Creation of a “Patient” Hospital Escape Room Experience to Reduce Harm and Improve Quality of Care
Conclusions:
The escape room template can be easily modified to target a myriad of learning objectives and learners of varying levels of experience. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 25, 2020 Category: Nursing Tags: Articles Source Type: research
Development of a Standardized System to Detect and Treat Early Patient Deterioration
Conclusions:
The system implemented reinforces the importance of patient assessment, collaboration among the multidisciplinary team, and promotes early interventions. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 25, 2020 Category: Nursing Tags: Articles Source Type: research
Including Family Members in Rounds to Improve Communication in Intensive Care
Conclusions:
Including family in rounding in the ICU appears safe and can improve family satisfaction with communication, but whether it influences patient satisfaction remains an open question. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 25, 2020 Category: Nursing Tags: Articles Source Type: research
Addressing Bullying and Lateral Violence in the Workplace: A Quality Improvement Initiative
Conclusions:
This initiative has demonstrated the necessary properties and is appropriate for adoption by other nursing units. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 25, 2020 Category: Nursing Tags: Articles Source Type: research
Impact of a Telephonic Outreach Program on Patient Outcomes Within the Heart Failure Community
Conclusions:
The proportion of patients who completed the program reported more use of self-management behaviors compared with those who answered fewer than 4 calls. Our findings related to the lower frequency of self-management behaviors of patients who did not complete all vendor calls stress the important issue of vendor management. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 25, 2020 Category: Nursing Tags: Articles Source Type: research
System-Level Improvements in Work Environments Lead to Lower Nurse Burnout and Higher Patient Satisfaction
Conclusions:
High levels of nurse burnout are associated with lower patient satisfaction. Our findings demonstrate that hospitals can improve outcomes through investments in work environments. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 25, 2020 Category: Nursing Tags: Articles Source Type: research
COVID-19 and Nurse-Sensitive Indicators: Using Performance Improvement Teams to Address Quality Indicators During a Pandemic
Conclusions:
Deployment of these innovative practice strategies has led to a decline in health care–associated infections and instituted a new care standard for the COVID-19 patients. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 25, 2020 Category: Nursing Tags: Articles Source Type: research
Blending Evidence-Based Practice and Lean Six Sigma Methodology to Reduce Hospital-Acquired Pressure Injuries in a Progressive Care Unit
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 22, 2020 Category: Nursing Tags: CE Test Source Type: research
A Lean Approach to Improve Medication Administration Safety by Reducing Distractions and Interruptions
Conclusions:
Value stream mapping the process enabled the identification of non–value-added activities that were threats to the integrity of the process. Standardizing the medication administration process and creating a safe space to facilitate the process successfully reduced interruptions and distractions from all sources. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 22, 2020 Category: Nursing Tags: Articles Source Type: research
Psychometric Testing of a Patient Empowerment, Engagement, and Activation Survey
This study reports the psychometric properties of the Patient Empowerment, Engagement, and Activation Survey.
Methods:
An instrument development and testing approach was used.
Results:
A 21-item survey was developed demonstrating respectable Cronbach α coefficients for the total scale (α = 0.88) and for each subscale: Empowerment (α = 0.71), Engagement (α = 0.81), and Activation (α = 0.76). A regression analysis with 1 item, “I am ready to be discharged” as the dependent variable and all other items as independent variables explained 65% of the variance in readiness for discharge (P (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 22, 2020 Category: Nursing Tags: Articles Source Type: research
Improving Throughput for Patients Admitted From the Emergency Department: Implementation of a Standardized Report Process
Background:
Inefficient emergency department to inpatient handoff processes can contribute to delayed care.
Local Problem:
The average emergency department length of stay for admitted patients and admission wait times at this institution were well above national averages, and a standard handoff process was lacking.
Methods:
Lean methodology was used to evaluate flow and identify opportunities for improvement.
Interventions:
Two tools were developed to standardize handoff.
Results:
Emergency department length of stay and admission wait times were not significantly improved following intervention implementation...
Source: Journal of Nursing Care Quality - August 22, 2020 Category: Nursing Tags: Articles Source Type: research
Development of the Nursing Quality Improvement in Practice Tool: Advancing Frontline Nursing Practice
Conclusions:
Preliminary data suggest that the N-QuIP is a valid and reliable tool for assessing nurse QI competence and engagement. Understanding current knowledge, skills, and attitudes and identified barriers/facilitators can help the development of strategies aimed at increasing QI engagement. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 22, 2020 Category: Nursing Tags: Articles Source Type: research
Implementation of Fall Preventions Over the Past 15 Years: Impact on Inpatient Injury and Insights for the Future
Conclusions:
Severe fall-related injuries have decreased in the past 15 years. The most common circumstance for falls remains elimination issues. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 22, 2020 Category: Nursing Tags: Articles Source Type: research
Predischarge Provider Visits as a Method of Improving Transitional Care Clinic Visit Rates
Conclusion:
Provider engagement during hospitalization did not increase initial appointment attendance at Transition Services. Other strategies to improve Transition Services attendance rates are needed. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - August 22, 2020 Category: Nursing Tags: Articles Source Type: research
Educating Ambulatory Care Nurses to Address Substance Use
Background:
Screening, brief intervention, and referral to treatment (SBIRT) for substance use has an impact on morbidity and mortality and health care cost.
Local Problem:
Nurses in ambulatory care settings may lack knowledge about evidence-based substance use SBIRT.
Methods:
A comparison of pre- and postintervention data was performed to determine whether knowledge improved and to identify facilitators and barriers to SBIRT implementation.
Interventions:
Nurses completed an online self-paced program focusing on alcohol and drug use screening, motivational interviewing used in a brief intervention, and referral...
Source: Journal of Nursing Care Quality - August 22, 2020 Category: Nursing Tags: Articles Source Type: research