Other Nursing Commons^™

Ultrasound Guided Piv Insertion Implementation, Blake Hotchkiss, Beth O'Donnell, Miles Merwin, Billie Jo Senecal, Ronica Smith, Eric Alan, Bryan Tavary, Chelsea Harkins, Taylor Archard, Leslie Geissinger, Lauren Remington

Operations Transformation

Observed high number of unsuccessful peripheral IV insertion attempts. This increases waste (cost and time) and decreases patient satisfaction.

Dnp Final Report: Effects Of Open-Access Scheduling On Patient No-Show Rates In An Outpatient Clinic, Maria Aileen A. Wilkinson Msn, Mba, Rn

DNP Final Reports

No-show rates in a South Texas outpatient clinic have been as high as 16% to 20% which increases wait times to be seen in the clinic and decreases patient access to outpatient care. This no-show rate data has continued despite multiple interventions that have been implemented in an academic health science center. Physical, socio-economic, geographic, and health/lifestyle factors affecting no show or missed appointments are crucial to determining the most appropriate interventions to alleviate this issue. No-show rates are important metrics to improve because it directly affects the organization's revenue, access to care, and appointment wait times. Research evidence regarding …

The Effects Of Nursing Bedside Shift Report On Patient Safety And Satisfaction: A Systematic Review Of The Literature, Alyssa Wong

Master's Projects

Introduction: Nursing bedside shift report is a recommended strategy to promote the effective exchange of accurate patient information during the handoff process with the goal of decreasing communication errors and adverse patient events. However, adopting this handoff method into nursing practice has been challenging in the clinical setting. This systematic review aims to understand the rationale behind nursing bedside handoff by identifying the advantages and barriers to implementation and exploring how this affects patient safety and experience.
Methods: A systematic review was conducted by searching through electronic databases and Google Scholar to identify English-language peer-reviewed journal articles published between 2012 …

Dedicated Vascular Access Team Benchmark Study, Rachel Davis

MSN Capstone Projects

Hospitals see a rise in the critically ill population. These patients present with multiple comorbidities resulting in frequent emergency department trips. Unfortunately, with each visit, these patients require a vascular access device. Over time their veins will no longer be easily accessible. Patients with veins that are no longer visible, palpable, or require special techniques to obtain access are considered to be difficult intravenous access (DIVA) patients. They will likely experience multiple attempts with each admission to the hospital, resulting in physical and emotional pain, not to mention being costly. The purpose of this paper is to compare the advantages …

Improving Patient Flow In The Urgent Care Setting, Stephanie Carpenter

Student Scholarly Projects

Practice Problem: Urgent care clinics provide care to patients with non-life-threatening illnesses or injuries and are found to be less expensive and more convenient than emergency departments. As urgent care clinics are growing in popularity so are the patient wait times and overall length of stay times.

PICOT: The PICOT question that guided this project was in urgent care clinic patients (P), how does utilizing the Emergency Severity Index (ESI) as a patient triage tool (I) compared to using no patient triage tool (C) affect the patient flow and patient wait times (O) within 13 weeks.

Evidence: Evidence search with …

Performance Improvement Leadership Rounding Implementation, Dena Walz

Nursing Posters

To improve patient experience scores and address patient concerns in real time.

A proactive behavior that facilitates leaders building relationships with patients and families, managing expectations, and achieving and validating consistency of key behaviors.

A member of leadership will conduct a purposeful conversation with a chosen patient three days a week regarding the care provided during their procedural appointment.

Nurse Leader Rounding: A Stellar Strategy To Improve The Patient Experience Of Care In The Emergency Department, Polina Shishkina

Master's Projects and Capstones

Abstract

Many clinical outcomes that occur in the emergency room determine the patient’s continued care and experience in the hospital and beyond as well as influence the organizational reputation in the community. Mack and Fill emphasize that “an ED visit is a significant encounter between a patient and a hospital and one that affects ‘repurchase’ decisions for future health care” (as cited in Welch, 2010, p. 65). Thus, patient experience in the emergency department necessitates continued quality improvement efforts. The emergency room, or “the front door to the hospital”, provides equitable and affordable care to patients who need urgent medical …

A Formal Hcahps Teaching Program Targeting Communication Improves Hcahps Scores, Bobbie Davis

Master's Projects and Capstones

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey given to patients after discharge from an inpatient unit is a validate tool used to determine the level of patient experience. Organizations across the country, including the Northern California Academic Medical Center, have implemented many initiatives aimed at improving these scores. HCAHPS scores for the hematology/oncology unit at this medical center remain low even after previous education efforts. The aim of this quality improvement project was to improve the patient experience, as evidenced by HCAHPS scores, with the implementation of an HCAHPS teaching program for nursing staff, focusing on …

