Author Archives: Lisa

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About Lisa

I have been a Clinical Informationist (aka Medical Librarian) for Emory University since September 2013. Prior to that, I was a Medical Librarian for Lincoln Memorial University (LMU) from March 2007 to August 2013 and served its DeBusk College of Osteopathic Medicine (LMU-DCOM), Caylor School of Nursing, and allied health programs. From January 2002 - March 2007, I served the Medical Assisting (MA), Occupational Therapy Assistant, Physical Therapy Assistant, Radiologic Technologist, and Nursing programs at South College in Knoxville, Tennessee. I graduated from The University of Tennessee School of Information Sciences with a Master of Science degree in December 2000. Received a Educational Specialist (EdS) degree in Educational Administration and Supervision with a higher education focus in August 2010 from LMU.

Admissions nurses

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Here are articles on admissions nurses/admission, discharge, and transfer (ADT) nurses.
Here is the search technique that was used in PubMed to find articles ([tiab] finds search terms in the title or abstract and was needed in the search to significantly decrease the number of results; the same search without the [tiab] command in Scopus, Web of Science, Embase, and CINAHL):
“admission nurse”[tiab] OR “admissions nurse”[tiab] OR “admission nurses”[tiab] OR “admissions nurses”[tiab] OR “adt rn”[tiab] OR “adt nurse”[tiab] OR “adt nurses”[tiab] OR ((“admission discharge”[tiab] OR “admissions discharges”[tiab]) AND (nurse[tiab] OR nurses[tiab] OR nursing[tiab]))

Reducing use of call lights/bed alarms

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Here is the search technique that was used in PubMed to find articles on reducing use of call lights/bed alarms. A similar technique was used in Embase.

(“call light” OR “call lights” OR alarm OR alarms) AND (reduce OR reduces OR reduced OR reducing OR decrease OR decreases OR decreased OR decreasing) AND (use OR used OR usage OR frequency OR utilize OR utilizes OR utilized OR utilizing OR utilization) AND (patient OR patients OR inpatient OR inpatients)

Here are articles on reducing use of call lights/bed alarms. Not included are articles on automated artifact filtering, a possible technique for decreasing false alarms.

Walsh Irwin, Colleen, and Corrine YJurgens. “Proper skin preparation and electrode placement decreases alarms on a telemetry unit.” Dimensions of Critical Care Nursing 34.3 (2015):134-9.

Mitchell, Matthew D, et al. “Hourly rounding to improve nursing responsiveness: a systematic review.” The Journal of Nursing Administration 44.9 (2014):462-72.

Siebig, S, et al. “Users’ opinions on intensive care unit alarms–a survey of German intensive care units.” Anaesthesia and Intensive Care 37.1 (2009):112-6.

Culley, Tom. “Reduce call light frequency with hourly rounds.” Nursing Management 39.3 (2008):50-2.

Meade, Christine M, Amy LBursell, and LynKetelsen. “Effects of nursing rounds: on patients’ call light use, satisfaction, and safety.” American Journal of Nursing 106.9 (2006):58-70; quiz 70.

Fiterau, M, et al. “Automatic Identification of Artifacts in Monitoring Critically Ill Patients.” Intensive Care Medicine 39.2 (2013):S470.

Beep, Beep, Beep: Rescuing patients and nurses from pump alarms on an Inpatient Bone Marrow Transplant Unit. Biology of Blood and Marrow Transplantation,Volume 20, Issue 2, Supplement, February 2014, Page S306. Pamela Grant-Navarro, Marianne Wallace, Kathleen Choo, Jennifer Feustel.

Implementation of a Standardized Cardiac Monitor Care Process to Reduce Nuisance Alarms. Biology of Blood and Marrow Transplantation, Volume 20, Issue 2, Supplement, February 2014, Page S298. Kristen Coleman, Kristen Coleman, Laura Flesch, Melissa Hayward, Connie Koons, Lori Ann McKenna, Christopher Dandoy

An alarm ward round reduces the frequency of false alarms on the ICU at night. Koerber J.P., Walker J., Worsley M., Thorpe C.M. Journal of the Intensive Care Society 2011, 12:1 75-76.

Graham, Kelly C, and MariaCvach. “Monitor alarm fatigue: standardizing use of physiological monitors and decreasing nuisance alarms.” American journal of critical care 19.1 (2010):28-34; quiz 35.

Sendelbach, Sue, et al. “Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms.” Critical Care Nurse 35.4 (2015):15-22; quiz 1p following 22.

Cvach, Maria M, et al. “Use of pagers with an alarm escalation system to reduce cardiac monitor alarm signals.” Journal of Nursing Care Quality 29.1 (2014):9-18.

