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https://www.readbyqxmd.com/read/28319992/organizational-and-community-factors-associated-with-magnet-status-of-u-s-hospitals
#1
Teresa Wai Chi Tai, Sherry I Bame
The Magnet Recognition Program for healthcare organizations promotes excellence in nursing services and professional practices. However, organizational and community characteristics that contribute to the adoption of Magnet status remain unexplained. Investigating organizational and community factors will help determine systematic structural and contextual dimensions of Magnet hospitals previously shown to be more cost-effective in comparison with non-Magnet hospitals. Using the baseline 2005 database of all Magnet hospitals in the United States, the authors selected a matched sample to determine key organizational and community characteristics associated with Magnet adoption while controlling for regional and local factors...
January 2017: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/28294028/only-mandated-ratios-will-enable-proper-workforce-planning
#2
Susan Osborne
On 7 February, NHS staff were asked by Unison to record nurse-to-patient ratios as part of the union's sixth annual safe staffing survey.
March 15, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28291563/factors-associated-with-aggressive-behavior-between-residents-and-staff-in-nursing-homes
#3
Karin Stutte, Sabine Hahn, Katharina Fierz, Franziska Zúñiga
The aim of this secondary data analysis of the cross-sectional Swiss Nursing Homes Human Resources Project (SHURP) study was to describe the prevalence of residents' verbal, physical and sexual aggression toward care workers in Swiss nursing homes and to explore their association with context and care worker factors. The study's sample incorporated data from 155 randomly selected nursing homes, including 402 units. Among care workers (n = 3919), 66% reported experiencing verbal, 42% physical and 15% sexual aggression...
March 10, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28266962/patient-turnover-a-concept-analysis
#4
Christopher A VanFosson, Linda H Yoder, Terry L Jones
Patient turnover influences the quality and safety of patient care. However, variations in the conceptual underpinnings of patient turnover limit the understanding of the phenomenon. A concept analysis was completed to clarify the role of patient turnover in relation to outcomes in the acute care hospital setting. The defining attributes, antecedents, consequences, and empirical referents of patient turnover were proposed. Nursing leaders should account for patient turnover in workload and staffing calculations...
March 6, 2017: ANS. Advances in Nursing Science
https://www.readbyqxmd.com/read/28263363/changes-in-emergency-department-geriatric-services-in-quebec-and-correlates-of-these-changes
#5
Jane McCusker, Alain Vadeboncoeur, Sylvie Cossette, Nathalie Veillette, Francine Ducharme, Thien Tuong Minh Vu, Antonio Ciampi, Deniz Cetin-Sahin, Eric Belzile
BACKGROUND/OBJECTIVES: To describe changes in geriatric emergency department (ED) services from 2006 (T1) to 2013/14 (T2), associated factors, and outcomes. DESIGN: Two-wave survey design. SETTING: Province of Quebec, Canada. PARTICIPANTS: Lead nurses and physicians at 57 EDs that participated in both the T1 and T2 surveys. INTERVENTION: Changes over time in ED geriatric services, observed naturalistically...
March 6, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28251690/matching-registered-nurse-services-with-changing-care-demands-match-rn-study-protocol-of-a-natural-experiment-multi-center-study
#6
Stefanie Bachnick, Dietmar Ausserhofer, Jean-Marie Januel, Maria Schubert, René Schwendimann, Sabina De Geest, Michael Simon
AIM: To examine how patient safety indicators and processes and structures of nursing care have changed since the 2012 introduction of Swiss Diagnosis-Related Groups. BACKGROUND: Diagnosis-Related Groups have been implemented worldwide; yet, research findings regarding their impact on efficiency and quality of care remain inconsistent. The Matching Registered Nurse Services with Changing Care Demands study will assess how structures, processes and patient and nurse outcomes have changed in Swiss acute care hospitals since the introduction of Swiss Diagnosis-Related Groups...
March 2, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28249580/assessment-of-the-utility-of-a-symptom-based-algorithm-for-identifying-febrile-patients-for-malaria-diagnostic-testing-in-senegal
#7
Julie Thwing, Fatou Ba, Alou Diaby, Younouss Diedhiou, Assane Sylla, Guelaye Sall, Mame Birame Diouf, Alioune Badara Gueye, Seynabou Gaye, Medoune Ndiop, Moustapha Cisse, Daouda Ndiaye, Mady Ba
BACKGROUND: Malaria rapid diagnostic tests (RDTs) enable point-of-care testing to be nearly as sensitive and specific as reference microscopy. The Senegal National Malaria Control Programme introduced RDTs in 2007, along with a case management algorithm for uncomplicated febrile illness, in which the first step stipulates that if a febrile patient of any age has symptoms indicative of febrile illness other than malaria (e.g., cough or rash), they would not be tested for malaria, but treated for the apparent illness and receive an RDT for malaria only if they returned in 48 h without improvement...
