2,093 research outputs found

    Can a Checklist Facilitate Recognition of a Transfusion Associated Adverse Event by Prelicensure Nurses

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    https://scholarlycommons.libraryinfo.bhs.org/nurs_presentations2023/1029/thumbnail.jp

    Evidence-Based Skin Champion Program Reduces Pressure Injuries in a Pediatric Hospital

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    Prevention of pressure injuries (PIs) in pediatric patients is an important nurse-sensitive quality goal. The PI rate at a large urban pediatric hospital triggered a call to action by the Chief Nursing Officer to establish a Hospital Acquired PI (HAPI) Task Force which identified the Skin Champion program as a key improvement strategy. The goals of the Skin Champion program are to lower the rate of HAPIs, empower front line care providers to implement evidence-based care bundles, achieve consistency of practice, and provide resource availability at the point of care. The implementation of the Skin Champion quality improvement program achieved an 85% reduction in severe harm and “reportable HAPI incidence, which is lower than the HAPI national average in pediatric patients (Solutions for Patient Safety, 2018), and an increase in nurse compliance with the HAPI prevention bundle. The HAPI incidence rate has remained near 0.05 per 1000 patient days

    A Randomized Controlled Trial of the Impact of Titration Instruction Orders on Time to Achieving Hemodynamic Stability in a Simulated Setting

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    https://scholarlycommons.libraryinfo.bhs.org/nurs_presentations2023/1031/thumbnail.jp

    YouTube and Other Web 2.0 Applications for Nursing Education

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    Web 2.0 applications, such as the popular YouTube™ online video network, may enhance health care students\u27 learning and retention while providing connections with peers and faculty. Today\u27s students are consumers of popular social networking tools, such as Facebook and MySpace, as well as the personal video sharing site, YouTube™. Furthermore, novel cellular 1 phones, such as Apple Computer\u27s© iPhone and the innovative Palm phone, have the capacity to i show You Tube videos, which are now literally a touch away from viewing. The authors set out to I explain Web 2.0 applications and the impact on health care students\u27 education, social networking, collaboration, needs, and wants in today\u27s busy learning and working environments

    The Potential of 3-D Virtual Worlds in Professional Nursing Education

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    Three-dimensional (3-D) virtual worlds (VWs), such as Second Life, are actively being explored for their potential use in health care and nursing professional education and even for practice. The relevance of this e-learning innovation on a large scale for teaching students and professionals is yet to be demonstrated and variables influencing adoption, such as increased knowledge, self-directed learning, and peer collaboration, by academics, and health care professionals requires empirical research

    How good are we at determining risk? Quantifying the accuracy of clinician determined risk for VTE prophylaxis

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    Objectives: Create and validate a simple tool for concurrent audits of risk stratification, compliance and documentation Evaluate accuracy of clinician risk stratification and prophylatic ordering practice compared with a standardized Caprini RAM across different assigned risk categories Provide recommendations for EPIC VTE Prophylaxis CDS Developmenthttps://jdc.jefferson.edu/patientsafetyposters/1050/thumbnail.jp

    Quantifying Patient Reported and Documented Compliance with Adjuncts to Venous Thromboembolism Prophylaxis

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    Objectives: 1. Measure patient compliance with pharmacologic, mechanical and ambulatory prophylactic measures. 2. Evaluate for agreement between nursing documentation and patient reported compliance with mechanical and ambulatory prophylactic measures.https://jdc.jefferson.edu/patientsafetyposters/1042/thumbnail.jp

    Increasing Healthcare Provider\u27s Awareness and Reducing Negative Perceptions of Pain during the Perioperative Period in the Black Community: An Educational Module

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    Background: Inequality and disparities in healthcare is not an unfamiliar phenomenon as it was developed centuries ago during slavery. The longstanding beliefs that blacks and whites are biologically different date back centuries, as physicians, scientists, and slave owners proposed these beliefs as validation of the acts of slavery.1 Additionally, blacks have been exposed to unethical experiments for years. Three examples of unethical experiments that influenced fictitious notions of blacks include: (1) the experiment conducted by the US Public Health Services known as the Tuskegee Study of Untreated Syphilis in the Negro Male1 (2) the 1793 yellow fever epidemic in Philadelphia where it was assumed due to their race, black people were immune to the viral disease1 and (3) James Marion Sims known as the “father of modern gynecology” who performed unconsented vesicovaginal fistula repairs on enslaved black women without anesthesia.2 Objectives: The objective of this project is to shed light and provide knowledge to providers on cultural competence to influence a change in perceptions of blacks, decrease disparities that lead to misdiagnosis and unequal treatment, as well as repair quality care and health outcomes in black patients. A literature review including six research studies address the PICO question, “In perioperative healthcare providers, does an educational module on pain perception in black patients, compared to no education, improve provider knowledge and treatment of pain perception in the black community?” The literature review was used as the basis for this study and served as the educational framework to increase perioperative healthcare provider knowledge. Methodology: An online presentation in an educational format was the primary methodology used for the proposed project. An initial survey was created to assess perioperative provider knowledge of racial bias and inequality in healthcare towards the black community. Results: A total of 10 individuals consented to participate in which 8 actually completed the survey. The survey consists of only CRNAs, 7 female participants and 1 male. The mean age of participants was 34. The participant’s ethnicity involved 3 Hispanics, 1 White, 4 African American/Blacks. Three of the participants possess Masters’ while the remaining 5 hold Doctorate degrees. Five of the participants have been in practice 1-2 years, 2 between 2-5 years, and 1 between 5-10 years. When asked the pre-survey questions, the results varied among the categories. The post-survey questions following the educational module revealed more consistency. Conclusions: In conclusion, all participants were extremely likely to self-evaluate subconscious prejudices. Four participants feel race does not factor into patient care often, 1 not as often, 1 often, and 2 very often. Six of the participants are extremely likely there will be a change in their practice while equally one believed somewhat likely and the other is indifferent with neither likely or unlikely. Keywords: Black people, black patients, black community, blacks, healthcare providers, perioperative providers, provider perception, pain perception, pain in black patients, pain management in blacks, healthcare inequalities, healthcare disparities, racial bias in healthcare
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