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July/September 2020 - Volume 35 - Issue 3

  • Marilyn H. Oermann, PhD, RN, FAAN
  • 1057-3631
  • 1550-5065
  • 4 issues / year
  • 1.500

Patient-engaged video surveillance (PEVS) is an effective method to track and trend patient aggression toward nursing staff. Patients' verbal/physical abuse against nurses was observed using PEVS, and interventions were initiated by monitor technicians. The majority of patients who exhibited aggressive/violent behavior toward nurses were not identified by RNs as at risk on admission. Read and share this study with colleagues. Many organizations struggle to spread improvement activities through the health care system: the Spread of Innovations Model was developed to guide this process.

Marilyn H. Oermann, Editor-in-Chief

Maximizing the Benefit of Quality Improvement Activities: A Spread of Innovations Model

Wolak, Erica; Overman, Angela; Willis, Beth; More

Journal of Nursing Care Quality. 35(3):199-205, July/September 2020.

Maximizing the Benefit of Quality Improvement Activities: A Spread of Innovations Model

Nurse-Reported Bullying and Documented Adverse Patient Events: An Exploratory Study in a US Hospital

Arnetz, Judith E.; Neufcourt, Leo; Sudan, Sukhesh; More

Journal of Nursing Care Quality. 35(3):206-212, July/September 2020.

Nurse-Reported Bullying and Documented Adverse Patient Events: An Exploratory Study in a US Hospital

Impact of Patient-Engaged Video Surveillance on Nursing Workforce Safety: Patient Aggression/Violence

Quigley, Patricia A.; Votruba, Lisbeth; Kaminski, Jill

Journal of Nursing Care Quality. 35(3):213-219, July/September 2020.

Impact of Patient-Engaged Video Surveillance on Nursing Workforce Safety: Patient Aggression/Violence

Applying the Medications at Transitions and Clinical Handoffs Toolkit in a Rural Primary Care Clinic: Implications for Nursing, Patients, and Caregivers

Jarrett, Traci; Cochran, Jill; Baus, Adam

Journal of Nursing Care Quality. 35(3):233-239, July/September 2020.

Applying the Medications at Transitions and Clinical Handoffs Toolkit in a Rural Primary Care Clinic: Implications for Nursing, Patients, and Caregivers

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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.
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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.
​​A community hospital policy of routinely replacing peripheral intravenous catheters (PIVCs) needed updating to clinically indicated replacement. Guided by Lean principles, a clinical nurse leader led a QI small test of change on a 38-bed medical unit. Nurses managed 469 inpatients, receiving 1033 PIVCs. Routine PIVC replacement declined from 34% to 3% (P < .001). PIVC dwell time ranged from 4 to 20 days and did not increase phlebitis (P = .41) or catheter-related bloodstream infections. Clinically-indicated PIVC replacement reduced unnecessary catheter insertions, maintained patient safety, and improved efficiency. Learn about this project in the 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.”