March 1, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28247177/technical-efficiency-of-nursing-homes-do-five-star-quality-ratings-matter
#8
Rajendra Dulal
This study investigates associations between five-star quality ratings and technical efficiency of nursing homes. The sample consists of a balanced panel of 338 nursing homes in California from 2009 through 2013 and uses two-stage data envelopment (DEA) analysis. The first-stage applies an input oriented variable returns to scale DEA analysis. The second-stage uses a left censored random-effect Tobit regression model. The five-star quality ratings i.e., health inspections, quality measures, staffing available on the Nursing Home Compare website are divided into two categories: outcome and structure form of quality...
February 28, 2017: Health Care Management Science
https://www.readbyqxmd.com/read/28244181/starting-out-qualitative-perspectives-of-new-graduate-nurses-and-nurse-leaders-on-transition-to-practice
#9
Sandra Regan, Carol Wong, Heather K Laschinger, Greta Cummings, Michael Leiter, Maura MacPhee, Ann Rhéaume, Judith A Ritchie, Angela C Wolff, Lianne Jeffs, Carol Young-Ritchie, Doris Grinspun, Mary Ellen Gurnham, Barbara Foster, Sherri Huckstep, Maurio Ruffolo, Judith Shamian, Vanessa Burkoski, Kevin Wood, Emily Read
AIM: To describe new graduate nurses' transition experiences in Canadian healthcare settings by exploring the perspectives of new graduate nurses and nurse leaders in unit level roles. BACKGROUND: Supporting successful transition to practice is key to retaining new graduate nurses in the workforce and meeting future demand for healthcare services. METHOD: A descriptive qualitative study using inductive content analysis of focus group and interview data from 42 new graduate nurses and 28 nurse leaders from seven Canadian provinces...
February 27, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/28244059/medical-errors-in-neonatal-intensive-care-unit-at-benha-university-hospital-egypt
#10
REVIEW
Ahmed N El-Shazly, Mahmoud A Al-Azzouny, Doaa R Soliman, Neveen T Abed, Sameh S Attia
This study was conducted in the neonatal intensive care unit of Benha University Hospital, Egypt from 1 August 2012 to the 31 January 2013 to identify medical errors and to determine the risk factors and consequences of these errors. Errors were detected by follow-up of neonates and review of reports including nursing followup sheets, resident progression notes and investigation reports. We detected 3819 errors that affected 97% of neonates. Types of errors included 403 medication errors (10.55% of total errors), 652 errors in daily routine procedures (17...
February 21, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28241950/addressing-perioperative-staff-member-fatigue
#11
Renae N Battié, Hester Rall, Lorie Khorsand, Jodi Hill
Staffing shortages among professionals in specialized health care and clinical situations that demand around-the-clock care make it challenging to address staff member fatigue. Many industries have developed restrictions on work hours to help reduce the effects of fatigue on safety. The perioperative specialty, however, often requires personnel to work long hours, offers limited resources for specialized professionals, and employs on-call schedules that can be demanding. This article discusses research and additional information related to fatigue and how it can affect perioperative patient care...
March 2017: AORN Journal
https://www.readbyqxmd.com/read/28240089/clinical-establishments
#12
(no author information available yet)
Safe, Sustainable and Productive Staffing: An Improvement Resource for Adult Inpatient Wards in Acute Hospitals is based on the National Quality Board's expectations of safe, effective and well led care, and builds on the National Institute for Health and Care Excellence guidelines on safe staffing for nursing in adult wards.
February 27, 2017: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/28238994/can-incentives-reduce-the-barriers-to-use-of-antenatal-care-and-delivery-services-in-kenya-results-of-a-qualitative-inquiry
#13
Eleanor Fleming, Joanna Gaines, Katherine O'Connor, Judith Ogutu, Nancy Atieno, Salimah Atieno, Mary L Kamb, Robert Quick
A qualitative inquiry was used to assess if incentives consisting of a hygiene kit, protein-fortified flour, and delivery kit reduced barriers to antenatal care and delivery services in Nyanza Province, Kenya. We conducted 40 interviews (baseline: five nurses, six mothers, one focus group of five mothers; follow-up: nine nurses, 19 mothers) to assess perceptions of these services. Mothers and nurses identified poor quality of care, fear of HIV diagnosis and stigma, inadequate transport, and cost of care as barriers...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28238586/developing-a-minimum-dataset-for-nursing-team-leader-handover-in-the-intensive-care-unit-a-focus-group-study
#14
Amy J Spooner, Leanne M Aitken, Amanda Corley, Wendy Chaboyer
BACKGROUND: Despite increasing demand for structured processes to guide clinical handover, nursing handover tools are limited in the intensive care unit. OBJECTIVES: The study aim was to identify key items to include in a minimum dataset for intensive care nursing team leader shift-to-shift handover. METHODS: This focus group study was conducted in a 21-bed medical/surgical intensive care unit in Australia. Senior registered nurses involved in team leader handovers were recruited...
