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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, 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/28212164/effectiveness-of-a-nurse-led-initiative-peer-to-peer-teaching-on-organizational-cauti-rates-and-related-costs
#5
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
#6
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
#7
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/28212166/clinical-nurse-leader-integrated-care-delivery-an-approach-to-organizing-nursing-knowledge-into-practice-models-that-promote-interprofessional-team-based-care
#8
Miriam Bender
No abstract text is available yet for this article.
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/27479518/development-and-psychometric-analysis-of-a-nurses-attitudes-and-skills-safety-scale-initial-results
#13
Gail E Armstrong, Mary Dietrich, Linda Norman, Jane Barnsteiner, Lorraine Mion
Health care organizations have incorporated updated safety principles in the analysis of errors and in norms and standards. Yet no research exists that assesses bedside nurses' perceived skills or attitudes toward updated safety concepts. The aims of this study were to develop a scale assessing nurses' perceived skills and attitudes toward updated safety concepts, determine content validity, and examine internal consistency of the scale and subscales. Understanding nurses' perceived skills and attitudes about safety concepts can be used in targeting strategies to enhance their safety practices...
April 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27870725/patients-perceptions-of-bedside-handoff-further-evidence-to-support-a-culture-of-always
#14
(no author information available yet)
No abstract text is available yet for this article.
January 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27500696/stopping-the-slide-how-hospital-bed-design-can-minimize-active-and-passive-patient-migration
#15
Kermit G Davis, Susan E Kotowski, Matthew T Coombs
Patient migration, or the amount of movement toward the foot of the bed, has been shown to significantly vary because of the mechanical design differences in hospital beds. Previously, the amount of migration was measured immediately following head-of-bed articulation in healthy subjects. This study not only evaluates how much migration occurs immediately after head-of-bed articulation but also measures additional migration during a standard 2-hour repositioning period in subjects with limited mobility.
January 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27500694/alarm-fatigue-use-of-an-evidence-based-alarm-management-strategy
#16
Jacob W Turmell, Lola Coke, Rachel Catinella, Tracy Hosford, Amy Majeski
The purpose of this article is to describe the impact of an evidence-based alarm management strategy on patient safety. An alarm management program reduced alarms up to 30%. Evaluation of patients on continuous cardiac monitoring showed a 3.5% decrease in census. This alarm management strategy has the potential to save $136 500 and 841 hours of registered nurses' time per year. No patient harm occurred during the 2-year project.
January 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27482874/use-of-daily-interruption-of-sedation-and-early-mobility-in-us-hospitals
#17
Milisa Manojlovich, David Ratz, Melissa A Miller, Sarah L Krein
Although the Awakening and Breathing Coordination, Delirium assessment, and Early exercise/mobility (ABCDE) bundle may be effective, individual components of ABCDE may not be implemented as intended. We examined the use of daily interruption of sedation (DIS) and early mobility, looking for an association between these bundle elements. Despite the growing use of DIS and early mobility, the two do not seem to be adopted together, with serious implications for the effectiveness of the ABCDE bundle.
January 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27479517/patient-perceptions-of-sitting-versus-standing-for-nurse-leader-rounding
#18
Kelley H Pattison, Anita Heyman, Jennifer Barlow, Kali Barrow
No abstract text is available yet for this article.
January 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27454222/nursing-process-health-care-indicators-a-scoping-review-of-development-methods
#19
Sarah Xiao, Kimberley Widger, Ann Tourangeau, Whitney Berta
Identifying how nursing care directly affects patients is essential to improving care quality, reducing costs, and determining nursing's contribution to overall organizational performance. This scoping review examined methods used for developing nursing process health care indicators. Key concepts and sources of evidence were identified to lay a foundation for future development and identification of valid and reliable nursing process health care indicators.
January 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27380102/decreasing-falls-with-injury-rates-development-of-a-support-staff-falls-advocate-program
#20
Jessie Reich, Kathryn Farrell, Courtney Maloney, Deborah Drayton, Tonya Johnson
Falls with injury are a persistent patient safety challenge in the acute care setting. This article describes the creation and implementation of a Certified Falls Prevention Advocate (CFPA) program on a medical-surgical unit. The program created standardization of nursing support staff involvement in falls prevention and engaged them as members of the interdisciplinary team. The CFPA program was an important element in the unit's improvement in falls with injury rates. The mean falls with injury rate decreased from 1...
January 2017: Journal of Nursing Care Quality
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