Survey Research: Do All RN Types Have the Same Perceptions Regarding Professional Nursing Governance?

Objective: Researchers examined professional nursing governance perception differences by RN type (clinical, manager, and other RNs), and nurse-related outcome associations.

Background: Shared governance is associated with improved nurse-related outcomes. Understanding differences in RN types regarding shared governance perceptions is important and not well studied.

Effect of Shared Governance on Nurse-Sensitive Indicator and Satisfaction Outcomes by Magnet® Recognition Status.

Objective: Researchers examined associations between Index for Professional Nursing Governance (IPNG) types and outcomes.

Background: Effects of professional nursing governance on nurse-related outcomes by Magnet® status are not well studied.

Methods: Associations were evaluated between average IPNG scores from 2170 RNs, and nurse-sensitive indicators (NSIs) as well as patient and RN satisfaction outcomes (N = 205 study units; 20 hospitals), following Magnet requirements.

Pandemic Challenges: Keeping Nursing Research Alive.

Nursing has been pandemic-slammed. Although 2020 will be forever entangled with the COVID-19 pandemic, we, as nurse leaders, must continue to move forward and beyond this endemic challenge. We cannot lose focus on generating new knowledge to continue nursing excellence and move our profession forward.

Effect of Shared Governance on Nurse-Sensitive Indicator and Satisfaction Outcomes: An International Comparison.

Objective: Researchers examined associations between Index for Professional Nursing Governance (IPNG) scores and outcomes, by US and international hospitals.

Background: Nursing governance and effects on nurse-related outcomes are not well studied.

Methods: Associations were evaluated using average IPNG scores from 2170 RNs and nurse-sensitive indicators (NSIs) and patient and RN satisfaction outcomes (n = 205 study units, 20 hospitals, 4 countries).

Effect of a Nurse-Led, Patient-Centered, Gratitude Intervention on Patient Hospitalization Experience.

Objective: Objectives were to evaluate patient perceptions of a nurse-led, patient-centered gratitude intervention and if nurses identified actionable items to improve patient's hospitalization experience.

Background: Research demonstrates positive effects of gratitude and caring interventions on patient health and well-being. Evidence is sparse regarding nurse-led gratitude interventions improving hospitalized patient's experiences.

Effect of individualized learning plans on nurse learning outcomes and risk mitigation.

Introduction: A "Primary Learner Assessment" (PLA) was created to provide an individualized learning plan, offering education as part of a 4-step computer-based process. The PLA is intended to improve learner's knowledge, skills, and patient safety perceptions, regarding interpretation of electronic fetal monitoring (EFM) data and administration of appropriate interventions in a timely fashion to mitigate fetal and maternal risks. Research was conducted to determine if learner knowledge, skills, and patient safety perceptions improved after completion of a 4-step computer-based, individualized adaptive-learning process.

Shared Governance During a Pandemic.

When the COVID-19 pandemic struck US hospitals in early 2020, many nurse leaders went into crisis mode management. As the pandemic ensued, shared governance endured at hospitals with well-established models, even without council meetings. At other hospitals, clinical nurses began to wonder what happened to shared governance.

Use of Evidence-based Practice Models and Research Findings in Magnet-Designated Hospitals Across the United States: National Survey Results.

Background: All nurses have responsibilities to enculturate evidence-based practice (EBP) and translate and implement research findings into nursing care, practices, and procedures.

Aims: To report EBP-related findings from the national Hospital-Based Nursing Research Characteristics, Care Delivery Outcomes, and Economic Impact Survey questionnaire.

Methods: In this cross-sectional survey research study of 181 nursing research leaders, 127 responded to these questions: "Has your hospital adopted or does it use a model of evidence-based practice?" "If yes, what is the name of the model and how is it used?" "Does your hospital implement (translate) findings from nursing research into clinical practice?" "Describe how your hospital implements these findings and whose responsibility it is.

Health Care Workers' Use and Cleaning of X-Ray Aprons and Thyroid Shields.

We evaluated the use and cleaning of x-ray aprons and thyroid shields by surveying rural hospital system health care workers who wear x-ray aprons and thyroid shields. One hundred fifty-five of the 173 respondents were RNs (89.6%), and 94 respondents were from inpatient or outpatient surgical settings (54.

Evaluation of Text Messaging Effects on Health Goal Adherence in the Management of Participants With Chronic Diseases.

Purpose Of The Study: The study purpose was to determine whether text messaging health-related messages, questions, and reminders to community case management participants with chronic diseases increased health goal adherence.

Primary Practice Setting: This study was conducted by a rural community case management, hospital-affiliated program.

