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Search results for "Nurse Managers"

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Audiovisual

Empowering Better Nursing Care.

Robert Wood Johnson Foundation.

This photo essay includes interviews with three nurses participating in a nationwide initiative to empower nurses and improve care.

Journal Article > Commentary

Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes.

Effken JA, Brewer BB, Patil A, Lamb GS, Verran JA, Carley K. Int J Med Inform. 2005;74:605-613.

The authors describe their experience using a computerized model to understand the impact of organizational, patient unit, and patient characteristics on safety and quality. This study was supported with a grant from the Agency for Healthcare Research and Quality (AHRQ).

Special or Theme Issue

Special Issue on Falls.

Rehabil Nurs. 2016;41:1-59.

Safety challenges in residential care facilities are well documented. Articles in this special issue explore falls in rehabilitation settings, including nurses' role in managing fall risks and strategies to prevent falls.

Journal Article > Study

6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial.

  • Classic

Barker AL, Morello RT, Wolfe R, et al. BMJ. 2016;352:h6781.

Falls in hospitalized patients are a common source of preventable harm, and the incident is considered a never event when it results in serious injury. Conducted at six Australian hospitals, this cluster randomized controlled trial sought to evaluate the effectiveness of a bundled intervention on the incidence of falls on adult wards. The bundle included assessing patients' risk for falling along with several widely used tactics to prevent falls. Despite successful implementation of the fall prevention bundle, falls occurred just as frequently on intervention wards as control wards. This study is an important example of the need to rigorously evaluate safety interventions, even those that have high face validity. The authors conclude that since these interventions appear ineffective. Organizations should consider disinvestment in these practices because completing ineffective interventions consumes a significant amount of staff time and effort. A WebM&M commentary discussed a case involving a fall resulting in injury.

Journal Article > Commentary

Reducing falls with a safety spotter program.

Primmer P, Borenstein KK, Downing MT, et al. Nursing. 2015;45:16-19.

Patients at high risk for falls can be targeted for personalized prevention interventions, but such efforts can be costly for hospitals. This commentary describes how a hospital employed "spotters" to watch and interact with patients at risk for falls, with one spotter assigned to monitor up to four patients, and found the results to be affordable and effective.

Journal Article > Commentary

Partnering to prevent falls: using a multimodal multidisciplinary team.

Volz TM, Swaim TJ. J Nurs Adm. 2013;43:336-341.

This commentary describes an initiative that reduced falls at a large health care system and highlights a weekly discussion strategy as a main contributor to the program's success.

Journal Article > Review

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

Analyzing literature on fall prevention, this review provides evidence to guide nurse administrators in developing fall prevention programs.

Journal Article > Study

Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes.

Effken JA, Carley KM, Gephart S, et al. Int J Med Inform. 2011;80:507-517.

Social network analysis, a method of analyzing communication patterns between individuals or organizations, is an increasingly popular method for studying group dynamics. This study used a related tool, dynamic network analysis, to examine communication on inpatient nursing units and its correlation with safety.

Journal Article > Study

Influence of unit-level staffing on medication errors and falls in military hospitals.

Breckenridge-Sproat S, Johantgen M, Patrician P. West J Nurs Res. 2012;34:455-474.

This study found that staff category and patient acuity were associated with medication errors and falls, but total nursing hours and census had no effect. The authors advocate for greater study of organizational factors, particularly at the unit level, to better understand clinical microsystems.

Journal Article > Review

The novice nurse and clinical decision-making: how to avoid errors.

Saintsing D, Gibson LM, Pennington AW. J Nurs Manag. 2011;19:354-359.

This review identifies training and interventions that nursing management can implement to improve patient safety.

Journal Article > Study

Insights into the climate of safety towards the prevention of falls among hospital staff.

Black AA, Brauer SG, Bell RAR, Economidis AJ, Haines TP. J Clin Nurs. 2011;20:2924-2930.

This Australian study examines the relationship between safety climate and attitudes toward fall prevention among nurses and other staff providers.

Journal Article > Study

The association of shift-level nurse staffing with adverse patient events.

Patrician PA, Loan L, McCarthy M, et al. J Nurs Adm. 2011;41:64-70.

In this study conducted at military hospitals, greater nursing experience and skill mix was associated with a lower incidence of falls and medication errors.

Journal Article > Study

Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units.

Bae SH, Mark B, Fried B. Health Care Manage Rev. 2010;35:333-344.

Temporary nurses are frequently used by hospitals to cover unexpected staffing shortages. Although the overall level of nurse staffing is clearly tied to patient safety, prior research has not found a link between the proportion of temporary nurses and patient care outcomes. This study, based on a database of 286 nursing units, also found that patient safety outcomes were not affected when levels of temporary staffing were low (less than 15% of total nursing hours). However, both patient falls and injuries among nurses increased with higher levels of temporary staffing. Based on these results, the authors argue that hospitals should use the 15% proportion as a benchmark for appropriate use of temporary nurses.

Journal Article > Study

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

Interruptions and other work system failures often prevent nurses from completing essential patient care tasks. This study, a secondary analysis of data from a seminal article, found that failure to complete nursing care was linked to an increased risk of a broad range of adverse events. This finding is corroborated by another recent study that tied interruptions during medication administration to an increased risk of medication errors. While inadequate nurse staffing ratios increase safety risks, this study reinforces the necessity of also transforming nurses' work environment in order to reduce preventable adverse events.

Journal Article > Study

An examination of technical efficiency, quality, and patient safety in acute care nursing units.

Mark B, Jones C, Lindley L, Ozcan Y. Policy Polit Nurs Pract. 2009;10:180-186.

Most nursing units in this study were operating at less than optimal efficiency, largely due to medication errors and falls.

Journal Article > Study

Relationship between call light use and response time and inpatient falls in acute care settings.

Tzeng HM, Yin CY. J Clin Nurs. 2009;18:3333-3341.

This study found that increased call light use was related to less fall-related patient harm, suggesting a potential indicator for ongoing measurement at the unit level. As hospitals search for effective interventions to reduce falls, the authors advocate for tracking call light use and response time to further explore these relationships.

Journal Article > Study

Effects of rounding on patient satisfaction and patient safety on a medical–surgical unit.

Woodard JL. Clin Nurse Spec. 2009;23:200-206.

Implementing an hourly rounding protocol by nurses resulted in a reduction in falls and improved patient satisfaction.

Journal Article > Study

Nurses' perceptions of safety culture in long-term care settings.

Wagner LM, Capezuti E, Rice JC. J Nurs Scholarsh. 2009;41:184-192.

Residents of long-term care facilities are particularly vulnerable to patient safety problems such as medication errors and falls. Improving safety in nursing homes depends on developing a culture of safety, but this survey of managers and frontline nurses found considerable variation in baseline perceptions of safety culture. Mirroring an issue previously identified in hospitals, nurse managers had a considerably more optimistic view of safety culture than did staff nurses. The authors recommend several interventions, including safety walk rounds, that could address this gap and thereby improve safety culture. The study measured safety climate using a slightly modified version of the AHRQ Hospital Survey on Patient Safety Culture.

Journal Article > Commentary

2009 National Patient Safety Goals.

Saufl NM. J Perianesth Nurs. 2009;24:114-118.

This commentary provides background on the development of the Joint Commission's 2009 National Patient Safety Goals and summarizes the goals set for the hospital environment.

Journal Article > Study

Innovation in patient safety: a new task design in reducing patient falls.

Tzeng HM, Yin CY. J Nurs Care Qual. 2008;23:34-42.

This study describes the success of using the prone position, rather than sitting-standing, when helping patients transfer out of bed to prevent falls.

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