The problem occurs when people adopt "Planetree" and yet do not provide the staff support to permit it.
You advertise the menu and then have 1 dietary aide with the attitude of a pitbull to man the phone to take the food orders for 400 beds. And your pt, who is elderly has been dialing for 30 minutes straight with no answer.
It is when management institutes "Planetree", advertises it to kingdom come, yet cuts staff from 2 RNs for 12-16 patients and a tech per 12-16 patients, to an RN per 12 and a tech per 20.
It is when they force you into all those insipid inspirational inservices, and yet refuse to pay for an inservice on the new accucheck machine, cut ACLS classes.
(so help me, if I have to watch that annoying "geese fly in formation, taking turns to lead, and the wing lift from one helps lift the other - and if one stays behind, another stays with it until it can catch up....video one more time, I may run screaming amok)
Recently one such facility, decided that the onco floor would take gyn overflow....which became, preterm labor pts, hyperemesis gravida, intrauterine demise pts, etc. WITH VIRTUALLY NO TRAINING for caring for those pts, yet talks about its pt centered "PlaneTree" modeled care to provide the best for their pts. When staff asked about training to provide excellent "pt centered care", they were told that there was no money for it.
In too many places, "Planetree" is an advertising hook with nothing actually "pt centered" to back it up with.