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Journal of Nursing Care Quality

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https://www.readbyqxmd.com/read/28323688/challenges-of-inpatient-glycemic-control
#1
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.
March 20, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28323687/multilevel-factors-associated-with-injurious-falls-in-acute-care-hospitals
#2
Yunchuan Lucy Zhao, Marjorie Bott, Jianghua He, Heejung Kim, Shin Hye Park, Nancy Dunton
Using National Database of Nursing Quality Indicators data from July 2013 to June 2014, this correlational study examined the associations of injurious falls among all patient falls with multilevel factors in hospitals. The sample included all falls recorded in adult medical, surgical, combined medical-surgical, and step-down units (N = 2299) in participating hospitals (N = 488). Hierarchical negative binominal regression analyses were performed. Results revealed hospital and unit organizational factors associated with inpatient injurious falls...
March 20, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28323686/applying-the-pdsa-framework-to-examine-the-use-of-the-clinical-nurse-leader-to-evaluate-pressure-ulcer-reporting
#3
Shea Polancich, Sarah Coiner, Rebekah Barber, Terri Poe, Linda Roussel, Kelley Williams, Heather Cumbest, Kristen Noles, Ashlea Herrero, Shannon Graham, Rebecca Miltner
The clinical nurse leader (CNL) role has been cited as an effective strategy for improving care at the microsystem level. The purpose of this article is to describe the use of the CNL role in an academic medical center for evaluating pressure ulcer reporting. The Plan-Do-Study-Act cycle was used as the methodological framework for the study. The CNL assessment of pressure ulcers resulted in a 21% to 50% decrease in the number of hospital-acquired pressure ulcers reported in a 3-month time period. The CNL role has potential for improving the validity and reliability of pressure ulcer reporting...
March 20, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28212168/implementation-of-interdisciplinary-rapid-rounds-in-observation-units
#4
Lindsey Ryan, Stephanie Scott, Willa Fields
Lack of collaboration and communication can lead to medical errors, increased length of stay, and diminished patient satisfaction. The purpose of this project was to improve nurse efficiency, interdisciplinary communication and collaboration, and patient satisfaction with the discharge process through Rapid Rounds. The results demonstrated that interdisciplinary communication and collaboration improved coordination of care, as evidenced by improved Press Ganey percentile rankings for readiness for discharge and speed of the discharge process, increased pharmaceutical interventions, and fewer phone calls to physicians...
February 16, 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
#5
Miriam Bender
No abstract text is available yet for this article.
February 16, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28212164/effectiveness-of-a-nurse-led-initiative-peer-to-peer-teaching-on-organizational-cauti-rates-and-related-costs
#6
Barbara Pashnik, Angela Creta, Lynette Alberti
A nurse-led initiative of peer-to-peer teaching positively impacted organizational incidence of catheter-associated urinary tract infections (CAUTIs). The initiative included validating the competency of the nursing staff, highlighting the importance of CAUTI prevention, identifying CAUTI costs, quantifying the value of nursing care, and supporting nurses as teachers. The project demonstrated that peer-to-peer teaching and competency validation can be effective methods to engage nurses in quality improvement...
February 16, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28212169/letter-to-the-editor
#7
Carolyn Hope Smeltzer
No abstract text is available yet for this article.
February 15, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28212167/the-varying-roles-of-nurses-during-interfacility-care-transitions
#8
Lianne Jeffs, Marianne Saragosa, Madelyn Law, Kerry Kuluski, Sherry Espin, Heidi Parker, Kristen Collins
This study explored health care professionals' perceptions and experiences associated with the role of point-of-care nurses during care transitions from an acute care hospital to a rehabilitation setting to being discharged home. We used a qualitative exploratory design and semistructured interviews. Content analysis revealed 3 themes that point to the ambiguity related to the roles that nurses enact with older patients during care transitions. We suggest ways to better support nurses to engage in quality care transitions...
February 15, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28212165/looking-for-continuity-of-care
#9
Steven P Segal
No abstract text is available yet for this article.
February 15, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28169903/decreasing-falls-in-acute-care-medical-patients-an-integrative-review
#10
Leslie Rowan, Tener Goodwin Veenema
Falls in acute care medical patients are a complex problem impacted by the constantly changing risk factors affecting this population. This integrative literature review analyzes current evidence to determine factors that continue to make falls a top patient safety problem within the medical unit microsystem. The goal of this review is to develop an evidence-based structure to guide process improvement and effective use of organization resources.
February 6, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28225532/improving-the-patient-s-experience-with-a-multimodal-quiet-at-night-initiative
#11
(no author information available yet)
No abstract text is available yet for this article.
April 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28225531/a-shared-responsibility-for-developing-a-learning-health-system
#12
Andrew B Bindman
No abstract text is available yet for this article.
