A Quality Approach to Reducing the Occurrence of Occluded Leukocyte Reduction Filters During Platelet Transfusion
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: NCPD Test Source Type: research

Incident Management in Health Care: A Pan-Canadian Perspective
Conclusion: The study findings support and inform efforts to create a patient safety culture in Canadian and international health care organizations. There is a need to develop a standardized, accessible incident reporting and management system for use across health care sectors to promote continuous learning and improvement about patient safety. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Articles Source Type: research

Systematic Review of Quality Improvement Projects Related to Intershift Nursing Handover
Conclusions: The published research on intershift handover-related QI projects employed standardized communication tools and the patient-participation bedside handover method to reduce adverse events and handover times and increase the satisfaction of patients and nurses. Future studies should measure the changes in patient safety-related outcomes. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Articles Source Type: research

Cardiac Telemetry Downtime and Contingency Plan Development: A Review of Downtime Events Reported in the Veterans Health Administration
Conclusions: The majority of reported cardiac telemetry downtime events were unplanned and without documented contingency plans. A robust contingency plan with defined staff roles and responsibilities will serve to lessen anxiety during downtimes and mitigate potential risk of patient harm. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Articles Source Type: research

An Integrative Review of the Barriers and Facilitators to Nurse Engagement in Quality Improvement in the Clinical Practice Setting
Conclusion: High-quality literature exploring barriers and facilitators of nurse engagement in QI is lacking. Research is needed to examine the degree to which these barriers and facilitators impact engagement and how they can be addressed to increase it. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Articles Source Type: research

Speaking Visually: COVID-19 Education for Kids
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: From Clinical Nurse Leaders Source Type: research

Nurse Burnout Syndrome and Work Environment Impact Patient Safety Grade
This study examined nurse-reported patient safety grade and its relationship to both burnout and the nursing work environment. Methods: A cross-sectional electronic survey was conducted among nurses (N = 928) in acute care Alabama hospitals. Results: In multilevel ordinal mixed-effects models with nurses nested within hospitals, all burnout dimensions of the Copenhagen Burnout Inventory (OR for +1 SD ranging 0.63-0.78; P (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Articles Source Type: research

Using Lean Six Sigma to Increase the Effectiveness of an Evidence-Based Quality Improvement Program
Conclusions: Lean Six Sigma can increase the effectiveness of an EBQI program. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Articles Source Type: research

Impact of TeamSTEPPS Training With Rural Hospital Staff: A Quality Improvement Project
Conclusions: TeamSTEPPS is an effective program for training a variety of health care disciplines. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Articles Source Type: research

Validity and Usefulness of an Electronic Health Care Record-Generated Mobility Ambulation Tool: The Human Body Was Designed to Move
Conclusion: Findings revealed that the EHR-Mobility Ambulation Tool is a valid, reliable, and stable tool. EHR-generated scores can assist in reducing charting burden, care planning, and inform the interdisciplinary health team at all patient care stages. Tool adoption could potentially assist nurses plan interventions suitable to maintain or increase hospitalized patients' mobility status and contribute to discharge planning. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Articles Source Type: research

Integration of Lean Visual Management Tools Into Quality Improvement Practices in the Hospital Setting
Conclusions: K-Cards use high-reliability principles to standardize nursing practice to promote quality outcomes. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Articles Source Type: research

Standardized Discharge Planning Tool Leads to Earlier Discharges and Fewer Readmissions
Conclusion: The tool provided a systematic approach to discharge planning. Key design elements included a centralized location within the electronic health record and an electronic shortcut to populate the tool. Although developed for a specialized population, most elements are applicable to any hospitalized patient. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Articles Source Type: research

Nursing Interventions Increase Influenza Vaccination Quality Measures for Home Telehealth Patients
Conclusions: Two-way messaging and standardized documentation increased rates. Declinations persisted despite education. Reasons included fear of side effects, and rarely leaving home due to the COVID-19 pandemic. Nursing interventions can increase influenza vaccination quality measures for primary care home telehealth patients. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Articles Source Type: research

A Quality Approach to Reducing the Occurrence of Occluded Leukocyte Reduction Filters During Platelet Transfusion
Conclusion: Engagement of nurses in quality improvement processes and collaboration across departments led to a sustained decrease in the clotted platelet filters. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Articles Source Type: research

Lived Experience of Medicine Nurses Caring for COVID-19 Patients: A Quality Improvement Perspective
Conclusion: Several recommendations were identified. These recommendations aim to aid health care systems in emergency preparation planning and future pandemic responses while supporting frontline health care providers' resilience and well-being. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Articles Source Type: research

Nursing Moral Distress and Intent to Leave Employment During the COVID-19 Pandemic
Background: Complexity in nursing practice creates an intense and stressful environment that may lead to moral distress (MD) and registered nurses (RNs) seeking other employment. Local Problem: In 2020, the RN turnover rate was 8%, with postpandemic turnover projected to reach 13%. Methods: The Measure of Moral Distress for Health Care Professionals (MMD-HP) was used to measure the frequency and level of RNs' MD. Results: t tests showed significant differences for 16 of 27 MMD-HP items in RN intent to leave. RNs had 2.9 times the odds of intent to leave (P = .019) due to perceived issues with patie...
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Articles Source Type: research

