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Think About It
A forum for discussion of the latest news and ideas in nursing management and healthcare.
Wednesday, March 18, 2015
Even though the Ebola panic has quieted, the disease isn't finished running its course. On March 11, a clinician working with Partner's in Health (PIH) in Sierra Leone was diagnosed with the disease. He was part of PIH's Ebola Response Sector, but is now receiving care at the National Institutes of Health Special Clinical Studies Unit in Maryland. Unfortunately, the NIH stated on Monday that his condition has progressed from serious to critical.
 
Ten of the clinician's colleagues who were in contact with him when he tested positive for the disease have been identified and flown to the United States for observation under quarantine. Following CDC protocol, they'll remain isolated for the rest of the 21-day incubation period in case any of them show signs or symptoms of the disease.
 
PIH will remain in Sierra Leone and Liberia to continue to help the people of West Africa. Dr. Paul Farmer, one of the charity's founders, said the organization's goal is to help the West African communities detect, treat, and prevent all types of illnesses, including Ebola.
 
For more information on the Ebola epidemic, read the World Health Organization's Ebola Situation Report.

Tuesday, March 03, 2015

Hospitals are constantly looking for ways to improve the patient experience within their organizations.  One way has been to completely redesign the hospital’s appearance. However, research was recently published that stated these hospital upgrades may not have the intended outcome of improving the patient experience.

If redesigns may not work, what else can be done? How about creating and producing a hospital-wide game show? Volunteers at Wheaton Franciscan-All Saints hospital in Racine, Wis., have created a way for patients and their families to watch and participate in  game shows. Twice a week though closed-circuit television, patients are able to tune into channel 71 and play games called "Schwobble" (think Bingo, Scrabble, and Wheel of Fortune) and "SMILE" (bingo-esque numbers game). Players can even win prizes ranging from an ice cream cone to a gift certificate for a car wash.

The production is run completely by All Saints' volunteers, who broadcast the games in a make-shift studio within the hospital's lower level. Volunteers are responsible for playing host, delivering game sheets (to approximately 200 rooms), answering phones, using the computer to project the answers, and delivering prizes.

The game show was developed to lift patients' spirits and help them forget their sick, even if just for a brief moment. So far, it's been working.

Would you consider doing something similar within your organization?


Tuesday, February 24, 2015
  1. Delivering praise and discipline
  2. Culture and team building
  3. Crisis management
  4. Succession training

This  shortened list, from Becker's Hospital Review, was adapted from Bernard Marr's piece "7 tasks successful leaders never delegate."

Would you add anything to the list?

Check out some of our coverage on these topics:


Thursday, February 19, 2015

Our March issue is jam-packed with great articles. We’re running our Metrics special, our 3rd installment of the HCAHPS series, and more. Rosanne opens the issue with a discussion of metrics. How important are they, do leaders measure what matters, and is there value in what can’t be measured? “Measures that matter,” our Evidence-Based Nursing piece, and "Metrics for Nurse Managers" will answer some of these questions.  

But, we want to know what you think. Do leaders measure too much or not enough? Are performance metrics given too much weight?

Tell us your thoughts in the comments section. And let us know what you think about the March issue!


Thursday, February 12, 2015
A study published last April in BMJ Quality and Safety reported that approximately 12 million Americans are misdiagnosed every year. This leads to inappropriate treatment plans that may have harmful adverse reactions. The best way to avoid misdiagnosis is a second opinion. But, do physicians and other clinical caregivers recommend them?
 
A second study conducted by PinnacleCare, collected data on the outcomes of second opinions. Researchers reviewed 1,000 cases over 3 years and found that after a second opinion, approximately 77% of the cases changed course of treatment. For example, 18 of the 1,000 patients avoided previously recommended surgery.
 
What's your take on second opinions; do you recommend them to patients? Have you ever needed one?
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About the Author

Nursing Management
“Think About It” is an extension of Nursing Management. Here, you can read and discuss professional information geared toward helping nurses excel as leaders. This blog tackles important topics without the worry of print publication deadlines!