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Nursing & Health Sciences Research J.     Open Access   (Followers: 1)
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Nursing & Health Sciences Research Journal
Number of Followers: 1  

  This is an Open Access Journal Open Access journal
ISSN (Online) 2578-3750
Published by Baptist Health South Florida Homepage  [1 journal]
  • Could There be a Good Side to COVID-19 Pandemic'

    • Authors: Donna Shaw et al.
      Abstract: As the COVID-19 pandemic unfolded, resulting in loss of lives, burnout, anxiety, and depression related to social distancing and quarantine measures, some positive changes have been reported at the individual, interpersonal, and community level. Self-reflection, social connectedness, connectivity, innovation, and resilience have emerged as positive values that have contributed to decrease in burnout during the post-COVID pandemic era.
      PubDate: Mon, 13 Dec 2021 07:30:36 PST
       
  • A Nursing Leader’s Perspective in Preparing for Magnet® Redesignation
           in the Midst of the COVID-19 Pandemic

    • Authors: Harold Girado
      PubDate: Mon, 13 Dec 2021 07:30:35 PST
       
  • Overcoming Undergraduate Nursing Education Challenges During the Pandemic

    • Authors: Melissa Abreu et al.
      Abstract: Despite the challenges encountered throughout the COVID-19 pandemic, undergraduate nursing education was able to pivot and prevent cessation as faculty and students utilized various virtual platforms to provide didactic, skills lab, and clinical exposure without delaying graduation for many students. Although nothing could replace the hands-on human interaction a clinical rotation provided, virtual experiences aligned with the course content helped students reinforce the concepts taught in the corresponding didactic portion proving this to be beneficial in its own way. As faculty, we rose to the challenge in fostering a supportive environment to keep students motivated to learn and engaged in coursework.
      PubDate: Mon, 13 Dec 2021 07:30:35 PST
       
  • Formulating Well-Written Clinical Practice Questions and Research
           Questions

    • Authors: Natalie Bermudez
      Abstract: Implementation of evidence-based practices is an expectation in healthcare and nursing, requiring knowledge and understanding of evidence-based practice (EBP) and research. Recent evidence shows that nurses' lack of knowledge contributes to nurses' lack of participation in EBP and research and their ability to differentiate between the two posing challenges with writing clinical questions and research questions. The purpose of this article is to provide foundational education on the differences, similarities, and relationship between EBP and research, and provide guidance for writing clinical practice and research questions.
      PubDate: Mon, 13 Dec 2021 07:30:34 PST
       
  • Implementing a Virtual Mobility Education Program to Impact Nursing
           Knowledge, Attitudes, and Behaviors toward Patient Mobility

    • Authors: Laura Wolf Caba et al.
      Abstract: Introduction: Older adults aged 65 and over are vulnerable to functional decline during hospitalization and negative outcomes associated with immobility such as pressure injuries and falls. Studies reveal that nurses overlook patient mobilization due to competing priorities and a lack of comfort with patient mobilization. Hospital-associated functional decline can be mitigated through mobilization protocols. A 36-bed medical surgical unit in a South Florida hospital did not have a protocol for patient mobility.Methods: Nurses’ knowledge, attitudes, and behaviors regarding patient mobility were assessed using a pre-implementation survey. A virtual education program about the mobility protocol was provided via an online platform. Three weeks later, a post-implementation survey was administered to those who attended the education.Results: Fourteen nurses completed both the pre- and post-test surveys. The nurse-led mobility protocol educational intervention was associated with (a) an increase in average scores from the pre-test nursing mobility attitudes (M = 3.50) and behavior subscales (M = 3.40) to the post-test scores (M = 3.56 and M =3.75, respectively) and (b) a significant increase in the average knowledge scores from the pre-test survey (M = 4.31) to the post test survey (M = 4.62), t(13) = -2.74, p < 0.05.Discussion: The results suggest that the mobility education was successful in increasing nurse mobilization knowledge. Methods to improve nurses’ attitudes and behaviors toward patient mobility should be further explored.
      PubDate: Mon, 13 Dec 2021 07:30:33 PST
       
  • A Performance Improvement Project to Improve Hand-off Communication
           Documentation within the Surgical Services Department

