How does nursing work engagement effect patient and hospital outcomes?

“The vital connection of nurse engagement to the experience of care, and ultimately to nurse and patient outcomes, is clear. Quality improvement efforts that equally emphasize initiatives to improve the patient experience and create and sustain a highly engaged nursing workforce are key to achieving desired safety and quality outcomes.”

Dempsey C, Assi MJ. The Impact of Nurse Engagement on Quality, Safety, and the Experience of Care: What Nurse Leaders Should Know. Nurs Adm Q. 2018 Jul/Sep; 42(3):278-283.

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What are modifiable risk factors for cancer?

“An estimated one third to one half of cancers could be prevented by healthy lifestyle choices: eliminating tobacco use, maintaining a healthy body mass index (BMI), moderating alcohol consumption, and maintaining an active lifestyle.”
Arem, Hannah, & Loftfield, Erikka. (2018). Cancer Epidemiology: A Survey of Modifiable Risk Factors for Prevention and Survivorship. American Journal of Lifestyle Medicine., 12(3), 200-210.

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What are the disparities and barriers to breast feeding and how to help new mothers overcome those impacts?

Despite recognized health benefits for both mothers and infants, significant disparities still exist in the rates of breastfeeding in the United States.  This article reviews the evidence related to barriers (prenatal, medical, societal, hospital, and sociocultural) that many mothers face, and explore the known barriers and the impact they have on a woman’s ability to breastfeed her infant.Strategies will be discussed to address (and potentially overcome) some of the most common barriers women face along with a list of resources that can be useful in this effort.
From: Sriraman, Natasha, et al

Sriraman, Natasha K, & Kellams, Ann. (2016). Breastfeeding: What are the Barriers? Why Women Struggle to Achieve Their Goals. Journal of Women’s Health., 25(7), 714-722.

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What are the various cultural beliefs and practices among minority groups regarding cancer prevention?

From Lott, B. et al. (Reference below)

“Minority youth represent a unique population for public health interventions given the social, economic, and cultural barriers they often face in accessing health services. Interventions to increase uptake of Human Papillomavirus (HPV) vaccination in minority youth have the potential to reduce disparities in HPV infection and HPV-related cancers.

Some studies have found that Black, His-panic, and Asian adolescents were more likely to initiate the HPV vaccine series than their white counterparts, however, were less likely to complete the series

Documented barriers to HPV vaccination of minority youth include knowledge, attitudes, and beliefs among parents, geographic location, distance to vaccination centers,immigrant or foreign-born status, acculturation levels, socioeconomic status, insurance status, and high cost of the vaccine”

Lott, B., Okusanya, B., Anderson, E., Kram, N., Rodriguez, M., Thomson, C., . . . Ehiri, J. (n.d.). Interventions to increase uptake of Human Papillomavirus (HPV) vaccination in minority populations: A systematic review. Preventive Medicine Reports., 19, 101163.

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What are the barriers and facilitators to the sustainability of cancer interventions?

These overarching themes were identified, which when present, were facilitators, and if absent, were barriers:

  1. Evidence (intervention credibility, experienced efficacy, perceived need for intervention)
  2. Context (positive attitude to and capacity for survivorship/FCR care, favourable therapist orientation and flexibility, strong referral pathways)
  3. Facilitation of implementation (intervention/service fit, intervention/patient fit, and training,support, and provided resources). Continue reading

Communication options with patients under isolation precautions: Covid 19

Fang, J., Liu, Y. T., Lee, E. Y., & Yadav, K. (2020). Telehealth Solutions for In-hospital Communication with Patients Under Isolation During COVID-19. The western journal of emergency medicine, 21(4), 801–806. https://doi.org/10.5811/westjem.2020.5.48165

Reengineering the patient’s environment: Establishment of a “Red Box” to improve communications with patients on isolation precautions. (2019). American Journal of Infection Control : Applied Epidemiology in Health Care Settings and the Community, 47(3), 264.

Communication strategies to mitigate fear and suffering among COVID-19 patients isolated in the ICU and their families. (2020). Heart & Lung., 49(4), 344.

Fan, P., Aloweni, F., Lim, S. H., Ang, S. Y., Perera, K., Quek, A. H., Quek, H., & Ayre, T. C. (2020). Needs and concerns of patients in isolation care units – learnings from COVID-19: A reflection. World journal of clinical cases, 8(10), 1763–1766. https://doi.org/10.12998/wjcc.v8.i10.1763

McNairy, M., Bullington, B., & Bloom-Feshbach, K. (2020). Searching for Human Connectedness During COVID-19. Journal of general internal medicine, 1–2. Advance online publication. https://doi.org/10.1007/s11606-020-06082-9

Vilendrer, S., Patel, B., Chadwick, W., Hwa, M., Asch, S., Pageler, N., Ramdeo, R., Saliba-Gustafsson, E. A., Strong, P., & Sharp, C. (2020). Rapid Deployment of Inpatient Telemedicine In Response to COVID-19 Across Three Health Systems. Journal of the American Medical Informatics Association : JAMIA, 27(7), 1102–1109. https://doi.org/10.1093/jamia/ocaa077

Missed nursing care and the impact on patient and hospital outcomes

Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. (2019). Journal of Nursing Care Quality., 34(4), 287.

(2018). Journal of Clinical Nursing., 27(11-12), 2248.

Does Missed Care in Isolated Rural Hospitals Matter? (2018). Western Journal of Nursing Research., 40(6), 775.

The association between nurse staffing and omissions in nursing care: A systematic review. (2018). Journal of Advanced Nursing., 74(7), 1474.

Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. (2019). Journal of Nursing Care Quality., 34(4), 287.

A research protocol for testing relationships between nurse workload, missed nursing care and neonatal outcomes: The neonatal nursing care quality study. (2015). Journal of Advanced Nursing., 71(3), 632.

Practice environment characteristics associated with missed nursing care. (2018). Journal of Nursing Scholarship : An Official Publication of Sigma Theta Tau International Honor Society of Nursing /, 50(6), 722.

Development and validation of the MISSCARE survey—Pediatric version. (2018). Journal of Advanced Nursing., 74(12), 2922.
Missed care: A need for careful ethical discussion. (2018). Nursing Ethics., 25(5), 549.