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Building Ebp Competence And Capacity By Leveraging Opportunities And Planning Strategically, Lynn Gallagher-Ford

International Nursing Research Congress (INRC)

This session describes a unique collaboration between two organizations to plan and execute an evidence-based practice education and follow up program to create effective EBP teams comprised of leaders from across a complex healthcare system. The EBP teams efficiently address real world healthcare challenges,drive best practices and meet strategic goals.

Human Flourishing: From Notion To Reality, Lorna Peelo-Kiloe

International Nursing Research Congress (INRC)

Facilitation at its simplest and perhaps most effective is a helping relationship. Added to this is the possibility of enabling human flourishing so that individuals can reach their full potential.

Improving Care Coordination: Impact Of A Doctorate Of Nursing Practice Prepared Clinical Nurse Specialist, Deborah Francis

International Nursing Research Congress (INRC)

Transformations in healthcare have challenged organizations to control costs while continuing to provide high quality care. Simultaneously, patients continue to present with higher acuities and increased complexity of healthcare needs. These organizational challenges have provided an opportunity for the doctorate of nursing practice (DNP) prepared advance practice nurse to utilize the core competencies outlined by the American Association of Colleges of Nursing (AACN) to improve quality of patient care (AACN, 2006).

Consistent with the 2010 Institute of Medicine Report, The Future of Nursing: Leading Change, Advancing Health,we identified opportunities for improvements in the coordination of care (Institute of Medicine. …

Integrating The Doctor Of Nursing Practice In Practice Settings: Implications For Clinical Outcomes And Scholarship, Mary G. Nash, Esther M. Chipps

International Nursing Research Congress (INRC)

The Doctorate of Nursing Practice (DNP) has now moved into its" first decade of existence. Early discussions among nursing thought leaders were focused on promoting the development, assessment and evaluation of DNP curriculums to meet the American Associations of the Colleges of Nursing (AACN) recommendations (Melnyk, 2013). As the profession of nursing has gained experience with the DNP graduates, we are entering the next phase of discussion; the integration and operationalization of the role within healthcare systems. Nurse leaders in academic and practice settings have the opportunity to collaborate on ways to identify and measure the impact of this new …

Promoting A Restraint-Free Culture Through Sensory Modulation, Colleen Marie Glair, Caitlin E. Belvin, Marnie A. Dodson

International Nursing Research Congress (INRC)

Given the safety, ethical, professional, regulatory and legal standards related to reducing restraint, it is imperative that alternative, evidenced based strategies be employed throughout our health care settings.

Implementation And Sustainability Of Quality Improvement (Qi) In Home And Community-Based Service (Hcbs) Settings, Kathleen Abrahamson, Heather Davila, Christine Mueller, Greg Arling

International Nursing Research Congress (INRC)

The objective of this study was to explore HCBS providers" perspectives of organizational readiness for QI in regards to motivation, structure, capabilities and QI experiences early in the project implementation phase. Additionally, follow-up data was collected from HCBS providers six-months after project completion to gather provider perceptions of project impact, sustainability, and availability of resources to maintain improved processes and outcomes.

Exploring Determinants Of Registered Nurses' Trust In Their Managers, Barbara Joy Wilson-Keates

Dissertations

A nurse-manager relationship plays a key role in a nurse's practice environment. A nurse's trust in one's manager is the foundation for a supportive nurse-manager relationship and has crucial bearing upon the professional and personal lives of the nurse. However due to health care restructuring, nurses expressed little trust towards their leaders. To develop and implement strategies to help build healthy nurse-manager relationships, research is needed to more fully understand the factors that establish and enhance a nurse's trust in one's manager.

Functioning And Personal Experience Predict Job Satisfaction Of Dedicated Nurses Working In Infection Isolation Rooms, Semyon Melnikov, Shoshana Phridman, Esther Shalom, Ilya Kagan

International Nursing Research Congress (INRC)

Purpose: Job satisfaction, as a factor affecting the retention of nurses, is under extensive research and a focus of healthcare systems leadership. The aim of this study was to elucidate the effect of personal practice experience, sense of loneliness, perceived knowledge of KPC, and professional functioning, on job satisfaction among nurses working as dedicated carers of KPC infected patients hospitalized in isolation rooms.

