71 results on '"HOSPITAL wards"'
Search Results
2. The Impact of Hourly Rounding on Restraint Use.
- Author
-
Smith, Marilyn and Bourdeanu, Laura
- Subjects
- *
EXPERIMENTAL design , *CONFIDENCE intervals , *NURSE administrators , *POSTERS , *CONTINUING education units , *RETROSPECTIVE studies , *QUANTITATIVE research , *HEALTH outcome assessment , *MANN Whitney U Test , *NURSE-patient relationships , *PRE-tests & post-tests , *COMPARATIVE studies , *DOCUMENTATION , *T-test (Statistics) , *RESTRAINT of patients , *CRITICAL care medicine , *HOSPITAL wards , *HOSPITAL nursing staff , *DESCRIPTIVE statistics , *CHI-squared test , *HOSPITAL rounds , *STATISTICAL sampling , *DATA analysis software - Abstract
The purpose of this study was to determine the impact of implementing hourly rounding on restraint use in the clinical setting. Study results indicate implementing an hourly rounding program had significant impact on restraint use. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
3. Cancer Care Unit Missed Care and Related Factors: View of Nurses of Southeastern Iran.
- Author
-
Shamsi, Ala, Dehghan, Mahlagha, Canillas-Dufau, Tori, and Forouzi, Mansooreh A.
- Subjects
- *
NURSING audit , *ONCOLOGY nursing , *MEDICAL quality control , *EVALUATION of medical care , *STATISTICS , *WORK experience (Employment) , *KRUSKAL-Wallis Test , *PSYCHOLOGICAL burnout , *SPECIALTY hospitals , *NURSES' attitudes , *NURSING , *ANALYSIS of variance , *CONFIDENCE intervals , *CROSS-sectional method , *PATIENTS , *CANCER treatment , *HOSPITAL admission & discharge , *NURSING education , *CANCER patients , *NURSE supply & demand , *CRONBACH'S alpha , *T-test (Statistics) , *PEARSON correlation (Statistics) , *NURSES , *HOSPITAL wards , *QUESTIONNAIRES , *NURSING research , *CHI-squared test , *EMPLOYMENT , *EMPLOYEES' workload , *DESCRIPTIVE statistics , *PATIENT care , *SOCIODEMOGRAPHIC factors , *DATA analysis software , *LOGISTIC regression analysis , *DATA analysis , *ONCOLOGY , *DISCHARGE planning , *MEDICAL research ,RESEARCH evaluation - Abstract
Missed nursing care is defined as omitting or delaying the whole or part of required care for patients. This cross-sectional descriptive study assessed missed nursing care and related factors from the perspective of nurses in oncology departments of medical universities in southeastern Iran. [ABSTRACT FROM AUTHOR]
- Published
- 2023
4. Breaking the Chain of Infection: Ultraviolet Light to Disinfect Hospital Keyboards.
- Author
-
Lucciola, Megan E., Vivian, Melissa, and West, Gordon F.
- Subjects
- *
BACTERIAL disease prevention , *HOSPITALS , *EVALUATION of human services programs , *CONFIDENCE intervals , *MEDICAL equipment contamination , *NURSING specialties , *CROSS infection , *CONTINUING education units , *HUMAN services programs , *COMPARATIVE studies , *PRE-tests & post-tests , *T-test (Statistics) , *KEYBOARDS (Electronics) , *BACTERIAL growth , *MICROBIOLOGICAL techniques , *HOSPITAL wards , *DESCRIPTIVE statistics , *STAPHYLOCOCCUS aureus , *STERILIZATION (Disinfection) , *ULTRAVIOLET radiation , *EVIDENCE-based nursing , *PATIENT safety , *BACTERIA , *LONGITUDINAL method , *PREVENTION - Abstract
High-touch surfaces within the hospital setting such as keyboards can harbor bacteria and facilitate pathogen transmission. UV-C light is ideal for disinfecting electronic devices such as keyboards that are difficult to clean with traditional chemicals and wipes. This project suggested use of low-cost UV-C devices for keyboards may reduce bacteria. [ABSTRACT FROM AUTHOR]
- Published
- 2022
5. Impact of Educational Intervention in Reducing 30-Day Heart Failure Readmission.
- Author
-
Caluya Jr., Juan
- Subjects
- *
NURSING , *CLINICAL trials , *PATIENT readmissions , *NURSE-patient relationships , *PRE-tests & post-tests , *T-test (Statistics) , *HOSPITAL nursing staff , *QUALITY assurance , *QUESTIONNAIRES , *DESCRIPTIVE statistics , *HOSPITAL wards , *PATIENT education , *HEART failure , *HEALTH self-care , *EDUCATIONAL outcomes , *PATIENT discharge instructions - Abstract
The quality improvement project examined the impact of nurses' education on heart failure (HF) self-care management principles and use of the teach-back method on readmission in progressive care units. Educational interventions can increase nurses' knowledge of HF self-care management principles, and use of the teach-back method can help ensure patients receive optimal discharge instructions. [ABSTRACT FROM AUTHOR]
- Published
- 2021
6. Reduction of Falls: An Acute Care Neurology Unit Quality Improvement Plan.
- Author
-
Yost, Donna L. and Baur, Karen
- Subjects
- *
NEUROLOGY , *NEUROLOGICAL disorders , *ACQUISITION of data methodology , *RETROSPECTIVE studies , *RISK assessment , *ACCIDENTAL falls , *CRITICAL care medicine , *HOSPITAL wards , *QUALITY assurance , *QUALITY of life , *MEDICAL records , *DESCRIPTIVE statistics , *WOUNDS & injuries , *PATIENT education , *ELECTRONIC health records , *DATA analysis software , *CORPORATE culture - Abstract
Simplification and standardization of fall risk assessment tools combined with specific bundled interventions, including patient education, help reduce fall events, promote consistency in assessments and interventions, and improve patient quality of life while lowering risks for injury and mortality. [ABSTRACT FROM AUTHOR]
- Published
- 2021
7. Unit Utilization of Internationally Educated Nurses and Collaboration in U.S. Hospitals.
- Author
-
Ma, Chenjuan, Ghazal, Lauren, Chou, Sophia, Ea, Emerson, and Squires, Allison
- Subjects
- *
HOSPITALS , *HOSPITAL wards , *INTERPROFESSIONAL relations , *SCIENTIFIC observation , *RESEARCH funding , *CROSS-sectional method , *DATA analysis software , *DESCRIPTIVE statistics , *ONE-way analysis of variance - Abstract
Employing internationally educated nurses (IENs) to address the nursing workforce shortage is common in many countries, including the United States. This study examined the relationship between unit utilization of IENs and collaboration in U.S. hospitals. Results indicated more IENs on a unit did not significantly affect the collaboration among nurses and between nurses and physicians. The presence of IENs significantly influenced unit nursing characteristics, such as education attainment and unit tenure. [ABSTRACT FROM AUTHOR]
- Published
- 2020
8. Implementation of Purposeful Hourly Rounds in Addition to a Fall Bundle to Prevent Inpatient Falls on a Medical-Surgical Acute Hospital Unit.
- Author
-
Grillo, Dorothy M., Firth, Karen H., and Hatchel, Kimberly
- Subjects
- *
CHI-squared test , *CLINICAL medicine , *CRITICAL care medicine , *ACCIDENTAL falls , *HOSPITAL wards , *EVALUATION of medical care , *MEDICAL protocols , *NURSING , *NURSING specialties , *PATIENT satisfaction , *PATIENT safety , *QUALITY assurance , *T-test (Statistics) , *PILOT projects , *EVIDENCE-based nursing , *KEY performance indicators (Management) , *HUMAN services programs , *PRE-tests & post-tests , *HOSPITAL rounds , *DESCRIPTIVE statistics , *ROOT cause analysis - Abstract
The pilot process used to implement purposeful hourly rounds as part of an existing fall protocol on a 112-bed medical-surgical unit is described. Outcomes achieved as a result of this quality improvement change are reviewed. [ABSTRACT FROM AUTHOR]
- Published
- 2019
9. Development and Implementation of a Forecasting Model for Inpatient Nurse Scheduling.
- Author
-
Bowie, Danielle, Fischer, Rachel, and Holland, Margaret L.
