Nursing Commons^™

Program Evaluation Of A Bundled Educational Intervention To Enhance Implementation Of Professional Exchange Report, Luanne M. Shaw

Luanne Shaw, DNP, MSN, RN, CHSE, CEN

Communication handover is a source of potential error and risk to patient safety. Electronic-based tools may reduce errors and mitigate risks to patient safety. Electronic tools have been successfully implemented using multiple methods of education and training. Electronic tools vary in functionality and integration with the electronic health record (EHR). A large West Michigan Regional Health System (RHS) implemented a new EHR containing an embedded tool for communication handover called Professional Exchange Report (PER). There was inconsistency in the practice of bedside report by nurses. The RHS planned to use a bundled approach of educational interventions to implement the new …

Transprofessional Education – An Asynchronous Approach, Courtney Reinisch

Courtney Reinisch

Creating an opportunity inter-professional educational for nursing students involves challenges in logistics and resources.

Children With Developmental Disabilities At A Pediatric Hospital: Staff Education To Prevent And Manage Challenging Behaviors, Norah Johnson, Joel Lashley, Alice Stoneck, Annette Bonjour

Norah L Johnson

Children with developmental disabilities may get frustrated in unpredictable hospital environments. Frustration may escalate to challenging behaviors, which are a safety concern and may contribute to staff and patient injuries, use of restraints, and procedure delay or cancelations. The purpose of this article was to describe a pilot staff education program on preventing and managing challenging behaviors of children with developmental disabilities at a pediatric hospital. The 2-hour-long education (1 hour on-line and 1 hour instructor led) content focused on family-centered care and communication skills, including verbal judo™ modified for use in the health care setting. Participants in the instructor-led …

Healthcare Collaborations Begin With Effective Communication Amongst All Clinical Providers, Tochi O. Ubani

Tochi O. Ubani

At Nursedoctorcommunications.com our mission is to advocate for quality patient-centered care using effective communication mechanisms. Clinical decisions ought to be based on expertise, experience and an understanding of the patient's basic needs. This approach demands a collaborative strategy where knowledge, collegiate interactions, emotions and experiences become useful tools for collaborative care.

An Ethnographic Exploration Of Cultural Communication To Reduce Errors, Luanne Linnard-Palmer

Luanne Linnard-Palmer

The Ins And Outs Of Change Of Shift Handoffs Between Nurses: A Communication Challenge, John S. Carroll, Michele Williams, Theresa M. Gallivan

Michele Williams

Background: Communication breakdowns have been identified as a source of problems in complex work settings such as hospital-based healthcare. Methods: The authors conducted a multi-method study of change of shift handoffs between nurses, including interviews, survey, audio taping and direct observation of handoffs, posthandoff questionnaires, and archival coding of clinical records. Results: The authors found considerable variability across units, nurses and, surprisingly, roles. Incoming and outgoing nurses had different expectations for a good handoff: incoming nurses wanted a conversation with questions and eye contact, whereas outgoing nurses wanted to tell their story without interruptions. More experienced nurses abbreviated their reports …

Low Health Literacy: Overview, Assessment, And Steps Toward Providing High-Quality Diabetes Care, Andrea Wallace

Andrea S. Wallace

Approximately half of all Americans do not understand written and verbal health information well enough to take appropriate action. For chronic conditions requiring patients' ongoing self-management, limited literacy may be a powerful barrier to achieving optimal outcomes. Because low literacy is associated with a number of psychosocial variables that also act as barriers to self-management, health literacy experts recommend that efforts to alleviate the burden introduced by low literacy be addressed not only by developing means of increasing patients' understanding, but also by integrating such efforts into systems aiming to improve self-management support across the continuum of patient care. This …

Special Report: Nursing. A Research-Based Sibling Visitation Program For The Neonatal Icu... Reprinted From Critical Care Nurse, Vol. 17, No. 2, April 1997, Innovision Communications, Aliso Viejo, Ca, L. Montgomery, Charmaine Kleiber, A. Nicholson, Martha Craft-Rosenberg

Martha J. Craft-Rosenberg

No abstract provided.

Information Needs Of The Siblings Of Critically Ill Children, Charmaine Kleiber, L. Montgomery, Martha Craft-Rosenberg

Martha J. Craft-Rosenberg

This study explored parental and sibling perceptions and feelings about sibling information needs during a pediatric admission to an intensive care unit (ICU). Using a qualitative research design, parents (n = 14) and school-age siblings (n = 12) of children who were patients in ICU were interviewed using open-ended questions. Themes of information that the parents report having given to the siblings were similar to the themes that siblings report having heard. However, parents reported that the siblings had numerous questions about the reasons for hospitalization and expectations for the future of the family. The findings indicate that parents may …

Committee Meetings: An Electronic Alternative, Barbara Rakel

Barbara A. Rakel

All too often, meetings are called without much thought as to whether or not they are necessary, wasting the staff's time and the organization's money. Sharing information and gathering input through electronic mail eliminates unproductive meetings and increases member productivity.

The Diversity Of Case Management Models, Diane Huber

Diane Huber

Case management is experiencing rapid growth and evolutionary transition. This article explores the diversity and richness of case management models found in practice. Interdisciplinary communication in case management programs can be facilitated by an awareness of discipline-specific definitions and models. A categorization of models is described as a device to stimulate multidisciplinary case management collaboration.

Effective Communication Saves Lives, Victoria Steelman

Victoria J. Steelman

No abstract provided.

