scholarly journals P027: Nursing duties and accreditation standards and their impacts: the nursing perspective

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S86-S87
Author(s):  
P.K. Jaggi ◽  
R. Tomlinson ◽  
K. McLelland ◽  
W. Ma ◽  
C. Manson-McLeod ◽  
...  
Keyword(s):  
Patient Care ◽  
Registered Nurses ◽  
Online Survey ◽  
Care Delivery ◽  
Care Quality ◽  
Medication History ◽  
Quality Initiatives ◽  
Response Options ◽  
Accreditation Standards ◽  
Strongly Agree

Introduction: With ongoing medical advances and an increase in elderly and complex patients presenting to the Emergency Department (ED), there is a requirement for nurses to continue to gain new knowledge and skills to provide optimal patient care. Quality initiatives are frequently introduced with the goal of improving patient safety and the effectiveness of care delivery; some being provincial, while others are new requirements from Accreditation Canada. We sought the perspectives of emergency nurses regarding the importance of key ED processes and standards, and their impact on patient care and nurse efficiency. Methods: All Registered Nurses and Licensed Practical Nurses throughout the Edmonton Zone EDs were invited to complete an online survey consisting of 23 statements on nursing attitudes (10 on nursing duties) and beliefs (11 on the importance of Accreditation standards and their impacts; two that involved selecting the 5 most important nursing activities). The survey was constructed through an iterative approach. Response options included a 7-point Likert scale (‘very strongly disagree’ to ‘very strongly agree’). Median scores and interquartile ranges were determined for each survey statement. Results: A total of 433/1241 (34.9%) surveys were submitted. Respondents were predominantly Registered Nurses (91.4%), female (88.9%), and worked 0-5 years overall in the ED (43.7%). Overall, respondents were favourable (‘agree’ or ‘strongly agree’) towards the Accreditation Canada standards and other quality initiatives. They were, however, ‘neutral’ towards universal domestic violence screening, and whether there is a difference between Best Possible Medication History (BPMH) and med reconciliation. The top five nursing activities in terms of perceived importance were: vital sign documentation, recording of allergies, listening to patients’ concerns, hand hygiene, and obtaining a complete nursing history. Best Possible Medication History and the screening risk tools followed these. Conclusion: Despite their heavy workload, nurses strongly agreed on the importance of med reconciliation, falls risk, and skin care, but felt that improved documentation forms could support efficiency. Nursing perspective is valuable in informing future attempts to standardize, streamline, and simplify documentation, including the design and implementation of a provincial clinical information system.

Examination of the Use of Healing Touch by Registered Nurses in the Acute Care Setting

2016 ◽  
Vol 35 (1) ◽  
pp. 97-107 ◽  
Author(s):  
Joel G. Anderson ◽  
Mary Ann Friesen ◽  
Diane Swengros ◽  
Anna Herbst ◽  
Lucrezia Mangione
Keyword(s):  
Patient Care ◽  
Registered Nurses ◽  
Acute Care ◽  
Care Setting ◽  
Care Delivery ◽  
Acute Care Setting ◽  
Healing Touch ◽  
The Impact ◽  
Acute Care Nursing ◽  
Care Nursing

Acute care nursing is currently undergoing unprecedented change, with health systems becoming more open to nonpharmacological approaches to patient care. Healing Touch (HT) may be a valuable intervention for acute care patients. Research has shown that HT helps both the patient and the caregiver; however, no study to date has examined the impact that the education of nurses in and their use of HT have on daily care delivery in the acute care setting. The purpose of the current qualitative study was to examine the use of HT by registered nurses in the acute care setting during their delivery of patient care, as well as the impact of education in and use of HT on the nurses themselves. Five themes were identified: (1) use of HT techniques, processes, and sequence; (2) outcomes related to HT; (3) integration of HT into acute care nursing practice; (4) perceptions of HT, from skepticism to openness; and (5) transformation through HT. Education in HT and delivery of this modality by nurses in the acute care setting provide nurses with a transformative tool to improve patient outcomes.

