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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

Articles in this issue guide readers in improving quality at the health system level. Trail-Mahan et al describe a QI project to improve inpatient pain management across 21 medical centers. Using human-centered design principles, they bundled 6 individual and team nursing practices and assessed their impact on patient satisfaction with pain management. Pain composite scores increased from the 25th to just under the 75th national percentile. Another group of authors describes an initiative they developed, the Race, to empower frontline staff to assume responsibility for their quality metrics and foster peer-to-peer accountability. Over the last 5 years, the Race has become a sustainable QI approach to engage staff and improve outcomes. Despite use of prevention strategies, falls in hospitals and long term care continue to be a significant problem. This issue includes 4 articles on innovations to prevent falls. Based on analysis of fall prevention strategies across multiple inpatient units in 6 medical centers, Quigley et al describe an operational strategic plan to enhance fall and injury prevention and improve program infrastructure at the organizational and unit levels. Another health system implemented centralized video monitoring to prevent falls among patients at high risk for falls across the acute care setting. In another article the authors report the validity and reliability of the Marianjoy Fall Risk Assessment Tool. Reducing falls requires a knowledgeable nursing workforce:  read the paper by Gray-Miceli et al to learn how they used validated vignettes to assess nurses’ knowledge of causes of falls in 3 nursing homes.

There are some other must-read articles in this issue. What are the consequences of disruptive behaviors of clinicians on patients and clinicians themselves? An article in this issue reports a study of 1559 clinicians in a medical center in the US. Psychological aggression caused by disruptive behavior or incivility increased the likelihood of patient harm and clinicians’ job dissatisfaction and physical symptoms. Nurses’ ability to correctly interpret numeric and graphical trends in EHR data is critical to making good decisions about patient care. In a study by Lopez et al, more than half of the nurses scored low for either numeracy or graph literacy. Tarver and Stuenkel explored factors that led to rapid response team (RRT) interventions. They found 5 significant differences between medical-surgical patients who had an RRT intervention and those who did not. Most studies of interruptions have focused on those that occur during medication administration. What about interruptions and their duration during other nursing-directed interventions? A study in this issue reports that nurses experience an average of 5.6 interruptions per hour, occurring most frequently in the afternoon shift, among other findings.  These are just a few of our articles in the April June issue: there are many others that you will find applicable to your own health setting. Read our articles and share them with colleagues.

Marilyn H. Oermann, PhD, RN, ANEF, FAAN
Editor-in-Chief

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Featured Videos
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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Dr. Lake and colleagues describe their study on the associations between the NICU work environment, quality of care, safety, and patient outcomes. A secondary analysis was conducted of responses of 1247 NICU staff nurses in 171 hospitals to a large nurse survey. Better work environments were associated with lower odds of nurses reporting poor quality, safety, and outcomes. Improving the work environment may be a promising strategy to achieve safer settings for at-risk newborns. Read the Lake et al. article here.

 

Watch this video and read the article to learn more about the nature and causes of missed nursing care and how it relates to unit-level nurse workload. This study was conducted in California, which legally mandates nurse staffing ratios. There were no significant relationships between patient turnover and missed nursing care. Read the Orique et al. 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.