Jean Watsons: Daily goals for Intensive Care Unit Ventilated patients
Brea Blais
Southern New Hampshire University
Advanced Nursing Concepts

Dr. Bladen
May 13, 2015 Jean Watsons: Daily goals for ICU Ventilated patients
An estimated 85% of errors occur in care when communication is not clear (Pronovost et al., 2003). When Nurses or doctors do not know how to properly care for their patients, then these patients cannot recover in an appropriate time frame (Pronovost et al., 2003). “At baseline less then ten percent of nurses and residents understand the goals of care for the day”(Pronovost et al., 2003, para. 2). After the implementation of a daily goals worksheet 95% of nurses and residents understood the goals of care for the day, length of stay was decreased, and other critical care patient problems were decreased. (Pronovost et al., 2003). Jean Watson’s human caring theory was the foundation of the daily goals, created in Johns Hopkins Hospital, in 2003. The daily goals sheet was developed in a 16 bed surgical oncology ICU to improve patient outcomes by improving communication between the members of the healthcare team (Pronovost et al., 2003). Transpersonal relationships and a caring relationship were used when creating the Daily goals sheet (Fawcett & DeSanto Madeya 2013). Daily goals were used in the ICU setting, with any patient population that may present to the ICU with an acute or chronic problem (Fawcett & DeSanto Madeya 2013).

Content and format of the tool. The daily goals sheet integrates the understanding of the plan of care with nurses and physicians (Pronovost et al., 2003). After the rounds are completed, the nurses and physicians answer a sheet consisting of two questions, the understanding of goals of care, and the work that has to be completed to get the patient out of a critical care unit and to a general medical floor