Interdisciplinary Rounds on a Hospitalist Service: Impact on Palliative Care Measures, Quality, and Utilization Outcomes
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: CE Test Source Type: research

Measuring Quality of Care: A Rasch Validity Analysis of the Good Nursing Care Scale
Conclusions: The findings support that the GNCS is a psychometrically sound instrument that can be used in measuring the quality of nursing care, from the perspective of both patients and nurses. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

Barriers and Enablers to Implementing a High-Dependency Care Model in Pediatric Care: A Preimplementation Study
Conclusions: Study findings highlight multilevel factors to consider prior to implementing an HDC model on a pediatric inpatient unit. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

Associations Between Hospital-Level Patient Satisfaction Scores and Hospital-Acquired Pressure Ulcer Occurrences Among Medicare Stroke Patients
Conclusions: Using hospital-level patient satisfaction HCAHPS scores to monitor and project HAPU occurrences is recommended. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

Examining the Capacity of Registered Nurses to Deliver Culturally Competent Health Care to Veterans and Their Families
Conclusions: This study revealed significant gaps in the capacity of nurses to deliver culturally competent care to military veterans and their families. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

Staff's Perception of the Intensive Care Outreach Nurse Role: A Multisite Cross-sectional Study
Conclusions: The ICON role is able to support recognition and management of the deteriorating patients. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

Implementation of a Vital Sign Alert System to Improve Outcomes
Conclusions: The VSA system was an effective tool to identify patients at risk for clinical deterioration and help to improve outcomes. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

Randomized Controlled Trial of Symptom Management Patient Education for People With Acute Coronary Syndrome
Conclusion: This 3-resource symptom management patient education shows promise in improving sublingual nitroglycerin knowledge for people with acute coronary syndrome. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

Augmenting Atrial Fibrillation Care After an Emergency Department Visit: Implementing Telephone Practice
Background: Between 2010 and 2012, the Heart Rhythm team in a tertiary care hospital completed a retrospective study that found that atrial fibrillation (AF) care can be episodic and heavily reliant on hospital resources, particularly the emergency department (ED). Problem: Patients who attend the ED with AF are at high risk of hospital admission. Approach: A nurse practitioner (NP) was added to the Heart Rhythm team to create a program to improve AF care after an ED visit. Telephone practice was one of the many processes created. Outcomes: Findings revealed that 37 of 90 patients presented to the ED with AF pri...
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

Improving Patient Experience and Treatment Adherence in the Adult, Outpatient Hemodialysis Population
Conclusions: A comprehensive medication review, with concurrent pharmacist access, represents a time-effective approach to improved self-management and end-stage renal disease outcomes. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

Rapid Response Team-Quality Champion Registered Nurse: Observations and Perceptions
Conclusions: Benefits of the RRT-QC registered nurse were extensive. Observations showed support, education, and teamwork in an effort to improve outcomes and support clinicians. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

Sepsis Education Initiative Targeting qSOFA Screening for Non-ICU Patients to Improve Sepsis Recognition and Time to Treatment
Background: The quick-Sequential Organ Failure Assessment (qSOFA) criteria are recommended for identifying non–intensive care unit (ICU) patients at risk for sepsis but are underutilized. Local Problem: We hypothesized that education on recognizing sepsis using qSOFA criteria and empowering nurses to trigger rapid response team (RRT) calls based on positive qSOFA scores would reduce time to recognition and time to intervention and improve treatment compliance in non–ICU patients. Methods: The methods involved a descriptive retrospective review of 60 sepsis patients (30 pre- and 30 posteducation) to dete...
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

Increasing Competence in Pressure Injury Prevention Using Competency-Based Education in Adult Intensive Care Unit
Conclusions: The use of a competency-based education program may be effective in increasing pressure injury prevention in the intensive care unit. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

Driving Innovation in Health Care: Clinical Nurse Leader Role
Conclusions: Replication of this study is needed with an increased sample size of CNLs to determine whether curriculum change is needed. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

Clinical Nurse Leader Knowledge Production to Quality Improvement in a Seamless Trajectory: A Participatory Research Approach
Conclusions: A participatory approach can be used in future CNL studies, providing a framework for research efforts and potentially speeding up CNL evidence generation and utilization in practice. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

Interdisciplinary Rounds on a Hospitalist Service: Impact on Palliative Care Measures, Quality, and Utilization Outcomes
Conclusions: Results support IDRs as a mechanism to improve time to PC referral, decrease LOS, direct cost, and 30-day mortality among hospitalized adults. A more objective method of identifying patients with unmet PC needs may be warranted. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events
Background: A strong patient safety culture (PSC) may be associated with improved patient outcomes in hospitals. The mechanism that explains this relationship is underexplored; missed nursing care may be an important link. Purpose: The purpose of this study was to describe relationships among PSC, missed nursing care, and 4 types of adverse patient events. Methods: This cross-sectional study employed primary survey data from 311 nurses from 29 units in 5 hospitals and secondary adverse event data from those same units. Analyses include analysis of variance and regression models. Results: Missed nursing care was ...
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

