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Journal of Nursing Care Quality

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https://read.qxmd.com/read/31094877/implementing-a-clinical-practice-guideline-on-opioid-induced-advancing-sedation-and-respiratory-depression
#1
Josephine Kamendat, Beverly W Dabney, Marilyn McFarland, Gregory E Gilbert, Kathleen Richards-Weatherby
BACKGROUND: Opioid-induced respiratory depression (OIRD) is a serious adverse reaction associated with opioid administration. LOCAL PROBLEM: The purpose of this quality improvement study was to evaluate the impact of implementing a clinical practice guideline for OIRD in a medical-surgical setting lacking standardized monitoring techniques and reporting criteria for patients receiving opioid analgesia. METHODS: An American Society for Pain Management Nursing protocol was implemented in 4 medical/surgical units...
May 14, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30998559/recommendations-for-fall-related-injury-prevention-a-1-year-review-of-fall-related-root-cause-analyses-in-the-veterans-health-administration
#2
Christina Soncrant, Julia Neily, Tatjana Bulat, Peter D Mills
BACKGROUND: Injurious falls continue to challenge health care. Causes of serious falls from the largest health care system in the United States can direct future prevention efforts. PURPOSE: This article analyzes injurious falls in the Veterans Health Administration and provides generalizable recommended actions to prevent future events. METHODS: We categorized root cause analysis (RCA) reports and coded injury type, fall type, location, and root causes...
April 16, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30998558/impact-of-kamishibai-card-process-on-compliance-with-the-central-venous-line-maintenance-bundle
#3
Julia Frith, Debbie Hampton, Michelle Pendleton, Vicki L Montgomery, Pam Isaacs
BACKGROUND: The Kamishibai Card (K-Card) process is a storytelling methodology designed to help identify barriers and remove or redesign them. PURPOSE: The purpose of this study was to evaluate the effectiveness of the K-Card process for central venous line (CVL) maintenance bundle compliance in a pediatric intensive care unit. METHODS: A retrospective evaluation of the implementation of the K-Card process was performed using a pretest and posttest design...
April 16, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30973427/measurement-and-validation-of-primary-care-nursing-indicators-based-on-a-wound-care-tracer-condition
#4
Émilie Dufour, Arnaud Duhoux, Damien Contandriopoulos
BACKGROUND: Access to both valid and reliable nursing-sensitive indicators is currently limited in primary care. PURPOSE: The objectives were to (1) measure primary care nursing indicators using a wound care tracer condition and (2) study the associations between process and outcome indicators. METHODS: We conducted a longitudinal study in an ambulatory care clinic in Quebec, Canada. The sample included 482 episodes of care. We studied 5 indicators related to processes and 3 to outcomes...
April 8, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30973426/incivility-and-clinical-performance-teamwork-and-emotions-a-randomized-controlled-trial
#5
Susan L Johnson, Katie A Haerling, Weichao Yuwen, Van Huynh, Chi Le
BACKGROUND: Incivility has been identified as a common occurrence in health care settings. While anecdotal evidence exists that these behaviors negatively impact patient care, more robust evidence is lacking. PURPOSE: This randomized controlled trial investigated the effects of exposure to incivility on clinical performance, teamwork, and emotions. METHODS: Teams of nurses were randomly assigned to a control or experimental group. The experimental group was exposed to incivility...
April 8, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30889084/nurse-led-mobility-program-driving-a-culture-of-early-mobilization-in-medical-surgical-nursing
#6
Renata A Jones, Sarah Merkle, Lynze Ruvalcaba, Pippin Ashton, Casey Bailey, Mary Lopez
BACKGROUND: Hospitalized medical-surgical patients are at risk for adverse health outcomes due to immobility. Despite well-documented consequences, low mobility is prevalent. LOCAL PROBLEM: In a 547-bed hospital, medical-surgical patients were mobilized less frequently than expected. Physical therapists were inappropriately consulted 22% of the time for routine mobility of patients. A preimplementation survey of registered nurses indicated a lack of knowledge and confidence to safely mobilize patients...
