Chronic Fatigue Predicts Hospital Nurse Turnover Intentions.

Objective: The objective of this study was to determine the impact of workforce engagement factors on hospital nurse turnover intentions.

Background: Nurse turnover intentions are impacted by occupational fatigue and burnout, which are differentially impacted by fatigue, meaning and joy in work, and work-related resilience.

Methods: One hundred fifty-one nurses from a southwestern hospital completed online surveys.

Impact of Affect Balance on Cognitive and Physical Function in Adults With and Without Fibromyalgia.

Objective: To identify the potential benefits of heightened levels of affect balance in older adults with and without chronic pain on various cognitive domains, physical performance, and perceived cognitive and physical health.

Method: Ninety-one older adults, some with and some without fibromyalgia (FM) participated. Objective tests included cognitive (immediate and delayed recall, delayed recognition-CERAD 10-item word list) and physical measures (Fullerton Advanced Balance Scale; lower body strength-30-s chair stand; gait velocity-30-ft.

Hospital Nurse Competency to Care for Patients With Behavioral Health Concerns: A Follow-Up Study.

Nonpsychiatric nurses care for hospital patients with behavioral health (BH) conditions. This study found BH care competencies of hospital nurses slightly changed from those 9 years earlier. On average, nurses reported moderate to strong perceived competence about assessing/intervening and accessing resources to care for BH patients.

Knowledge and Attitudes of Maternity Nurses and Ancillary Team Members about Substance Addiction during Pregnancy and Postpartum.

Objective: To describe knowledge and attitudes of maternity nurses and other ancillary direct caregivers about addictive substance use by pregnant women and new mothers and to evaluate their perceptions of role preparation, resources available, and educational needs.

Study Design Methods: We surveyed maternity nurses and ancillary members of the maternity care team to assess knowledge and attitudes about caring for women with addictive substance use. Data were analyzed using descriptive, parametric, and nonparametric statistics.

Impact of engagement factors on nurses' intention to leave hospital employment.

Aim: To determine the impact of workforce engagement factors on nurses' intention to leave their hospital.

Background: Nurse retention is important for safe patient care. It is unknown whether meaning and joy in work, occupational fatigue, job satisfaction and unprofessional behaviour experiences predict hospital nurse turnover intentions.

Effects of Transport on Oral Temperature of Postsurgical Patients Transported from PACU to Nursing Units.

Purpose: To determine the impact of transport from the postanesthesia care unit (PACU) to inpatient nursing units on postsurgical patient temperature.

Design: Exploratory correlational study.

Methods: PACU discharge oral temperatures of postsurgical adult patients were compared with oral temperature at unit transfer.

Teaching Father-Infant Massage during Postpartum Hospitalization: A Randomized Crossover Trial.

Purpose: The purpose of this study was to evaluate acceptability and impact of infant massage video instruction on fathers' behaviors in early postpartum.

Methods: A randomized crossover design was used. Participants were fathers of healthy term infants born at a Magnet hospital in Southern California.

A Picture Is Worth a Thousand Words: Pictographs to Improve Understanding of Discharge Instructions.

Introduction: Poor comprehension of ED discharge instructions has been reported. Discharge instructions often include written information. Identification of home-care practices that were different from recommended discharge instructions among multiple clients led nurses at a community emergency department to evaluate health literacy among specific clients.

Instrument Validation: Hospital Nurse Perceptions of Meaning and Joy in Work.

Background And Purpose: When workers experience meaning and joy in work (MJW), job satisfaction and retention are enhanced. No measure for MJW among nurses exists. The purpose of this work was to develop/test the MJW Questionnaire (MJWQ).

Supportive Care Nursing Clinical Protocol Incorporates Holism in a Public Acute Care Hospital.

The Supportive Care Nursing Clinical Protocol (SCNCP) was developed to guide holistic nursing care for seriously ill hospitalized patients. The SCNCP uses national guidelines and evidence-based interventions as its foundation. Seriously ill patients may require palliative care, which is synonymous with supportive care.

Barriers to medication error reporting among hospital nurses.

Aims And Objectives: The study purpose was to report medication error reporting barriers among hospital nurses, and to determine validity and reliability of an existing medication error reporting barriers questionnaire.

Background: Hospital medication errors typically occur between ordering of a medication to its receipt by the patient with subsequent staff monitoring. To decrease medication errors, factors surrounding medication errors must be understood; this requires reporting by employees.

Does Changing Newborn Bath Procedure Alter Newborn Temperatures and Exclusive Breastfeeding?

Purpose: This evidence-based practice project evaluated effects of changing timing/character of initial newborn baths on infant temperatures and breastfeeding status.

Background: The hospital protocol for initial bathing procedures was updated: immersion baths; 12 hours postpartum; family included.

Methods: Staff nurse champions provided staff training.

Patient Satisfaction With Anesthesia Care: What Do We Know?

This evidence review aimed to conceptualize patient satisfaction with anesthesia care (PSAC), which has been linked to reimbursement, competency evaluations, and litigation; to describe factors affecting PSAC; and to develop provider recommendations to enhance PSAC. The search for systematic reviews, survey reports, qualitative studies, and consumer satisfaction reports within the last 20 years excluded pediatric and obstetric articles. The search yielded 27 quantitative, 7 qualitative, and 9 consumer satisfaction articles.

Effect of Concentrated Psychiatric Education on Perceived Competence to Care for Behavioral Health Patients.

