Author Archives: John

What are the costs associated with nursing turnover in acute care environments?

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Jones, Cheryl B. “The costs of nurse turnover: part 1: an economic perspective.” The Journal of nursing administration 34.12 (2004):562-570.

Jones, Cheryl B. “The costs of nurse turnover, part 2: application of the Nursing Turnover Cost Calculation Methodology.” The Journal of nursing administration 35.1 (2005):41-49.

Jones, Cheryl B. “Revisiting nurse turnover costs: adjusting for inflation.” The Journal of nursing administration 38.1 (2008):11-18.

Halfer, Diana. “A magnetic strategy for new graduate nurses.” Nursing economic$ 25.1 (2007):6-11, 3.

PubMed search keywords: nursing turnover, cost, acute care

Click here to run a CINAHL search on costs associated with nursing turnover in acute care environments

What is recommended practice for administering dopamine? What studies are available on dopamine and extravasation?

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Administration. To access DynaMed information on Dopamine Administration
Dopamine

Select “Dosage and Administration” from left menu.

Dynamed also has information about extravasation available by clicking “Warnings” on left menu.

A search of PubMed with keywords dopamine and extravasation produced these results.

Bhosale, Guruprasad P, and Veena RShah. “Extravasation injury due to dopamine infusion leading to dermal necrosis and gangrene.” Journal of Anaesthesiology-Clinical Pharmacology 28.4 (2012):534-535.

Phillips, Reid A, et al. “Deep dopamine extravasation injury: a case report.” Journal of plastic, reconstructive & aesthetic surgery 62.7 (2009):e222-e224.

Chen, J L, and MO’Shea. “Extravasation injury associated with low-dose dopamine.” The Annals of pharmacotherapy 32.5 (1998):545-548.

Bey, D, et al. “The use of phentolamine in the prevention of dopamine-induced tissue extravasation.” Journal of critical care 13.1 (1998):13-20.

Dugger, B. “Peripheral dopamine infusions: are they worth the risk of infiltration?.” Journal of intravenous nursing 20.2 (1997):95-99.

What are the benefits of a pre-shift huddle or patient handoff?

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An integrative review of research on nursing handoffs in acute care settings… Transitions: Unifying Practice, Education, and Research to Improve Health: Communicating nursing research 2011 vol:44 pg:27

Gordon, Morris ; Educational interventions to improve handover in health care: a systematic review. Medical Education 2011 Nov; 45 (11): 1081-9.
http://web.ebscohost.com.proxy.library.emory.edu/ehost/pdfviewer/pdfviewer?sid=cb5c9931-f575-416d-a721-11e07d306885%40sessionmgr115&vid=2&hid=127

Evidence-based inpatient handovers: a literature review and research agenda. Clinical Governance 17.1 (2012):14.

Halm, Margo A. NURSING HANDOFFS: ENSURING SAFE PASSAGE FOR PATIENTS. American Journal of Critical Care 2013 Mar; 22 (2): 158-62.

Staggers, Nancy Research on nursing handoffs for medical and surgical settings: an integrative review. Journal of Advanced Nursing 2013 Feb; 69 (2): 247-62.

Searched CINAHL with keywords: handover, hand off. (Also selected “Evidence Based Practice” limiter)

You can also search Joanna Briggs, under the Clinical Tab in the Nursing Community and cutting and pasting the following search terms into the search box:

Nursing Clinical Handover
Hand off

Do patients respond differently to nurses who wear uniforms on inpatient mental health units?

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“Preferences of dress and address: views of attendees and mental health professionals of the psychiatric services.” Irish journal of psychological medicine 29.1 (2012)27.

Miller, Tracy, NancyMann, and Rodney DGrim. “Clothes encounter: patient perception of nursing attire in a behavioral health unit.” Journal of the American Psychiatric Nurses Association 16.3 (2010):178-183.

Adams, John. “Nursing in a therapeutic community: the Fulbourn experience, 1955-1985.” Journal of clinical nursing 18.19 (2009):2747-2753.

Lavender, A. “The effects of nurses changing from uniforms to everyday clothes on a psychiatric rehabilitation ward.” the British journal of medical psychology 60 pt. 2 (1987):189-199.

Sterling, F E. “Net positive social approaches of young psychiatric inpatients as influenced by nurses’ attire.” Journal of consulting and clinical psychology 48.1 (1980):58-62.

Trauer, T, and A V VMoss. “Psychiatric patients’ opinions of nurses ceasing to wear uniform.” Journal of advanced nursing 5.1 (1980):47-53.

