RESUMEN
BACKGROUND: The Robert Wood Johnson Foundation launched the Future of Nursing Scholars program to support nurses to complete PhDs in 3 years in schools across the United States. PURPOSE: To explore why scholars participated in the program and to articulate challenges and facilitators to successful completion of their doctoral degrees. METHOD: Thirty-one scholars representing 18 different schools participated in focus groups at a convening in January 2022. FINDINGS: Scholars identified that funding and planned length of degree completion were important factors in their choosing the accelerated program. Mentorship, networking, and support were identified as facilitators to program completion with the tight timeline of three years noted as a challenge. DISCUSSION: Accelerated students require adequate resources including access to data, mentoring, and financing to overcome challenges presented by accelerated PhD training programs. Cohort models provide support and clarity of expectations for both students and mentors is critical.
Asunto(s)
Educación de Postgrado en Enfermería , Tutoría , Humanos , Estados Unidos , Evaluación de Programas y Proyectos de Salud , Grupos Focales , Mentores , Docentes de Enfermería/educaciónRESUMEN
BACKGROUND: Heart failure (HF) is a common condition leading to activation of emergency medical services (EMS). OBJECTIVE: The aim of this study was to describe reasons given by persons with HF, family members, or other caregivers for requesting EMS activation during 911 calls. METHODS: In this descriptive qualitative study, a content analysis was performed on transcribed audio files of 383 EMS requests involving 383 persons with HF in the community. RESULTS: One hundred forty-seven calls (38.4%) were placed by the family members, 75 (19.6%) were placed by the patients, 56 (14.6%) were placed by healthcare workers or personnel from living facilities, and the remaining calls (n = 105, 27.4%) were placed by others (eg, friends, neighbors, officers). Three broad categories of symptoms, signs, and events were identified as the reasons for an EMS request. Frequently reported symptoms were breathing problems (55.4%), chest pain (18.3%), and other pain (eg, head, extremities) (16.7%). Signs included decreased consciousness (15.4%), swelling (5.7%), and bleeding (5.0%). The reported events involved falls (8.1%), heart attack (6.3%), hypoxic episodes (6.0%), stroke (5.2%), and post-hospital-discharge complications (4.7%). In most calls (74.9%), multiple reasons were reported and a combination of symptoms, signs, and events were identified. Heart failure diagnosis was mentioned in fewer than 10% of the calls. CONCLUSIONS: Overall, symptoms and signs of HF exacerbation were common reasons to activate 911 calls. Falls were frequently reported. Under the duress of the emergent situations surrounding the 911 call, callers rarely mentioned the existence of HF. Interventions are needed to guide patients with HF and their family members to promote the management of HF to reduce EMS activation as well as to activate EMS quickly for acute changes in HF conditions.
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Servicios Médicos de Urgencia , Insuficiencia Cardíaca , Accidente Cerebrovascular , Insuficiencia Cardíaca/complicaciones , Insuficiencia Cardíaca/terapia , Humanos , Investigación Cualitativa , Estudios Retrospectivos , Accidente Cerebrovascular/complicacionesRESUMEN
OBJECTIVE: The aim of this study was to describe cultural characteristics, values, and beliefs that influence sustainability of an evidence-based practice (EBP) intervention in the acute care clinical setting. BACKGROUND: There is an urgent need to identify best practices to sustain EBP to gain efficiencies in nursing care delivery and improve patient outcomes. METHODS: A focused ethnographic qualitative study was conducted in a community hospital with nurses that used Screening, Brief Intervention, and Referral to Treatment (SBIRT). RESULTS: Customizing the intervention to the unit culture evolved and was crucial for sustainability. Overlap in responsibilities, time, clinician confidence, and impact to workflow were noted as negative influences. The intervention was primarily viewed as a task to be checked off a list instead of a tool that informs the patient's plan of care. CONCLUSIONS: Assessing clinician experiences, beliefs, and values of an EBP should be incorporated into a strategic sustainability plan. Clinician understanding of how an EBP can advance the patient plan of care could promote ownership of professional practice and sustainment.
