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Does knowledge of wait times and of reasons for wait affect satisfaction of emergency department patients?
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Category Archives: Patient Satisfaction
Are there methods that are effective at reducing nursing staff response time to patient call lights/bed alarms?
A search of PubMed, CINAHL, and ECRI (a quality and risk management resource) for combinations of these terms:
Call lights, call buttons, intercoms, stimuli
Patients, beds, rooms
Nurses, nursing
Response time, reaction time, attention
(call lights OR call buttons OR alarms) AND (patients OR beds OR rooms) AND (nurses OR nursing) AND (response time OR reaction time)…identified many articles about reducing the rate of call light use by implementing hourly/intentional/comfort rounding, as well as the association between call light use and falls. Below are a couple of references that explore how psychological factors may be associated with response time.
A Google search for no pass zone patient call lights identified several hospitals that have rolled out campaigns with this name, but there doesn’t seem to be anything in the traditional published literature about them. Here is information from a couple of hospitals in case you want to contact them directly for additional information.
http://healthleadersmedia.com/content/NRS-250810/Nurses-Find-Simple-Ways-to-Improve-Satisfaction##
http://1199seiubenefits.org/wp-content/uploads/2012/01/Mt.-Sinai-Powerpoint.pdf
This question seems to be similar to alert fatigue with use of alerts in clinical systems. After browsing some of those references in PubMed, I applied the subject headings
(“Human engineering”[mesh] OR “Hospital communication systems”[mesh]) AND (“Reaction time”[mesh] OR “time factors”[mesh]) AND nurses AND (falls OR patient satisfaction)
The most relevant reference in this search is below. It discusses use of a different technology.
Guarascio-Howard L. Examination of wireless technology to improve nurse communication, response time to bed alarms, and patient safety. HERD. 2011 Winter;4(2):109-20.
What is the standard of care for the post-operative patient who received spinal anesthesia?
Searches of PubMed, The Joanna Briggs Institute EBP Database, and the National Guideline Clearinghouse yielded the following practice guideline.
Whitaker Chair, D K, et al. “Immediate post-anaesthesia recovery 2013: Association of Anaesthetists of Great Britain and Ireland.” Anaesthesia 68.3 (2013):288-297.
The abstract states, “The standard of nursing and medical care should be equal to that in the hospital’s critical care units.”
Reviewed 4/8/2014 ldt
Are there studies on training programs for clinical care coordinators/patient technicians in communication skills?
Searches of PubMed and CINAHL for your concepts of nurses aides, communication, and education found the following articles.
Fukaya, Yasuko, et al. “Education to promote verbal communication by caregivers in geriatric care facilities.” Japan journal of nursing science 6.2 (2009):91-103.
McGilton, Katherine S, et al. “A systematic review of the effectiveness of communication interventions for health care providers caring for patients in residential care settings.” Worldviews on evidence-based nursing 6.3 (2009):149-159.
Levy Storms, Lené. “Therapeutic communication training in long-term care institutions: recommendations for future research.” Patient education and counseling 73.1 (2008):8-21.
Williams, Kristine N, Teresa BIlten, and HelenBower. “Meeting communication needs: topics of talk in the nursing home.” Journal of psychosocial nursing and mental health services 43.7 (2005):38-45.
Cunningham, Adrian. “Developing a communications course for health care assistants.” Nursing times 100.47 (2004):36-38.
Williams, Kristine Enhancing communication with older adults: overcoming elderspeak. Journal of Gerontological Nursing 2004 vol:30 iss:10 pg:17 -25
Stevens Roseman, Ellen S, and PatrickLeung. “Enhancing attitudes, knowledge and skills of paraprofessional service providers in elder care settings.” Gerontology & geriatrics education 25.1 (2004):73-88.
Counsell, Colleen M, and RoseRivers. “Inspiring support staff employees.” The Journal of nursing administration 32.3 (2002):120-121.
Burgio, L D, et al. “Come talk with me: improving communication between nursing assistants and nursing home residents during care routines.” Gerontologist, The 41.4 (2001):449-460.
McCallion, P, et al. “Educating nursing assistants to communicate more effectively with nursing home residents with dementia.” Gerontologist, The 39.5 (1999):546-558.
Thomas, L H. “A comparison of the verbal interactions of qualified nurses and nursing auxiliaries in primary, team and functional nursing wards.” International journal of nursing studies 31.3 (1994):231-244.
The role of palliative care and its affect on the prognosis and quality of life of the oncologic patient
The following were located through CINAHL
“A Nurse Practitioner Directed Intervention Improves the Quality of Life of Patients with Metastatic Cancer: Results of a Randomized Pilot Study.” Journal of palliative medicine 15.8 (2012):890.
Brandstätter M ; Baumann U ; Borasio GD ; Fegg MJ Systematic review of meaning in life assessment instruments. Psycho-Oncology, 2012 Oct; 21 (10): 1034-52.
Joanna Briggs:
Click here to access Joanna Briggs resources
When Joanna Briggs opens cut & paste the following into the search box:
palliative care and oncology and (quality of life or prognosis)
Keywords to use for searching CINAHL & Joanna Briggs: palliative, oncology, quality of life, prognosis
Do patients respond differently to nurses who wear uniforms on inpatient mental health units?
“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
Does hourly rounding reduce the risk of accidental falls in a cardiovascular surgical unit?
A CINAHL search for (rounds OR rounding) AND falls AND (cardiac OR coronary OR cardiovascular) did not retrieve any results.
A search for (rounds OR rounding) AND falls AND (surgical OR surgery OR postoperative) retrieved 13 references, including these studies in medical-surgical units:
Effects of rounding on patient satisfaction and patient safety on a medical-surgical unit. Woodward JL; Clinical Nurse Specialist: The Journal for Advanced Nursing Practice, 2009 Jul-Aug; 23 (4): 200-6.
Hourly Rounding: A Replication Study. Olrich, Todd; Kalman, Melanie; Nigolian, Cindy; MEDSURG Nursing, 2012 Jan-Feb; 21 (1): 23-36.
A search in PubMed found these two additional articles.
Krepper, Rebecca, et al. “Evaluation of a Standardized Hourly Rounding Process (SHaRP).” Journal for healthcare quality 36.2 (2014):62-69.
The first took place in two 32-bed cardiovascular surgery nursing units.
Ciccu Moore, Rita, et al. “Care and comfort rounds: improving standards.” Nursing management 20.9 (2014):18-23.
This study took place in an orthopaedic and surgical rehabilitation ward.
See also Does hourly or intentional rounding reduce the rate of accidental falls in acute care facilities?
See also Are inpatients with cardiac conditions or on diuretic therapy at risk for falls and is there any evidence of interventions to reduce falls in this population?
This blog entry references a couple of papers in the search results that include patients with cardiac conditions in their populations. You might be able to extrapolate strategies to your population.
Reviewed and updated 4/8/2014 ldt
Evidence Matters 