{"id":2108,"date":"2025-02-20T22:17:21","date_gmt":"2025-02-21T06:17:21","guid":{"rendered":"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/?p=2108"},"modified":"2025-03-05T14:25:27","modified_gmt":"2025-03-05T22:25:27","slug":"increasing-rn-to-patient-communication","status":"publish","type":"post","link":"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/empirical-quality-outcomes\/increasing-rn-to-patient-communication\/","title":{"rendered":"Increasing registered nurse-to-patient communication\u00a0\u00a0"},"content":{"rendered":"<p><span data-contrast=\"none\">Effective communication between nurses and patients is essential in improving patient outcomes by building trust, enhancing adherence to treatment plans, and increasing patient satisfaction. It also helps prevent medical errors, promotes patient autonomy, fulfills nurses&#8217; legal and ethical obligations to keep patients well informed, and ensures continuity of care across different health care settings.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;335557856&quot;:16777215}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">In the last quarter of 2023, before the intervention, the unit\u2019s HCAHPS top box-composite score on nurse communication was 77.1% on 4 East and 87% on 4 West. To further improve the patient experience, the 4th Floor Care Experience Committee, a nurse-led group under the Unit Practice Council at Kaiser Permanente Sacramento Medical Center, has implemented initiatives to improve RN-to-patient communication by focusing on inconsistent RN-to-patient communication related to explaining the plan of care and progression towards discharge.\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;335557856&quot;:16777215}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The team used the Kamishibai card system to provide a structured and standardized 10-step process for conducting a Nurse Knowledge Exchange (NKE) at the bedside, including an explanation of the care plan and discharge. To reinforce the practice, the NKE Nurse Leader Validation was also implemented as a process observation to ensure that NKE consistently practiced at the bedside.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;335557856&quot;:16777215}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Post-intervention data indicates a shift and improvement in the nurse\u202fcommunication composite&#8217;s satisfaction scores of 78.6% on 4 East and 90.9% on 4 West. Staff feedback also indicates improving practice ownership, confidence in the process, and team dynamics. \u201cWe are seeing the positive impact of this initiative on both our patients and our team,\u201d said Vanessa Stammler, BSN, RN, Staff Nurse II, 4<\/span><span data-contrast=\"none\">th<\/span><span data-contrast=\"none\"> floor Care Experience Committee lead. \u201cPatients feel more informed and connected to their care, and our staff has embraced the importance of clear, consistent communication.\u201d<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;335557856&quot;:16777215}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Effective communication between nurses and patients is essential in improving patient outcomes by building trust, enhancing adherence to treatment plans, and increasing patient satisfaction.<\/p>\n","protected":false},"author":2,"featured_media":2110,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_custom_body_class":"","_custom_post_class":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[1],"tags":[],"ncal_area":[91],"site_only":[],"report_year":[58],"class_list":["post-2108","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-empirical-quality-outcomes","ncal_area-sacramento","report_year-58","entry","has-media"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Increasing registered nurse-to-patient communication\u00a0\u00a0 - Kaiser Permanente Northern California 2024 Annual Nursing Report<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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