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Related Concept Videos

Patient-centered Care01:13

Patient-centered Care

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Role of Communication in the Nursing Process II: Planning and Implementation01:25

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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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Nursing Implementation01:15

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Role of Communication in the Nursing Process III: Evaluation and Documentation01:08

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A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
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Role of Communication in the Nursing Process I: Assessment and Diagnosis01:25

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The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
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Nursing Evaluation01:15

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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Related Experiment Video

Updated: Jul 25, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Pilot Evaluation of the Family Bridge Program: A Communication- and Culture-Focused Inpatient Patient Navigation

K Casey Lion1, Kimberly C Arthur2, Mariana Frías García2

  • 1Center for Child Health, Behavior and Development (K Casey Lion, KC Arthur, MF García, LJ Sotelo Guerra, H Chisholm, BE Ebel, C Zhou, and R Mangione-Smith), Seattle Children's Research Institute, Seattle, Wash; Department of Pediatrics (K Casey Lion, E Griego, BE Ebel, C Zhou, and R Mangione-Smith), University of Washington School of Medicine, Seattle, Wash.

Academic Pediatrics
|June 24, 2023
PubMed
Summary

The Family Bridge Program, a novel inpatient navigation intervention, proved feasible and acceptable for hospitalized children facing health disparities. It improved system navigation and reduced barriers for Spanish-speaking families.

Keywords:
equityhealth care disparitiespatient navigationpatient-centered communicationpediatric hospital medicine

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Area of Science:

  • Health Services Research
  • Health Disparities
  • Patient Navigation

Background:

  • Children from low-income and minority backgrounds experience worse hospital outcomes due to systemic and interpersonal racism.
  • Communication and system barriers contribute significantly to these disparities.

Purpose of the Study:

  • To test the feasibility and acceptability of a novel inpatient communication-focused navigation program.
  • To address barriers faced by hospitalized children at risk for health disparities.

Main Methods:

  • The Family Bridge Program was developed through multilingual design workshops.
  • It involved hospital orientation, social needs screening, communication coaching, and emotional support.
  • A single-arm trial enrolled families of hospitalized children with public/no insurance and minority race/ethnicity.

Main Results:

  • The program was feasible, with families receiving an average of 5.3 out of 6 components.
  • High satisfaction reported by caregivers (92%) and providers (81%).
  • Significant improvement in parent-reported system navigation and reduced skills-related barriers for Spanish-speaking parents.

Conclusions:

  • The Family Bridge Program is a feasible and acceptable intervention.
  • It shows potential for overcoming barriers and reducing disparities for hospitalized children.
  • This patient navigation model can improve hospital experiences for vulnerable populations.