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Quality and Safety Education in Nursing

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https://www.readbyqxmd.com/read/29167032/using-the-evidence-based-practice-service-nursing-bundle-to-increase-patient-satisfaction
#1
Mary Kate Dilts Skaggs, Juli F Daniels, Angela J Hodge, Valerie L DeCamp
ABSTRACTINTRODUCTION: Patient satisfaction and patient experience goals are often linked to financial consequences. Although the link does exist, the bottom line is not only about money; it's about providing a quality experience for ED patients and creating an environment that engages staff. Evidence-based practice (EBP) strategies that have positive impact on patient perceptions of their ED care and increased satisfaction ratings include AIDET, Hourly Rounding, and Bedside Shift Report, which incorporate updates of test results and explanations of events occurring during a patient's visit...
November 19, 2017: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29165125/nurses-willingness-to-care-for-patients-infected-with-hiv-or-hepatitis-b-c-in-vietnam
#2
Tomohiro Ishimaru, Koji Wada, Huong Thi Xuan Hoang, Anh Thi My Bui, Hung Dinh Nguyen, Hung Le, Derek R Smith
OBJECTIVES: This study examined the factors associated with nurses' willingness to care for patients infected with human immunodeficiency virus (HIV) or hepatitis B or C virus (HBV/HCV) in Vietnam. METHODS: A cross-section of 400 Vietnamese nurses from two hospitals were selected using stratified random sampling, to whom a self-administered questionnaire was administered which included demographic items, previous experience with patients infected with HIV or HBV/HCV, and their attitudes toward these patients...
March 16, 2017: Environmental Health and Preventive Medicine
https://www.readbyqxmd.com/read/29164549/-improving-the-accuracy-rate-of-analgesics-and-sedatives-administration-in-an-intensive-care-unit
#3
Hsiu-Chuan Lai, Ya-Huei Chen, Yi-Jene Li, Hui-Mei Huang, Chien-Hua Tseng, Ming-Cheng Chan
BACKGROUND: Patients with respiratory failure needing mechanical ventilation are common in the intensive care unit. These patients often require sedative and analgesic agents to alleviate their discomfort and to avoid causing associated safety issues. However, prolonged post-awakening confusion and changes in perception after withdrawal from sedatives and analgesic agents are common in daily practice. Thus, the optimal use of sedative and analgesic agents remains an important issue in the intensive care unit...
December 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/29164045/factors-related-to-healthcare-service-quality-in-long-term-care-hospitals-in-south-korea-a-mixed-methods-study
#4
Minsung Sohn, Mankyu Choi
Objectives: The environment of long-term care hospitals (LTCHs) is critical to the management of the quality of their services and to patient safety, as highlighted by international studies. However, there is a lack of evidence on this topic in South Korea. This study aimed to examine the factors affecting healthcare quality in LTCHs and to explore the effectiveness of their quality management. Methods: This study used a mixed methods approach with quantitative data collected in a national survey and qualitative data from semi-structured interviews with practice-based managers...
October 2017: Osong Public Health and Research Perspectives
https://www.readbyqxmd.com/read/29148607/the-art-of-oral-handovers-a-participant-observational-study-by-undergraduate-students-in-a-hospital-setting
#5
Tove Giske, Sunniva Nese Melås, Kari Anne Einarsen
AIMS AND OBJECTIVES: This study explores the conditions for oral handovers between shifts in a hospital setting, and how these impact patient safety and quality of care. BACKGROUND: Oral handovers transfer patient information and nursing responsibilities between shifts. Short written summaries of patients can complement an oral handover. How to find the balance between a standardised protocol for handovers and tailoring variations to specific patients and situations is debated in the literature...
November 17, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29135754/implementation-of-a-pediatric-behavioral-staffing-algorithm-in-an-acute-hospital-a-best-practice-implementation-project
#6
Tamara O'Connor
BACKGROUND: A progressive decline in acute psychiatric facility beds has led to a steadily increasing number of pediatric psychiatric patients hospitalized on acute care medical-surgical units. Clinical nurses in this environment feel ill-equipped to provide quality behavioral health care. AIMS/OBJECTIVES: This project aimed to improve continuity of care as well as staff and patient safety in pediatric acute and transitional care units. The specific objectives related to implementation of a resource allocation algorithm for staffing behavioral health admissions and consistent use of an interdisciplinary psychiatric huddle...
November 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29112026/nursing-home-patient-safety-culture-perceptions-among-us-and-immigrant-nurses
#7
Laura M Wagner, Barbara L Brush, Nicholas G Castle, John B Engberg, Elizabeth A Capezuti
Patient safety is a global concern, yet little is known about how and whether perceptions of patient safety culture (PSC) vary by nurses' countries of origin and preparation. This is particularly important in American nursing homes (NHs), which are increasingly hiring non-US born and prepared nurses to fill staffing needs. OBJECTIVES: This study compared the PSC perceptions of foreign and domestic born and trained nurses working in urban NHs in 5 states to analyze how nurses' PSC perceptions corresponded to their personal and professional characteristics...