    • Authors: Bobbie J. Wich et al.
      Abstract: Over 80% of adverse events in healthcare are due to miscommunication. To improve patient safety, The Joint Commission recommended the use of standardized hand-off communication tools in 2012. One acute care hospital in Southeast Florida implemented standardized handoff reports in 2014 with few revisions since that time. The COVID-19 pandemic brought to light additional critical information was needed to keep patients and staff safe, such as laboratory results indicating the need for isolation precautions. The nurses within the surgical services noticed this critical information was not sufficiently included in the handoff report. The lack of this information led to unnecessary staff exposures and delays in treatment. The quality improvement nurse noticed a significant drop in the use of the standardized hand-off report form used during this time. This drop in compliance lead to concerns for patient and staff safety.The purpose of this performance improvement project was to improve the quality of handoff reports as measured by the level of documentation using the standardized handoff report.The project followed the Plan-Do-Check-Act model for performance improvement, monitoring documentation compliance and reporting the results to the leaders and staff. The handoff report form was revised with input from the staff, resulting in improved efficiency. The nurses’ level of satisfaction with the form improved resulting in improved compliance and reducing miscommunications.
      PubDate: Mon, 13 Dec 2021 07:30:32 PST
       
  • Optimizing Empiric Vancomycin Use in Febrile Neutropenia Patients

    • Authors: Nicole Tadros et al.
      Abstract: Introduction: National guidelines do not support routine empiric vancomycin use in the initial management of febrile neutropenia (FN) and only recommend it in patients with specific clinical indications. This bi-phasic quality improvement project aimed to evaluate current vancomycin use in FN and improve compliance with a guideline-driven algorithm (GDA) to ensure appropriate prescribing and therapy duration in a community hospital.Methods: Phase I was a retrospective review of charts of adults receiving empiric vancomycin therapy for FN at a community hospital. Phase II was a prospective review of charts of patients with FN, who received pharmacist-led interventions, to improve de-escalation of vancomycin as warranted.Results: A total of 48 and 32 patients were included in phase I and phase II, respectively. While initiation of vancomycin therapy according to guideline-recommended clinical indications was comparable among phases, appropriate de-escalation of vancomycin increased from 23% in phase I to 78% in phase II. Overall compliance with the GDA increased from 15% in phase I to 38% in phase II. Average duration of therapy in phase I was 4.77 days versus 2.69 days in phase II and there were less patients who continued vancomycin beyond 48 hours in phase II. The pharmacy intervention rate was 56% (18 of 32) and the health-care practitioner acceptance rate was 100%.Discussion: Pharmacist interventions had an impact in increasing compliance with national guideline recommendations and decreasing the duration of empiric vancomycin therapy in patients with FN.
      PubDate: Mon, 13 Dec 2021 07:30:32 PST
       
  • Self-Efficacy: Nurses’ Perceptions of Caring for Patients Living
           with Diabetes

    • Authors: Victoria Y. McCue
      Abstract: Introduction: Diabetes is an epidemic that affects over 415 million people worldwide. In the United States, the number of people diagnosed with diabetes is projected to triple to over 60 million by 2060. With this surge, the number of hospitalizations across the country has significantly increased. Direct care nurses play a vital role in the management of patients living with diabetes. The purpose of this research study was to explore and describe medical-surgical nurses’ perceptions of self-efficacy related to caring for patients living with diabetes. This study's guiding research question was: What are nurses’ perceptions on the influences that impact self-efficacy in caring for patients living with diabetes on a medical-surgical unit'Methods: Bandura’s Self-Efficacy Theory provided the conceptual framework of this study and guided the development of the interview questions and the analysis of the data. A qualitative descriptive design using a constant comparative analysis method, as described by Strauss and Corbin (1990), was utilized. A purposive, convenience sampling plan was used to recruit eight medical-surgical nurses from two acute care hospitals in the Southeastern United States.Results: Four major themes were revealed in this study: (a) educational preparation, (b) biases towards patients, (c) current clinical environment, and (d) patients’ behaviors affect nurses’ emotions. Additionally, six subthemes were identified.Discussion: This study's results may inform targeted interventions that promote improved self-efficacy among medical-surgical nurses resulting in optimal patient outcomes for people living with diabetes.
      PubDate: Mon, 13 Dec 2021 07:30:31 PST
       
