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 determine se...
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
