Improve Patient–Care Provider Interactions and Shortage of Staff during Covid 19 by Implementing Person–Center Proposal Daily Round

Abstract

Objective: evaluate the improvement of Patient – Care provider interactions by implementing a person – center proposal daily round ensured by trained non-medical staff for patients admitted in wards. Design: prospective comparative study, using check list extracted from person center care and data was collected from a third-party survey approved in Saudi Arabia health care since 2019. Setting: Wadi Al Dawasir region, Saudi Arabia. Population: The study period (July 2020 to July 2021). The person center proposal daily round was started as a proactive measure to improve the patient-care provider interaction after the decrease of patient satisfaction in the third-party survey data. We include all admitted inpatient wards (231 patients) except critical area and COVID – 19 units after pandemic. Main outcome measures: we compare Patient satisfaction about sleeping, level of noise in and around room, pain controlled, Promptness in responding to the call button, Instruction given about how to care at home and Staff effort to include the patient in decisions about his treatment before and during the person center proposal round. Results: the overall trajectory of patient satisfaction is increased according to the third-party survey upon implementation of the round. In the third quarter 2020 we remark increase of satisfaction about sleep from (85%) to (92.85%) in the third quarter 2021.the same improvement is seen in the others parameters as pain-controlled satisfaction (from 81.25% to 87.5%), promptness in responding to the call button (from 79.54% to86), instruction given about how to care at home (from 88% to 89.86%) and staff effort to include patient in decision about his treatment (from 80.81% to 88% of the third quarter 2021) Conclusion: When proposal round happens well it considered as incredible tool to improve communication between nurses’ staff who are in shortage at the unit and admitted patients