Sharing Lessons From Successes: Long-term Care Facilities That Weathered the Storm of COVID-19 and Staffing Crises
Purpose:
To identify leadership styles and staffing strategies in Missouri long-term care (LTC) facilities that stood out among their peers as “positive deviants” with regard to COVID-19 infections and staffing shortages.
Methods:
Statewide survey of all LTC facilities to identify exemplar facilities with stable staffing and low rates of COVID-19. Interviews with senior leaders were conducted in 10 facilities in the state to understand the strategies employed that led to these “positive outliers.” A result-based educational program was designed to describe their actions and staff reactions.
Results:
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Source: Journal of Nursing Care Quality - November 23, 2022 Category: Nursing Tags: Articles Source Type: research
How Does Workplace Violence–Reporting Culture Affect Workplace Violence, Nurse Burnout, and Patient Safety?
Conclusions:
The findings indicate that nurses may perceive WPV-reporting behavior as a stressor. Violence-reporting systems and procedures need to be improved to reduce the burden of reporting. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 23, 2022 Category: Nursing Tags: Articles Source Type: research
Quality Improvement Project to Decrease the Rates of Clostridium difficile Infections in a Tertiary Care Center
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 23, 2022 Category: Nursing Tags: From Clinical Nurse Leaders Source Type: research
Adoption of the Household Model Improves Nursing Home Quality: A Case Study
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 23, 2022 Category: Nursing Tags: Departments: Quality from the Field Source Type: research
Development of a Behavioral Change Strategy to Improve the Safety of Nursing Medication Administration
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 23, 2022 Category: Nursing Tags: Departments: Using Evidence to Change Practice Source Type: research
Implementation Science to Improve Quality
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 23, 2022 Category: Nursing Tags: Department: From the Editor Source Type: research
Improved 30-day Heart Failure Readmissions Following Implementation of an Advanced Cardiovascular Education (ACE) Academy
No abstract available (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2022 Category: Nursing Tags: NCPD Test Source Type: research
Evaluation of an Intensive Care Outreach Nurse Program in 4 UAE Hospitals
Background:
Intensive care outreach nurses (ICONs) can reduce deterioration and death of patients in hospitals.
Purpose:
Evaluate outcomes associated with implementation of the ICON role across 4 UAE hospitals.
Methods:
Trend analyses and χ2 tests were used to measure changes before ICON program, during ICON year 1, ICON year 2, when the service coverage extended 24/7, and until the end of 2019.
Results:
From year 1 to year 2, failures to escalate decreased from a rate of 14.8 to 5.6 episodes per 1000 admissions for all sites combined (P (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2022 Category: Nursing Tags: Articles Source Type: research
Clinical Debriefing in Cardiology Teams: A National Survey in Spain
We describe the current use of CD by multiprofessional Spanish cardiology team members.
Methods:
A self-administered survey exploring 31 items was disseminated online in October 2020. A comparison was made between respondents that who experience in CD with inexperienced respondents. Inferential analysis was done using Pearson's χ2 test.
Results:
Out of 167 valid responses, 45.5% had been completed by cardiology nurses. One-third of the respondents had experience in CD. Most common situations preceding CD were those with negative outcomes (81.8%). Time constraint was the most commonly reported barrier (76.3%)...
Source: Journal of Nursing Care Quality - September 1, 2022 Category: Nursing Tags: Articles Source Type: research
Development of Nurse-Sensitive, Emergency Department–Specific Quality Indicators Using a Modified Delphi Technique
Conclusions:
Many of the recommended metrics were questionable because they are nonspecific to the ED setting or subject to influences in the emergency care environment. Some identified priorities for quality indicator development were unsupported; we recommend that alternate methodologies be used to identify critical areas of quality measurement. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2022 Category: Nursing Tags: Articles Source Type: research
Health Care Hotspotting: A Scoping Review
Conclusions:
Patients benefit from an interprofessional, personalized approach to their care planning. Hotspotting can lead to high-quality care through building trusted relationships. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2022 Category: Nursing Tags: Articles Source Type: research
Effect of Emergency Severity Index Annual Competency Assessment on Mistriage
Conclusions:
Implementation of an ESI annual competency assessment aligns well with an emerging theme in the literature that ED nurses should be provided with ongoing education that reinforces knowledge and implementation of ESI triaging. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2022 Category: Nursing Tags: Articles Source Type: research
A Systematic Review of the Consumer Emergency Care Satisfaction Scale (CECSS)
Conclusions:
Results of our literature review show that from a psychometric perspective, the CECSS is a valid and reliable instrument. However, the results of our study also show that the CECSS has several weaknesses. We have made recommendations to improve the CECSS. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2022 Category: Nursing Tags: Articles Source Type: research
Readmission Predictors in Patients With Type II Diabetes
Conclusion:
Findings identified the factors related to 30-day readmission in patients with diabetes, emphasizing the need for diabetes self-management education. Understanding why patients are readmitted within 30 days of initial admission will empower nurses to create targeted plans to improve nursing care quality and prevent readmission. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2022 Category: Nursing Tags: Articles Source Type: research
Nurse-Driven Assessment, Prevention, and Management of Delirium on an Acute Inpatient Neurology Unit
Conclusions:
Formal delirium screening protocols may add organizational value by positively impacting patient outcomes. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - September 1, 2022 Category: Nursing Tags: Articles Source Type: research