Methods: In a study with a cross-sectional design, a convenience sample of 87 registered nurses working on medical-surgical wards answered a self-administered questionnaire about (a) job satisfaction, (b) perceived knowledge of KPC infection, …

The Influence Of Lifestyle Medicine On Nurses' Belief Of Evidence Based Practice, Demecia Wade-Murdock

DNP and Student Works

Adult onset type 2 diabetes can be improved with lifestyle medicine, which is a prescriptive and patient-centered evidence-based practice model. It affords consistent patient monitoring and provides nurses with the education to support and assist individuals in improving their health. In this intervention, education and resources were given to improve nurses' knowledge of lifestyle medicine and evidence based practice. Public Health Nurses can help patients prevent or mitigate against diabetes related complications by utilizing lifestyle medicine. While lifestyle medicine programs vary, they all assist patients in adopting behaviors (e.g., diet, exercise) that will improve their health and quality of life.

Treating Depression And Sleep Impairment To Improve Pain Levels And Quality Of Life For Patients With Sickle Cell Disease: A Quality Improvement Project, Sheran Maxwell Simo

DNP and Student Works

Vaso-occlusive crisis (VOC) pain is both an acute and chronic factor for patients with sickle cell disease (SCD). Acute, recurrent, and unrelenting pain is often joined by other affective disorders that impact pain chronicity, and some patients with sickle cell disease have depression and/or sleep disturbances that may impact pain levels and quality of life. The purpose of this quality improvement project is to improve the process of assessment and treatment of depression and sleep disturbance in patients admitted to Bridgeport Hospital, Bridgeport, CT with VOC. The goal of this project is to improve overall pain levels and quality of …

Implementation Of An Employee-Family Health Clinic Within A Specialty Practice, Alena Lester

DNP and Student Works

Studies have shown that healthier employees prove to be more productive, have less work absences, and tend to stay with a company longer (Schultz and Edington, 2007). Larger corporations have implemented such work-site clinics for years. However, there is little research available for smaller companies. Nurse-led and pharmacist-led clinics in Europe have proven to have successful health outcomes (Briggs, Closs, Marczewski, & Barratt, 2008).Other such outreach clinics, such as pharmacist-led health clinics have become more widely accepted in the United States(Green, 2008). It was our aim to not only meet a great need for primary care services within our own …

Use Of Standardized Processes To Achieve Optimal Pre-Surgical Skin Asepsis, Rose Loiacono

DNP and Student Works

Surgical site infections are a significant threat to patient safety, they increase patient mortality and morbidity, and increase health care expenditures. A pre-surgical protocol that implements two applications of 2% Chlorhexidine gluconate using prepackaged cloths is an evidence-based practice that kills and then prohibits the growth of potentially dangerous skin flora. The purpose of this project was to evaluate the effectiveness of 2% Chlorhexidine gluconate cloths when administered twice pre-surgically to reduce the incidence of surgical site infections and to improve pre-surgical documentation. The Iowa framework for quality improvement was used with results demonstrating that, while documentation remained an area …

Bridging The Gap In The Continuum Of Care For Spine Surgery Patients: A Quality Improvement Project, Coleen C. Gold

DNP and Student Works

The purpose of this paper is to discuss the inadequate communication between patient settings and the practice settings, review the literature regarding communication and risks of readmission for spine surgery patients, and present an intervention for this problem using the PDSA cycle. The change in practice included a literature review to identify patients who were at high-risk for complications after surgery and readmission.

The Relationship Among Change Fatigue, Resilience, And Job Satisfaction Of Hospital Staff Nurses, Robin J. Brown

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Health care is typified by change. Organizational changes have a negative impact on nurses and the effects of organizational change is being overlooked and under researched (Delmatoff & Lazarus, 2014; McMillian & Perron, 2013). Change in an organization leads to increased sick time, work disability, loss of productivity, organizational commitment, increased turnover rates (Bernerth, Walker, & Harris, 2011), stress (McMillian & Perron, 2013), emotional exhaustion (Manzano Garcio & Ayale Calvo, 2012), and change fatigue (Bernerth et al., 2011; McMillan & Perron, 2013). Change fatigue is a result of constant organizational change and has …

Positive Practice Environment: A Coo/Cno's Testimony, Maricon Dans

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017: ANCC's Pathway to Excellence Program provides a blueprint to help hospitals and health care systems create a workplace that supports a culture of excellence leading to quality improvements. Increasingly, chief nursing officers (CNOs) at Pathway-designated organizations are validating how creating healthy work environments has strengthened engagement in their own settings. When Broward Health Imperial Point (BHIP) nursing leaders sought new ways to deliver high-quality, cost-effective care in a rapidly changing environment, they turned to ANCC's Pathway to Excellence Program as a blueprint. BHIP embarked on the Pathway journey to: build and strengthen workplace …

