Rural Hospital Nursing

2011 ◽  
Vol 41 (3) ◽  
pp. 129-137 ◽  
Author(s):  
Robin P. Newhouse ◽  
Laura Morlock ◽  
Peter Pronovost ◽  
Sara Breckenridge Sproat
Keyword(s):  
Rural Hospital ◽  
Hospital Nursing

Rural Hospital Nursing as an Elective

1988 ◽  
Vol 4 (2) ◽  
pp. 5-12 ◽  
Author(s):  
Marlene Reimer ◽  
Claire Mills
Keyword(s):  
Rural Hospital ◽  
Hospital Nursing

Rural Hospital Nursing

2009 ◽  
Vol 39 (4) ◽  
pp. 189-195 ◽  
Author(s):  
Robin P. Newhouse ◽  
Laura Morlock ◽  
Peter Pronovost ◽  
Elizabeth Colantuoni ◽  
Mary Johantgen
Keyword(s):  
Rural Hospital ◽  
Hospital Nursing

scholarly journals STATUS OF HIGH LEVEL AMINOGLYCOSIDE RESISTANT ENTEROCOCCUS FAECIUM AND ENTEROCOCCUS FAECALIS IN A RURAL HOSPITAL OF CENTRAL INDIA

2008 ◽  
Vol 26 (4) ◽  
pp. 369-371
Author(s):  
DK Mendiratta ◽  
H Kaur ◽  
V Deotale ◽  
DC Thamke ◽  
R Narang ◽  
...  
Keyword(s):  
Enterococcus Faecalis ◽  
Enterococcus Faecium ◽  
Central India ◽  
Rural Hospital ◽  
High Level

Why nurses stay in departments with low turnover: A constructivist approach

2021 ◽  
pp. 205715852199143
Author(s):  
Bibi Hølge-Hazelton ◽  
Connie B. Berthelsen
Keyword(s):  
Work Environment ◽  
Sense Of Community ◽  
Daily Practice ◽  
Positive Deviance ◽  
Constructivist Approach ◽  
Turnover Rates ◽  
Nurse Turnover ◽  
Hospital Nursing ◽  
Professional Pride ◽  
Nurse Dissatisfaction

Hospital nursing shortage is a global problem caused by nurse dissatisfaction with their manager, an extensive workload and a stressful work environment. The study aimed to investigate nurses’ experiences of practices in hospital departments with low nurse turnover rates in relation to culture, work environment, nursing competencies, and nurse management. A constructivist design using a positive deviance approach was used for this study. Four hospital departments with the lowest nurse turnover in the Zealand region of Denmark served as settings. Data were collected from 13 nurses through focus-group conversations and analysed using directed content analysis. The reporting adhered to the COREQ checklist. The three themes – collaborative fellowship, professional pride, and embracing management – revealed a sense of community between nurses and department managers. Even though the nurses’ daily practice was exhausting, they stayed in their positions due to the special culture in the departments, which brought the nurses closer together.

scholarly journals 124. Six-year Longitudinal Analysis of an Inpatient Infectious Diseases Telemedicine Service at a Community Hospital

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S191-S192
Author(s):  
Nupur Gupta ◽  
Adit B Sanghvi ◽  
John Mellors ◽  
Rima Abdel-Massih
Keyword(s):  
Infectious Disease ◽  
Tertiary Care ◽  
Medical Officer ◽  
Rural Hospital ◽  
Hospital Length Of Stay ◽  
Observation Study ◽  
Patient Acuity ◽  
Telemedicine Service ◽  
Tertiary Care Centers ◽  
Over Time

Abstract Background Telemedicine (TM) has emerged as a viable solution to extend infectious disease (ID) expertise to communities without access to this specialty.1 TM allows clinicians in rural settings to connect with specialists at distant sites and provide the best care for their patients, often eliminating the need for hospital transfers. Here, we describe the experience from one of the longest standing inpatient Tele-ID consult services using live audio-video (AV) visits with the assistance of a telepresenter. Methods Longitudinal data were collected from a 126-bed rural hospital in Pennsylvania that had no access to ID consultation before 2014. Live AV consults during business hours began in 2014 and telephonic physician to physician consults were made available 24/7. All ID consult data were extracted from the hospital electronic health record between 2014 to 2019. Key outcomes assessed included the number of consult encounters, total hospital length of stay (LOS), discharges to home, transfer to tertiary care centers, and readmission rates at 30 days. Results Most consulted patients were Caucasians, and females with an average age of 64.7 years (Table 1). The number of unique consult encounters increased annually from 111 in 2014 to 469 in 2019 (Table 1). The Charlson Comorbidity Score and Elixhauser Comorbidity Index also increased each year beginning in 2016 (Table 1). By contrast, LOS decreased each year as did the 30-day readmission rate (Table 2). Most patients were not transferred (average 89.4% over 6 years) to tertiary care centers and more than half were discharged to home each year (Table 2). Conclusion This longitudinal 6-year observation study of an inpatient TM ID service at a rural hospital showed remarkable annual growth in consult encounters (total growth >400%). Despite increasing patient acuity, overall hospital LOS decreased over time (10.2 to 8.2 days). Patient transfers to tertiary care centers remained low (average 10.5% over 6 years) as did 30-day readmissions (average 16.3% over 6 years). The majority of patients were discharged to home (average 61.3% over 6 years). These findings show that a rural inpatient TM ID consult service can expand over time and is an effective alternative for hospitals without access to ID expertise. Disclosures John Mellors, MD, Abound Bio (Shareholder)Accelevir Diagnostics (Consultant)Co-Crystal Pharmaceuticals (Shareholder)Gilead (Consultant, Grant/Research Support)Merck (Consultant) Rima Abdel-Massih, MD, Infectious Disease Connect (Shareholder, Other Financial or Material Support, Chief Medical Officer)

Sign in / Sign up

Export Citation Format

Share Document