- Subjects
- *
COMPUTER software , *FORECASTING , *HOSPITAL wards , *WORKING hours , *MEDICAL specialties & specialists , *REGRESSION analysis , *RESEARCH , *SHIFT systems , *URBAN hospitals , *PILOT projects , *STATISTICAL significance , *HUMAN services programs , *STATISTICAL models , *DESCRIPTIVE statistics , *HOSPITAL nursing staff ,SURGERY practice - Abstract
Basic staffing and scheduling methods of the past are not meeting the complex demands of the nurse scheduling problem (NSP). The overall goal of this study was to develop and implement a nurse scheduling forecasting model for a 33- bed inpatient nursing unit to address the challenges of the NSP during the schedule creation phase. Results revealed the nurse scheduling forecasting model improved schedule accu racy and aligned nurse needs to vary by day of the week. [ABSTRACT FROM AUTHOR]
- Published
- 2019
10. Increasing Nurse-Driven Heparin Infusion Administration Safety: A Quality Improvement Initiative.
- Author
-
Johnson, Cori
- Subjects
- *
ANALYSIS of variance , *BLOOD coagulation , *BLOOD coagulation factors , *VASCULAR surgery , *DRUG monitoring , *HEPARIN , *HOSPITAL wards , *INTRAVENOUS therapy , *MEDICAL protocols , *MEDICAL records , *NURSING , *NURSING practice , *NURSING specialties , *PATIENTS , *PATIENT safety , *POSTOPERATIVE care , *PROBABILITY theory , *QUALITY assurance , *SHIFT systems , *STATISTICS , *SURGERY , *PILOT projects , *DATA analysis , *RETROSPECTIVE studies , *DATA analysis software , *DESCRIPTIVE statistics , *HOSPITAL nursing staff , *CHEMICAL inhibitors - Abstract
A lack of communication during nursing shift report and memory lapse were found to be contributing factors in errors in the monitoring of therapeutic heparin infusions. The process of drawing blood also was found to be a contributing factor. Standardized nursing shift report and standardized anti-Xa testing draw times were implemented to improve monitoring of heparin infusions. [ABSTRACT FROM AUTHOR]
- Published
- 2018
11. Care-T: Reducing Readmissions on a Cardiology Unit.
- Author
-
Hall, Laura C.
- Subjects
- *
CARDIAC patients , *HOSPITAL wards , *MEDICAL care , *PATIENT satisfaction , *PILOT projects , *DISCHARGE planning , *HUMAN services programs , *PATIENT readmissions , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Reducing unplanned hospital readmissions to acute care hospitals is a national priority. The purpose of this quality improvement project was to reduce 30-day readmissions for heart failure by implementing an evidence-based transition program. Positive outcomes of the program were promising. [ABSTRACT FROM AUTHOR]
- Published
- 2018
12. Needs of Relatives of Surgical Patients: Perceptions of Relatives and Medical Staff.
- Author
-
Zaken, Zila Ben
- Subjects
- *
ANALYSIS of variance , *ATTITUDE (Psychology) , *COMMUNICATION , *STATISTICAL correlation , *CRITICAL care medicine , *FAMILIES , *HEALTH facility administration , *HOSPITAL wards , *HOSPITALS , *HOSPITAL medical staff , *INTENSIVE care units , *RESEARCH methodology , *PATIENT-family relations , *MEDICAL personnel , *MULTIVARIATE analysis , *NEEDS assessment , *PATIENTS , *POSTOPERATIVE care , *PROBABILITY theory , *PSYCHOLOGICAL tests , *QUESTIONNAIRES , *STATISTICAL sampling , *SCALE analysis (Psychology) , *SELF-evaluation , *STATISTICS , *SURGERY , *DATA analysis , *SOCIAL support , *PATIENTS' families , *FAMILY attitudes , *DESCRIPTIVE statistics , *HOSPITAL nursing staff , *MANN Whitney U Test , *KRUSKAL-Wallis Test - Abstract
This study investigated perceptions of relatives of patients hospitalized in surgery ward and surgical intensive care unit and medical staff concerning relatives' needs. Overall rankings of the needs were similar. Assurance and anxiety reduction emerged as the most important need category. [ABSTRACT FROM AUTHOR]
- Published
- 2018
13. The Effect of Massage on Pain and Anxiety in Hospitalized Patients: An Observational Study.
- Author
-
McMillan, Kathleen
- Subjects
- *
ANXIETY treatment , *PAIN management , *ACADEMIC medical centers , *HOSPITAL patients , *HOSPITAL wards , *MASSAGE therapy , *RESEARCH methodology , *SCIENTIFIC observation , *PATIENT satisfaction , *PROBABILITY theory , *QUESTIONNAIRES , *RESEARCH , *STATISTICAL sampling , *SCALE analysis (Psychology) , *SELF-evaluation , *SAMPLE size (Statistics) , *REPEATED measures design , *DESCRIPTIVE statistics , *MASSAGE therapists - Abstract
The use of massage in hospitalized participants can aid in reducing anxiety, muscle tension, and pain. Findings of this study suggest massage can be a safe, pleasant treatment for hospitalized patients. Incorporating massage into patient care may yield positive results. [ABSTRACT FROM AUTHOR]
- Published
- 2018
14. Characteristics and Predictors of Readmission to a Medical Short-Stay Unit.
- Author
-
Bradas, Cheryl
- Subjects
- *
ACADEMIC medical centers , *CHI-squared test , *CONFIDENCE intervals , *DISEASES , *ETHNIC groups , *HEALTH care teams , *LENGTH of stay in hospitals , *HOSPITAL wards , *HEALTH insurance , *LONGITUDINAL method , *EVALUATION of medical care , *MEDICAL care use , *PROBABILITY theory , *STATISTICAL sampling , *STATISTICS , *MULTIPLE regression analysis , *PATIENT discharge instructions , *RETROSPECTIVE studies , *PATIENT readmissions , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
The article presents a double cohort observational retrospective study on outcomes of patient admitted to short-stay units (SSU) in a public academic medical center in northeastern Ohio. It discusses findings on 30-day readmission rates after SSU discharge compared with traditional inpatient medical unit discharge of patients with chronic obstructive pulmonary disease, heart failure, diabetes and pneumonia.
- Published
- 2016
15. Comparison of Outcomes: Nurse-Driven vs. Physician-Driven Weight-Based Intravenous Heparin Protocol.
- Author
-
Davis, Kelly W. and McMillan, Margorie A.
- Subjects
- *
ATRIAL fibrillation , *BODY weight , *CHI-squared test , *CREATININE , *DRUG monitoring , *DRUG dosage , *FISHER exact test , *HEMOGLOBINS , *HEMORRHAGE , *HEPARIN , *LENGTH of stay in hospitals , *HOSPITAL wards , *INFUSION therapy , *INTRAVENOUS therapy , *LONGITUDINAL method , *MEDICAL protocols , *NURSING , *PROBABILITY theory , *PULMONARY embolism , *RESEARCH funding , *STATISTICAL hypothesis testing , *STROKE , *T-test (Statistics) , *THERAPEUTICS , *VENOUS thrombosis , *BODY mass index , *TREATMENT effectiveness , *RETROSPECTIVE studies , *TREATMENT duration , *ACUTE coronary syndrome , *DESCRIPTIVE statistics , *HOSPITAL mortality , *INTERNATIONAL normalized ratio , *PARTIAL thromboplastin time , *PLATELET count , *MANN Whitney U Test - Abstract
The article presents a study on the effectiveness of transition from physician-driven to nurse-driven weight-based intravenous unfractioned heparin protocol in non-critical units in a hospital. It discusses comparisons of outcomes including comparative activated partial thromboplastin time, bleeding episodes and dosing errors.
