The Heart And Soul Of Engagement In The Float Pool Team,
2022
University of San Francisco
The Heart And Soul Of Engagement In The Float Pool Team, Kymberly Dexter
Master's Projects and Capstones
Problem: The assistant nurse manager (ANM) role is considered an entry-level management position and is not intended as a permanent career role. The unintended consequence is that there is a high rate of organizational turnover, making it challenging to build and retain a solid, cohesive, and productive team.
Context: A new manager of a float pool team in a 166-bed community hospital found that with little financial investment, a significant impact is made by holding a safe space for listening to the ANM team and designing education and training around what is most important to frontline managers.
Interventions: A baseline ...
Depression Awareness Programs For Adolescents: A Scoping Review,
2022
University of Tennessee Health Science Center
Depression Awareness Programs For Adolescents: A Scoping Review, Kincharska N. Freeman Msn, Aprn, Fnp-C, Cnor, Michelle Rickard Dnp, Cpnp-Ac
Doctor of Nursing Practice Projects
The purpose of this DNP project is to determine if receiving school-based depression awareness education affects the depression scores of adolescents between 10 and 19 years of age.
Implementing The Practice Of Rns And Uaps Receiving "Hand-Off" Report Conjointly,
2022
Murray State University
Implementing The Practice Of Rns And Uaps Receiving "Hand-Off" Report Conjointly, Gabby Pack, Cora Moll
Scholars Week
This is an informational presentation about ineffective communication within the nursing practice. This presentation outlines the benefits of RNs and UAPs giving/receiving "hand-off" report together.
Implementing The Option For 8-Hour Shifts Compared To 12-Hour Shifts To Protect The Well-Being Of Nurses And Patients,
2022
Murray State University
Implementing The Option For 8-Hour Shifts Compared To 12-Hour Shifts To Protect The Well-Being Of Nurses And Patients, Savannah G. Bison, Madison R. Harden
Scholars Week
This project addresses the negative aspects of twelve hour shifts within the nursing profession and how a change to eight hour shifts leads to decreased burnout, increased job satisfaction, and a more positive work-life balance. The term ‘nursing shortage’ is often improperly used to imply only a deficit in registered nurses across the country; however, it is instead due to practicing nurses leaving the profession before retirement, especially in bedside positions. Nurses are searching for different paths for multiple reasons, but a common factor among all of them is burnout caused by the current system in place. This project addresses ...
Prioritizing Training Needs For Nurses In The Government Hospitals Of The Ha’Il Region, Saudi Arabia: Future Directions For Educational Developers,
2022
College of Nursing, University of Hail, Hail 55471, Kingdom of Saudi Arabia
Prioritizing Training Needs For Nurses In The Government Hospitals Of The Ha’Il Region, Saudi Arabia: Future Directions For Educational Developers, Eddieson Pasay-An, Hatem Homoud Alsrour
Makara Journal of Health Research
Background: The assessment of training needs can help establish the current performance or knowledge levels related to certain essential nursing activities. The purpose of this study is to determine the training needs of the staff nurses of the government hospitals in Ha’il Region, Saudi Arabia.
Methods: This study employed a cross-sectional–correlational approach with 230 staff nurses of the government hospitals in the City of Ha’il. Random sampling was used to ensure the representativeness of the sample.
Results: The nurses perceived training activities as very important (6.22 ± 1.09) in their work but performed the necessary activities ...
Impact Of Self-Care Techniques On Nurse Burnout,
2022
University of Texas at Tyler
Impact Of Self-Care Techniques On Nurse Burnout, Macie Mayrell
MSN Capstone Projects
Nurse burnout is a serious, widespread problem in the healthcare arena. Registered nurses need to understand the importance of self-care to prevent or alleviate nurse burnout. An Evidence-Based Practice Benchmark Study implements a relaxation room on a nursing unit to encourage and promote self-care among acute care nurses.
Improving Nurse Leaders' Transformational Leadership Skills In The Online Environment,
2022
Providence Holy Cross Medical Center
Improving Nurse Leaders' Transformational Leadership Skills In The Online Environment, Tanya Haight
2022 Southern California Nursing Research Conference
Leadership is critical to the success of most organizations, and the achievement of an organization's goals is largely dependent on the leaders' ability to engage, motivate, and influence their teams—often referred to as Transformational Leadership. This is especially true for healthcare organizations wherein the morbidity and mortality of patients may be affected by the quality of leadership. At the start of the COVID-19 pandemic, in-person meetings transitioned to the online format without nurse leaders' formal training. Leaders cited this lack of orientation as impeding their ability to sustain an online-virtual transformational leadership presence with their teams. They reported ...
Improved Data Communication With Frontline Staff,
2022
University of San Francisco
Improved Data Communication With Frontline Staff, David Sprecher
Master's Projects and Capstones
Problem: Frequently, communication from the Quality Department (QD) needs to be filtered through several organizational layers without first-hand knowledge of what message was given to frontline staff. Current mechanisms of communication between the QD and front-line microsystem teams have barriers preventing them from being consistent and reliable.
