Yuka Moriyama
Aso Iizuka Hospital, Japan
Title: Lean Workcell can Enhance the Educational Effects of QSEN in Ward Practices
Biography
Biography: Yuka Moriyama
Abstract
Statement of the Problem: Our Nursing Department changed its system of care delivery in hospital wards from team nursing to lean workcell nursing in April, 2015 with expectations to apply this in all wards starting in March, 2016. The main objectives are, 1) to reduce walking distance between patient’s beds and the nurse’s station, and 2) to increase the nurse’s “caring time” at patient’s bedside. The University of Pittsburgh Medical Center’s (UPMC) Department of Nursing consulted with Aso Iizuka Hospital (AIH) on Quality and Safety Education for Nurses (QSEN) which AIH then incorporated into the new graduate nurse (RN) residency program in April, 2015. Both QSEN and the lean workcell philosophy put their priority on patient-centered care delivery. The purpose of this report: is to report on the synergism of QSEN and the lean workcell within the hospital setting. Method: A clinical evaluation (CE) of new nurses was performed by experienced nurses in the same ward in June and September of 2015 and 2016. The CE was to score 22 items through the view point of knowledge, skills, and attitudes (KSA’s). Findings: The mean CE scores in June were 0.50±0.19 in 2015 (n=85) and 1.69±0.49 in 2016 (n=81)（p＜0.001）. The mean CE scores in September were 1.72±0.63 in 2015 (n=84) and 2.62±0.34 in 2016 (n=81)（p＜0.001）. Thus, the CE scores were statistically significantly improved in 2016 when the lean workcell system had been applied and standardized across all wards in the hospital. Conclusion: The lean workcell system can enhance QSEN application providing new nurses more time to spend collaborating with experienced nurses around the patient’s bedside.