- Published
- 2016
16. Discharge by 11:00 a.m.: The Significance of Discharge Planning.
- Author
-
Gray, Emily Ann
- Subjects
- *
ACADEMIC medical centers , *HEALTH care teams , *HOSPITAL utilization , *HOSPITAL wards , *HOSPITAL health promotion programs , *MEDICAL records , *NURSING , *PATIENT satisfaction , *PERSONNEL management , *PROBABILITY theory , *QUALITY assurance , *SHIFT systems , *T-test (Statistics) , *DISCHARGE planning , *HUMAN services programs , *PRE-tests & post-tests , *CONTINUING education units , *DATA analysis software , *DESCRIPTIVE statistics , *HOSPITAL nursing staff , *MANN Whitney U Test - Abstract
The article presents a study on the "Discharge by 11:00 a.m. Program initiative at a 28-bed medical-surgical unit in an academic teaching hospital in southern California. It discusses findings on the correlation of patients discharged by 11:00 a.m. between Health Consumer Assessment of Healthcare Providers and Systems patient satisfaction scores, impact of the program on unit revenue, wait times in transferring departments and promoting culture of continuous improvement.
- Published
- 2016
17. Trends in Nursing Care Efficiency From 2007 to 2011 on Acute Nursing Units.
- Author
-
Yankovsky, Ana, Gajewski, Byron J., and Dunton, Nancy
- Subjects
- *
NURSING audit , *PRESSURE ulcers , *CONCEPTUAL structures , *STATISTICAL correlation , *DATABASES , *ACCIDENTAL falls , *HOSPITAL wards , *HOSPITALS , *WORKING hours , *INTENSIVE care nursing , *LABOR productivity , *MATHEMATICAL models , *RESEARCH methodology , *EVALUATION of medical care , *MEDICAL quality control , *NURSES , *NURSING , *NURSING specialties , *PRACTICAL nurses , *QUALITY assurance , *STATISTICAL sampling , *T-test (Statistics) , *TIME , *THEORY , *CONTINUING education units , *DESCRIPTIVE statistics , *UNLICENSED medical personnel - Abstract
The article presents a study on trends in nursing care efficiency in acute care nursing units in the U.S. Topics discussed include adaptation of the Donabedian quality improvement model, definition of efficiency in the health care system and use of the data envelopment analysis to estimate efficiency. It discusses findings on changes in efficiency between Magnet and non-Magnet hospital units, teaching status and nurse staffing skills.
- Published
- 2016
18. The Relationship of Burnout, Work Environment, and Knowledge to Self-Reported Performance of Physical Assessment by Registered Nurses.
- Author
-
Fennessey, Anita G.
- Subjects
- *
AUTONOMY (Psychology) , *PSYCHOLOGICAL burnout , *STATISTICAL correlation , *DISCRIMINANT analysis , *HOSPITAL wards , *HOSPITALS , *INTERPROFESSIONAL relations , *JOB descriptions , *RESEARCH methodology , *NURSE-physician relationships , *NURSES , *NURSING , *NURSING practice , *NURSING assessment , *NURSING specialties , *PHYSICAL diagnosis , *PROFESSIONS , *QUESTIONNAIRES , *STATISTICAL sampling , *SCALE analysis (Psychology) , *STATISTICS , *SURVEYS , *URBAN hospitals , *WORK environment , *STATISTICAL power analysis , *DATA analysis , *JOB performance , *MULTIPLE regression analysis , *EDUCATIONAL attainment , *NATIONAL competency-based educational tests , *CROSS-sectional method , *RESEARCH methodology evaluation , *WORK experience (Employment) , *DESCRIPTIVE statistics ,RESEARCH evaluation - Abstract
Physical assessment by registered nurses plays a key role in preventing sentinel events. Variables that may affect nurses' ability to perform physical assessment consistently were examined. [ABSTRACT FROM AUTHOR]
- Published
- 2016
19. Culturally Based Remedies for Initial Home Treatment of Acute Musculoskeletal Injuries.
- Author
-
Yiping Xu
- Subjects
- *
TREATMENT of fractures , *SPRAINS , *THERMOTHERAPY , *ANALGESICS , *NONPRESCRIPTION drugs , *ACADEMIC medical centers , *CHI-squared test , *COLD therapy , *CULTURE , *EMERGENCY medical services , *ETHNIC groups , *HEALTH attitudes , *HELP-seeking behavior , *HERBAL medicine , *HOSPITAL wards , *MASSAGE therapy , *RESEARCH methodology , *CHINESE medicine , *QUESTIONNAIRES , *RESEARCH , *STATISTICAL sampling , *HEALTH self-care , *SELF-evaluation , *SURVEYS , *T-test (Statistics) , *SOCIOECONOMIC factors , *SPECIALTY hospitals , *CROSS-sectional method , *COMPRESSION therapy , *DATA analysis software , *DESCRIPTIVE statistics , *THERAPEUTICS - Abstract
Anecdotal reports indicate some patients treated in the Emergency Department have used heat and non-evidence-based modalities for acute musculoskeletal injuries. The purpose of this study was to determine if race and ethnicity are associated with the initial home treatment used. [ABSTRACT FROM AUTHOR]
- Published
- 2016
20. Relationship Between Mock Code Results on Medical-Surgical Units, Unit Variables, and RN Responder Variables.
- Author
-
Reece, Sara
- Subjects
- *
CARDIAC arrest , *THERAPEUTICS , *NURSING education , *ANALYSIS of variance , *CLINICAL competence , *CONFIDENCE , *STATISTICAL correlation , *CARDIOPULMONARY resuscitation , *HOSPITAL utilization , *LENGTH of stay in hospitals , *HOSPITAL wards , *HOSPITALS , *RESEARCH methodology , *MEDICAL personnel , *MEDICAL protocols , *NURSING , *NURSING practice , *NURSING specialties , *PERSONNEL management , *QUALITY assurance , *QUESTIONNAIRES , *STATISTICAL sampling , *SCALE analysis (Psychology) , *SUBURBS , *SURVEYS , *EDUCATIONAL attainment , *EDUCATIONAL outcomes , *NATIONAL competency-based educational tests , *WORK experience (Employment) , *DESCRIPTIVE statistics , *HOSPITAL nursing staff - Abstract
This descriptive study used mock codes and a written education intervention to address RN under-performance during patient emergencies. Units with shorter lengths of stay, more experienced RNs, and a greater percentage of RNs had higher mock code scores. [ABSTRACT FROM AUTHOR]
- Published
- 2016
21. Sleep in the Hospitalized Patient: Nurse and Patient Perceptions.
- Author
-
Vincensi, Barbara
- Subjects
- *
PATIENT monitoring equipment , *BIOTELEMETRY , *ETHNIC groups , *TEST validity , *HEALTH facilities , *HOSPITAL wards , *HOSPITALS , *NOISE , *NURSES , *NURSES' attitudes , *NURSING specialties , *RESEARCH , *STATISTICAL sampling , *SCALE analysis (Psychology) , *SLEEP , *SLEEP deprivation , *STATISTICAL hypothesis testing , *SURVEYS , *T-test (Statistics) , *VITAL signs , *WEARABLE technology , *QUALITATIVE research , *PILOT projects , *PRODUCT design , *STATISTICAL power analysis , *EFFECT sizes (Statistics) , *EDUCATIONAL attainment , *CROSS-sectional method , *RELAXATION techniques , *DATA analysis software , *PATIENTS' attitudes , *WORK experience (Employment) , *DESCRIPTIVE statistics , *HOSPITAL nursing staff , *NURSING interventions , *PREVENTION - Abstract
A study of patient and nurse perceptions of the effectiveness of interventions to promote patient sleep are described. Feedback from the two groups also is provided on a noninvasive medical device for prototype development that may promote sleep for hospitalized patients. [ABSTRACT FROM AUTHOR]
- Published
- 2016
22. Patient Opioid Education: Research Shows Nurses' Knowledge of Opioids Makes a Difference.
- Author
-
Costello, Margaret
- Subjects
- *
PATIENT education , *THERAPEUTIC use of narcotics , *ACADEMIC medical centers , *CHI-squared test , *STATISTICAL correlation , *DRUGS , *DRUG overdose , *DRUG storage , *HOSPITAL wards , *RESEARCH methodology , *NURSING , *NURSING practice , *NURSING specialties , *PATIENT safety , *PERSONNEL management , *POSTOPERATIVE pain , *PROBABILITY theory , *SELF medication , *SELF-evaluation , *SURGERY , *SURVEYS , *PATIENT discharge instructions , *PRE-tests & post-tests , *CONTINUING education units , *DATA analysis software , *DESCRIPTIVE statistics , *HOSPITAL nursing staff , *SYMPTOMS - Abstract
Many patients do not have a good understanding of their medications, including opioids, at the time of inpatient discharge. This lack of knowledge may contribute to patients' misuse and abuse of opioid prescriptions. This study found patients have a clearer understanding of safe opioid use when nurses also have a better understanding of safe practices around prescription opioids. [ABSTRACT FROM AUTHOR]
- Published
- 2016
23. Describing Self-Reported Assessments of Critical Thinking Among Practicing Medical-Surgical Registered Nurses.
- Author
-
Turkel, Marian C.
