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Now showing items 11-20 of 60
Simulation to improve the clinical nursing instructor's teaching of ethics to students in the clinical setting
(2016-08-11)
Ethics knowledge and skill is crucial to the discipline of nursing and is considered foundational knowledge for nursing practice (American Nurses Association [ANA], 2001). Nurses who assume roles in clinical teaching may ...
The relationship between nursing skill mix, nurse sensitive patient outcomes and patient satisfaction
(2016-06-09)
Literature Review: Hospitals are the largest components of the United States healthcare system, and are encountering pressure to provide better quality care and reduce cost. The Patient Protection and Affordable Care Act ...
National institutes of health stroke scale certification improved assessment and care of veterans: A quality improvement project
(2016-12-13)
This pilot project sought to fill the gap in practice that included a lack of early recognition, assessment skills and practice guidelines for the care of stroke patients, improving patient care and hand off communication. ...
Bridging the gap in the continuum of care for spine surgery patients: A quality improvement project
(2017-03-24)
The purpose of this paper is to discuss the inadequate communication between patient settings and the practice settings, review the literature regarding communication and risks of readmission for spine surgery patients, ...
How high! Decreasing blood pressure in men aged 45-65 in primary care: A quality improvement project
(2018-05-15)
Purpose: Hypertension is a health issue that affects many people worldwide. The Memphis area has many people who have been diagnosed with hypertension and experience poor outcomes. A local Memphis primary care clinic allowed ...
An obstetrical emergency management quality improvement project
(2015-10-22)
Obstetrical emergencies occur in approximately 5% of births necessitating immediate interventions to prevent catastrophic consequences. A knowledge deficit specific to obstetrical emergencies was the impetus for this ...
Decreasing urinary incontinence in the home health setting
(2017-08-30)
BACKGROUND: Urinary incontinence (UI) in the home care population poses a risk for complications and hospitalization. The aim of this project was to develop and implement a protocol for UI to promote continence in the home health agency UI population.
METHODS: Data were collected from a convenience sample of 26 participants 80 years of age or older in a suburban midsized home care agency. All participants were diagnosed with UI as documeted in the Outcomes and Assessment Information Set (OASIS). OASIS question M1610 was used to identify patients with UI status, and M1650 was used, to identify UI frequency. The outcomes for these questions were assessed to examine chnage over time in UI status and frequency.
INTERVENTION: Eligible patients completed a three-day bladder diary.Then, patient education was conducted on UI, risk factors, bladder training, pelvic floor exercises and hydration/nutrition parameters. Patients then completed three-day bladder diaries post intervention.
RESULTS: At pretest, 100% of the participants were incontinent. At posttest, twenty four participants (92.3%) were incontinent. The results suggested that the median frequency of urinary incontinence declined overtime from 2 (range :1-4) at pretest to 1 (range: 0-4) at posttest. The decline was statistically significant (z = -3.83; p=
CONCLUSIONS: The intervention had a positive effect on UI status and frequency. Future studies should examine changes in the UI complications and hospitalization rates....
Delirium assessment in the medical-surgical population: A quality improvement project
(2017-01-11)
Background: Delirium is a complex syndrome that can affect many patients resulting in adverse outcomes. The use of a delirium assessment tool assists in the identification of delirium. The aim of this project was to determine ...
A quality improvement plan for safe medication administration for unlicensed personnel working in a Type "A" assisted living facility
(2016-11-30)
There is an increase in Assisted Living Facilities (ALF’s) throughout the United States that has been coupled with residents that have increasingly complex conditions leading to unanticipated problems related to poor ...
Social isolation in long term care: Improving assessment and decision-making skills
(2017-08-30)
The purpose of this project was to evaluate the effect of a quality improvement project with a multicomponent intervention on assessment and decision-making skills for healthcare professionals who are responsible for the care of elderly residents at risk for social isolation. A group of 20 healthcare professionals working in a small long term care facility participated in the project. A quasi-experimental with a pretest and posttest design was used to collect and compare scores achieved on each exam. A matched t-test statistical procedure was utilized to determine whether a quality improvement project with a multicomponent intervention had significant impact on assessment and clinical decision-making skills of healthcare professionals. Following the implementation of the quality improvement project, healthcare professionals scored significantly higher on the posttest (with a mean of 94.5%) than on the pretest (with a mean of 55.75%). The quality improvement project with a multicomponent intervention had a significant impact on assessment and clinical decision-making skills. These results concluded that healthcare professionals responsible for the care of elderly residents at risk for or currently experiencing social isolation should implement quality improvement projects as a continuous method to improve assessment and clinical decision-making skills. ...