Raising Oas Cahps Scores: Using Patient Education, Katrina Pangilinan

Master's Projects and Capstones

At the Golden Gate Endoscopy Center (GGEC), the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery (OAS CAHPS) survey results on patient satisfaction have been below the 50th percentile for the last three quarters of 2018. Patient satisfaction scores are a quality measure for the patient care experience and important for the success of the organization and its providers. Based on patient comments from previous surveys, patients feel that the center does not explain the possible side effects of the anesthesia in a way they can understand. Other patient comments and concerns included confusion regarding dietary restrictions …

Education To Improve Patient Satisfaction And Outcomes In The Neurosurgical Patient, Tara Orgon Stamper

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Objective: Evidence based literature has illustrated that patient education can improve patient outcomes. In this translational study, a perioperative neurosurgery education bundle was implemented in patients undergoing elective cranial surgery to determine whether this patient centered education improved patient satisfaction, patient knowledge and patient outcomes. Method: This quality improvement study implemented an education bundle for elective cranial surgery patients both at a preoperative clinic visit and prior to discharge. Patients completed the Patient Interview Teaching Guide (PTIG) questionnaire and Client Satisfaction Questionnaire (CSQ-8) at the first postoperative visit. Results: Correlation statistics were conducted on demographic factors and patient knowledge and …

Care Transitions For Hospital To Home: Ideal Discharge Planning, Jeanne Friebe

Nursing Posters

To increase patient satisfaction with the discharge process based on patient's readiness; for patients with uncomplicated vaginal and Cesarean birth through the application of the IDEAL model.

Collaboration To Improve Care Of Oncology Patient, Kara Panek, Melinda Jennings

Nursing Posters

It was identified that there were opportunities to enhance the care of the inpatient oncology patient when they were not on the Medical and Oncology Unit. Upon completing leadership rounding, patients identified that they did not receive consistent oncology specific interventions when they were transferred to a higher level of care.

Integrating Holsitic Care Modalities Into An Inpatient Physical Rehabiliation Program, Kathleen Sowada

Nursing Posters

The purpose of this pilot project was to determine the feasibility of incorporating integrative therapies, including acupuncture, into the plan of care of patients undergoing physical rehabilitation in an inpatient setting, and to improve outcomes and patient satisfaction.

Improve Readmissions And Patient Satisfaction Scores With A Revised Discharge Education Plan, Michele M. Hughes

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Problem: Payers of health insurance are tracking key performance measures and are limiting payments to hospitals. With this threat to financial reimbursement hospital systems have increased emphasis on tracking and improving outcomes. The purpose of this project is to reduce all-cause 30-day readmissions and improve patient satisfaction scores in the care transitions domain after a total hip or total knee replacement by revising the discharge materials and education.

Method: The total joint replacement discharge education materials were revised to address the common causes of readmissions. The documents were reformatted to improve literacy level, readability, and patient learning. Nurses were educated …

Teach-Back Methodology To Improve Patient Satisfaction In An Urgent Care Setting, Candi Payne

Doctoral Dissertations and Scholarly Projects

The project used teach-back methodology to provide an evidence-based approach to improve patient satisfaction scores in an urgent care clinic. The teaching plan should include evaluation of patient teaching to determine effectiveness and patient understanding per The Joint Commission (TJC) for Ambulatory Care Center standards. The project was developed to assist nurses (N=12) with an evidence-based method to improve patient understanding and provide an opportunity to ensure comprehension to increase patient satisfaction scores from a one or two to a level three at the end of 30 days following implementation of teach-back. The scores revealed an increase of patient satisfaction …

Patient Perceptions Of An Aidet And Hourly Rounding Program In A Community Hospital: Results Of A Qualitative Study, Tosha Allen, Tyne Rieck, Stacie Salsbury

Patient Experience Journal

Quantitative evidence links patient satisfaction scores to the use of communication strategies such as AIDET (Acknowledge, Introduce, Duration, Explanation, and Thank you) and Hourly Rounding. However, little is known about patient perceptions of these tools in regards to their hospital experience. Qualitative interviews were conducted with a convenience sample of 14 adult medical/surgical inpatients in one mid-sized, community hospital, following hospital discharge. The interview data was transcribed and opened coded, utilizing constant comparison to identify common themes. Themes emerged in four topical areas: (a) patient experience of hospitalization, (b) AIDET, (c) Hourly Rounding, and (d) unexpected findings. Patients placed significant …

Opening An Observation Unit, Emily Zempel

Nursing Posters

The definition, benefits, and structure of an observation unit within a hospital.

Do Call-Backs Help Patients Post Stroke, Taylor E. Clark

DNP Projects

Aim and Objective: To determine if the implementation of a post-discharge call-back intervention for patients discharged home from the hospital after stroke was associated with a decrease in 30-day readmissions and improved patient satisfaction.

