An effective in-hospital chaplaincy-led care program for nurses: Tea for the soul a qualitative investigation.

Tea for the Soul (TFS) is an understudied care model, addressing bereavement and other emotional needs of nurses related to impactful patient care experiences. Nurses are at high risk for compassion fatigue, moral distress, and burnout. Facilitated by a Chaplain, the TFS program provides participants a venue to express their feelings and explore ways of adapting effectively with the death of a patient, and other traumatic workplace experiences.

Building coalitions: A statewide nursing organization's role in changing nursing education regulation during the COVID-19 pandemic.

The California Association of Colleges of Nursing (CACN), representing California's baccalaureate and higher degree nursing education programs, has raised concerns for over two-years about the number, relevance, and legitimacy of nursing education regulations. Formal CACN letters to state regulators did not affect change. While California nursing education regulations require 75% direct patient contact for all clinical courses, meeting this requirement became impossible as clinical agencies closed to nursing students during the beginning of the COVID-19 pandemic.

The impact of replacing peripheral intravenous catheters when clinically indicated on infection rate, nurse satisfaction, and costs in CCU, Step-Down, and Oncology units.

Background: A practice change of replacing peripheral intravenous (PIV) catheters when clinically indicated was implemented concurrent with a new PIV chlorhexidine securement dressing and existing IV care bundle to prevent the risk of infection.

Purpose: The purpose of this study was to examine the impact of replacing PIV catheters when clinically indicated on infection rates, nurse satisfaction, and costs in 3 high-risk, vulnerable hospital populations (Critical Care, Step Down, and Oncology units).

Methods: A retrospective review of 473 medical records, 737 peripheral IV sites, and 2 nursing surveys were completed after the practice change.

Direct-Acting Oral Anticoagulants and Warfarin-Associated Intracerebral Hemorrhage Protocol Reduces Timing of Door to Correction Interventions.

Background: Intracerebral hemorrhage (ICH) is a life-threatening complication of oral anticoagulant therapy that sometimes results in hematoma expansion after onset. Our facility did not have a standardized process for treating oral anticoagulant-associated ICH; this resulted in lag times from order to reversal agent administration.

Purpose: The aim of this study was to examine the impact of a rapid anticoagulant reversal protocol, combined with warfarin and direct-acting oral anticoagulant therapy, in decreasing door to first intervention times.

Instrument Validation: Hospital Nurse Perceptions of Meaning and Joy in Work.

Background And Purpose: When workers experience meaning and joy in work (MJW), job satisfaction and retention are enhanced. No measure for MJW among nurses exists. The purpose of this work was to develop/test the MJW Questionnaire (MJWQ).

Hospital staff nurse perceptions of competency to care for patients with psychiatric or behavioral health concerns.

Disruptive behaviors are common among hospitalized patients with psychiatric and substance abuse behaviors. Nurses working on nonpsychiatric units, however, may lack competencies to care for patients with such behaviors. A survey was developed and administered to 844 nurses across three hospital settings that revealed a lack of nurse confidence to intervene in situations that require de-escalation techniques and crisis communication.

Invincibility fable: tool development to measure invincibility.

Unlabelled: Invincibility is a phase of social-cognitive development of the adolescent and has been associated with risk behavior involvement.

Objective: To determine psychometric properties of the Adolescent Invincibility Tool (AIT).

Methods: Reliability was assessed and validity was examined using principal components analysis.

Instrument validation: hospital nurse perceptions of their Behavioral Health Care Competency.

Aim: To report the development and psychometric testing of the Behavioral Health Care Competency survey, designed to measure hospital nurse perceptions of behavioral healthcare competency.

Background: Hospital nurses working in general or other non-psychiatric units may lack behavioral healthcare competency to manage disruptive behaviours associated with mental illnesses.

Design: Instrument development.

Helping busy educators become gero-savvy: an approach to developing faculty geriatric expertise.

Integrating geriatric competencies into an entry-level nursing curriculum is more than identifying content to be added. The knowledge and ability of faculty to teach these competencies are another important consideration as well as gaining Board of Registered Nursing faculty approval. The authors present an innovative remediation plan that addresses competency in both theory and practice to assist faculty to become gero-savvy.

The relationship of perception of invincibility, demographics, and risk behaviors in adolescents of military parents.

Introduction: The purpose of this research was to determine relationships among perceived invincibility, demographic variables, and risk behaviors in adolescents of active duty and retired military personnel.

Method: An instrument titled the Adolescent Invincibility Tool (AIT) was constructed and administered to a group of 125 adolescents of military parents. Correlation statistics were analyzed to determine variable relationships.

The adolescent perception of invincibility and its influence on teen acceptance of health promotion strategies.

The purposes of this study were to explore the phenomenon of invincibility and to identify key factors contributing to risk behavior involvement in teens. Semistructured interviews revealed the following common themes: adolescence, a time of transition, the meaning of invincibility, learning the balance of taking chances and being safe, differences between risky and dangerous, and strategies for working with teens. Participants provided insights about intervention strategies that are most effective in working with teens.

Processes and outcomes of substance abuse treatment between two programs for clients insured under managed care.

The purpose of this research (N = 160) was to describe and compare substance abuse treatment in two programs under managed care: one residential (RT) and one outpatient (OP). Clients in both settings improved significantly from before to after treatment in relation to substance use and quality of life. However, intensity of treatment (hours of care/week) was much greater in RT and days of sobriety were significantly higher after treatment in RT than in OP (p = .