Journal of Nursing Care Quality

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January/March 2023 - Volume 38 - Issue 1

  • Staci Reynolds, PhD, RN, ACNS-BC, CPHQ
  • 1057-3631
  • 1550-5065
  • 4 issues / year
  • 1.728

Greetings!  In January 2023, I will transition into the Editor-in Chief position for the Journal of Nursing Care Quality.  I follow in the footsteps of Marilyn H. Oermann, PhD, RN, ANEF, FAAN who served in this role for over 20 years.  I want to thank Dr. Oermann for her wonderful leadership and expertise in publishing, which has allowed JNCQ to be the information leader in patient safety and quality care.  I am excited to begin this new chapter, as well as introduce a new focus for JNCQ on implementation science.  This issue contains a short editorial on implementation science, and how to incorporate these methodologies into quality-focused projects and studies.  I urge authors to provide detailed information on implementation science frameworks, methods, and strategies into their projects and publications.  Please also see the call for implementation science articles found on the JNCQ website.

In this issue: Carbapenem-Resistant Enterobacteriaceae (CRE) is an urgent health problem as it can negatively impact patient outcomes.  Authors implemented a robust hand hygiene quality improvement project to reduce health care associated-CRE, including real-time hand hygiene observations and strategies that mitigated local barriers.  Hand hygiene compliance increased from 49% to 76.9%, p=.0001, and the rate of health care associated-CRE decreased from 24.9% to 5.6%, p=.0001.  Researchers conducted a cross-sectional study to explore the relationship between workplace violence, burnout, patient safety, and workplace violence reporting.  Data were collected from 1781 nurses at a large medical center.  The authors found that workplace violence increased nurse burnout, which affected patient safety.

Staci S. Reynolds, Editor​

How Does Workplace Violence–Reporting Culture Affect Workplace Violence, Nurse Burnout, and Patient Safety?

Kim, Sinhye; Lynn, Mary R.; Baernholdt, Marianne; More

Journal of Nursing Care Quality. 38(1):11-18, January/March 2023.

How does workplace violence reporting culture affect workplace violence, nurse burnout, and patient safety?

Reducing Carbapenem-Resistant Enterobacteriaceae Using the Targeted Solution Tool: A Quality Improvement Project

Ragonese, Barbara; Mularoni, Alessandra; Valeri, Andrea; More

Journal of Nursing Care Quality. 38(1):47-54, January/March 2023.

Reducing Carbapenem-Resistant Enterobacteriaceae using the Targeted Solution Tool: A Quality Improvement Project

Demonstrating the Value of a Standardized Cognitive Assessment Tool Through the Use of Interprofessional Rapid Safety Rounds

Hayes, Mariah; Wheeling, Dianne; Kaul-Connolly, Sabine

Journal of Nursing Care Quality. 38(1):61-68, January/March 2023.

Demonstrating the Value of a Standardized Cognitive assessment Tool through the use of Interprofessional Rapid Safety Rounds

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Literature shows that interdisciplinary huddles help promote clear communication and proactive reporting of potential errors. High Reliability Organization (HRO) and just culture models were implemented, yet fragmented team communication about patient safety remained. Daily interdisciplinary huddles were implemented to improve communication, reduce errors, and improve patient and employee satisfaction.  Near miss reporting; patient satisfaction with how the staff worked together to provide care; and employee satisfaction and perception of workgroup communication, collaboration, and psychological safety scores improved. Read the full article ​after watching this video.​
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Up to 40% of delirium cases are preventable and early identification is key to improve patient outcomes. A delirium intervention program targeted patients at high-risk for delirium and included patient and nurse education, risk stratification, multi-disciplinary rounds, a non-pharmacological intervention bundle, and a treatment order set. After implementation, there was a reduction in length of stay of 6.3 days (p = .01), a 24% decrease in disposition to a skilled nursing facility (p= .05), and increased detection of delirium by nurses. Positive patient outcomes were achieved by employing a multifactorial approach for delirium identification, prevention, and management. Read the full article​ after watching this video.
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Pre-pandemic hospital guidelines were unable to support an acute influx of patients with respiratory deterioration. New processes for general care practice were needed to facilitate patient care.  A quality improvement project with 2 PDSA cycles was used to develop guidelines for high flow oxygen and prone positioning, along with frequent monitoring and collaboration with virtual critical care support. Over 6 months, 126 COVID-19 patients were cared for on general care units. Zero intubations occurred on the general care units, with 211 patient hospital days spent in general care that previously would have required an ICU bed. Patients in the general care setting with respiratory decline can safely be managed with appropriate monitoring criteria, oxygen device settings, and nursing support unitizing technology.  Read the full article ​after watching this video.
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Malignant bowel obstruction (MBO) in patients with advanced gynecologic cancer (GyCa) can negatively impact clinical outcomes and quality of life. Oncology nurses can support these patients with adequate tools/processes. Optimizing oncology nurses’ role to improve care for patients with GyCa with/at risk of MBO, the gynecology oncology interprofessional team collaborated to develop a proactive outpatient nurse-led MBO model of care (MOC). The MOC has improved patient reported confidence level of bowel self-management and decreased hospitalization. Following education, nurses demonstrated increased knowledge in MBO management. Read the full article ​after watching this video.
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Implementation science helps to bridge the research-practice gap by studying effective methods to increase the uptake of evidence into practice.  Using implementation science methods allows clinicians and researchers to use evidence-based strategies to implement evidence-based interventions – helping to increase the success of implementation.  There are several evidence-based implementation strategies available, including educational outreach visits, audit and feedback, printed educational materials, and e-learning.  For the Journal of Nursing Care Quality, we urge authors to incorporate and provide detailed information on implementation science frameworks, methods, and strategies into their projects and publications.  Read the full editorial ​after watching this video.













Watch our Videos on Writing Journal Articles on QI

This is the first video in our writing for publication series. The purpose of the manuscript and intended readers guide your selection of a journal for submission. Learn about directories of nursing and other journals and sending a query email.
This is the second video in our writing for publication series. Learn about the journal’s Information for Authors and why important, formats for writing different types of manuscripts, and reporting guidelines. The video will prepare you for writing papers about quality improvement and using the SQUIRE guidelines. References and tables/figures also are discussed.
​This is the final video in our writing for publication series. In this video you will get some additional tips on writing your manuscript and will learn about peer review and responding to reviewers’ comments. Other topics include authorship criteria, copyright, open access, and avoiding “predatory journals.”