A Collaborative Approach to Reducing Central Line-Associated Bloodstream Infections
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Department: Quality From the Field Source Type: research

Quiet Time Improves the Patient Experience
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: CE Test Source Type: research

Barriers to Integrating Research Into Clinical Nursing Practice
Conclusion: Clinical setting factors are those most perceived by nurses as barriers to integrating research into practice. Reforms in the clinical areas should take place to overcome these barriers. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Articles Source Type: research

Relationship Between Control Over Nursing Practice and Job Satisfaction and Quality of Patient Care
Conclusion: Nurse managers should be encouraged to take into consideration nurses' perceived CONP to improve working conditions for nurses. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Articles Source Type: research

Nursing Documentation of Postoperative Pain Management: A Documentary Analysis
Conclusions: Documentation patterns revealed a lack of proactive and systematic approach to pain assessment and management. Furthermore, there was little documented evidence of efforts to evaluate the effectiveness of pain management interventions. Findings have important implications for standardizing documentation of pain assessment, intervention, and evaluation. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Articles Source Type: research

Developing an Intervention to Reduce Harm in Hospitalized Patients: Patients and Families in Research
Conclusion: Intentional inclusion of the patient/family in research is important and practical. Both strengths and challenges of the proposed intervention were identified, indicating the need for further study. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Articles Source Type: research

Clarifying Role Expectations and Practice Standards Using a Clinical Nurse Leader Professional Practice Model Illustration
Conclusions: Professional practice model illustrations may be beneficial in developing a consensus of practice. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Articles Source Type: research

Use of Chlorhexidine to Prevent Ventilator-Associated Pneumonia in a Long-term Care Setting: A Retrospective Medical Record Review
Conclusions: These findings support using CHX to significantly reduce the number of days of intravenous antibiotics used to treat VAP with little side effects. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Articles Source Type: research

Exploring the Hidden Functions of Nursing Bedside Shift Report: A Performance, Ritual, and Sensemaking Opportunity
Conclusions: Nurse leaders can use this study's findings to inform the development or improvement of an efficient, effective, and sustainable NBSR process at their local institution. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Articles Source Type: research

Relationship Between Work Environments, Nurse Outcomes, and Quality of Care in ICUs: Mediating Role of Nursing Care Left Undone
Conclusions: Cultivating supportive work environments serves as a strategy to reduce nursing care left undone, and to improve nurse outcomes and quality of care in ICUs. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Articles Source Type: research

Organizational Factors Associated With Technical Efficiency of Nursing Care in US Intensive Care Units
Conclusions: A higher nurse-to-patient ratio greatly improved technical efficiency of nursing care in ICUs and the effect differed between hospitals. Administrators and policy makers can translate the study findings into management strategies to provide efficient nursing care in ICUs. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Articles Source Type: research

Using Lean Six Sigma to Improve Controlled Drug Processes and Release Nursing Time
Conclusions: Interprofessional collaboration improving hospital-wide processes can have significant benefits for the release of nursing time. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Articles Source Type: research

Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles: A Qualitative Analysis
Conclusion: Some HRO principles were present in the language used by our participants. High performers exhibited greater manifestations of HRO, although HRO alone was insufficient to describe our results. Mindful organizing, which expands on HRO, was a better fit. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Articles Source Type: research

Sustaining Quality Improvement: Long-Term Reduction of Nonventilator Hospital-Acquired Pneumonia
Conclusions: Sustaining change requires (a) a continued team-based, collaborative approach, (b) ongoing stakeholder and executive leadership engagement, (c) monitoring that easy-to-use protocols and required equipment remain in place, and (d) embedded analytics to monitor results over a prolonged period. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Articles Source Type: research

Health Optimization Program for Elders: Improving the Transition From Hospital to Skilled Nursing Facility
Conclusions: An NP-led hospital to SNF transitional care program is a promising means of improving hospital to SNF transitions. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Articles Source Type: research

Blended Facilitation as an Effective Implementation Strategy for Quality Improvement and Research in Nursing Homes
Conclusions: Blended facilitation invites nursing home stakeholders to be equal partners in QI and research processes. Its intentional use may overcome many existing barriers to QI and research performed in nursing homes and, by strengthening relationships between researchers and stakeholders, may accelerate implementation of innovative care practices. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Articles: Methods Discussion Source Type: research

Impact of a Nutrition-Focused Quality Improvement Intervention on Hospital Length of Stay
Background: Despite its high prevalence, malnutrition in hospitalized patients often goes unrecognized and undertreated. Local Problem: A hospital system sought to improve nutrition care by implementing a quality improvement initiative. Nurses screened patients upon admission using the Malnutrition Screening Tool and initiated oral nutrition supplements for patients at risk. Methods: We retrospectively reviewed the medical records of 20 697 adult patients to determine whether early initiation of nutrition therapy had reduced hospital length of stay and 30-day readmission rates. Results: We found the average time...
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Articles Source Type: research