  • The Art of Nurse Mentoring: A Framework of Support

    • Authors: Diane S. Kramer et al.
      Abstract: Introduction: Nursing mentoring relationships are vital to the advancement of personal and professional growth in nursing. Mentoring has been identified as an effective method to decrease turnover resulting in retention of experienced nurses. Despite the benefits of a mentoring relationship, barriers exist in creating and cultivating a formal mentoring program in the hospital setting.Methods: A qualitative descriptive study approach that explored nurses’ perceptions of a mentoring culture within a hospital environment. Open-ended, conversational-style interviewing techniques with a semi-structured interview guide were utilized to gain a full description of nurses’ perceptions of a mentoring culture within a hospital environment.Results: A structural model of mentoring as perceived by hospital nurses was developed from the data. Five overarching themes with corresponding subthemes emerged from nurses’ perceptions. (1) Mentoring culture: various mentoring models, informal vs formal, leader focused, and evolving. (2) Benefits: connections, development, retention, stability, patient safety, and making a difference. (3) Barriers: time, patients/patience, competition, knowledge deficit regarding mentor verses preceptor roles, lack of incentives, receptiveness, and voluntold. (4) Experience with mentoring: going above and beyond, lifetime relationships, personal/professional growth, feeling cared for. (5) Paradigm shift: match generational and cultural differences, resources, face-to-face, and voluntary.Discussion: The study results have identified mentoring as an integral aspect of personal and professional growth within the hospital environment. The rewards of mentoring or being mentored can be translated into increased nursing retention and improved nursing job satisfaction.
      PubDate: Mon, 13 Dec 2021 07:30:30 PST
       
  • Hospital Survey on Culture of Transitions in Patient Care at a Community
           Hospital

    • Authors: Gwendolyn Burley et al.
      Abstract: Background: Delays in patient transitions of care are complex and, therefore, a reductionist model of improvement is not likely to produce sustainable results. Exploration of the culture-performance link in the organization has the potential to guide improvement methods aimed at complex, non-linear processes.Methods: An exploratory, descriptive correlational study was conducted employing the administration of the Hospital Culture of Transitions in Patient Care survey to a cross sectional convenience sample.Results: Sixty-three participants responded to the survey. In assigning a grade to transitions in the organization, 35% of participants selected a grade of “A” with 33.3% “B”, 23.3% “C”, and 8.3% “D”. In the descriptive analysis, the most favorable responses related to the Hospital Leadership and the Unit Leadership domains. The least favorable responses revealed a perception of staff delaying transfers in both the “My Unit Culture” (49.1%) and the “Other Units’ Culture” (29.8%) domains. The correlational analysis of the domains of the survey found the Hospital Leadership domain correlating significantly (p < .001) with five of the other six domains.Discussion: The 65% of participants selecting grades of “B”, “C”, and “D” for organizational performance in transitions of patient care is indicative of improvement needed. The insights developed from the responses to the survey suggest it as a very relevant diagnostic tool for hospital leadership seeking to improve performance. The significant correlations of the hospital leadership domain with other domains are powerful indicators of the leveraging potential of leadership at the study site.
      PubDate: Mon, 13 Dec 2021 07:30:29 PST
       
  • Letter from the Editor: A Peer Reviewed Journal in a Healthcare System: An
           Innovative Way of Dissemination

    • Authors: Nohemi Sadule Rios
      PubDate: Mon, 13 Dec 2021 07:30:28 PST
       
  • Letter to the Editor from Baptist Health South Florida Chief Well-Being
           Officer

    • Authors: Ana Viamonte Ros
      PubDate: Mon, 13 Dec 2021 07:30:28 PST
       
  • Efficacy of the Nutritional Supplement, EvenFlo, in the Management of
           Sickle Cell Disease: A Randomized Controlled Trial

    • Authors: Richard Muga et al.
      Abstract: Background: In this study, we investigated if a combination of the nutraceutical supplement, EvenFlo and folic acid will be superior to the standard stand-alone use of folic acid.Methods: We conducted a randomized double-blind, active-controlled, clinical trial. A total of 70 subjects with SCD ages 5-12 years were enrolled into the study with 35 in the intervention group and 35 in the control group; 61 completed the trial (32 from the intervention group and 29 from the control group).Results: Participants in the intervention group were significantly less likely to experience crises compared to subjects in the control group. None of the subjects in the intervention group experienced any form of vasoocclusive crisis (VOC) compared to 93.1% of the subjects in the controlled group. Additionally, the intervention group experienced a significantly higher increase in their hemoglobin concentration from baseline (2.92 g/dL, 95% CI [2.33, 3.51]) compared the control group (1.77 g/dL, 95% CI [1.00, 2.54]). The intervention group experienced a significantly higher increase in their mean weight from baseline (4.47 Kg, 95% CI [4.02, 4.92]) while the control group experienced a decrease (-1.05 Kg, 95% CI [-1.60, -0.51]).Conclusions: EvenFlo is a nutritional supplement effective in the management of SCD when combined with folic acid; its beneficial effect would be useful in boosting the hemoglobin concentration and weight indices individuals with SCD as well as and in limiting the crises they suffered.
      PubDate: Wed, 16 Dec 2020 08:46:04 PST
       
