Quality of nursing care across hospitals is variable, and this variation can result in poor patient outcomes. One aspect quality the amount necessary that omitted. This article reports on extent type missed reasons for care. The MISSCARE Survey was administered to staff (n = 4086) who provide direct 10 acute hospitals. Missed patterns as well missing (labor resources, material communication) were common all Job title (ie, registered nurse vs assistant), shift worked, absenteeism, perceived...

Patient falls in hospitals continue to be a major and costly problem. This study tested the mediating effect of missed nursing care on relationship staffing levels (hours per patient day [HPPD]) falls. The sample was 124 units 11 hospitals. HPPD negatively associated with (r = −0.36, P < .01), found mediate between

To examine whether actual nurse staffing predicts missed nursing care, controlling for other unit characteristics. This study utilized a cross-sectional, descriptive design. Ten hospitals in the Midwestern region of USA. Nursing staff members with direct care responsibilities (n = 4288) on 110 units. The MISSCARE Survey was to capture respondents' perceptions as well characteristics (i.e. demographics, work schedules and absenteeism). Actual data (hours per patient day [HPPD], registered...

Background Implementation of the ruling on Inpatient Prospective Payment System by Centers for Medicare and Medicaid has challenged nurses to focus prevention pressure ulcers. Despite years research, ulcers are still one most common complications experienced patients in health care facilities. Objective To examine relationship between patients’ characteristics (age, sex, body mass index, history diabetes, Braden Scale score at admission) (total operating room time, multiple surgeries,...

Simulation has a well-known history in the military, nuclear power, and aviation. It is also recommended teaching learning strategy supported by several landmark studies. Although past 20 years simulation become more integrated into education of nurses physicians, it not been as well development skills for practicing nurses. This article will provide an overview techniques uses review selected research. Despite recommendations using growing integration education, we still lack empirical...

This study explores the impact of missed nursing care (required patient that is omitted) on job satisfaction personnel. Data from 3,135 registered nurses (RNs) and 939 assistants (NAs) 110 units in ten midwestern hospitals revealed staff who perceived less unit where they work are more satisfied their current position occupation. Perceptions staffing adequacy also significantly predicted both variables. Focused interventions aimed at decreasing ensuring needed to improve care.

To examine information flow, a vital component of patient's care and outcomes, in sample multiple hospital nursing units to uncover potential sources error opportunities for systematic improvement.This was qualitative study eight medical-surgical from four diverse hospitals one US state. We conducted direct work observations staff's communication patterns entire shifts (8 or 12 h) total 200 h gathered related documentation artifacts analyses. Data were coded using content analysis procedures...

The use of simulation in the undergraduate nursing curriculum is gaining popularity and becoming a foundation many programs. purpose this paper to highlight new teaching strategy, virtual reality (VR) simulation, which capitalizes on technological skills generation student. This small-scale pilot study focused improving interpersonal senior level students using VR simulation. In study, repeated-measure design was used evaluate effectiveness student's performance over series two scenarios....

Nurse managers have a pivotal role in fostering unit climates supportive of implementing evidence-based practices (EBPs) care delivery. EBP leadership behaviors and competencies nurse their impact on practice are widely overlooked implementation science. The purpose this study was to examine the contributions manager explaining for adult medical-surgical units. A multi-site, multi-unit cross-sectional research design used recruit sample 24 553 randomly selected staff nurses from units 7...

The purpose of this study was to test the use virtual simulation improve teamwork among nursing staff. Using a quasi-experimental design, staff (n = 43) from one patient care unit participated in 1-hr session, which focused on common problems. overall mean scores improved pre- (M 3.25, SD 0.58) post-intervention 3.49, 0.67, p < .012). intervention also had large (0.60 ≤ d 0.97) and significant effects measures three subscales (i.e., trust, team orientation, backup).

Abstract Background Hospital-acquired pressure injuries (PIs) induce significant patient suffering, inflate healthcare costs, and increase clinical co-morbidities. PIs are mostly due to bed-immobility, sensory impairment, bed positioning, length of hospital stay. In this study, we use electronic health records administrative data examine the contributing factors PI development using artificial intelligence (AI). Methods We used advanced science techniques first preprocess then train machine...

Background: Use of simulation has been identified as an integrative strategy to bridge theory practice and a need in educating nurses the future. provides opportunity for nursing students deliberately skills needed be expert nurse. The purpose this study was explore use virtual simulations improve knowledge transfer one Midwest University. Methods: This used quasi-experimental design with 115 All received education on topics related conflict management, priority-setting, patient safety....

To provide optimal patient care, all members of the health care team must effectively communicate status and current plan care. The Crew Resource Management (CRM) training system has been successfully used in aviation industry to manage human error reduce risk operational environment. CRM focuses on behaviors that support communication teamwork is modifiable be nursing education. A version CRM-nursing crew resource management-was implemented a group senior undergraduate students. Students...

To test the hypothesis that Hands-on Automated Nursing Data System (HANDS) "big picture summary" can be implemented uniformly across diverse settings, and result in positive registered nurse (RN) plan of care (POC) data outcomes time. In a longitudinal, multisite, full study, representative convenience sample eight medical-surgical units from four hospitals (one university, two large community, one small community) Midwestern state HANDS intervention for 24 (four units) or 12 months. (a) RN...

For many patients, hospitalization brings prolonged periods of bed rest, which are associated with such adverse health outcomes as increased length stay, risk falls, functional decline, and extended-care facility placement. Most studies progressive or early mobility protocols designed to minimize these effects have been geared toward specific patient populations conducted by multidisciplinary teams in either ICUs surgical units. Very few programs developed for implemented on acute care...

This study aimed to understand the facilitators and barriers of quality improvement (QI) from perspective nurses leaders at frontline.Nurse engagement in QI has been associated with care improved patient outcomes, yet nurse reported participation is low.A descriptive qualitative design purposive sampling was used examine engagement.Facilitators (1) A leader's influence on a culture. Subthemes: creating buy-in, support just culture working partnership nurses. Barriers organizational for lead...

This study examines the relationship between nurse staffing and patient length of stay (LOS). Data were collected on nurses employed patients admitted to one four units located in two Midwest hospitals. Three nursing variables (hours per day [HPPD], skill mix, expertise) through survey administrative forms. The data then linked with patient-specific characteristics (deviation from expected LOS) test at level analysis. Average HPPD was a positive predictor deviation LOS, whereas overall...

This study examines the relationship between nurse/physician collaboration and patient length of stay (LOS).The quality relationships has been shown to have an impact on outcomes. As acuity level patients admitted hospitals continue rise, need for collaboratively determined care is essential avoiding errors promoting quality.Data were collected four units located in two Midwest hospitals. Nurses (n = 135) asked complete a survey seeking perceptions collaboration. The data then linked with...

In healthcare, the sustained presence of hierarchy between team members has been cited as a common contributor to communication breakdowns. Hierarchy serves accentuate either actual or perceived chains command, which may result in failing challenge decisions made by leaders, despite concerns about adverse patient outcomes. While other tools suggest improved communication, none focus specifically on skills for followers, nor do they provide techniques immediately authority and escalate...