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A Quality Improvement Project to Improve Nurse-Patient Communication and Patient Satisfaction in an Outpatient Center
Ying Shen1, Xiaoqiu Zhu, Fang Lei
1Author Affiliations: Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine, Hangzhou, Zhejiang Province, People's Republic of China (Ms Shen, Ms Zhu, and Ms Feng); School of Nursing, University of Minnesota Twin Cities, Minneapolis, Minnesota (Dr Lei).
Background And Objectives:
Poor communication complicates patients' understanding of their diagnosis and nursing care, which can jeopardize patients' treatment and prognosis. Streamlined nurse-patient communication interventions are proven to improve patient satisfaction and nursing care quality. Guided by the Plan-Do-Study-Act Quality Improvement Model, we used the Contact, Introduce, Communicate, Ask, Respond, and Exit (CICARE) communication mode aimed at improving nurse-patient communication and patient satisfaction in our outpatient center.
Methods:
Nurses in the center were trained on CICARE communication mode in the 1-month training sessions. They incorporated the CICARE communication mode into their routine nursing practices for all outpatients. Data were collected before implementation of the project and at 1-month post-implementation, between October 2023 and March 2024. The CICARE communication mode utilization rate, nurses' communication knowledge, practice skills, and ability, and the patient satisfaction rate were measured.
Results:
A total of 28 outpatient nurses attended the education training sessions. The utilization rate of the CICARE communication mode was 86%. Compared to before training, nurses' communication knowledge, practice skills, and ability, and the patient satisfaction scores improved significantly after training ( P < .05).
Conclusion:
Application of the CICARE communication mode in outpatient nursing work is beneficial for enhancing nurses' proficiency in nurse-patient communication and improving patient satisfaction, which can help to increase the quality of nursing care.
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