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Actitud del Personal de Salud , Enfermería Basada en la Evidencia/métodos , Práctica Clínica Basada en la Evidencia/métodos , Capacitación en Servicio , Personal de Enfermería en Hospital/psicología , Enfermería Basada en la Evidencia/educación , Práctica Clínica Basada en la Evidencia/educación , Hospitales Comunitarios , Humanos , Tamizaje Masivo , Cultura Organizacional , Psicoterapia Breve , Investigación Cualitativa , Derivación y ConsultaRESUMEN
BACKGROUND: COVID-19 has required nursing innovations to meet patient care needs not previously encountered. PURPOSE: The purpose of this study was to describe nursing innovations conceived, implemented, and desired during the first COVID-19 surge. METHODS: The investigators invited registered nurses employed across 16 Midwest hospitals (6,207) to complete the survey. Respondents provided demographics and written descriptions of innovations they conceived, witnessed, and desired. Investigators analyzed text responses using standard content analytic procedures and summarized quantitative demographics using percentages. FINDINGS: Nurses reported seven types of innovations that would (a) improve personal protective equipment (PPE), (b) limit the need to repeatedly don and doff PPE, (c) ensure safer practice, (d) conserve and access supplies, (e) provide patient and family education and support, (f) make team member communication more efficient, and (g) improve peer support. DISCUSSION: Nurses are in a unique position to generate innovative solutions to meet patient care needs under adverse and rapidly changing situations.
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Comunicación , Difusión de Innovaciones , Salud Laboral , Atención al Paciente/normas , Equipo de Protección Personal/provisión & distribución , Universidades , Adulto , COVID-19 , Estudios Transversales , Femenino , Hospitales , Humanos , Indiana , Masculino , Educación del Paciente como Asunto , Encuestas y CuestionariosRESUMEN
Background: A key principle of patient-centred outcomes research (PCOR) is the engagement of patients and other stakeholders in the research process, but the evidence is still emerging on the impact patient engagement has on the research process. A 10-step framework has been developed to provide methodological guidance for patient engagement throughout the research process. However, the utility of the framework for patient engagement has not been tested in actual research studies. Objective: To describe researcher's overall experiences with engaging patients at the beginning of their PCOR research process. Methods: Twelve in-depth interviews were conducted face-to-face and by telephone with PCOR researchers between November 2014 and January 2015 at an Academic Health Center in the eastern USA. All data were audiotaped and transcribed, and NVivo 10 software was used for data analysis. Results: Four major themes emerged (i) the importance of patient engagement and how it provides 'a perspective you can't get unless you talk to the patient'; (ii) the impact of patient engagement; (iii) challenges and barriers of engagement; and (iv) the realities of patient engagement. Conclusions: Researchers' views illustrate the need to re-evaluate patient engagement in PCOR based on current realities. Given the many challenges to engagement that researchers encounter, it may be more productive to redefine the process of patient engagement so that the issues researchers now face are taken into account in future funding announcements, engagement rubrics and methodology frameworks developed.
