Building Patient- and Family-Centered Environments
The typically nontherapeutic nature of an ICU's physical environment, with its noise and sleep disruptions, is compounded by factors in the social environment. Staff are often challenged to communicate with patients and families because of the hectic pace, high patient acuity, and the sensory challenges of older patients.43 NICHE hospitals employ training that sensitizes staff to the specialized communication needs of the older patient, including the use of sensory and communication devices. NICHE webinars and other resources developed by experts in aging-specific design offer information on modifying unit design to minimize noise and promote comfort and sleep (see http://www.nicheprogram.org).
Increased contact with family visitors can yield opportunities for family education44 and improved satisfaction.45 NICHE hospitals use the educational modules that address family needs to better communicate, and they include families in care decisions and often care provision (eg, bathing). Patient and family councils have been implemented in NICHE hospitals to provide former patients and their families with the opportunity to provide feedback, which are used to inform relevant policies. NICHE educational resources for family members address issues on caregiving as well as issues related to hospitalization.
Building Patient- and Family-Centered Environments
The typically nontherapeutic nature of an ICU's physical environment, with its noise and sleep disruptions, is compounded by factors in the social environment. Staff are often challenged to communicate with patients and families because of the hectic pace, high patient acuity, and the sensory challenges of older patients.43 NICHE hospitals employ training that sensitizes staff to the specialized communication needs of the older patient, including the use of sensory and communication devices. NICHE webinars and other resources developed by experts in aging-specific design offer information on modifying unit design to minimize noise and promote comfort and sleep (see http://www.nicheprogram.org).
Increased contact with family visitors can yield opportunities for family education44 and improved satisfaction.45 NICHE hospitals use the educational modules that address family needs to better communicate, and they include families in care decisions and often care provision (eg, bathing). Patient and family councils have been implemented in NICHE hospitals to provide former patients and their families with the opportunity to provide feedback, which are used to inform relevant policies. NICHE educational resources for family members address issues on caregiving as well as issues related to hospitalization.
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