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October/December 2021 - Volume 36 - Issue 4

  • Marilyn H. Oermann, PhD, RN, FAAN
  • 1057-3631
  • 1550-5065
  • 4 issues / year
  • 1.597

Personal protective equipment (PPE) plays a critical role in protecting health care workers (HCWs). Authors investigated the impact of the COVID-19 pandemic and patient isolation type on PPE compliance. HCWs reported an increase in PPE compliance during the pandemic. Nearly half (48.6%) reported that isolation type impacted the decision to wear PPE; of those, most were likely to forgo PPE with contact precautions. Bedside nursing handover (BNH) has been recognized as a contributor to patient-centered care. A meta-synthesis was done to evaluate and synthetize the qualitative literature on barriers to and facilitators of BNH. Findings indicated that BNH ensures patient safety and increases satisfaction and recognition among patients and nurses. Other articles describe innovative QI projects in various settings.​
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Marilyn H. Oermann, Editor-in-Chief

Through Their Eyes: Health Care Worker Compliance With Personal Protective Equipment During the COVID-19 Pandemic

Moore, Riley; Hayward, Alexandra; Necaise, Kellee

Journal of Nursing Care Quality. 36(4):294-301, October/December 2021.

Through their Eyes: Healthcare Worker Compliance With Personal Protective Equipment During the COVID-19 Pandemic

A Quality Improvement Initiative to Reduce the Frequency of Delays in Initiation and Restarts of Continuous Renal Replacement Therapy

Cordoza, Makayla; Rachinski, Kristen; Nathan, Kristin; More

Journal of Nursing Care Quality. 36(4):308-314, October/December 2021.

A Quality Improvement Initiative to Reduce the Frequency of Delays in Initiation and Restarts of Continuous Renal Replacement Therapy

Women RISE: Empowering Women to Manage Chronic Pain and Informing Provider Opioid Prescribing Practices

Zimbro, Kathie S.; Maduro, Ralitsa S.; Haimani, Olivia F.; More

Journal of Nursing Care Quality. 36(4):315-321, October/December 2021.

Women RISE: Empowering Women to Manage Chronic Pain and Informing Provider Opioid Prescribing Practices

Barriers to and Facilitators of Bedside Nursing Handover: A Systematic Review and Meta-synthesis

Clari, Marco; Conti, Alessio; Chiarini, Daniela; More

Journal of Nursing Care Quality. 36(4):E51-E58, October/December 2021.

Barriers to and Facilitators of Bedside Nursing Handover: A Systematic Review and Meta-synthesis

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Patients with a heart transplant and depression have higher rates of graft failure and noncompliance. The heart transplant clinic implemented routine use of the Patient Health Questionnaire (PHQ). From July 2018 to February 2019, there were 834 visits; PHQ2 screens were completed during 779 (93%) of those visits with 40 (5%) positive screens. All 40 patients had PHQ9 assessment, with 33 patients (4%) exhibiting moderate or severe depressive symptoms. All 33 patients were provided with mental health resources and received follow-up. Implementation of universal depression screening in a heart transplant clinic is feasible, identifies patients with depression, and does not add significant clinical burden.​ Learn more by watching the video and reading the article​.
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Patient microclimate is a contributing risk factor for pressure injuries (PI). However, the acceptable range for microclimate is unknown, in part because the body adapts to changing conditions. Addressing microclimate, when coupled with an increasing awareness of the cumulative effect of individual patient risk factors, can help resolve the risk of PI by lowering the cumulative inputs to keep patients under the threshold for tissue damage. Learn more about this in the video and article. 
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The aim of this study was to determine patients' (n=503) and nurses' (n=308) perceptions of the quality of nursing care in surgical clinics and influencing factors. Characteristics of patients such as age, gender, complications, and nursing care scores, and characteristics of the nurses such as being satisfied with the current clinic and work affected perceptions of care quality. Patients' perceptions were lower than those of nurses, and some factors belonging to the patients and nurses negatively influenced the quality of care. Dr. Mert shares her study in this video and the article​.
​​​Two evidence-based practice projects and an innovative model provided best evidence and a framework for the implementation and sustainment of a bedside shift report (BSR) quality improvement project. Facilitators and barriers were identified and addressed during planning. Key elements of BSR were incorporated. Implementation was completed in 4 months for 11 units. After 15 months, there was consistent BSR on 82% of the units and improved patient satisfaction with nurses taking time to listen.  This is an excellent example of sustainability of a practice change: watch the video and be sure to read the article.
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Proning intubated ICU patients for the management of acute respiratory distress syndrome is an accepted standard of practice. We examined the nursing climate in 4 units and its impact on implementing a novel self-proning protocol to treat COVID-19 patients outside the ICU. Nurses from 4 nursing units were surveyed about the implementation process on the self-proning protocol. Their perception of unit implementation was assessed via the Implementation Climate Scale. Consistent education on the protocol, belief in the effectiveness of the intervention, and a strong unit-based climate of evidence-based practice contributed to greater implementation of the protocol. Learn more by watching this video and reading the article​.​













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.”