The Effectiveness of Remote Video Monitoring on Fall Prevention and Nurses' Acceptance.

Background: The use of remote visual monitoring (RVM) technology as a "telesitter" in hospitals can reduce falls and increase the efficiency of patient observation.

Purpose: This study aimed to examine RVM effectiveness as a strategy to decrease patient falls and investigate nurses' acceptance and perceived usefulness of RVM technology.

Methods: Remote visual monitoring was implemented within a health system in the Southeastern United States.

Developing and Evaluating the Effectiveness of a Nursing Leadership Mentoring Pilot Program.

The nurse leader role is a vital role in ensuring quality, safety, and staff retention in the health care setting. A new nurse manager often receives little mentoring support when assuming a new role. Fifteen mentor/mentee pairs were provided with 6 training sessions specifically designed using the Hale Mentoring Up theoretical framework.

Nurses Leading Partnership-Driven Transformation to Address the Nursing Shortage.

For various reasons, including the pandemic's toll, many nurses are preparing to exit their roles or leave the profession entirely. Addressing attrition requires health care systems to develop comprehensive workforce strategies to enhance the nursing pipeline. Health care systems must proactively address challenges through innovative workforce solutions using an academic-practice partnership model while incorporating high schools and post-secondary schools.

Perceptions of Risk, Work, and Lifestyle Changes on Mental Health of Healthcare Workers Amidst the COVID-19 Pandemic.

The COVID-19 outbreak is significantly affecting the mental health of healthcare workers worldwide. This study aims to investigate the mental health outcomes of healthcare workers in a health system located in southeastern US during the first peak of the pandemic and examine the association of specific factors on the mental well-being of healthcare workers. A cross-sectional survey of 388 healthcare workers was conducted.

Rapid design and implementation of a UVC decontamination room.

With the recent COVID-19 pandemic that has swept the world and the nation, hospitals around the country have experienced shortages in Personal Protective Equipment, specifically N95 filter face-mask respirators (FFRs). This has created the need for facilities to develop sterilization processes to enable reuse of face masks by the health care personnel. Among the various methods of sterilization, UVC light exposure is the easiest to implement given the factors of time, safety, and availability.

The Effectiveness of Charge Nurse Training on Leadership Style and Resiliency.

Objective: The study objective was to investigate a charge nurse pilot training program as an effective, evidence-based training modality to improve leadership style and resiliency.

Background: Leadership is inherent and necessary in the charge nurse role. Little published research about charge nurse leadership training programs exists.

Advancing the clinical nurse leader model through academic-practice-policy partnership.

The nursing profession is tasked with identifying and evaluating models of care with potential to add value to health care delivery. In consideration of this goal, we describe the Clinical Nurse Leader (CNL) initiative and the activities of a national-level CNL research collaborative. The CNL initiative, launched by the American Association of Colleges of Nursing in collaboration with education and healthcare leaders, has delineated CNL education curriculum and practice competencies, and fostered the creation of academic-practice-policy partnerships to pilot CNL integration into frontline nursing care delivery.

Clinical Nurse Leader Knowledge Production to Quality Improvement in a Seamless Trajectory: A Participatory Research Approach.

Background: Health systems are actively implementing Clinical Nurse Leader (CNL)-integrated care delivery across the United States.

Problem: However, the CNL model is a complex health care intervention, making it difficult to generate evidence of effectiveness using traditional research frameworks.

Approach: Participatory research is a growing alternative to traditional research frameworks, emphasizing partnership with target community members in all phases of research activities.

Exploring Nurse Manager Support of Evidence-Based Practice: Clinical Nurse Perceptions.

Objective: The study identifies what constitutes nurse manager (NM) support and other resources that enable clinical nurses (CNs) to engage in evidence-based practice (EBP).

Background: Clinical nurses report that NM support enables them to use EBP but what constitutes NM support is still unclear.

Methods: Nurse managers, CNs, and EBP mentors received specialized education and use a team approach for EBP.

Organising nursing practice into care models that catalyse quality: A clinical nurse leader case study.

Aims: To determine the power of a conceptual clinical nurse leader practice model to explain the care model's enactment and trajectory in real world settings.

Background: How nursing, organised into specific models of care, functions as an organisational strategy for quality is not well specified. Clinical nurse leader integrated care delivery is one emerging model with growing adoption.

Effectiveness of an Evidence-Based Practice Nurse Mentor Training Program.

Background: Multiple reasons are cited for why nurses do not incorporate evidence into clinical practice, including lack of knowledge and skills, training, time, and organizational support.

Aims: To investigate the effectiveness of a mentor training program on mentors' perceptions of knowledge, attitude, skill, and confidence levels, and organizational readiness related to evidence-based practice (EBP) and research utilization; and to investigate the effectiveness of creating a formalized structure to enculturate EBP in order to prepare nurses to incorporate EBP into clinical practice on nurses' perceptions of knowledge, attitude, skill levels, barriers, nursing leadership, and organizational support related to EBP and research utilization.

Methods: A two-group pretest-posttest quasi-experimental, interventional design was used.

Clinical Deterioration Leadership Ability Scale: A Psychometric Study.

