Tag Archives: staff

What is the best practice regarding effects of patient location, specifically patient grouping, on patient and nursing satisfaction?

Posted on by
Reply

A search of CINAHL on the concepts of patient and nursing satisfaction and grouping assignment produced these results on care assignments and satisfaction of nurses and patients.

Duffield, Christine. Staffing, skill mix and the model of care. Journal of clinical nursing 2010 vol:19 iss:15-16 pg:2242 -2251

Hurst, Keith. UK ward design: patient dependency, nursing workload, staffing and quality-an observational study. International journal of nursing studies 2008 vol:45 iss:3 pg:370 -381

Adams, Ann, Staffing in acute hospital wards: part 1. The relationship between number of nurses and ward organizational environment. Journal of nursing management 2003 vol:11 iss:5 pg:287 -292

Mohamed, A H, Using the job characteristics model to compare patient care assignment methods of nurses. Eastern Mediterranean health journal 2004 vol:10 iss:3 pg:389 -405

What are some guidelines and studies on teamwork and effective communication between nurses and techs on an obstetrical/postpartum unit

Posted on by
Reply

Searched CINAHL and PubMed for the concepts of teamwork, communication, nurses & techs, and obstetrics/postpartum unit. Selected studies on development and strategies of effective communication and teamwork.

Crew management yields good results. Healthcare Risk Management , 2007 Dec; 29(12): 140-1

Tregunno D; Development and usability of a behavioural marking system for performance assessment of obstetrical teams.
Quality & Safety in Health Care, 2009 Oct; 18(5): 393-6

Daniel LT; Simpson EK Integrating team training strategies into obstetrical emergency simulation training.
Journal for Healthcare Quality: Promoting Excellence in Healthcare, 2009 Sep-Oct; 31(5): 38-42

Freeth D; Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations.
Journal of Continuing Education in the Health Professions, 2009 Spring; 29(2): 98-104

Birch L;Obstetric skills drills: evaluation of teaching methods. Nurse Education Today, 2007 Nov; 27(8): 915-22

Veltman L; P.U.R.E. (purposeful, unambiguous, respectful, and effective) Conversations and electronic fetal monitoring: gaining consensus and collaboration. American Journal of Obstetrics & Gynecology, 2010 Nov; 203(5): 440.e1-4

Thomas EJ;Team training in the Neonatal Resuscitation Program for interns: teamwork and quality of resuscitations.
Pediatrics, 2010 Mar; 125(3): 539-46

Shea-Lewis A Teamwork: crew resource management in a community hospital. Journal for Healthcare Quality: Promoting Excellence in Healthcare, 2009 Sep-Oct; 31(5): 14-8

What are guidelines and studies on patient room design in relation to nursing workflow and patient safety?

Posted on by
Reply

Literature searches found studies on patient room design in relation to patient safety, staff perceptions, and best practices.

To access literature on room design click here.

Then cut and paste the following into the url address bar

http://www.ncbi.nlm.nih.gov/sites/myncbi/collections/public/1TG7hzjdff_vjxM3xlssviLAs/

Comparison of primary or team nursing in the neonatal unit

Posted on by
Reply

Alcock D ; Lawrence J ; Goodman J ; Ellis J Formative evaluation: implementation of primary nursing. Canadian Journal of Nursing Research (CAN J NURS RES), 1993 Fall; 25(3): 15-28 (26 ref)

Millette K ; Taquino LT ; Lockridge T Primary nursing for neonates… “Caring for critically ill infants: strategies to promote physiological stability and improve developmental outcomes” [December 1999:64].
Critical Care Nurse (CRIT CARE NURSE), 2000 Aug; 20(4): 18, 20 (3 ref)

Bethea SW Primary nursing in the infant special care unit. Journal of Obstetric, Gynecologic & Neonatal Nursing (JOGNN), 1985 May-Jun; 14(3): 202-8 (10 ref 6 bib)

Search of PubMed and CINAHL for the concepts of primary nursing, team nursing and neonatal units

Smith SM Primary nursing in the NICU: a parent’s perspective. Neonatal Network (NEONAT NETW), 1987 Feb; 5(4): 25-7

