Implementing Best Practices for Decreasing Nurse Hesitancy to Call the Rapid Response Team: An Evidence-Based Quality Improvement Initiative.

BACKGROUND: Nurses, regardless of experience, sometimes wait for the Modified Early Warning Score to indicate physiological decline before initiating the hospital's Rapid Response Team (RRT). The goal of this quality improvement initiative was to reduce nurse hesitancy to call the RRT, as indicated by the monthly number of proactive calls before the Modified Early Warning Score increased and triggered an automated page. METHOD: Education, planned handoff communication, debriefing, and good catch emails were the educational strategies used in the implementation of the quality improvement initiatives, encouraging RRT calls sooner. Increasing RRT knowledge and communication is an evidence-based practice strategy to reduce nurse reluctance to call the RRT. RESULTS: After implementation, monthly proactive RRT calls increased (χ2 [1, n = 1,964] = 14.6085, p = .000159). Bedside interventions, unscheduled transfers, and Acute Physiologic and Chronic Health Evaluation scores did not differ. CONCLUSION: Education, structured handoff communication, and acknowledging good catches reduced nurses' reluctance to call the RRT proactively. [J Contin Educ Nurs. 2023;54(6):281-288.].

Creating an Optimal IP Learning Environment: NCICLE Pathways to Excellence.

Clinical learning environments are a shared space for various professions working together to provide the best care for patients. The National Collaborative for Improving the Clinical Learning Environment (NCICLE) published the NCICLE Pathways to Excellence: Expectations for an Optimal Interprofessional Clinical Learning Environment to Achieve Safe and High-Quality Patient Care as a tool that can be used to assess and develop ways to optimize learning and patient care. This framework provides guidance for health care professionals to collaborate with executives to transform the clinical learning environment and patient outcomes. [J Contin Educ Nurs. 2022;53(4):150-152.].

Best of the 2021 ANCC PTAP Symposium: Create, Cultivate, Celebrate.

The American Nurses Credentialing Center (ANCC) Practice Transition Accreditation Program (PTAP) sponsors an annual symposium for participants to share in best practices across the globe. Due to COVID-19, the 2021 symposium was held virtually. With close to 700 participants, the ANCC PTAP team was challenged to provide an engaging virtual conference. This column speaks to the success of the symposium based on creating, cultivating, and celebrating best practices. [J Contin Educ Nurs. 2021;52(8):352-354.].

Moving Forward Together: What Hope, Efficacy, Optimism, and Resilience Tell Us About Generation Z.

Generation Z is entering the workforce, requiring nursing professional development (NPD) practitioners to consider their unique characteristics when planning ongoing professional learning. They are also entering the profession at a time when concerns for well-being and resilience are at an all-time high. This article compares psychological capital scores between generational cohorts and provides strategies for the NPD practitioner with the development and education of Generation Z nurses. [J Contin Educ Nurs. 2021;52(4):160-162.].