A Call to Address RN, Social Work, and Advanced Practice Registered Nurses in Nursing Homes: Solutions From the Missouri Quality Initiative
Conclusions: Coupling enhanced RN and social work requirements with access to APRNs can support staff and residents in NHs. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Articles Source Type: research

Leveraging Partnerships to Reduce Insulin Needlestick Injuries: Nurse-Led System-Wide Quality Improvement Project
Conclusions: The effectiveness of this multifaceted project provides a practical template to reduce subcutaneous insulin-related needlestick injuries. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Articles Source Type: research

Impact of State Nurse Practitioner Regulations on Potentially Inappropriate Medication Prescribing Between Physicians and Nurse Practitioners: A National Study in the United States
Conclusions: Changes could be due to individual state practices. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Articles Source Type: research

Improving Self-care Management for Underserved Patients Through Transitional Care Strategies
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Department: Clinical Nurse Leaders: Innovations and Outcomes Source Type: research

Documentation Sharing Deficiencies of Posthospitalized Skilled Nursing Facility Residents: A Retrospective Review
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 26, 2021 Category: Nursing Tags: Department: Using Evidence to Change Practice Source Type: research

Reducing Inpatient Falls Through Simulations With Symptom Burden Devices
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: NCPD Test Source Type: research

Implementing the Clinical Occurrence Reporting and Learning System: A Double-Loop Learning Incident Reporting System in Long-term Care
Conclusion: A double-looped system could improve nurses' patient safety awareness and their workplace practices, which would ultimately lead to better patient outcomes. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Articles Source Type: research

Evidence-Based Virtual Learning Experiences for the Clinical Nurse Leader Capstone
Conclusions: Virtual learning activities were essential at the height of the pandemic and may prove useful in other circumstances that limit clinical site availability. These activities can also complement in-person learning experiences. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Articles Source Type: research

Barriers to and Facilitators of Bedside Nursing Handover: A Systematic Review and Meta-synthesis
Conclusions: BNH ensures patient safety and increases satisfaction and recognition among patients and nurses. This evidence on the barriers to and facilitators of BNH could help health care providers who have implemented or plan to implement this practice. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Articles Source Type: research

Frequent User System Engagement: A Quality Improvement Project to Examine Outcomes of a Partnership to Improve the Health of Emergency Department Frequent Users
Conclusion: The FUSE program is equipped to address the needs of the whole person, resulting in a meaningful impact on overall health while decreasing frequency of ED visits. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Articles Source Type: research

A Robust Initiative to Decrease the Total Number of Central Line‚ÄďAssociated Bloodstream Infections: Clinical Nurse Leaders Facilitating Change
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: From Clinical Nurse Leaders Source Type: research

A Mixed-Methods Study of the Experiences and Beliefs of Older People With Complex Health Care Needs About Medication Adherence
Conclusions: Vulnerable, older people had high medication nonadherence. Targeted interventions may enhance medication adherence in this group. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Articles Source Type: research

Navigating COVID-19 the CNL Way
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: From Clinical Nurse Leaders Source Type: research

Effect on Quality of Care of a Delirium Prevention Campaign for Surgical Intensive Care Nurses
Conclusions: Nurses led the delirium preventive care intervention. Delirium prevention care may be more effective with policy approaches to progress the DPC. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Articles Source Type: research

Reducing Cardiac Telemetry Nuisance Alarms Through Evidence-Based Interventions
Conclusions: This rapid-cycle, quality improvement process resulted in minimal reduction in nuisance alarms but improved staff awareness of the issue and reduced workflow interruptions. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Articles Source Type: research

Post-Heart Transplant Care Pathway's Impact on Reducing Length of Stay
Conclusions: Increased awareness of LOS, education, and consistent use of care pathways can significantly reduce length of stay. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Articles Source Type: research

The Need for Manual Skills in an Automated World to Obtain Timely Blood Pressures in Trauma Patients
Conclusion: Obtaining the initial BP manually was 54% more timely and led to an evidence-based practice change. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Articles Source Type: research

Handover From the Emergency Department to Inpatient Units: A Quality Improvement Study
Conclusions: This project has triggered ongoing improvement initiatives, necessary to keep accommodating the needs of nurses that work across boundaries. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Articles Source Type: research

Kamishibai Cards: A Conversation About Patient Safety
Conclusion: The result of the project design was a peer-to-peer feedback mechanism, which promotes evidence-based practices and system standards. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Articles Source Type: research

Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) Program to Engage Older Adults in Fall Prevention in a Nursing Home
Conclusion: Engaging nursing home older adult residents in fall prevention is crucial in translating evidence-based fall prevention care into clinical practice. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Articles Source Type: research

