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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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Screening, brief intervention, and referral to treatment (SBIRT) for substance use has an impact on morbidity and mortality and on health care cost. In this project, nurses in ambulatory care completed an online self-paced program focusing on alcohol and drug use screening, motivational interviewing, and referral to specialty treatment. Postintervention knowledge scores increased. Facilitator and barrier themes included time, education, resources, receptivity, and interprofessional collaboration. The SBIRT online program was feasible for nurses to complete during work hours and resulted in increased SBIRT-related knowledge. Watch the video and then follow up by reading the article.
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Bullying and lateral violence are pervasive in the nursing workforce and have profound consequences for nurses, their patients, and the overall health care organization. An iterative, multimodal QI initiative was crafted on the basis of the evidence and principles of transformational, adult learning. Six units were designed to foster learning specific to bullying and lateral violence and their prevention. Each unit consisted of formal lecture content, practice exercises, and reflection. This initiative is appropriate for adoption by other nursing units. Watch the video and read the article.
​​Inefficient emergency department to inpatient handoff processes can contribute to delayed care. Lean methodology was used to evaluate flow and identify opportunities for improvement. Two tools were developed to standardize handoff. Emergency department length of stay and admission wait times were not significantly improved following intervention implementation. However, patient transfer time decreased significantly from 30.5 to 21.7 minutes. The length of time to give/receive report also decreased. Watch the video and then follow up by reading the article.
​​​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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Six Sigma was used in a nursing home to improve the functional maintenance program charting/auditing. With the existing staff, capability was increased by 17 residents ($200 000 revenue) and 90% to 100% charting congruence was achieved. Learn more about implementing QI in nursing homes in this video and 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.”