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Journal of Nursing Care Quality

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https://www.readbyqxmd.com/read/29035906/effectiveness-of-a-multifaceted-delirium-screening-prevention-and-treatment-initiative-on-the-rate-of-delirium-falls-in-the-acute-care-setting
#1
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
https://www.readbyqxmd.com/read/29035905/hospital-community-partnerships-to-aid-transitions-for-older-adults-applying-the-care-transitions-framework
#2
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
https://www.readbyqxmd.com/read/28968340/reducing-avoidable-hospitalizations-and-improving-quality-in-nursing-homes-with-aprns-and-interdisciplinary-support-lessons-learned
#3
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.
September 29, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28968339/examining-variation-in-mental-models-of-influence-and-leadership-among-nursing-leaders-and-direct-care-nurses
#4
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
https://www.readbyqxmd.com/read/28968338/impact-of-high-reliability-education-on-adverse-event-reporting-by-registered-nurses
#5
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
https://www.readbyqxmd.com/read/28968337/the-johns-hopkins-fall-risk-assessment-tool-a-study-of-reliability-and-validity
#6
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...
September 29, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28968336/comparing-smoking-cessation-outcomes-in-nurse-led-and-physician-led-primary-care-visits
#7
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
https://www.readbyqxmd.com/read/28968335/providing-care-to-copd-patients-using-in-home-visits-by-nurse-practitioners
#8
Jennifer Rodgers, Marietta Stanton, Jennifer Jackson
No abstract text is available yet for this article.
September 29, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28915223/quality-measures-a-stakeholder-analysis
#9
Marianne Baernholdt, Nancy Dunton, Ronda G Hughes, Patricia W Stone, Kathleen M White
For quality measures, confusion and discontentment have increased, as availability of electronic data and data collection tools has expanded. We examined current issues with quality measures across 4 stakeholder groups: developers, regulators/endorsers, data collectors, and consumer advocates. There are missing quality measures, issues with data quality and purpose, questionable usability of electronic health records, and an increased measurement burden and cost. Policymakers, administrators, health care professionals, and consumers need to collaborate on measure development and selection...
September 14, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28915222/effect-of-goal-setting-using-a-visual-display-on-patient-quality-of-life-and-self-efficacy
#10
Amanda Lucas, Ken N Borce, Anne Whitford Fast, Jodi Walker-Tweed
No abstract text is available yet for this article.
September 14, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28858912/compliance-of-nurses-and-hospitals-with-ventilator-associated-pneumonia-prevention-guidelines-a-middle-eastern-survey
#11
Sami M Aloush, Fadia A Abdelkader, Khaled Al-Sayaghi, Loai I Tawalbeh, Mohammad Suliman, Mohammed Al Bashtawy, Insaf Shaban
This study was a self-reported cross-sectional survey that investigated nurses' and hospitals' compliance with ventilator-associated pneumonia prevention guidelines and the barriers and factors that affect their level of compliance. A questionnaire was completed by 471 intensive care unit nurses from 16 medical centers in 3 Middle Eastern countries: Jordan, Egypt, and Saudi Arabia. The results show that both nurses and hospitals have insufficient compliance. Previous education, experience, and academic degree were all found to affect nurses' compliance...
August 24, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28767468/improving-patient-care-outcomes-through-better-delegation-communication-between-nurses-and-assistive-personnel
#12
Elissa A Wagner
In acute care settings, registered nurses need to delegate effectively to unlicensed assistive personnel to provide safe care. This project explored the impact of improved delegation-communication between nurses and unlicensed assistive personnel on pressure injury rates, falls, patient satisfaction, and delegation practices. Findings revealed a tendency for nurses to delay the decision to delegate. However, nurses' ability to explain performance appraisals, facilitate clearer communication, and seek feedback improved...
August 1, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28767467/innovative-approach-to-reconstruct-bedside-handoff-using-simple-rules-of-complexity-science-to-promote-partnership-with-patients
#13
Mary K Anthony, Janet Kloos, Patricia Beam, Kathleen Vidal
When nurses integrate patient expertise, nurse-to-nurse handoff becomes patient-centered (nurse and patient), and the weak link between quality and safety is mitigated. The existing paradigm for handoff is an ineffective measure to minimize errors. This article describes a reimagined bedside handoff-transitioning handoff from its prescriptive nurse-centered interaction to a patient-centered partnership using the principles of complex adaptive systems, simple rules, and partnerships that address the uniqueness of each patient and nurse interaction...
August 1, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28767466/the-care-team-visit-approaching-interdisciplinary-rounds-with-renewed-focus
#14
Ann Malec, Anne Mørk, Robert Hoffman, Elizabeth Carlson
Interdisciplinary bedside rounds serve as a key mechanism to coordinate patient-centered care. With a focus on optimizing rounds, an interdisciplinary team developed an enhanced, structured process, coined the care team visit. Key findings included improved nurse participation, increased staff collaboration, and decreased Foley catheter days. The process outlined can be used by health care professionals to improve the effectiveness of interdisciplinary bedside rounds.
August 1, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28832405/applying-the-pdsa-framework-to-examine-the-use-of-the-clinical-nurse-leader-to-evaluate-pressure-ulcer-reporting
#15
(no author information available yet)
No abstract text is available yet for this article.
October 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28658187/impact-of-no-interruption-intervention-on-safety-and-efficiency
#16
Rebecca Saxton, Rebecca Cahill
No abstract text is available yet for this article.
October 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
#17
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...
October 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
#18
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...
October 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
#19
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.
October 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
#20
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...
October 2017: Journal of Nursing Care Quality
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