Aurora St. Luke's Medical Center

Presentation Notes

Evidence-Based Practice poster presented at Nursing Passion: Re-Igniting the Art & Science, Advocate Aurora Health Nursing & Research Conference 2022; November 9, 2022; virtual.


Background: Patient experience scores related to the question “Do nurses listen carefully to you?” were in the 37th percentile in March 2021. Literature supports the positive impact sitting with patients can have on their perception of compassion and how they feel listened to. This work is further supported by Duffy’s Quality Caring Model and suggests that developing relationships with patients improved patient outcomes. The PICOT question for the project: Can nurses sitting with patients for five minutes per shift increase patient experience scores for the specific question, “Do nurses listen carefully to you?”

Aim or purpose of initiative: To connect nursing staff with the patient by sitting with the patient to encourage relationship-centered professional encounters. Secondly, to improve the patient experience score for the question “Do nurses listen carefully to you?”

Implementation Plan: The Iowa Model was used to implement the evidence-based practice change of “sitting” with the patient to develop an interpersonal relationship. The problem focused trigger of decreased patient experience scores prompted a review of the literature, development of a team consisting of clinical nurses, unit leaders, and patient experience representatives. Based on the literature staff education was developed and rolled out at staff meetings focusing on implementing the “commit to sit” initiative.

Outcomes: Patient experience data specific to the question “Do nurses listen carefully to you?” went from 37th percentile in March 2021 to 77th percentile in June 2021. Nursing staff participation in the “commit to sit” initiative was tracked using clinical leader rounding and averaged 61% of clinical nurses implementing the practice change per patient report.

Implications for Practice: Nurses responded and implemented the change to practice motivated by incentives for continuing “Commit to Sit”. Sitting with patients not only helped improve the patient experience scores but also helped to continue to develop relationship-centered professional encounters to make patients feel cared for.

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