Editor-in-Chief: Marilyn H. Oermann, PhD, RN, FAAN
ISSN: 1057-3631
Online ISSN: 1550-5065
Frequency: 4 issues / year
Impact Factor: 1.117
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

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

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Featured Videos

Recent changes in the Surgical Care Improvement Project guideline require blood glucose values be less than 180 mg/dL 18 to 24 hours after anesthesia end time after cardiac surgery. The authors studied 2 groups of patients: the first group of patients was transitioned off IV insulin on postoperative day 1, 24 hours after anesthesia end time, whereas the second group was transitioned off IV insulin on the second day, 48 hours after anesthesia end time. The results showed no statistical differences in outcomes between groups. Watch this video and read the article to learn about the study and evidence they gathered from it.​​
​​​​​The purpose of this QI project was to determine the feasibility of using provider-led participatory visual methods to scrutinize 4 hospital units' infection prevention and control practices. Methods included provider-led photo walkabouts, photo elicitation sessions, and postimprovement photo walkabouts. Nurses readily engaged in using the methods to examine and improve their units' practices and reorganize their work environment. Watch the video and read​ ​​the article here.​​​

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Among hospitalized patients, malnutrition is prevalent yet often overlooked and undertreated. The author implemented a QI program that integrated early nutritional care into the nursing workflow. Nurses screened for malnutrition risk at patient admission and then immediately ordered oral nutritional supplements for those at risk. Supplements were given as regular medications. Pressure ulcer incidence, length of stay, 30-day readmissions, and costs of care were reduced. Watch this video and read the entire article for free: the article is open access so readers can learn about this ​​important QI initiative. ​​
A multicomponent intervention was attempted in a pediatric emergency department to increase reporting of workplace aggression committed by patients and visitors. Overall reporting decreased from 53% to 47% (p = .06). Reasons for reporting were severity of incident and being asked to report. However, many incidents were not reported. Watch the video and be sure to read the article.
Patient falls continue to be a significant problem in hospitals. In this video and article​, the authors describe the feasibility and impact of implementing centralized video monitoring of patients identified as high risk for falls. They also discuss the implications of video monitoring in the acute care setting.

Official Journal of the Clinical Nurse Leader Association