NICHE 4 Caregivers An ANCC Magnet Recognized Hospital Judith DellaRipa, RN, FNP-BC, MS, GRN Lynette Loftus, RN, CNOR, GRN Who Cares for the Caregiver? It became apparent during discussions among 49 clinical and non-clinical staff in the St. Mary’s Hospital Ambulatory Surgical Unit (ASU), that many were “family caregivers”. Though most of the ASU staff are highly trained professionals, giving care to a family member required additional skills and resources for which they often felt unprepared. For those who are balancing the responsibilities and demands of work along with other life roles and relationships, the load can be overwhelming. The skills and availability of a family caregiver can impact the health and well- being of older adults, influencing outcomes such as hospital re-admission, medication compliance, and nutrition. Bon Secours St. Mary’s Hospital is a NICHE designated facility which serves Richmond and Central Virginia. The hospital is a 391 bed acute care facility with over 2500 employees. In-hospital surveys determined that our employees who are caregivers reflect the national demographic trends. The identified challenges and needs were both practical and progressive. Literature reviews indicate that knowledge of support mechanisms and resources for elder care empowers caregivers. Proposal: An internal intranet site, NICHE 4 Caregivers, was developed by a team of Geriatric Resource Nurses (GRNs) to support employee family caregivers. Links to national websites, a Caregiver’s Bill of Rights, and tools to assess personal stress were included. Content: Guided by a mission statement, • literature review, and employee needs Uses everyday language and is • available to all employees Includes personal stories reflecting that • caregivers are not alone Excludes for profit services • Anticipates future potential as a tool • for patient discharge planning Project Activation: Mass e-mail and rounds to employees • Feedback encouraged with random • drawings Collaboration with Employee Assistance • Program and Employee Wellness Content updated weekly to provide • current and relevant information Assessment Planning Implementation Evaluation I wonder if Dad remembered to take his medicine this morning? Employee Feedback: “I was a caregiver for my father. Having resources when you need them during stressful times is critical as is caring for myself as a caregiver.” “To see the support that is available for non-clinicians is a BIG relief.” “I plan to share the resources with my family as it provides excellent tools for more easily incorporating long distance elder care.” “I need information on surviving the emotional ups and downs of every day mental stress.” This innovative site provides anticipatory guidance which is crucial because the needs of caregivers will directly impact our health care organization in the future. Mom just doesn’t have enough money. I’ll have to work late to catch up. Who will pick up Grandma from daycare? 0 2 4 6 8 10 12 14 16 18 Parent Family Friend Care Recipients 0 2 4 6 8 10 12 14 16 Under 45 45 ‐ 60 Over 60 Age of Caregivers ASU Survey of Family Caregivers 0 2 4 6 8 10 12 14 16 18 Yes No Have You Missed Work Due To Caregiving Responsibilities? “78% of adults living in the community and in need of long-term care depend on family and friends as their only source of help.” “Six in 10 family caregivers are employed.” “The value of the services family caregivers provide for “free,” when caring for older adults, is estimated to be $375 billion a year. That is almost twice as much as is actually spent on home care and nursing home services combined ($158 billion).” - National Family Caregivers Association How can I take care of Mom and work? What Assistance Does Your Dependent Person Need? 80 100 120 140 160 # of hits November 15 ‐ 16 National Family Caregivers Month Information table in the cafeteria Second email for website promotion August 11‐17: Promotion of website through June 27 NICHE 4 Caregivers 0 20 40 60 September through October Website content research development website through blast email, rounding, and a meet‐and‐greet website goes live on the Bon Secours intranet NICHE 4 Caregivers Site History and Activity I wonder why Mom didn’t answer when I called? Maybe I should call again. References: Patient Safety and Quality: An Evidence-Based Handbook for Nurses. AHRQ Publication No. 08- 0043, April 2008. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/ qual/nurseshdbk/ Additional References Available on Request
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NICHE 4 Caregivers An ANCC Magnet Recognized Hospital
Judith DellaRipa, RN, FNP-BC, MS, GRN Lynette Loftus, RN, CNOR, GRN
Who Cares for the Caregiver?It became apparent during discussions among 49 clinical and non-clinical staff in the St. Mary’s Hospital Ambulatory Surgical Unit (ASU), that many were “family caregivers”. Though most of the ASU staff are highly trained professionals, giving care to a family member required additional skills and resources for which they often felt unprepared. For those who are balancing the responsibilities and demands of work along with other life roles and relationships, the load can be overwhelming. The skills and availability of a family caregiver can impact the health and well-being of older adults, influencing outcomes such as hospital re-admission, medication compliance, and nutrition.