November 4, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/29110907/what-is-the-impact-of-professional-nursing-on-patients-outcomes-globally-an-overview-of-research-evidence
#8
REVIEW
Samantha Coster, Mary Watkins, Ian J Norman
BACKGROUND: Nursing is an integral part of all healthcare services, and has the potential of having a wide and enduring impact on health outcomes for a global ageing population. Over time nurses have developed new roles and assumed greater responsibilities. It is increasingly important to demonstrate the safety and overall impact of nurses' practice through research, to support the case for greater investment and development of nursing services around the world. OBJECTIVE: To provide an overview of existing research evidence on the impact of nursing on patient outcomes, identify gaps in evidence, and point to future priorities for global research...
October 19, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29107318/a-quality-improvement-project-to-improve-education-provided-by-nurses-to-ed-patients-prescribed-opioid-analgesics-at-discharge
#9
Daria L Waszak, Ann M Mitchell, Dianxu Ren, Laura A Fennimore
BACKGROUND: The opioid crisis continues to take an unprecedented number of lives and is the top cause of injury death in the United States. The emergency department is a setting where patients with pain seek care and may be prescribed an opioid, yet many patients do not receive evidence-based education about taking their opioid safely. Like many communities across the country, Allegheny County, Pennsylvania, has experienced an increased rate of opioid overdoses; from 2015-2016, the number of opioid-related overdose deaths in the county increased by 44%...
October 26, 2017: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29091238/enhancing-critical-thinking-via-a-clinical-scholar-approach
#10
Vicki Simpson, Sara A McComb, Jane M Kirkpatrick
BACKGROUND: Safety, quality improvement, and a systems perspective are vital for nurses to provide quality evidence-based care. Responding to the call to prepare nurses with these perspectives, one school of nursing used a clinical scholar approach, enhanced by systems engineering to more intentionally develop the ability to clinically reason and apply evidence-based practice. METHOD: A two-group, repeated-measures control trial was used to determine the effects of systems engineering content and support on nursing students' clinical judgment and critical thinking skills...
November 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/29076970/improving-the-clinical-skills-performance-of-graduating-medical-students-using-wise-oncall-a-multimedia-educational-module
#11
Demian Szyld, Kristen Uquillas, Brad R Green, Steven D Yavner, Hyuksoon Song, Michael W Nick, Grace M Ng, Martin V Pusic, Thomas S Riles, Adina Kalet
INTRODUCTION: Transitions to residency programs are designed to maximize quality and safety of patient care, as medical students become residents. However, best instructional or readiness assessment practices are not yet established. We sought to study the impact of a screen-based interactive curriculum designed to prepare interns to address common clinical coverage issues (WISE OnCall) on the clinical skills demonstrated in simulation and hypothesize that performance would improve after completing the module...
October 25, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29073653/the-state-of-quality-improvement-and-patient-safety-teaching-in-health-professional-education-in-new-zealand
#12
Gillian Robb, Iwona Stolarek, Susan Wells, Gillian Bohm
AIM: To investigate how quality and patient safety domains are being taught in the pre-registration curricula of health profession education programmes in New Zealand. METHODS: All tertiary institutions providing training for medicine, nursing, midwifery, dentistry, pharmacy, physiotherapy, dietetics and 11 other allied health professions in New Zealand were contacted and a person with relevant curriculum knowledge was invited to participate. Interviews were conducted using a semi-structured interview guide to explore nine quality and safety domains; improvement science, patient safety, quality and safety culture, evidence-based practice, patient-centred care, teamwork and communication, leadership for change, systems thinking and use of information technology (IT)...
October 27, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29068733/simulation-on-sensory-impairment-in-older-adults-nursing-education
#13
Leah Macaden, Annetta Smith, Suzanne Croy
Sensory impairments are identified as the most common chronic and disabling conditions of later life, impacting significantly on the quality of life and safety of older adults. Hospitals and care environments can present significant challenges to older adults with sensory impairments. Therefore, it is important to raise awareness on sensory and cognitive impairments with all health professionals, and nurses in particular, both to help develop an empathetic awareness of the impact of impairment and to minimise risk of adverse events...
October 26, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29064874/continuous-pulse-oximetry-and-capnography-monitoring-for-postoperative-respiratory-depression-and-adverse-events-a-systematic-review-and-meta-analysis
#14
Thach Lam, Mahesh Nagappa, Jean Wong, Mandeep Singh, David Wong, Frances Chung
BACKGROUND: Death and anoxic brain injury from unrecognized postoperative respiratory depression (PORD) is a serious concern for patient safety. The American Patient Safety Foundation has called for continuous electronic monitoring for all patients receiving opioids in the postoperative period. These recommendations are based largely on consensus opinion with currently limited evidence. The objective of this study is to review the current state of knowledge on the effectiveness of continuous pulse oximetry (CPOX) versus routine nursing care and the effectiveness of continuous capnography monitoring with or without pulse oximetry for detecting PORD and preventing postoperative adverse events in the surgical ward...
