Nurse-Led Care Coordination in a Transitional Clinic for Uninsured Patients With Diabetes.

PURPOSE/OBJECTIVES: The purpose of this article is to inform the reader of the practice of the registered nurse care coordinator (RNCC) within an interprofessional, nurse-led clinic serving uninsured diabetic patients in a large urban city. This clinic serves as a transitional care clinic, providing integrated diabetes management and assisting patients to establish with other primary care doctors in the community once appropriate. The clinic uses an interprofessional collaborative practice (IPCP) model with the RNCC at the center of patient onboarding, integrated responsive care, and clinic transitioning. PRIMARY PRACTICE SETTING: Interprofessional, nurse-led clinic for uninsured patients with diabetes. FINDINGS/CONCLUSIONS: Interprofessional models of care are strengthened using a specialized care coordinator. IMPLICATIONS FOR CASE MANAGEMENT PRACTICE: Care coordination is a key component in case management of a population with chronic disease. The RNCC, having specialized clinical expertise, is an essential member of the interdisciplinary team, contributing a wide range of resources to assist patients in achieving successful outcomes managing diabetes. Transitional care coordination, moving from unmanaged to managed diabetes care, is part of a bundled health care process fundamental to this clinic's IPCP model. In a transitional clinic setting, frequent interaction with patients through onboarding, routine check-ins, and warm handoff helps support and empower the patient to be engaged in their personal health care journey.

Addressing Gaps in Nurses' Knowledge of Sepsis: A Literature Review.

Sepsis is a dangerous and costly health care condition requiring prompt identification and emergency treatment. Bedside nurses have a crucial role in these early steps. Nurses should receive effective and timely education on identifying and treating sepsis in their patient populations. The purpose of this article is to review the literature and to identify how current sepsis education methods are addressing the gaps in nursing knowledge of sepsis. PubMed and CINAHL databases were used to search the literature. After inclusion and exclusion criteria were applied, nine articles were chosen for synthesis. Synthesis revealed three major themes: (a) assessing nurse sepsis knowledge, (b) using electronic learning methods for education, and (c) incorporating simulation into sepsis training. Gaps in the literature were also identified. [J Contin Educ Nurs. 2021;52(1):43-46.].

Applying the PDSA Framework to Examine the Use of the Clinical Nurse Leader to Evaluate Pressure Ulcer Reporting.

The clinical nurse leader (CNL) role has been cited as an effective strategy for improving care at the microsystem level. The purpose of this article is to describe the use of the CNL role in an academic medical center for evaluating pressure ulcer reporting. The Plan-Do-Study-Act cycle was used as the methodological framework for the study. The CNL assessment of pressure ulcers resulted in a 21% to 50% decrease in the number of hospital-acquired pressure ulcers reported in a 3-month time period. The CNL role has potential for improving the validity and reliability of pressure ulcer reporting.