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https://www.readbyqxmd.com/read/29447352/improvement-of-emergency-department-patient-flow-using-lean-thinking
#1
Miquel Sánchez, Montse Suárez, María Asenjo, Ernest Bragulat
Objective: To apply lean thinking in triage acuity level-3 patients in order to improve emergency department (ED) throughtput and waiting time. Design: A prospective interventional study. Setting: An ED of a tertiary care hospital. Participants: Triage acuity level-3 patients. Intervention(s): To apply lean techniques such as value stream mapping, workplace organization, reduction of wastes and standardization by the frontline staff...
February 13, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29447071/a-social-media-intervention-to-improve-hypoglycaemia-management-at-a-multi-centre-hospital-a-quality-improvement-pilot-for-clinical-nurses
#2
Filomena De Sousa, Jennifer Jackson, Ruth Knight, Edith Cloutier, Rosemary Basa, Anne Fourney, Kathleen Devecseri
BACKGROUND: Hypoglycaemia is associated with increased mortality, length of stay, readmission and adverse events. Nursing management of hypoglycaemia is a challenge, despite established best practice guidelines. Social media is an effective tool for sharing information, and had potential to overcome barriers to clinical education at a multi-centre hospital. AIMS: The purpose of this quality improvement intervention was to create and disseminate social media posts about best practices in hypoglycaemia management...
February 15, 2018: Contemporary Nurse
https://www.readbyqxmd.com/read/29446494/prepared-for-surgery-communication-in-nurses-pre-operative-consultations-with-patients-undergoing-surgery-for-colorectal-cancer-after-a-person-centred-intervention
#3
M Pettersson, J Öhlen, F Friberg, L C Hydén, C Wallengren, E Sarenmalm, E Carlsson
AIMS AND OBJECTIVES: To describe preoperative communication after a person-centred intervention in nurses' consultations with patients undergoing surgery for colorectal cancer. BACKGROUND: Patients all over the world scheduled for surgery are referred for preoperative consultations with health care professionals. The goal is to assess the risk for perioperative complications, improving quality of care and enabling patients to be prepared for surgery and recovery...
February 15, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29444787/randomised-controlled-pragmatic-clinical-trial-evaluating-the-effectiveness-of-a-discharge-follow-up-phone-call-on-30-day-hospital-readmissions-balancing-pragmatic-and-explanatory-design-considerations
#4
Maame Yaa A B Yiadom, Henry Domenico, Daniel Byrne, Michele Marie Hasselblad, Cheryl L Gatto, Sunil Kripalani, Neesha Choma, Sarah Tucker, Li Wang, Monisha C Bhatia, Johnston Morrison, Frank E Harrell, Tina Hartert, Gordon Bernard
INTRODUCTION: Hospital readmissions within 30 days are a healthcare quality problem associated with increased costs and poor health outcomes. Identifying interventions to improve patients' successful transition from inpatient to outpatient care is a continued challenge. METHODS AND ANALYSIS: This is a single-centre pragmatic randomised and controlled clinical trial examining the effectiveness of a discharge follow-up phone call to reduce 30-day inpatient readmissions...
February 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29437308/presenteeism-among-emergency-health-care-staff
#5
Marta Sánchez-Zaballos, María Baldonedo-Mosteiro, Mª Pilar Mosteiro-Díaz
OBJECTIVES: To estimate the prevalence of presenteeism among different categories of hospital and pre-hospital emergency health care professionals in the Principality of Asturias, Spain, and to define the sociodemographic characteristics and workplace factors associated with presenteeism in all categories. MATERIAL AND METHODS: Cross-sectional descriptive study carried out during the last half of 2014 and first half of 2015. A self-administered questionnaire was used to collecta data on sociodemographic and work-related variables and perception of work as stressful...
