The Relationship Between Nursing Characteristics and Pain Care Quality

The purpose of this study is to examine relationships between unit-level nursing characteristics (e.g. RN education, certification, RN hours per patient day) and hospital characteristics (e.g. Magnet designated, academic institution) with the unit average of patients' self-rated perception of pain and pain care quality. The study is a correlational analysis of cross-sectional data from the National Database of Nursing Quality Indicators (NDNQI) combined with data on pain care quality. The sample was a convenience sample that covered 170 hospitals across the U.S. with 725 reporting units. . The study found significant clinical relationships, although weak, between several variables. Strong relationships included: patient's average pain rating and nursing care hours per patient day; average pain and having pain medications available when needed. The strongest relationship was between percent pain relief and having pain medications available when needed. The study's findings that no significant differences presented across various unit types reinforce the point that pain is pervasive. Pain is also unique to each individual's subjective experience. Therefore, each patient's plan of care should be individualized, patient-centric, and unique to his or her experience.University of Kansas School of Nursing. Bachelor of Science in Nursing Honors Progra

Children of TANF Leavers in Missouri: How Are They Faring?

In 1998, Missouri was one of 14 states chosen by the Department of Health and Human Services to assess the well-being of individuals leaving cash assistance. Approximately 2400 households that left Aid to Families with Dependent Children (AFDC) in the fourth quarter of 1996 or left Temporary Assistant to Needy Families (TANF) in the fourth quarter of 1997 were interviewed by phone two and one half years later. For households leaving TANF, questions were asked about the physical health, behavior problems, school engagement, and positive behavior of randomly chosen children within the household. If applicable, one young child (0-5) was chosen, as well an older child (6-17), since recent research has found worse outcomes for adolescents than for younger children (Brooks et.al, 2001).This research was funded by the Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services (98ASPE300A), and the Missouri Department of Social Services. This work was conducted while the authors were employed at Midwest Research Institute. We are grateful to Rich Koon of the Missouri Department of Social Services for his comments.Includes bibliographical reference

Magnet Status: Implications for Quality of Patient Care

Research has shown that hospital structure, e.g. nursing characteristics, affects patient outcomes. Nursing characteristics have been shown to be better in Magnet® hospitals. Previous studies have found that nursing workforce characteristics such as nurse‐to‐patient ratio, job satisfaction, and skill mix correlate with lower incidence of nosocomial infection and higher nurse‐reported and patient‐reported quality of care. Little research has been done, however, on the correlation between Magnet status and patient outcomes. The purpose of this study was to determine if patients have fewer nosocomial infections in Magnet hospitals than non‐Magnet hospitals. The Donabedian structure‐processes‐outcomes model for assessing quality of health care was the underlying conceptual framework for the study. The study design employed a descriptive correlational design. Over 500 critical care units from hospitals participating in the National Database of Nursing Quality Indicators® contributed data for the analysis. T‐tests indicated that there was a higher number of total nursing hours per patient day (TNHPPD), percentage of RNs with a bachelor’s degree, and higher job satisfaction scores, on critical care units in Magnet accredited facilities than those without Magnet status (p < 0.001). The mean rates of three types of nosocomial infections were similar for Magnet and non‐Magnet hospitals, and no significant correlations were found between these workforce characteristics and patient outcomes. The analysis conducted for this study did not support the hypothesis that Magnet hospitals would have lower nosocomial infection rates because they have superior nursing workforce attributes. Further research is indicated to determine why the workforce characteristics that contribute to Magnet accreditation do not lead to a higher quality of care, and to find what factors do determine higher quality of patient care.University of Kansas, Bachelor of Science Nursing Honors Progra