- Subjects
- *
CRITICAL thinking , *ACADEMIC medical centers , *STATISTICAL correlation , *EMPLOYMENT , *HOSPITAL wards , *RESEARCH methodology , *NURSES , *NURSING practice , *NURSING specialties , *PERSONNEL management , *PROBLEM solving , *REFLECTION (Philosophy) , *REGRESSION analysis , *SCALE analysis (Psychology) , *SELF-evaluation , *SURVEYS , *URBAN hospitals , *DECISION making in clinical medicine , *CERTIFICATION , *EDUCATIONAL attainment , *NATIONAL competency-based educational tests , *DATA analysis software , *DIARY (Literary form) , *WORK experience (Employment) , *DESCRIPTIVE statistics , *HOSPITAL nursing staff , *MANN Whitney U Test , *KRUSKAL-Wallis Test - Abstract
The article presents a research study published to present the critical-thinking process in practicing medical-surgical registered nurses (RNs) through self-reporting. Topics covered include the highlights of previous research articles relating to critical thinking, critical reasoning, and nurse thought, details relating to the Critical Thinking Diagnostic tool used in the study, and the need for all nurses to develop critical-thinking skills for job satisfaction and improved patient outcomes.
- Published
- 2016
24. Learning about Turning: Report of a Mailed Survey of Nurses' Work to Reposition Patients.
- Author
-
Hanna, Debra R.
- Subjects
- *
BEDSORES prevention , *BODY weight , *STATISTICAL correlation , *HOSPITAL wards , *WORKING hours , *NURSING , *NURSING services administration , *NURSING specialties , *PATIENT positioning , *INDUSTRIAL psychology , *RESEARCH funding , *STATISTICAL sampling , *SCALE analysis (Psychology) , *SURVEYS , *WORK environment , *EMPLOYEES' workload , *LOGISTIC regression analysis , *MORBID obesity , *DATA analysis software , *DESCRIPTIVE statistics , *ODDS ratio ,BEDSORE risk factors ,RESEARCH evaluation - Abstract
The article presents a research study conducted to evaluate the work and work environments of nurses in relation to repositioning patients to prevent pressure ulcers. Topics covered include the highlights of previous research articles about repositioning of adult patients, the samples, survey design and instruments used in the study, and the procedure of collecting data for the study. It also discusses the silent factors affecting the nurses' work in repositioning adult patients in acute care.
- Published
- 2016
25. Research for Practice. The Effects of a Rapid Response Team on Decreasing Cardiac Arrest Rates and Improving Outcomes for Cardiac Arrests Outside Critical Care Areas.
- Author
-
Angel, Melissa
- Subjects
- *
RAPID response teams , *THERAPEUTICS , *ACADEMIC medical centers , *BODY weight , *CARDIAC arrest , *CATASTROPHIC illness , *CHI-squared test , *CLASSIFICATION , *STATISTICAL correlation , *CARDIOPULMONARY resuscitation , *ETHNIC groups , *FISHER exact test , *HEALTH care teams , *LENGTH of stay in hospitals , *HOSPITAL wards , *HOSPITAL health promotion programs , *MULTIHOSPITAL systems , *NURSES , *NURSING specialties , *PATIENTS , *PROBABILITY theory , *SURVIVAL analysis (Biometry) , *T-test (Statistics) , *OCCUPATIONAL roles , *DISCHARGE planning , *TREATMENT effectiveness , *RETROSPECTIVE studies , *SEVERITY of illness index , *EARLY medical intervention , *DESCRIPTIVE statistics , *MANN Whitney U Test ,CARDIAC arrest prevention - Abstract
A retrospective study was conducted to determine the effects of a well-functioning rapid response team (RRT) within one facility. A well-functioning RRT was associated with fewer cardiac arrests outside critical care settings and decreased critical care length of stay. [ABSTRACT FROM AUTHOR]
- Published
- 2016
26. Interruptions During Medication Administration: A Descriptive Study.
- Author
-
Hughes Cooper, Christine
- Subjects
- *
COMMUNICATION , *CONFIDENCE intervals , *DRUG administration , *HOSPITAL wards , *HOSPITALS , *RESEARCH methodology , *NURSING practice , *NURSING specialties , *SCIENTIFIC observation , *ORGANIZATIONAL effectiveness , *STATISTICS , *SUBURBS , *TIME , *EMPLOYEES' workload , *DATA analysis , *INTER-observer reliability , *DESCRIPTIVE statistics , *HOSPITAL nursing staff - Abstract
Interruptions decrease the efficiency of the medication administration process. In this study, interruptions were found in 63% of the medication passes on four medical-surgical units in a community hospital. However, interruptions do not always lead to negative outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2016
27. STEP-UP: Study of the Effectiveness of a Patient Ambulation Protocol.
- Author
-
Teodoro, Catherine R.
- Subjects
- *
ANALYSIS of variance , *CHI-squared test , *STATISTICAL correlation , *GOAL (Psychology) , *LENGTH of stay in hospitals , *HOSPITAL wards , *HOSPITALS , *EVALUATION of medical care , *MEDICAL protocols , *NURSING , *NURSING practice , *NURSING specialties , *PATIENT education , *PROBABILITY theory , *STATISTICAL sampling , *T-test (Statistics) , *WALKING , *STATISTICAL power analysis , *PEDOMETERS , *RANDOMIZED controlled trials , *PRE-tests & post-tests , *HEALTH care reminder systems , *EVALUATION of human services programs , *DESCRIPTIVE statistics , *EARLY ambulation (Rehabilitation) - Abstract
Immobility in hospitalized patients, particularly the elderly can lead to serious untoward events. A pragmatic ambulation program that could be incorporated easily into clinicians' practice routines significantly improved ambulation in hospitalized patients compared to usual care with no organized emphasis on ambulation. [ABSTRACT FROM AUTHOR]
- Published
- 2016
28. CNE SERIES. A Daily Goals Tool to Facilitate Indirect Nurse-Physician Communication During Morning Rounds on a Medical-Surgical Unit.
