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October/December 2020 - Volume 35 - Issue 4

  • Marilyn H. Oermann, PhD, RN, FAAN
  • 1057-3631
  • 1550-5065
  • 4 issues / year
  • 1.425

Our 2 departments address responses to COVID-19. Residents in long-term care settings are particularly vulnerable to COVID-19 given the ease of transmission and environment. The type of support given to Missouri nursing homes during the pandemic can help inform the national discussion about the management of COVID-19 in long term care. Other articles describe how nurses blended evidence-based practice and Lean Six Sigma to reduce hospital-acquired pressure injuries, outcomes of using a nurse-led difficult urinary catheter team, multisite study of the Humpty Dumpty Fall Scale across a diverse, international pediatric population, and strategies for improving handoffs, among others.

Marilyn H. Oermann, Editor-in-Chief

Blending Evidence-Based Practice and Lean Six Sigma Methodology to Reduce Hospital-Acquired Pressure Injuries in a Progressive Care Unit

Gallo, Ana-Maria; Doyle, Rochelle Anne Catahay; Beckman, Jennifer; More

Journal of Nursing Care Quality. 35(4):295-300, October/December 2020.

Blending Evidence-Based Practice and Lean Six Sigma Methodology to Reduce Hospital-Acquired Pressure Injuries in a Progressive Care Unit

Evaluating the Humpty Dumpty Fall Scale: An International, Multisite Study

Gonzalez, Jackie; Hill-Rodriguez, Deborah; Hernandez, Laura M.; More

Journal of Nursing Care Quality. 35(4):301-308, October/December 2020.

Evaluating the Humpty Dumpty Fall Scale: An International, Multisite Study

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Physical inactivity during hospitalization commonly results in functional decline. The purpose of this study was to determine whether a volunteer-assisted mobility program was feasible to improve the ambulation of hospitalized patients. Hospitalized patients (N = 490) were approached, with 39.2% (n = 192) agreeing to ambulate an average of 109.7 m. The findings suggest that a volunteer-assisted interdisciplinary program is a feasible way to promote the ambulation of some patients. The lead author explains the study in this video, then read the article for more details and how you can implement this in your own setting.
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Injurious falls continue to challenge health care. Learn about this study that analyzed root cause analysis reports on falls and coded injury type, fall type, location, and root causes. There were 154 reported fall RCAs during the study period. Most (83%, n = 128) falls resulted in major injury: hip fractures (43%, n = 66), other fractures (25%, n = 38), and head injury (16%, n = 24). Most falls were unwitnessed (75%, n = 116). Patients who fell were not wearing hip or head protection. These interventions may help prevent future injurious falls. After you watch this informative video, read the full article.
​​An advanced practice registered nurse (APRN) led a transitional care clinic for stroke survivors. The goal was to improve transitions from hospital to home. Patients seen in the clinic had a lower 30-day readmission rate (1.5%) compared to non clinic patients (13.4%), p = .003). The 90-day readmission proportion was also higher in nonclinic patients (12.8%) vs those seen in the clinic (4.4%), p = .058. The results suggest the APRN-led clinic may impact hospital readmissions in stroke/transient ischemic attack survivors. Watch the video and read the article.
​​​The I3 (Inquiry, Improvement, and Innovation) Model was developed to guide EBP and QI projects, research studies, and innovation. The model provides an algorithm with steps and decision points for nurses to follow based on a question from a clinical issue or problem. The model is used for guiding projects in the health care system. Be sure to watch the video and read the article.
​​The purpose of this QI project was to achieve zero preventable harm to patients during transitions in care from the emergency department to medical/surgical areas. Once the initial design was complete, small tests of change were deployed until zero harm was achieved. This is a replicable project so after watching the video be sure to read 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.”