scholarly journals Neurologic provider views on patient-reported outcomes including depression screening

2018 ◽  
Vol 8 (2) ◽  
pp. 86-92 ◽  
Author(s):  
Irene L. Katzan ◽  
Nicolas R. Thompson ◽  
Cheryl Dunphy ◽  
John Urchek ◽  
Brittany Lapin
Keyword(s):  
Clinical Care ◽  
Care Quality ◽  
Perceived Usefulness ◽  
Depression Screening ◽  
Specific Information ◽  
Response Options ◽  
Research Activities ◽  
Patient Reported ◽  
Strongly Agree ◽  
Disease Specific

BackgroundWe sought to assess neurologic provider satisfaction with the systematic electronic collection of patient-reported outcome measures (PROMs) for both disease-specific measures and depression screening (Patient Health Questionnaire [PHQ-9]).MethodsA web-based survey was sent to 299 staff physicians and advanced practice providers on the staff email list of a large group neurologic practice, of whom 206 used the PROM system. The survey consisted of 11 questions with Likert response options regarding perceived usefulness of PROM collection; usefulness of PROM data for clinical care, quality, and research activities according to provider age group and type; and perceived usefulness between disease-specific information and the PHQ-9 depression screen.ResultsOf those who use the PROM system, 73.3% (151/206) responded. PROM collection was useful for patient care (strongly agree or agree 59.6%), research (strongly agree or agree 68.5%), and to a lesser extent, quality improvement (strongly agree or agree 48.6%). Providers aged 66–75 years believed PROM data were less useful for research (p < 0.01). PROM collection affected patient interactions or clinical management (always or usually 34.6% for disease-specific information and 31.3% for the PHQ-9). Responses were similar concerning perceived clinical usefulness (strongly agree or agree 67.3%) for center-selected disease-specific PROMs and the mandated PHQ-9 (69.8%).ConclusionsProviders favorably viewed systematic electronic collection of PROMs in neurologic patients. A mandated depression screening was perceived as favorably as center-selected disease-specific information and should be considered when implementing PROMs in neurologic practice.

scholarly journals Knowledge Status of X-Ray Department Managers of Istanbul Private Hospitals about Hospital Accreditation

2018 ◽  
Vol 48 ◽  
pp. 01055
Author(s):  
Nuran Akyurt
Keyword(s):  
Patient Care ◽  
Service Providers ◽  
Care Quality ◽  
Knowledge Level ◽  
Private Hospitals ◽  
Care Environment ◽  
X Ray ◽  
Accreditation Standards ◽  
Survey Form ◽  
Patient Care Quality

JCI accreditation standards are an undertaking that provides continuity of improvement and development work that is guided by the development of patient care quality at the most appropriate level, the provision of a reliable patient care environment, and the reduction of the risks of patient and service providers. The purpose of our work is to determine the extent to which x-ray department managers from the Istanbul city’s private hospitals who are preparing for accreditation or have successfully completed the accreditation can apply the JCI accreditation standards, their knowledge level and their attitude about it. The study’s universe constitutes a total of 111 people serving as managers in the radiology departments of private hospitals operating in the province of Istanbul. A survey form was applied in the study. As a result, the education of the managers of the radiology services should be under the management of the persons with the expertise and experience.

An Optimal Care Coordination Model (OCCM) for Medicaid patients with lung cancer: Results from the beta model testing phase of a multisite initiative in the United States.