Assaults on Nursing Personnel

Paper submitted to the University of Kansas School of Nursing in partial fulfillment of the requirements for the Nursing Honors Program.Introduction: Nurses are frequent victims of workplace violence. Little research has been done that examines multiple factors related to assaults against nurses. Purpose: The purpose of this study was to examine the relationship of the rate of physical injury assault against hospital nurses with characteristics of assailants, of the nursing workforce, unit types, and hospital types. By providing insight into the factors that are associated with assaults on nursing staff, hospitals may be able to develop initiatives that decrease the number of assaults or decrease the severity of injuries. Methodology: This was a cross-sectional, correlational study based on unit-level analysis. A convenience sample of 372 eligible units in 33 hospital members of the National Database of Nursing Quality Indicators (NDNQI) were invited to participate. Eligible unit types included adult and pediatric medical, surgical, and medical-surgical, neonate, obstetrics, perioperative, psychiatric, and emergency services. Twenty-seven hospitals submitted data from 180 units. Data were collected under a protocol approved by the University of Kansas Medical Center's Institutional Review Board. Incidents of physical and sexual assaults were recorded in a log available at the nurses' station of each participating unit during October 2012 Findings: The analysis revealed the frequency of assaults, the characteristics of the nursing staff most frequently assaulted, unit types on which assaults are most common, and characteristics of assailants. Teaching hospitals in this sample accounted for the most cases of assaults with 68.3% of the total reported, whereas non-teaching hospitals had 22% and academic medical centers 9.8% of the total incidents. Among unit types, neonate, pediatric and obstetric units reported no assaults. Emergency departments, adult and psychiatric units reported the most assaults. All reported assaults were of a physical nature. Out of 92 assaults, 24 resulted in injury, of which 23 were minor and 1 was moderate. Patients were assailants 89 times with the remaining 3 being visitors or other. Assailants were usually male (55.4%) and assaultees were usually female (66.3%). The assaultees were mostly registered nurses (78.3%). Discussion: Most assaults on nurses occurred on adult medical and surgical units, psychiatric units, and in emergency services. Most assaults did not result in injury. Most assailants were patients. To reduce the incidence of assaults on nurses, hospitals could target interventions on these four unit types. Potential interventions could include implementing easy-to-use reporting systems, staff training on patient de-escalation, increase surveillance and security measures. Disclosures: Research was sponsored by the NDNQI under contract to the American Nurses Association.The University of Kansas School of Nursing Bachelor of Science Nursing Honors Progra

Improving quality indicator report cards through Bayesian modeling

<p>Abstract</p> <p>Background</p> <p>The National Database for Nursing Quality Indicators^®(NDNQI^®) was established in 1998 to assist hospitals in monitoring indicators of nursing quality (eg, falls and pressure ulcers). Hospitals participating in NDNQI transmit data from nursing units to an NDNQI data repository. Data are summarized and published in reports that allow participating facilities to compare the results for their units with those from other units across the nation. A disadvantage of this reporting scheme is that the sampling variability is not explicit. For example, suppose a small nursing unit that has 2 out of 10 (rate of 20%) patients with pressure ulcers. Should the nursing unit immediately undertake a quality improvement plan because of the rate difference from the national average (7%)?</p> <p>Methods</p> <p>In this paper, we propose approximating 95% credible intervals (CrIs) for unit-level data using statistical models that account for the variability in unit rates for report cards.</p> <p>Results</p> <p>Bayesian CrIs communicate the level of uncertainty of estimates more clearly to decision makers than other significance tests.</p> <p>Conclusion</p> <p>A benefit of this approach is that nursing units would be better able to distinguish problematic or beneficial trends from fluctuations likely due to chance.</p

The Journal of BSN Honors Research, Volume 5, Issue 1, Summer 2012

University of Kansas School of Nursing. Bachelor of Science in Nursing Honors ProgramExploration Of Health Care Needs Among Sudanese Refugee Women - Albin, J M, Domian, E. Is There An App For That? Developing An Evaluation Rubric For Apps For Use With Adults With Special Needs - Buckler, T, Peterson, M. The Relationship Between Nursing Characteristics And Pain Care Quality - Davis, E, Dunton, N. The Relationship Between Sleep And Night Eating On Weight Loss In Individuals With Severe Mental Illness - Huynh, Thu Nhi, Hamera, E. Examining Nurse Leader/Manager-Physician Communication Strategies: A Pilot Study - Jantzen, M, Ford, D J. Comparison Of Personal, Health And Family Characteristic Of Children With And Without Autism - Martin, A, Bott, M J. Association Between Obstructive Sleep Apnea And Postoperative Adverse Events - Nielsenshultz, Y, Smith, C, Bott, M, Schultz, M P, Cole, C. Challenges Associated With Partnering With Sudanese Refugee Women In Addressing Their Health Issues - Pauls, K L, Baird, M B. Complementary Therapy To Relieve Pediatric Cancer Therapy-Related Symptoms In The Usa - Slaven, A, Williams, P D

Le faubourg des Récollets / Griffintown

84 LA FONDERIE DARLING86 LE 106, RUE PRINCE87 L’ÉDIFICE LOUIS-CHARLAND88 M990 L’ÉDIFICE ZONE92 LE QUAI DE LA COMMUNE, PHASE IV94 LE SQUARE DES FRÈRES-CHARON96 LE NOUVEL EUROPA98 LA PROMENADE SMITH Situé immédiatement à l’ouest de l’ancienne ville fortifiée, à l’embouchure du canal de Lachine, le faubourg des Récollets est le premier secteur qui s’industrialise dans la foulée de la construction du canal en 1825. Les nombreux immigrants irlandais ayant creusé le canal et qui travailleront duran..