Title: Enhancing bedside engagement in the CTICU: Encouraging therapeutic communication in the CTICU
BACKGROUND: In the Cardiothoracic Intensive Care Unit (CTICU) at Children’s Hospital Los Angeles, parents of pediatric patients provided formal feedback through National Research Corporation’s (NRC Health) surveys on their experience during their hospitalization. The surveys highlight areas of improvement regarding the following: family involvement in care, parents feeling heard by nurses, parents feeling comfortable talking with nurses, parents having confidence and trust in nurses, all medical providers checking in with parents in a timely manner, and parents feeling that nurses treated them with courtesy and respect.
PURPOSE: In efforts to improve upon the criticism provided, CTICU nurses implemented new tools to help directly address parents’ concerns. The goal of the interventions was to harvest an environment of therapeutic, consistent communication between parents and the collective medical team.
METHODS: Interventions were made in four different areas: 1.) nurses with less than two years of experience were taught the the AIDET communication tool, 2.) installed “Parent White Boards” at the bedside of each patient, 3.) recruited physician involvement to incorporate Mullen’s diagrams and daily afternoon rounds, 4.) made interpreter services more readily available at the bedside.
RESULTS: Parent perception of the intervention made in the CTICU will continue to be monitored monthly per NRC Health evaluations.