Asunto(s)
Evaluación del Resultado de la Atención al Paciente , Participación del Paciente , Investigadores , Humanos , Entrevistas como Asunto , Maryland , Investigación Cualitativa , Proyectos de InvestigaciónRESUMEN
BACKGROUND: All-cause 30-day hospital readmission is a heart failure (HF) quality of care metric. Readmission costs the healthcare system $30.7 million annually. Specific structure, process, or patient factors that predispose patients to readmission are unclear. OBJECTIVE: The aim of this study is to determine whether the addition of unit-level structural factors (attending medical service, patient-to-nurse ratio, and unit HF volume) predicts readmission beyond patient factors. METHODS: A retrospective chart review of 425 patients who resided in Maryland and were discharged home in 2011 with the primary diagnosis of HF from a large, urban academic center was conducted. RESULTS: The patients were predominately (66.6%) black/African American, with mean (SD) age of 62.2 (14.8) years. Men represented 48.2% of the sample; 32% had nonischemic HF, 31.3% had preserved ejection fractions, 25.4% had implantable cardioverter defibrillators, and 15.3% had permanent pacemakers. Average length of stay was 6.0 days. All-cause 30-day hospital readmission rate was 20.2%. Inpatient unit HF discharge volume significantly predicted readmission after controlling for patient factors. CONCLUSIONS: The study found that discharge from inpatient units with higher HF discharge volume was associated with increased risk of readmission. The findings suggest that in caring for patients with severe HF, inpatient unit HF discharge volume may negatively impact care processes, increasing the odds of hospital readmission. It is unclear what specific care processes are responsible. The discharge period is a vulnerable point in care transition that warrants further investigation.
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Servicio de Cardiología en Hospital/estadística & datos numéricos , Unidades de Cuidados Coronarios/estadística & datos numéricos , Insuficiencia Cardíaca/terapia , Alta del Paciente/estadística & datos numéricos , Readmisión del Paciente/estadística & datos numéricos , Anciano , Femenino , Humanos , Masculino , Maryland , Persona de Mediana Edad , Estudios Retrospectivos , Factores de RiesgoRESUMEN
The purpose of this study was to engage patients with heart failure (HF) to assess if changes are needed in a research study design, methods and outcomes when transferring interventions used in urban/community hospitals to rural hospital settings. A qualitative structured interview was conducted with eight patients with a diagnosis of HF admitted to two rural hospitals. Patients validated the study design, measures and outcomes, but identified one area that should be added to the study protocol, symptom experience. Results validated that the intervention, methods and outcomes for the planned study were important, but modifications to the study protocol resulted. Patient engagement in the conceptualization of research is essential to guide patient-centered studies.
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Insuficiencia Cardíaca/terapia , Hospitales Rurales , Participación del Paciente/métodos , Proyectos de Investigación , Anciano , Femenino , Humanos , Entrevistas como Asunto , Masculino , Persona de Mediana Edad , Investigación CualitativaRESUMEN
A national research agenda is needed to promote inquiry into the impact of credentialing on health care outcomes for nurses, patients, and organizations. Credentialing is used here to refer to individual credentialing, such as certification for nurses, and organizational credentialing, such as American Nurses Credentialing Center Magnet recognition for health care organizations or accreditation of providers of continuing education in nursing. Although it is hypothesized that credentialing leads to a higher quality of care, more uniform practice, and better patient outcomes, the research evidence to validate these views is limited. This article proposes a conceptual model in which both credentials and standards are posited to affect outcomes in health care. Potential research questions as well as issues in research design, measurement, data collection, and analysis are discussed. Credentialing in nursing has implications for the health care professions and national policy. A growing body of independent research that clarifies the relationship of credentialing in nursing to outcomes can make important contributions to the improvement of health care quality.
