Given developments in health care and the importance of nursing care and nursing leadership in determining the quality and cost of patient services, it is clear that nurse leaders should be on the boards of health care organizations. Studies though continue to indicate that nurse engagement as voting members of health care organization boards is limited. Lawrence Prybil has written about this situation for JNCQ readers over the years. His new article in this issue examines factors that contribute to the lack of nurses on hospital and health system boards, and he proposes steps to increase the engagement of nurses on boards. Do you need an easy-to-use and valid fall assessment tool? A 2-phase study was undertaken by Yip and colleagues to develop and validate a simplified fall assessment tool. Risk factors of confusion, dizziness, altered elimination, and difficulty with mobility were significantly associated with fall status. The simplified fall assessment tool contains these 4 risk factors and has a comparable predictive value to Hendrich II Falls Risk Model. The need for nurses to manage multiple priorities often leads to delays in responding to patient call lights. Read the article on the No-Pass Zone, a multidisciplinary team approach to responding to call lights. It resulted in patients’ needs being met more quickly. If you work in a pediatric setting, make sure you read the article by Rosenberg et al. They explored parents' perspectives regarding their involvement in safety for their hospitalized children. The authors provide implications for developing effective partnerships between clinicians and parents. Using data from 2 multidisciplinary studies focused on medication safety effectiveness, Bravo et al provides strategies to address interruptions/distractions for the 3 most problematic time frames in which medication errors typically arise: medication acquisition, transportation, and bedside delivery. This is a must-read article (and we are offering CE contact hours for reading it). I have mentioned a few of the articles in this issue, but there are many more that you should read – and share with colleagues.
Marilyn H. Oermann, PhD, RN, ANEF, FAAN