Plotting care: A modelling technique for visioning nursing practice in current and future contexts

Abstract

Health professionals in health-care organisations are frequently challenged to strategise their services, reshape patterns of care delivery and to adapt to changing environments. Relocation of services into new hospital buildings is one example of a situation that generates these challenges. In this paper the authors discuss an innovative modelling strategy that was employed to assist nurses to explore their current daily care practices, to visualise them in the context of proposed new buildings, and to work towards planning care in readiness for the new context. The modelling technique of 'plotting' is presented as a way of capturing the natural spatial-service wisdom that exists within teams, and assisting them to translate their knowledge of this to each other and to co-operatively work towards a new clinical future. Plotting will be of use to health professionals, clinical leaders and educators who are interested in spatial analysis of care and other health service practices.

Design of simulation-based medical education and advantages and disadvantages of in situ simulation versus off-site simulation

“…A more recently applied use of OSS modalities can involve using a mock-up or sandbox technique [60, 61] when constructing and testing new facilities. The mock-up technique is a 1:1 construction of a unit or other rooms that allows architects and designers, in cooperation with clinical staff, to test ideas and solutions [60].…”

“…The mock-up technique is a 1:1 construction of a unit or other rooms that allows architects and designers, in cooperation with clinical staff, to test ideas and solutions [60]. The sandbox technique allows staff to practice new care delivery in new buildings [61].…”

Using a Theory-Driven Approach to Manage the Relocation of an Intensive Care Unit

“…Such approaches should incorporate a transition management framework to support successful transition and ensure patient safety during the relocation. 6 For staff working in the ICU, transition to a new work environment, which may be accompanied by the introduction of a new model of care, may be more complex and challenging than other parts of the hospital because of higher patient acuity and the number of staff members on duty at any one time. Hospital relocation and a change from an open plan to single rooms will also likely require staff to significantly modify their work processes.…”

Relocating an intensive care unit: An exploratory qualitative study

“…[6][7][8] Within the process of hospital relocation it is important to consider the transitional process of staff members trying to cope with the change from the old to the new environment. 8 A strategic transition management plan is required to support staff to ensure a successful transition, 9 and to facilitate the continuity of quality care. Workplace culture, leadership, and organisational structure have significant impact on the process and success of relocation and staff transition.…”