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Journal of Nursing Care Quality

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https://www.readbyqxmd.com/read/28505059/creation-of-an-adult-observation-unit-improving-outcomes
#1
Joy M Plamann, Judith Zedreck-Gonzalez, Laura Fennimore
A growing segment of patients in hospitals are considered outpatients, classified as observation. These patients neither have the severity of illness nor the intensity of service to qualify as inpatients, yet are not well enough to be discharged. Hospitals have created observation units to address the clinical needs of this growing patient type to provide care in the right setting by managing emergency department throughput and utilizing the most efficient staffing resources. This article describes the change processes and improvements in quality, length of stay, and patient satisfaction, which occurred following the implementation of an adult observation unit...
May 12, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28505058/organizational-regional-and-community-factors-determining-protocol-compliance-for-patients-with-acute-myocardial-infarction
#2
Teresa W Tai, Sherry I Bame, Nitish Patidar
This study examined factors determining hospital compliance to Hospital Quality Alliance's protocol for patients with myocardial infarction. Using a spatially matched sample of 132 Magnet and 264 non-Magnet hospitals, multivariate regressions determined significant hospital characteristics associated with compliance per Hospital Quality Alliance protocol. Adherence to the Hospital Quality Alliance protocols varied widely by hospital characteristics. Registered nurse staffing/bed was a key factor determining patient care quality variation...
May 12, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28505057/automated-medication-error-risk-assessment-system-auto-meras
#3
Min-Jeoung Kang, Yinji Jin, Taixian Jin, Sun-Mi Lee
This study developed the Automated Medical Error Risk Assessment System (Auto-MERAS), which was incorporated into the electronic health record system. The system itself maintained high predictive validity for medication errors at the area under the receiver operating characteristic curves of above 0.80 at the time of development and validation. This study has found possibilities to predict the risk of medication errors that are sensitive to situational and environmental risks without additional data entry from nurses...
May 12, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28505056/relationship-between-psychological-safety-and-reporting-nonadherence-to-a-safety-checklist
#4
Heather M Gilmartin, Paula Langner, Madhura Gokhale, Katerine Osatuke, Rachael Hasselbeck, Thomas M Maddox, Catherine Battaglia
Patient safety checklists are ubiquitous in health care. Nurses bear significant responsibility for ensuring checklist adherence. To report nonadherence to a checklist and stop an unsafe procedure, a workplace climate of psychological safety is needed. Thus, an analysis of organizational data was conducted to examine the relationship between psychological safety and reports of nonadherence to the central line bundle checklist. Results showed varied perceptions of psychological safety but no relationship with nonadherence...
May 12, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28448303/predictability-of-interruptions-during-medication-administration-with-related-behavioral-management-strategies
#5
Maree Johnson, Gabrielle Weidemann, Rebecca Adams, Elizabeth Manias, Tracy Levett-Jones, Vicki Aguilar, Bronwyn Everett
The aim of this qualitative study was to examine the nature of interruptions during medication administration. Focus groups were conducted with medical/surgical nurses (n = 15), critical care nurses (n = 13), and nurse managers/educators/specialists (n = 6). Most interruptions (78%) were predictable. Nurse-adopted strategies included blocking, engaging, mediating, multitasking, and preventing. Educational content was developed that relates behavioral strategies to respond to predictable and unpredictable interruptions...
April 26, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28448302/qsen-institute-rn-bsn-task-force-white-paper-on-recommendation-for-systems-based-practice-competency
#6
Ann M Stalter, Janet M Phillips, Mary A Dolansky
The Quality and Safety Education for Nurses (QSEN) Institute RN-BSN Task Force presents a white paper on Recommendation for a Systems-based Practice Competency. The task force proposes a seventh QSEN competency, systems-based practice, to improve patient quality and safety. Recommendations to integrate systems-based practice into both education and practice settings, consistent with job descriptions and promotion criteria, involve a comprehensive continuing education program for nurses upon interview, orientation, residency programming, performance evaluation, and license renewal...
April 26, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28448301/patients-experience-after-a-fall-and-their-perceptions-of-fall-prevention-a-qualitative-study
#7
Mei Ling Lim, Seng Giap Marcus Ang, Kai Yunn Teo, Yan Hui Celestine Wee, Shu Ping Yee, Shu Hui Lim, Shin Yuh Ang
An exploratory descriptive study was conducted to explore the perspectives of patients who had fallen in the hospital; 100 patients were interviewed. An inductive content analysis approach was adopted. Six themes emerged: Apathetic toward falls, self-blame behavior, reluctance to impose on busy nurses, negative feelings toward nurses, overestimating own ability, and poor retention of information. Patients often downplayed the risks of falls and were reluctant to call for help.
April 26, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28448300/assessment-of-the-quality-of-nursing-care-from-perspectives-of-nurses-who-experienced-hospitalization-as-patients
#8
Rana M Elayan, Muayyad M Ahmad
Nurses as patients or caregivers evaluated their care differently than nonnurses. A qualitative design with content analysis was used to provide an assessment of the quality of nursing care by examining nurses' perceptions as recipients of care. The 231 participants were registered nurses recruited from 8 hospitals in Amman, Jordan. Participants evaluated the quality of nursing care as either high (29.5%) or low (70.5%). Four improvement themes emerged: improving competency, serve with caring, professionalism, and administrative factors...
