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Quality and Safety Education in Nursing

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https://www.readbyqxmd.com/read/28906047/a-systematic-review-to-explore-influences-on-parental-attitudes-towards-antibiotic-prescribing-in-children
#1
REVIEW
Helen Bosley, Catherine Henshall, Jane V Appleton, Debra Jackson
AIM: To understand the factors influencing parental attitudes towards antibiotic prescribing. BACKGROUND: Overuse of antibiotics and inappropriate prescribing has resulted in rapid development of antimicrobial resistance (AMR), and is significant global threat to patient safety. In Primary Care settings, substantial numbers of antibiotics are prescribed for young children, despite viral nature of illness for which antibiotics are ineffective. Parents, play a vital role in decision making regarding accessing healthcare services and requesting treatment for their children...
September 14, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28884935/identification-of-nursing-diagnosis-outcome-intervention-linkages-for-inpatients-in-the-obstetrics-department-nursing-unit-in-south-korea
#2
Min Ji Yang, Hye Young Kim, Eun Ko, Hyun Kyung Kim
PURPOSE: To identify the NANDA-I-NOC-NIC (NNN) linkages for inpatients of the obstetrics nursing unit using electronic nursing records. METHODS: In this retrospective, descriptive survey, the electronic nursing records for 220 adult patients aged ≥18 years who were discharged after obstetrics nursing unit were analyzed. FINDINGS: The 7 most frequent nursing diagnoses were found to be associated with 9 nursing outcomes and 26 nursing interventions...
September 8, 2017: International Journal of Nursing Knowledge
https://www.readbyqxmd.com/read/28833677/the-quality-improvement-attitude-survey-development-and-preliminary-psychometric-characteristics
#3
Pamela B Dunagan
AIMS AND OBJECTIVES: To report the development of a tool to measure nurse's attitudes about quality improvement in their practice setting and to examine preliminary psychometric characteristics of the Quality Improvement Nursing Attitude Scale (QINAS). BACKGROUND: Human factors such as nursing attitudes of complacency have been identified as root causes of sentinel events. Attitudes of nurses concerning use of Quality and Safety Education for nurse's (QSEN) competencies can be most challenging to teach and to change...
August 22, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28832462/quality-and-safety-education-for-nurses-competencies-in-doctor-of-nursing-practice-education-exemplars-from-education-and-practice
#4
Cindy Acton, Susan Farus-Brown, Catherine Alexander, Linda Morrow, Julianne Ossege, Elizabeth Tovar
Graduate level Quality and Safety Education for Nurses (QSEN) competencies were created to facilitate preparation of the Doctor of Nursing Practice (DNP) graduate to have an impact on health care system changes, advance nursing practice, and improve the health of populations. Although there is agreement that QSEN competencies are important to DNP education, little is known about implementation of the competencies. This article describes the importance of QSEN competencies in DNP education and provides exemplars of QSEN competencies in DNP education and practice...
September 2017: Nurse Educator
https://www.readbyqxmd.com/read/28832461/rapid-health-care-improvement-science-curriculum-integration-across-programs-in-a-school-of-nursing
#5
Brant J Oliver, Mertie Potter, Mimi Pomerleau, Andrew Phillips, Mimi O'Donnell, Connie Cowley, Margie Sipe
This article describes the systematic efforts undertaken by a school of nursing in the Northeastern United States to foster innovation in health professions education. We present an application of modified team coaching and plan-do-study-act improvement methods in an educational context to rapidly integrate a quality and safety curriculum across programs. We discuss applications in generalist, advanced practice, doctoral, residency, and advanced fellowship programs and provide examples of each.
September 2017: Nurse Educator
https://www.readbyqxmd.com/read/28832460/impact-of-simulation-enhanced-pharmacology-education-in-prelicensure-nursing-education
#6
Jill Steiner Sanko, Mary Mckay
Student and novice nurses are susceptible to committing medication errors related to lack of experience. To address medication safety, a quasi-experimental design (N = 120) was used to test the effect of adding simulation to an undergraduate nursing pharmacology course on students' confidence and competence, medication adverse events, and observed medication administration practices. Students who received simulation-enhanced pharmacology demonstrated important improvements in medication administration safety...
September 2017: Nurse Educator
https://www.readbyqxmd.com/read/28832459/learning-to-overcome-hierarchical-pressures-to-achieve-safer-patient-care-an-interprofessional-simulation-for-nursing-medical-and-physician-assistant-students
#7
Susan A Reeves, Deanna Denault, Jonathan T Huntington, Greg Ogrinc, Douglas R Southard, Renee Vebell
To positively impact patient safety, the Institute of Medicine, as well as the Quality and Safety Education for Nurses initiative, has recommended clinician training in structured communication techniques. Such techniques are particularly useful in overcoming hierarchical barriers in health care settings. This article describes an interprofessional simulation program to teach structured communication techniques to preprofessional nursing, medical, and physician assistant students. The teaching and evaluation plans are described to aid replication...
