OBJECTIVES: This study explored the difference in the perception of trust between nurse leaders and direct care nurses in a Just Culture, and the impact this may have on patient safety related to voluntary reporting of ...

Background: Upwards of 99% of physiological alarms may not require intervention and make monitoring devices unreliable. Over time, the unreliability of monitoring devices creates desensitization and can lead to patient ...

Interprofessional teamwork is recognized as a major contributing factor to safe patient care and improved patient outcomes.  Healthcare professionals’ attitudes impact successful teamwork.  A large, not-for-profit healthcare organization in the southwestern United States conducted a new employee orientation that included content on interprofessional teamwork, and collected quality improvement data that included responses to the TeamSTEPPS® Teamwork Attitudes Questionnaire (T-TAQ).  This retrospective, non-experimental, before-after, comparative study analyzed this quality improvement data to determine if there was a significant impact of the interprofessional teamwork-focused orientation on individual team member’s attitudes regarding teamwork as measured by the T-TAQ.  The principles of Adult Learning Theory guided this study.  The results of the paired-samples t-test (N= 81) showed a significant increase in mean scores between the pre-orientation T-TAQ (M = 4.44, SD = .328) and the post-orientation T-TAQ (M = 4.64, SD = .326; t (80) = -6.35, p CI: -.262 to -.137, d =.34).  Recommendations include that healthcare organizations consider: the addition of teamwork content to their new employee orientations with the goal of improving new employee attitudes regarding teamwork, utilizing the TeamSTEPPS® tools and materials provided by the Agency of Healthcare Research and Quality in the education that they provide to their staff to improve the teamwork within their organizations, use of the T-TAQ to evaluate teamwork attitudes within their organization, and evaluation of attitudes regarding teamwork prior to hire of new employees.  ...

The purpose of this study was to determine if there was a relationship between critical thinking (CT) skills and clinical judgment in nurse practitioner (NP) students enrolled in an advanced practice educational program. ...

The purposes of this methodological psychometric study were to: 1) develop a criterion-referenced instrument using the steps outlined by Waltz, Strickland and Lenz (2005) to provide effective documentation of knowledge of ...

Nurses’ job satisfaction affects work performance at the point of care in hospitals. The incoming nurses who are able to receive a comprehensive patient report at shift change are more prepared in comparison to incoming ...

Despite recognition that patients carry pathogens on their hands and demonstrate poor hand hygiene practice, little attention has been given to interventions that increase hand hygiene practices of patients. Studies that ...

Fatigue in Parkinson’s disease (PD) is a major cause of disability and lower quality of life. It is often under-assessed by health care providers and under-recognized by individuals with PD as being part of their neurological ...

As the aging population the nation increases, cancer diagnoses in this age group will also increase. The many chronic medical conditions associated with older adults will be confounded by a diagnosis of cancer. Older adults with cancer are at risk for physical, psychological, and functional decline as a result of not only the cancer, but also the cancer treatment. This study utilized a cross-sectional, descriptive, correlational study design to explore the relationships between and among treatment-related decisional conflict, quality of life and comorbidity in older adults with cancer. An anonymous survey method was employed. The criteria for inclusion in this study were: (a) 65 years of age or older, (b) English-speaking, (c) ability to read English at an eighth grade level, (d) having a current cancer diagnosis, and (e) currently receiving cancer treatment. A sample size of 200 was recruited for this study from outpatient medical oncology, radiation oncology and palliative care practices in New Jersey. The participants completed four instruments including: (a) Decisional Conflict Scale (DCS), (b) Self- Administered Comorbidity Questionnaire (SCQ), (c) European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), and (d) Demographic Information Form (DIF). Bivariate relationships existed between increased levels of decisional conflict and increased quality of life (p = .009) and quality of life and comorbidity (p = .001). All six regression models achieved significance (p ...

In an effort to ensure creativity and critical thinking are woven into the nursing curriculum and taught on a professional level, a healthy work environment, void of burnout and feelings of disempowerment, must be present ...