Bon Secours St. Mary’s Hospital is a NICHE designated facility which serves Richmond and Central Virginia. The hospital is a 391 bed acute care facility with over 2500 employees.
In-hospital surveys determined that our employees who are caregivers reflect the national demographic trends. The identified challenges and needs were both practical and progressive.
Literature reviews indicate that knowledge of support mechanisms and resources for elder care empowers caregivers.
Proposal:An internal intranet site, NICHE 4 Caregivers, was developed by a team of Geriatric Resource Nurses (GRNs) to support employee family caregivers. Links to national websites, a Caregiver’s Bill of Rights, and tools to assess personal stress were included.
Content:Guided by a mission statement, •
literature review, and employee needsUses everyday language and is •
available to all employeesIncludes personal stories reflecting that •
caregivers are not aloneExcludes for profit services • Anticipates future potential as a tool •
for patient discharge planning
Project Activation: Mass e-mail and rounds to employees • Feedback encouraged with random •
drawingsCollaboration with Employee Assistance •
Program and Employee WellnessContent updated weekly to provide •
current and relevant information
Assessment Planning Implementation Evaluation
I wonder if Dad remembered to take
his medicine this morning?
Employee Feedback:
“I was a caregiver for my father. Having resources when you need them during stressful times is critical as is caring for
myself as a caregiver.”
“To see the support that is available for non-clinicians is a BIG relief.”
“I plan to share the resources with my family as it provides excellent tools for
more easily incorporating long distance elder care.”
“I need information on surviving the emotional ups and downs of every day
mental stress.”
This innovative site provides anticipatory guidance which is crucial because the needs of caregivers will directly impact our health care organization in the future.
Mom just doesn’t have enough
money.
I’ll have to work late to catch up. Who will
pick up Grandma from daycare?
0
2
4
6
8
10
12
14
16
18
Parent Family Friend
Care Recipients
0
2
4
6
8
10
12
14
16
Under 45 45 ‐ 60 Over 60
Age of Caregivers
ASU Survey of Family Caregivers
0
2
4
6
8
10
12
14
16
18
Yes No
Have You Missed Work Due To Caregiving
Responsibilities?
“78% of adults living in the community and in need of long-term care depend on family and friends as their only source of help.”
“Six in 10 family caregivers are employed.”
“The value of the services family caregivers provide for “free,” when caring for older adults, is estimated to be $375 billion a year. That is almost twice as much as is actually spent on home care and nursing home services combined ($158 billion).”
- National Family Caregivers Association
How can I take care of Mom and
work?
What Assistance Does Your Dependent Person Need?
80
100
120
140
160
"NICHE 4 Caregivers" Website History and Activity
# of hits
November 15 ‐ 16National Family Caregivers Month
Information table in the cafeteria
Second email for website promotion
August 11‐17:Promotion of
website through
June 27NICHE 4
Caregivers
0
20
40
60
September through OctoberWebsite content
research development
website through blast email,
rounding, and a meet‐and‐greet
website goes live on the Bon Secours intranet
NICHE 4 Caregivers Site History and Activity
I wonder why Mom didn’t answer when I
called? Maybe I should call again.
References:Patient Safety and Quality: An Evidence-Based Handbook for Nurses. AHRQ Publication No. 08-0043, April 2008. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/qual/nurseshdbk/
Additional References Available on Request
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