Quiet Time Improves the Patient Experience
Conclusions: Noise in hospitals is often beyond the scope of nurse-driven improvement; however, a QT protocol led by nurses, developed by multiple stakeholders, and focused on changing expectations for quiet can lead to measurable improvements in patient perception of quiet. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Articles Source Type: research

Shared Governance Approach to Implementing Change of Shift Huddle
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Departments: Using Evidence to Change Practice Source Type: research

Avoiding Nursing Home to Hospital Transfers: Rethinking Avoidability
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Departments: Innovations in Quality Improvement in Long-term Care Source Type: research

Employing Technology to Make Care Transitions Safer
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 21, 2019 Category: Nursing Tags: Departments: AHRQ Commentary Source Type: research

Improving Patient and Caregiver New Medication Education Using an Innovative Teach-back Toolkit
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - February 26, 2019 Category: Nursing Tags: CE Test Source Type: research

Medication Administration Errors: Perceptions of Jordanian Nurses
Conclusion: Developing effective quality assurance programs in relation to medications and medication administration in all Jordanian health care settings is vital to ensure patient safety. Nursing educators in clinical and academic settings need to reinforce the importance of medication rights as well as medication calculation. A distraction-free zone should be created and reinforced in all medication rooms. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - February 26, 2019 Category: Nursing Tags: Articles Source Type: research

Frequency of and Reasons for False-Positive Consults Generated by the Malnutrition Screening Tool
Conclusions: As nurses are integral to completion of the MST, data generated can be used in ongoing education of nursing staff. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - February 26, 2019 Category: Nursing Tags: Articles Source Type: research

Quality of Pediatric Emergency Care as Assessed by Children and Their Parents
Conclusions: Pediatric emergency care should focus on innovative ways of improving children's involvement in their care. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - February 26, 2019 Category: Nursing Tags: Articles Source Type: research

Exploring the Associations Between Patient Affect, Self-Care Actions, and Emergency Department Use for Community-Dwelling Adults
Conclusions: Patients' perceptions of their self-care actions could lead to better outcomes. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - February 26, 2019 Category: Nursing Tags: Articles Source Type: research

Handover of Patients From Prehospital Emergency Services to Emergency Departments: A Qualitative Analysis Based on Experiences of Nurses
Conclusions: An organized method does not exist. The quality of handovers could be enhanced by improvements in communication and standardizing the process. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - February 26, 2019 Category: Nursing Tags: Articles Source Type: research

Nurses' Perception of the Impact of Electronic Documentation on the Nurse-Patient Relationship
Conclusions: Both novice and expert nurses identified strategies that they used to ensure they were “maintaining the connection” to patients during electronic medical record documentation. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - February 26, 2019 Category: Nursing Tags: Articles Source Type: research

Impact of Nurse Peer Review on a Culture of Safety
Background: Nursing peer review (NPR) is essential in evaluating nursing practice. A common theme throughout the literature is that NPR holds nurses accountable for their practice. Problem: The nursing profession has struggled to conduct peer review consistently due to lack of a standardized framework. Approach: A NPR program was developed, implemented, and evaluated in a 355-bed acute care hospital in the Midwestern United States. Outcomes: A pre- and postdesign using the Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture was used for evaluation. Paired t test results revealed ...
Source: Journal of Nursing Care Quality - February 26, 2019 Category: Nursing Tags: Articles Source Type: research

Redesigning Hospital Diabetes Education: A Qualitative Evaluation With Nursing Teams
Conclusions: Implementation of a web-based DSSE program for inpatients needs adaptation to overcome challenges at the patient, care team, and process levels. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - February 26, 2019 Category: Nursing Tags: Articles Source Type: research

Video Monitoring for Fall Prevention and Patient Safety: Process Evaluation and Improvement
Conclusions: Suggested changes and standardization of the monitoring process have been implemented in the study facility. Insights are provided for other facilities considering video monitoring for patient safety. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - February 26, 2019 Category: Nursing Tags: Articles Source Type: research

Fall Risk Program for Oncology Inpatients: Addition of the “Traffic Light” Fall Risk Assessment Tool
Conclusions: Adding the TL-FRAT to the fall protocol on the units effectively reduced the incidence of falls related to impaired mobility. The TL-FRAT can improve nurses' sensitivity to falls related to impaired mobility and, subsequently, guide corresponding fall prevention strategies. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - February 26, 2019 Category: Nursing Tags: Articles Source Type: research

Implementation Strategies to Improve Evidence-Based Bathing Practices in a Neuro ICU
Conclusions: This study assists in closing the research-practice gap by using tailored, multifaceted implementation strategies to increase use of evidence-based nursing care for infection prevention practices. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - February 26, 2019 Category: Nursing Tags: Articles Source Type: research