Context: Research has found that collaborating with and supporting frontline staff was key to establishing a culture that supports change and a focus on safety. Establishing open communication and effective teamwork with individuals on the frontline leads to shared values within a team and better collaboration which drives performance improvement.
Interventions: For trended ...
Pre-Labs For Outpatient Cancer Clinics,
2022
The University of San Francisco
Pre-Labs For Outpatient Cancer Clinics, Courtney L. Johnson
Master's Projects and Capstones
Problem: Collecting labs on the same day as clinic visits and infusion therapy negatively impacts microsystem efficiency, contributes to long patient wait times, and delays clinical decision making.
Context: In-room cycle times for each doctor at an outpatient cancer clinic are upwards of 50-80 minutes. The clinic sends patients to the infusion center for treatment after they have gained clearance from their doctor. However, long lab processing times create back-ups in both the cancer center and the infusion center.
Interventions: The proposed intervention is to send a mobile phlebotomy service to the patient’s home 24 to 48 hours before ...
Development Of A Fall Prevention Bundle With Evidence-Based Tools For Hospitalized Adults,
2022
The University of San Francisco
Development Of A Fall Prevention Bundle With Evidence-Based Tools For Hospitalized Adults, Kelly A. Tirone
Master's Projects and Capstones
Problem
One million hospitalized people fall annually in the United States, and up to a third are preventable.
Context
Data from an acute care hospital show one medical-surgical unit reported eight patient falls in 2021, two causing major harm that reached sentinel event criteria.
Interventions
A Clinical Nurse Leader (CNL) leveraged the unique CNL skill set and characteristics of Human-Centered Leadership to engage in horizontal leadership, injury prevention, and team coordination through authentic human connection. The team leveraged documentation for improved fall risk communication. Unavoidable disruptions hindered other planned interventions.
Measures
Outcome measures observe for total fall count and the ...
Intervention To Increase Home Preparation For Colonoscopies,
2022
University of San Francisco
Intervention To Increase Home Preparation For Colonoscopies, Joshua Victor Stone
Master's Projects and Capstones
Abstract
Problem: Inpatient colonoscopies are costly to healthcare systems and inconvenient for eligible patients. The cost for a two-night inpatient bed is currently $4800.00 currently. The department manager led a five-month quality improvement project that was initiated in one 180-bed community medical center in Northern California to increase outpatient options, reduce the census and decrease the admission rate.
Context: Overburdened medical facilities often miss the opportunity to utilize ambulatory procedures due to competing operational priorities. In this setting, the Care Without Delay (CWD) department microsystem addresses barriers that impact operational throughput, efficiency, and unnecessary admissions.
Intervention: A new protocol ...
(Re) Evaluating Critical Care Nurse Support Program(S) In A Tertiary Care Hospital: Intersecting The Art And Science Of Nursing,
2022
Western University
(Re) Evaluating Critical Care Nurse Support Program(S) In A Tertiary Care Hospital: Intersecting The Art And Science Of Nursing, C. Patricia Mazzotta
The Organizational Improvement Plan at Western University
There is a growing critical care nurse staffing shortage with increases in nurse vacancy rates. Moral distress has been exacerbated by the SARS-CoV-2 (COVID-19) pandemic and, in particular, impacting critical care nurses. COVID-19 is a significant contributor to staffing shortages and continued nursing crisis. Thus, the impetus for the Problem of Practice (PoP): the lack of support to address the psychological, emotional, and spiritual distress suffered by critical care registered nurses in a tertiary care hospital in Central Ontario. To comprehend the realities of working in the intensive care units, leaders must first understand nurses’ lived experiences, narratives, and what ...
Establishment Of Unit Based Council Using A Shared Governance Toolkit,
2022
University of St. Augustine for Health Sciences
Establishment Of Unit Based Council Using A Shared Governance Toolkit, Viji George
Student Scholarly Projects
Practice Problem: Shared governance (SG) is an organizational structure that provides healthcare professionals control over their professional practice. Lack of a unit-based council (UBC) was noted as a problem disrupting the shared decision-making and problem-solving approach.
PICOT: In an adult acute care unit lacking a UBC structure (P), what is the effect of the implementation of a SG toolkit (I) compared to no SG toolkit (C) on the establishment of a SG UBC within a period of 10-weeks (T)?
Evidence: The literature evidence suggest that SG enables nurses to engage as a partner with nursing leaders within the organization in ...
Influence Of Cultural Competency Program On Bias In A Community Volunteer Program,
2022
University of St. Augustine for Health Sciences
Influence Of Cultural Competency Program On Bias In A Community Volunteer Program, Melodie L. Anderson
Student Scholarly Projects
Practice Problem: Individuals may express hesitancy in volunteering in community health programs that directly interface with persons experiencing poverty due to poverty biases. Failure to understand the issues and needs of those experiencing poverty may factor into disparities and inequities along the social determinants of health, leading to poorer population health, well-being, and quality of life.
PICOT: The PICOT question that guided this project was in volunteers (mentors) of community health programs (P) how does a cultural competency program (I) compare to the standardized training program(C) influence bias (0) over 8 weeks (T)?
Evidence: An evidence review indicated poverty ...
