Delivery Mode Affects Stability of Early Infant Gut Microbiota.

Mode of delivery strongly influences the early infant gut microbiome. Children born by cesarean section (C-section) lack species until 6-18 months of age. One hypothesis is that these differences stem from lack of exposure to the maternal vaginal microbiome.

The Development and Evaluation of an Electronic Health Record Efficiency Workshop for Providers.

Background: The electronic health record (EHR) has historically been known to be a source of stress and dissatisfaction, leading to reduced efficiency and productivity for providers. This issue is complicated by constant changes in EHRs that are necessary to keep systems current with evolving functionality. Knowing the existence of this problem, an evidenced-based solution, known as an efficiency workshop, was developed by our information technology training and optimization team for providers as a means of ongoing professional development.

Conversion of Provider EMR Training from Instructor-Led Training to eLearning at an Academic Medical Center.

This case study overviews the conversion of provider training of the electronic medical record (EMR) from an instructor-led training (ILT) program to eLearning at an Academic Medical Center (AMC). This conversion provided us with both a useful training tool and the opportunity to maximize efficiency within both our training and optimization team and organization. eLearning Development Principles were created and served as a guide to assist us with designing an eLearning curriculum using a five step process.

Support for mentors in clinical education.

Mentorship of student nurses within the clinical environment is a well-established aspect of nurse training. With theory and practice being given equal weighting in the assessment of students' fitness to practise, effective mentorship in clinical settings is essential. While there have been calls for improvements to the clinical learning environment, the demands of daily practice mean it can be difficult to achieve effective mentorship.

The journey from precontemplation to action: Transitioning between electronic medical record systems.

Background: Health care organizations, in response to federal programs, have sought to identify electronic medical record (EMR) strategies that align well with their visions for success. Little exists in the literature discussing the transition from one EMR strategy to another.

Purpose: The analysis and planning process used by a major academic medical center in its journey to adopt a new strategy was described in this study.

Holding on to normalcy and overshadowed needs: family caregiving at end of life.

Background: Caregivers in end-of-life care are at risk for health deterioration and decreased quality of life because of the many stressing factors involved in the caregiving role.

Purpose: The purpose of this analysis is to come to understand the nature of occupation as experienced by family caregivers of dying patients at a residential hospice.

Methods: Data from hospice residents, their family members, and the hospice staff was collected over a period of six months via participant observation, interviews, and document review.

Leveraging information technology to drive improvement in patient satisfaction.

A healthcare organization's commitment to quality and the patient experience requires senior leader involvement in improvement strategies, and accountability for goals. Further, improvement strategies are most effective when driven by data, and in the world of patient satisfaction, evidence is growing that nurse leader rounding and discharge calls are strategic tactics that can improve patient satisfaction. This article describes how The Ohio State University Medical Center (OSUMC) leveraged health information technology (IT) to apply a data-driven strategy execution to improve the patient experience.