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Department of Nursing papers and presentations

Thomas Jefferson University

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Full-Text Articles in Medicine and Health Sciences

Strategies To Improve Rn Communication Hcahps, Karen Montoro, Bsn, Rn, Ne-Bc May 2016

Strategies To Improve Rn Communication Hcahps, Karen Montoro, Bsn, Rn, Ne-Bc

Department of Nursing papers and presentations

BACKGROUND

The impact of value based purchasing on reimbursement based on HCAHPS is a reality that Heath Care Organizations need to address. This Quality Improvement Project was designed by the CNO, Vice president of Nursing and the Nurse Manager to oversee the project. The decision was made to utilize an existing group of frontline staff who were engaged in efforts to improve patient satisfaction. This RN Communication Team met monthly beginning in March 2015.


Improving Outcomes By Optimizing Sleep Opportunities In The Critically Ill Neuroscience Patient, Marie Wilson, Bsn, Rn, Ccrn, Cnrn Apr 2016

Improving Outcomes By Optimizing Sleep Opportunities In The Critically Ill Neuroscience Patient, Marie Wilson, Bsn, Rn, Ccrn, Cnrn

Department of Nursing papers and presentations

Purpose

The purpose of the Neuroscience Intensive Care Unit is to provide specialized quality care to a high acuity and vulnerable critically ill population with the desired outcome of health improvement. It would appear that the goal for both Neuroscience Intensive Care Units and “sleep” would be one of healing; however it is also well documented that routine sleep disturbances due to either deprivation or disruption in neuroscience critical care units negatively affects patient outcomes.

Further exploration of sleep architecture, physiologic responses that occur during sleep and factors contributing to a lack of qualitative and quantitative sleep in critical care …


Exercise And Hospitalized Leukemia Patients, Anne Delengowski, Rn, Msn, Aocn, Justine O'Connor, Rn, Msn, Ocn, Megan Stinsman, Rn, Bsn, Ocn, Kate Mchenry, Rn, Bsn, Ocn, Kaitlin Mostak, Rn, Bsn, Joann Silcox, Rn, Msn, Colleen Sweeney, Rn, Christine Muldoon, Rn, Bsn, Ocn, Lauren Gilbride, Rn, Bsn Sep 2015

Exercise And Hospitalized Leukemia Patients, Anne Delengowski, Rn, Msn, Aocn, Justine O'Connor, Rn, Msn, Ocn, Megan Stinsman, Rn, Bsn, Ocn, Kate Mchenry, Rn, Bsn, Ocn, Kaitlin Mostak, Rn, Bsn, Joann Silcox, Rn, Msn, Colleen Sweeney, Rn, Christine Muldoon, Rn, Bsn, Ocn, Lauren Gilbride, Rn, Bsn

Department of Nursing papers and presentations

Objective:

The purpose of this study was to determine if patients in a structured, monitored walking program experienced less symptom distress than patients receiving the usual standard of care during induction chemotherapy.


The Effect Of Breathable Under Pads To Decrease Hospital Acquired Pressure Ulcers: A Nurse Resident Project, Sara Meshino, Bsn, Rn, Bridget Trefz, Bsn, Rn Apr 2014

The Effect Of Breathable Under Pads To Decrease Hospital Acquired Pressure Ulcers: A Nurse Resident Project, Sara Meshino, Bsn, Rn, Bridget Trefz, Bsn, Rn

Department of Nursing papers and presentations

PURPOSE

To reduce the rate of hospital acquired pressure ulcers (HAPU), in June 2013, a large urban academic medical center switched from non-breathable to breathable under pads for incontinent patients lying on either a standard bed (low risk patients) or low-air-loss mattress (high risk patients). Standard pressure ulcer prevention measures were maintained. Staff on two oncology units sought to determine the effectiveness of breathable vs. non-breathable under pads in reducing the rate of HAPU and UAPU.


Pneumonia Pathway Effects On Hospital Readmission Rates, Maribeth Kelly, Msn, Rn, Pccn, Raymond Malloy, Mha, Rrt, Brian Glynn, Bs, Rrt Sep 2013

Pneumonia Pathway Effects On Hospital Readmission Rates, Maribeth Kelly, Msn, Rn, Pccn, Raymond Malloy, Mha, Rrt, Brian Glynn, Bs, Rrt

Department of Nursing papers and presentations

Purpose

There are inconsistencies in treating inpatients with community acquired pneumonia (CAP) and providing adequate post

discharge follow-up contributing to significant hospital readmission rates and increased health care costs. Our null hypothesis for this study was that the use of a pneumonia care pathway will have a significant effect on hospital readmission rates.


Geriatric Trauma Patients In The Emergency Department: Length Of Stay, Intensity Of Care, And Post Ed Destination", Elanor Gates, Doris Warner, Meg Bourbonniere, Patricia Williams Apr 2012

Geriatric Trauma Patients In The Emergency Department: Length Of Stay, Intensity Of Care, And Post Ed Destination", Elanor Gates, Doris Warner, Meg Bourbonniere, Patricia Williams

Department of Nursing papers and presentations

Background & Purpose: Research on emergency department length of stay (EDLOS) suggests that increased LOS may result in worse patient outcomes and increased overall LOS. Additional research suggests that increased age may not only result in lower intensity of care for some patients but might also increase EDLOS. For geriatric trauma patients, intensity of care and EDLOS may be different from non-geriatric patients. Given the nature of geriatric traumatic injury, it is important to understand if improvements can be made in geriatric trauma services.

Study/Project Design: A retrospective descriptive study utilizing the hospital’s trauma registry data was completed, including patient …


Health Information Technology (Hit) And Chemotherapy Management, Diane Abisaleh, Rn, Bsn, Msn Nov 2011

Health Information Technology (Hit) And Chemotherapy Management, Diane Abisaleh, Rn, Bsn, Msn

Department of Nursing papers and presentations

  • Cancer is the 2nd most common cause of death, accounting for 26% of all deaths.
  • Chemotherapy errors can potentially lead to significant harm or death
  • 1 out of every 50 chemotherapy orders, results in serious death
  • Lack of HIT support for workflow increases error


Partnership Between University Clnical Skills/Simulation Center And Nursing Staff Development-New Products, Mary Bent Mangano, Msn, Rn, Cns, John J. Duffy, Rn, Msn, Ccrn, Cnrn Nov 2011

Partnership Between University Clnical Skills/Simulation Center And Nursing Staff Development-New Products, Mary Bent Mangano, Msn, Rn, Cns, John J. Duffy, Rn, Msn, Ccrn, Cnrn

Department of Nursing papers and presentations

There is a growing evidence in the nursing literature about the effectiveness of clinical simulation as a powerful teaching/learning strategy. This wealth of research attributes simulation's effectiveness to its design that creates an environment where "students become active learners, abandoning memorization for accessing knowledge, and thinking and applying learning in context rather than providing answers to fact-based test" (Jeffries, 2007). A simulation suite provides a "safe, supportive environment that allows students to learn a variety of complex skills in a stress-free environment" (Ghiglieri, Ruiz, & Vasudevan, 2007). Creating this environment requires meticulous planning to details. The learner must have a …