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Journal of Nursing Care Quality

Doris Eglseer, Manuela Hödl, Christa Lohrmann
Investigations about the quality of nursing care on structure, process, and outcome levels relating to various nursing care problems are rare. This cross-sectional multicenter study was conducted in 30 Austrian hospitals with 2878 patients. The quality of nursing care differed significantly with respect to the individual problems (pressure ulcer, incontinence, malnutrition, falls, restraints, pain), highlighting the need for studies that focus specifically on the quality of care and not merely on single nursing care problems...
December 8, 2017: Journal of Nursing Care Quality
Alycia A Bristol, Janice D Crist, Linda R Phillips, Kimberly D Shea, Cheryl Lacasse
Family caregivers' experiences during within-hospital handoffs between acute care units are not well understood. Qualitative description methodology was employed to describe family caregivers' experiences during their loved ones' handoffs. Semistructured interviews were conducted with 10 caregivers of hospitalized older adults. Three themes emerged: Lack of care coordination, Muddling through handoffs alone, and Wariness toward the care delivery system. Findings can help clinicians shape their interactions with caregivers to maximize their involvement in post-hospital care...
December 8, 2017: Journal of Nursing Care Quality
Yi Na Han, Jung Eun Choi, Yin Ji Jin, Tai Xian Jin, Sun-Mi Lee
Nurses working in intensive care units have expressed concern that some categories of the Braden scale such as activity and nutrition are not suitable for intensive care unit patients. Upon examining the validity of the Braden scale using the electronic health data, we found relatively low predictability of the tool. Risk factors from the sensory perception and activity categories were not associated with risk of pressure ulcers.
December 8, 2017: Journal of Nursing Care Quality
Eleanor S McConnell, Kyung Hee Lee, Lorraine Galkowski, Christine Downey, Mary Victoria Spainhour, Reginaldo Horwitz
Oral hygiene care is neglected in long-term care (LTC) due to patient-, staff-, and systems-level barriers. A dementia-specific oral hygiene program, implemented and evaluated in a Department of Veterans Affairs LTC unit, addressed barriers to oral care at multiple levels. Improved staff competency, access to oral care supplies, and standardized documentation systems were accompanied by reduced oral plaque and gingivitis, demonstrating the feasibility and benefits of direct care staff providing improved oral hygiene in LTC...
November 8, 2017: Journal of Nursing Care Quality
Frances Lin, Andrea Marshall, Lucy Hervey, Michelle Foster, Jane Hancock, Wendy Chaboyer
Proactive planning and managing moving from old to newly built hospitals, and the relocation process of patients for complex specialized units such as intensive care units, are necessary for both patient safety and staff well-being. This article provides an exemplar for how theory can be used to facilitate a positive relocation experience. Using change management theory, a systematic approach to cocreate implementation strategy among researchers and clinicians was critical to the success of this project.
November 8, 2017: Journal of Nursing Care Quality
Joselyn White, Heather Brown, Lisa Fry
No abstract text is available yet for this article.
November 8, 2017: Journal of Nursing Care Quality
Alice Ferguson, Karina Uldall, Jessica Dunn, Christopher Craig Blackmore, Barbara Williams
Delirium is a potentially modifiable fall risk factor, but few studies address the effects of delirium programs on falls. Beginning in 2011, we implemented a nursing-driven hospitalwide delirium program targeting improvements in risk identification, prevention, detection, and treatment. Over the course of the program, delirium falls decreased from 0.91 to 0.50 per patient day (P = .0002). A decrease in overall falls was also noted (P = .0007).
October 13, 2017: Journal of Nursing Care Quality
Dorothy Hung, Quan Truong, Maayan Yakir, Francesca Nicosia
This study examined the implementation and hospitalwide scaling of a community-based transitional care program to reduce readmissions among adults 65 years or older. Our analysis was guided by the Care Transitions Framework and was based on semistructured interviews with program implementers to identify intervention successes, barriers, and outcomes beyond reducing readmissions. Such outcomes included the program's critical role in providing a safety net and transition to more advanced care, and redefining intervention success from more patient-centered perspectives...
October 13, 2017: Journal of Nursing Care Quality
Sallie J Weaver, Sarah E Mossburg, MarieSarah Pillari, Paula S Kent, Elizabeth Lee Daugherty Biddison
This study explored similarities and differences in the views on team membership and leadership held by nurses in formal unit leadership positions and direct care nurses. We used a mixed-methods approach and a maximum variance sampling strategy, sampling from units with both high and low safety behaviors and safety culture scores. We identified several key differences in mental models of care team membership and leadership between formal leaders and direct care nurses that warrant further exploration.
