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Nursing bedside report

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https://www.readbyqxmd.com/read/28692377/the-interprofessional-learning-experience-findings-from-a-qualitative-study-based-in-an-outpatient-setting
#1
Flemming Jakobsen, Anne Mette Mørcke, Torben Bæk Hansen
Clinical interprofessional education has traditionally taken place in hospital wards, but much diagnosis and treatment have shifted to the outpatient setting. The logical consequence is to shift more students' clinical placements from the "bedside" to outpatient settings. However, it is unclear how we ensure that this shift maximises learning. The purpose of this article is to understand the authentic learning experience in an interprofessional outpatient clinic setting. We performed an exploratory case study with interviews of four nursing students, 13 medical students, and six staff members who worked in an interprofessional outpatient orthopaedic clinic from March 2015 to January 2016...
July 10, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28685966/the-impact-of-a-web-based-educational-program-on-the-recognition-and-management-of-deteriorating-patients
#2
Sok Ying Liaw, Devon Yun Jia Chng, Lai Fun Wong, Jasmine Tze Yin Ho, Siti Zubaidah Mordiffi, Simon Cooper, Wei Ling Chua, Emily Neo Kim Ang
AIMS AND OBJECTIVES: To evaluate the effectiveness of a web-based educational program to enhance enrolled nurses' knowledge and skills in the recognition and management of deteriorating patients. BACKGROUND: Ward nurses of different skill levels play a pivotal role in detecting and responding to deteriorating patients. A skill-mix of registered nurses, enrolled nurses, licensed practice nurses or healthcare assistants is often employed for the provision of nursing care in acute settings...
July 6, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28683020/falls-and-related-injuries-in-hospitalized-patients-with-cancer-in-taiwan
#3
Li-Yun Tsai, Malcolm Campbell, Ching-Ju Chen, Ruey-Kuen Hsieh, Hui-Hsien Chien, Jung-Mei Tsai
BACKGROUND: Falls and fall-related injuries are important indicators for quality of nursing care in institutions. Few studies have been conducted specifically on this topic for hospitalized patients with cancer in Taiwan. PURPOSE: The aims of this study were to understand falls and levels of injury; to identify associations among fall-related injuries, demographics, and causes of falling; and to predict fall-related injuries in hospitalized patients with cancer...
August 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28668911/recognizing-the-ordinary-as-extraordinary-insight-into-the-way-we-work-to-improve-patient-safety-outcomes
#4
Elizabeth A Henneman
The Institute of Medicine (now National Academy of Medicine) reports "To Err is Human" and "Crossing the Chasm" made explicit 3 previously unappreciated realities: (1) Medical errors are common and result in serious, preventable adverse events; (2) The majority of medical errors are the result of system versus human failures; and (3) It would be impossible for any system to prevent all errors. With these realities, the role of the nurse in the "near miss" process and as the final safety net for the patient is of paramount importance...
July 2017: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/28639978/rhetoric-or-reality-rn-to-bsn-graduates-returning-to-the-bedside
#5
Jill Borgos
This article reports on a study designed to illuminate the motivation and future goals of RN to BSN degree completion students, specifically to identify whether RNs returning to an online completion program were doing so with the intention of continuing to practice at the bedside. The findings indicate that students are seeking further education for five reasons: 1) to gain entry into a nurse practitioner program, 2) to complete a master's degree program in general, 3) to find opportunities in management, 4) to assume a position as a nurse educator, or 5) to take on a leadership position in general...
June 20, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/28626086/nursing-skill-mix-in-european-hospitals-cross-sectional-study-of-the-association-with-mortality-patient-ratings-and-quality-of-care
#6
Linda H Aiken, Douglas Sloane, Peter Griffiths, Anne Marie Rafferty, Luk Bruyneel, Matthew McHugh, Claudia B Maier, Teresa Moreno-Casbas, Jane E Ball, Dietmar Ausserhofer, Walter Sermeus
OBJECTIVES: To determine the association of hospital nursing skill mix with patient mortality, patient ratings of their care and indicators of quality of care. DESIGN: Cross-sectional patient discharge data, hospital characteristics and nurse and patient survey data were merged and analysed using generalised estimating equations (GEE) and logistic regression models. SETTING: Adult acute care hospitals in Belgium, England, Finland, Ireland, Spain and Switzerland...
July 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28605358/falls-and-related-injuries-in-hospitalized-patients-with-cancer-in-taiwan
#7
Li-Yun Tsai, Malcolm Campbell, Ching-Ju Chen, Ruey-Kuen Hsieh, Hui-Hsien Chien, Jung-Mei Tsai
BACKGROUND: Falls and fall-related injuries are important indicators for quality of nursing care in institutions. Few studies have been conducted specifically on this topic for hospitalized patients with cancer in Taiwan. PURPOSE: The aims of this study were to understand falls and levels of injury; to identify associations among fall-related injuries, demographics, and causes of falling; and to predict fall-related injuries in hospitalized patients with cancer...