April 26, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28448299/impact-of-interruptions-distractions-and-cognitive-load-on-procedure-failures-and-medication-administration-errors
#9
Lily Thomas, Patricia Donohue-Porter, Joanna Stein Fishbein
Medication administration errors are difficult to intercept since they occur at the end of the process. The study describes interruptions, distractions, and cognitive load experienced by registered nurses during medication administration and explores their impact on procedure failures and medication administration errors. The focus of this study was unique as it investigated how known individual and environmental factors interacted and culminated in errors.
April 26, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28541263/hospital-nurses-work-activity-in-a-technology-rich-environment-a-triangulated-quality-improvement-assessment
#10
Linda W Higgins, Judith A Shovel, Andrew L Bilderback, Holly L Lorenz, Susan C Martin, Debra J Rogers, Tamra E Minnier
The aim of this project was to describe hospital nurses' work activity through observations, nurses' perceptions of time spent on tasks, and electronic health record time stamps. Nurses' attitudes toward technology and patients' perceptions and satisfaction with nurses' time at the bedside were also examined. Activities most frequently observed included documenting in and reviewing the electronic health record. Nurses' perceptions of time differed significantly from observations, and most patients rated their satisfaction with nursing time as excellent or good...
July 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28538049/standardizing-practice-for-intermittent-irrigation-of-indwelling-urinary-catheters
#11
(no author information available yet)
No abstract text is available yet for this article.
July 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28505060/the-aprn-role-in-changing-nursing-home-quality-the-missouri-quality-improvement-initiative
#12
Lori Popejoy, Amy Vogelsmeier, Colleen Galambos, Marcia Flesner, Greg Alexander, Annette Lueckenotte, Vanessa Lyons, Marilyn Rantz
No abstract text is available yet for this article.
July 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28323688/challenges-of-inpatient-glycemic-control
#13
Sally O Gerard, Josephine Ritchie
Hyperglycemia occurs in more than 30% of hospitalized patients. The condition has been associated with higher mortality and poor outcomes. Systems to effectively treat dysglycemia have been put into place, although many focus on critical care areas. The purpose of this article is to provide an overview of the challenges for glycemic control in non-critical care areas. Standardized order sets, critical pathways, professional education, and collaborative systems can support improved control.
July 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28212169/letter-to-the-editor
#14
Carolyn Hope Smeltzer
No abstract text is available yet for this article.
July 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28212166/clinical-nurse-leader-integrated-care-delivery-an-approach-to-organizing-nursing-knowledge-into-practice-models-that-promote-interprofessional-team-based-care
#15
https://www.readbyqxmd.com/read/28212165/looking-for-continuity-of-care
#16
Steven P Segal
No abstract text is available yet for this article.
July 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27875381/diabetes-self-management-quality-improvement-initiative-for-medically-underserved-patients
#17
Haesun Seol, Mark Thompson, Kathryn Evans Kreider, Allison Vorderstrasse
The burden of diabetes is greater for minorities and medically underserved populations in the United States. An evidence-based provider-delivered diabetes self-management education intervention was implemented in a federally qualified health center for medically underserved adult patients with type 2 diabetes. The findings provide support for the efficacy of the intervention on improvement in self-management behaviors and glycemic control among underserved patients with diabetes, while not substantially changing provider visit time or workload...
July 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27841826/longitudinal-evaluation-of-johns-hopkins-fall-risk-assessment-tool-and-nurses-experience
#18
Eun Young Hur, Yinji Jin, Taixian Jin, Sun-Mi Lee
The Johns Hopkins Fall Risk Assessment Tool (JHFRAT) is relatively new in Korea, and it has not been fully evaluated. This study revealed that the JHFRAT had good predictive validity throughout the hospitalization period. However, 2 items (fall history and elimination patterns) on the tool were not determinants of falls in this population. Interestingly, the nurses indicated those 2 items were the most difficult items to assess and needed further training to develop the assessment skills.
July 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27828930/neonatal-icu-system-safety-a-pilot-test-for-medication-error-by-using-fuzzy-grey-relational-analysis
#19
Xin Zhang, Shih-Yu Lee, Jingli Chen, Huaping Liu
This study analyzed risk factors for medication/near-miss errors in the neonatal intensive care unit by using Grey Relational Analysis based on self-incident reports from staff nurses. The ASSESS-ERR Medication System Worksheet was used. A total of 156 medication/near-miss errors were found across 5 stages of the medication use process. The order prescribing stage had the most errors. The highest systemic risk factors were critical drug information missing; environmental, staffing, and workflow problems; and lack of staff education...
July 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27787460/implementing-an-alcohol-withdrawal-protocol-a-quality-improvement-project
#20
Cynthia Holt, Valorie Dearmon, Sherry M Lawrence, Chrystal L Lewis, Christine E Skotzko
This quality improvement project evaluates the effectiveness of implementing an evidence-based alcohol withdrawal protocol in an acute care setting. Patient outcomes, length of stay, and nurses' knowledge and satisfaction with care are compared pre- and postimplementation. Implementation resulted in significant reduction of restraint use, transfers to critical care, 1:1 observation, and length of stay, whereas no reduction was seen in rapid response calls. Nurses' knowledge post-alcohol withdrawal protocol education increased and satisfaction with patient care improved...
July 2017: Journal of Nursing Care Quality
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