Background: Stroke is a leading cause of death and disability in the United States (American Stroke Association, 2015). Several studies have examined various post-discharge interventions, including a call to the patient and/or family after their return home, to determine the benefit to patients, if any (Zolfaghari, Mousavifar, Pedram & Haghani (2012). Understanding and anticipating patient needs and removing barriers post-stroke may decrease readmission rates …

Enhancing Education Of Medication Side Effects To Improve Patient Outcomes, Kyle R. Woolley

Master's Projects and Capstones

Patient satisfaction scores regarding how effectively staff educates patients about possible side effects of new medications are not consistently above the national average at a large metropolitan hospital in California (MHC). The results of these patient satisfaction scores shed light on the need for evidence-based strategies to improve a patient’s perception of the medication education provided to them. The basis of the incentive to improve care is ultimately increased safety and better patient outcomes. From the Root Cause Analysis, it became apparent that a few common barriers need to be addressed, but the one most frequently reported by everyone that …

The Relationships Between Patients’ Perceptions Of Nurse Caring Behaviors, Nurses’ Perceptions Of Nurse Caring Behaviors And Patient Satisfaction In The Emergency Department, Theresa Bucco

Seton Hall University Dissertations and Theses (ETDs)

Background: Approximately 100 million people seek care in Emergency Departments yearly, which can be overwhelming for many Emergency Department (ED) nurses. Thus, caring for these patients and meeting their needs is challenging for ED nurses. It is the patients’ perceptions of the first caring encounters in the ED that can have a significant impact on patient satisfaction.

Objective: The purpose of the study was to examine the relationships between patients’ perceptions of nurse caring behaviors, nurses’ perceptions of nurse caring behaviors, and patient satisfaction in the ED.

Methods: This was a descriptive cross-sectional study that examined the …

Improving Patient Satisfaction After Primary Total Knee Arthroplasty Using Nurse Practitioner-Driven Preoperative Education, Jennifer A. White

Doctor of Nursing Practice Scholarly Projects

Total joint arthroplasty is an undisputed option for relieving pain and improving the function of an arthritic joint. The number of patients undergoing total knee arthroplasty (TKA) annually is expected to increase by 600% in the next two decades (Lau, Gandhi, Mahomed, & Mahomed, 2012).

Current research shows that while 81-89% of patients who have had a TKA are satisfied postoperatively, there is room to improve patient satisfaction by providing further education preoperatively. While research cannot agree on a single, specific variable that influences patient dissatisfaction, a review of the literature shows that patients repeatedly note their “unmet expectations” as …

An Evaluation Of Patient Satisfaction With Telephone Follow-Up In An Urgent Care, Audia L. Ellis

Doctor of Nursing Practice Scholarly Projects

Telephone follow-up (TFU) is a very valuable innovation. It is a service that is found to be desirable by both patients and health care professionals. It has been utilized successfully in a variety of settings, however, evidence of its use or evaluation of its use in the urgent care setting has not been found. Through evaluation of patient satisfaction (PS) with use of the protocol, new cost and labor effective interventions were constructed and implemented with the goal of meeting patients’ needs.

This study utilized mixed method methodology and employed a descriptive design. Convenience sampling was utilized and a sample …

Developing Cultural Competence, Patricia Blonigen-Heinen, Roberta Basol

Nursing Posters

Caring for patients from many cultures is an important part of health care today. Why learn about cultural competencies? Because developing cultural competencies benefits everyone. You can: help patients receive more effective care; help your facility meet standards of The Joint Commission; and improve your job performance.

Evidence To Measure And Implement Patient Satisfaction In Fbc Patients, Meredith Wells

Nursing Posters

Purpose Statement: The purpose of this project is to increase Family Birthing Center patient Press Ganey satisfaction scores by focusing on communication with nurses, implementing communication guidelines and nurse accountability for compliance.

Tipping The Sacred Cow: Hospital-Wide Implementation Of Bedside Report, Bonnie Rozycki, Katie Schulz, Naomi Schneider, Mary Leyk

Nursing Posters

Purpose Statement: The purpose of this project is to implement bedside report hospital-wide in order to improve patient satisfaction scores.

Implementing A Tiered Pain Protocol In The Total Knee Arthroplasty Patient, Heidi Meyer, Kelen Sohre, Tamara Welle

Nursing Posters

Objective: Address the culture of pain management with physicians and nurses utilizing a tiered pain protocol in conjunction with non-pharmacological approaches to achieve improvement in pain satisfaction to a tolerable level.

Patient Education Barriers, May Schomer, Hannah Newhouse

Nursing Posters

Introduction: Our survey answers corresponded closely to the research data found. The typical barriers included time, subject knowledge, patient education needs assessment, setting for teaching and nursing teaching skills.

Improving The Preparedness Of Discharge Education For Patients On The Bone And Joint Center, Angela Moscho

Nursing Posters

To improve discharge education in order to increase the percent of overall discharge and patient satisfaction in relation to being discharged.

Nursing Bed Side Report: Changing Our Relationship With Our Patients, Naomi Schneider, Mary Leyk

Nursing Posters

To improve bed side shift reporting in order to standardize practices, to increase efficiency, to decrease RN late clock outs, and to increase patient satisfaction.