Publications by authors named "Melissa Parkerton"

Article Synopsis
  • An estimated 12 million adults in the U.S. face delayed diagnoses annually, prompting the development of ambulatory safety nets (ASNs) to enhance patient follow-up for abnormal screening results.
  • A collaborative initiative co-designed by a working group led to the implementation of colorectal cancer (CRC) ASNs across multiple healthcare sites over 18 months, focusing on patients needing follow-up for positive at-home screenings or overdue colonoscopies.
  • The initiative successfully identified 5,165 patients, with 68.8% contact success, 39.9% scheduling for colonoscopy, and 29.1% actually completing the procedure, ultimately creating a detailed implementation guide for health care leaders.
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Background: Process improvement stresses the importance of engaging frontline staff in implementing new processes and methods. Yet questions remain on how to incorporate these activities into the workday of hospital staff or how to create and maintain its commitment. In a 15-month American Organization of Nurse Executives collaborative involving frontline medical/surgical staff from 67 hospitals, Transforming Care at the Bedside (TCAB) was evaluated to assess whether participating units successfully implemented recommended change processes, engaged staff, implemented innovations, and generated support from hospital leadership and staff.

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We investigated nurses' time spent in documentation as it relates to the use of electronic charting. A cross-sectional analysis was completed using time and motion data collected during a nursing process improvement initiative for 105 units in 55 hospitals. Ordinary least squares regression with a cluster adjustment revealed very little difference in time spent in documentation with or without the use of electronic medical records or computerized nursing notes.

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Background: Recommendations to improve self-management support and health outcomes for people with chronic conditions in primary care settings are provided on the basis of expert opinion supported by evidence for practices and processes. Practices and processes that could improve self-management support in primary care were identified through a nominal group process. In a targeted search strategy, reviews and meta-analyses were then identifed using terms from a wide range of chronic conditions and behavioral risk factors in combination with Self-Care, Self-Management, and Primary Care.

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