Evolution of Postpandemic Nurse Orientation Through an Academic-Practice Partnership.

An academic-practice partnership engaged in redesigning the postpandemic orientation process for newly hired nurses in a large academic health system. Results from needs assessments and collaboration efforts informed the orientation program redesign, and the National Implementation Research Network framework guided project development. The orientation redesign aimed to enhance efficiency, readiness for unit-specific orientation, and stakeholder satisfaction.

Development of the "Through the Eyes of …" Program for Improving Cultural Awareness.

Background: Understanding the role implicit bias plays in health inequities can aid students in adopting a culturally humble approach to working with diverse communities. This article describes the development of the "Through the Eyes of …" training program, aimed at improving cultural humility, empathy, and implicit bias awareness of nursing students.

Method: A series of simulated experiences using 360-degree video capture was developed, allowing students to explore personal and societal responses to the experiences of the populations served within the community.

State of Mental Health, Healthy Behaviors, and Wellness Support in Big 10 University Nursing and Health Sciences Faculty, Staff, and Students During COVID-19.

Background: Federal and national entities urge organizations to assess healthcare professionals' mental health and well-being as the COVID-19 pandemic has compounded the issue.

Aims: This study aimed to (1) describe rates of mental health issues, healthy lifestyle behaviors, and perceptions of COVID-19's impact among Big 10 University nursing and health sciences faculty, staff, and students; (2) identify predictors of depression, anxiety, stress, and burnout; and (3) assess the relationships among perceived school wellness support, healthy lifestyle behaviors, physical/mental health, and mattering.

Methods: A cross-sectional descriptive correlational design was used.

Original Research: Exploring Frontline Nurses' Self-Perceived Levels of QI Engagement and QI Competence.

Background And Purpose: Nurse engagement in quality improvement (QI) is critical in the delivery of safe high-quality care, yet few studies have evaluated frontline nurses in this area. The purpose of this study was to identify and compare levels of self-reported QI engagement and QI competence among frontline nurses and nurse leaders.

Methods: This study used a cross-sectional descriptive design.

Thinking, Feeling, Behaving: Using the MINDBODYSTRONG ® Intervention to Improve Nurse Well-being Using a Virtual Format.

Objective: This study examined the impact of the MINDBODYSTRONG ® program on mental health and lifestyle behaviors among a sample of staff nurses, clinical nurse leaders, and faculty, when offered after the onset of the COVID-19 pandemic.

Background: Previous studies have demonstrated the MINDBODYSTRONG program decreased anxiety and depressive symptoms, improved job satisfaction, and sustained healthy lifestyle behaviors in newly licensed RNs. This program has not been studied with experienced nurses.

Examining QI Knowledge Among Frontline Nurses and Nurse Leaders.

Background: Frontline nurses deliver direct patient care and by participating in quality improvement (QI) can have an impact on health care quality and safety. Unfortunately, nurses are not participating in QI, which may be due to a lack of QI knowledge.

Purpose: The purpose of this study was to evaluate nurses QI knowledge utilizing the revised Quality Improvement Knowledge Application Tool (QIKAT-R), with newly created nursing scenarios, among frontline nurses and nurse leaders.

Quality improvement engagement: Barriers and facilitators.

A comparison of frontline nurses, advanced practice nurses, and nurse leaders.

A qualitative study on barriers and facilitators of quality improvement engagement by frontline nurses and leaders.

Aim: This study aimed to understand the facilitators and barriers of quality improvement (QI) from the perspective of nurses and leaders at the frontline.

Background: Nurse engagement in QI has been associated with quality care and improved patient outcomes, yet nurse reported participation is low.

Methods: A descriptive qualitative design and purposive sampling was used to examine barriers and facilitators of nurse engagement.

Modeling and prediction of pressure injury in hospitalized patients using artificial intelligence.

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, and length of hospital stay. In this study, we use electronic health records and administrative data to examine the contributing factors to PI development using artificial intelligence (AI).

Impact of TeamSTEPPS Training With Rural Hospital Staff: A Quality Improvement Project.

Background: Teamwork and communication are critical components to patient safety and reducing clinical errors. TeamSTEPPS is a successful team-training program evaluated by many health care settings; however, there are limited data on its use in small, rural hospitals.

Local Problem: A large health care system purchased a small, rural hospital with the goal to improve patient care by creating a team-based culture and a financially stable organization.

Quality improvement engagement and competence: A comparison between frontline nurses and nurse leaders.

Background: Nurses play a pivotal role in improving patient care. To maximize nurses' impact on quality, nurses must have quality improvement (QI) competence and engage fully in QI initiatives.

Purpose: To describe QI competence (knowledge, skills, and attitudes) among frontline nurses and leaders; and compare variations in competence among nursing roles, experience, and specialty areas.

Improving Patient\Population Health: Using 'Why' to Develop a Transformative Research Center.

Introduction: Novel approaches to address the most vexing problems facing patients and vulnerable populations are needed. The purpose of this project was to establish an innovative research Center based on the principles of transformational organizations.

Methods: A new Center formed included faculty members with expertise in cancer, serious illness, and population health.

An Integrative Review of the Barriers and Facilitators to Nurse Engagement in Quality Improvement in the Clinical Practice Setting.

Background: Nurse engagement in quality improvement (QI) improves health care quality and outcomes but is typically low in clinical settings.

