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July/September 2019 - Volume 34 - Issue 3
pp: 185-284,E1-E12

AHRQ Commentary


Innovations in Quality Improvement in Long-term Care


Using Evidence to Change Practice



Methods Discussion


Blended Facilitation as an Effective Implementation Strategy for Quality Improvement and Research in Nursing Homes

Pimentel, Camilla B.; Mills, Whitney L.; Palmer, Jennifer A.; More

Journal of Nursing Care Quality. 34(3):210-216, July/September 2019.



Creator: Hedges, Christine, PhD, RN, NE-BC; Hunt, Candice, MHA; Ball, Pamela, BSN, RN, NE-BC
Duration: 2:44
Journal: Journal of Nursing Care Quality July/September 2019, Volume 34, Issue 3;
A quiet environment promotes rest and healing but is often challenging to provide in a busy acute care setting. A multidisciplinary team used Lean methods and the Model for Improvement to test interventions for Quiet Time (QT) and used HCAHPS “always quiet” scores as the primary outcome measure. The team instituted nighttime and afternoon QT supported by rounding and scripting, dimming lights, lowering staff voices, offering a sleep menu at night, and replacing noisy wheels. Quiet scores improved on both units after 11 months. You will appreciate the level of noise patients experience in hospitals (watch this video for a demonstration) and learn more about QT intervention – you can implement QT in your settings. Don’t miss this video and article (and get your Continuing Education).
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