March 18, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30889083/examining-the-capacity-of-registered-nurses-to-deliver-culturally-competent-health-care-to-veterans-and-their-families
#7
Tamara Bonzanto, Beth Ann Swan, John P Gaughan
BACKGROUND: Although more than 75% of veterans and their families are accessing care in non-Veterans Affairs (VA) settings, there is little information about health care workers, specifically registered nurses (RNs)' ability to provide culturally competent and appropriate care to military veterans and their families. PURPOSE: The purpose was to examine the capacity of RNs working in non-VA hospitals to deliver culturally competent health care to military veterans and their families...
March 18, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30889082/brown-bag-medication-review-using-ahrq-s-brown-bag-medication-tool
#8
Eileen Murtha, Betty Elder, Mary Faragher
BACKGROUND: Medication nonadherence has been linked to health literacy and poor patient outcomes. The Health Literacy Universal Precautions Toolkit addresses both issues. PURPOSE: A brown bag medication review was implemented to identify medication nonadherence in a Midwestern clinic. METHODS: Adult patients were instructed to bring all prescribed and over-the-counter medication to office visits. A reviewer transcribed administration directions and the patient's verbal instruction of how the medication is taken...
March 18, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30889081/including-and-training-family-caregivers-of-older-adults-in-hospital-care-facilitators-and-barriers
#9
Beth Fields, Juleen Rodakowski, Cassandra Leighton, Connie Feiler, Tami Minnier, A Everette James
BACKGROUND: Despite the role caregivers play in the delivery of care, the interactions and training methods used with caregivers during an inpatient stay are not clear. PURPOSE: The purpose was to examine interactions and training methods used with caregivers during hospital care. METHODS: A mixed-methods case study was conducted. Observations were summarized and interviews were analyzed using thematic analysis. RESULTS: The frequency of caregiver engagement varied at different points in the care process but was highest among observations during the stay care point...
March 18, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30889080/barriers-and-enablers-to-implementing-a-high-dependency-care-model-in-pediatric-care-a-preimplementation-study
#10
Christine Cassidy, Lauren MacEachern, Jeanne Egar, Shauna Best, Laura Foley, Mary Elizabeth Rowe, Janet Curran
BACKGROUND: As the level of acuity of pediatric hospital admissions continues to increase, additional pressure is being placed on hospital resources and the nursing workforce. LOCAL PROBLEM: Currently, there is no formalized approach to care for high-acuity patients on our pediatric inpatient unit. METHODS: We used a qualitative descriptive design, guided by the Theoretical Domains Framework and Capability, Opportunity, Motivation-Behaviour (COM-B) model, to conduct focus groups and interviews with clinicians and administrators to identify potential barriers and enablers to implementing a high-dependency care (HDC) model...
March 18, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30839410/clinical-nurse-leader-knowledge-production-to-quality-improvement-in-a-seamless-trajectory-a-participatory-research-approach
#11
Miriam Bender, LeeAnna Spiva, Sara Patrick, Sarah Meffert, Lonnie Moton, Sharee Clarke, Kendra Mathis, Lucy Leclerc, Kimberly Knotts, April Mount
BACKGROUND: Health systems are actively implementing Clinical Nurse Leader (CNL)-integrated care delivery across the United States. PROBLEM: However, the CNL model is a complex health care intervention, making it difficult to generate evidence of effectiveness using traditional research frameworks. APPROACH: Participatory research is a growing alternative to traditional research frameworks, emphasizing partnership with target community members in all phases of research activities...
March 4, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30817416/patient-satisfaction-with-telephone-nursing-a-call-for-calm-clarity-and-competence
#12
Silje Gustafsson, Britt-Marie Wälivaara, Sebastian Gabrielsson
BACKGROUND: Studies of patient satisfaction with telephone nursing can provide a better understanding of callers' needs and inform the improvement of services. PURPOSE: This study described patients' experiences and perceptions of satisfaction with telephone nursing. METHODS: The design was nonexperimental and descriptive, with an inductive approach. Data were collected using open-ended questions in a questionnaire that was dispatched to 500 randomly selected callers to the Swedish Healthcare Direct in Northern Sweden...
February 25, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30817415/rapid-response-team-quality-champion-registered-nurse-observations-and-perceptions
#13
Margaret M McNeill, Susan Archer, Dana Remsburg, Jill Storer, Heather Rudman
BACKGROUND: Operationalization of the rapid response team (RRT) and its quality champion (QC) nurses at a community hospital is unique and provides benefits not entirely captured by analysis of mortality data. PURPOSE: The purpose was to determine the perceived benefits of the RRT at the facility and behaviors and activities observed during actual RRT responses. Also examined was the timeliness of the RRT calls. METHODS: This was a mixed-method study including qualitative (interviews, focus groups, and surveys) and quantitative (retrospective chart reviews) data collection...
