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Journal of Nursing Care Quality

Angela G Opsahl, Patricia Ebright, Marty Cangany, Melissa Lowder, Dawn Scott, Tamara Shaner
Nurses strive to reduce risk and ensure patient safety from falls in health care systems. Patients and their families are able to take a more active role in reducing falls. The focus of this article is on the use of bundled fall prevention interventions highlighted by a patient/family engagement educational video. The implementation of this quality improvement intervention across 2 different patient populations was successful in achieving unit benchmarks.
September 21, 2016: Journal of Nursing Care Quality
Eric Young, Jaime Paulk, James Beck, Mel Anderson, McKenna Burck, Luke Jobman, Chad Stickrath
Interdisciplinary rounds provide a valuable venue for delivering patient-centered care but are difficult to implement due to time constraints and coordination challenges. In this article, we describe a unique model for fostering a culture of bedside interdisciplinary rounds through adjustment of the morning medication administration time, auditing physician communication with nurses, and displaying physician performance in public areas. Implementation of this model led to measurable improvements in physician-to-nurse communication on rounds, teamwork climate, and provider job satisfaction...
September 8, 2016: Journal of Nursing Care Quality
Jessica Weber, Suzanne Purvis, Shelly VanDenBergh, Linda M Stevens
No abstract text is available yet for this article.
September 8, 2016: Journal of Nursing Care Quality
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.
September 7, 2016: Journal of Nursing Care Quality
Maree Johnson, Paula Sanchez, Catherine Zheng, Barbara Chapman
We conducted a feasibility study to test an intervention to reduce medication omissions without documentation using nurse-initiated recall cards and medication chart checking at handover. No significant difference in the omission rate per 100 medications was found, although after adjusting for hospital and patient age, a significant effect occurred in the intervention group (n = 262 patients) compared with the control group (n = 272). This intervention may reduce medication omissions without documentation, requiring further study within larger samples...
September 7, 2016: Journal of Nursing Care Quality
Gail E Armstrong, Mary Dietrich, Linda Norman, Jane Barnsteiner, Lorraine Mion
Approximately a quarter of medication errors in the hospital occur at the administration phase, which is solely under the purview of the bedside nurse. The purpose of this study was to assess bedside nurses' perceived skills and attitudes about updated safety concepts and examine their impact on medication administration errors and adherence to safe medication administration practices. Findings support the premise that medication administration errors result from an interplay among system-, unit-, and nurse-level factors...
September 7, 2016: Journal of Nursing Care Quality
Beth Houlahan, Elizabeth Carlson, Amy Kind, Maria Brenny-Fitzpatrick
No abstract text is available yet for this article.
September 7, 2016: Journal of Nursing Care Quality
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...
September 7, 2016: Journal of Nursing Care Quality
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...
August 5, 2016: Journal of Nursing Care Quality
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.
August 5, 2016: Journal of Nursing Care Quality
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.
August 5, 2016: Journal of Nursing Care Quality
Brittany Timmons, Joy Vess, Brian Conner
No abstract text is available yet for this article.
August 5, 2016: Journal of Nursing Care Quality
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.
August 5, 2016: Journal of Nursing Care Quality
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.
August 1, 2016: Journal of Nursing Care Quality
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.
August 1, 2016: Journal of Nursing Care Quality
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...
August 1, 2016: Journal of Nursing Care Quality
Mohammad Suliman, Maen Aljezawi, Mohammed AlBashtawy, Joyce Fitzpatrick, Sami Aloush, Khitam Mohammad
Medical error is a serious issue in hospitals in Jordan. This study explored Jordanian nurses' perceptions of the culture of safety in their hospitals. The Hospital Survey of Patient Safety Culture translated into Arabic was administered to a convenience sample of 391 nurses from 7 hospitals in Jordan. The positive responses to the 12 dimensions of safety culture ranged from 20.0% to 74.6%. These are lower than the benchmarks of the Agency for Healthcare Research and Quality. Jordanian nurses perceive their hospitals as places that need more effort to improve the safety culture...
August 1, 2016: Journal of Nursing Care Quality
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...
August 1, 2016: Journal of Nursing Care Quality
Noreen M Houck, Alison M Colbert
Workplace bullying is strongly associated with negative nursing outcomes, such as work dissatisfaction, turnover, and intent to leave; however, results of studies examining associations with specific patient safety outcomes are limited or nonspecific. This integrative review explores and synthesizes the published articles that address the impact of workplace nurse bullying on patient safety.
August 1, 2016: Journal of Nursing Care Quality
(no author information available yet)
No abstract text is available yet for this article.
October 2016: Journal of Nursing Care Quality
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