Background And Purpose: Assessing nurses' perceived leadership abilities during clinical deterioration provides a starting point for designing educational interventions to support leadership improvement. The study purpose was to provide psychometric testing of the Clinical Deterioration Leadership Ability Scale (CDLAS).

Methods: The psychometric properties and factor structure of the CDLAS was examined.

Medical-surgical nurses' experiences as first responders during deterioration events: a qualitative study.

Aim And Objective: To explore and understand the experiences of medical-surgical nurses as first responders during clinical deterioration events.

Background: Nurses are key players in identifying and responding to deterioration events to escalate the level of care essential to address specific needs of patients. Delays in recognising signs and symptoms of patient deterioration and activation of Rapid Response Teams have been linked to a lack of nontechnical skills (leadership, teamwork, situational awareness) resulting in increased patient morbidity and mortality.

The Effects of Guided Imagery on Patients Being Weaned from Mechanical Ventilation.

The study purpose was to assess the effects of guided imagery on sedation levels, sedative and analgesic volume consumption, and physiological responses of patients being weaned from mechanical ventilation. Forty-two patients were selected from two community acute care hospitals. One hospital served as the comparison group and provided routine care (no intervention) while the other hospital provided the guided imagery intervention.

Original Research: Implementation of an Early Mobility Program in an ICU.

Objective: Research is needed to determine the feasibility of implementing a dedicated ICU mobility team in community hospital settings. The purpose of this study was to assess, in one such hospital, four nurse-sensitive quality-of-care outcomes (falls, ventilator-associated events, pressure ulcers, and catheter-associated urinary tract infections [CAUTIs]), as well as hospital costs, sedation and delirium measures, and functional outcomes by comparing ICU patients who received physical therapy from a dedicated mobility team with ICU patients who received routine care.

Methods: We conducted a retrospective longitudinal study at a community acute care hospital; patients were randomly assigned to intervention or routine care groups.

Validation of a Predictive Model to Identify Patients at High Risk for Hospital Readmission.

Background: Hospital readmission is an adverse patient outcome that is serious, common, and costly. For hospitals, identifying patients at risk for hospital readmission is a priority to reduce costs and improve care.

Purpose: The purposes were to validate a predictive algorithm to identify patients at a high risk for preventable hospital readmission within 30 days after discharge and determine if additional risk factors enhance readmission predictability.

Psychometric properties of the Clinical Decision-Making Self-Confidence Scale.

Background And Purpose: Nurses' self-confidence in handling acute patient deterioration events may influence decision-making capabilities and implementation of lifesaving interventions during such events. The study purpose is to provide further psychometric testing of the Clinical Decision-Making Self-Confidence Scale (CDMSCS).

Methods: The psychometric properties and factor structure of the CDMSCS was examined.

Psychometric testing of the clinical nurse leader staff satisfaction instrument.

Background And Purpose: Patient care is changing rapidly with increased complexity of care, patient volumes, and financial constraints with rising health care costs and limited reimbursements. In response, the clinical nurse leader (CNL) role was developed. No appropriate instrument exists to measure staff satisfaction with the CNL role.

Medical-surgical nurses' perceived self-confidence and leadership abilities as first responders in acute patient deterioration events.

Aims And Objectives: To explore and understand medical-surgical nurses' perceived self-confidence and leadership abilities as first responders in recognising and responding to clinical deterioration prior to the arrival of an emergency response team.

Background: Patients are admitted to hospitals with multiple, complex health issues who are more likely to experience clinical deterioration. The majority of clinical deterioration events occur on medical-surgical units, and medical-surgical nurses are frequently the first healthcare professionals to identify signs and symptoms of clinical deterioration and initiate life-saving interventions.

Hearing the voices of newly licensed RNs: the transition to practice: a qualitative study suggests that new nurses need more guidance and support than they’re getting.

Objective: The future of nursing depends on newly licensed RNs (NLRNs), who often need help in transitioning from an academic to a clinical setting. This study sought to describe the NLRN's orientation experience and to identify ways of enhancing it.

Methods: Using qualitative methods, a convenience sample of NLRNs was recruited and 21 were interviewed; audio recordings of the interviews were transcribed and validated for accuracy.

Effectiveness of team training on fall prevention.

A longitudinal, repeated-measures design with intervention and comparison groups was used to evaluate the effect of a training curriculum based on TeamSTEPPS with video vignettes focusing on fall prevention. Questionnaires, behavioral observations, and fall data were collected over 9 months from both groups located at separate hospitals. The intervention group questionnaire scores improved on all measures except teamwork perception, while observations revealed an improvement in communication compared with the control group.

The culture of an emergency department: an ethnographic study.

In an environment of change and social interaction, hospital emergency departments create a unique sub-culture within healthcare. Patient-centered care, stressful situations, social gaps within the department, pressure to perform, teamwork, and maintaining a work-life balance were examined as influences that have developed this culture into its current state. The study aim was to examine the culture in an emergency department.

An evaluation of a sitter reduction program intervention.

Hospitals use sitters as an alternative to reduce patient falls. The purpose of the study was to evaluate the effectiveness of a sitter reduction program by examining the differences between sitter use and falls in an acute care hospital. Findings indicate that a significant decrease in sitter use and falls remained constant.