journal
MENU ▼
Read by QxMD icon Read
search

Journal of Nursing Care Quality

journal
https://www.readbyqxmd.com/read/30585983/augmenting-atrial-fibrillation-care-after-an-emergency-department-visit-implementing-telephone-practice
#1
Danielle Hart, Wilma M Hopman, Sharlene Hammond, Damian P Redfearn
BACKGROUND: Between 2010 and 2012, the Heart Rhythm team in a tertiary care hospital completed a retrospective study that found that atrial fibrillation (AF) care can be episodic and heavily reliant on hospital resources, particularly the emergency department (ED). PROBLEM: Patients who attend the ED with AF are at high risk of hospital admission. APPROACH: A nurse practitioner (NP) was added to the Heart Rhythm team to create a program to improve AF care after an ED visit...
December 21, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30585982/implementation-of-a-vital-sign-alert-system-to-improve-outcomes
#2
Shelly Huff, Kimberly Stephens, Kimberly Whiteman, Brenda Swanson-Biearman, Candy Mori
BACKGROUND: Patients at risk for clinical deterioration often show changes in vital signs up to 24 hours before a critical event. Use of modified early warning scores has demonstrated effectiveness in identifying patients at risk for clinical deterioration and improving outcomes. LOCAL PROBLEM: Documentation of vital signs, timely recognition of clinical deterioration, and compliance with the sepsis bundles remained a challenge. METHODS: An interprofessional team developed an electronic vital sign alert (VSA) system with a concurrent running sepsis screen, along with clinical protocols...
December 21, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30585981/sepsis-education-initiative-targeting-qsofa-screening-for-non-icu-patients-to-improve-sepsis-recognition-and-time-to-treatment
#3
Kim Raines, Ronaldo A Sevilla Berrios, Jane Guttendorf
BACKGROUND: The quick-Sequential Organ Failure Assessment (qSOFA) criteria are recommended for identifying non-intensive care unit (ICU) patients at risk for sepsis but are underutilized. LOCAL PROBLEM: We hypothesized that education on recognizing sepsis using qSOFA criteria and empowering nurses to trigger rapid response team (RRT) calls based on positive qSOFA scores would reduce time to recognition and time to intervention and improve treatment compliance in non-ICU patients...
December 21, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30550498/randomized-controlled-trial-of-symptom-management-patient-education-for-people-with-acute-coronary-syndrome
#4
Snezana Stolic, Frances Lin, Marion Mitchell
BACKGROUND: Poorly managed acute coronary syndrome symptoms increase the risk of subsequent cardiovascular events. PURPOSE: The aim of this study was to evaluate the effectiveness of symptom management patient education on the knowledge of sublingual nitroglycerin for people with acute coronary syndrome. METHODS: A randomized controlled trial was used to evaluate the 3-resource intervention. The study was conducted in a 448-bed Australian public hospital...
December 12, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30550497/critical-care-nurse-led-quality-improvement-hyperglycemia-reduction-initiative
#5
Lisa Neelon, Kim Basawil, Laura Whitney, Evelyn Kneblewicz, Sharon A Watts, Donna M Miller
No abstract text is available yet for this article.
December 12, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30550496/impact-of-patient-safety-culture-on-missed-nursing-care-and-adverse-patient-events
#6
Amanda J Hessels, Mani Paliwal, Susan H Weaver, Deeba Siddiqui, Theresa A Wurmser
BACKGROUND: A strong patient safety culture (PSC) may be associated with improved patient outcomes in hospitals. The mechanism that explains this relationship is underexplored; missed nursing care may be an important link. PURPOSE: The purpose of this study was to describe relationships among PSC, missed nursing care, and 4 types of adverse patient events. METHODS: This cross-sectional study employed primary survey data from 311 nurses from 29 units in 5 hospitals and secondary adverse event data from those same units...