Creating Healthy Work Environment Standards For Academia, Rebecca Bouterie Harmon, Regina M. Degennaro, Meg F. Norling

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, March 19, 2017:

This work describes the efforts at one School of Nursing to create a Healthy Work Environment (HWE) that supports all members of the academic community - students, staff and faculty. The need for healthier work environments 'to improve patient care, teamwork, and nurse retention' is well established in the clinical setting and was codified by the American Association of Critical Care Nurses (AACN) in 2005 and again in 2016. This work describes the progress made in the development of an academic Healthy Work Environment based on the work of Fontaine et al (2012) …

Teaching Strategies To Reduce Vap At Mulago Hospital: A Capstone Project, Jason Michael Marzuola

DNP and Student Works

Mulago National Referral Hospital (Mulago), in the sub-Saharan African country of Uganda, is one of the largest hospitals in East Africa. Continuing education requirements for nurses working in the ICU at Mulago are not formalized, and teaching preferences for nurses here at not well-understood. Ventilator associated pneumonia (VAP) is a global problem, but the incidence and prevalence of the disease is not well-documented in the developing world. Undoubtedly, nursing interventions play a significant role in the prevention of VAP, but education on evidence-based bundle approaches in countries such as Uganda is not well-understood. Active teaching methods, such as posters and …

Multipronged Approach To Improve Hand Hygiene In Acute Care Nurses, Karen Britt

DNP and Student Works

This article outlines a quality improvement project to implement a multipronged approach for improvement of hand hygiene (HH) adherence during bedside patient care in an inpatient acute care setting.

Instituting A Quality Improvement Program At A Community Medical Designed To Reduce Urinary Catheter Days And The Incidence Of Catheter Associated Urinary Tract Infections, Minnie L. Davis

DNP and Student Works

In an attempt to reduce the rate of catheter-associated urinary tract infections (CAUTIs) a quality improvement project involving the development of an evidence-based nurse-driven urinary catheter protocol (UCP) as well as ongoing educational efforts was instituted.

Improving Interdisciplinary Relationships In Primary Care With The Implementation Of Teamstepps, Nicole M. Siddons

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Healthcare organizations face many diverse challenges, perhaps one of the most problematic of these is the lack of interdisciplinary collaboration plaguing healthcare. This issue results in serious complications with the safety and quality of care (IOM, 1999). One example depicting ineffective collaboration among healthcare teams occurred in an urban Midwest United States city, where a Native American community clinic recently transformed their care model by adding registered nurses to their team. As a result, issues with interprofessional collaboration and teamwork arose threatening healthcare outcomes and employee engagement. The Institute of Medicine (IOM) report, …

Translating The Evidence: Analyzing Dnp Capstones As Exemplars Of Excellence In Clinical Outcomes, Barbara Anderson

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016: Purpose: The purpose of this presentation is to enable the participant to identify and use creative strategies in doctoral education in analyzing clinical outcomes through using exemplars: completed DNP capstone projects. Methods: The method used is content analysis of selected exemplars of excellence in completed DNP projects that addressed quality improvement in clinical outcomes, using the American Association of Colleges of Nursing DNP Essentials as the benchmark. Results: Eight completed DNP capstones are analyzed using the 8 DNP Essentials as defined by the American Association of Colleges of Nursing. Key components of the …

Hiv Task Shifting From Physicians To Nurses In Nigeria: Correlates Of Self-Efficacy And Job Satisfaction, Emilia Ngozi Iwu, William L. Holzemer

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: With 25% of the global disease burden and 3% of the world's health workforce, the African region has the worst health worker shortage. According to the Joint United Nations Program on HIV & AIDS (UNAIDS), Sub-Sahara Africa accounted for 24.7 out of 35 Million people living with HIV globally and 70% of all new HIV infections in 2013. Task shifting (or sharing), a human resource strategy to maximize contributions of available health workers has improved access to HIV treatment in sub-Sahara Africa. However, it also led to nurses acquiring roles previously performed …

Nursing And Midwifery Links [July 2016 Issue], At The University Of Technology Sydney In Australia. Who Collaborating Centers For Nursing And Midwifery Development. Global Network. Secretariat

Nursing and Midwifery Links (LINKS)

Nursing & Midwifery Links aims to disseminate information on the Global Network of WHO Collaborating Centres for Nursing and Midwifery Development and publish technical-scientific articles related to Nursing and Midwifery in the light of WHO's program of work. The document attached to this record is the complete issue published in July 2016.