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Investigación Biomédica/normas , Habilitación Profesional , Necesidades y Demandas de Servicios de Salud/normas , Atención de Enfermería/normas , Calidad de la Atención de Salud/normas , Proyectos de Investigación/normas , Sociedades de Enfermería/organización & administración , Recolección de Datos , Humanos , Modelos Teóricos , Objetivos Organizacionales , Resultado del Tratamiento , Estados UnidosRESUMEN
BACKGROUND: Use of evidence-based practices for heart failure (HF) patients has the potential to improve outcomes and reduce variations in care delivery. OBJECTIVES: To evaluate the effect of a rural hospital quality collaborative and organizational context (nurse staffing and practice environment) on 4 HF core measures. RESEARCH DESIGN: Phased cluster-randomized trial with delayed intervention control group. The intervention included a HF toolkit, 2 onsite meetings, and a monthly phone call. SUBJECTS: Twenty-three rural eastern US hospitals, registered nurses who care for HF patients (N=591). MEASURES: Seven quarters of 4 HF core measures, nurse staffing (nursing skill mix, registered nurse hours per patient day, nurse-turnover), and a survey of practice environment. RESULTS: : Using regression models with generalized estimating equation autoregressive methods, no statistically significant changes were found during the intervention period on all 4 core measures for either group. Higher nurse-turnover was related to all 4 core measures: lower compliance with discharge instructions [ß=-1.042; 95% confidence interval (CI): -1.777, -0.307], smoking cessation (ß=-1.148; 95% CI: -2.180, -0.117), left ventricular ejection fraction (ß=-0.893; 95% CI: -1.784, -0.002), and prescribing angiotensin converting enzyme inhibitors on discharge (ß=-1.044; 95% CI: -1.820, -0.269). Better practice environment was related to higher left ventricular ejection fraction (ß=0.217; 95% CI: 0.054, 0.379). CONCLUSIONS: Significant improvements in 4 core measures were realized in stable environments (less nurse-turnover). Assuring appropriate nurse staffing and stability is essential to increase organizational preparation for quality initiatives and adoption of best practices in HF care in rural hospitals.
Asunto(s)
Insuficiencia Cardíaca/terapia , Hospitales Rurales/normas , Personal de Enfermería en Hospital/normas , Evaluación de Procesos y Resultados en Atención de Salud , Mejoramiento de la Calidad , Medicina Basada en la Evidencia , Investigación sobre Servicios de Salud , Humanos , Admisión y Programación de Personal , Análisis de Regresión , Estados UnidosRESUMEN
In this department, Drs Murphy, Wilson, and Newhouse highlight hot topics in nursing outcomes, research, and evidence-based practice relevant to the nurse administrator. The goal is to discuss the practical implications for nurse leaders in diverse healthcare settings. Content includes evidence-based projects and decision making, locating measurement tools for quality improvement and safety projects, using outcome measures to evaluate quality, practice implications of administrative research, and exemplars of projects that demon strate innovative approaches to organizational problems. In this article, the authors describe the elements of continuity of care documentation, how sharing information can improve the quality and safety of care transitions and the implications for nurse executives.
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Continuidad de la Atención al Paciente/normas , Documentación/normas , Enfermería Basada en la Evidencia/normas , Enfermeras Administradoras/normas , Garantía de la Calidad de Atención de Salud/normas , Continuidad de la Atención al Paciente/organización & administración , Registros Electrónicos de Salud/organización & administración , Registros Electrónicos de Salud/normas , Enfermería Basada en la Evidencia/organización & administración , Humanos , Enfermeras Administradoras/organización & administración , Registros de Enfermería/normas , Personal de Enfermería en Hospital/organización & administración , Personal de Enfermería en Hospital/normas , Garantía de la Calidad de Atención de Salud/organización & administraciónRESUMEN
In this department, Drs Murphy, Wilson, and Newhouse highlight hot topics in nursing outcomes, research, and evidence-based practice relevant to the nurse administrator. The goal is to discuss the practical implications for nurse leaders in diverse healthcare settings. Content includes evidence-based projects and decision making, locating measurement tools for quality improvement and safety projects, using outcome measures to evaluate quality, practice implications of administrative research, and exemplars of projects that demonstrate innovative approaches to organizational problems. In this article, the authors will describe data analytics and explore the potential for data analytics in meaningful use implementation to enhance executive decision making.
