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April/June 2019 - Volume 34 - Issue 2

  • Marilyn H. Oermann, PhD, RN, FAAN
  • 1057-3631
  • 1550-5065
  • 4 issues / year
  • 58/118
  • 1.191

Many health care interventions are challenging to implement because of inadequate stakeholder engagement and identification of barriers. The brainwriting premortem technique can rapidly inform program implementation. Learn about this technique and share the article with all of your colleagues (it is Open Access). In this issue also learn about a violence management program that was implemented following staff requests for measures to protect them from patient and visitor violence. This is an interesting program that can be replicated in your own setting. Other articles address fall prevention, a teach-back toolkit for medication education, using continuous vital sign monitoring to detect early deterioration of patients, nurse peer review, and many more.

Marilyn H. Oermann, Editor-in-Chief

Brainwriting Premortem: A Novel Focus Group Method to Engage Stakeholders and Identify Preimplementation Barriers

Gilmartin, Heather; Lawrence, Emily; Leonard, Chelsea; More

Journal of Nursing Care Quality. 34(2):94-100, April/June 2019.

Brainwriting Premortem: A Novel Focus Group Method to Engage Stakeholders and Identify Preimplementation Barriers

Improving Patient and Caregiver New Medication Education Using an Innovative Teach-back Toolkit

Prochnow, Jenny A.; Meiers, Sonja J.; Scheckel, Martha M.

Journal of Nursing Care Quality. 34(2):101-106, April/June 2019.

Improving Patient and Caregiver New Medication Education Using an Innovative Teach-back Toolkit

Using Continuous Vital Sign Monitoring to Detect Early Deterioration in Adult Postoperative Inpatients

Verrillo, Sue Carol; Cvach, Maria; Hudson, Krysia Warren; More

Journal of Nursing Care Quality. 34(2):107-113, April/June 2019.

Using Continuous Vital Sign Monitoring to Detect Early Deterioration in Adult Postoperative Inpatients

Video Monitoring for Fall Prevention and Patient Safety: Process Evaluation and Improvement

Sand-Jecklin, Kari; Johnson, Jennifer; Tringhese, Amanda; More

Journal of Nursing Care Quality. 34(2):145-150, April/June 2019.

Video Monitoring for Fall Prevention and Patient Safety: Process Evaluation and Improvement

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Providing appropriate and timely mealtime assistance to hospitalized patients should be part of a multifaceted and multidisciplinary approach to optimizing the patient's nutritional care plan. The combined interventions of staff engagement, redesigning the model of care to reprioritize activities at mealtimes, clarifying nutritional care roles and responsibilities, introducing a protected mealtime and a novel 2-tiered colored tray system, and implementing an awareness and education program have resulted in significant improvements in mealtime assistance. Learn more about this project from the authors in the video and their article.
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Strategies have been identified to establish patient-centered care and improve patient engagement with care. However, the relationship of patient/ family engagement to reduction of harm is not well understood. Dr Schenk, in her first study, identified an opportunity for reducing risk and harm by more actively engaging patients and families in the effort. In another study her team convened a Patient Safety Advisory Panel to explore potential interventions to increase patient/family engagement with safety. The preferred intervention was Speak Up-My Advocate for Patient Safety. Learn about these studies in the video and implications for engaging patients and families in your own settings of care. Be sure to read both articles.
​​Nursing home providers face challenges in urinary tract infection assessment and treatment, often prescribing unnecessary antibiotics for asymptomatic bacteriuria. The project tested the effectiveness of the multifaceted Cooper Urinary Tract Infection Program that includes the Cooper tool algorithm, didactic education for providers, and change champions. This Program led to significant improvements in nurse knowledge and reduced rates of urinary tract infections, inappropriate antibiotic treatments, and urinalyses. Learn about this important Program: Dr Cooper presents her Program in this video and describes the study in her article.
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​​​Learn about this interesting study that used a process evaluation methodology. The aim was to examine the effectiveness of implementing same day discharge (SDD) following percutaneous coronary intervention. During implementation, 22 patients were discharged home the same day. It was found, however, that staff did not follow the guideline consistently, with an overall adherence of 77.3%. The study is important as it provides direction for future improvement both in the criteria and implementation process. After watching this video, be sure to read the article. 
​​​A goal in many health systems is to improve heart failure (HF) core measure (CM) scores. Learn how an interdisciplinary team analyzed the processes in their setting, implemented an accurate reporting system, redesigned the process for identifying patients with HF, and changed the EHR. There was a decrease in readmissions from 12% to 8%, and HF CM compliance score increased from 88% to 100%. increased from 88% to 98%. Watch the video and then be sure to read the full article (for CE).













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.”