Rinn, R C. “Effects of nursing apparel upon psychiatric inpatients’ behavior.” Perceptual and motor skills 43.3 pt. 1 (1976):939 -945.

Klein, R H, et al. “Psychiatric staff: uniforms or street clothes?” Archives of general psychiatry 26.1 (1972):19-22.

Walker, V J, GVoineskos, and D L LDunleavy. “The effects of psychiatric nurses ceasing to wear uniform.” British journal of psychiatry 118.546 (1971):581-582.

Leff, H S, R V VNydegger, and MBuck. “Effect of nurses’ mode of dress on behavior of psychiatric patients differing in information-processing complexity.” Journal of consulting and clinical psychology 34.1 (1970):72-79.

Petrovich, D V, J R Bennett, and J Jackson. “Nursing apparel and psychiatric patients: a comparison of uniforms and street clothes.” Journal of psychiatric nursing and mental health services 6.6 (1968):344-348.

Hawkins, E, J L Claghorn, and W Zentay. “Nursing dress, and experimental evaluation of its effect on psychiatric patients.” Journal of psychiatric nursing 4.2 (1966):148-157.

Databases searched: PubMed and CINAHL
Keywords: dress, uniform, attire, apparel, nurse*, psychiatric, mental health

Reviewed and updated 4/8/2014 ldt

What evidence supports administering normal saline with blood transfusions?

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Blood components: characteristics, indications, logistics and administration. In: Blood transfusion guideline. Utrecht (The Netherlands): Dutch Institute for Healthcare Improvement CBO 2011;18-59.

Australian & New Zealand Society of Blood Transfusion Ltd. Royal College of Nursing Australia. Guidelines for the administration of blood components. 2011.

Elgin, Kimberly, Maintaining Patency with Packed Red Blood Cell Infusions: Comparison of IV Normal Saline Infusion vs. Normal Saline Syringe Method. MEDSURG Nursing 2011 May-Jun; 20(3): 134-138.

Burdett, Edward Perioperative buffered versus non-buffered fluid administration for surgery in adults. Cochrane Database of Systematic Reviews 2012;12:CD004089 -CD004089.

Chung, H S Effects of liver function on ionized hypocalcaemia following rapid blood transfusion. Journal of international medical research 2012;40(2):572 -582.

Reviewed and updated 4/7/2014 ldt

What is the effectiveness of falls prevention programs?

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Bottom line:  In hospitals, multifaceted interventions may be associated with reduced incidence of falls, but evidence in this Cochrane review was inconclusive.  In care facilities, vitamin D supplementation is effective; exercise may be effective but studies have conflicting results; and multifaceted prevention programs may be beneficial but results are inconclusive.  In subacute hospitals, exercise is associated with a reduction in falls.

Details: Cochrane Database Syst Rev. 2012 Dec 12;12:CD005465. doi: 10.1002/14651858.CD005465.pub3. Interventions for preventing falls in older people in care facilities and hospitals. Cameron ID, et al.

Systematic review of 60 randomized controlled trials, N=60,345 (17 in hospitals  29,972 participants.)  Beginning on page 107, the review presents analysis of evidence in the following intervention categories:  vitamin D, exercise, medication review by pharmacist, environmental interventions, social interventions, other single interventions, multiple interventions, and multifactorial intervention programs.  Analysis of data pertaining to hospitals begins at Analysis 12.1 (p. 132.)

Updated 3/1/13

What are the orientation costs for registered nurses in a hospital setting?

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Morris LL ; Pfeifer P ; Catalano R ; Fortney R ; Nelson G ; Rabito R ; Harap R Outcome evaluation of a new model of critical care orientation. American Journal of Critical Care, 2009 May; 18(3): 252-9

Greene, Mary Ann. Paying for nursing orientation: a huge cost to hospitals. Journal for Nurses in Staff Development, 2010 Nov-Dec; 26(6): E3-7

Recruitment & Retention Report. On the road to a meaningful, cost-effective orientation program. Nursing Management 2011 vol:42 iss:5 pg:10

Reiter, Margaret Decrease new graduate nurse orientation costs by using HESI exit exam scores. The Journal of nursing administration 2007 vol:37 iss:10 pg:459 -463

Kennedy, Julie Nursing department orientation: are we missing the mark? Journal for nurses in staff development 2012 vol:28 iss:1 pg:24 -26

Reviewed JKN 4/14