May 31, 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28570379/promoting-evidence-based-practice-at-a-primary-stroke-center-a-nurse-education-strategy
#8
Christina Anne Case
BACKGROUND: Promoting a culture of evidence-based practice within a health care facility is a priority for health care leaders and nursing professionals; however, tangible methods to promote translation of evidence to bedside practice are lacking. OBJECTIVES: The purpose of this quality improvement project was to design and implement a nursing education intervention demonstrating to the bedside nurse how current evidence-based guidelines are used when creating standardized stroke order sets at a primary stroke center, thereby increasing confidence in the use of standardized order sets at the point of care and supporting evidence-based culture within the health care facility...
July 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28554000/health-professionals
#9
Julie Willmott, Jon Mould
Objective Globally, the degree of patient harm occurring in healthcare was first publicised in the 1990s. Although many factors affect patient safety, in the US the Institute of Medicine identified hospital organisational culture as one factor contributing to a reduction in errors. This led to the development of many tools for measuring the safety culture of hospital staff. The aim of the present study was to review the literature on patient safety culture in acute hospitals to identify: (1) how patient safety is viewed by health professionals; (2) whether patient safety culture is perceived differently at the hospital versus ward level; and (3) whether clinicians and managers place the same importance on patient safety...
May 30, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28538463/implementation-of-a-modified-bedside-handoff-for-a-postpartum-unit
#10
Christine A Wollenhaup, Eleanor L Stevenson, Julie Thompson, Helen A Gordon, Gloria Nunn
The most frequent cause of sentinel events is poor communication during the nurse-to-nurse handoff process. Standardized methods of handoff do not fit in every patient care setting. The aims of this quality improvement project were to successfully implement a modified bedside handoff model, with some report outside and some inside the patient's room, in a postpartum unit. A structured educational module and champion nurses were used. The new model was evaluated based on the change in compliance, patient satisfaction, and nursing satisfaction...
June 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28483242/prevention-of-post-operative-pediatric-tracheotomy-wounds-a-multidisciplinary-team-approach
#11
Timothy P McEvoy, Nolan B Seim, Abdullah Aljasser, Charles A Elmaraghy, Brenda Ruth, Leslie Justice, Sarah Begue, Kris R Jatana
OBJECTIVE: Tracheotomy-related pressure wounds have been reported as high as 29%. All advanced stage (stage 3 or 4) wounds are reported by hospitals, and CMS will no longer reimburse healthcare costs to manage them. We present the results of an intensive, multidisciplinary wound prevention strategy starting in the operating room at the time of tracheotomy placement. METHODS: Prospective analysis of a tracheostomy wound care protocol at an academic, tertiary-care pediatric hospital from September 2012 to February 2016...
June 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28451468/a-feasibility-study-of-intermittent-electrical-stimulation-to-prevent-deep-tissue-injury-in-the-intensive-care-unit
#12
Angela Kane, Robyn Warwaruk-Rogers, Chester Ho, Ming Chan, Richard Stein, Vivian K Mushahwar, Sean P Dukelow
Objective: The primary goal of this study was to investigate the feasibility of utilizing intermittent electrical stimulation (IES) in an intensive care environment as a potential method for preventing pressure ulcers. Furthermore, we wished to evaluate the practicality of the innovation and end-user acceptability. Approach: Twenty immobile subjects, age ranging from 19 to 86 years old with a Braden Scale score ranging from 9 to 16 (very high to moderate risk of developing pressure ulcers), were enrolled. Intermittent 35 Hz electrical stimulation was administered through surface electrodes to the gluteal muscles causing them to contract for 10 s every 10 min...
April 1, 2017: Advances in Wound Care
https://www.readbyqxmd.com/read/28422930/exploring-the-best-practices-of-nursing-research-councils-in-magnet%C3%A2-organizations-findings-from-a-qualitative-research-study
#13
Jennifer Day, Cathleen Lindauer, Joyce Parks, Elizabeth Scala
OBJECTIVE: The objective of this descriptive qualitative study was to identify best practices of nursing research councils (NRCs) at Magnet®-designated hospitals. BACKGROUND: Nursing research (NR) is essential, adding to the body of nursing knowledge. Applying NR to the bedside improves care, enhances patient safety, and is an imperative for nursing leaders. METHODS: We interviewed NR designees at 26 Magnet-recognized hospitals about the structure and function of their NRCs and used structural coding to identify best practices...