2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 105-105
Author(s):  
Matthew Smeltzer ◽  
Leigh Boehmer ◽  
Amanda Kramar ◽  
Thomas Asfeldt ◽  
Nicholas Faris ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Data Collection ◽  
Patient Care ◽  
Care Delivery ◽  
Clinical Stage ◽  
The United States ◽  
Care Quality ◽  
Tumor Board ◽  
Care Access ◽  
Dual Eligible

105 Background: Medicaid patients with lung cancer have poorer outcomes than non-Medicaid patients, partly because of suboptimal care quality. The Association of Community Cancer Centers (ACCC) launched a project to develop, test, and refine an OCCM. Methods: The OCCM comprised 13 areas, spanning care access to supportive care/survivorship. Using the OCCM, 7 cancer programs in 6 US states conducted self-assessments of care delivery systems and implemented quality improvement projects. Sites worked with ACCC to conduct data benchmarked projects. Data collection and analysis were centralized. Statistical analyses used Kruskal−Wallis and chi-squared tests. Results: There were 926 patients (257 Medicaid/dual eligible; 669 non-Medicaid) across 7 sites. Medicaid/dual eligible patients were 52% male, 69% Caucasian, 48% active smokers, and 45% clinical stage III/IV. Prospective multidisciplinary case planning (PMCP), patient care access, and tobacco cessation were commonly selected for projects. PMCP evaluation used fortnightly tumor board (FTB), virtual tumor board (VTB), and multidisciplinary team huddle (MTH). Presentation of eligible patients was higher for VTB and MTH (FTB: 23%, VTB: 100%, MTH: 100%, p < 0.0001). While FTB and MTH discussed all cases prospectively, VTB achieved 80%. Median days (d) from diagnosis to presentation were 18 (FTB), 14 (VTB), and 9 (MTH, p = 0.14). Patient care access was evaluated with timeliness metrics at 2 sites. Site 1: Medicaid patients had a median of 13 d from lesion discovery to diagnosis and 21 d from diagnosis to treatment (not different from non-Medicaid; p = 0.96 and 0.38). 94% met the goal of treatment initiation within 45 d. Site 2: Medicaid patients had a median of 16 d from discovery to diagnosis and 27 d from diagnosis to treatment (not different from non-Medicaid; p = 0.68 and 0.83). Similar benchmarks were collected and compared for other assessment areas. Sites identified enhanced collaboration and improved programming (e.g., patient navigation) as successes. Challenges at project start included inadequate staffing and lack of centralized data collection and benchmarking. Importance of lung cancer–dedicated navigation, PMCP, and Medicaid patient needs were key transferable lessons. Conclusions: The OCCM is useful for cancer programs’ self-assessment of care delivery to Medicaid patients across 13 high-impact areas. Dissemination can advance multidisciplinary coordinated care delivery, but sites may need additional resources to evaluate outcomes.

scholarly journals 2036. A Quasi-Experimental Survey Study of Antimicrobial Stewardship Education for Registered Nurses

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S684-S685
Author(s):  
Maressa Santarossa ◽  
Christina Walk ◽  
Cara J Joyce ◽  
Fritzie S Albarillo
Keyword(s):  
Nursing Education ◽  
Registered Nurses ◽  
Antimicrobial Stewardship ◽  
Online Survey ◽  
Medical Center ◽  
Survey Study ◽  
Stewardship Program ◽  
Quasi Experimental ◽  
Baseline Knowledge ◽  
Strongly Agree