February 2018: Emergencias: Revista de la Sociedad Española de Medicina de Emergencias
https://www.readbyqxmd.com/read/29436352/does-changing-newborn-bath-procedure-alter-newborn-temperatures-and-exclusive-breastfeeding
#6
Carol Suchy, Cyndi Morton, Rocky Roy Ramos, Alexandra Ehrgott, Megan Marie Quental, Amanda Burridge, Dana N Rutledge
PURPOSE: This evidence-based practice project evaluated effects of changing timing/character of initial newborn baths on infant temperatures and breastfeeding status. BACKGROUND: The hospital protocol for initial bathing procedures was updated: immersion baths; 12 hours postpartum; family included. METHODS: Staff nurse champions provided staff training. The evaluation included three seven-week periods (2016-2017) and three measures: adherence, temperature stabilization, and exclusive breastfeeding...
January 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29429847/the-impact-of-geriatric-focused-nurse-assessment-and-intervention-in-the-emergency-department-a-systematic-review
#7
REVIEW
M Malik, Z Moore, D Patton, T O'Connor, L E Nugent
BACKGROUND: Nursing assessment of elderly patients is imperative in Emergency Departments (ED) while providing interventions that increase independence facilitating discharge to primary healthcare. AIMS: To systematically review the impact of geriatric focused nurse assessment and intervention in the ED on hospital utilisation in terms of admission rate, ED revisits and length of hospital stay (LOHS). METHODS: Search strategy used following databases; Cochrane, Medline, CINAHL, Embase, Scopus and Web of Knowledge; And terms; geriatric nurse assessment, nurse discharge planning, geriatric nurse specialist, nurse intervention, emergency department, accident and emergency, patient outcomes, discharge, admissions, readmissions, hospital utilization, hospitalization, length of stay/hospital stay...
February 8, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29427166/the-epidemiology-of-parkinson-s-disease-in-the-italian-region-friuli-venezia-giulia-a-population-based-study-with-administrative-data
#8
Francesca Valent, Grazia Devigili, Sara Rinaldo, Stefania Del Zotto, Annarita Tullio, Roberto Eleopra
Parkinson's disease is known to pose a relevant burden to society in industrialized countries. However, not much research has been conducted on the epidemiology of this disease in Italy. Our aim was to estimate the incidence rate and prevalence of Parkinson's disease in the Italian Friuli Venezia Giulia region using administrative health-related databases. Five regional administrative databases (hospitalizations, exemptions from medical charges, drug prescriptions, nursing homes, and home visits) were individually linked with one another through an anonymous stochastic univocal key...
February 9, 2018: Neurological Sciences
https://www.readbyqxmd.com/read/29425977/survival-after-out-of-hospital-cardiac-arrest-in-nursing-homes-a-nationwide-study
#9
Marianne Pape, Shahzleen Rajan, Steen Møller Hansen, Rikke Nørmark Mortensen, Signe Riddersholm, Fredrik Folke, Lena Karlsson, Freddy Lippert, Lars Køber, Gunnar Gislason, Helle Søholm, Mads Wissenberg, Thomas A Gerds, Christian Torp-Pedersen, Kristian Kragholm
BACKGROUND: Survival among nursing home residents who suffers out-of-hospital cardiac arrest (OHCA) is sparsely studied. Deployment of automated external defibrillators (AEDs) in nursing home facilities in Denmark is unknown. We examined 30-day survival following OHCA in nursing and private home residents. METHODS: This register-based, nationwide, follow-up study identified OHCA-patients ≥18 years of age with a resuscitation attempt in nursing homes and private homes using Danish Cardiac Arrest Register data from June 1, 2001 to December 31, 2014...