Purpose: An integrative review was conducted to identify facilitators and barriers of nurse engagement in QI.

Methods: This integrative review was conducted using an electronic search of databases with search terms specific to nursing engagement in QI.

Development of the Nursing Quality Improvement in Practice Tool: Advancing Frontline Nursing Practice.

Background: Frontline nurse engagement in quality improvement (QI) improves nurse-sensitive outcomes; yet research suggests frontline nurses are not engaging in QI.

Purpose: The purpose of this study was to develop, refine, and psychometrically evaluate the Nursing Quality Improvement in Practice (N-QuIP) tool to measure nurses' competency, engagement, and barriers/facilitators to QI engagement.

Methods: Item development was guided by an expert panel and literature review.

The pressure injury predictive model: A framework for hospital-acquired pressure injuries.

Background: Despite decades of research, pressure injuries continue to be a source of significant pain and delayed recovery for patients and substantial quality and cost issues for hospitals. Consideration of the current thinking around pressure injury risk must be evaluated to improve risk assessments and subsequent nursing interventions aimed at reducing hospital-acquired pressure injuries.

Design: This is a discursive paper using Walker and Avant's (2005) theory synthesis framework to examine the relevance of existing pressure injury models as they align with the current literature.

Hospital-to-Homecare Videoconference Handoff: Improved Communication, Coordination of Care, and Patient/Family Engagement.

Transitions of care between settings and clinicians are a time of vulnerability for patients, and can result in fragmented care, medication errors, avoidable readmissions, and patient/nurse dissatisfaction. Through the use of technology and a structured face-to-face handoff, the patient and family can be engaged in the transition across settings. The purpose of this project was to determine the feasibility and effectiveness of videoconference handoffs between inpatient, case management, and home care nurses, and the patients/families during transitions of care from hospital to home care.

Improving knowledge and behavior of leadership and followership among the interprofessional team.

Objectives: To examine virtual training on Crew Resource Management (CRM) principles of effective leadership and followership on participants' knowledge, applicability, and intended behaviors.

Methods: Graduate students (n=41) from four health disciplines participated in the training, which included a self-learning module (e.g.

Associations among unit leadership and unit climates for implementation in acute care: a cross-sectional study.

Background: Nurse managers have a pivotal role in fostering unit climates supportive of implementing evidence-based practices (EBPs) in care delivery. EBP leadership behaviors and competencies of nurse managers and their impact on practice climates are widely overlooked in implementation science. The purpose of this study was to examine the contributions of nurse manager EBP leadership behaviors and nurse manager EBP competencies in explaining unit climates for EBP implementation in adult medical-surgical units.

Advanced Practice Registered Nurses on Therapeutic Hypothermia Response Teams.

Background: Therapeutic hypothermia can improve neurological recovery after cardiac arrest when implemented quickly.

Objective: To determine whether outcomes are improved among patients undergoing therapeutic hypothermia by adding advanced practice registered nurses to a therapeutic hypothermia response team.

Methods: A pilot quality improvement project was conducted in a Midwest community teaching hospital using a retrospective chart review of all adult patients undergoing therapeutic hypothermia before and after the addition of advanced practice registered nurses to the therapeutic hypothermia response team.

Specialty Linens and Pressure Injuries in High-Risk Patients in the Intensive Care Unit.

Background: The cardiovascular and surgical intensive care units had the highest unit-acquired pressure injury rates at an institution. Patients in these units had multiple risk factors for pressure injuries. Various interventions had been used to minimize pressure injuries, with limited results.

Development of a Virtual Crew Resource Management Training Program to Improve Communication.

Crew Resource Management (CRM), a method focused on the management of human error and risk reduction, has shown promise in reducing communication failure in health care. The purpose of this project was to develop a virtual training program in CRM principles of effective leadership and followership, and evaluate the applicability to nurses working in the hospital setting. The intervention included the development of a virtual CRM training program consisting of a self-learning module and virtual simulation.

An Academic-Service Partnership: A System-Wide Approach and Case Report.

Background: An academic-service partnership was formed to increase educational capacity, improve evidence-based nursing at the point of care, and engage staff nurses, clinical faculty, and students in patient and family care.

Method: This case report reflects an overview of the first year of full implementation, and survey results from nurse leaders and faculty at the 3-year time point.

Results: Following its third year of an academic-service partnership, the shared mission, vision, and values have resulted in stronger NCLEX-RN results, improved quality initiatives, and trends for improvements in patient outcomes.

Improving Nursing Communication Skills in an Intensive Care Unit Using Simulation and Nursing Crew Resource Management Strategies: An Implementation Project.

Effective interprofessional communication is critical to patient safety. This pre-/postimplementation project used a multifaceted educational strategy with high-fidelity simulation to introduce evidence-based communication tools, adapted from Nursing Crew Resource Management, to intensive care unit nurses. Results indicated that participants were satisfied with the education, and their perceptions of interprofessional communication and knowledge improved.

Improving Pressure Ulcer Staging Accuracy Through a Nursing Student Experiential Intervention.

Background: Staging of pressure ulcers (PUs) is often inaccurate. The purpose of this study was to evaluate the effectiveness of a student-focused intervention to improve PU staging accuracy in nursing students.

Method: Nursing students from two universities were included.