Acuity tools for balanced nurse-patient assignments

“The use of objective, electronically generated nursing workload scores, combined with traditional nurse-to-patient ratios, provides accurate real-time nurse staffing needs that can inform best practice in staffing.”

Meyer, K. R., et al (2020). Development of a Nursing Assignment Tool Using Workload Acuity Scores. The Journal of nursing administration, 50(6), 322–327.

(Meyer)
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Communicating with intubated or tracheostomy through technology

“Surgical procedures that render patients acutely aphonic can cause them to experience significant anxiety and distress. Participants in this study included hospitalized patients who
acutely lost the ability to speak due to tracheostomy or total laryngectomy. Acute loss of phonation arising from surgery can be highly distressing for patients, and use of augmentative technology may alleviate some of these challenges by improving communication.”

Haring, C., Farlow, J., Leginza, M., Vance, K., Blakely, A., Lyden, T., . . . Casper, K. (2021). Effect of Augmentative Technology on Communication and Quality of Life After Tracheostomy or Total Laryngectomy. Otolaryngology–head and Neck Surgery., 019459982110137.
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Patient participation in recording fluid input/output

“The accurate documentation and maintenance of fluid balance charts constitute an integral part of nursing care. However, inaccuracies in fluid balance charting by nurses often occur. Inaccurate charting can result in delayed interventions, affecting the safety of patients. It has been found that fluid intake charting in an acute surgical inpatient ward is highly inaccurate. Many expressions of dissatisfaction are evident among medical healthcare professionals and patients regarding the accurate updating of the charts. Therefore, evidence-based measures need to be implemented in order to improve the safety of patient care through accurate recording of patients’ fluid intake”

Liaw, Y., & Goh, M. (2018). Improving the accuracy of fluid intake charting through patient involvement in an adult surgical ward: A best practice implementation project. JBI Database of Systematic Reviews and Implementation Reports.,16(8), 1709-1719.
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Do oncology nurse-navigators (ONN) improve patient outcomes?

Muñoz R, et al.. Multidisciplinary Cancer Care Model: A Positive Association Between Oncology Nurse Navigation and Improved Outcomes for Patients With Cancer. Clin J Oncol Nurs. 2018 Oct 1;22(5):E141-E145.

Muñoz R, Farshidpour L, Chaudhary UB, Fathi AH. Multidisciplinary Cancer Care Model: A Positive Association Between Oncology Nurse Navigation and Improved Outcomes for Patients With Cancer. Clin J Oncol Nurs. 2018 Oct 1;22(5):E141-E145. doi: 10.1188/18.CJON.E141-E145. PMID: 30239520.
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How can the medical record be used as an effective tool for patient and clinician communication?

“Electronic medical records comprise management of patients’ care, the clinical data repository, order entry and clinical decision suppor. EMRs can contain various components, including patient portals, secure messaging, and computerized physician order entry.”  “Clear communication is important to ensure safe and effective patient care in hospital settings. The adoption of EMRs in hospitals affects the ways in which health professionals communicate with patients and families.”

Manias, E.,et al E. (2020). Patient and family engagement in communicating with electronic medical records in hospitals: A systematic review. International Journal of Medical Informatics., 134, 104036.
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What is health equity and how can it be achieved?

“Understanding the drivers of differences in outcomes requires understanding social determinants of health.These determinants include economic stability (such as a living wage, adequate housing, and transportation)literacy including numerical and cultural literacy,adequate access to healthy food, social support, and finally access to care.”
Carlos, Ruth C, and Efren J Flores. “Health Equity.” Journal of the American College of Radiology : JACR. 16.4 Pt B (2019): 539-41. Print.
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What are some strategies to increase compliance of correctly completing the bedside shift reports?

“Bedside report is an evidence-based practice used to increase patient involvement in their care and improve patient satisfaction. A change management strategy and standardized approach to bedside report can help increase nurse compliance with the process.”
In this study “A change management strategy and standardized approach to bedside report helped increase nurse compliance with the process, leading to improved patient satisfaction.”

Scheidenhelm, S, et. al  Hardwiring Bedside Shift Report. (2017). Journal of Nursing Administration., 47(3), 147.

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