Nursing Administration Commons^™

Development Of An Advanced Practice Provider Onboarding Structure, Amy Ziegler

Doctor of Nursing Practice (DNP) Projects

Advanced practice providers, also referred to as nurse practitioners and physician assistants, are increasingly being employed to function in a variety of healthcare settings. As organizations grow their advanced practice provider staff, they must develop a distinct advanced practice provider orientation and onboarding program. Finding the right staff is only half the battle; if you do not orient and onboard staff properly the will not stay (National Systems Contractors Associations [NSCA], 2017). Administrators, certainly directors of advanced practice providers, are pursuing unique and dynamic ways to facilitate credentialing, privileging, orientation and onboarding of these individuals. The director for advanced practice …

Oral Care Bundle Impact On Staff Assisted Oral Care, Sabrina Oliver

Student Scholarly Projects

Practice Problem: Non-ventilator hospital acquired pneumonia (NV-HAP) is more common than ventilator acquired pneumonia. Oral care is the only modifiable risk factor for all patient populations.

PICOT: The PICOT question that guided this project was: In non-ventilated patients in a tertiary care setting (P), how does implementing an oral care bundle (I) compared to the current practice of individual tasks without a bundle (C) affect adherence to facility oral care standard of patients receiving oral care at least once a day (O) over six weeks (T)?

Evidence: Lack of an oral bundle that has been proven to decrease …

Implementation Of Purposeful Hourly Rounding To Decrease Fall Rates, Dannette Kizy

Student Scholarly Projects

Practice Problem: Patient falls can lead to an increased length of stay and potentially reduce the quality of life. In addition to serious injury, the patient and the hospital have a significant financial burden. PICOT: On a medical-surgical unit, does incorporating purposeful hourly rounding in the patient care routine compared to no purposeful rounding decrease patient fall rates over eight weeks?

Evidence: Of the 35 articles related to fall prevention and PHR, a final selection of eight articles met the criteria and were of high quality and evidence levels.

Intervention: PHR was implemented to decrease falls over …

Coping Strategies And Stress Of The Undergraduate Nursing Student In The Clinical Setting: An Evidence Based Practice Quantitative Study, Ashley Calverley

Electronic Theses and Dissertations

The assessment of perceived stress and coping behaviors related to first-semester clinical might benefit students in nursing education. The assessment of most common coping behaviors and perceived stress related to the clinical setting is essential due to difference in personalities, learning abilities, and coping behaviors among nursing students today. Previous research has suggested the initial clinical period results in adverse outcomes, such as poor academic performance, elevated burnout levels, and diminished personal well-being. These factors are detrimental to academic success in nursing programs. Evidence supports that helping students develop positive stress/coping abilities will aid in adapting in both the academic …

Effectively Addressing Hospital-Acquired Pressure Injuries With A Multidisciplinary Approach, Andrew Beal, Nicki Roderman, Shandlie Wilcox

HCA Healthcare Journal of Medicine

Background

Hospital-acquired pressure injuries (HAPIs) result in patient harm, discomfort, and even death, with an estimated 2.5 million HAPIs occurring annually in the United States. These pressure injuries from prolonged pressure on the skin and deeper tissues cause reduced blood flow and the breakdown of skin and tissues, resulting in wounds. Additionally, these injuries contribute to longer hospital stays and increased health care costs. Hospitals have programs aimed at reducing HAPIs as well as ongoing surveillance to identify new trends early on. This ongoing monitoring revealed a trend early at our institution that HAPIs were 66% higher than the national …

Transient Ischemic Attack And Admission To A Dedicated Unit, Bandi Davini

Student Scholarly Projects

Transient ischemic attacks account for admissions of approximately 70% of patients who present to the emergency department with transient vascular symptoms, with an average length of stay of one to seven days, costing, on average, $22,087 (Qureshi et al., 2013). A hospital organization's bed efficiency directly affects quality metrics. Reducing the length of stay in TIA patients by having them admitted to a dedicated unit with whom the staff has experience managing stroke patients and the understanding of specific criteria needing to be met before discharge can directly impact quality metrics and provide cost-effective delivery of care. The PICOT question …

The Effects Of Staffing Practices On Safety And Quality Of Perioperative Nursing Care – An Integrative Review, Paula Foran, Nick Nijkamp

Journal of Perioperative Nursing

Problem identification
Patients undergoing invasive procedures are highly vulnerable to adverse outcomes. From 2012 to 2013, 5.5 per cent of all inpatient admissions reported an adverse event. Perioperative nurses play an important role in providing safe patient care and acting as the patient advocate. This review of literature aims to examine the effects of perioperative staffing and patient safety. Three common staffing themes that impact the safety and quality of patient care were identified; namely, nurse-to-patient ratios, staff training and staff fatigue.

