title: Training residents and nurses to work as a patient-centered care team on a medical ward.
abstract: OBJECTIVE
  To train medical residents and nurses to work together as a patient-centered care (PCC) team on a medical ward and test its feasibility, nurses' learning, and patient outcomes.
  
  
  METHODS
  Working with administrative leadership, we consolidated residents' patients on one 32-bed ward. Already training residents in an evidence-based patient-centered method, we now trained 5 nurse leaders similarly, and they then trained all staff nurses. A national consultant visited twice. Specific team-building activities for nurses and residents fostered ward interactions. We used a retrospective pre/post/6-month post-design to evaluate nurses' knowledge and self-efficacy of patient-centered skills. Patients were assigned non-randomly to our unit or comparison units from our emergency room; using a post-test only design, the primary endpoint was patient satisfaction.
  
  
  RESULTS
  28 trained nurses showed improvement in knowledge (p=0.02) and self-efficacy (p=0.001). 81 treatment patients showed no improvement in satisfaction (p=0.44).
  
  
  CONCLUSIONS
  Training nurses in patient-centered practices were effective. Unique in this country, we also trained nurses and residents together as a PCC team on a medical ward and showed it was feasible and well accepted.
  
  
  CONCLUSIONS
  We provide a template for team training and urge that others explore this important new area and contribute to its further development.
authors.affiliation: Michigan State University, East Lansing, MI 48824, USA.
authors.forename: Heather S
authors.initials: HS
authors.lastname: Laird-Fick
authors.forename: David
authors.initials: D
authors.lastname: Solomon
authors.forename: Christine
authors.initials: C
authors.lastname: Jodoin
authors.forename: Francesca C
authors.initials: FC
authors.lastname: Dwamena
authors.forename: Kim
authors.initials: K
authors.lastname: Alexander
authors.forename: Larry
authors.initials: L
authors.lastname: Rawsthorne
authors.forename: Tammy
authors.initials: T
authors.lastname: Banker
authors.forename: Nandu
authors.initials: N
authors.lastname: Gourineni
authors.forename: Feras
authors.initials: F
authors.lastname: Aloka
authors.forename: Richard M
authors.initials: RM
authors.lastname: Frankel
authors.forename: Robert C
authors.initials: RC
authors.lastname: Smith
mesh_terms: D002983:Clinical Competence; D004509:Education, Nursing, Continuing / Q000379:methods; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007396:Internship and Residency; D008297:Male; D009741:Nursing Staff, Hospital / Q000193:education*; D010348:Patient Care Team / Q000458:organization & administration*; D018802:Patient-Centered Care / Q000458:organization & administration*; D019555:Physician-Nurse Relations; D012189:Retrospective Studies; D020377:Self Efficacy; D011795:Surveys and Questionnaires