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Search results for "Nurse Managers"

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Newspaper/Magazine Article

Mean girls of the ER: the alarming nurse culture of bullying and hazing.

Robbins A. Good Housekeeping. May 20, 2016.

Disruptive behaviors are receiving increased attention as a cultural factor that contributes to medical error. Although much of the focus has been on physicians, the presence of bullying among nurses is also a concern. This magazine article explores nurse behaviors such as withholding information, intimidation, and name calling that negatively affect patient safety and nurse retention.

Journal Article > Commentary

Sepsis: recognizing the next event.

Kilburn FL, Bailey P, Price D. Nursing. 2013;43:14-16.

This commentary describes the development and implementation of a standard protocol to help nurses diagnose, assess, and treat sepsis in an emergency department.

Journal Article > Study

Developing a framework for nursing handover in the emergency department: an individualised and systematic approach.

Klim S, Kelly AM, Kerr D, Wood S, McCann T. J Clin Nurs. 2013;22:2233-2243.

In this mixed-methods study of nursing handoffs in the emergency department, 96% of participants felt that they received adequate information. Participating nurses believed that the essential data included demographics, presenting problems, nursing observations, and future care plans.

Cases & Commentaries

Electrocardiogram Results: ***READ ME***

  • Web M&M

Joseph S. Alpert, MD; November 2012

A woman with new onset chest pain was admitted to the hospital. Although the computer readout of her electrocardiogram stated "***ACUTE MI***" at the top, the nursing assistant who performed the test placed it in the patient's bedside chart without notifying a nurse or physician. The patient was, in fact, having a myocardial infarction, whose treatment was delayed.

Cases & Commentaries

Looking for Meds in All the Wrong Places

  • Web M&M

Elizabeth Manias, PhD, RN, MPharm; October 2012

After having a seizure in the emergency department, a woman was to receive intravenous administration of an antiseizure medication. The nurse misread the medication order, gathered 32 vials of the medication, and administered a 10-fold overdose to the patient, who died several minutes later.

Journal Article > Commentary

How to master the new art of training: teamwork on the fly.

Edmondson AC. Harv Bus Rev. April 2012;90:72-80.

This piece discusses the challenges of forming temporary teams in emergency departments and describes strategies to improve teamwork.

Journal Article > Commentary

Development of a modified early warning score using the electronic medical record.

Albert BL, Huesman L. Dimens Crit Care Nurs. 2011;30:283-292.

This commentary describes how one hospital developed an early warning score system to improve rapid response team deployment.

Journal Article > Study

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. J Nurs Care Qual. 2012;27:43-50.

This study found that nurses supported the use of simulation-based training to foster improved communication and teamwork.

Journal Article > Commentary

Time out for patient safety.

Meginniss A, Damian F, Falvo F. J Emerg Nurs. 2012;38:51-53.

This commentary describes time-outs and explores how they can improve patient safety through active communication.

Journal Article > Commentary

Rolling out the rapid response team.

Gallagher-Ford L, Fineout-Overholt E, Melnyk BM, Stillwell SB. Am J Nurs. 2011;111:42-47.

This commentary explains how to use evidenced-based practice to implement a rapid response team.

Journal Article > Study

The role of the non-ICU staff nurse on a medical emergency team: perceptions and understanding.

Pusateri ME, Prior MM, Kiely SC. Am J Nurs. 2011;111:22-29.

Bedside nurses reported generally positive perceptions of a rapid response team at a community hospital, but expressed uncertainty regarding their responsibilities and preparedness as team members.

Journal Article > Study

Nurses' perceptions of how rapid response teams affect the nurse, team, and system.

Williams DJ, Newman A, Jones C, Woodard B. J Nurs Care Qual. 2011;26:265-272.

This focus group study found that nurses had largely positive perceptions of rapid response teams, feeling that such teams improved patient safety while preserving nurses' autonomy and enhancing their clinical skills.

Journal Article > Study

The impact of the medical emergency team on the resuscitation practice of critical care nurses.

Santiano N, Young L, Baramy LS, et al; Clinical Analysis Group. BMJ Qual Saf. 2011;20:115-120.

This study found that medical emergency team (MET) nurses spent more than half their time engaged in ongoing assessment and re-evaluation of risk. However, only 4% of their time was spent establishing patient acuity, the primary focus of METs, suggesting the need for training to support these functions.

Journal Article > Study

A "back to basics" approach to reduce ED medication errors.

Blank FSJ, Tobin J, Macomber S, Jaouen M, Dinoia M, Visintainer P. J Emerg Nurs. 2011;37:141-147.

An educational intervention for emergency department nurses improved knowledge of safe medication administration principles, but did not reduce the actual incidence of medication errors.

Journal Article > Commentary

Identified safety risks with splitting and crushing oral medications.

Paparella S. J Emerg Nurs. 2010;36:156-158.

In the context of emergency care nursing, this piece explains the risks associated with crushing or splitting medications and offers suggestions to prevent problems.

Journal Article > Review

Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient?

Massey D, Aitken LM, Chaboyer W. J Clin Nurs. 2010;19:3260-3273.

Finding limited evidence that rapid response systems prevent adverse clinical outcomes, this review explores how to improve their effectiveness.

Journal Article > Commentary

Rapid response systems: from implementation to evidence base.

Sarani B, Scott S. Jt Comm J Qual Patient Saf. 2010;36:514-517.

This commentary reviews a 2010 conference and discusses the history, training mechanisms, education, and role of nursing in rapid response systems.

Journal Article > Study

Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian.

Jacobson T, Belcher E, Sarr B, Riutta E, Ferrier JD, Botten MA. J Contin Educ Nurs. 2010;41:347-353.

This study used simulated clinical scenarios to engage nursing staff and promote their critical thinking in early recognition of deteriorating patient situations.

Journal Article > Study

Rapid response teams seen through the eyes of the nurse.

Shapiro SE, Donaldson NE, Scott MB. Am J Nurs. 2010;110:28-34.

This study surveyed bedside nurses and describes their insights into the benefits and challenges associated with rapid response teams.

Journal Article > Commentary

Bedside shift report improves patient safety and nurse accountability.

Baker SJ. J Emerg Nurs. 2010;36:355-358.

This commentary describes how bedside shift report can augment teamwork, communication, and patient safety in the emergency department setting.

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