October 19, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29063137/the-adverse-drug-reaction-reporting-assignment-for-specialist-oncology-nurses-a-preliminary-evaluation-of-quality-relevance-and-educational-value-in-a-prospective-cohort-study
#15
Tim Schutte, Rike van Eekeren, Milan Richir, Jojanneke van Staveren, Eugène van Puijenbroek, Jelle Tichelaar, Michiel van Agtmael
In a new prescribing qualification course for specialist oncology nurses, we thought that it is important to emphasize pharmacovigilance and adverse drug reaction (ADR) reporting. We aimed to develop and evaluate an ADR reporting assignment for specialist oncology nurses. The quality of report documentation was assessed with the "Clinical Documentation tool to assess Individual Case Safety Reports" (ClinDoc). The relevance of the reports was evaluated in terms of ADR seriousness, the listing for additional monitoring of the drug by European Medicines Agency (EMA), and lack of labelling information about the ADR...
October 23, 2017: Naunyn-Schmiedeberg's Archives of Pharmacology
https://www.readbyqxmd.com/read/29054103/preparedness-education-in-the-baccalaureate-nursing-curriculum-an-authentic-clinical-experience
#16
Dawn M Bowker, Brandi J Tomlinson
Healthy People 2020 supports the preparation of nurse graduates to assess emergency preparedness needs of defined populations and includes preparedness as one of its objectives. Natural disaster preparedness is addressed through the lens of community-centered care that meets the Quality and Safety Education for Nurses domains of patient-centered care and teamwork and collaboration. This article discusses the development of an authentic clinical experience through collaboration between the American Red Cross and a baccalaureate nursing program...
November 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29052117/clinical-impact-of-an-interdisciplinary-patient-safety-program-for-managing-drug-related-problems-in-a-long-term-care-hospital
#17
Oreto Ruiz-Millo, Mónica Climente-Martí, Ana María Galbis-Bernácer, José Ramón Navarro-Sanz
Background Medication reviews intended to identify drug-related problems (DRPs) have been researched in primary care, acute care and nursing homes rather than in long-term care hospitals (LTCHs). Objectives To assess the clinical impact of an interdisciplinary pharmacotherapy quality improvement and patient safety program in elderly patients with polypharmacy admitted to an LTCH. Setting An interventional, longitudinal, prospective study was conducted in a Spanish LTCH Method A total of 162 elderly (≥ 70 years) patients with polypharmacy (≥ 5 medications) were included...
December 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29042377/effectiveness-and-meaningful-use-of-paediatric-surgical-safety-checklists-and-their-implementation-strategies-a-systematic-review-with-narrative-synthesis
#18
Janaka Lagoo, Steven R Lopushinsky, Alex B Haynes, Paul Bain, Helene Flageole, Erik D Skarsgard, Mary E Brindle
OBJECTIVE: To examine the effectiveness and meaningful use of paediatric surgical safety checklists (SSCs) and their implementation strategies through a systematic review with narrative synthesis. SUMMARY BACKGROUND DATA: Since the launch of the WHO SSC, checklists have been integrated into surgical systems worldwide. Information is sparse on how SSCs have been integrated into the paediatric surgical environment. METHODS: A broad search strategy was created using Pubmed, Embase, CINAHL, Cochrane Central, Web of Science, Science Citation Index and Conference Proceedings Citation Index...
October 16, 2017: BMJ Open
https://www.readbyqxmd.com/read/29016505/implementing-a-systematic-approach-to-reduce-cesarean-birth-rates-in-nulliparous-women
#19
Amy D Bell, Saju Joy, Susan Gullo, Robert Higgins, Eleanor Stevenson
OBJECTIVE: To implement a systematic approach to safely reduce nulliparous cesarean birth rates. METHODS: This is a quality improvement project at two rural community hospitals and one urban community hospital in North Carolina. These facilities implemented a systematic approach to reduce nulliparous cesarean birth rates, aligning with recommendations developed by the Council on Patient Safety in Women's Health Care: Patient Safety Bundle on the Safe Reduction of Primary Cesarean Births...
November 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28985548/the-visibility-of-qsen-competencies-in-clinical-assessment-tools-in-swedish-nurse-education
#20
Annette Nygårdh, Gwen Sherwood, Therese Sandberg, Jeanette Rehn, Susanne Knutsson
BACKGROUND: Prospective nurses need specific and sufficient knowledge to be able to provide quality care. The Swedish Society of Nursing has emphasized the importance of the six quality and safety competencies (QSEN), originated in the US, in Swedish nursing education. PURPOSE: To investigate the visibility of the QSEN competencies in the assessment tools used in clinical practice METHOD: A quantitative descriptive method was used to analyze assessment tools from 23 universities...
December 2017: Nurse Education Today
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