- Author
-
Perry, Veronica
- Subjects
- *
COMMUNICATION , *DOCUMENTATION , *GOAL (Psychology) , *HOSPITAL wards , *HOSPITAL medical staff , *MILITARY hospitals , *NURSE-physician relationships , *NURSING specialties , *QUALITY assurance , *QUESTIONNAIRES , *SCALE analysis (Psychology) , *SURVEYS , *PRE-tests & post-tests , *HOSPITAL rounds , *DESCRIPTIVE statistics , *HOSPITAL nursing staff - Abstract
Interprofessional bedside rounds are essential for patient-centered care. However, it may be difficult for nurses to round with physicians on medical-surgical units. Using a daily goals tool for indirect rounds improved nurse-physician communication and interprofessional care for patients. [ABSTRACT FROM AUTHOR]
- Published
- 2016
29. CNE SERIES. Quality Improvement: Creating a Float Pool Specialty Within a New Graduate Residency.
- Author
-
Shinners, Jean
- Subjects
- *
ACADEMIC medical centers , *CLINICAL competence , *FOCUS groups , *HOSPITAL wards , *WORKING hours , *INTERNSHIP programs , *JOB satisfaction , *LABOR turnover , *MEDICAL preceptorship , *NURSES , *PERSONNEL management , *QUALITY assurance , *SCALE analysis (Psychology) , *SURVEYS , *EMPLOYEE retention , *GRADUATES , *EVALUATION research , *HUMAN services programs , *CONTINUING education units , *EVALUATION of human services programs , *DESCRIPTIVE statistics , *HOSPITAL nursing staff - Abstract
Creating new norms is essential for success as acute care leaders seek to redesign care delivery. Through the structures of the registered nurse (RN) residency and utilizing a quality improvement process, new graduate RNs demonstrated success in creating a centralized float pool resource. [ABSTRACT FROM AUTHOR]
- Published
- 2016
30. Evaluation of a Nurse-Initiated Routine HIV Testing Pilot on a Medical-Surgical Unit.
- Author
-
Costello, Joanne
- Subjects
- *
HIV prevention , *AIDS education , *HEALTH facility administration , *HOSPITAL wards , *HOSPITALS , *HOSPITAL medical staff , *RESEARCH methodology , *MEDICAL protocols , *NURSES' attitudes , *NURSING , *NURSING practice , *NURSING specialties , *PERSONNEL management , *QUESTIONNAIRES , *RESEARCH , *SURVEYS , *THERAPEUTICS , *URBAN hospitals , *PILOT projects , *PATIENTS' attitudes , *PHYSICIANS' attitudes , *DESCRIPTIVE statistics , *AIDS serodiagnosis , *ROUTINE diagnostic tests - Abstract
The article presents a survey of nurses and physicians and residents on the efficacy of a pilot program on nurse-initiated protocol for HIV testing on an acute medical-surgical unit. It discusses findings on awareness of nurses of policies on routine offering of HIV testing, preparedness to offer routine HIV testing and educate patients about HIV, response of physicians to the protocol, and patients' responses to HIV screening.
- Published
- 2016
31. Peripheral IV Site Rotation Based on Clinical Assessment vs. Length of Time Since Insertion.
- Author
-
Helton, Julie
- Subjects
- *
PHLEBITIS , *CATHETERIZATION complications , *EXTRAVASATION , *STATISTICAL correlation , *HEALTH facility administration , *LENGTH of stay in hospitals , *HOSPITAL wards , *HOSPITALS , *INTRAVENOUS therapy , *MATHEMATICAL models , *RESEARCH methodology , *NURSING assessment , *NURSING specialties , *QUALITY assurance , *STATISTICAL sampling , *SCALE analysis (Psychology) , *TIME , *DECISION making in clinical medicine , *THEORY , *STATISTICAL power analysis , *EVIDENCE-based nursing , *VASCULAR catheters , *DESCRIPTIVE statistics , *PREVENTION , *SAFETY - Abstract
The article presents a study on peripheral intravenous site care using Duffy's Quality-Caring Model. It discusses findings on the complication rates of phlebitis and infiltration between site rotation of peripheral intravenous catheters based on clinical assessment by nurses in a medical-surgical unit and length of time and implications for medical-surgical nursing practice and existing policies for venous access.
- Published
- 2016
32. Fall Risk Associated with Continuous Peripheral Nerve Blocks Following Knee and Hip Arthroplasty.
- Author
-
Finn, Daphna M., Agarwal, Rishi R., Ilfeld, Brian M., Madison, Sarah J., Ball, Scott T., Ferguson, Eliza J., Morgan, Anya C., and Morris, Beverly A.
- Subjects
- *
ACCIDENTAL fall prevention , *RISK factors of falling down , *ACADEMIC medical centers , *ACCIDENTAL falls , *FEMORAL nerve , *FISHER exact test , *HOSPITAL wards , *INTRAVENOUS therapy , *LOCAL anesthetics , *LONGITUDINAL method , *NERVE block , *NURSING practice , *NURSING specialties , *HEALTH outcome assessment , *PATIENTS , *PATIENT safety , *POSTOPERATIVE care , *POSTOPERATIVE pain , *RESEARCH funding , *RISK management in business , *SURGERY , *TOTAL hip replacement , *TOTAL knee replacement , *HUMAN services programs , *RETROSPECTIVE studies , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
The article presents a retrospective cohort study on the risk of falls in patients with the use continuous peripheral nerve blocks as pain management strategy for patients undergoing total knee arthroplasty and total hip arthroplasty in an academic medical center in southern California. It discusses findings on description of fall trends, incidences of falls and number of falls. It also discusses the implications of the research for medical-surgery nurses in inpatient units.
- Published
- 2016
33. Implementation of an Evidence-Based Patient Safety Team to Prevent Falls in Inpatient Medical Units.
- Author
-
Godlock, Gwendolyn
- Subjects
- *
ACCIDENTAL fall prevention , *CLINICAL medicine , *ACCIDENTAL falls , *HOSPITAL wards , *NURSING specialties , *PATIENT safety , *PERSONNEL management , *QUALITY assurance , *RISK assessment , *RISK management in business , *SCALE analysis (Psychology) , *SURVEYS , *TEAMS in the workplace , *EVALUATION research , *EVIDENCE-based nursing , *KEY performance indicators (Management) , *CHANGE management , *TEAM building , *HUMAN services programs , *DESCRIPTIVE statistics , *HOSPITAL nursing staff - Abstract
The article describes an evidence-based practice (EBP) intervention for patient safety and falls prevention. It discusses the implementation of the EBP TeamSTEPPS® for communication and teamwork in reducing inpatient falls using the FOCUS-PDCA model for process reviews in quality improvement projects. It describes the formation of the Fall Safety Team including registered nurses, licensed vocational nurses and certified nursing assistants.
- Published
- 2016
34. Successful Shared Governance Through Education.
- Author
-
Brull, Stacey
- Subjects
- *
HOSPITALS , *AGE distribution , *HOSPITAL wards , *JOB descriptions , *EMPLOYEE participation in management , *RESEARCH methodology , *NURSES , *PERSONNEL management , *PROFESSIONAL employee training , *STATISTICAL sampling , *STATISTICS , *STRATEGIC planning , *ADULT education workshops , *MANAGEMENT styles , *CERTIFICATION , *DATA analysis , *EFFECT sizes (Statistics) , *EDUCATIONAL attainment , *DESCRIPTIVE statistics , *ONE-way analysis of variance - Abstract
The article describes the manner the Mercy Medical Center utilized education to implement shared governance (SG) in less than two years. It details a descriptive, quasi-experimental study conducted to identify if implementation of shared governance could be done more efficiently and effectively using a comprehensive and robust education plan, to determine whether subscales of SG would increase post implementation, and whether characteristics had an impact on successful implementation of SG.
