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Final Presentation for Herman Miller

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by

Amie Napier

on 16 November 2014

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Transcript of Final Presentation for Herman Miller

Holland Hospital
Hope College + Herman Miller
Collaboration

- Hope College Nurses - Focus Group
Project Objectives
Snippets
Work Modes Feedback
How Work Modes Happen
Work Station Features
Technologies
Phase 3 - Spring 2014
Holland Hospital dScout + Hope Nurse Focus Group
Next generation nurse station
Discover "how" of work modes
Confirm most recent work modes
Achieved through
dScout implementation at Holland Hospital
Focus Group with Hope Student Nurses
Orientation to teach dScout to nurses
Implementation of dScout tool

Summary
25 Snippets Total
5 nurses
10 Nursing students with clinicals at
-Helen DeVos Children's Hospital
-Holland Hospital
-Spectrum Health
To discover
- How's
- Confirmation of Work Modes
- Possible work station improvements
-Potential future technologies

Whirl
Seek
Record & Retrieve
Treat
Accommodate
Presented updated work modes to nursing students and asked "What's right? What's wrong? What's missing?"
Asked student nurses to make a written snippet of their last experience with a given work mode. Facilitated discussion of the differences for each person.
Whirl
Seek
Record & Retrieve
Treat
Accommodate
Pro's and Con's of each type of work station:
-Central
- Remote
- Portable
Central
Remote
Portable
"Whirl describes the constant interaction between different staff members at the nurse station. Multiple modes are combined into one as concentration, collaboration, visibility, & privacy happen at the same time, in the same place."
Interdisciplinary meeting place
Apt description - chaotic collaboration
Dual visibility
No privacy or concentration possible
Whirl precludes charting
"Seek involves one caregiver (or family member) specifically seeking out another caregiver for a specific answer to a patient care question. No social component is involved in the exchange. Seek could also be a caregiver specifically seeking out necessary medical supplies or equipment. (hunting and gathering). "
Possibly includes other forms of seeking
Change caregiver to healthcare provider
Lacks clarity in relation to retrieve (who is seeking whom?)
Frequently a social activity
Record & Retrieve is when a caregiver is entering data into the health record and/or retrieving necessary information from the record. This could include dictation or patient registration.

Perhaps group retrieve and seek, then research and record
Occurs everywhere
Includes internet research
Reporting between nurses (shift change)
Treat occurs during a caregiver and patient encounter which is focused on the treatment of a patient issue. This can include simultaneous or continuous flow between Record & Retrieve, conversation and teaching, and most but not every time, the physical examination of the patient by any caregiver.
Definitely includes teaching, as stated
Holistic treatment includes accommodation
Educating family?
Accommodate describes what caregivers do to meet the needs of patients and guests in order to make them feel comfortable, informed, and engaged. This occurs in public welcome space, waiting areas and in exam and patient rooms.
Takes place in patient rooms, not public spaces (not the nurses' job)
Attitude rather than work mode
Present in all work modes
Enabled by other work modes done well
More resources- computers, phones, outlets
More counter space for papers and drinks/snacks
More floor space for the volume of people
Noise-often too loud
Privacy
Quieter
Proximity to patient room
W/in view of central station
Cupboard space
Total exclusion makes hard to find
Remote stations that face patient rooms
Need more of them
More counter space
Windows
Mobility
Can designate as own
Folds down from wall
Promotes relationship-based care
Inability to know who is where
Less sanitary
Less privacy
More ergonomic
Sometimes takes up too much space in patient room
More counter space
Wheels with brakes
Don't block supply cupboards
Holds supplies
iPad - research, seek, and chart
Web-cam - high risk patient monitoring
Hand-held Vitals - portable, equipment is currently bulky and hard to manage
Next Steps
Visible to everyone/easy to find
Central collaboration place
Likes
Wants/Could be Improved
Likes
Wants/ Areas
of Improvement
Likes
Wants/Areas of Improvement
"Discovering the How"
Conclusion
Hospital approval to use dScout
Orientation & training of nurses
Resulting in 25 snippets
Holland Hospital ~ dScout
Hope College Nursing Students ~ Focus Group
Department Chair review/approval
Work Mode critique
Obtained 10 "how" experiences
Obtained workstation likes/dislikes
Identified future technology ideas
"How" research at additional hospitals
-Spectrum Health
-Mercy Health St Mary's
-Pine Rest Mental Health
Evaluation of early prototype or features
Focus Groups (different units)
Feedback on specialized questions
Appendix ~ Holland Hospital Nurse Participants
Appendix ~ Hope Nursing Student Participants
Elisabeth Molina - elizam@hollandhospital.org
Nancy Solis - nsolis@hollandhospital.org
Maria Anderson - mariaa@hollandhospital.org
Sara Dewitt - sara.dewitt@gmail.com
Heidi Ripley - heidir@hollandhospital.org
dScout Snippets already in Herman Miller's possession
Katie Cooper - kathryn.cooper@hope.edu
Claire Tally - claire.tally@hope.edu
Johanna VanLiew - johanna.vanliew@hope.edu
Madison Buursma - madison.buursma@hope.edu
Molly Tiesenga - molly.tiesenga@hope.edu
Marvin Solberg - marvin.solberg@hope.edu
Erin Jipping - erin.jipping@hope.edu
Amanda Tomes - amanda.tomes@hope.edu
Hannah Rice - hannah.rice@hope.edu
pdf of focus group responses sent to Herman Miller via email
Full transcript