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Journal of Nursing Care Quality

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https://www.readbyqxmd.com/read/29346188/evaluation-of-role-acquisition-and-preparation-for-the-cnl-certification-examination-through-an-online-immersion-course
#1
Janie T Best, Annette Hines
No abstract text is available yet for this article.
January 16, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29346187/quality-in-postoperative-patient-handover-different-perceptions-of-quality-between-transferring-and-receiving-nurses
#2
Elizabeth Reine, Johan Ræder, Tanja Manser, Milada C Småstuen, Tone Rustøen
This cross-sectional study assessed how nurses transferring and receiving patients in the postoperative care unit evaluate quality in patient handovers. Analysis of 192 questionnaires showed that transferring nurses had more positive evaluations of handover quality compared with the receiving nurses. Handovers evaluated as having lower quality had a higher frequency of time pressure, uncertainty, and clinical problems. The findings in the study point at a need to assess handover quality in a wider perspective...
January 16, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29346186/fall-rates-in-urban-and-rural-nursing-units-does-location-matter
#3
Marianne Baernholdt, Ivora D Hinton, Guofen Yan, Wenjun Xin, Emily Cramer, Nancy Dunton
Patient falls remain a leading adverse event in hospitals. In a study of 65 rural hospitals with 222 nursing units and 560 urban hospitals with 4274 nursing units, we found that geographic region, unit type, and nurse staffing, education, experience, and outcomes were associated with fall rates. Implications include specific attention to fall prevention in rehabilitation units, creating better work environments that promote nurse retention, and provide RN-BSN educational opportunities.
January 16, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29319594/improving-bar-code-medication-administration-compliance-in-a-community-hospital-through-a-nursing-leadership-initiative
#4
Michael Van Ornum
Achieving optimal compliance for bar code medication administration (BCMA) in mature medication use systems is challenging due to the iterative system refinements over time. A nursing leadership initiative increased BCMA compliance, measured as a composite across all hospital units, from 95% to 98%, discovering unanticipated benefits and unintended consequences in the process. The methodology used provides valuable insight into effective strategies for BCMA optimization with applicability for other, similar quality improvement initiatives...
January 9, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29319593/effects-of-interruptions-on-triage-process-in-emergency-department-a-prospective-observational-study
#5
Kimberly D Johnson, Gordon L Gillespie, Kimberly Vance
For 130 million people seeking emergency treatment in the United States, incomplete or inaccurate triage examination can result in delays, which could compromise patient outcomes. The purpose of this study was to identify triage interruptions and determine how interruptions affect the triage process. A significant difference was seen in triage duration between interrupted and uninterrupted interviews. Understanding the impact of interruptions on patient outcomes will allow nurses and other health care providers to develop interventions to mitigate the impact...
January 9, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29309288/improving-resident-oral-health-and-adherence-to-a-ventilator-associated-pneumonia-bundle-in-a-skilled-nursing-facility
#6
Patricia Finch Guthrie, Shelley Rayborn, John Boatright, Valinda Pearson, Rosemary Wieting, Randy Peterson, Molly Danahy
Ventilator-associated pneumonia (VAP) is common with mechanical ventilation. VAP bundles have improved outcomes in acute care and long-term acute care hospitals. This article reports on an implementation of a VAP bundle designed for a skilled nursing facility (SNF). The primary goal was to improve oral health, a significant factor for VAP, and improve SNF nurse adherence to the bundle. Improvements in oral health and adherence were demonstrated. Nurses had difficulty with adhering to maintaining the tracheostomy cuff seal...
January 5, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29271833/evaluating-the-effectiveness-of-a-fall-risk-screening-tool-implemented-in-an-electronic-medical-record-system
#7
Shinichiroh Yokota, Ai Tomotaki, Ohmi Mohri, Miyoko Endo, Kazuhiko Ohe
We investigated the effect of using a fall risk screening tool in an electronic medical record system by using data for 25 039 patients in 24 general wards of a single institution. The probability of the occurrence of falls decreased after the tool was implemented, but using the tool did not reduce the actual occurrence of falls. This indicates that we must improve not only the assessment of the risk of falls but also the interventions to prevent falls.
December 21, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29271832/implementation-of-a-workflow-initiative-for-integrating-transitional-care-management-codes-in-a-geriatric-primary-care-practice
#8
Julia Steckbeck, Christi McBain, Kerry L Terrien, David Isom, Daniel Stadler, James E Stahl, John A Batsis
We implemented a transitional care management service led by a nurse care manager. An interdisciplinary team developed a workflow using a Plan-Do-Study-Act cycle for contacting patients. Of the 146 (97.9%) eligible patients, 143 (97.9%) had a phone call within 48 hours. There were 84 of 120 (70.0%) and 117 of 120 (97.5%) attendance rates of those attending visits within 7 and 14 days. A care manager-led workflow was successfully and easily implemented within a primary care practice.
December 21, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29266044/nurse-leadership-style-nurse-satisfaction-and-patient-satisfaction-a-systematic-review
#9
Rebecca McCay, Annmarie A Lyles, Linda Larkey
The purpose of this systematic review was to synthesize current evidence on nursing leadership styles, nurse satisfaction, and patient satisfaction. Results suggest that relational leadership traits contribute to greater nurse satisfaction whereas task-oriented styles may decrease nurse satisfaction. Minimal information for the connection between nursing leadership and patient satisfaction was found.
December 20, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29256944/decisional-involvement-differences-related-to-nurse-characteristics-role-and-shared-leadership-participation
#10
Shelly A Fischer, Dawn Horak, Lesly A Kelly
A sample of 1933 registered nurses working in 24 hospitals with shared leadership was surveyed to examine perceptions of nurse decisional involvement. Council participation was associated with higher decisional involvement scores (P = .03), and nurse experience was a statistically significant predictor of decisional involvement (P < .01). Nurse manager and staff registered nurse scores were significantly different (P < .01). Shared leadership may promote staff nurse perceptions of involvement in decision-making...
