Nickasch B, Marnocha S, Grebe L
… +2 more, Scheelk H, Kuehl C
Medsurg Nurs
· 2016 Nov · PMID 30304609
The prevalence of telemetry monitoring is increasing on medical- surgical units, but no evidence-based guidelines standardize nursing education. Research indicates nurses feel uncertain and report a lack of knowledge whe...The prevalence of telemetry monitoring is increasing on medical- surgical units, but no evidence-based guidelines standardize nursing education. Research indicates nurses feel uncertain and report a lack of knowledge when caring for patients with telemetry monitoring.
Newly licensed nurses who start their careers in supportive, nurtur- ing environments are more likely to overcome challenges and successfully transition into professional practice (Spiva et al., 2013). Introduction of co...Newly licensed nurses who start their careers in supportive, nurtur- ing environments are more likely to overcome challenges and successfully transition into professional practice (Spiva et al., 2013). Introduction of content about bullying in the workplace via an online educational module can be an effective strategy for the academic preparation of pre-licensure nursing students.
Polypharmacy, the use of five or more medications at one time, is increasingly prevalent in older adults. The nurse's role in education, care coordination, communication, and regular medication recon- ciliation is vital...Polypharmacy, the use of five or more medications at one time, is increasingly prevalent in older adults. The nurse's role in education, care coordination, communication, and regular medication recon- ciliation is vital to improve outcomes.
A quality improvement project to reduce 30-day readmissions for chronic obstructive pulmonary disease (COPD) is described. A telephone assessment using the Medical Research Council Scale was completed within the first 5...A quality improvement project to reduce 30-day readmissions for chronic obstructive pulmonary disease (COPD) is described. A telephone assessment using the Medical Research Council Scale was completed within the first 5 days after discharge in patients with a diagnosis of COPD to evaluate dyspnea level.
Bradas C, Sarver W, Carney K
… +4 more, Creamer J, Velotta A, Byrnes S, Mcnett M
Medsurg Nurs
· 2016 Nov · PMID 30304605
Short-stay units are medical units with anticipated lengths of stay of 24-72 hours. The purpose of this study was to identify characteristics and predictors of 30-day readmission among patients admitted to a short-stay u...Short-stay units are medical units with anticipated lengths of stay of 24-72 hours. The purpose of this study was to identify characteristics and predictors of 30-day readmission among patients admitted to a short-stay unit during two separate time periods. Findings suggest the presence of previous Emergency Department visits or hospitalizations should be considered when aligning discharge needs, as these may impact subsequent patient readmissions.
Nurses who understand contributing factors to insulin action and uncontrolled glucose and insulin action can assist in promoting optimal care. Common barriers to glucose control and current best practices in the acute ca...Nurses who understand contributing factors to insulin action and uncontrolled glucose and insulin action can assist in promoting optimal care. Common barriers to glucose control and current best practices in the acute care setting are reviewed.
Davis KW, Mcmillan MA, Perkins J
… +6 more, Beavan HR, Corum M, Miller BJ, Drumm J, Lockwood SM, Simpkins RC
Medsurg Nurs
· 2016 Nov · PMID 30304603
The transition from a physician-driven heparin protocol to a nurse- driven heparin protocol at one institution resulted in shorter times to therapeutic activated partial thromboplastin time (aPTT), increased time within...The transition from a physician-driven heparin protocol to a nurse- driven heparin protocol at one institution resulted in shorter times to therapeutic activated partial thromboplastin time (aPTT), increased time within goal aPTT range, and an increased percent- age of patients who ultimately achieved a therapeutic aPTT.
Gray EA, Santiago L, Dimalanta MI
… +2 more, Maxton J, Harriet Udin Aronow
Medsurg Nurs
· 2016 Nov · PMID 30304602
An interprofessional program was introduced to streamline the dis- charge process to occur earlier in the day, and to reduce the disruption in patient flow caused by overcrowding in departments dependent on the availabil...An interprofessional program was introduced to streamline the dis- charge process to occur earlier in the day, and to reduce the disruption in patient flow caused by overcrowding in departments dependent on the availability of medical-surgical beds.