- Published
- 2015
35. Spouses Needs for Professional Support: The Spouses' Perspective on Communication.
- Author
-
Laursen, Jannie
- Subjects
- *
CANCER patients , *COMMUNICATION , *CONTENT analysis , *EMPATHY , *EMPLOYMENT , *FAMILY medicine , *FOCUS groups , *LENGTH of stay in hospitals , *HOSPITAL wards , *HOSPITALS , *INTERVIEWING , *RESEARCH methodology , *MEDICAL quality control , *MEDICAL personnel , *RESEARCH , *PSYCHOLOGY of Spouses , *GASTROINTESTINAL tumors , *QUALITATIVE research , *PROFESSIONAL practice , *SOCIAL support , *THEMATIC analysis , *PATIENTS' families , *FAMILY attitudes , *DESCRIPTIVE statistics , *PERIOPERATIVE care - Abstract
Objectives To identify the needs of spouses, and develop professional relations and well-planned communication with health professionals. Background Having a partner with a serious illness has an enormous impact, both physically and mentally, on the life of the spouse. Emotional status of the spouse plays an important role in the patient's adaptation to illness. Design This study was designed as an explorative qualitative study using focus group interviews. Methods Focus group interviews with 11 spouses of patients admitted to a general surgical ward were conducted. Data were processed using qualitative content analysis. Results Two overall themes were identified: spouses' experiences of professional support, and professional communication. A majority of the spouses did not find health professionals to be adequately present during the hospital admission. Furthermore, spouses felt communication was lacking or incorrect information was unprofessional and created a feeling of uncertainty. Conclusion Lack of empathy from health professionals and a lack of well-planned communication toward the spouses could be perceived as a lack of involvement and have a negative effect on the spouses. Relevance to Clinical Practice For health professionals, support of spouses should be prioritized to enhance family-centered care. This could be of great benefit to the patient. [ABSTRACT FROM AUTHOR]
- Published
- 2015
36. Working Together Toward a Common Goal: A Grounded Theory of Nurse-Physician Collaboration.
- Author
-
Fewster-Thuente, Lori
- Subjects
- *
ACADEMIC medical centers , *CLINICAL competence , *COMMUNICATION , *GROUNDED theory , *HOSPITAL wards , *HOSPITAL medical staff , *INTERPROFESSIONAL relations , *INTERVIEWING , *MEDICAL protocols , *MEDICAL practice , *NURSE-physician relationships , *STATISTICAL sampling , *TEAMS in the workplace , *DECISION making in clinical medicine , *PROFESSIONAL practice , *JUDGMENT sampling , *DATA analysis , *OCCUPATIONAL roles , *THEMATIC analysis , *DESCRIPTIVE statistics , *HOSPITAL nursing staff - Abstract
Introduction The results are presented from a grounded theory study that theorized nurse physician collaboration as a basic social process in which groups are formed and changed in harmony. Effective collaboration is essential to superior patient care and outcomes but a lack of theoretical basis for collaboration has hampered the study of collaboration and the optimization of patient care. Purpose The purpose of this study was to theorize collaboration as a basic social process occurring between nurses and physicians. Method Grounded theory was used to explore nurses' and physicians' experiences with collaboration to understand the process intrinsically. Following Institutional Review Board approval, 15 nurses and 7 resident physicians from various units within an academic medical center participated in face-to-face interviews regarding their experiences of collaboration. Data collection and constant comparison analysis continued concurrently until saturation was reached in the core and subsequent categories. Findings The basic social process of nurse-physician collaboration that emerged includes the core category of working together toward a common goal. It describes how nurses and physicians collaborate for patient care. The seven stages in the process are something needs our attention, knowing who to talk to, finding the right person, coming together, exchanging ideas and information, making it happen, and monitoring progress. Conclusion Working together toward a common goal is an empirically derived theory that can guide education and practice to improve patient outcomes, while saving money and lives. [ABSTRACT FROM AUTHOR]
- Published
- 2015
37. Art to Heart: The Effects of Staff-Created Art on the Postoperative Rehabilitation of Cardiovascular Surgery Patients.
- Author
-
Bowen, Mary Gwyn
- Subjects
- *
ACADEMIC medical centers , *AFFECT (Psychology) , *ANALYSIS of covariance , *ART , *CARDIOVASCULAR surgery , *CHI-squared test , *DIAGNOSIS , *GAIT in humans , *HEALTH facilities , *LENGTH of stay in hospitals , *HOSPITAL wards , *INTERIOR decoration , *RESEARCH methodology , *METROPOLITAN areas , *MOTIVATION (Psychology) , *PATIENTS , *POSTOPERATIVE care , *PROBABILITY theory , *PSYCHOLOGICAL tests , *SURGERY , *SURVEYS , *PRE-tests & post-tests , *DATA analysis software , *ELECTRONIC health records , *DESCRIPTIVE statistics , *EARLY ambulation (Rehabilitation) , *KRUSKAL-Wallis Test , *REHABILITATION - Abstract
Introduction Ambulation after cardiovascular surgery is an important part of the recovery process. Despite the benefits of ambulation, patients lack motivation to ambulate postoperatively. Purpose The purpose of the Art to Heart study was to determine if visual art can be used as a motivational tool to increase patient ambulation after cardiovascular surgery. Method A quasi-experimental design was used to determine if artwork created by hospital staff and displayed on the walls along the ambulation route would motivate patients to ambulate more frequently and for longer distances. Participants were assigned to one of three groups and viewed the usual hospital artwork, no artwork, or artwork created by hospital staff. Frequency and distance of ambulation were recorded for each participant. Mood disturbance was assessed using the Profile of Mood States-Short Form upon admission and at discharge. The groups that viewed art on the walls also completed a six-question survey about their ambulation experience. Findings Ninety participants enrolled in the study. Data were analyzed for 86 participants. The majority were male (74%) with a median age of 63. Participants in the staff art group walked a median 370 feet the first day following study enrollment while the other groups walked a median 270 feet (p=0.05). A similar but nonsignificant pattern was noted on the second day following study enrollment. Total mood disturbance declined from admission to discharge for all patients but no difference was found in total mood disturbance among the three groups. Participants in the staff art group were more likely to report the art changed the way they felt about walking compared to the participants looking at usual hospital artwork (p<0.001). Conclusions Art can be used as a motivational tool during postoperative recovery. Patients do notice the art on hospital walls and the type of art displayed may impact ambulation after cardiovascular surgery. [ABSTRACT FROM AUTHOR]
- Published
- 2015
38. Nurses' Perceptions of Role, Team Performance, and Education Regarding Resuscitation in the Adult Medical-Surgical Patient.
- Author
-
O'Donoghue, Sharon C.
- Subjects
- *
CARDIAC arrest , *THERAPEUTICS , *CLINICAL competence , *COMMUNICATIVE competence , *OUTCOME-based education , *CONFIDENCE , *CARDIOPULMONARY resuscitation , *HEALTH care teams , *HOSPITAL wards , *INTENSIVE care nursing , *INTERPROFESSIONAL relations , *NURSES , *NURSES' attitudes , *NURSING , *NURSING practice , *NURSING specialties , *PERSONNEL management , *STATISTICAL sampling , *SURVEYS , *TRAUMA centers , *TEAMS in the workplace , *OCCUPATIONAL roles , *TEACHING methods , *CONTINUING education units , *INFORMATION needs , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
The article discusses research on nurses' perception of their role, team performance and educational needs in the use of an electronic survey during resuscitation. Topics covered include cardiovascular disease as the top cause of death in the U.S. and how a high-performing team can surpass expectations in many instances.
- Published
- 2015
39. Outcomes Achieved Through Implementation of Interdisciplinary Plans of Care.
- Author
-
Sutton, Kendra
- Subjects
- *
STROKE treatment , *AUDITING , *CEREBROVASCULAR disease , *CLINICAL medicine , *CONFIDENCE intervals , *COST control , *FOCUS groups , *HEALTH care teams , *LENGTH of stay in hospitals , *HOSPITAL wards , *INFORMATION storage & retrieval systems , *MEDICAL databases , *INTERPROFESSIONAL relations , *EVALUATION of medical care , *MEDICAL protocols , *MEDICAL records , *PATIENT satisfaction , *PERSONNEL management , *PROBABILITY theory , *QUALITY assurance , *STATISTICAL hypothesis testing , *SURVEYS , *T-test (Statistics) , *PROFESSIONAL practice , *SYSTEM integration , *KEY performance indicators (Management) , *HUMAN services programs , *PRE-tests & post-tests , *NATIONAL competency-based educational tests , *STROKE patients , *DESCRIPTIVE statistics , *HOSPITAL nursing staff - Abstract
The article discusses the process used to implement interdisciplinary plans of care (IPOC) on a pilot 32-bed stroke unit to meet Joint Commission requirements. Topics covered include the use of electronic solutions endorsed by the Institute of Medicine (IOM) to improve care quality for hospitalized patients.
