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A Health Literacy Algorithm Impact on Readmissions and Patient Satisfaction
The purpose of this quality improvement (QI) project was to explore the relationship between health literacy levels and readmission rates and patient satisfaction scores. The medical-surgical unit in the studied community ...
Addressing intimate partner violence in primary care
Intimate Partner Violence (IPV) is a prevalent issue with women being at the highest risk for victimization. Healthcare providers are in a position to identify and treat the victims of IPV. A systematic review of the ...
A quality improvement project to improve medication adherence management in a clinic to increase medication adherence in a medically vulnerable group
This Quality Improvement Project (QIP) assessed the effect of a multi-component evidence-based (EB) Medication Adherence Intervention on adherence at a nurse-managed, student-run free clinic treating medically vulnerable ...
Teach-back and its impact on hospital consumer assessment of healthcare providers and systems (HCAHPS)
(2017-04-18)
Successful patient outcomes rely heavily on patient engagement, patient/family education, and promotion of self-management. Teach-back methodology offers the healthcare team a proven technique to determine learner's health ...
Decreasing blood pressure readings using a patient-centered interprofessional team approach
(2016-10-07)
Background and Purpose: Hypertension is one of the most modifiable risk factors for the prevention of heart disease. Current practice involves medical management of hypertension by the primary care provider. Provision of medical management alone is not improving blood pressures of patients with hypertension. Therefore, a patient-centered interprofessional team was developed to address the lack of a coordinated approach to the management of hypertensive patients.
Methods: The family nurse practitioner as clinician guides the interprofessional team in the management of hypertension. An interprofessional team was implemented in a rural Midwestern family practice clinic. Patients included were 18 to 60 years old with a diagnosis of hypertension. At least two previous blood pressure readings were required, and the last reading must have remained elevated over 140/90. Initial blood pressure readings were compared to final visit readings to measure improvement. Systolic blood pressure was reduced significantly throughout the project (p = 0.0067).
Conclusion: Implementation of the interprofessional team in the management of hypertension has provided a positive improvement in the BP of the patients participating.
Implications for Practice: The interprofessional team design supports the perfect environment for advanced practice nursing leadership.
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A clinical practice change: Enhancing the efficacy of pediatric early warning systems
(2018-02-07)
With a lack of adherence to documentation, assessment, and utilization of the Pediatric Early Warning System (PEWS) by pediatric staff nurses, there was a significant gap between clinical deterioration recognition and ...
Inpatient falls prevention: Closing the gap between research and clinical practice
Inpatient falls have been a long-standing problem within health care around the world. The purpose of this project was to reduce inpatient falls through a standardized selection of multifactorial individualized nursing ...