Interruptions decrease the efficiency of the medication administration process. In this study, interruptions were found in 63% of the medication passes on four medical-surgical units in a community hospital. However, int...Interruptions decrease the efficiency of the medication administration process. In this study, interruptions were found in 63% of the medication passes on four medical-surgical units in a community hospital. However, interruptions do not always lead to negative outcomes.
Maldigestion occurs when digestive enzymes are lacking to help break complex food components into absorbable nutrients within the gastrointestinal tract. Education is needed to help patients manage the intricacies of dig...Maldigestion occurs when digestive enzymes are lacking to help break complex food components into absorbable nutrients within the gastrointestinal tract. Education is needed to help patients manage the intricacies of digestive enzyme replacement therapies and ensure their effectiveness in reducing symptoms of maldigestion.
This study found large discrepancies between in-bed weights recorded in the medical record and carefully obtained standing weights with a calibrated, electronic bedside scale. This discrepancy appears to be related to in...This study found large discrepancies between in-bed weights recorded in the medical record and carefully obtained standing weights with a calibrated, electronic bedside scale. This discrepancy appears to be related to inadequate bed calibration before patient admission and having excessive linen, clothing, and/or equipment on the bed during weighing by caregivers.
The physiologic risk is great for patients undergoing alcohol withdrawal without appropriate medication apd monitoring support. An interprofessional team adapted several alcohol withdrawal protocols for this project usin...The physiologic risk is great for patients undergoing alcohol withdrawal without appropriate medication apd monitoring support. An interprofessional team adapted several alcohol withdrawal protocols for this project using evidence-based practice principles.
Modesty is central to Islamic life. Modesty is exemplified in dress and behavior with persons of the opposite sex. Because ethical nursing care requires respecting patient culture and religiosity, nurses should be able t...Modesty is central to Islamic life. Modesty is exemplified in dress and behavior with persons of the opposite sex. Because ethical nursing care requires respecting patient culture and religiosity, nurses should be able to provide care that respects Muslim interpretations of modesty.
Centrella-Nigro A, Bognar L, Burke K
… +4 more, Faber K, Flynn V, LaForgia M, Wiklinski B
Medsurg Nurs
· 2016 · PMID 27522843
A multi-site descriptive retrospective study of physiologic, demographic, and psychosocial factors associated with 30-day readmissions for heart failure was conducted in six Magnet-designated hospitals. Results can be us...A multi-site descriptive retrospective study of physiologic, demographic, and psychosocial factors associated with 30-day readmissions for heart failure was conducted in six Magnet-designated hospitals. Results can be used to plan effective nursing interventions to target readmitted patients.
Hospital immobilization after a cardiac event can cause complications. The pathophysiology of complications, research concerning benefits of early ambulation, and recommendations from the American College of Sports Medic...Hospital immobilization after a cardiac event can cause complications. The pathophysiology of complications, research concerning benefits of early ambulation, and recommendations from the American College of Sports Medicine are discussed.
Angel M, Ghneim M, Song J
… +3 more, Brocker J, Tipton PH, Davis M
Medsurg Nurs
· 2016 · PMID 27522841
A retrospective study was conducted to determine the effects of a well-functioning rapid response team (RRT) within one facility. A well-functioning RRT was associated with fewer cardiac arrests outside critical care set...A retrospective study was conducted to determine the effects of a well-functioning rapid response team (RRT) within one facility. A well-functioning RRT was associated with fewer cardiac arrests outside critical care settings and decreased critical care length of stay.
Hobbs JK, Escutia D, Harrison H
… +2 more, Moore A, Sarpong E
Medsurg Nurs
· 2016 · PMID 27522840
Present financial consequences imposed by the Affordable Care Act, along with practice challenges to address rates of 30-day readmission among patients with heart failure, emphasize the need for effective interventions....Present financial consequences imposed by the Affordable Care Act, along with practice challenges to address rates of 30-day readmission among patients with heart failure, emphasize the need for effective interventions. Healthcare workers must identify effective interventions to reduce readmission of patients with heart failure while providing high-quality care.