Lawhon G Providing developmentally supportive care in the newborn intensive care unit: an evolving challenge.
Journal of Perinatal & Neonatal Nursing (J PERINAT NEONAT NURS), 1997 Mar; 10(4): 48-61 (44 ref)

Hodgkinson K What primary nursing means. Australian Nurses Journal (AUST NURSES J), 1990 Apr; 19(9): 16-9 (5 ref)

Gray JE Network analysis of team structure in the neonatal intensive care unit.Pediatrics. 2010 Jun;125(6):e1460-7. Epub 2010 May 10.

Goldschmidt KA, A model of nursing care microsystems for a large neonatal intensive care unit.Adv Neonatal Care. 2006 Apr;6(2):81-8.

Bolton LB, Nurse staffing and patient perceptions of nursing care.J Nurs Adm. 2003 Nov;33(11):607-14.

Mitchell-DiCenso A, A controlled trial of nurse practitioners in neonatal intensive care.Pediatrics. 1996 Dec;98(6 Pt 1):1143-8.

How does nursing staffing affect patient satisfaction?

Posted on by
Reply

Searched CINAHL & PubMed for the concepts of Patient satisfaction, Nursing satisfaction and Grouping assignment.

Duffield C, Roche M, Diers D, Catling-Paull C, Blay N. Staffing, skill mix and the model of care.J Clin Nurs. 2010 Aug;19(15-16):2242-51.

Hurst K. UK ward design: patient dependency, nursing workload, staffing and quality-an observational study. Int J Nurs Stud. 2008 Mar;45(3):370-81. Epub 2006 Nov 13.

Adams A, Bond S. Staffing in acute hospital wards: part 1. The relationship between number of nurses and ward organizational environment. J Nurs Manag. 2003 Sep;11(5):287-92.

Mohamed AH. Using the job characteristics model to compare patient care assignment methods of nurses.East Mediterr Health J. 2004 May;10(3):389-405.

Do nurse managed heart failure clinics have an effect on readmission or cost avoidance for hospital systems?

Posted on by
Reply

Bottom line:  Results from some quasi-experimental studies (mostly quality improvement projects) reported reductions in readmissions, cost, or length of stay for patients participating in nurse-directed heart failure clinics.

Details:  Search results in CINAHL for search of (MH “Nurse-Managed Centers”) AND heart failure AND (readmission OR readmissions OR cost OR costs)

Display relevant references in PubMed.

Reviewed and updated 5/1/2014 ldt

What is the recent evidence for intentional rounds in the intensive care unit?

Posted on by
Reply

Searched CINAHL and PubMed for patient rounds AND (“intensive care” OR “critical care”)  with a limit of English.

Six quasi-experimental studies in CINAHL measuring nurse satisfaction, ventilator-associated pneumonia, cental-line associated bloodstream infection, nosocomial infections, healthcare outcomes, family presence, and facilitators and barriers to patient care rounds
Adding intensive care or critical care eliminates many studies that may also be relevant.

(MH “Patient Rounds”) AND (hourly OR intentional OR proactive OR comfort)
These results include several experimental and quasi-experimental studies. If you want to look at specific outcomes, see the following searches for particular topics:

Falls – (MH “Patient Rounds”) AND (hourly OR intentional OR proactive OR comfort) AND falls

Patient satisfaction – (MH “Patient Rounds”) AND (hourly OR intentional OR proactive OR comfort) AND patient satisfaction

Patient centered care – (MH “Patient Rounds”) AND (MH “Patient centered care”)

Papers in PubMed search: (rounds OR rounding) AND (intentional OR hourly OR time factors OR proactive) AND (nurses OR nursing) AND (safety OR quality improvement OR infection OR pneumonia OR pressure ulcers OR falls OR patient satisfaction OR patient outcome assessment OR outcomes assessments) AND (“intensive care” OR “critical care”)
This search retrieves papers examining common outcomes in the intensive care unit.  Other outcomes can be included in the search.

Reviewed and updated 5/1/2014 ldt