Describing Clinical Nurse Specialist Practice: A Mixed-Methods Study.

Purpose/aims: To describe clinical nurse specialist practice in Québec, Canada, and propose a dashboard to track role dimensions and outcomes.

Design: Sequential mixed-methods study across 6 sites in Québec (June 2021 to May 2022).

Methods: Phase 1: Focus groups (n = 8) and individual interviews (n = 3) were conducted to adapt a time and motion tool.

Nurses' experience of handoffs on four Canadian medical and surgical units: A shared accountability for knowing and safeguarding the patient.

Aims: To explore nurses' experience and describe how they manage various contextual factors affecting the nurse-to-nurse handoff at change of shift.

Design: Qualitative descriptive study.

Methods: A convenience sample of 51 nurses from four medical and surgical care units at a university-affiliated hospital in Montreal, Canada, participated in one of the 19 focus group interviews from November 2017 to January 2018.

Risk factors for severe opioid-induced respiratory depression in hospitalized adults: A case-control study.

: Opioids are commonly prescribed to hospitalized adults to promote adequate pain relief, yet they can cause potentially fatal respiratory depression. : The aim of this study was to examine the risk factors for the development of severe opioid-induced respiratory depression (OIRD) in hospitalized adults to ensure adequate monitoring of high-risk patients. : A retrospective case-control study was conducted using data from the medical records of a university-affiliated hospital in Canada.

Nursing handoffs and clinical judgments regarding patient risk of deterioration: A mixed-methods study.

Aims And Objectives: To explore how change-of-shift handoffs relate to nurses' clinical judgments regarding patient risk of deterioration.

Background: The transfer of responsibility for patients' care comes with an exchange of information about their condition during change-of-shift handoff. However, it is unclear how this exchange affects nurses' clinical judgments regarding patient risk of deterioration.

Nurses' judgments of patient risk of deterioration at change-of-shift handoff: Agreement between nurses and comparison with early warning scores.

Background: Nurses begin forming judgments regarding patients' clinical stability during change-of-shift handoffs.

Objectives: To examine the agreement between incoming and outgoing nurses' judgments of deterioration risk following handoff and compare these judgments to commonly used early warning scores (MEWS, NEWS, ViEWS).

Methods: Following handoffs on three medical/surgical units, nurses completed the Patient Acuity Rating.

Toward Resilient Nurse Leaders: The Leadership-In-Action Program in Nursing (LEAP-IN).

Leadership is a critical component of health system performance. This paper describes a tailored leadership development program for nurse managers in an academic health network in Montreal, Canada, developed in collaboration with a university school of continuing studies. This program is aimed toward strengthening individual leadership competencies and developing a resilient nursing leadership community of practice.

Effectiveness of interventions for the implementation of thromboprophylaxis in hospitalised patients at risk of venous thromboembolism: an updated abridged Cochrane systematic review and meta-analysis of randomised controlled trials.

Objective: To assess the effectiveness of system-wide interventions designed to increase the implementation of thromboprophylaxis and decrease the incidence of venous thromboembolism (VTE) in hospitalised medical and surgical patients at risk of VTE.

Design: Systematic review and meta-analysis of randomised controlled trials (RCTs).

Data Sources: Medline, PubMed, Embase, BIOSIS, CINAHL, Web of Science, CENTRAL, DARE, EED, LILACS and clinicaltrials.

Acceptability and feasibility of recruitment and data collection in a field study of hospital nurses' handoffs using mobile devices.

Background: The portability and multiple functionalities of mobile devices make them well suited for collecting field data for naturalistic research, which is often beset with complexities in recruitment and logistics. This paper describes the implementation of a research protocol using mobile devices to study nurses' exchanges of patient information at change of shift.

Methods: Nurses from three medical and surgical units of an acute care teaching hospital in Montreal, Canada, were invited to participate.

Interventions for implementation of thromboprophylaxis in hospitalized patients at risk for venous thromboembolism.

Background: Venous thromboembolism (VTE) is a leading cause of morbidity and mortality in hospitalized patients. While numerous randomized controlled trials (RCTs) have shown that the appropriate use of thromboprophylaxis in hospitalized patients at risk for VTE is safe, effective, and cost-effective, thromboprophylaxis remains underused or inappropriately used. Our previous review suggested that system-wide interventions, such as education, alerts, and multifaceted interventions were more effective at improving the prescribing of thromboprophylaxis than relying on individual providers' behaviors.

Factors influencing the effectiveness of audit and feedback: nurses' perceptions.

Aim: To explore the perceptions of nurses in an acute care setting on factors influencing the effectiveness of audit and feedback.

Background: Audit and feedback is widely used and recommended in nursing to promote evidence-based practice and to improve care quality. Yet the literature has shown a limited to modest effect at most.

Experiences of "Being Known" by the Healthcare Team of Young Adult Patients with Cancer.

Purpose/objectives: To explore how young adult patients with cancer experience "being known" by their healthcare team.

Research Approach: Qualitative, descriptive.

Setting: A university-affiliated hospital in Montreal, Quebec.

Interventions for implementation of thromboprophylaxis in hospitalized medical and surgical patients at risk for venous thromboembolism.

Background: Venous thromboembolism (VTE) is a leading cause of morbidity and mortality in hospitalized patients. Numerous randomized controlled trials (RCTs) show that using thromboprophylaxis in hospitalized patients at risk for VTE is safe, effective and cost-effective. Despite this, prophylactic therapies for VTE are underutilized.

The experience of patients with cancer who develop venous thromboembolism: an exploratory study.

Purpose/objectives: To better understand the experience of venous thromboembolism (VTE) from the points of view of patients with cancer during various stages of the cancer experience.

Research Approach: Qualitative, descriptive.

Setting: Various inpatient and outpatient units of a large urban university-affiliated hospital in Montreal, Quebec, Canada.

Definition of immobility in studies of thromboprophylaxis in hospitalized medical patients: a systematic review.

Background: Venous thromboembolism (VTE) is a common, serious and preventable complication in hospitalized patients. Thromboprophylaxis in medical patients is safe, effective, and cost saving, but remains underutilized. Although immobility plays an important role in determining VTE risk in medical patients, no clear criteria exist to guide clinicians in assessing immobility when making decisions about thromboprophylaxis.

Knowledge of venous thromboembolism (VTE) prevention among hospitalized patients.

Venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is a serious cause of patient morbidity and mortality in hospitals, that is highly preventable. Literature strongly supports patient education on VTE prevention as it can promote strategies such as early ambulation and encourages self assessment and self reporting of VTE signs and symptoms. The purpose of this study was to investigate patient awareness and knowledge of thromboprophylaxis, as well as patient satisfaction with thromboprophylaxis.

The experiences and challenges of pregnant women coping with thrombophilia.

Objective: To explore the unique experiences, challenges, and coping strategies of pregnant women diagnosed with thrombophilia and who are on daily heparin injections.

Design: A qualitative, descriptive approach with semistructured interviews was used.

Participants And Setting: Nine women from the thrombosis clinic of a large university-affiliated hospital in Montreal, Canada, participated in the study.