Asunto(s)
Investigación en Enfermería Clínica , Enfermería Basada en la Evidencia , Informática Aplicada a la Enfermería/normas , Seguridad del Paciente , Garantía de la Calidad de Atención de Salud/métodos , American Recovery and Reinvestment Act , Centers for Medicare and Medicaid Services, U.S./economía , Centers for Medicare and Medicaid Services, U.S./legislación & jurisprudencia , Interpretación Estadística de Datos , Toma de Decisiones , Registros Electrónicos de Salud/economía , Registros Electrónicos de Salud/legislación & jurisprudencia , Humanos , Uso Significativo/economía , Uso Significativo/legislación & jurisprudencia , Informática Aplicada a la Enfermería/tendencias , Garantía de la Calidad de Atención de Salud/economía , Reembolso de Incentivo/legislación & jurisprudencia , Estados UnidosRESUMEN
In this department, the authors highlight hot topics in nursing outcomes, research, and evidence-based practice relevant to the nurse administrator. The goal is to discuss the practical implications for nurse leaders in diverse healthcare settings. Content includes evidence-based projects and decision making, locating measurement tools for quality improvement and safety projects, using outcome measures to evaluate quality, practice implications of administrative research, and exemplars of projects that demonstrate innovative approaches to organizational problems. In this article, Drs Wilson, Murphy, and Newhouse discuss use of information technology to support the process of medication reconciliation as mandated by Meaningful Use Stage 2 and The Joint Commission.
Asunto(s)
Continuidad de la Atención al Paciente , Registros Electrónicos de Salud , Enfermería Basada en la Evidencia/organización & administración , Difusión de la Información , Uso Significativo , Conciliación de Medicamentos , Humanos , Estados UnidosRESUMEN
BACKGROUND: Nurses are increasingly engaged in evidence-based practice (EBP) processes to answer significant questions and guide nursing practice. However, there are no criteria to evaluate the rigor and quality of EBP projects, making the decision about whether to implement a recommended practice change questionable. AIM: The purpose of this study was to achieve consensus among nationally recognized EBP nurse experts on criteria that could be used to appraise the methodological quality of an EBP project as well as to serve as a guideline to plan for an EBP project. METHODS: A modified two-round Delphi method was used. Twenty-three nationally known EBP experts were invited by e-mail to participate in completing a web-based questionnaire. RESULTS: Items converged after two rounds (response rate [52% (n=12/23) for Round 1 and 35% (n=8/23) for Round 2]) and resulted in the development of the EBP Process Quality Assessment (EPQA) guidelines that include 34 items. IMPLICATIONS: The EPQA guidelines can be used to guide and evaluate the methodological quality of EBP projects. They can be used in practice settings to critically appraise an EBP project prior to translating recommendations into practice. Educators can use the EPQA guidelines as a rubric to evaluate student EBP projects. EPQA guidelines can be utilized in research to assess interventions and to build or improve EBP capacity.
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Enfermería Basada en la Evidencia/normas , Guías de Práctica Clínica como Asunto , Calidad de la Atención de Salud , Consenso , Técnica Delphi , Humanos , Encuestas y CuestionariosRESUMEN
BACKGROUND: Federal and national entities urge organizations to assess healthcare professionals' mental health and well-being as the COVID-19 pandemic has compounded the issue. AIMS: This study aimed to (1) describe rates of mental health issues, healthy lifestyle behaviors, and perceptions of COVID-19's impact among Big 10 University nursing and health sciences faculty, staff, and students; (2) identify predictors of depression, anxiety, stress, and burnout; and (3) assess the relationships among perceived school wellness support, healthy lifestyle behaviors, physical/mental health, and mattering. METHODS: A cross-sectional descriptive correlational design was used. Nursing and health science deans emailed invitations to faculty, staff, and students concerning an anonymous wellness assessment survey. Correlation coefficients tested associations among mental health indicators and wellness cultures. Multiple linear regression examined factors associated with mental health indicators. RESULTS: Faculty, staff, and students responded (N = 1345). Findings indicated that most respondents were not getting adequate sleep, meeting physical activity recommendations, or eating the daily recommended number of fruits/vegetables. Fourteen to 54.9 % of participants reported depression, anxiety, and burnout. Overall, students, faculty and staff at colleges that operated under a strong wellness culture had better outcomes. CONCLUSION: Wellness cultures impact the mental and physical health of faculty, staff, and students.
