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Journal of Nursing Care Quality

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https://www.readbyqxmd.com/read/28767468/improving-patient-care-outcomes-through-better-delegation-communication-between-nurses-and-assistive-personnel
#1
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
#2
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
#3
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/28448299/impact-of-interruptions-distractions-and-cognitive-load-on-procedure-failures-and-medication-administration-errors
#4
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.
July 28, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28658191/predictors-of-second-medical-emergency-team-activation-within-24-hours-of-index-event
#5
Mary Still, Jennifer Vanderlaan, Courtenay Brown, Melissa Gordon, Kimberly Graham, Carolyn Holder, James P McMurtry, Ellen Meyer, Vicki Morelock, Susan Shapiro
This study explored the trajectory of patients who remained on a general unit after medical emergency team activation. Of those who had a second activation within 24 hours, 80% occurred within 12 hours of the baseline activation. Chest pain and recent intensive care unit discharge were associated with having a second activation. There were statistically, not clinically, significant associations between mean vital signs and second activations; however, the patterns of change may be clinically useful.
June 27, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28658190/factors-associated-with-barcode-medication-administration-technology-that-contribute-to-patient-safety-an-integrative-review
#6
Gillian Strudwick, Emilene Reisdorfer, Caroline Warnock, Kamini Kalia, Heather Sulkers, Carrie Clark, Richard Booth
In an effort to prevent medication errors, barcode medication administration technology has been implemented in many health care organizations. An integrative review was conducted to understand the effect of barcode medication administration technology on medication errors, and characteristics of use demonstrated by nurses contribute to medication safety. Addressing poor system use may support improved patient safety through the reduction of medication administration errors.
June 27, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28658189/impact-of-a-restraint-management-bundle-on-restraint-use-in-an-intensive-care-unit
#7
Debra K Hall, Kathie S Zimbro, Ralitsa S Maduro, Deborah Petrovitch, Patricia Ver Schneider, Merri Morgan
Restraint use has been linked to longer lengths of stay and other undesirable outcomes. This evidence-based project explored the impact of a restraint management bundle on restraint use, quality, and safety outcomes. Results indicated that the proportion of intensive care unit patients restrained decreased significantly (24.3% vs 20.9%) following program implementation. Project results suggest that the restraint management bundle may provide a framework for guiding the process to reduce restraint use, minimize harm, and improve patient safety...
June 27, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28658188/noise-reduction-in-progressive-care-units
#8
Nancy N H McGough, Trevor Keane, Avneesh Uppal, Maritoni Dumlao, Wendy Rutherford, Kristen Kellogg, Erin Ward, Courtney Kendal, Willa Fields
Uncontrolled noise in the hospital setting can have a negative physiological and psychological impact on patients and nurses. To reduce unit noise levels and create a quiet patient and nurse experience, an evidence-based practice project was conducted in 4 progressive care units in a community hospital. The Quiet Time Bundle implementation improved patient satisfaction and patient and nurse perceptions of noise even though the decrease in noise levels may not be discernible.
June 27, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28658187/impact-of-no-interruption-intervention-on-safety-and-efficiency
#9
Rebecca Saxton, Rebecca Cahill
No abstract text is available yet for this article.
June 23, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28658186/impact-of-the-daily-plan-on-length-of-stay-and-readmission
#10
Beth King, Yinong Young-Xu, William J Lee, Robertus van Aalst, Brian Shiner, Peter Mills, Leah Eickhoff, Julia Neily
The Veterans Health Administration implemented The Daily Plan (TDP) to improve patient safety. We compared length of stay and readmission between intervention and control units. Length of stay decreased for both groups. Readmission rates increased for controls (21.3%-25.0%, P = .02) and barely changed for TDP units (21.7%-22.5%, P = .37). Although there were no efficiency improvements, TDP's ultimate goal was safety. Not all patient safety actions improve efficiency; nonetheless, their value continues.
June 23, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28658185/using-local-data-to-improve-care-and-collaborative-practice-insights-from-a-qualitative-study
#11
Lianne Jeffs, Julie McShane, Alyssa Indar, Maria Maione
A qualitative study was undertaken to explore the experiences and perceptions of project leaders, clinicians, managers, and mentors associated with the implementation of a strategy aimed at enhancing clinicians' ability to use data to guide quality improvement projects. Our study findings elucidated the value and benefits including (1) using data to understand local context and move forward and (2) improving care and engaging in collaborative professional practice.
June 23, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28658184/improving-compliance-in-obtaining-daily-weights-in-a-large-academic-children-s-hospital
#12
Jacqueline E Crawford, Colleen Garvin Coyne, Katherine Calder
Noncompliance in obtaining daily weights leads to delays in establishing treatment and discharge plans in pediatric populations. An inpatient gastrointestinal and endocrine nursing unit aimed to increase compliance of obtaining daily weights from baseline of 38% to 80%. The time daily weights were obtained was changed from 8 AM to an interval of time 4 PM to 6 PM. The compliance rate increased to 96% and has been sustained at an average of 94% over 24 months. This report describes a low-risk intervention that took minimal effort to implement but yielded high results to exceed the goal...
June 23, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28658183/chasing-zero-increasing-infection-control-compliance-on-an-inpatient-cystic-fibrosis-unit
#13
Samantha Johnson, Mallory McNeal, Joel Mermis, Deepika Polineni, Stephanie Burger
Patients with cystic fibrosis have increased risk of pulmonary infections, and reducing spread of microorganisms is critical. To improve hospital-staff adherence to infection control guidelines, we implemented brightly colored Safe Zone floor decals, staff compliance contracts, and an infection control in-service video. Audits of staff adherence conducted pre and postintervention demonstrated an increased and sustainable improvement among each group (P < .05). These effective measures may be implemented to improve infection control compliance elsewhere...
June 23, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28658182/using-kotter-s-change-framework-to-implement-and-sustain-multiple-complementary-icu-initiatives
#14
Anne Mørk, Anna Krupp, Jennifer Hankwitz, Ann Malec
This article describes the planning, implementation, and outcomes of 2 complementary quality initiatives, bedside handoff and nurse-initiated interdisciplinary bedside rounds, in a 24-bed medical/surgical intensive care unit. Systematic approaches such as Kotter's change model and unit-based champions were used to redesign care processes and standardize daily communication and workflows. Active partnership with the patient and the family during these changes promoted a strong intensive care unit culture of patient- and family-centered care...
June 23, 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
#15
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
#16
(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
#17
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
#18
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
#19
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
#20
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