December 12, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30550495/improving-patient-experience-and-treatment-adherence-in-the-adult-outpatient-hemodialysis-population
#7
Jessica Saunders, Shahram Ahmadzadeh, Margaret Bush, Robin Wright, Bradi Granger
BACKGROUND: The commonly employed medication reconciliation process leaves room for mismanagement of medications in the complex end-stage renal disease patient population. PURPOSE: The purpose of this quality improvement project was to implement and evaluate a multidisciplinary education and feedback intervention designed to improve self-management for adults with end-stage renal disease. METHODS: A pre-post, same subject repeated measures design was used to evaluate the intervention...
December 12, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30550494/relationship-between-work-environments-nurse-outcomes-and-quality-of-care-in-icus-mediating-role-of-nursing-care-left-undone
#8
Jiali Liu, Jing Zheng, Ke Liu, Liming You
BACKGROUND: The mechanism of how work environments affect nurse outcomes and quality of care has not been studied in intensive care unit (ICU) settings. PURPOSE: The purpose was to investigate the effects of work environment on nurse outcomes and quality of care in ICUs, through the mediating effects of nursing care left undone. METHODS: This study used survey data from 459 nurses from 22 ICUs in 22 hospitals in China. Hierarchical logistic regression modeling was used to analyze the relationships and the mediating effects...
December 12, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30550493/impact-of-a-nutrition-focused-quality-improvement-intervention-on-hospital-length-of-stay
#9
Sharon Siegel, Linlin Fan, Amanda Goldman, Joseph Higgins, Scott Goates, Jamie Partridge
BACKGROUND: Despite its high prevalence, malnutrition in hospitalized patients often goes unrecognized and undertreated. LOCAL PROBLEM: A hospital system sought to improve nutrition care by implementing a quality improvement initiative. Nurses screened patients upon admission using the Malnutrition Screening Tool and initiated oral nutrition supplements for patients at risk. METHODS: We retrospectively reviewed the medical records of 20 697 adult patients to determine whether early initiation of nutrition therapy had reduced hospital length of stay and 30-day readmission rates...
December 12, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30550492/health-optimization-program-for-elders-improving-the-transition-from-hospital-to-skilled-nursing-facility
#10
Michael L Krol, Colette Allen, Loretta Matters, Aubrey Jolly Graham, William English, Heidi K White
BACKGROUND: Individuals discharged from the hospital to skilled nursing facilities (SNFs) experience high rates of unplanned hospital readmission, indicating opportunity for improvement in transitional care. LOCAL PROBLEM: Local physicians providing care in SNFs were not associated with the discharging hospital health care system. As a result, substantive real-time communication between hospital and SNF physicians was not occurring. METHODS: A multidisciplinary team developed and monitored implementation of the Health Optimization Program for Elders (HOPE) to improve patient transitions from acute hospital stay to SNFs...
December 12, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30480614/blended-facilitation-as-an-effective-implementation-strategy-for-quality-improvement-and-research-in-nursing-homes
#11
Camilla B Pimentel, Whitney L Mills, Jennifer A Palmer, Kristen Dillon, Jennifer L Sullivan, Nancy J Wewiorski, Andrea Lynn Snow, Rebecca S Allen, Susan D Hopkins, Christine W Hartmann
BACKGROUND: Blended facilitation, which leverages the complementary skills and expertise of external and internal facilitators, is a powerful strategy that nursing stakeholders and researchers may use to improve implementation of quality improvement (QI) innovations and research performed in nursing homes. PROBLEM: Nursing homes present myriad challenges (eg, time constraints, top-down flow of communication, high staff turnover) to QI implementation and research...
November 21, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30480613/nursing-documentation-of-postoperative-pain-management-a-documentary-analysis
#12
Noordeen Shoqirat, Deema Mahasneh, Latefa Dardas, Charleen Singh, Reham Khresheh
BACKGROUND: Although proper documentation of pain for postoperative patients is essential to promote patient health outcomes, there is limited examination of nurses' documentation of pain management. PURPOSE: The purpose of this study was to qualitatively analyze nursing documentation of pain management among postoperative patients in Jordan. METHOD: A documentary analysis method was used. A purposive sample of 80 medical records were reviewed, and a total of 720 nursing records were analyzed...