April 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27607851/a-critical-qualitative-study-of-the-position-of-middle-managers-in-health-care-quality-improvement
#13
Katie N Dainty, Douglas Sinclair
To date, health care quality improvement (QI) has focused on the engagement of executive leadership and frontline staff as key factors for success. Little work has been done on understanding how mid-level unit/program managers perceive their role in QI and how capacity could be built at this level to increase success. We present ethnographic data on the experience of hospital middle managers to consider how the expectations and capacity of their current position might influence QI progress organizationally.
April 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27607848/initiation-of-a-transitions-program-two-million-melvins
#14
Beth Houlahan, Elizabeth Carlson, Amy Kind, Maria Brenny-Fitzpatrick
No abstract text is available yet for this article.
April 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27607847/effect-of-a-nurse-managed-telemetry-discontinuation-protocol-on-monitoring-duration-alarm-frequency-and-adverse-patient-events
#15
Keisha Perrin, Neysa Ernst, Terry Nelson, Melinda Sawyer, Elizabeth Pfoh, Maria Cvach
Telemetry monitoring is a limited resource. This quality improvement project describes a nurse-managed telemetry discontinuation protocol aimed at stopping telemetry monitoring when it is no longer indicated. After implementing the protocol, data were collected for 6 months and compared with a preintervention time frame. There was a mean decrease in telemetry monitor usage and a decreased likelihood of remaining on a telemetry monitor until discharge. A nurse-managed telemetry discontinuation protocol was effective in decreasing overmonitoring and ensuring telemetry availability...
April 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27500698/development-of-indicators-to-measure-health-literate-discharge-practices
#16
Jennifer Innis, Jan Barnsley, Whitney Berta, Imtiaz Daniel
Health literate discharge practices meet the health literacy needs of patients and families at the time of hospital discharge and are associated with improved patient outcomes and reduced readmission. A Delphi panel consisting of nurses, other health care providers, and researchers was used to develop a set of indicators of health literate discharge practices based on the practices of Project RED (Re-Engineered Discharge). These indicators can be used to measure and monitor the use of health literate discharge practices...
April 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27500697/improving-infusion-pump-safety-through-usability-testing
#17
Kristen E Miller, Ryan Arnold, Muge Capan, Michele Campbell, Susan Coffey Zern, Robert Dressler, Ozioma O Duru, Gwen Ebbert, Eric Jackson, John Learish, Danielle Strauss, Pan Wu, Dean A Bennett
With the recognition that the introduction of new technology causes changes in workflow and may introduce new errors to the system, usability testing was performed to provide data on nursing practice and interaction with infusion pump technology. Usability testing provides the opportunity to detect and analyze potentially dangerous problems with the design of infusion pumps that could cause or allow avoidable errors. This work will reduce preventable harm through the optimization of health care delivery.
April 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27482875/validity-of-the-johns-hopkins-fall-risk-assessment-tool-for-predicting-falls-on-inpatient-medicine-services
#18
W Dean Klinkenberg, Patricia Potter
The Johns Hopkins Fall Risk Assessment Tool (JHFRAT) is widely used but few studies have examined its psychometric properties. We examined the predictive validity of the JHFRAT for 13 574 patient admissions to medicine units at a large academic medical center in 2014. There were 204 patient falls reported. While patients who fell had higher JHFRAT total scores, a majority of patients who fell were classified by the JHFRAT as moderate or low risk.
April 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27482873/the-baptist-health-high-risk-falls-assessment-one-assessment-fits-all
#19
Andrew Bugajski, Alex Lengerich, Denise McCowan, Sharon Merritt, Krista Moe, Brittany Hall, Debbie Nelson, Dorothy Brockopp
Assessing high risk for falling among psychiatric inpatients is particularly challenging in that assessments with strong sensitivity and specificity are not available. The purpose of this study was to determine the sensitivity, specificity, and diagnostic odds ratio of the Baptist Health High Risk Falls Assessment (BHHRFA), a medical-surgical fall risk assessment, in a psychiatric inpatient population. Data collected on 5910 psychiatric inpatients using the BHHRFA showed acceptable sensitivity, specificity, and diagnostic odds ratio (0...
April 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27482871/nurses-perceptions-of-quality-care
#20
Catherine Ryan, Jean Powlesland, Cynthia Phillips, Rebecca Raszewski, Alexia Johnson, Kelly Banks-Enorense, Victor C Agoo, Rosalind Nacorda-Beltran, Shannon Halloway, Kathleen Martin, Lenore D Smith, Debra Walczak, Jane Warda, Barbara J Washington, Julie Welsh
Limited research has been conducted on how nurses define or perceive "quality nursing care." We conducted focus groups to identify nurses' perceptions of quality care at a Midwestern academic medical center. Transcripts of the focus group sessions were analyzed using thematic analysis techniques, and 11 themes emerged: Leadership, Staffing, Resources, Timeliness, Effective Communication/Collaboration, Professionalism, Relationship-Based Care, Environment/Culture, Simplicity, Outcomes, and Patient Experience...
April 2017: Journal of Nursing Care Quality
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