Methodology And Sample: This pilot, quasiexperimental study measured health goal adherence, the degree to which an individual continues work toward self-identified health goals under limited supervision, before and after a text messaging intervention.

Pilot evaluation of isolation patients' perceptions on ability to identify types of health care workers when wearing isolation gowns.

In a survey research study, perceptions of 50 hospitalized patients on contact isolation were evaluated regarding their ability to identify health care worker (HCW) type in isolation gowns with no hospital badge under or on the gown, in isolation gowns with the hospital badge partially visible through the gown, and in isolation gowns with a preprinted large font Registered Nurse and Nursing Technician sticker badge on the outside of the gown. Patients ranked their ability to identify HCWs when entering their hospital room as important (average ranking, 8.0, where 0 was not at all important and 10 was very important); 28 patients (56%) specified all HCWs entering their hospital room should wear a preprinted large font sticker badge on the outside of their isolation gowns.

Effect of ABCDE Bundle Implementation on Prevalence of Delirium in Intensive Care Unit Patients.

Background: The ABCDE bundle incorporates multidisciplinary measures to improve and/or preserve patients' physical, functional, and neurocognitive status through awakening and breathing coordination, delirium prevention and management, and early physical mobility.

Objectives: To quantify the prevalence and duration of delirium in patients in the intensive care unit (ICU) before and after implementation of the ABCDE bundle.

Methods: Delirium prevalence was defined as the percentage of patients who had at least 1 positive delirium score on the Intensive Care Delirium Screening Checklist (ICDSC) during the ICU stay; delirium duration was the number of days during the ICU stay that a positive ICDSC score was noted.

Timing of Newborn Pulse Oximetry Screenings for Critical Congenital Heart Defects Before Discharge.

Objective: To determine if there would be positive results from a second pulse oximetry screening (POS) completed for newborns at discharge at 28 to 48 hours of age in addition to the newborn POS completed at 24 to 25 hours of age.

Design: Prospective descriptive research study.

Setting: Rural, mid-Atlantic, 13-bed, level I hospital.

Nurses' Perceptions on Ebola Care in the United States, Part 2: A Qualitative Analysis.

Objective: This study examined qualitative comments from an online survey of nurses' perceptions regarding care of persons under investigation and patients with confirmed Ebola virus disease (EVD) in the United States.

Background: Additional insight into nurses' perceptions regarding EVD was warranted.

Methods: Survey design used convenience sampling of RNs, licensed practical nurses, and nurse technicians, who responded to 8 open-ended survey questions.

US Nurses' Perceptions Regarding Caring for Suspected, Probable, and Confirmed Ebola Virus Disease Patients, Part 1: A Quantitative Analysis.

Objective: This study examined US hospital, ambulatory/outpatient facility, and clinic nurses' perceptions regarding care of persons under investigation (PUIs) and confirmed Ebola virus disease (EVD) patients and EVD nursing workforce impact.

Background: Timely research was warranted to better understand nurses' perceptions.

Methods: This survey research used convenience sampling of RNs, LPNs, and nurse technicians.

A prospective, randomized, single-blind study evaluating the effectiveness, tolerability, and cost of colonoscopy bowel preparations.

Colorectal cancer, the third most common cancer in U.S. adults, can be detected early through colonoscopy.

Evaluation of fall risk assessment tools for psychiatric patient fall prevention: a comparative study.

The Hendrich II Fall Risk Model™ (Hendrich II) is used to determine patient fall risks. However, the WilsonSims Fall Risk Assessment Tool (WSFRAT) is more specific to psychiatric patients. The current study tested the Hendrich II and WSFRAT simultaneously to determine which tool was the most predictive for patient falls in a psychiatric population.

What causes near-misses and how are they mitigated?

Objectives: The objectives of this study were to determine the reasons hospital RNs attribute to near-misses and the techniques they used to mitigate these near-misses to prevent serious reportable events.

Background: Our health system developed this definition for the study: A near-miss is a variation in a normal process that, if continued, could have a negative impact on patients.

Methods: Study participants were RNs who completed a survey about a self-reported near-miss or another RN's near-miss they'd witnessed.

School nurse facilitated programs for families living fit.

School nurses are in a unique position to facilitate provision of knowledge to children and their parents regarding balanced, healthy lifestyles. Nurses can become empowered with the knowledge gained from reviewing obesity programs with demonstrated improvements in obesity-related outcomes such as Kids Living Fit (KLF) and Nurses Living Fit (NLF). Garnering resources from your school and community, school nurses can create programs using methods from KLF and NLF to facilitate Families Living Fit (FLF).