Introducing Trauma-Informed Care In An Urgent Care Center: A Quality Improvement Project, Marco Belluardo-Crosby

DNP and Student Works

The provider-patient relationship can be influenced by stigma, particularly when it is based on the clinician's perspective toward people with any psychiatric illnesses, with great impact clinical outcomes. This project aimed to identify changes in providers' attitudes toward people diagnosed with psychiatric illnesses after providing trauma-informed care training in a setting where integrated care is practiced. The project utilized a questionnaire to assess the topic knowledge and the Opening Minds Scale for Health Care Providers to evaluate staff's attitude and stigma. Staff received a modified training based on the Risking Connection ® model. Both questionnaires were administered pre-, post-, and …

Development And Use Of The Simulation Culture Organizational Readiness Survey (Scors), Kim Leighton, Colette R. Foisy-Doll

Nursing Education Research Conference (NERC)

Session presented on Saturday, April 9, 2016, and Friday, April 8, 2016: The use of simulation in nursing education and in clinical practice has grown dramatically over the past several years. The release of findings from the National Council of State Boards of Nursing's landmark simulation study (Hayden, et al., 2014) may be the catalyst to further increase use of simulation as results showed that up to 50% of clinical time could be replaced with simulation if specific conditions were met. This may be a crucial part of the answer to the ongoing challenges of lack of adequate clinical sites, …

A Nurse Leaders Journey To Improve Geriatric Outcomes In The Acute Care Setting, Rhonda R. Davis, Claudia Jean Beverly, Tina M. Savdoval

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Improving Geriatric Outcomes through a Nurse Led Interprofessional Team in the Acute Care Setting The Geriatric Nurse Leadership Academy (GNLA) is an 18 month mentored leadership experience that is designed to operationalize learned leadership behaviors by assisting and supporting the fellow in developing and implementing a project that is centered on improving geriatric outcomes. Methodist Le Bonheur Healthcare has a culture of continuous quality improvement and leadership development and therefore chose to participate in the 2014-2015 GNLA cohort recognizing that as an organization the advancement of nursing practice …

Implementation And Evaluation Of Transitioning Newborns At The Bedside Maternal-Child Leadership Project, Shakira Lita Ismay Henderson, Sonya L. Clayton, Katheryn B. Arterberry

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Background: Traditionally, mothers and babies are separated after birth. However, strong evidence exists that immediate skin-to-skin contact after birth between mother and baby has positive outcomes for both mother and baby. Babies who transition with their mothers have better breastfeeding rates and mothers who transition with their babies are more satisfied with the birthing process. Nonetheless, nurses are challenged daily with promoting skin-to-skin, especially after a cesarean delivery. West Kendall Baptist Hospital embarked on a journey to implement a change process of transitioning all eligible newborns at the …

A World View Of Person And Family Centered Care, Joanne Disch

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Although substantial work is being done in many countries to advance the concept of person and family-centered care, there is no universal definition that has been adopted. The international Alliance of Patients' Organizations (2007, p. 2) uses the term patient-centred healthcare to "describe healthcare that is designed and practiced with the patient at the centre." However it has become clear over the past 20 years that this definition can encompass working with, doing for or doing to - with patients and their families having little say in the design, delivery or evaluation of …

Family In The Resuscitation Room: Polish And Finnish Nurses' Experience And Attitudes Towards Family-Witnessed Cardiopulmonary Resuscitation In A Hospital Setting, Natalia Sak-Dankosky, Pawel Andruszkiewica, Paula R. Sherwood, Tarja Kvist

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: Family-witnessed resuscitation offers an option for patients' families to be present during in-hospital cardiopulmonary resuscitation (CPR). It represents principles of the Family-Centered Care Theory which recognizes needs of family members and emphasizes their important role in patients' health and sickness. Due to the research suggesting possible benefits of family-witnessed resuscitation (Clark et al. 2013), many nursing and medical organizations, such as Emergency Nurses Association, European Resuscitation Council and American Heart Association, have officially recommended this practice. There is evidence that while in some countries family-witnessed resuscitation is accepted and implemented, there are …

Taking Charge: Engaging Patients As Full Partners, Mary Walton

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

A growing body of evidence demonstrates that improving the patient experience and developing partnerships with patients/families correlates with improved health outcomes. Patients who are more involved in their care are better able to: manage complex chronic conditions, seek appropriate assistance, have reduced lengths of stay, avoid readmissions and emergency department visits, and experience increased satisfaction. To achieve this, health care professionals need to engage patients and families in partnered relationships, and equip them with the relevant information, resources, access and support to fully engage in and/or direct their health care experience. This includes …