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The Agile Clinical Nurse Specialist: Navigating the Challenges of the COVID-19 Pandemic.
Clin Nurse Spec
June 2022
Author Affiliations: Clinical Nurse Specialist, Geriatrics (Mss Mamais and Ansryan), Clinical Nurse Specialist, Surgical Services (Ms Maninder and Dr Branom), Clinical Nurse Specialist, Critical Care (Mss Lawanson-Nichols and Kao), Center for Nursing Excellence, University of California, Los Angeles Health System; and Professor Emerita (Dr Gawlinski), School of Nursing, University of California, Los Angeles.
Purpose/objectives: This article describes the contributions of the clinical nurse specialist in navigating the challenges of the COVID-19 pandemic to ensure patient and staff safety while providing science-based quality of care.
Description: The group of clinical nurse specialists using advanced practice knowledge and skills within the 3 spheres of impact (ie, patient, organization, and nurse) developed and implemented strategies that supported frontline clinicians and met emerging organizational needs during the COVID-19 pandemic.
Outcomes: The clinical nurse specialist's agility was imperative in navigating the challenges of the pandemic to ensure the safety of patients and staff by providing strategies and standardization to workflow processes across the organization.
Safety First: An Ambulation Protocol for Patients With Pulmonary Artery Catheters.
Crit Care Nurse
February 2021
Bernice Coleman is director of the Nursing Research Department, research scientist III, nurse practitioner, and assistant professor of biomedical sciences and medicine at Cedars-Sinai Medical Center.
Background: Patients with indwelling pulmonary artery catheters have historically been excluded from participating in early mobility programs because of the concern for catheter-related complications. However, this practice conflicts with the benefits accrued from early mobilization.
Objective: The purposes of this quality improvement project were to develop and implement a standardized ambulation protocol for patients with a pulmonary artery catheter in a cardiac surgery intensive care unit and to assess and support safe ambulation practices while preventing adverse events in patients with pulmonary artery catheters.
Implementing SAFE™ care: Evaluation of a geriatric model of care for real-world practice.
Geriatr Nurs
August 2021
Center for Nursing Excellence, UCLA Health, 924 Westwood Blvd. Suite 720, Los Angeles, CA 90024, United States.
Systems Addressing Frail Elders (SAFE) Care is a geriatric model of care that identifies high-risk hospitalized older adults, and provides targeted interprofessional interventions for risk factors associated with frailty. This post, mixed methods study sought to evaluate SAFE Care implementation retrospectively at one public academic medical center and describe practical "real-world" considerations for implementation using the Consolidated Framework for Implementation Research (CFIR). In addition to barriers and facilitators, hidden characteristics to consider for implementation include initiating conditions, skills and experiences of implementers, interpersonal challenges, unique facilitators and barriers, surprising conditions, and threats to and requirements for sustainability.
View Article and Find Full Text PDFInspiring Writing in Nursing: A Clinical Nurse Specialist-Led Program.
Clin Nurse Spec
March 2019
Author Affiliations: Clinical Nurse Specialist (Ms Ansryan), Senior Medical Librarian (Ms Marshall), Research Scientist (Dr Aronow), Associate Director of Critical Care Services (Ms Chan), and Assistant Professor of Biomedical Sciences and Medicine, Director of Nursing Research Department, Research Scientist III, and Nurse Practitioner of Heart Transplantation, Mechanical Circulatory Support Programs (Dr Coleman), Cedars Sinai Health System, Los Angeles, California.
Background: Hospitals are constantly involved in quality improvement and research projects investing considerable money, time, and effort in supporting these projects; however, there is not always a strong enough focus on publishing the results. The challenge lies in engaging clinicians to publish their work. One of the hallmarks of the clinical nurse specialist is mentoring, and this has led to the creation of our Inspiring Writing in Nursing (IWIN) program.
View Article and Find Full Text PDFSystems Addressing Frail Elders (SAFE) Care: Description of Successful Partnerships Across Hospitals.
Nurs Adm Q
January 2019
Cedars-Sinai Health System, Los Angeles, California (Mss Ansryan and Haus and Drs Aronow, Coleman, and Bolton); Ronald Reagan UCLA Medical Center, Los Angeles, California (Dr Ward); Huntington Memorial Hospital, Pasadena, California (Ms Sanchez-Rico); and Torrance Memorial Medical Center, Torrance, California (Mss Berwald and LeQuire).
Systems Addressing Frail Elders (SAFE) Care is an interprofessional team-based program, which was developed and evaluated in a cluster randomized controlled trial. Results of this trial included reduced length of stay and complications for patients. This article describes a successful partnership across 4 Magnet hospitals in the dissemination of the model.
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