September 2017: Nurse Educator
https://www.readbyqxmd.com/read/28832457/implementing-quality-and-safety-education-for-nurses-in-postclinical-conferences-transforming-the-design-of-clinical-nursing-education
#8
Elaine Mohn-Brown
Postclinical conferences are an essential component of clinical nursing education. Numerous constraints including the rapidly changing clinical teaching environment and the struggle to secure clinical placements are affecting the use and purpose of postclinical conferences. This article describes 1 faculty member's approach in designing and implementing a teaching strategy to integrate Quality and Safety Education for Nurses and concepts from a concept-based curriculum into a unique clinical seminar format.
September 2017: Nurse Educator
https://www.readbyqxmd.com/read/28832456/implementation-science-new-approaches-to-integrating-quality-and-safety-education-for-nurses-competencies-in-nursing-education
#9
Mary A Dolansky, Julie Schexnayder, Patricia A Patrician, Anne Sales
Although quality and safety competencies were developed and disseminated nearly a decade ago by the Quality and Safety Education for Nurses (QSEN) project, the uptake in schools of nursing has been slow. The use of implementation science methods may be useful to accelerate quality and safety competency integration in nursing education. The article includes a definition and description of implementation science methods and practical implementation strategies for nurse educators to consider when integrating the QSEN competencies into nursing curriculum...
September 2017: Nurse Educator
https://www.readbyqxmd.com/read/28832455/quality-and-safety-education-for-nurses-implementation-is-it-sustainable
#10
Elizabeth Cooper
Is the Quality and Safety Education for Nurses (QSEN) initiative still advancing in prelicensure nursing education? The purpose of this article is to report a 2-part evaluation regarding QSEN within the curricula. The evaluation included an online survey and conference for faculty in the San Francisco Bay Area (SFBA). This article discusses survey results and the ideas and suggestions of SFBA faculty that were made at the conference. The results were positive. Most schools continue to advance QSEN into their curricula...
September 2017: Nurse Educator
https://www.readbyqxmd.com/read/28832454/2017-national-quality-and-safety-education-for-nurses-faculty-survey-results
#11
Gerry Altmiller, Gail Armstrong
The Quality and Safety Education for Nurses (QSEN) national initiative, started in 2005, has supported the adoption and integration of updated quality and safety competencies in nursing education. However, faculty needs regarding QSEN competency integration, and the degree to which QSEN competencies are reflected in current nursing curricula, have not been assessed nationally. This study (N = 2037) reports the findings of the 2017 National QSEN Faculty Survey and discusses implications for nurse educators and programs of nursing education...
September 2017: Nurse Educator
https://www.readbyqxmd.com/read/28832280/using-surrogate-vaccines-to-assess-feasibility-and-acceptability-of-future-hiv-vaccine-trials-in-men-a-randomised-trial-in-inner-city-johannesburg-south-africa
#12
Lucy Chimoyi, Mphatso Kamndaya, Emilie Venables, Nina von Knorring, Jonathan Stadler, Catherine MacPhail, Matthew F Chersich, Helen Rees, Sinead Delany-Moretlwe
BACKGROUND: Developing an effective HIV vaccine is the overriding priority for HIV prevention research. Enrolling and maintaining cohorts of men into HIV vaccine efficacy trials is a necessary prerequisite for the development and licensure of a safe and efficacious vaccine. METHODS: One hundred-fifty consenting HIV-negative men were enrolled into a pilot 1:1 randomised controlled trial of immediate vaccination with a three-dose hepatitis B vaccine compared to deferred vaccination (at 12 months) to investigate feasibility and acceptability of a future HIV vaccine trial in this population...
July 4, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28817503/interprovider-communication-using-a-scheduled-provider-alert-response-communication-system-in-3-inpatient-neurology-units
#13
James E Siegler, Dan Finegan, Scott E Kasner, Raymond S Price
BACKGROUND: Nonemergent communications between nursing staff and residents often occur randomly throughout the workday at teaching institutions, resulting in inefficiency and interruptions of scheduled resident educational conferences or periods of overnight rest. OBJECTIVE: The aim of this study was to determine whether a quality improvement communication strategy can reduce interruptive notifications during scheduled resident didactic sessions. METHODS: We conducted a prospective, mixed-methods trial of a communication strategy between nurses and residents in 3 neurology units of an academic institution...