  • Improving Code Response Time through Strategic Positioning of Nursing
           House Supervisors: Results of a Nurse-Led Intervention

    • Authors: Noah R. Zanville et al.
      Abstract: Background: In many settings, the nursing house supervisors (NHS) are a critical part of the entity’s code response team. To date, much of the research on code response has focused on improving response times through staff-focused interventions such as simulation training. However, use of data to determine where to physically place NHS in the building to optimize code response times has received little attention, especially in an outpatient oncology setting.Purpose: To test whether using data on code frequency/location to strategically position NHS could reduce mean code response times in large (450,000-ft2) outpatient cancer center.Methods: Data on code volume, type, distance and estimated response time before and after strategic repositioning was collected by staff over a 238-day period occurring between September, 2019 and April, 2020.Results: Over an eight-month period, NHS staff responded to 64 codes. Prior to repositioning, 77.3% of codes required NHS to travel to a different building and through at least one floor and/or departments to arrive at the code. After strategic repositioning, mean code response times at our center fell from 3.4±0.7 min, on average, to 1.5 ± 0.6 min (p < .000). Improvements in code response times and distance travelled were observed regardless of code type, time of day, or individual NHS responding to the code.Conclusions: Results suggest that a data-driven strategy for determining where to place NHS in the building based on code frequency and location may be a useful way for oncology centers to improve code response times.
      PubDate: Wed, 16 Dec 2020 08:45:59 PST
       
  • A Healthcare Organization’s Response to Challenges during a Pandemic

    • Authors: Debora O'Cathey et al.
      Abstract: The pandemic of 2020 has added many new challenges for healthcare organizations. Front-line nurses have borne the brunt of these challenges and were tested as never before to deliver excellent patient care during such arduous time. This story details the efforts of one hospital to rise above the chaos and overcome the challenges presented during this time.
      PubDate: Wed, 16 Dec 2020 08:45:55 PST
       
  • The Outstanding Service of a Nurse Supervisor During COVID-19

    • Authors: Judith Bowling
      Abstract: Nurses are heroes but are often hesitant to use this title. Nurses stand at the center of the public health crises with the coronavirus pandemic, demonstrating courage, bravery, knowledge, and commitment, often putting themselves in harms’ way while caring for and guarding their patients. Nurses respond to the call to care at every level, from the direct care nurses in hospitals to board members shaping national policies. One special category of nurses on the front line, administrative nursing supervisors, are experienced and dedicated nurses who exemplify the finest characteristics of nurses. This article relates the exploits of one nursing supervisor during the extraordinarily difficult time for health care workers during the coronavirus pandemic.
      PubDate: Wed, 16 Dec 2020 08:45:50 PST
       
  • Innovative Strategies to Support Mental Wellbeing

    • Authors: Victoria Y. McCue
      Abstract: The Coronavirus disease 2019 (COVID-19) pandemic has adversely affected many people’s mental wellbeing. COVID-19 has led healthcare organizations to reconceptualize and reform healthcare through an innovative lens that will foster resilience. Finding strategies to support mental wellbeing, especially for frontline clinicians, is crucial to ensure a comprehensive recovery. This manuscript describes innovative strategies implemented within one healthcare organization in the Southeastern United States to nurture mental wellbeing for the community and frontline healthcare clinicians.
      PubDate: Wed, 16 Dec 2020 08:45:46 PST
       
  • A Drive-thru Anticoagulation Testing Clinic during COVID-19 Pandemic

    • Authors: Tina Hyman et al.
      Abstract: As COVID-19 started to spread rapidly in their community, a team of nurses at South Miami Hospital initiated a drive-thru anticoagulation testing process to provide safe access to care for patients on anticoagulation therapy, requiring Internationalized Ratio (INR) testing. This article describes the implementation of a drive-thru anticoagulation testing process and implications for best practices during a pandemic crisis.
      PubDate: Wed, 16 Dec 2020 08:45:41 PST
       
  • Supporting Evidence-Based Practices and Standardization of Care through
           Implementation of Outpatient, Emergency Department, and Hospital COVID-19
           Order Sets in a Large Healthcare System

    • Authors: Timothy P. Gauthier et al.
      PubDate: Wed, 16 Dec 2020 08:45:37 PST
       
 
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