- Published
- 2015
40. Improving Congestive Heart Failure Care with a Clinical Decision Unit.
- Author
-
Carpenter, Jo Ellen
- Subjects
- *
HEART failure treatment , *EVALUATION of medical care , *CARDIOVASCULAR system , *COST control , *LENGTH of stay in hospitals , *HOSPITAL wards , *MEDICAL care , *QUALITY assurance , *DECISION making in clinical medicine , *EVALUATION research , *HUMAN services programs , *PRE-tests & post-tests , *PATIENT readmissions , *EVALUATION of human services programs , *DESCRIPTIVE statistics , *ECONOMICS - Abstract
The article discusses the implementation of Clinical Decision Units (CDUs) for patients with congestive heart failure in the U.S. Topics covered include the impact of CDU on clinical care, its financial benefits, and the opportunities it provide for the nurse leaders. The advantages and limitations of CDU are also mentioned.
- Published
- 2015
41. CNE SERIES. Nurses as Champions for Patient Safety and Interdisciplinary Problem Solving.
- Author
-
Allen, Danielle, Weinhold, Megan, Miller, jenna, Joswiak, M. Ellen, Bursiek, April, Rubin, Amanda, O'Hara, Sara, and Grubbs, Pamela
- Subjects
- *
COMMUNICATION , *HEALTH care teams , *HOSPITAL wards , *HOSPITAL medical staff , *INTERDISCIPLINARY education , *INTERPROFESSIONAL relations , *MEDICAL emergencies , *NURSE-physician relationships , *NURSES , *NURSING practice , *PATIENT safety , *PERSONNEL management , *PRACTICAL nurses , *PROBLEM solving , *QUALITY assurance , *SURVEYS , *TEAMS in the workplace , *DECISION making in clinical medicine , *OCCUPATIONAL roles , *CONTINUING education units , *EARLY medical intervention , *DESCRIPTIVE statistics , *HOSPITAL nursing staff - Abstract
The article discusses about oral anticoagulants and its significance in preventing stoke associated with atrial fibrillation (AF). Among the key notable anticoagulants in the market include aspirin, warfarin, and dabigatran. Information regarding patient education, laboratory monitoring, and nursing assessment, are also discussed.
- Published
- 2015
42. CNE SERIES. Risk-Adjusted Staffing to Improve Patient Value.
- Author
-
Pappas, Sharon, Davidson, Nan, Woodard, Jim, Davis, Jennifer, and Welton, John M.
- Subjects
- *
BEDSORES prevention , *PREVENTION of bloodborne infections , *ACCIDENTAL fall prevention , *URINARY tract infection prevention , *ADVERSE health care events , *ANALYSIS of variance , *PRESSURE ulcers , *BLOODBORNE infections , *CATHETERIZATION complications , *CLINICAL medicine , *EXPERIMENTAL design , *ACCIDENTAL falls , *LENGTH of stay in hospitals , *HOSPITAL wards , *WORKING hours , *INTERVIEWING , *MEDICAL care costs , *NURSING assessment , *PATIENT safety , *RISK assessment , *URINARY tract infections , *COST analysis , *KEY performance indicators (Management) , *HUMAN services programs , *PRE-tests & post-tests , *CONTINUING education units , *EVALUATION of human services programs , *DESCRIPTIVE statistics , *CATHETER-related infections , *PREVENTION , *INFECTION prevention - Abstract
The article discusses a study which examined whether the Patient Risk Assessment Profile which assesses patient characteristics and risk could guide staffing decisions and reduce adverse events and avoid unnecessary hospital costs. Topics covered include the primary goal for developing the Patient Risk Assessment Profile, the process to develop the Patient Risk Assessment Profile, and research findings including decreased adverse event rates for patient falls.
- Published
- 2015
43. Clinical Partners' Perceptions of Patient Assignments According to Acuity.
- Author
-
Thomasos, Esther, Brathwaite, Edwina E., Cohn, Tonya, Nerey, Juan, Lindgren, Carolyn L., and Williams, Shatondre
- Subjects
- *
CLASSIFICATION , *HOSPITAL wards , *HOSPITALS , *JOB satisfaction , *JOB stress , *NURSES , *NURSES' aides , *NURSING , *NURSING specialties , *PATIENTS , *PERSONNEL management , *PROBABILITY theory , *QUALITY assurance , *QUESTIONNAIRES , *SCALE analysis (Psychology) , *STATISTICS , *SURVEYS , *TEAMS in the workplace , *EMPLOYEES' workload , *DATA analysis , *OCCUPATIONAL roles , *EVALUATION research , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
The article focuses on the perception of clinical partners (CPs) about acuity-based patient assignments. It discusses Treatment, Education, Activities of Daily Living, Medications and Vital Signs and its implementation. The necessity of CP incorporation with efficient and effective patient care is noted.
- Published
- 2015
44. Delirium: Why Are Nurses Confused?
- Author
-
Baker, Nidsa D., Taggart, Helen M., Nivens, Anita, and Tillman, Paula
- Subjects
- *
ANALYSIS of variance , *CLINICAL competence , *DELIRIUM , *EMPLOYEES , *EXPERIENCE , *HOSPITAL wards , *RESEARCH methodology , *NURSING , *NURSING practice , *SCIENTIFIC observation , *PROBABILITY theory , *QUESTIONNAIRES , *SCALE analysis (Psychology) , *SURVEYS , *EDUCATIONAL attainment , *DATA analysis software , *DESCRIPTIVE statistics , *HOSPITAL nursing staff ,RISK of delirium - Abstract
The article focuses on the knowledge and significant role of nurses in delirium detection. It notes that insufficiency of nursing knowledge on delirium's general characteristics and the determination of its risk factors. The perception of nurses on their delirium recognition and management-related competency is evaluated.
- Published
- 2015
45. Nurses’ Knowledge of Heart Failure: Implications for Decreasing 30-Day Re-Admission Rates.
- Author
-
Sterne, Priscilla P., Grossman, Sheila, Migliardi, J. Sue, and Swallow, Anne D.
- Subjects
- *
CARDIAC patients , *ANALYSIS of variance , *EDUCATION research , *EMPLOYEES , *EMPLOYMENT , *TEST validity , *EXPERIENCE , *HEALTH behavior , *HEART failure , *HOSPITAL wards , *HOSPITALS , *MATHEMATICAL models , *EVALUATION of medical care , *MULTIVARIATE analysis , *NURSE-patient relationships , *NURSES , *NURSING , *NURSING practice , *PERSONNEL management , *PROBABILITY theory , *QUESTIONNAIRES , *STATISTICAL sampling , *HEALTH self-care , *STATISTICS , *SURVEYS , *T-test (Statistics) , *THEORY , *STATISTICAL power analysis , *EDUCATIONAL attainment , *PATIENT discharge instructions , *PRE-tests & post-tests , *REPEATED measures design , *RESEARCH methodology evaluation , *PATIENT readmissions , *DATA analysis software , *DESCRIPTIVE statistics , *HOSPITAL nursing staff , *MANN Whitney U Test , *EDUCATION ,RESEARCH evaluation - Abstract
Heart failure affects 5.1 million Americans. It is the leading cause of hospitalization in older adults and the most common cause of re-admissions, which cost approximately $12 billion annually. Re-admissions can be reduced through increased nurses’ knowledge in heart failure. [ABSTRACT FROM AUTHOR]
- Published
- 2014
46. Decision-Making Models Used by Medical-Surgical Nurses to Activate Rapid Response Teams.
- Author
-
Parker, Carlo G.