May 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28363361/parent-participation-in-pediatric-intensive-care-unit-rounds-via-telemedicine-feasibility-and-impact
#14
Phoebe H Yager, Maureen Clark, Brian M Cummings, Natan Noviski
OBJECTIVES: To evaluate feasibility and impact of telemedicine for remote parent participation in pediatric intensive care unit (PICU) rounds when parents are unable to be present at their child's bedside. STUDY DESIGN: Parents of patients admitted to a 14-bed PICU were approached, and those unable to attend rounds were eligible subjects. Nurse and physician caregivers were also surveyed. Parents received an iPad (Apple Inc, Cupertino, California) with an application enabling audio-video connectivity with the care team...
June 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/28328391/inpatient-experiences-with-mychart-bedside
#15
Erin L Winstanley, Michelle Burtchin, Yifan Zhang, Paula Campbell, Jodi Pahl, Stephen Beck, Wayne Bohenek
BACKGROUND: As technology is increasingly being integrated into hospital-based care, it is important to assess patient experiences. The purpose of this project was to conduct an evaluation of inpatient experiences with MyChart(®) Bedside. MATERIALS AND METHODS: A convenience sample of patients (n = 88) were included in this study, who responded to a Web-based self-reported survey that was embedded within the MyChart Bedside application. RESULTS: The majority of respondents (78%) reported that MyChart Bedside was easy to use...
February 22, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28282305/ce-original-research-identifying-hospitalized-patients-at-risk-for-harm-a-comparison-of-nurse-perceptions-vs-electronic-risk-assessment-tool-scores
#16
COMPARATIVE STUDY
Andrea Stafos, Susan Stark, Kathryn Barbay, Kristen Frost, David Jackel, Lindsey Peters, Elizabeth Riggs, Susan Schedler, Shalan Stroud
: Objective: In many hospitals, nurse-led "safety huddles" are used to relay patient safety information, although whether this effectively identifies patients at risk for harm has not been determined. New electronic risk assessment tools are designed to identify patients at risk for harm during hospitalization, based on specific markers in the electronic health record. This study sought to compare the results of both methods. The findings may help to enhance decision making at the level of care delivery. METHODS: A nonexperimental correlational study was conducted over a three-week period in 2015 in a large metropolitan acute care community hospital...
April 2017: American Journal of Nursing
https://www.readbyqxmd.com/read/28276090/the-content-and-meaning-of-administrative-work-a-qualitative-study-of-nursing-practices
#17
Lucie Michel, Mathias Waelli, Davina Allen, Etienne Minvielle
AIM: To investigate the content and meaning of nurses' administrative work. BACKGROUND: Nurses often report that administrative work keeps them away from bedside care. The content and meaning of this work remains insufficiently explored. DESIGN: Comparative case studies. METHOD: The investigation took place in 2014. It was based on 254 hours of observations and 27 interviews with nurses and staff in two contrasting units: intensive care and long term care...
March 9, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28272589/standardized-attending-rounds-to-improve-the-patient-experience-a-pragmatic-cluster-randomized-controlled-trial
#18
Bradley Monash, Nader Najafi, Michelle Mourad, Alvin Rajkomar, Sumant R Ranji, Margaret C Fang, Marcia Glass, Dimiter Milev, Yile Ding, Andy Shen, Bradley A Sharpe, James D Harrison
BACKGROUND: At academic medical centers, attending rounds (AR) serve to coordinate patient care and educate trainees, yet variably involve patients. OBJECTIVE: To determine the impact of standardized bedside AR on patient satisfaction with rounds. DESIGN: Cluster randomized controlled trial. SETTING: 500-bed urban, quaternary care hospital. PATIENTS: 1200 patients admitted to the medicine service...
March 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28269189/an-automated-bladder-volume-measurement-algorithm-by-pixel-classification-using-random-forests
#19
Pavan Annangi, Sigmund Frigstad, S B Subin, Anders Torp, Sundararajan Ramasubramaniam, Srinivas Varna
Residual bladder volume measurement is a very important marker for patients with urinary retention problems. To be able to monitor patients with these conditions at the bedside by nurses or in an out patient setting by general physicians, hand held ultrasound devices will be extremely useful. However to increase the usage of these devices by non traditional users, automated tools that can aid them in the scanning and measurement process will be of great help. In our paper, we have developed a robust segmentation algorithm to automatically measure bladder volume by segmenting bladder contours from sagittal and transverse ultrasound views using a combination of machine learning and active contour algorithms...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28267902/effectiveness-of-an-online-educational-module-in-improving-evidence-based-practice-skills-of-practicing-registered-nurses
#20
Lora Moore
BACKGROUND: Implementation of evidence-based practice (EBP) at the bedside has been difficult to achieve. Significant gaps between current research and actual practice have been identified and must be addressed in effort to increase utilization of EBP. AIMS: The purpose of this study was to evaluate the efficacy of an online EBP educational intervention and to examine the relationship between educational preparation and years of nursing experience on nurses' practice, attitudes, and knowledge and skills of EBP...
March 7, 2017: Worldviews on Evidence-based Nursing
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