Exploring Nursing Home Staff's Perceptions Of Communication And Leadership To Facilitate Quality Improvement, Jill Scott-Cawiezell, M. Schenkman, L. Moore, C. Vojir, R. Connoly, M. Pratt, L. Palmer

Jill Scott-Cawiezell

Leadership and clinical staff were surveyed to explore communication and leadership in nursing homes. Registered nurses and other professionals perceived communication as better than their nursing colleagues did. Overall, results suggest all factors of communication could improve. In terms of leadership, licensed practical nurses perceived less clarity of expectations, encouragement of initiative, and support than other groups. The study provides insight into what is organizationally necessary to improve quality of care in nursing homes.

Are Nursing Homes Ready To Create Sustainable Improvement?, Jill Scott-Cawiezell

Jill Scott-Cawiezell

No abstract provided.

Measuring Organizational Attributes Of Primary Care Practices: Development Of A New Instrument, P. Ohman-Strickland, A. Orzano, P. Nutting, W. Perry Dickinson, Jill Scott-Cawiezell, K. Hahn, M. Gibel, B. Crabtree

Jill Scott-Cawiezell

OBJECTIVE: To develop an instrument to measure organizational attributes relevant for family practices using the perspectives of clinicians, nurses, and staff. DATA SOURCES/STUDY SETTING: Clinicians, nurses, and office staff (n=640) from 51 community family medicine practices. DESIGN: A survey, designed to measure a practices' internal resources for change, for use in family medicine practices was created by a multidisciplinary panel of experts in primary care research and health care organizational performance. This survey was administered in a cross-sectional study to a sample of diverse practices participating in an intervention trial. A factor analysis identified groups of questions relating to latent …

Moving From A Culture Of Blame To A Culture Of Safety In The Nursing Home Setting, Jill Scott-Cawiezell, A. Vogelsmeier, C. Mckenney, M. Rantz, L. Hicks, D. Zellmer

Jill Scott-Cawiezell

TOPIC: A culture of safety. PURPOSE: To explore the current culture of blame and what organizational elements must be impacted to move toward a culture of safety in the nursing home setting. METHODS: A mixed-method approach incorporating a case study and staff member survey results were used to explicate the organizational elements impacting the current nursing home culture. CONCLUSION: Nurse leaders can create an environment in which every member of the team feels a responsibility and an ability to insure that residents are safe by improving communication and participation in decision making.

Nursing Home Safety: A Review Of The Literature, Jill Scott-Cawiezell, A. Vogelsmeier

Jill Scott-Cawiezell

The number of older persons in the United States is rapidly growing and, based on this growth projection, the number of consumers needing nursing home (NH) care will likely triple in the next 10 years. Although NHs have been bombarded and scrutinized about the care that they provide, the concept of safety (specifically, error prevention) remains at the margin of most quality improvement efforts. The purpose of this review is to explore what has recently been written (2000-2005) about the evolution of the NH as an organization focused on safety and the most critical clinical processes that must be closely …

An Examination Of Role Strain For University Nurse Faculty And Its Relation To Socialization Experiences And Personal Characteristics, Paula Mobily

Paula Mobily

The purpose of this study is to describe the degree of perceived role strain and the major sources of role strain in nurse faculty employed in major universities; and to explore the relationship between selected socialization experiences and personal characteristics and the degree of role strain experienced. The sample (N = 102) was comprised of full-time tenure track nurse faculty employed in major universities that offered National League for Nursing-accredited undergraduate and graduate programs in nursing, and were located in institutions classified as Research Universities I by the Carnegie Council on Policy Studies in Higher Education (1987). The majority of …

School Nurses' Experiences With Children With Chronic Conditions, Janet Williams, Ann Mccarthy

Ann Marie McCarthy

No abstract provided.

Communication, Encouragement, And Cancer Screening In Families With And Without Mutations For Hereditary Nonpolyposis Colorectal Cancer: A Pilot Study, Anne Ersig, Janet Williams, D. Hadley, L. Koehly

Anne L. Ersig

PURPOSE: Known and suspected mutation carriers for hereditary nonpolyposis colorectal cancer are advised to have colonoscopies every 1 to 2 years to detect colorectal cancer. Little is known about colonoscopy completion in families suspected of having hereditary nonpolyposis colorectal cancer but without identified mutations. METHODS: This study examined the effect of communication and encouragement on colonoscopy in families with and without known mutations. Twenty-three respondents from 11 families with indeterminate genetic test results were matched with 23 respondents from 11 families with mutation-positive results. Hierarchical modeling examined the effects of relational characteristics on time since last colonoscopy in index cases …

Characteristics Of Health Information Gatherers, Disseminators, And Blockers Within Families At Risk Of Hereditary Cancer: Implications For Family Health Communication Interventions, L. Koehly, J. Peters, R. Kenen, L. Hoskins, Anne Ersig, N. Kuhn, J. Loud, M. Greene

Anne L. Ersig

OBJECTIVES: Given the importance of the dissemination of accurate family history to assess disease risk, we characterized the gatherers, disseminators, and blockers of health information within families at high genetic risk of cancer. METHODS: A total of 5466 personal network members of 183 female participants of the Breast Imaging Study from 124 families with known mutations in the BRCA1/2 genes (associated with high risk of breast, ovarian, and other types of cancer) were identified by using the Colored Eco-Genetic Relationship Map (CEGRM). Hierarchical nonlinear models were fitted to characterize information gatherers, disseminators, and blockers. RESULTS: Gatherers of information were more …

President's Message. Reflections, Patricia Clinton

Patricia K. Clinton

No abstract provided.