February 6, 2018: Resuscitation
https://www.readbyqxmd.com/read/29422177/effects-of-simulation-based-educational-program-in-improving-the-nurses-self-efficacy-in-caring-for-patients-with-copd-and-chf-in-a-post-acute-care-pacu-setting
#10
Mary Jane Genuino
The 2014 national percentage for 30-day readmissions among Medicare recipients from Post-Acute Care Unit (PACU) showed: Heart Failure (HF) with major complications and co-morbidities, an average of 24.09%, and Chronic Obstructive Pulmonary Disease (COPD) with complications and co-morbidities 23.12%. The percentage of readmissions for New Jersey among PACU showed: HF with major complications and co-morbidities, an average of 24.40% and COPD 26.35% (Avalere Health, 2014). For this study site, the hospital readmission rate was not specifically broken down according to condition/diagnosis...
February 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29422155/the-effect-of-the-emotional-intelligence-education-programme-on-quality-of-life-in-haemodialysis-patients
#11
Masoome Shahnavazi, Zohreh Parsa-Yekta, Mir-Saeed Yekaninejad, Sara Amaniyan, Pauline Griffiths, Mojtaba Vaismoradi
AIM: This study investigated the effect of the emotional intelligence education programme on quality of life of haemodialysis patients. BACKGROUND: Nurses need knowledge development regarding the impact of educational strategies on patients' quality of life suffering from chronic diseases. METHODS: A pragmatic quasi-randomized controlled trial was conducted with 47 haemodialysis patients attending a university hospital in an urban area of Iran...
February 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29422152/effects-of-hazard-perception-training-hpt-on-nursing-students-risk-sensitivity-to-patient-safety-and-developing-safety-control-confidence
#12
Chang Hee Kim, Sun Young Jeong, Myung Soon Kwon
PURPOSE: This study identifies the effects of hazard perception training (HPT) on nursing students' risk sensitivities and safety control confidence. METHODS: The study uses a nonequivalent control group pre-and post-test design. The participants were 107 senior nursing students, 52 in the experimental group, and 55 in the control group. The experimental group was shown 5 hospital situation pictures to determine hazard sensitivity. Students' risk sensitivity scores and safety control confidence were measured pre-HPT and post-HPT...
February 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29412440/precipitants-of-delirium-in-older-inpatients-admitted-in-surgery-for-post-fall-hip-fracture-an-observational-study
#13
E Levinoff, A Try, J Chabot, L Lee, D Zukor, O Beauchet
BACKGROUND: Hip fractures precipitate several acute adverse outcomes in elderly people, thus leading to chronic adverse outcomes. OBJECTIVES: The objective of our study was to examine the clinical characteristics associated with incident delirium in community dwelling elderly individuals who have a hip fracture. DESIGN: Retrospective observational cohort study. SETTING: Data was collected from an academic tertiary hospital affiliated with McGill University...
2018: Journal of Frailty & Aging
https://www.readbyqxmd.com/read/29409025/effects-of-a-lifestyle-intervention-during-pregnancy-and-first-postpartum-year-findings-from-the-radiel-study
#14
Emilia Huvinen, Saila B Koivusalo, Jelena Meinilä, Anita Valkama, Aila Tiitinen, Kristiina RöNö, Beata Stach-Lempinen, Johan G Eriksson
Context: Women with a history of gestational diabetes (GDM) have a seven-fold risk of developing type 2 diabetes. Objective: To assess the effects of a lifestyle intervention during pregnancy and first postpartum year on glucose regulation, weight retention, and metabolic characteristics among women at high GDM risk. Design: In the Finnish Gestational Diabetes Prevention study trained study nurses provided lifestyle counselling in each trimester and 6 weeks, 6 and 12 months postpartum...
February 1, 2018: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/29407267/a-feasibility-study-of-dementia-communication-training-based-on-the-vera-framework-for-pre-registration-nurses-part-ii-impact-on-student-experience
#15
Corina Naughton, Chloe Beard, Vasiliki Tzouvara, Anne Pegram, Rebecca Verity, Rhiannon Eley, David Hingley
BACKGROUND: People living with dementia have complex communication needs, especially during acute hospital admissions. The VERA framework (validation, emotion, reassurance, activity) was designed to promote person centred communication between student nurses and people living with dementia, but there is limited evaluation of its impact. AIM: To measure the impact of dementia communication training (based on VERA) plus older adult unit (OAU) placement on students' ability to recognise opportunities for person centred (PC) communication compared to OAU placement alone...