Abstract Background Antimicrobial stewardship (AS) efforts have led to improved patient outcomes, reduction in unnecessary costs, and decrease in antimicrobial resistance (AR). Loyola University Medical Center (LUMC) is a quaternary care-system that has a comprehensive multidisciplinary Antimicrobial Stewardship Program (ASP). Registered nurses (RNs) have been shown to be a vital part of ASP; however their role and engagement in ASP should continue to be investigated and explored. Methods In February 2018, a voluntary online survey was created and disseminated to all RNs at LUMC to evaluate their baseline knowledge and perception of AS and AR, as well as to further investigate their role in AS at LUMC. Based on the results of the survey, our AS team implemented a multi-faceted education program. This included a series of lectures which were emailed to all RNs, as well as live education sessions by the AS team during nursing huddles. In March 2019, a second survey was distributed to all nurses with the primary goal of evaluating changes in the knowledge and perception of AS and AR after targeted education efforts. The secondary goal was to gather feedback to target further efforts of engaging RNs in AS. Results A total of 179 RNs completed the first survey and 117 completed the second survey. In both surveys, over 90% of RNs agree that they play an important role in AS, and that AS can decrease AR and adverse effects of antimicrobials. The majority in both surveys also agreed that AR can be caused by misuse/overuse of antimicrobials and this can be harmful to patients. Unfamiliarity with AS practices among RNs remains an issue, however this increased from 70% strongly agree/agree in the first survey to 74% in the second survey. Sixty-nine percent of RNs recalled reading the PowerPoint education slides, while only 38% recalled being educated in person by the AS team. A similar number of RNs (58% and 60%, respectively) prefer to be educated in person vs. through email. Conclusion Hospital-specific surveys on nurses’ perception and knowledge on AS and AR can be used to guide future ASP interventions, as well as to evaluate the effectiveness of these interventions. Our ASP at LUMC implemented strategies to improve nursing education and engagement in AS and evaluated this strategy using a pre-/post-survey. Disclosures All authors: No reported disclosures.

scholarly journals Knowledge management enablers affecting patient care: The perspective of registered nurses in South West Nigeria

2021 ◽  
Vol 23 (1) ◽  
Author(s):  
Olateju J. Ajanaku ◽  
Stephen Mutula
Keyword(s):  
Knowledge Management ◽  
Patient Care ◽  
Registered Nurses ◽  
Structural Equation ◽  
Care Delivery ◽  
Vital Role ◽  
Teaching Hospitals ◽  
Organisational Structure ◽  
South West ◽  
Affect Patient Care

Background: The productivity of healthcare institutions is impacted by the nursing workforce and plays a vital role in the provision of effective and efficient patient care. Knowledge management plays a vital role in nursing practice. This study seeks to extend the frontier of knowledge by addressing the paucity of literature on knowledge management in nursing care delivery in Nigeria.Objectives: The study empirically identified crucial knowledge management enablers from extant literature and investigated their influence on patient care in clinical nursing.Method: A cross-sectional survey design using a stratified sampling method was employed. A self-administered questionnaire was used to collect quantitative data from 196 registered nurses in a selected teaching hospital in South West Nigeria. A total of 186 valid responses were analysed using structural equation modelling (SEM).Result: The result of this study indicated that there is a direct and significant relationship between information technology (IT) and patient care. Organisational structure and organisational culture did not directly affect patient care. However, together with IT support, the knowledge management enablers were found to significantly affect patient care in clinical nursing.Conclusion: There is a need for nursing management to develop a flexible organisational structure and knowledge friendly culture including the implementation of functional technical infrastructure, to leverage knowledge management effectiveness in patient care in teaching hospitals in order to facilitate and strengthen service delivery by nurses.

scholarly journals Assessing Pharmacists' Attitudes and Barriers Involved with Immunizations

2014 ◽  
Vol 5 (2) ◽  
Author(s):  
Sarah Aldrich ◽  
Donald Sullivan
Keyword(s):  
Patient Care ◽  
Online Survey ◽  
Vital Role ◽  
Direct Patient Care ◽  
Safety Issues ◽  
Item Questionnaire ◽  
National Initiative ◽  
Future Direction ◽  
Strongly Agree ◽  
E Mail