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COVID-19 , Humanos , COVID-19/epidemiología , Salud Mental , Universidades , Estudios Transversales , Pandemias , Conductas Relacionadas con la Salud , Estudiantes/psicología , DocentesRESUMEN
This department highlights topics in nursing outcomes, research, and evidence-based practice relevant to nurse administrators. In this article, the authors describe patient access to personal health information as it relates to the meaningful-use requirement, technologies that have been used to enhance patient engagement, and the nursing leadership implications.
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American Recovery and Reinvestment Act/economía , Registros Electrónicos de Salud/legislación & jurisprudencia , Uso Significativo/legislación & jurisprudencia , Acceso de los Pacientes a los Registros/legislación & jurisprudencia , Centers for Medicare and Medicaid Services, U.S./economía , Centers for Medicare and Medicaid Services, U.S./legislación & jurisprudencia , Registros Electrónicos de Salud/economía , Humanos , Uso Significativo/economía , Enfermeras Administradoras/organización & administración , Rol de la Enfermera , Acceso de los Pacientes a los Registros/economía , Reembolso de Incentivo/legislación & jurisprudencia , Estados UnidosRESUMEN
In this department, the authors highlight hot topics in nursing outcomes, research, and evidence-based practice relevant to the nurse administrator. The goal is to discuss the practical implications for nurse leaders in diverse healthcare settings. Content includes evidence-based projects and decision making, locating measurement tools for quality improvement and safety projects, using outcome measures to evaluate quality, practice implications of administrative research, and exemplars of projects that demonstrate innovative approaches to organizational problems. In this article, the authors describe the intersection of various quality improvement methodologies with the evidence-based practice process. Five quality improvement approaches, plan-do-check-act, Six Sigma, Lean, root cause analysis, and failure mode effects analysis, are described and are used to frame examples.
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Práctica Clínica Basada en la Evidencia/métodos , Mejoramiento de la Calidad , Gestión de la Calidad Total/métodos , Humanos , Errores de Medicación/prevención & control , Modelos Organizacionales , Estudios de Casos Organizacionales , Análisis de Causa Raíz , Estados UnidosRESUMEN
In this department, Drs Newhouse and Wilson highlight hot topics in nursing outcomes, research, and evidence-based practice relevant to the nurse administrator. Content includes evidence-based projects and decision making, locating measurement tools for quality improvement and safety projects, using outcome measures to evaluate quality, practice implications of administrative research, and exemplars of projects that demonstrate innovative approaches to organizational problems. In this article, the authors describe the implications of meaningful use implementation to evidence-based practice and outcome measurement and discuss issues facing nurse executives in planning for these changes.
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Registros Electrónicos de Salud , Enfermería Basada en la Evidencia , Reforma de la Atención de Salud , Mejoramiento de la Calidad , Humanos , Difusión de la Información , Enfermeras Administradoras , Integración de Sistemas , Estados UnidosRESUMEN
This article examines the potential benefits of enhanced use of advanced practice registered nurses (APRNs) given health care workforce projections that predict an inadequate supply of certain types of providers. The conclusions of a systematic review comparing the effectiveness of care provided by APRNs with that of physicians alone or teams without APRNs indicate the viability of this approach. Allowing APRNs to assume roles that take full advantage of their educational preparation could mitigate the shortage of primary care physicians and improve care processes. The development of health care policy should be guided by patient-centric evidence rather than how care has been delivered in the past.