November 21, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30480612/barriers-to-integrating-research-into-clinical-nursing-practice
#13
Maen Aljezawi, Mohammad Al Qadire, Mohammed H Alhajjy, Loai Issa Tawalbeh, Aliyah Hadi Alamery, Sami Aloush, Mohammed ALBashtawy
BACKGROUND: Using research findings in clinical practice is a cornerstone in improving the quality of care, but nurses face different barriers in doing so. PURPOSE: The purpose was to explore barriers to research utilization in clinical practice as perceived by nurses. METHOD: A cross-sectional survey was done using a convenience sampling method in a single specialist hospital in Saudi Arabia. The Barriers to Research Utilization questionnaire was used to collect data...
November 21, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30480611/manifestations-of-high-reliability-principles-on-hospital-units-with-varying-safety-profiles-a-qualitative-analysis
#14
Sarah E Mossburg, Sallie J Weaver, MarieSarah Pillari, Elizabeth Daugherty Biddison
BACKGROUND: To prevent patient harm, health care organizations are adopting practices from other complex work environments known as high-reliability organizations (HRO). PURPOSE: The purpose was to explore differences in manifestations of HRO principles on hospital units with high and low safety performance. METHODS: Focus groups were conducted on units scoring high or low on safety measures. Themes were identified using a grounded theory approach, and responses were compared using qualitative thematic analysis...
November 21, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30480610/clarifying-role-expectations-and-practice-standards-using-a-clinical-nurse-leader-professional-practice-model-illustration
#15
Angie Hatley, Tina Ralyea, Grace O╩╝Connor Buttriss, Veronica L Rankin
BACKGROUND: Despite evidence of the positive impact of the clinical nurse leader (CNL) role, implementation of supplemental nursing roles has proven to be challenging due to unclear role explanations and organizational unfamiliarity. PROBLEM: Nurses practice in a dynamic environment and need to cope with the rapid pace of change in practice roles. Outside of the preparation of the CNL, many nursing professionals are not educated or prepared on the essential aspects the CNL role...
November 21, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30475324/using-lean-to-enhance-heart-failure-patient-identification-processes-and-increase-core-measure-scores
#16
(no author information available yet)
No abstract text is available yet for this article.
January 2019: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30475323/perceptions-of-missed-care-across-oncology-nursing-specialty-units
#17
Colleen Villamin, Jacqueline Anderson, Bryan Fellman, Diana Urbauer, Kelly Brassil
BACKGROUND: An opportunity was identified to compare perceptions of the occurrence and types of missed care at a comprehensive cancer center. PURPOSE: The purpose was to evaluate the difference in perceived occurrence and types of missed care between medical, surgical, and hematologic oncology units in the context of a newly implemented patient care delivery system, Primary Team Nursing (PTN). METHODS: A descriptive, repeated-measures design was used...
January 2019: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30475322/advanced-practice-registered-nurses-quality-improvement-efforts-to-reduce-antipsychotic-use-in-nursing-homes
#18
Marcia Flesner, Annette Lueckenotte, Amy Vogelsmeier, Lori Popejoy, Kelli Canada, Donna Minner, Colleen Galambos, Marilyn J Rantz
No abstract text is available yet for this article.
January 2019: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30475321/nurses-and-patients-natural-partners-to-advance-patient-safety
#19
Richard Ricciardi, Marjorie Shofer
No abstract text is available yet for this article.
January 2019: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/30198944/mealtime-assistance-from-chaos-to-calm-a-collaborative-best-practice-implementation-project
#20
Pamela Sykes, Ian Norris, Megan Cook, Aaron Woods, Rachel Boughton, Kylie Chilcott, Kenneth Walsh
BACKGROUND: Providing appropriate and timely mealtime assistance to hospitalized patients should be part of a multifaceted and multidisciplinary approach to optimizing a patient's nutritional care plan. PROBLEM: There was anecdotal evidence at the study hospital that patients did not receive adequate and/or timely assistance at mealtimes. APPROACH: A best practice implementation project, using a proven strategy of audit, feedback, and reaudit, was used to effect practice change on an acute general medical ward...
January 2019: Journal of Nursing Care Quality
journal
journal
30920
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"