Improving Antibiotic Administration Rate for Patients With Sepsis in the Emergency Department
Background: Previous studies have demonstrated that delayed antibiotic administration increases the risk of mortality in patients with sepsis. Local Problem: In the emergency department, the antibiotic administration rate within 1 and 3 hours for patients with suspected sepsis was low. Methods/Interventions: We implemented an educational intervention with the nursing staff, which included training sessions and feedback, to ensure early detection and management of patients with suspected sepsis. Antibiotic administration rates were compared before and after education. Results: A total of 503 patient...
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Articles Source Type: research

Women RISE: Empowering Women to Manage Chronic Pain and Informing Provider Opioid Prescribing Practices
Conclusions: Women were better able to manage chronic pain and stressors impacting opioid misuse. Opioid prescribing practices improved, limiting opioid availability in our community. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Articles Source Type: research

A Quality Improvement Initiative to Reduce the Frequency of Delays in Initiation and Restarts of Continuous Renal Replacement Therapy
Conclusions: Implementation of CRRT initiation and restarts by unit-based nurses were achievable and resulted in substantial improvements in timeliness of CRRT delivery. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Articles Source Type: research

Reducing Inpatient Falls Through Simulations With Symptom Burden Devices
Conclusions: Clinicians' awareness of patients' physiological changes can be increased by a low-cost, rapid simulation, resulting in fewer falls. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Articles Source Type: research

Through Their Eyes: Health Care Worker Compliance With Personal Protective Equipment During the COVID-19 Pandemic
Conclusions: HCWs identified multiple barriers to compliance. The underutilization of PPE with contact precautions suggests that the risk of exposure is interpreted as low, and this could be a future target of education. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Articles Source Type: research

Impact of Delirium Education on Medical-Surgical Nurses' Knowledge
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2021 Category: Nursing Tags: Department: Clinical Nurse Leaders: Innovations and Outcomes Source Type: research

INSTRUCTIONS: Nursing Policies and Protocols: Do Nurses Really Use Them?
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - June 4, 2021 Category: Nursing Tags: NCPD Test Source Type: research

Effect of Intravenous Infiltration Management Program on Peripheral Intravenous Catheter Success and Infiltration in Hospitalized Infants
Background: Peripheral intravenous catheter (PIVC) insertion is the most frequently used method for intravenous (IV) treatment in pediatric patients. Purpose: The aim of this study was to determine the effect of the Intravenous Infiltration Management Program on the success of PIVC insertion and infiltration in infants. Methods: The study was carried out using a quasi-experimental design with pretest-posttest control groups and included 750 PIVC procedures for 218 infants between 28 days and 12 months of age. Results: The program decreased the number of PIVC insertions per patient, although it was ...
Source: Journal of Nursing Care Quality - June 4, 2021 Category: Nursing Tags: Articles Source Type: research

Evaluation of the Impact of Handoff Based on the SBAR Technique on Quality of Nursing Care
This study was aimed at evaluating the impact of bedside handoff using the Situation, Background, Assessment, Recommendation (SBAR) technique, on the quality of nursing care. Methods: The Quality Patient Care Scale (QUALPACS) was completed by the patient while nurses performed a verbal bedside shift handoff and after receiving education on the purpose and proper use of the SBAR communication tool. Results: The mean age of subjects was 51.29 ± 8.02 years. We found a significant increase in the mean score of QUALPACS dimensions, namely psychosocial (P (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - June 4, 2021 Category: Nursing Tags: Articles Source Type: research

Improving Teamwork and Communication in Schools of Nursing: A Quality Improvement Approach Using TeamSTEPPS
Conclusion: Results suggest that a QI intervention using TeamSTEPPS improved teamwork, communication, collaboration, and conflict resolution in one academic setting. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - June 4, 2021 Category: Nursing Tags: Articles Source Type: research

From the Other Side of the Bed: Lived Experiences of Registered Nurses as Family Caregivers
Conclusions: While caregiver experiences may be similar, RNFCs struggle with dual roles of registered nurse and caregiver, occasionally blurring boundaries of care. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - June 4, 2021 Category: Nursing Tags: Articles Source Type: research

Improving Timely Annual Ocular Examinations for Patients With Diabetes Mellitus in a Primary Care Office
Conclusions: Timely annual ocular examinations increased to 86% in 90 days, thus improving current DM treatment guidelines in primary care. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - June 4, 2021 Category: Nursing Tags: Articles Source Type: research

Using Digital Storytelling to Reduce Unplanned Health Care Encounters: A Feasibility Study
Conclusions: Digital storytelling reduced unplanned encounters, and the program was deemed feasible. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - June 4, 2021 Category: Nursing Tags: Articles Source Type: research

Implementing a Food is Medicine Program to Address Food Insecurity in an Academic Medical Center
Background: Food insecurity is a public, social, and health concern. Local Problem: A Food is Medicine Program was developed to address food insecurity. Methods: A quality improvement initiative was piloted on 3 acute care units. Interventions: Patients were screened for Social Determinant of Health (SDoH) needs and if identified as food insecure, linked to community resources and provided with a bag of food on discharge. Education was offered to nursing staff and a pre- and postsurvey was administered to assess SDoH knowledge and confidence. Results: Over a 3-month period, 2354 patients wer...
Source: Journal of Nursing Care Quality - June 4, 2021 Category: Nursing Tags: Articles Source Type: research