Journal of Nursing Care Quality

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October/December 2023 - Volume 38 - Issue 4

  • Staci Reynolds, PhD, RN, ACNS-BC, CPHQ
  • 1057-3631
  • 1550-5065
  • 4 issues / year
  • 1.2
    5-year Impact Factor:: 1.6

In this issue: High-quality nurse-physician communication during family-center rounds can help improve patient safety.  Using quality improvement methods, a team implemented several interventions to improve communication and attendance during family-centered rounds, including a pre-rounds huddle, using of individualized alerts to bedside nurses to prepare them for rounds, and development of comprehensive summaries following rounds.  Nurses’ attendance at family centered-rounds increased from 53% to 75%; their awareness of medical problems and the plan of care for the day increased from 70% to 87%. 

Nurses play an integral role in end-of-life care planning.  Authors developed a conceptual model for end-of-life care planning for nurses, based on a literature review among diverse countries, age groups, ethnographies, and residential statuses.  The conceptual model includes 3 domains: (1) personal factors, (2) stakeholders, and (3) environmental and social factors.  The domains are interrelated to each other, and directly related to end-of-life care planning.  Implications for nursing education, practice, and research are provided.   ​
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Staci S. Reynolds, Editor​

A Current State Assessment on Nursing Work Activities: An Observational Study

Perpetua, Zachary; Lennon, Jennifer; Shovel, Judith A.; More

Journal of Nursing Care Quality. 38(4):381-387, October/December 2023.

A Current State Assessment on Nursing Work Activities: An Observational Study

End-of-Life Care Planning in Diverse Individuals Across Age Groups: A Proposed Conceptual Model of Nursing

Rahemi, Zahra; Malatyali, Ayse; Wiese, Lisa Ann Kirk; More

Journal of Nursing Care Quality. 38(4):319-326, October/December 2023.

End-of-Life Care Planning in Diverse Individuals Across Age Groups: A Proposed Conceptual Model of Nursing

Factors Influencing Implementation Success of the Clinical Nurse Leader Care Delivery Model: Findings From a National-Level Mixed-Methods Study

Bender, Miriam; Williams, Marjory; Chandler, Gianna

Journal of Nursing Care Quality. 38(4):327-334, October/December 2023.

Factors Influencing Implementation Success of the Clinical Nurse Leader Care Delivery Model: Findings From a National-Level Mixed-Methods Study

Implementation of an Assault Prevention Quality Improvement Initiative in an Urban Emergency Department

Mallett-Smith, Sheila; Jadalla, Ahlam; Hardan-Khalil, Kholoud; More

Journal of Nursing Care Quality. 38(4):341-347, October/December 2023.

Implementation of an Assault Prevention Quality Improvement Initiative in an Urban Emergency Department

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The demand for nursing care is rising in the long-term care setting. Nurse staffing is a crucial measure linked to health care quality measure outcomes. This study assessed associations between nursing hours per patient day (NHPPD) and outcome measures in the Veterans Health Administration Community Living Centers. A significant linear association was found between average total NHPPD and falls with major injury (p=.02) and help with activities of daily living (p=.01). This study adds to the body of literature regarding the impact of nurse staffing on quality measures. Read the full article after watching this video​.​​
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The use of Remote Visual Monitoring (RVM) technology as a “telesitter” in hospitals can reduce falls and increase the efficiency of patient observation. RVM was implemented within a health system in the Southeastern US. Falls data 6 months prior to and post-implementation were analyzed, and 106 nurses completed a survey evaluating their acceptance of the RVM technology. There was a significant 39.15% reduction in falls with injury (p=.006), and 70.6% of the RVM redirections were successful. Nurses’ acceptance and perceived usefulness of RVM was moderate. Implementing RVM has the potential to enhance patient safety by reducing falls with injuries and is considered acceptable and useful by nurses. Read the full article ​after watching this video.
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High-quality transitional care at discharge is essential for improved patient outcomes. Registered Nurses (RNs) play integral roles in transitions; however, few receive structured training. We sought to create, implement, and evaluate an evidence-informed nursing transitional care-coordination curriculum, the Transitions Nurse Training Program (TNTP). Following training, RNs reported high degrees of engagement, satisfaction, knowledge, and confidence, and achieved a mean score of 92% on clinical and communication skills. Results suggest TNTP is effective for creating engagement, satisfaction, acquired and sustained knowledge, and confidence for RNs trained in transitional care. Read the full article​ after watching this video.​ Credit: Kandice Porter Content Creator​
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Objectives of quality principles in the clinical setting present nursing with opportunities for quality patient care, but at lower environmental footprint.  This affects patients, hospital personnel, and community since choices reduce climate change and thus supports an innovative nursing role.  This article aims to support nursing knowledge to include environment in decisions regarding patient care and reusable versus disposable incontinence underpads (IUP). A life cycle analysis was conducted to assess environmental impact.  Reusable IUPs reduced total natural resource energy consumption by 71%, greenhouse gas emissions by 61%, blue water consumption by 57%, and solid waste by 97%. The nursing community can use this information in their health care organizations regarding IUP to advocate for decisions to select reusable IUPs that benefit our environment. Read the full article ​after watching this video.​
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End-of-life planning helps nurses meet the needs of their patients at a crucial time of life. This paper presents a conceptual model of end-of-life care planning for nurses focusing on holistic nursing views. Based on a literature review, we developed a new conceptual model illustrating the concepts and dimensions of end-of-life care planning among diverse individuals across countries, lifespans and age groups, ethnographies, and residential statuses. This conceptual model includes 3 concepts: personal factors, stakeholders, and environmental and social factors. The concepts are interrelated and directly related to end-of-life care planning. This work addresses the need for a comprehensive end-of-life care planning model and can help enhance the quality of end-of-life care. Read the full article​ 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.”