Following a recent CQC inspection, it has been highlighted that care plans should not just be present and in-date (which is audited for ICP purposes); but their contents should reflect quality (which is not presently audited for ICP purposes) and as named-nurses we are responsible for this.
As a result, there is now a demand for us to have a greater focus on the quality of our written care plans; ensuring that interventions are listed exhaustively and in detail.
The ICP audit is currently being reviewed, and will soon include measures which will help to identify and qualify the quality of our care plans within the audit.
Table of Contents
1. INTRODUCTION
2. OBJECTIVES
3. WHY DO WE CARE PLAN?
4. WHAT MAKES A GOOD CARE PLAN?
5. CARE PLAN FORMAT
6. ROLE OF THE NAMED-NURSE
7. THE FRANCIS REPORT
8. CARE PLANNING FOR PEOPLE WITH DEMENTIA
9. WHEN SHOULD CARE PLANS BE REVIEWED?
10. MULTIDISCIPLINARY CARE PLANS
Objectives and Topics
This document aims to standardize and improve the quality of nursing care plans by providing staff with an understanding of their purpose, the role of the named nurse, and the impact of the Francis Report on clinical documentation practices.
- The clinical necessity and practical application of nursing care plans.
- Enhancing care plan quality through exhaustive and detailed intervention planning.
- The responsibilities and impact of the named nurse in the care planning process.
- Integrating the lessons from the Francis Report into daily nursing practice.
- Specific requirements for care planning in the context of dementia patients.
Excerpt from the book
ROLE OF THE NAMED-NURSE
The main purpose of the named nurse is to co-ordinate the delivery nursing care for the patient from the point of admission to the point of discharge; therefore, patients are able to identify one nurse who is consistently and specifically responsible for their overall nursing care. This provides the named nurse with the opportunity to “maximise the therapeutic value of the nurse-patient relationship” and increase levels of trust and nurse-patient collaboration, whilst also developing an extensive knowledge and understanding of that patient (North East London NHS Foundation Trust, 2008).
The named nurse will play a key role in the development of the therapeutic relationship, whilst also leading in the assessment, planning, implementation and evaluation of the nursing care delivered to their patients (Cornwall Partnership NHS Trust, 2009).
Summary of Chapters
INTRODUCTION: Discusses the regulatory demand following CQC inspections to shift focus toward the quality and detail of written nursing care plans.
OBJECTIVES: Outlines the aims of the document, including exploring the role of the named nurse and discussing hospital care plan standards.
WHY DO WE CARE PLAN?: Lists the core justifications for care planning, such as maintaining standards, ensuring consistency, and empowering patients.
WHAT MAKES A GOOD CARE PLAN?: Highlights best practices including patient and family involvement, individualization, and the use of jargon-free language.
CARE PLAN FORMAT: Explains the standard structure of problems, goals, and interventions, and introduces the SMART acronym for effective planning.
ROLE OF THE NAMED-NURSE: Defines the named nurse’s function in coordinating care and fostering therapeutic relationships from admission to discharge.
THE FRANCIS REPORT: Details how the findings of the public inquiry into Mid-Staffordshire Hospital emphasize the need for adequate care planning to prevent patient harm.
CARE PLANNING FOR PEOPLE WITH DEMENTIA: Specifies requirements for personalized dementia care plans that address diversity and individual physical and cognitive needs.
WHEN SHOULD CARE PLANS BE REVIEWED?: Identifies the triggers for reviews, specifically change in patient needs or reaching a pre-determined date.
MULTIDISCIPLINARY CARE PLANS: Clarifies the limitations of nurses reviewing care plans authored by other disciplines like physiotherapy or occupational therapy.
Keywords
Nursing, Care Plan, Named Nurse, Francis Report, Patient Care, Interventions, Clinical Standards, Documentation, Dementia, Multidisciplinary, Assessment, Quality Assurance, Therapy, Therapeutic Relationship, Patient Safety
Frequently Asked Questions
What is the primary purpose of this document?
The document serves as a guide for nursing staff to improve the quality, consistency, and detail of written care plans in response to regulatory requirements.
What are the core areas covered in the text?
Key topics include the format of care plans, the responsibilities of the named nurse, implications of the Francis Report, and the specific needs of patients with dementia.
What is the primary goal of nursing care plans according to the text?
The goal is to act on assessment needs, ensure consistency of care, and promote patient independence through exhaustive, patient-specific interventions.
What scientific or professional methodology is emphasized?
The document emphasizes the SMART criteria (Specific, Measurable, Achievable, Realistic, Time-limited) for drafting interventions and highlights the importance of evidence-based practice as seen in the Francis Report.
What is the main focus of the chapters regarding patient care?
The chapters focus on shifting from merely having "in-date" care plans to producing high-quality documents that reflect actual patient needs and interdisciplinary collaboration.
Which keywords define this document?
Keywords include nursing, care planning, named nurse, patient safety, multidisciplinary collaboration, and dementia care.
How does the Francis Report impact current care planning?
The report highlights that inadequate care planning can lead to severe patient harm and emphasizes that care plans are a critical protection against inappropriate treatment.
What is the protocol for reviewing therapy-specific care plans?
Nurses should not review care plans written by physiotherapists or occupational therapists; instead, they should notify the relevant therapy department when a review is due.
Why is the "named nurse" role significant?
The named nurse acts as the primary coordinator of care from admission to discharge, which helps to build trust and ensure the therapeutic value of the nurse-patient relationship.
What should be included in dementia-specific care plans?
They should cover activities of daily living, environmental modifications, pharmacological interventions, and accommodate individual preferences regarding religion, diet, and personal background.
- Arbeit zitieren
- Timothy John Whittard (Autor:in), 2015, Care Planning for Older People in Inpatient Settings, München, GRIN Verlag, https://www.grin.com/document/476713
