Other Titles
VHA Wellness Model of Health: Helping Veterans Be Mission Ready for Life [Symposium]
Abstract
Session presented on Tuesday, November 10, 2015: Purpose: The Veterans Health Administration VHA Wellness Model of Health identifies 8 critical components of health that expand on traditional problem based care to identify the Veterans' unique healthcare needs. In an effort to provide holistic, patient-centered care (PCC) in the Emergency Department (ED), it is important to consider the physical environment in which staff performs their job, and the role the environment plays in the patient and patient's family ED experience. This presentation looks at the professional literature as it relates to the physical surroundings component of this wellness model. Relevance: literature search was performed to answer the clinical question "Do evidence-based, patient-friendly environmental surroundings (interventions) in the ED produce different or better outcomes for patients when compared to the traditional ED environment?" To address this question, the Johns Hopkins Research and Non-Research evaluation tools were used to evaluate articles retrieved from the CINAHL and Medline databases and articles identified from reference lists of reviewed articles. Once evaluated, a table of evidence was created synthesizing results, identifying outcomes measured, and evaluating the level of evidence offered. Out of 59 articles initially reviewed, 21 were found to have evidence related to the PICO question. Ten articles were identified as research studies, with one quasi-experimental design and nine descriptive or observational designs. Non-research studies included concept analysis, quality improvement projects, and expert opinions. Common themes emerged in the findings, outcomes, and recommendations, which will be presented. Importance: It is important to identify what evidence exists in the professional literature, and to determine the combined level of evidence available to support practice changes. The findings from this literature review indicate that more research is needed to help clinicians understand the impact physical changes in the ED that encourage a healing environment can have on clinical care.
Sigma Membership
Phi Nu
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Patient Centered Care, Emergency Department, Environment
Recommended Citation
Diogo, Donna and Salyer, Sheron L., "Mission Ready: Changing the Physical ED Environment" (2016). Convention. 511.
https://www.sigmarepository.org/convention/2015/presentations_2015/511
Conference Name
43rd Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Las Vegas, Nevada, USA
Conference Year
2015
Rights Holder
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Acquisition
Proxy-submission
Mission Ready: Changing the Physical ED Environment
Las Vegas, Nevada, USA
Session presented on Tuesday, November 10, 2015: Purpose: The Veterans Health Administration VHA Wellness Model of Health identifies 8 critical components of health that expand on traditional problem based care to identify the Veterans' unique healthcare needs. In an effort to provide holistic, patient-centered care (PCC) in the Emergency Department (ED), it is important to consider the physical environment in which staff performs their job, and the role the environment plays in the patient and patient's family ED experience. This presentation looks at the professional literature as it relates to the physical surroundings component of this wellness model. Relevance: literature search was performed to answer the clinical question "Do evidence-based, patient-friendly environmental surroundings (interventions) in the ED produce different or better outcomes for patients when compared to the traditional ED environment?" To address this question, the Johns Hopkins Research and Non-Research evaluation tools were used to evaluate articles retrieved from the CINAHL and Medline databases and articles identified from reference lists of reviewed articles. Once evaluated, a table of evidence was created synthesizing results, identifying outcomes measured, and evaluating the level of evidence offered. Out of 59 articles initially reviewed, 21 were found to have evidence related to the PICO question. Ten articles were identified as research studies, with one quasi-experimental design and nine descriptive or observational designs. Non-research studies included concept analysis, quality improvement projects, and expert opinions. Common themes emerged in the findings, outcomes, and recommendations, which will be presented. Importance: It is important to identify what evidence exists in the professional literature, and to determine the combined level of evidence available to support practice changes. The findings from this literature review indicate that more research is needed to help clinicians understand the impact physical changes in the ED that encourage a healing environment can have on clinical care.
Description
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`