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July/September 2018 - Volume 33 - Issue 3

  • Marilyn H. Oermann, PhD, RN, FAAN
  • 1057-3631
  • 1550-5065
  • 4 issues / year
  • 1.224

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.

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• 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.
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Articles in this issue highlight the work being done in and out of hospitals to improve patient safety. A good place to start reading is the Commentary from the Agency for Healthcare Research and Quality (AHRQ). The AHRQ has developed multiple resources and toolkits to improve patient safety practices in ambulatory and long term care settings – resources nurses should know about. One of the new toolkits is designed to help ambulatory care teams actively engage patients and families to prevent errors during transitions and new appointments. Care transitions can result in fragmented care and can pose significant challenges for patients. Be sure to read the article by Hung et al. on their hospital-community partnership to reduce readmissions for older adults. They describe their care transitions program, its implementation, intervention successes, barriers, and outcomes. In another study, authors report on how they changed their referral practices in a nurse-managed Patient-Centered Medical Home primary care clinic. The findings confirm the need for a well-organized referral tracking system that is centralized and contains safety nets for patients to reduce the number of delayed or missed referrals. Other articles report on the effectiveness of delirium screening, prevention, and treatment initiatives in an acute care setting (continuing education offering); the effectiveness of the Braden Scale in ICUs; research that identified trends in information technology (IT) adoption in nursing homes (this is the first national assessment of nursing home quality measures and trends in IT adoption); a QI study to improve oral hygiene for patients with dementia in residential long term care settings; and the outcomes of other studies and projects you can use to guide your practice. 

Marilyn H. Oermann, Editor-in-Chief


Effectiveness of a Multifaceted Delirium Screening, Prevention, and Treatment Initiative on the Rate of Delirium Falls in the Acute Care Setting

Ferguson, Alice; Uldall, Karina; Dunn, Jessica; More

Journal of Nursing Care Quality. 33(3):213-220, July/September 2018.

Effectiveness of a Multifaceted Delirium Screening, Prevention, and Treatment Initiative on the Rate of Delirium Falls in the Acute Care Setting

Hospital-Community Partnerships to Aid Transitions for Older Adults: Applying the Care Transitions Framework

Hung, Dorothy; Truong, Quan; Yakir, Maayan; More

Journal of Nursing Care Quality. 33(3):221-228, July/September 2018.

Hospital-Community Partnerships to Aid Transitions for Older Adults: Applying the Care Transitions Framework

Improving Oral Hygiene for Veterans With Dementia in Residential Long-term Care

McConnell, Eleanor S.; Lee, Kyung Hee; Galkowski, Lorraine; More

Journal of Nursing Care Quality. 33(3):229-237, July/September 2018.

Improving Oral Hygiene for Veterans with Dementia in Residential Long-Term Care

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​​This study explored the trajectory of patients who remained on a general unit after medical emergency team activation. Of those who had a second activation within 24 hours, 80% occurred within 12 hours of the baseline activation. Chest pain and recent ICU  discharge were associated with having a second activation. The authors share their study and discuss implications of interest to nurses across settings. Watch the video and be sure to read the full article​. 
​​The demand for acute care clinical sites, along with the need to prepare CNLs for a role in health promotion, disease prevention, and population health management, created an opportunity for these authors to expand the CNL role outside of the acute care setting. The goal was to allow CNL students to develop competencies in improving patient and population health. Learn how they developed and implemented the course: after watching the video, read the full article​. Be sure to access the supplemental content on strategies for clinical site development for CNL in primary care.
​Goal Setting SS.png​As part of an outcome improvement initiative in an intermediate ICU at the Health Sciences Centre, Winnipeg, Manitoba, Canada, patients participated in an innovation on the effects of collaborative goal setting and activity tracking through a visual display of the goals achieved. Patients had a high degree of engagement in setting their goals. Displaying patients’ progress had an effect on their quality of life and self-efficacy. Learn more about this project in the video and article​: this is a project you can easily implement in your settings, and the authors explain how to do it.
​​JNCQ-D-16-00204R1.JPG​Patient safety checklists are ubiquitous in health care. Nurses bear significant responsibility for ensuring checklist adherence. To report nonadherence to a checklist and stop an unsafe procedure, a workplace climate of psychological safety is needed. The author analyzed organizational data to examine the relationship between psychological safety and reports of nonadherence to the central line bundle checklist. Results showed varied perceptions of psychological safety but no relationship with nonadherence. You will enjoy watching this innovative video​ and will learn a lot from it (and be sure to also read the article).
​Interprofessional Health Team Communication Screenshot.pngThe Consolidated Framework for Implementation Research guided the formative evaluation of the implementation of a redesigned interprofessional team rounding process. The redesigned process was intended to improve health team communication about hospital discharge. Themes emerging from interviews of patients, nurses, and providers revealed the inherent value and positive characteristics of the new process, but also workflow, team hierarchy, and process challenges to successful implementation. The evaluation identified actionable recommendations for modifying the implementation process. Ms. Bahr summarizes the study in this video but be sure to read the full article​ in JNCQ. ​​