Most Popular Videos

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Journal: Journal of Nursing Care Quality
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 to learn more about the effectiveness of the Rapid Response Team in this hospital.
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Duration: 7:53
Assessing high risk for falling among psychiatric inpatients is particularly challenging in that assessments with strong sensitivity and specificity are not available. The author explains their study to validate use of the Baptist Health High Risk Falls Assessment (BHHRFA), a medical-surgical fall risk assessment, with a psychiatric inpatient population. Data collected on 5910 psychiatric inpatients using the BHHRFA showed acceptable sensitivity, specificity, and diagnostic odds ratio. After you watch the video, take time to read the article.
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Duration: 2:41
Journal: Journal of Nursing Care Quality April/June 2017, Volume 32, Issue 2;
Medication errors are a source of serious patient harm. A unique approach, Socio-Technical Probabilistic Risk Assessment, was used to analyze medication errors in this pediatric setting. Three steps were identified that should be taken with every intravenous medication or fluid administration. Nurses check for the 3Cs: Connections, Clamps, and Confirming pump settings. Preliminary analysis revealed a 22% reduction in errors. This video is prepared with a pediatric theme!
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Duration: 4:40
Journal: Journal of Nursing Care Quality October/December 2017, Volume 32, Issue 4;
The QSEN RN-BSN Task Force developed recommendation for a systems-based practice competency. Recommendations are to integrate systems-based practice into both education and practice settings. Watch the video and read the article to learn more about this proposed QSEN competency.
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Duration: 3:53
Journal: Journal of Nursing Care Quality
Approximately a quarter of medication errors in the hospital occur at the administration phase, which is solely under the purview of the bedside nurse. Dr. Gail Armstrong reports on her study that assessed bedside nurses' perceived skills and attitudes about updated safety concepts and examined their impact on medication administration errors and adherence to safe medication administration practices. Findings supported the premise that medication administration errors result from an interplay among system-, unit-, and nurse-level factors. Watch this video and then read Dr. Armstrong’s articles about the study and tool development.
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Duration: 4:08
Journal: Journal of Nursing Care Quality October/December 2017, Volume 32, Issue 4;
Clinical nurse leaders (CNLs) improve care at the microsystem level. Learn about the use of the CNL role in an academic medical center for evaluating pressure ulcer reporting – watch this video and be sure to read the article. The authors used the Plan-Do-Study-Act cycle as the methodology for the study. The CNL assessment of pressure ulcers resulted in a 21% to 50% decrease in the number of hospital-acquired pressure ulcers reported in a 3-month time period. The CNL role has potential for improving the validity and reliability of pressure ulcer reporting.
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Duration: 5:57
Telemetry monitoring is a limited resource. This quality improvement project describes a nurse managed telemetry discontinuation protocol to stop telemetry monitoring when it is no longer indicated. After implementing the protocol, data were collected for 6 months and compared to preintervention. There was a mean decrease in telemetry monitor usage and likelihood of remaining on a telemetry monitor until discharge. Learn about this nurse-managed telemetry discontinuation protocol – watch the video and then read the article.
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Duration: 5:48
Journal: Journal of Nursing Care Quality January/March 2016, Volume 31, Issue 1;
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%.
Creator: Erica Lewis
Duration: 4:51
Journal: Journal of Nursing Care Quality
Registered nurse (RN) “second victims” are RNs who are harmed from their involvement in medical errors. This study found a relationship between RN involvement in preventable adverse events and 2 domains of burnout: emotional exhaustion (P = .009) and depersonalization (P = .030). Support to RNs involved in preventable adverse events was inversely related to RN emotional exhaustion (P < .001) and depersonalization (P = .003) and positively related to personal accomplishment (P = .002).
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Duration: 4:04
Learn more about this study that examined the implementation of handoff as part of TeamSTEPPS initiatives for improving shift-change communication. The authors conducted on-site interviews and made observations in 8 critical access hospitals. Facilitators and barriers were different between high and low performing hospitals. Staff involvement and being part of the “big picture” were important facilitators to change management and buy-in. After viewing this video, read the article to learn more about this important study.