January 31, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29407262/the-effect-of-a-multifaceted-evidence-based-practice-programme-for-nurses-on-knowledge-skills-attitudes-and-perceived-barriers-a-cohort-study
#16
Wieke E van der Goot, Joost C Keers, Ruud Kuipers, Roos M B Nieweg, Martijn de Groot
BACKGROUND: The Dutch professional nursing standard of 2012 stipulates that Dutch nursing practices are to be evidence-based. Not all practicing nurses can satisfy these requirements, therefore, an educational programme about Evidence-Based Practice (EBP) was developed for a Dutch teaching hospital. OBJECTIVE: The aim of this study was to measure the effects of a six month in-house EBP programme on knowledge, skills, attitudes, and perceived barriers of nurses (four European Credits equals two US Credit Hours)...
February 2, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29402327/mapping-educational-opportunities-for-healthcare-workers-on-antimicrobial-resistance-and-stewardship-around-the-world
#17
Susan Rogers Van Katwyk, Sara L Jones, Steven J Hoffman
BACKGROUND: Antimicrobial resistance is an important global issue facing society. Healthcare workers need to be engaged in solving this problem, as advocates for rational antimicrobial use, stewards of sustainable effectiveness, and educators of their patients. To fulfill this role, healthcare workers need access to training and educational resources on antimicrobial resistance. METHODS: To better understand the resources available to healthcare workers, we undertook a global environmental scan of educational programs and resources targeting healthcare workers on the topic of antimicrobial resistance and antimicrobial stewardship...
February 5, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29396165/sustainability-of-a-nurse-driven-early-progressive-mobility-protocol-and-patient-clinical-and-psychological-health-outcomes-and-in-a-neurological-intensive-care-unit
#18
Kate E Klein, James F Bena, Malissa Mulkey, Nancy M Albert
OBJECTIVES: To determine sustainable impact of an early progressive mobility protocol on mobility level and clinical outcomes. DESIGN/METHODS: Prospective, longitudinal, comparative study using three time points (pre-, immediate post-intervention and 12-month post-intervention sustainability). Analyses included comparative statistics and multivariable modelling. Data were collected by clinical nurses, from administrative databases. Psychological health data were collected using a valid, reliable tool...
January 31, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29394480/interprofessional-huddle-one-children%C3%A2-s-hospital%C3%A2-s-approach-to-improving-patient-flow
#19
Cheryl L McBeth, Blythe Durbin-Johnson, Elena O Siegel
Admitting pediatric patients promptly to the appropriate unit where they can receive specialty care is of critical importance to safe, quality care. A daily morning huddle was implemented at one children’s hospital as a quality improvement project. The aim of this project was to improve patient flow throughout the children’s hospital by improving interprofessional and interdepartmental communication and collaboration. This article reports on changes in patient flow before and after implementation of the daily huddle, as measured by pediatric emergency department (ED) boarding times...
March 2017: Pediatric Nursing
https://www.readbyqxmd.com/read/29394479/quality-improvement-initiative-on-pain-knowledge-assessment-and-documentation-skills-of-pediatric-nurses
#20
Heather Margonary, Margaret S Hannan, Elizabeth A Schlenk
Pain treatment begins with a nurse’s assessment, which relies on effective assessment skills. Hospital settings have implemented pain assessment education, but there is limited evidence in pediatric transitional care settings. The purpose of this quality improvement (QI) initiative was to develop, implement, and evaluate an evidence-based pain education session with 20 nurses in a pediatric specialty hospital that provides transitional care. Specific aims were to assess nurses’ knowledge and attitudes of pain, and evaluate assessment skills based on nurses’ documentation...
March 2017: Pediatric Nursing
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