Literature search
An integrative literature search to identify empirical data surrounding perioperative nursing staffing was conducted via the …

ผลของโปรแกรมการสอนแนะต่อสมรรถนะของพยาบาลจบใหม่ที่ปฏิบัติงานในหอผู้ป่วยศัลยกรรม

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยกึ่งทดลองประเภทกลุ่มเดียววัดแบบอนุกรมเวลา มีวัตถุประสงค์เพื่อเปรียบเทียบสมรรถนะของพยาบาลจบใหม่ที่ปฏิบัติงานในหอผู้ป่วยศัลยกรรม “ก่อน” และ “หลัง” ได้รับโปรแกรมการสอนแนะทันที และ“ระยะติดตามผล 4 สัปดาห์” กลุ่มตัวอย่าง คือ พยาบาลจบใหม่ คัดเลือกแบบเจาะจง จำนวน 13 คน ได้รับโปรแกรมเป็นเวลา 4 สัปดาห์ เครื่องมือวิจัย คือ แบบประเมินสมรรถนะพยาบาลจบใหม่ ผ่านการตรวจสอบความตรงตามเนื้อหาจากผู้ทรงคุณวุฒิ 5 คน ได้ค่าดัชนีความตรงตามเนื้อหาเท่ากับ 0.96 และมีค่าสัมประสิทธิ์อัลฟาของครอนบาคเท่ากับ 0.98 วิเคราะห์ข้อมูลโดยใช้สถิติเชิงพรรณนา การแจกแจงความถี่ ค่าเฉลี่ย ร้อยละ ส่วนเบี่ยงเบนมาตรฐาน และสถิติการวิเคราะห์ความแปรปรวนทางเดียวแบบวัดซ้ำ (One-way repeated Measures ANOVA) ผลการศึกษา พบว่าพยาบาลจบใหม่ที่ปฏิบัติงานในหอผู้ป่วยศัลยกรรม มีคะแนนความสามารถด้านการปฏิบัติการพยาบาล ด้านการสื่อสารและสัมพันธภาพ และด้านการพัฒนาตนเองและหน่วยงาน ภายหลังได้รับโปรแกรมการสอนแนะเพิ่มขึ้นอย่างมีนัยสำคัญทางสถิติที่ระดับ (p < .05) ผลการศึกษา สามารถนำโปรแกรมการสอนแนะ ไปประยุกต์ใช้ในการพัฒนาสมรรถนะพยาบาลจบใหม่โดยเฉพาะหอผู้ป่วยศัลยกรรมที่มีบริบทคล้ายกัน

Improving Emergency Department Throughput: Using A Pull Method Of Patient Flow, Jeffrey Collins

Student Scholarly Projects

Practice Problem: Overcrowding in the emergency department (ED) has been shown to increase the length of hospital stay, adversely impact patient outcomes, and reduce patient satisfaction. Problems with overcrowding and throughput are often thought of as an ED-specific inefficiency; however, the issue is indicative of hospital-wide inefficiencies.

PICOT: The PICOT question that guided this project was “For ED patients admitted to the medical-surgical unit at an acute medical center, will the implementation of a pull model for patient flow, when compared to the current push model, reduce admission delay and length of stay (LOS) within six weeks of implementation?

Evidence: …

The Art Of Emotional Intelligence: Decreasing Lateral Violence Among Nurses

Theses and Graduate Projects

Nurses work in stressful and complex work environments and, unfortunately, can be subjected to lateral violence. Lateral violence is described as repetitive actions and behaviors of verbal and emotional abuse or acts of incivility from one nurse(s) to another on equal levels of the organizational structure; the behaviors are meant to threaten, harm, or intimidate. Nurses will not stay in an environment that is negative, hostile, and demoralizing; lateral violence can decrease nursing retention rates and increase turnover and job dissatisfaction. Nurses leaving the profession contributing to shortages, poor patient outcomes, and safety concerns. Enhancing nurses’ emotional intelligence may assist …