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Network-wide efforts by nurses to improve users’ safety and autonomy

Nurse clinicians and leaders throughout CIUSSS West-Central Montreal have joined forces to create an innovative Department of Nursing to meet the challenges of the evolving healthcare network. The department’s goal, through its combined efforts, is to provide patients, residents and clients with innovative, high-quality, value-added nursing care.

In the new Sandra and Steven Mintz Nephrology Centre, Steve Kakavas receives treatment from Nurse Vashti Kissoon (right), with assistance from his wife, Eugenia, a JGH volunteer.

With the needs of healthcare recipients in mind, senior nursing leaders from the network’s various facilities have established a Nursing Executive Committee. Its goal is to consolidate the nursing team, harmonize administrative and clinical practices, and lead the professional staff through one of the most demanding processes of change in Quebec health care in many decades.

In parallel, the new Council of Nurses will oversee the integration of programs of care, while ensuring that quality and safety are maintained and enhanced at all sites of delivery.

Also of significance in 2015-2016:

  • A team of advanced practice nurses (le Cadre Conseil) is working in all of the network’s sites and missions to facilitate rapid care and improvements in the delivery of service across the continuum of care. Among its strategies are the process-mapping of care trajectories, and the identification of best practices and areas for improvement.
  • Nursing specialists are cooperating closely to harmonize and standardize practices in three areas that are priorities for healthcare recipients: preventing falls and pressure ulcers, and managing restraints.
  • To meet the needs of the frail elderly, nurses have made a high priority of adopting the practices in the government’s Specialized Approach to Senior Care program. A large multidisciplinary team, co-led by Nursing, was formed to implement this program, with major improvements realized at the bedside of healthcare recipients.

For example, at the end of the year, audits in the units found greater mobility among patients, because mobility plans had been developed for 80 per cent of those in the medical and geriatric units. Safety was also emphasized, with 80 per cent of patients supplied with a portable, hand-held call button. In addition, in the final months of the year, there was a 20 per cent increase in patients’ ability to move easily from their beds to the washrooms in their own rooms. All of these improvements helped to maintain the functional autonomy of elderly patients.

  • Nurses played crucial roles in all aspects of the launch of the new critical-care wing, Pavilion K, at the Jewish General Hospital. They led, planned, implemented and are continuing to modify the nursing work processes that made it possible to move a large portion of the hospital’s activities to Pavilion K.

Not only was there a seamless transfer of patients from the legacy building, but the continuity of care that was delivered in novel circumstances that speaks highly of the essential contribution of the nursing team to the well-being of patients and their families.