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Enfermería de Práctica Avanzada/estadística & datos numéricos , Fuerza Laboral en Salud/estadística & datos numéricos , Enfermeras Clínicas/estadística & datos numéricos , Enfermeras Practicantes/estadística & datos numéricos , Evaluación de Resultado en la Atención de Salud , Adulto , Enfermería de Práctica Avanzada/organización & administración , Enfermería de Práctica Avanzada/tendencias , Femenino , Predicción , Reforma de la Atención de Salud , Política de Salud , Fuerza Laboral en Salud/tendencias , Humanos , Masculino , Persona de Mediana Edad , Enfermeras Clínicas/organización & administración , Enfermeras Clínicas/tendencias , Enfermeras Practicantes/organización & administración , Enfermeras Practicantes/tendencias , Formulación de Políticas , Gestión de la Calidad Total , Estados UnidosRESUMEN
PURPOSE: To conduct psychometric testing of an instrument, the Smoking Cessation Counseling (SCC) Scale, to measure evidence-based smoking cessation counseling interventions by nurses. DESIGN: A cross-sectional study was conducted using a written Teleform survey, administered to Registered Nurses (N = 591) from 23 rural hospitals in the eastern United States. METHODS: The SCC scale was developed from the U.S. Department of Health and Human Services guidelines for nurses. The survey includes 26 items, with 24 using a four-level response format indicating the extent to which the nurse implements each item (not at all, less than half the time, more than half the time, and all of the time). The total SCC score was computed for 24 items. Two additional items assess comfort in smoking cessation counseling skill and comfort in referral to resources and use a 10-point response format (1 = not at all comfortable to 10 = very comfortable). Reliability statistics for consistency of item measures were estimated using a two-way mixed model in which respondent effects were random and measures effects were fixed. The validity of the instrument was measured in the following ways: (a) total SCC score was correlated with overall comfort in smoking cessation counseling; (b) regression model was conducted for the total SCC score and comfort in smoking cessation counseling skills adjusted for demographic variables (education, gender, age, ethnicity); and (c) exploratory factor analysis on the item scale data to see if the scale was unidimensional or could be split into several subscales and independent components or factors. FINDINGS: The estimated Cronbach's α intraclass correlation coefficient of 24 items for reliability was 0.955, indicating high internal consistency. The total SCC score is strongly positively correlated with comfort in smoking cessation counseling. Using exploratory factor analysis, four factors were extracted from 24 items that explained 68.3% of SCC score variation. The first factor explained 48.9% of variation representing an advanced SCC activity component. The second, third, and fourth extracted factors representing regulatory, referral, and basic components together explained 19.4% of SCC score variation. CONCLUSIONS: Psychometric testing supports that the SCC is reliable (internally consistent) and valid for representing nursing compliance with evidence-based smoking cessation counseling. The extracted independent factors resulting from factor analysis can be used for investigating the impact of the SCC on patient outcomes. CLINICAL RELEVANCE: The SCC can be used by researchers or nurses in practice who are interested in assessing, improving, or testing evidence-based practices for smoking cessation counseling.
Asunto(s)
Consejo/métodos , Enfermería Basada en la Evidencia , Adhesión a Directriz , Guías de Práctica Clínica como Asunto , Cese del Hábito de Fumar/psicología , Adolescente , Adulto , Anciano , Estudios Transversales , Femenino , Hospitales Rurales , Humanos , Masculino , Mid-Atlantic Region , Persona de Mediana Edad , Investigación en Evaluación de Enfermería , Investigación Metodológica en Enfermería , Psicometría , Reproducibilidad de los Resultados , Adulto JovenRESUMEN
In this department, Dr Newhouse highlights hot topics in nursing outcomes, research, and evidence-based practice relevant to the nurse administrator. The goal is to discuss the practical implications for nurse leaders in diverse healthcare settings. Content includes evidence-based projects and decision making, locating measurement tools for quality improvement and safety projects, using outcome measures to evaluate quality, practice implications of administrative research, and exemplars of projects that demonstrate innovative approaches to organizational problems. In this article, the author describes sources to identify major issues in healthcare quality, nursing's role in addressing quality issues, and Web-based resources for county and state quality data to guide nurses' future engagement.