Caring For The Caregiver During Covid-19 Suspended Visitation,
2022
Northeast Georgia Health System
Caring For The Caregiver During Covid-19 Suspended Visitation, Melissa D. Rouse, Lorie K. Shoemaker, Priscilla Kyle, Chris Tenold, Whitney Anthony, Jordan White
Patient Experience Journal
During the 4th surge of COVID-19, August to November 2021, visitation was suspended in a hospital system in North Georgia. The Compassionate Connections Call Center (CCCC) was created to alleviate staff stress and to manage calls and communication. The goal of the initiative was to reduce interruptions to patient care caused by the increased number of calls to the clinical units by patients, families, loved ones and personal caregivers. The CCCC managed all incoming calls and communicated with the patient’s primary nurse through a coordinated process which limited interruptions. By caring for the caregiver, the aim was to improve ...
Teamwork That Affects Outcomes: A Method To Enhance Team Ownership,
2022
Vanderbilt University Medical Center
Teamwork That Affects Outcomes: A Method To Enhance Team Ownership, Brian Carlson, Richelle Graham, Brad Stinson, Jordan Larocca
Patient Experience Journal
Healthcare is the ultimate team sport, and this case study explores how to build teamwork across teams. The ability for nursing, environmental services and food and nutrition services to work collaboratively to benefit patients is paramount to a patients experience and outcomes. The case study describes how the work was done to build teams and then improved outcomes in both patient and employee experiences. The learnings are applicable to any team setting not just those described in this case study.
Experience Framework
This article is associated with the Staff & Provider Engagement lens of The Beryl Institute Experience Framework (https://www ...
Understanding Modern Drivers Of The Employee Experience In Healthcare,
2022
Qualtrics
Understanding Modern Drivers Of The Employee Experience In Healthcare, Antonio Pangallo, Tim Atwell, Kristi Roe, Adrienne Boissy
Patient Experience Journal
Employee engagement has been considered the guiding metric to convey the health, loyalty, and performance of the healthcare workforce. However, the pandemic created new challenges and stimulated deeper conversations around remote work, systemic racism, inclusivity, trust, well-being, and mental illness, which calls into question whether engagement alone is enough. Using an employee experience model deployed in other industries, we identified key drivers of six employee experience (EX) outcomes. We conducted a panel study with close to 5,000 nurses and physicians to identify and prioritize current key drivers specific to the healthcare employee experience. Relative weights analyses suggest that being ...
Increasing Appointment Adherence In Patients With Diabetes Mellitus Via Appointment Reminders And Patient Education,
2022
University of St. Augustine for Health Sciences
Increasing Appointment Adherence In Patients With Diabetes Mellitus Via Appointment Reminders And Patient Education, Leslie Guy
Student Scholarly Projects
Practice Problem: Appointment no-shows and nonadherence have been an organization-wide concern within the project setting, resulting in increased healthcare costs and workload while disrupting the continuity of patient care.
PICOT: The PICOT question that guided this project was: In adult diabetic patients ages 19-99 (P), how do appointment reminders by nursing staff and patient education related to appointment adherence (I) compared to the current practice of appointment reminders by administrative assistants and no patient education related to appointment adherence (C) affect appointment adherence rates (O) within ten weeks (T)?
Evidence: Current evidence demonstrates that patient appointment reminders improve appointment adherence ...
The Utilization Of Stress Management In Critical Care Nurses To Decrease Nursing Burnout,
2022
University of St. Augustine for Health Sciences
The Utilization Of Stress Management In Critical Care Nurses To Decrease Nursing Burnout, Danny Atkins
Student Scholarly Projects
Practice Problem: Since COVID-19, nurses have felt the pressure from the pandemic on their shoulders. The practice problem has helped nurses manage stressors to decrease the symptoms of burnout.
PICOT: In critical care nurses (P), how does the implementation of HeartMath techniques for stress management (I) compared to standard practice (C) affect rates of absenteeism, request for assignment transfer, and resignations (O) over 8-weeks (T)?
Evidence: The evidence that guided this project change is based on the Johns Hopkins nursing evidenced-based-practice model.
Intervention: The intervention assisted critical care nurses in dealing with stress and fatigue by using HeartMath to support ...
Nursing Perspectives And Opinions On Early Or Delayed Sepsis Treatment: A Mixed Methods Approach,
2022
University of Tennessee Health Science Center
Nursing Perspectives And Opinions On Early Or Delayed Sepsis Treatment: A Mixed Methods Approach, Pamela L. Harris
Theses and Dissertations (ETD)
Purpose. Each year at least 1.7 million adults in America develop sepsis. Sepsis can lead to life threatening organ dysfunction, severe hypotension, and death when severe sepsis or septic shock is involved. Sepsis is responsible for 50% of acute kidney injury (AKI), which is the most common form of organ dysfunction seen in critical care. Sepsis associated AKI results in loss of, or decreased renal function, is associated with adverse long-term outcomes, and carries a higher mortality rate than non-septic AKI, sepsis without AKI, or septic shock without AKI. Surviving sepsis guidelines suggests a 1-hour window from the time ...