August 16, 2017: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/28817499/nurse-practitioner-lead-pediatric-baclofen-pump-program-impact-on-safety-and-quality-of-care
#14
Kristin Buxton, Ann Morgan, Jayne Rogers
Children with cerebral palsy experience spasticity that can be debilitating and cause significant pain and contractures. Intrathecal baclofen (ITB) therapy can help relieve this spasticity and improve the quality of life for these patients, but it comes with risk. Withdrawal from the medication in case of abrupt discontinuation of delivery can be life-threatening. Regular maintenance of the system is mandatory. Having a program in place to manage the device and support patients helps to ensure their safety...
August 16, 2017: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/28817431/challenges-in-health-care-simulation-are-we-learning-anything-new
#15
Kerm Henriksen, David Rodrick, Erin N Grace, P Jeffrey Brady
The growth of health care simulation in schools of medicine and nursing is noteworthy, as is the increasingly sophisticated simulation technology, support from funding agencies and foundations for research, well-attended annual conferences, and continued interest of accreditation and certification groups. Yet there are concerns preventing the full value of health care simulation to be realized when examined from a patient safety perspective. Basic questions are asked by funders of patient safety research when assessing past simulation projects undertaken to advance patient safety: Are the safety and quality of care to patients actually improved, and is something new being learned regarding the optimal use of simulation? Concerns focus on pursuing the right research questions to learn something new about the most effective use of simulation; doing more with simulation than simply providing an interesting, stand-alone educational experience; attending more seriously to how skill acquisition, maintenance, and progression get managed; and encouraging investigators, funders, and reviewers to expand their vision regarding what constitutes important inquiry and evidence in health care simulation...
August 16, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28766396/preventing-and-alleviating-compassion-fatigue-through-self-care-an-educational-workshop-for-nurses
#16
Andrea Adimando
Though various authors have refined and described the concept of compassion fatigue (CF), the overarching features, predisposing factors, and potential consequences remain relatively consistent. Available literature demonstrates that caregivers caring for patients who are chronically ill and/or traumatized are at highest risk for developing CF. Potential consequences for unmitigated CF include physical, emotional, and work-related consequences, all of which can have negative effects on the quality and safety of care and degree of engagement with one's employer...
August 1, 2017: Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
https://www.readbyqxmd.com/read/28761033/perception-of-hospital-accreditation-among-health-professionals-in-saudi-arabia
#17
Hussein Algahtani, Ahmad Aldarmahi, Juan Manlangit Jr, Bader Shirah
BACKGROUND: Hospital accreditation assesses hospital performance against explicit standards. Studies of the efficacy of accreditation are limited, but suggest that Joint Commission International (JCI) accreditation is efficient in improving the safety and quality of care in accredited hospitals. OBJECTIVES: This study aimed to assess the perceptions of health professionals on the impact of JCI accreditation and implementation of change towards the delivery of quality patient care...
July 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28745210/variability-in-threshold-for-medication-error-reporting-between-physicians-nurses-pharmacists-and-families
#18
Patricia Keefer, Kelley Kidwell, Candace Lengyel, Kavita Warrier, Deborah Wagner
BACKGROUND: Voluntary medication error reporting is an imperfect resource used to improve the quality of medication administration. It requires judgment by front-line staff to determine how to report enough to identify opportunities to improve patient safety but not jeopardize that safety by creating a culture of "report fatigue." OBJECTIVE: This study aims to provide information on interpretability of medication error and the variability between subgroups of caregivers in the hospital setting...
July 24, 2017: Current Drug Safety
https://www.readbyqxmd.com/read/28734486/nurse-practitioner-malpractice-data-informing-nursing-education
#19
Casey Fryer Sweeney, Anna LeMahieu, George E Fryer
BACKGROUND: Nurse practitioners (NPs) are often identified in medical malpractice claims. However, the use of malpractice data to inform the development of nursing curriculum is limited. The purpose of this study is to examine medical errors committed by NPs. METHODS: Using National Practitioner Data Bank public use data, years 1990 to 2014, NP malpractice claims were classified by event type, patient outcome, setting, and number of practitioners involved. RESULTS: The greatest proportion of malpractice claims involving nurse practitioners were diagnosis related (41...
July 2017: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/28707992/transitional-care-services-a-quality-and-safety-process-improvement-program-in-neurosurgery
#20
Faith C Robertson, Jessica L Logsdon, Hormuzdiyar H Dasenbrock, Sandra C Yan, Siobhan M Raftery, Timothy R Smith, William B Gormley
OBJECTIVE Readmissions increasingly serve as a metric of hospital performance, inviting quality improvement initiatives in both medicine and surgery. However, few readmission reduction programs have targeted surgical patient populations. The objective of this study was to establish a transitional care program (TCP) with the goal of decreasing length of stay (LOS), improving discharge efficiency, and reducing readmissions of neurosurgical patients by optimizing patient education and postdischarge surveillance...
July 14, 2017: Journal of Neurosurgery
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