Journal Logo

Secondary Logo
 

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

​​​​​​​​​​ ​
​​
While there are many benefits of EMR documentation, the presence of a computer may adversely affect provider-patient interaction. The purpose of this project was to examine staff nurses' perception of the impact of electronic documentation in the presence of the patient on the nurse-patient relationship. A survey was administered to 276 staff nurses, and open-ended interviews were conducted with 11 novice and 20 expert nurses. Nurses identified benefits and challenges to EMR documentation and strategies to maintain therapeutic relationships and communication. Dr Misto explains the study in this video and article.  
​​
Despite its high prevalence, malnutrition in hospitalized patients often goes unrecognized and undertreated. In this initiative nurses screened patients on admission using the Malnutrition Screening Tool and initiated oral nutrition supplements for patients at risk. A review of the medical records of 20 697 adult patients revealed that the average time from hospital admission to oral nutrition supplement initiation was reduced by 20 hours (20.8%), and length of stay also decreased for patients at nutritional risk. Watch this outstanding video to learn about this project and share the article with colleagues: it is open-access. 
​​Learn how this team evaluated their hospital's fall prevention program and decreased their fall rate – watch the video and be sure to read their article. The team used a clinical practice guideline with 7 key practices to develop an individualized fall prevention program with multiple interventions (nurse-driven mobility assessment, purposeful hourly rounding, video monitoring for confused and impulsive fall-risk patients, and others). The fall rate decreased to 1.14, with a 72% expense reduction based on decreased sitter usage. 
​
​​​Evidence supports daily bathing using chlorhexidine gluconate (CHG) cloths to decrease preventable hospital-acquired central line–associated bloodstream infections (CLABSIs). Using the Grol and Wensing Model of Implementation as a guide, this study examined whether using tailored, multifaceted strategies would improve implementation of daily CHG bathing and decrease CLABSIs in a large neuro ICU. Following implementation, infection rates decreased, and improvements were seen across all process measures. After watching the video, read this article to learn more about strategies to implement evidence, which you can use in your own setting.
​​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.













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.”