September 29, 2017: Journal of Nursing Care Quality
Diane M McFarland, Jeffrey N Doucette
Adverse event reporting is one strategy to identify risks and improve patient safety, but, historically, adverse events are underreported by registered nurses (RNs) because of fear of retribution and blame. A program was provided on high reliability to examine whether education would impact RNs' willingness to report adverse events. Although the findings were not statistically significant, they demonstrated a positive impact on adverse event reporting and support the need to create a culture of high reliability...
September 29, 2017: Journal of Nursing Care Quality
Marcia A Byers, Patricia Wright, John Mick Tilford, Lynne S Nemeth, Ellyn Matthews, Anita Mitchell
Smoking is a significant public health concern in the United States, yet 50% of patients do not receive recommended tobacco use screening and counseling. This project compared smoking cessation rates in newly reimbursable nurse-led wellness visits with rates in physician-led visits. Although the findings were not statistically significant, they suggested that smoking cessation is at least equivalent in patients who attend nurse-led visits compared with physician-led visits and may be higher.
September 29, 2017: Journal of Nursing Care Quality
Jennifer Rodgers, Marietta Stanton, Jennifer Jackson
No abstract text is available yet for this article.
September 29, 2017: Journal of Nursing Care Quality
Catherine Y Read, Judith Shindul-Rothschild, Jane Flanagan, Kelly D Stamp
Publicly available data from the Centers for Medicaid & Medicare Services were used to analyze factors associated with removal of the urinary catheter within 48 hours after surgery in 59 Massachusetts hospitals. Three factors explained 36% of the variance in postoperative urinary catheter removal: fewer falls per 1000 discharges, better nurse-patient communication, and higher percentage of Medicare patients. Timely urinary catheter removal was significantly greater in hospitals with more licensed nursing hours per patient day...
January 2018: Journal of Nursing Care Quality
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Journal of Nursing Care Quality
Richard Ricciardi
No abstract text is available yet for this article.
January 2018: Journal of Nursing Care Quality
Marilyn J Rantz, Lori Popejoy, Amy Vogelsmeier, Colleen Galambos, Greg Alexander, Marcia Flesner, Cathy Murray, Charles Crecelius
No abstract text is available yet for this article.
January 2018: Journal of Nursing Care Quality
Stephanie S Poe, Patricia B Dawson, Maria Cvach, Margaret Burnett, Sowmya Kumble, Maureen Lewis, Carol B Thompson, Elizabeth E Hill
Patient falls and fall-related injury remain a safety concern. The Johns Hopkins Fall Risk Assessment Tool (JHFRAT) was developed to facilitate early detection of risk for anticipated physiologic falls in adult inpatients. Psychometric properties in acute care settings have not yet been fully established; this study sought to fill that gap. Results indicate that the JHFRAT is reliable, with high sensitivity and negative predictive validity. Specificity and positive predictive validity were lower than expected...
January 2018: Journal of Nursing Care Quality
Gillian Strudwick, Emilene Reisdorfer, Caroline Warnock, Kamini Kalia, Heather Sulkers, Carrie Clark, Richard Booth
In an effort to prevent medication errors, barcode medication administration technology has been implemented in many health care organizations. An integrative review was conducted to understand the effect of barcode medication administration technology on medication errors, and characteristics of use demonstrated by nurses contribute to medication safety. Addressing poor system use may support improved patient safety through the reduction of medication administration errors.
January 2018: Journal of Nursing Care Quality
Jacqueline E Crawford, Colleen Garvin Coyne, Katherine Calder
Noncompliance in obtaining daily weights leads to delays in establishing treatment and discharge plans in pediatric populations. An inpatient gastrointestinal and endocrine nursing unit aimed to increase compliance of obtaining daily weights from baseline of 38% to 80%. The time daily weights were obtained was changed from 8 AM to an interval of time 4 PM to 6 PM. The compliance rate increased to 96% and has been sustained at an average of 94% over 24 months. This report describes a low-risk intervention that took minimal effort to implement but yielded high results to exceed the goal...
January 2018: Journal of Nursing Care Quality
Samantha Johnson, Mallory McNeal, Joel Mermis, Deepika Polineni, Stephanie Burger
Patients with cystic fibrosis have increased risk of pulmonary infections, and reducing spread of microorganisms is critical. To improve hospital-staff adherence to infection control guidelines, we implemented brightly colored Safe Zone floor decals, staff compliance contracts, and an infection control in-service video. Audits of staff adherence conducted pre and postintervention demonstrated an increased and sustainable improvement among each group (P < .05). These effective measures may be implemented to improve infection control compliance elsewhere...
January 2018: Journal of Nursing Care Quality
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