February 23, 2017: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/28209430/working-together-critical-care-nurses-experiences-of-temporary-staffing-within-swedish-health-care-a-qualitative-study
#15
Anna Berg Jansson, Åsa Engström
OBJECTIVES: The aim of this study is to describe critical care nurses (CCN's) experiences of working with or as temporary agency staff. RESEARCH METHODOLOGY: This explorative qualitative study is based on interviews with five agency CCNs and five regular CCNs, a total of ten interviews, focusing on the interviewees' experiences of daily work and temporary agency staffing. The interviews were analysed manually and thematically following an inductive approach. FINDINGS: Four themes that illustrate both similarities and differences between regular and temporary agency CCNs emerged: "working close to patients versus being responsible for everything", "teamwork versus independence", "both groups needed" and "opportunities and challenges"...
February 13, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28199267/organizational-and-community-factors-associated-with-magnet-status-of-u-s-hospitals
#16
Teresa Wai Chi Tai, Sherry I Bame
The Magnet Recognition Program for healthcare organizations promotes excellence in nursing services and professional practices. However, organizational and community characteristics that contribute to the adoption of Magnet status remain unexplained. Investigating organizational and community factors will help determine systematic structural and contextual dimensions of Magnet hospitals previously shown to be more cost-effective in comparison with non-Magnet hospitals. Using the baseline 2005 database of all Magnet hospitals in the United States, the authors selected a matched sample to determine key organizational and community characteristics associated with Magnet adoption while controlling for regional and local factors...
January 2017: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/28198753/mechanical-ventilation-weaning-practices-and-decision-making-in-european-picus
#17
Lyvonne N Tume, Martin C J Kneyber, Bronagh Blackwood, Louise Rose
OBJECTIVES: This survey had three key objectives: 1) To describe responsibility for key ventilation and weaning decisions in European PICUs and explore variations across Europe; 2) To describe the use of protocols, spontaneous breathing trials, noninvasive ventilation, high-flow nasal cannula use, and automated weaning systems; and 3) To describe nurse-to-patient staffing ratios and perceived nursing autonomy and influence over ventilation decision making. DESIGN: Cross-sectional electronic survey...
February 14, 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/28196578/establishing-a-measurement-tool-for-a-nursing-work-environment-in-taiwan
#18
Li-Chiu Lin, Huan-Fang Lee, Miaofen Yen
AIM: The nursing work environment is a critical global health care problem. Many health care providers are concerned about the associations between the nursing work environment and the outcomes of organizations, nurses, and patients. Nursing work environment instruments have been assessed in the West but have not been considered in Asia. However, different cultures will affect the factorial structure of the tool. Using a stratified nationwide random sample, we created a measurement tool for the nursing work environment in Taiwan...
February 1, 2017: Research and Theory for Nursing Practice
https://www.readbyqxmd.com/read/28162070/three-quarters-of-neonatal-units-in-scotland-understaffed
#19
Chris Longhurst
Three quarters of neonatal units in Scotland do not have enough nurses to meet minimum safe staffing levels, according to Bliss Scotland.
February 6, 2017: Nursing Children and Young People
https://www.readbyqxmd.com/read/28158915/clinical-motivation-and-the-surgical-safety-checklist
#20
X Yu, Y Huang, Q Guo, Y Wang, H Ma, Y Zhao
BACKGROUND: Although the surgical safety checklist (SSC) has been adopted worldwide, its efficacy can be diminished by poor clinical motivation. Systematic methods for improving implementation are lacking. METHODS: A multicentre prospective study was conducted in 2015 in four academic/teaching hospitals to investigate changes during revision of the SSC for content, staffing and workflow. All modifications were based on feedback from medical staff. Questionnaires were used to monitor dynamic changes in surgeons', nurses' and anaesthetists' perceptions...
March 2017: British Journal of Surgery
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