![]() The ARN is just one of the many new roles for nurses in a changing health care system. ![]() We evaluate this work closely and we know ARNs have significantly contributed to improved quality and patient satisfaction. This is different than anything we’ve seen before. “The person the patient sees every day is available ahead of admissions and post-discharge. “The role is designed to be a constant throughout the patient experience,” says Jeffrey Adams, PhD, RN, director of the Center for Innovations in Care Delivery at MGH and a Robert Wood Johnson Foundation (RWJF) Executive Nurse Fellow (2014-2017). Unlike other RNs, ARNs are designed to promote continuity of care, ideally with a five-day, eight-hour work schedule. The ARN builds a relationship with the patient and his or her caregivers, and ensures that all members of the patient’s health care team follow a shared care plan. When a patient arrives at Massachusetts General Hospital (MGH) now, he or she is assigned an attending registered nurse (ARN) for the duration of the hospital stay and after discharge. Today, the venerable Boston hospital is testing out another innovation, but this time it’s in the field of nursing. Massachusetts General Hospital is known for medical innovations such as the first public demonstration of surgical anesthesia and the first replantation of a severed arm.
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