February 25, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30817414/measuring-quality-of-care-a-rasch-validity-analysis-of-the-good-nursing-care-scale
#14
Minna Stolt, Jouko Katajisto, Anders Kottorp, Helena Leino-Kilpi
BACKGROUND: Patient-centeredness is emphasized in both health policies and practice, calling for reliable instruments for the evaluation of the quality of nursing care. PURPOSE: The purpose was to analyze the psychometric properties of the Good Nursing Care Scale (GNCS) in a sample of surgical patients and nurses. METHODS: An explorative cross-sectional study design was used. Data were collected with the 40-item GNCS from surgical patients (n = 476) and nurses (n = 167) in Finland...
February 25, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30817413/increasing-competence-in-pressure-injury-prevention-using-competency-based-education-in-adult-intensive-care-unit
#15
Carla Aquino, Amanda Owen, Ashley Predicce, Stephanie Poe, Sharon Kozachik
BACKGROUND: There is a significant focus on pressure injury prevention to promote better patient outcomes and control health care cost. LOCAL PROBLEM: In 2016, the institution's pressure injury quarterly prevalence survey showed that two-thirds of the patients surveyed who developed unit-acquired pressure injury stage 2 and greater were in the adult intensive care units. METHODS: The quality improvement project used a pre- and postintervention design...
February 25, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30817412/relationship-between-control-over-nursing-practice-and-job-satisfaction-and-quality-of-patient-care
#16
Zaid Al-Hamdan, Eman Smadi, Muayyad Ahmad, Hala Bawadi, Ann M Mitchell
BACKGROUND: Control over nursing practice (CONP) in the work setting is associated with several positive consequences such as increased job satisfaction, support of teamwork, decreased patient mortality, and improved quality of care. PURPOSE: The purpose of this study was to examine the level of perceived CONP among Jordanian registered nurses (RNs) and determine its relationship with their job satisfaction and quality of patient care. METHOD: A descriptive, cross-sectional correlational design was used...
February 25, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30817411/shared-governance-approach-to-implementing-change-of-shift-huddle
#17
Holley Farley, Angie Hartig, Cindy Rutledge
No abstract text is available yet for this article.
February 25, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30817410/driving-innovation-in-health-care-clinical-nurse-leader-role
#18
Kristen Noles, Rebekah Barber, David James, Nancy Wingo
BACKGROUND: The clinical nurse leader (CNL) role was developed as a strategy for redesigning care delivery to address quality and safety gaps in health care. However, innovation competencies have never been assessed in this group. PURPOSE: The purpose of this study was to determine whether CNLs have different perceptions of innovation and their own competence to lead it, compared with other nurse leaders. METHODS: A web-enabled concurrent mixed-method survey design was used to compare self-reported innovation competencies between nurses in a leadership role and certified CNLs at a large academic medical center...
February 25, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30817409/associations-between-hospital-level-patient-satisfaction-scores-and-hospital-acquired-pressure-ulcer-occurrences-among-medicare-stroke-patients
#19
Tamara Odom-Maryon, Hsou Mei Hu, Huey-Ming Tzeng
BACKGROUND: Limited research has explored the associations between the US Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) ratings data and hospital-acquired pressure ulcer (HAPU) occurrences. PURPOSE: We examined the associations between the hospital-level patient satisfaction HCAHPS scores with hospital care experience reported by Medicare patients 65 years or older and the occurrence of HAPUs among Medicare patients with stroke. METHODS: A matched case-control design was used...
February 25, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30817408/relationship-between-nurse-certification-and-clinical-patient-outcomes-a-systematic-literature-review
#20
Paulo Coelho
BACKGROUND: Certification of nurses has been identified as a strategy to improve health care quality. However, the impact nursing certification has on clinical patient outcomes remains unclear. PURPOSE: The purpose was to examine the relationship between nursing certification and clinical outcomes. METHODS: A systematic review of the literature was conducted through the search of relevant bibliographic databases (CINAHL Plus, PubMed, Medline, and Cochrane Collaboration)...
February 25, 2019: Journal of Nursing Care Quality
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