Murray, Terri, et al. “Perceptions of reasons call lights are activated pre- and postintervention to decrease call light use.” Journal of Nursing Care Quality 25.4 (2010):366-72.

Fall prevention in academic medical centers

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For articles on fall prevention in academic medical centers, a search was conducted in PubMed for fall prevention AND academic medical center. There are 34results, all of which can be found here. Below are a few recent articles that offer studies on the topic.
· Moe K, Brockopp D, McCowan D, Merritt S, Hall B. Major Predictors of Inpatient Falls: A Multisite Study. J Nurs Adm. 2015 Oct;45(10):498-502. doi: 10.1097/NNA.0000000000000241.
· Quigley PA, Barnett SD, Bulat T, Friedman Y. Reducing Falls and Fall-Related Injuries in Medical-Surgical Units: One-Year Multihospital Falls Collaborative. J Nurs Care Qual. 2015 Aug 28.
· Williams T, Szekendi M, Thomas S. An analysis of patient falls and fall prevention programs across academic medical centers. J Nurs Care Qual. 2014 Jan-Mar;29(1):19-29. doi: 10.1097/NCQ.0b013e3182a0cd19.

American Nursing Association’s (ANA’s) Nursing Code of Ethics

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Here are some articles on ANA’s Nursing Code of Ethics.

Winland-Brown J,Lachman VD, Swanson EO. The New ‘Code of Ethics for Nurses With Interpretive Statements’ (2015): Practical Clinical Application, Part I. Medsurg Nurs. 2015 Jul-Aug;24(4):268-71.

Brown CS, Finnell DS. Provisions of the Code of Ethics for Nurses: Interpretive Statements for Transplant Nurses. Nephrol Nurs J. 2015 Jan-Feb;42(1):37-43; quiz 44.

Marketing new policies and procedures to nurses

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Landrum, B J. “Marketing innovations to nurses, Part 2: Marketing’s role in the adoption of innovations.” Journal of wound, ostomy, and continence nursing 25.5 (1998):227-32.
“This article is the second in a two-part series concerning marketing techniques to enhance nurses’ adoption of innovations. Introducing and getting staff to implement new policies and procedures constitute an important part of the WOC nurse’s role. The application of Rogers’ Diffusion of innovation Theory provides WOC nurses with a framework to introduce innovations into the clinical setting and to change subsequent practice patterns. This article introduces the WOC nurse to marketing principles needed to successfully introduce a practice innovation to nurse colleagues; it also builds upon Rogers’ Diffusion of Innovation Theory and presents a sample marketing plan as a template for marketing innovations in the clinical setting.”

Landrum, B J. “Marketing innovations to nurses, Part 1: How people adopt innovations.” Journal of wound, ostomy, and continence nursing 25.4 (1998):194-9.
“This article is the first in a two-part series that explores marketing techniques to enhance nurse’s adoption of innovations in practice. Introducing new policies and procedures and persuading colleagues to implement them constitute an important part of the WOC nurse role. Nursing research reveals a lag of 8 to 30 years between the time new ideas are generated and nurses use them in practice. This article presents a theoretic grounding based on the Everett Rogers Diffusion of innovation Theory and uses the author’s experiences introducing a research-based practice innovation to illustrate concrete and practice-relevant examples of innovation adoption theory and marketing principles in action.”

Standardization of nursing documentation and its effects on patient outcomes

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Here is a search strategy that finds 13 articles in PubMed. Go here, click on PubMed, and run this search. Then you can click the Find It at Emory button within an article’s entry to see if Emory has full-text access for an article.

24885821[uid] OR 24313025[uid] OR 21517280[uid] OR 19998628[uid] OR 19181202[uid] OR 18840217[uid] OR 18165723[uid] OR 17430533[uid] OR 16183359[uid] OR 14767231[uid] OR 19207524[uid] OR 8648420[uid] OR 8987274[uid]

Here are three articles that state that standardized documentation improves patient outcomes. The others seem to only briefly mention that standardizing documentation may improve patient outcomes. However, they may give you ideas on how to best standardize documentation.

Huffman, Melinda H, and Jennie ACowan. “Redefine care delivery and documentation.” Nursing Management 35.2 (2004):34-8.

Müller Staub, Maria, et al. “Improved quality of nursing documentation: results of a nursing diagnoses, interventions, and outcomes implementation study.” International Journal of Nursing Terminologies and Classifications 18.1 (2007):5-17.

Müller Staub, Maria. “Evaluation of the implementation of nursing diagnoses, interventions, and outcomes.” International Journal of Nursing Terminologies and Classifications 20.1 (2009):9-15.