after implementation of the care delivery model (incorporation of the pharmacist).
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Details
- Title
- Among hospitalized adults, what is the effect of medication discussion by a pharmacist, compared to a registered nurse on patient satisfaction
- Creators
- Tammy Torres - DU
- Contributors
- Carol M. Patton (Advisor) - DU
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 6830; 991014632558904721