- Subjects
- *
DECISION making in clinical medicine , *ANALYSIS of variance , *STATISTICAL correlation , *EMPLOYEES , *EXPERIENCE , *FACTOR analysis , *HOSPITAL wards , *HOSPITALS , *MATHEMATICAL models , *RESEARCH methodology , *NURSES , *NURSING practice , *NURSING specialties , *PATIENT safety , *PROBABILITY theory , *QUESTIONNAIRES , *THEORY , *QUANTITATIVE research , *EDUCATIONAL attainment , *MULTITRAIT multimethod techniques , *CROSS-sectional method , *EARLY medical intervention , *DATA analysis software , *DESCRIPTIVE statistics , *HOSPITAL nursing staff ,RESEARCH evaluation - Abstract
Background: The purpose of rapid response teams (RRTs) is to reduce cardiopulmonary arrest and hospital mortality rates, and prevent failure to rescue (FTR). Silber, Williams, Krakauer, and Schwartz (1992) coined the term failure to rescue to describe the death of patients who suffered a post-surgical complication that was not addressed promptly. Between 2008 and 2010, 21,773 postoperative Medicare patients died in U.S. hospitals from FTR. The literature indicates RRTs are underutilized and underutilization of RRTs can lead to FTR. This comes in the form of delayed RRT activation or complete failure to activate the RRT when the patient's condition warrants. It indicates failures in the recognition of and reaction to sudden clinical deterioration, both of which require registered nurses (RNs) to utilize their critical thinking and decision-making skills. Increased frequency of RRT activation has been correlated to reduced patient mortality. Objective: The objective of this study was to determine the relationships between nurses' decision-making model during RRT activation and the frequency of RRT activation. Method: Participants in this study were 87 acute care RNs working in medical-surgical units who had activated the RRT at least once in the preceding 12 months. They completed a demographic questionnaire and self-reported the number of calls to the RRT in the preceding 12 months. The participants were asked to recall a time they had activated the RRT for a patient and then completed the Nurse Decision-Making Instrument (NDMI). The NDMI classified participant's decision-making process during RRT activation into one of three categories: analytic, analytic/intuitive (mixed model), or intuitive decision making. Results: Of the 87 RNs in this study, 70.1% (n=61) used an analytic/intuitive decision-making model, 21.8% (n=19) used an analytic decision-making model, and 8% (n=7) used an intuitive decision-making model during RRT activation. The frequency of RRT calls ranged from 1 to 15 (M=3.0, SD=2.6). Analytic decision makers had a mean of 4.7 RRT calls, analytic/intuitive decision makers had a mean of 2.56 RRT calls, and intuitive decision makers had a mean of 2.3 RRT calls. A one-way ANOVA indicated the differences in number of RRT calls between the three decision-making models was significant (p=0.003). The findings of this study indicated RNs who used analytical decision making activated the RRT with significantly greater frequency than either intuitive or mixed model decision makers. Discussion: The relationship between nurse decision-making models and patient outcomes needs to be investigated further. Because increased frequency of RRT activation has been associated with analytic decision making in this study and linked to decreased patient mortality rates in the literature, the potential to impact patient's outcomes positively, reduce hospital mortality rates, and reduce FTR exists. Nurses should be trained in analytical decision make and ongoing efforts should be made to support and enhance nurses' use of RRTs. [ABSTRACT FROM AUTHOR]
- Published
- 2014
47. Empowering the Development of a Nurse-Driven Protocol.
- Author
-
Engvall, Janet C., Padula, Cynthia, Krajewski, Amy, Rourke, Joan, Gomes McCillivray, Celia, Desroches, Stephanie, and Anger Jr., William
- Subjects
- *
BLOOD sugar , *BLOOD sugar monitoring , *STATISTICAL correlation , *DIABETES , *PEOPLE with diabetes , *HOSPITAL wards , *HYPOGLYCEMIA , *INFORMATION storage & retrieval systems , *MEDICAL databases , *MEDICAL protocols , *MEDICAL records , *NURSES , *NURSING , *NURSING practice , *NURSING assessment , *NURSING specialties , *PERSONNEL management , *STATISTICAL sampling , *SCALE analysis (Psychology) , *SURVEYS , *THERAPEUTICS , *PILOT projects , *EVIDENCE-based nursing , *PRE-tests & post-tests , *DATA analysis software , *DESCRIPTIVE statistics , *SYMPTOMS - Abstract
The article discusses the study which identifies the baseline diabetes knowledge level of nurses and evaluates educational module's efficacy that was made to identify level of diabetes knowledge of direct-care nurses. The study uses intervention, pre-test, and post-test design to identify the knowledge of nurses along with Diabetes Basic Knowledge Test (DBKT) and Diabetes Self-Report Tool (DSRT). Result shows an increase in nurse autonomy to manage hypoglycemia events.
- Published
- 2014
48. Reducing Nasal Pressure Ulcers With an Alternative Taping Device.
- Author
-
Ambutas, Shirley, Staffileno, Beth A., and Fogg, Louis
- Subjects
- *
BEDSORES prevention , *NASAL mucosa , *CHI-squared test , *COMMERCIAL product evaluation , *COMPARATIVE studies , *CONFIDENCE intervals , *DOCUMENTATION , *HOSPITAL wards , *RESEARCH methodology , *NURSING practice , *NURSING assessment , *NURSING specialties , *POSTOPERATIVE care , *PROBABILITY theory , *STATISTICAL sampling , *T-test (Statistics) , *EVALUATION research , *FEEDING tubes , *DATA analysis software , *DESCRIPTIVE statistics , *TAPING & strapping , *WOUNDS & injuries - Abstract
The article presents a study which investigates the use of an alternative taping device to reduce the incidence of nasal pressure ulcers (NPUs) among patients. The study compares the impact of the commercially available device and conventional adhesive taping for nasogastric tubes (NGTs) and for NPUs. Results show that the commercially available device reduces the incidence of NPUs compared to conventional adhesive tape.
- Published
- 2014
49. Evaluating the Impact of Medication Cabinets in Patients' Rooms on a Medical-Surgical Telemetry Unit.
- Author
-
Arinal, Mavel F., Cohn, Tanya, and Avila-Quintana, Carmen
- Subjects
- *
DRUG therapy , *ACADEMIC medical centers , *BAR codes , *STATISTICAL correlation , *DRUG delivery systems , *DRUG administration , *EMPLOYEES , *EXPERIENCE , *HOSPITAL patients , *HOSPITAL pharmacies , *HOSPITAL wards , *PHARMACY databases , *EMPLOYEE participation in management , *MEDICATION errors , *NURSING practice , *NURSING specialties , *QUALITY assurance , *ROOMS , *SCALE analysis (Psychology) , *SURVEYS , *T-test (Statistics) , *EMPLOYEES' workload , *EDUCATIONAL attainment , *PRE-tests & post-tests , *CONTINUING education units , *DATA analysis software , *DESCRIPTIVE statistics , *ECONOMICS ,RESEARCH evaluation - Abstract
The article presents a study which evaluates the impact of installing medication cabinets in patients' rooms among nurses on a medical-surgical telemetry unit. Topics discussed include the use of medication cabinets, the increase of nurses' satisfaction when it comes to medical administration process, and the implications for nursing practice.
- Published
- 2014
50. Discharge Planning Rounds to the Bedside: A Patient- and Family- Centered Approach.
- Author
-
Wrobleski, Diane M. Salentiny, Joswiak, M. Ellen, Dunn, Donna F., Maxson, Pamela M., and Holland, Diane E.
- Subjects
- *
ACADEMIC medical centers , *CHI-squared test , *CLASSIFICATION , *COMPARATIVE studies , *DIAGNOSIS related groups , *HEALTH care teams , *LENGTH of stay in hospitals , *HOSPITAL wards , *HOSPITAL emergency services , *INTERVIEWING , *LONGITUDINAL method , *MEDICAL care use , *MEDICAL referrals , *NURSING specialties , *PATIENTS , *POSTOPERATIVE care , *PROBABILITY theory , *SCALE analysis (Psychology) , *SURGERY , *SURVEYS , *T-test (Statistics) , *TIME , *EMPLOYEES' workload , *DISCHARGE planning , *CROSS-sectional method , *SEVERITY of illness index , *PATIENT-centered care , *HOSPITAL rounds , *PATIENT readmissions , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
The article discusses a study regarding the comparison of the completion time of rounds and health service utilization after hospital discharge between discharge planning (DP) rounds in a conference room and at the bedside. Topics include the use of a cross-sectional survey, emergency room visits, and determining the feasibility of DP rounds at conference room and at the bedside.
- Published
- 2014
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