December 18, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29256943/intersecting-evidence-based-practice-with-a-lean-improvement-model
#11
Margo A Halm, Ann Alway, Sandra Bunn, Nancy Dunn, Michelle Hirschkorn, Becky Ramos, Jeanne Pierre
In our journey from Magnet designation to a Lean hospital, a team of advanced practice nurses, a nurse scientist, and Lean specialists developed a crosswalk of evidence-based practice (EBP) with Lean to explicitly embed the use of evidence in our organization's 4-step problem-solving method. Once finalized, the blended Lean-EBP model now guides improvement work as highlighted in the example of updating our practice for frequency of changing peripheral intravenous catheters.
December 18, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29240573/making-wise-choices-in-health-provision-initial-exploration-of-nurse-perceptions-in-israel
#12
Moriah E Ellen, Einav Horowitz
Overuse of health services drives up costs while affecting quality of care. It can also harm patients physically and psychologically through invoking duplicate testing, unnecessary procedures, and psychological stress. The purpose of this study was to understand nurses' perceptions of health care overuse. Nurses perceived that physicians' main considerations when ordering tests are to get additional data to strengthen the diagnosis and "just to be safe." Fear of litigation and patients' desires were important factors...
December 13, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29240572/preventing-falls-and-fall-related-injuries-in-state-veterans-homes-virtual-breakthrough-series-collaborative
#13
Lisa Zubkoff, Julia Neily, Patricia Quigley, Valarie Delanko, Yinong Young-Xu, Shoshana Boar, Peter D Mills
This article reports on improved processes and outcomes from a virtual breakthrough series quality improvement collaborative to reduce preventable falls and fall-related injuries in 23 State Veterans Homes. Participating teams implemented 24 interventions (process changes); the most common was the postfall huddle. Teams reduced falls and fall-related injuries. This project highlights the importance of leadership support, interdisciplinary team involvement, and collaboration as essential components of fall prevention work...
December 13, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29240571/developing-the-clinical-nurse-leader-survey-instrument-a-modified-delphi-study
#14
Miriam Bender, Alice Avolio, Patricia Baker, James L Harris, Nancy Hilton, Lisle Hites, Linda Roussel, Bobbi Shirley, Patricia L Thomas, Marjory Williams
Clinical nurse leader (CNL)-integrated care delivery is an emerging nursing model, with growing adoption in diverse health systems. To generate a robust evidence base for this promising nursing model, it is necessary to measure CNL practice to explicitly link it to observed quality and safety outcome improvements. This study used a modified Delphi approach with an expert CNL panel to develop and test the face, content, and construct validity of the CNL Practice Survey instrument.
December 13, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29227337/six-nursing-care-problems-in-hospitals-a-cross-sectional-study-of-quality-of-care
#15
Doris Eglseer, Manuela Hödl, Christa Lohrmann
Investigations about the quality of nursing care on structure, process, and outcome levels relating to various nursing care problems are rare. This cross-sectional multicenter study was conducted in 30 Austrian hospitals with 2878 patients. The quality of nursing care differed significantly with respect to the individual problems (pressure ulcer, incontinence, malnutrition, falls, restraints, pain), highlighting the need for studies that focus specifically on the quality of care and not merely on single nursing care problems...
December 8, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29227336/family-caregivers-experiences-of-within-hospital-handoffs-for-older-adults-in-acute-care
#16
Alycia A Bristol, Janice D Crist, Linda R Phillips, Kimberly D Shea, Cheryl Lacasse
Family caregivers' experiences during within-hospital handoffs between acute care units are not well understood. Qualitative description methodology was employed to describe family caregivers' experiences during their loved ones' handoffs. Semistructured interviews were conducted with 10 caregivers of hospitalized older adults. Three themes emerged: Lack of care coordination, Muddling through handoffs alone, and Wariness toward the care delivery system. Findings can help clinicians shape their interactions with caregivers to maximize their involvement in post-hospital care...
December 8, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29227335/usefulness-of-the-braden-scale-in-intensive-care-units-a-study-based-on-electronic-health-record-data
#17
Yi Na Han, Jung Eun Choi, Yin Ji Jin, Tai Xian Jin, Sun-Mi Lee
Nurses working in intensive care units have expressed concern that some categories of the Braden scale such as activity and nutrition are not suitable for intensive care unit patients. Upon examining the validity of the Braden scale using the electronic health data, we found relatively low predictability of the tool. Risk factors from the sensory perception and activity categories were not associated with risk of pressure ulcers.
December 8, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29176442/factors-associated-with-removal-of-urinary-catheters-after-surgery
#18
Catherine Y Read, Judith Shindul-Rothschild, Jane Flanagan, Kelly D Stamp
Publicly available data from the Centers for Medicaid & Medicare Services were used to analyze factors associated with removal of the urinary catheter within 48 hours after surgery in 59 Massachusetts hospitals. Three factors explained 36% of the variance in postoperative urinary catheter removal: fewer falls per 1000 discharges, better nurse-patient communication, and higher percentage of Medicare patients. Timely urinary catheter removal was significantly greater in hospitals with more licensed nursing hours per patient day...
January 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29166304/improving-compliance-in-obtaining-daily-weights-in-a-large-academic-children-s-hospital
#19
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29166303/the-next-frontier-for-nurses-improving-quality-and-safety-in-primary-care
#20
Richard Ricciardi
No abstract text is available yet for this article.
January 2018: Journal of Nursing Care Quality
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