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Duration: 3:15
Journal: Journal of Nursing Care Quality April/June 2017, Volume 32, Issue 2;
Many readers are interested in transitional care. This video and article provide the information you need. The authors describe their project to reduce readmissions through the establishment of a pilot program using the C-TraC program, which is a phone-based, protocol-driven, low-cost, nurse-led, transitional care model. The goal was to connect with the patients telephonically up to 30 days postdischarge to mitigate current confusion regarding the discharge plan and identify potential medication discrepancies. Learn about this effective transitional care model.
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Duration: 6:12
Journal: Journal of Nursing Care Quality July/September 2016, Volume 31, Issue 3;
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.
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Duration: 7:26
Journal: Journal of Nursing Care Quality October/December 2016, Volume 31, Issue 4;
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.
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Duration: 4:03
Limited research has been conducted on how nurses perceive “quality nursing care.” The authors conducted focus groups to identify nurses' perceptions of quality care at a Midwestern academic medical center. Transcripts of the focus group sessions were analyzed using thematic analysis techniques, and 11 themes emerged: Leadership, Staffing, Resources, Timeliness, Effective Communication/Collaboration, Professionalism, Relationship-Based Care, Environment/Culture, Simplicity, Outcomes, and Patient Experience. Learn how nurses define quality care: watch the video and read the article.
Creator: Eileen Lake
Duration: 4:54
Journal: Journal of Nursing Care Quality
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.
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Duration: 4:11
Journal: Journal of Nursing Care Quality July/September 2017, Volume 32, Issue 3;
Learn more about this study to test an intervention to reduce medication omissions without documentation. The authors are using nurse-initiated recall cards and medication chart checking at handover. Watch the video and then read the full article.
Creator: Mark McClelland
Duration: 7:36
Journal: Journal of Nursing Care Quality
Understanding hospital culture is important to effectively manage patient flow. Dr. McClelland describes a survey he developed to assess a hospital's culture related to in-hospital transitions in care. Eight transition themes were identified using a multidisciplinary team of experts from 3 health care systems. Learn more about this study and the instrument from Dr. McClelland.
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Duration: 7:42
Journal: Journal of Nursing Care Quality
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.
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Duration: 7:21
Journal: Journal of Nursing Care Quality April/June 2016, Volume 31, Issue 2;
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.
Creator: Jennifer Embree
Duration: 2:47
Journal: Journal of Nursing Care Quality
Seasoned nurses frequently resign from their positions due to burnout. An innovative idea that could support nurse retention is nurse sabbaticals. Balanced scorecards with strategy maps can display financial benefit, positive customer experience, and operational and human capital development required to initiate and sustain a professional nurse sabbatical. A balanced scorecard with strategy map is an effective tool that demonstrates connection between the organizational mission and the outcomes of a nurse sabbatical program.
Creator: D Hummer
Duration: 4:20
Journal: Journal of Nursing Care Quality
This quality improvement project was designed to implement a sit-to-stand exercise program delivered by nursing assistants in an assisted living facility. The findings have implications for the role that nursing assistants can play in promoting exercise and thus preventing avoidable decline in institutionalized residents and also for implementing QI in these settings.
Creator: Diane Holland
Duration: 10:35
Journal: Journal of Nursing Care Quality
Are you worried about discharge delays in your institution? If so watch this video to learn how the authors developed and evaluated a mechanism for real-time tracking of discharge delays by bedside clinicians. They also developed a process for reporting delays so actions could be taken. Discharge delay times totaled 23.6 days for 114 patients affected by a delay. More than one-half of the delays (61.4%) were for patients whose discharge disposition was home.
Creator: Dr. Sung-Heui Bae
Duration: 7:19
Journal: Journal of Nursing Care Quality
Preventable adverse patient outcomes and hospital characteristics in rural versus non rural US hospitals under the new Centers for Medicare & Medicaid Services reimbursement policy were examined using the American Hospital Association Annual Survey and Hospital Compare data. Under the new policy, rural hospitals tended to have fewer hospital-acquired conditions than non rural hospitals except for patient falls. Case mix was consistently related to falls after controlling for hospital characteristics.
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Duration: 3:18
Journal: Journal of Nursing Care Quality July/September 2016, Volume 31, Issue 3;
Dr. Rahn examined the relationships between nursing teamwork and NDNQI outcomes including pressure ulcers, falls, and catheter-associated urinary tract infections, and she found some significant relationships. Improving teamwork in medical-surgical acute care units can transform care and impact the occurrence of preventable adverse outcomes. Watch this video and read the article to understand the importance of teamwork on your unit.
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