What is the evidence on strategies for coping with moral distress for nurses working with heart failure patients?

Posted on December 21, 2015 by Amy

There are several relevant papers on coping strategies, but not specific to heart failure.

Search strategy (database and search terms):

Joanna Briggs
Search terms: moral distress

Identified a systematic review that includes some discussion of coping.
How professional nurses working in hospital environments experience moral distress: a systematic review.
Rittenmeyer L, Huffman, D. How professional nurses working in hospital environments experience moral distress: a systematic review. The JBI Library of Systematic Reviews. 7(28):1234-1291, 2009.

PubMed

Search terms: “morals”[mesh] AND (psychology OR stress) AND (adaptation OR coping) AND “nursing staff”[mesh]
Filters: English

This search identifies over a hundred articles. You may be especially interested in these references that are available through this search:

Moral distress: levels, coping and preferred interventions in critical care and transitional care nurses. Wilson MA, Goettemoeller DM, Bevan NA, McCord JM. J Clin Nurs. 2013 May;22(9-10):1455-66. doi: 10.1111/jocn.12128. Epub 2013 Mar 8.
PMID: 23473022

How professional nurses working in hospital environments experience moral distress: a systematic review. Huffman DM, Rittenmeyer L. Crit Care Nurs Clin North Am. 2012 Mar;24(1):91-100. doi: 10.1016/j.ccell.2012.01.004. Epub 2012 Feb 3. Review.
PMID: 22405714

Innovative solutions: the effect of a workshop on reducing the experience of moral distress in an intensive care unit setting. Beumer CM. Dimens Crit Care Nurs. 2008 Nov-Dec;27(6):263-7. doi: 10.1097/01.DCC.0000338871.77658.03.
PMID: 18953194

Defining and addressing moral distress: tools for critical care nursing leaders. Rushton CH. AACN Adv Crit Care. 2006 Apr-Jun;17(2):161-8.
PMID: 16767017

Search terms for articles specific to heart failure: “moral distress” AND “heart failure”

Identified one article on managing heart failure that discusses moral distress.
Nurs Res. 2014 Sep-Oct;63(5):357-65. doi: 10.1097/NNR.0000000000000049.
Managing heart failure in the long-term care setting: nurses’ experiences in Ontario, Canada. Strachan PH.

Emotional intelligence and nursing

Posted on November 19, 2015 by Lisa

Ranjbar, Hossein. “Emotional intelligence training: A necessity for nursing education curriculum.” Nurse Education Today 35.11 (2015):1053.

“Teaching safety in nursing practice: Is emotional intelligence a vital component?.” Teaching and learning in nursing 10.2 (2015):88.

“Emotional intelligence – essential for trauma nursing.” International emergency nursing 23.1 (2015):13.

“A study of the influence of nursing education on development of emotional intelligence.” Journal of professional nursing 30.6 (2014):511.

“Emotional Intelligence (EI) and Nursing Leadership Styles Among Nurse Managers.” Nursing administration quarterly 39.2 (2015):172.

Sleeping position guideline for administering vesicant chemotherapy

Posted on November 13, 2015 by John

Searched PubMed for these concepts: vesicant and “sleeping position” or “supine” or “lateral decubitus position”

Managing vesicant extravasations. The oncologist [1083-7159] Schulmeister, Lisa yr:2008 vol:13 iss:3 pg:284 -8

Preventing and managing vesicant chemotherapy extravasations. The Journal of supportive oncology [1544-6794] Schulmeister, Lisa yr:2010 vol:8 iss:5 pg:212 -5

Haberer, Sophie, et al. “Locoregional treatment for breast carcinoma after Hodgkin’s lymphoma: the breast conservation option.” International journal of radiation oncology, biology, physics 82.2 (2012):e145-52.

Admissions nurses

Posted on November 5, 2015 by Lisa

Here are articles on admissions nurses/admission, discharge, and transfer (ADT) nurses.

Schaeffer, R, et al. “Admission nurse.” Journal of emergency nursing 32.1 (2006):85-86.
PERFETTO, J, et al.”Admissions nurse practitioners make a difference.” American journal of nursing 78.4 (1978):648-9.”
“Report puts spotlight on inpatient holds: the No. 1 reason for ED overcrowding.” ED Manag 15.6 (2003):61-3.
Siehoff, Alice, BethGancarz, and CarolWise. “Improving patient admissions with dedicated admission nurses.” The Journal of nursing administration 39.1 (2009):11-3.
Giangiulio, Martha, et al. “Initiation and evaluation of an Admission, Discharge, Transfer (ADT) Nursing Program in a pediatric setting.” Issues in comprehensive pediatric nursing 31.2 (2008):61-70.
Patterson, John, et al. “Bridging orders and a dedicated admission nurse decreases emergency department turnaround times while increasing patient satisfaction.” Annals of emergency medicine 50.3 (2007):351-2.
Kirkbride, Geri, et al. “Weathering the storm: nurses’ satisfaction with a mobile admission nurse service.” Journal of nursing management 20.3 (2012):344-53.
Hlipala, Sandra L, et al. “Profile of an admission nurse.” Nursing Management 36.6 (2005):44-7.
Frew, S, and JWright. “The admission nurse: A way to expedite and improve the admissions process and stop ED diversions.” Journal of emergency nursing 25.2 (1999):123-4.
Balon, Jennifer, and Stephanie AThomas. “Comparison of hospital admission medication lists with primary care physician and outpatient pharmacy lists.” Journal of nursing scholarship 43.3 (2011):292-300.
Lester, Paula, Richard GStefanacci, and Ding-GengChen. “Nursing home procedures on transitions of care.” Journal of the American Medical Directors Association 10.9 (2009):634-8.
Blankenship, Jean S, and Susan AWinslow. “Admission-discharge-teaching nurses: bridging the gap in today’s workforce.” The Journal of nursing administration 33.1 (2003):11-3.
Joyce, Carol, et al. “Transfer admission discharge teams keep things moving.” Nursing Management 36.11 (2005):36-9.
Lane, Betty S, et al. “Nurse satisfaction and creation of an admission, discharge, and teaching nurse position.” Journal of nursing care quality 24.2 (2009):148-52.

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

Posted on October 27, 2015 by Lisa

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

Posted on October 27, 2015 by Lisa

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

Posted on October 27, 2015 by Lisa

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.

Evidence Matters

Evidence-based information for Emory

What is the evidence on strategies for coping with moral distress for nurses working with heart failure patients?

Emotional intelligence and nursing

Sleeping position guideline for administering vesicant chemotherapy

Admissions nurses

Reducing use of call lights/bed alarms

Fall prevention in academic medical centers

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