Pharmacists are considered the most accessible health care professional. Immunizations create an opportunity for the profession to grow and develop toward direct patient care. Between 1995 and 2004 programs involving immunizations led to a national initiative to train pharmacists that became a significant leap toward pharmacist's involvement in direct patient care. Although immunizations can be considered a catalyst to change the pharmacist's role, little was known about pharmacist's attitudes and the barriers involved with immunizing. Few studies have assessed barriers, attitudes, and practice issues experienced by immunizing pharmacists. The objective of this study was to determine pharmacists' attitudes toward immunizations and more specifically to assess possible barriers involved with this practice. Five hundred pharmacists were randomly selected for inclusion in the study from the State of Ohio Board of Pharmacy Database, of which 137 (27.4%) completed the survey. A 37- item questionnaire was administered via an e-mail invitation to take an online survey using Qualtrics software with a Likert-type scale, where 1 = strongly disagree and 7 = strongly agree. Several topics were assessed regarding immunizations including time constraints, workflow constraints, adequacy of training, technician support, worksite conditions and space, immunization processes, reimbursement issues, safety issues, documentation issues, and the future direction of immunizations. Demographics included gender, age, degree, number of years practicing, practice site, and number of years immunizing. Seventy-three percent of pharmacists believed that immunizing could lead to prescription filling errors (mean=4.45, SD=1.79). Pharmacists strongly agreed that having more technicians on staff would make providing immunizations easier (mean=5.80, SD=1.39) and that they play a vital role in keeping the process running smoothly (mean=6.08, SD=1.16). Also, pharmacists strongly agreed that they would feel more comfortable providing immunizations with another pharmacist on duty (mean=5.77, SD=1.39). Currently, less than ten percent of patients complete the immunization paperwork in advance; pharmacists strongly agreed that having patients complete the paperwork ahead of time would make the process more efficient (mean=5.76, SD=1.20). Pharmacists agreed that they feel adequately trained on their pharmacy's emergency protocol if patients were to have an adverse reaction to an immunization (mean=5.17, SD=1.60) although, seventy-three percent are only comfortable immunizing patients sixteen years and older. Most pharmacists agreed that they felt comfortable allowing interns to give immunizations under supervision (mean=5.23, SD=1.79). Pharmacists agreed that they should be able to provide the measles (mean=5.04, SD=2.07) and Tdap (mean=5.31, SD=2.00) vaccinations. Finally, most pharmacists agreed that the best way to compensate immunizing pharmacists was through a performance-based bonus. Pharmacist's attitudes toward immunizations are generally positive, however, more technician help and overlap of pharmacists would greatly benefit the immunization process.   Type: Student Project

Enhancing the Performance of Secondary School Students in Agricultural Science for Food Security in Ebonyi State.

2019 ◽  
pp. 113-121
Author(s):  
Aneke C.U. ◽  
Nwankwegu Simeon A.
Keyword(s):  
Food Security ◽  
Secondary School ◽  
Science Teachers ◽  
Secondary School Students ◽  
Agricultural Science ◽  
School Students ◽  
Response Options ◽  
Proper Training ◽  
Research Questions ◽  
Strongly Agree

This study was set to determine the strategies for enhancing the performance of secondary school students in agricultural science for food security in Ebonyi State. A survey research design was adopted with a population of 53 respondents (14 male and 39 female agricultural science teachers) sampled purposively from 48 secondary schools in Izzi local government area of Ebonyi State. Two research questions and two null hypotheses guided the study. The instrument for data collection was a structured 4-point weighted 21-item questionnaire developed by the researcher sectioned A and B with response options of Strongly Agree (SA), Agree (A), Disagree (DA) and Strongly Disagree (SD) after intensive literature review and the numerical values of 4, 3, 2 & 1 was assigned to the instrument respectively. The instrument was validated by three research experts while the reliability index of 0.77 was established using Cronbach Alpha reliability estimate. Mean and standard deviation were used to answer the two research questions while t-test was used to test the two null hypotheses at .05 level of significance and appropriate degree of freedom. Some of the findings among others include that teachers can enhance the performance of secondary school students in agricultural science for food security in Ebonyi State. It was therefore recommended that facilities should be made available for proper training of secondary school students for productivity on graduation and as well for food security in Ebonyi State.

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