Contribution To Emergency Nursing Practice: ABSTRACT INTRODUCTION: Increasing numbers of behavioral patients are presenting to emergency departments, where competency of staff to care for this group is unknown.

Methods: This pre-post study measured the effects of a 7-hour conference on perceived competency of nurses and allied health professionals to care for behavioral health (BH) patients, as measured by the 23-item Behavioral Health Care Competency (BHCC) survey.

Results: Of 102 participants, most were emergency nurses (72%), acute care nurses and case managers (20%), and allied health personnel (trauma technicians and paramedics) (8%).

CE: Preventing Contrast-Induced Acute Kidney Injury.

: Diagnostic radiographic imaging scans using intravascular iodinated contrast media can lead to various complications. The most salient of these is contrast-induced acute kidney injury (CI-AKI) or contrast-induced nephropathy, a potentially costly and serious patient safety concern. Prevention strategies are the cornerstone of evidence-based clinical management for patients receiving contrast agents.

Magnet® Facility Nurses: Pursuing a Baccalaureate Degree in Nursing.

Unlabelled: The aim is to explore factors that motivate and obstacles that impede nurses from pursuing baccalaureate education when employed by a Magnet® organization.

Background: In the Future of Nursing (2011), the Institute of Medicine concluded that the baccalaureate should be the minimum education for nurses. Magnet organizations are encouraged to meet the Institute of Medicine goal of 80% of nurses with a baccalaureate by 2020.

Aging well: Processing speed inhibition and working memory related to balance and aerobic endurance.

Aim: The present study explored whether certain physical performance measures could be linked to specific cognitive domains in healthy older adults.

Method: A total of 50 adults (mean age 69.5 years, SD 8.

Heterogeneity in fibromyalgia based upon cognitive and physical performance and psychological symptomology.

Purpose: This study sought to investigate the existence of subgroups within a fibromyalgia (FM) sample based on physical and cognitive performance measures, as well as self-report psychological measures. A multisystem disorder characterized by widespread musculoskeletal pain and co-morbid conditions, FM can lead to declines in cognitive functioning and difficulty with psychological health.

Data Sources: Community participants (n = 57 women) recruited from support groups and university center databases provided documentation of having met the criteria for diagnosis of FM.

Polysomnography with quantitative EEG in patients with and without fibromyalgia.

Purpose: Characterize the polysomnographic (PSG) and quantitative EEG (qEEG) features of fibromyalgia and determine whether fibromyalgia patients differ in these measures when compared with a control sleep disorder population.

Methods: All undergoing all-night PSG for evaluation of a sleep disorder were evaluated for fibromyalgia. The PSGs were interpreted for routine sleep measures, and qEEG was performed to measure the delta and alpha frequency power during non-rapid eye movement sleep.

Hospital staff nurse perceptions of competency to care for patients with psychiatric or behavioral health concerns.

Disruptive behaviors are common among hospitalized patients with psychiatric and substance abuse behaviors. Nurses working on nonpsychiatric units, however, may lack competencies to care for patients with such behaviors. A survey was developed and administered to 844 nurses across three hospital settings that revealed a lack of nurse confidence to intervene in situations that require de-escalation techniques and crisis communication.

Blood culture accuracy: discards from central venous catheters in pediatric oncology patients in the emergency department.

Introduction: Lack of specific guidelines regarding collection of blood for culture from central venous catheters (CVCs) has led to inconsistencies in policies among hospitals. Currently, no specific professional or regulatory recommendations exist in relation to using, reinfusing, or discarding blood drawn from CVCs before drawing blood for a culture. Repeated wasting of blood may harm immunocompromised pediatric oncology patients.

Cognitive performance in women aged 50 years and older with and without fibromyalgia.

Objectives: Persons with fibromyalgia (FM) report having cognitive dysfunction. Neuropsychological performance was compared across a variety of domains in 43 women with FM (Mage = 63 years) and in 44 women without FM (Mage = 65 years).

Method: Measures included explicit memory (Consortium to Establish a Registry for Alzheimer's Disease [CERAD] immediate/delayed recall, delayed recognition), aspects of executive function including interference/inhibition (Stroop Color/Word test), working memory (Digit Span Forward/Backward), set-shifting/complex sequencing (Trails B), monitoring (verbal fluency: naming animals), processing speed (Trails A, Digit Symbol Substitution Coding), and problem solving (Everyday Problems Test).

Chronic pain management strategies used by low-income overweight Latinos.

Objective: The objective of this study is to examine the strategies used to manage chronic pain from the perspective of the individual in group interviews.

Methods: Sixteen low-income overweight Latino adults participated in two group interviews facilitated by a trained moderator who inquired about the type of chronic pain suffered by participants, followed by more specific questions about pain management. Interviews were audio-recorded, transcribed verbatim (Spanish), back-translated into English, and analyzed using thematic analysis.

Fall experiences of persons with fibromyalgia over 6 months.

Aims: To describe circumstances and consequences of falls occurring among persons with fibromyalgia who had recent falls.

Background: Fibromyalgia is a common widespread pain condition that has been linked to increased fall-risk. No published research described experiences of falling in persons with fibromyalgia.

Instrument validation: hospital nurse perceptions of their Behavioral Health Care Competency.

Aim: To report the development and psychometric testing of the Behavioral Health Care Competency survey, designed to measure hospital nurse perceptions of behavioral healthcare competency.

Background: Hospital nurses working in general or other non-psychiatric units may lack behavioral healthcare competency to manage disruptive behaviours associated with mental illnesses.

Design: Instrument development.