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Editor-in-Chief: Marilyn H. Oermann, PhD, RN, FAAN
ISSN: 1057-3631
Online ISSN: 1550-5065
Frequency: 4 issues / year
Ranking: Nursing 24/110
Impact Factor: 1.389
About Journal of Nursing Care Quality

JNCQ provides practicing nurses, nurses in leadership roles, and other health care professionals with new information and research on patient safety, quality care, evidence-based practice, and more. Sign up for alerts to our Published Ahead-of-Print articles.

Consider publishing your work in JNCQ and benefitting from:
• Fast turnaround time for reviews: Average 4 weeks from submission.
• Fast publication time: Average 4 weeks from acceptance to online publication.
• Read by nurses, QI professionals, and others worldwide.
• JNCQ has a 2014 impact factor of 1.389.   

About This Issue

In the commentary from the Agency for Healthcare Research and Quality, Dr Jeffrey Brady discusses 2 recently published National Healthcare Quality and Disparities Report chartbooks, which will be of interest to readers. These chartbooks call specific attention to the quality of care given to—and disparities suffered by—Blacks and Hispanics. The chartbooks will be useful to nurses and other health providers to gain a better understanding of how their patient populations compare to national norms and for improving quality of care. In another national report, Alexander et al describe their model for assessing trends in nursing home information technology adoption and quality measures. In the article by Jacobson and colleagues, you will learn about their QI project to provide nurses with data on the frequency with which pressure ulcer prevention interventions were performed. The documentation reports provided feedback to nurses and triggered reminders and re-education. Those reports improved the documentation of pressure ulcer prevention interventions and decreased the number of hospital-acquired pressure ulcers. Did you realize that among hospitalized patients, malnutrition is prevalent yet often overlooked?  In this issue authors report on the outcomes of a health system QI program to integrate early nutritional care into the nursing workflow. Nurses screened for malnutrition risk at patient admission and then immediately ordered oral nutritional supplements for those patients. The program reduced pressure ulcer incidence, length of stay, 30-day readmissions, and costs. This is an open-access article, free to all readers. In another QI initiative in a pediatric, tertiary care hospital, nurses used teach-back combined with a discharge bundle across 16 inpatient units. The intervention resulted in an 8% reduction in 7-day readmission and 10% reduction in 30-day readmission over 16 months. Many agencies struggle with ensuring optimal care coordination during transitions:  Radwin et al present an expanded theoretical framework for care coordination. Two studies on handoffs are reported in this issue. In one study the authors examined 27 mnemonics to identify what information should be communicated during a handoff. In the other study from Australia, Johnson et al evaluated the outcomes of using an integrated nursing handover system (structured content and an electronic tool within the patient clinical information system with bedside delivery). There were improvements in the transfer of critical patient information and reductions in clinical management incidents. Read this issue from front to back to learn more about these QI studies and gain other ideas you can use in your own settings.

 

Marilyn H. Oermann, PhD, RN, ANEF, FAAN
Editor​

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The authors examined whether an integrated nursing handover system (structured content and an electronic tool within the patient clinical information system with bedside delivery) would improve the quality of information delivered at nursing handover and reduce adverse patient outcomes. They demonstrated improvements in the transfer of critical patient information and reductions in nursing clinical management incidents. Watch this video and read the article​ to learn more about this important project.



Ensuring optimal care coordination requires a clear understanding of how clinician activities and continuity during transitions affect patient-centered care and quality outcomes. Dr. Radwin describes an expanded theoretical framework to better understand care coordination. She provides a clear explanation of concepts. Watch the video and read her article to understand the framework and how you can use it to guide care coordination in your own setting.​


The Race is led by Clinical Nurse Specialists in partnership with nurse leaders to engage frontline staff in QI. Staff adopts evidence-based practice changes and actively engages in friendly competition to improve selected quality metrics. Data from compliance audits and automated outcome metric reports are used to identify top performing units. The Race project provides a focus for frontline staff by helping to correlate the impact on outcomes of providing quality patient care through best practices. The authors explain the project in this video and their article located here.


The authors examined the differences between medical-surgical patients who had a Rapid Response Team Intervention (RRTI) and those who did not. There were 5 significant differences between these 2 groups of patients. Watch this video and read the article here to learn more about the effectiveness of the Rapid Response Team in this hospital.






Many fall prevention strategies exist with some degree of effectiveness. Watch this video and read the article to learn about a staff-driven QI initiative to develop a video in partnership with patients and families to prevent falls when hospitalized. Since the video's release, the fall rate has decreased by 29.4%.​ Read the article here. 




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The new SQUIRE guidelines for writing QI manuscripts have been released. Read the article titled "SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): Revised Publication Guidelines From a Detailed Consensus Process" by Ogrinc et al. here.