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Look before you LEAPP™: An interprofessional approach to bedside pediatric inpatient procedures
The Golisano Children's Hospital at Upstate Medical University is a 71 bed children's hospital within a hospital, serving nearly two million people in Central New York. Minor procedures occur daily in all children's hospitals, yet team coordination when planning for these procedures i...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
British Publishing Group
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4652699/ https://www.ncbi.nlm.nih.gov/pubmed/26734169 http://dx.doi.org/10.1136/bmjquality.u632.w1249 |
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author | Botash, Ann S Jeski, Michelle Baish Cameron, Colleen K. Nelsen, Elizabeth Haines, Pamela Bennett, Nicholas |
author_facet | Botash, Ann S Jeski, Michelle Baish Cameron, Colleen K. Nelsen, Elizabeth Haines, Pamela Bennett, Nicholas |
author_sort | Botash, Ann S |
collection | PubMed |
description | The Golisano Children's Hospital at Upstate Medical University is a 71 bed children's hospital within a hospital, serving nearly two million people in Central New York. Minor procedures occur daily in all children's hospitals, yet team coordination when planning for these procedures is often overlooked. LEAPP™ is a mnemonic for: Listen, Evaluate, Anticipate, Plan, and Proceed. The “Look before You LEAPP™” program was developed by a group of nurses, child life specialists, faculty, a chief resident and a fellow. LEAPP™ is a team-based program providing consistent care to all children undergoing inpatient procedures. It improves patient satisfaction and reduces procedural distress. Through LEAPP™ steps, teams are created at point of care - at the bedside or treatment room of inpatient units. Educational goals are linked to the practical goal of cooperation for good health care. The approach uses an online educational module for residents, students and nurses to introduce an innovative protocol and a planning tool.1 Pocket cards, promotional pens, and logo door-clings, purchased through grant funds (The Foundation for Upstate Medical University) were initially used to encourage participation. Pre/post observations of procedural planning and performance of the nurse, caregiver, physician, child-life specialist and independent observer included patient and family preparation, pain and anxiety, staffing and supplies, and satisfaction. Fifty procedures were assessed pre-implementation and 28 post implementation. Although satisfaction with procedures improved between pre and post LEAPP™ implementation, there were overall differences in satisfaction with procedural management and pain/anxiety control by physicians, caregivers, and staff that remained statistically significant. Interdisciplinary bedside teamwork can be used to support interprofessional education and this education can similarly be used to support improved patient outcomes. |
format | Online Article Text |
id | pubmed-4652699 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | British Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-46526992016-01-05 Look before you LEAPP™: An interprofessional approach to bedside pediatric inpatient procedures Botash, Ann S Jeski, Michelle Baish Cameron, Colleen K. Nelsen, Elizabeth Haines, Pamela Bennett, Nicholas BMJ Qual Improv Rep BMJ Quality Improvement Programme The Golisano Children's Hospital at Upstate Medical University is a 71 bed children's hospital within a hospital, serving nearly two million people in Central New York. Minor procedures occur daily in all children's hospitals, yet team coordination when planning for these procedures is often overlooked. LEAPP™ is a mnemonic for: Listen, Evaluate, Anticipate, Plan, and Proceed. The “Look before You LEAPP™” program was developed by a group of nurses, child life specialists, faculty, a chief resident and a fellow. LEAPP™ is a team-based program providing consistent care to all children undergoing inpatient procedures. It improves patient satisfaction and reduces procedural distress. Through LEAPP™ steps, teams are created at point of care - at the bedside or treatment room of inpatient units. Educational goals are linked to the practical goal of cooperation for good health care. The approach uses an online educational module for residents, students and nurses to introduce an innovative protocol and a planning tool.1 Pocket cards, promotional pens, and logo door-clings, purchased through grant funds (The Foundation for Upstate Medical University) were initially used to encourage participation. Pre/post observations of procedural planning and performance of the nurse, caregiver, physician, child-life specialist and independent observer included patient and family preparation, pain and anxiety, staffing and supplies, and satisfaction. Fifty procedures were assessed pre-implementation and 28 post implementation. Although satisfaction with procedures improved between pre and post LEAPP™ implementation, there were overall differences in satisfaction with procedural management and pain/anxiety control by physicians, caregivers, and staff that remained statistically significant. Interdisciplinary bedside teamwork can be used to support interprofessional education and this education can similarly be used to support improved patient outcomes. British Publishing Group 2013-09-27 /pmc/articles/PMC4652699/ /pubmed/26734169 http://dx.doi.org/10.1136/bmjquality.u632.w1249 Text en © 2013, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ http://creativecommons.org/licenses/by-nc/2.0/legalcode |
spellingShingle | BMJ Quality Improvement Programme Botash, Ann S Jeski, Michelle Baish Cameron, Colleen K. Nelsen, Elizabeth Haines, Pamela Bennett, Nicholas Look before you LEAPP™: An interprofessional approach to bedside pediatric inpatient procedures |
title | Look before you LEAPP™: An interprofessional approach to bedside pediatric inpatient procedures |
title_full | Look before you LEAPP™: An interprofessional approach to bedside pediatric inpatient procedures |
title_fullStr | Look before you LEAPP™: An interprofessional approach to bedside pediatric inpatient procedures |
title_full_unstemmed | Look before you LEAPP™: An interprofessional approach to bedside pediatric inpatient procedures |
title_short | Look before you LEAPP™: An interprofessional approach to bedside pediatric inpatient procedures |
title_sort | look before you leapp™: an interprofessional approach to bedside pediatric inpatient procedures |
topic | BMJ Quality Improvement Programme |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4652699/ https://www.ncbi.nlm.nih.gov/pubmed/26734169 http://dx.doi.org/10.1136/bmjquality.u632.w1249 |
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