Secondary Logo

Journal Logo

Advanced Search

October/December 2019 - Volume 34 - Issue 4

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

A strong patient safety culture (PSC) may be associated with improved patient outcomes in hospitals. Dr Hessels and colleagues report on the first known study to link PSC directly to missed nursing care and patient outcomes. Despite the growth in the availability of palliative care, referrals to palliative care are often underutilized or delayed. Interdisciplinary rounds are an effective way of improving the time to palliative care referral and decreasing LOS and cost. Another article in this issue describes a system-based participatory study to improve CNL onboarding process, role differentiation, performance, recruitment, and development.

Marilyn H. Oermann, Editor-in-Chief

Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events

Hessels, Amanda J.; Paliwal, Mani; Weaver, Susan H.; More

Journal of Nursing Care Quality. 34(4):287-294, October/December 2019.

Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events

Interdisciplinary Rounds on a Hospitalist Service: Impact on Palliative Care Measures, Quality, and Utilization Outcomes

Smith, Catherine V.; Maduro, Ralitsa S.; Morgan, Merri K.; More

Journal of Nursing Care Quality. 34(4):295-300, October/December 2019.

Interdisciplinary Rounds on a Hospitalist Service: Impact on Palliative Care Measures, Quality and Utilization Outcomes

Clinical Nurse Leader Knowledge Production to Quality Improvement in a Seamless Trajectory: A Participatory Research Approach

Bender, Miriam; Spiva, LeeAnna; Patrick, Sara; More

Journal of Nursing Care Quality. 34(4):301-306, October/December 2019.

Clinical Nurse Leader Knowledge Production to Quality Improvement in a Seamless Trajectory: Participatory Research Approach

Increasing Competence in Pressure Injury Prevention Using Competency-Based Education in Adult Intensive Care Unit

Aquino, Carla; Owen, Amanda; Predicce, Ashley; More

Journal of Nursing Care Quality. 34(4):312-317, October/December 2019.

Increasing Competence in Pressure Injury Prevention Using Competency-Based Education in Adult Intensive Care Unit

Sepsis Education Initiative Targeting qSOFA Screening for Non-ICU Patients to Improve Sepsis Recognition and Time to Treatment

Raines, Kim; Sevilla Berrios, Ronaldo A.; Guttendorf, Jane

Journal of Nursing Care Quality. 34(4):318-324, October/December 2019.

Sepsis Education Initiative Targeting qSOFA Screening for non-ICU Patients to Improve Sepsis Recognition and Time to Treatment

​​​​​​​​​​ ​
​​
Atrial fibrillation (AF) care can be episodic and heavily reliant on hospital resources, particularly the emergency department (ED). A nurse practitioner  developed a new program to improve AF care after an ED visit, which included contacting patients by telephone. Telephone contact was highly effective: 37 of 90 patients with AF presented to the ED prior to telephone contact and 7 of 90 patients did so post–telephone contact (P < .001). Telephone practice led by an NP provides an opportunity to improve assessment and management of patient care. Learn more about this intervention in this video and read the full article.
​​
Using a rapid response team (RRT) and quality champion (QC) nurses at a community hospital provides benefits not entirely captured by analysis of mortality data. The purpose of this study was to determine the perceived benefits of the RRT at our facility and behaviors and activities observed during actual RRT responses. This was a mixed-method study including qualitative (interviews, focus groups, and surveys) and quantitative (retrospective chart reviews) data collection. Benefits of the RRT-QC registered nurse were extensive. Observations showed support, education, and teamwork in an effort to improve outcomes and support clinicians. Learn more by watching the video and reading the article.
​​Palliative care (PC) referrals are often underutilized or delayed. To improve referrals, interdisciplinary rounds (IDRs) were implemented on the hospitalist service in a nonintensive care setting. Following implementation, median time to PC referral decreased by 2 days. Length of stay, direct cost, and 30-day mortality also decreased. Postintervention patients were more likely to transition home compared with another facility. Learn about the project in this video and then read the article: You can get CE credits for this article!
​
​​​A quiet environment promotes rest and healing but is often challenging to provide in a busy acute care setting. A multidisciplinary team used Lean methods and the Model for Improvement to test interventions for Quiet Time (QT) and used HCAHPS “always quiet” scores as the primary outcome measure. The team instituted nighttime and afternoon QT supported by rounding and scripting, dimming lights, lowering staff voices, offering a sleep menu at night, and replacing noisy wheels. Quiet scores improved on both units after 11 months. You will appreciate the level of noise patients experience in hospitals (watch this video for a demonstration) and learn more about QT intervention – you can implement QT in your settings. Don’t miss this video and article (and get your Continuing Education).
​​In this video, the author describes a violence management program that she and her coauthor piloted on a general medical unit following staff requests for measures to protect them from patient and visitor violence. An independent pre/posttest design measured changes in participant knowledge. The Staff Observation Assessment Scale Revised (SOAS-R) was used for data collection on aggression pre- and postimplementation. The violence management training program included in situ simulation training in de-escalation techniques. Knowledge of de-escalation techniques to reduce violence risk increased. In the article, the authors share important lessons for ongoing program implementation. 













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.”