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Improving nutrition care and diet intake for hospitalised older people at risk of malnutrition through a nurse-driven mealtime assistance bundle.
Int J Older People Nurs
January 2024
Duke University School of Nursing, Durham, North Carolina, USA.
Background: Poor dietary intake is common in hospitalised older people. A targeted mealtime intervention is needed to improve nutrition care and dietary intake, especially for those at risk of malnutrition.
Objectives: This quality improvement project designed, implemented and evaluated a mealtime assistance bundle consisting of care measures driven by the hospital nursing team.
Incorporating Near Infrared Light Vein Visualization Technology Into Peripheral Intravenous Access Protocols.
J Infus Nurs
November 2023
Anna Fraifeld, DNP, CRNA, is a certified registered nurse anesthetist from South Carolina. She has been in health care for nearly a decade after completing a Bachelor of Public Health from the University of North Florida, Bachelor of Science in Nursing from Johns Hopkins University, and Doctor of Nursing Practice from Duke University. Her previous areas of experience include intensive care unit care, code and rapid response teams, and emergent vascular access, and she has served on nursing shared governance committees to improve patient care. She currently works in South Carolina as a staff nurse anesthetist in a level 1 trauma center and focuses her areas of research on waste management and vascular access.
Placement of peripheral intravenous catheters (PIVCs) is a frequent occurrence. Yet, PIVCs consistently require multiple attempts for successful cannulation, leading to an increased use of resources and risk of complications. Even though hospitals have established vascular access teams to improve outcomes and increase longevity of PIVCs, not every facility has one, and some struggle to meet demand.
View Article and Find Full Text PDFEvaluation of a Nurse-Driven Fluid Management Protocol to Improve Outcomes in Critically Ill Patients.
Crit Care Nurs Q
May 2023
Duke University School of Nursing, Durham, North Carolina.
This article reports results of a nurse-driven fluid management protocol in a medical-surgical intensive care unit (ICU). Use of static measures such as central venous pressure monitoring, heart rate, blood pressure, and urine output is poor predictors of fluid responsiveness and can result in inappropriate fluid administration. Indiscriminate administration of fluid can result in prolonged mechanical ventilation time, increased vasopressor requirements, increased length of stay, and greater costs.
View Article and Find Full Text PDFThe effects of nurse driven mobility intervention (NDMI) on activities of daily living, mobility, fear of falling, and balance performance in hospitalized older patients: A pilot study.
Geriatr Nurs
February 2023
Assistant Professor, Department of Statistics and Data Science, College of Sciences, University of Central Florida, Orlando, FL, USA.
A decrease in mobilization during hospitalization leads to a decline in physical function for older patients, and nurses play a critical role in mobility promotion. The purpose of this pilot study was to examine the feasibility of Nurse Driven Mobility Intervention (NDMI) in improving activities of daily living, mobility, fear of falling, balance performance, and maladaptive fall risk appraisal using a one-group pretest-posttest design. NDMI incorporates a multidisciplinary care team, early assessment, timely and frequent mobilization, and constant encouragement.
View Article and Find Full Text PDFKnowledge, attitudes and practices concerning catheter-associated urinary tract infection amongst healthcare workers: a mixed methods systematic review.
Nurs Open
March 2023
Community Health Centre of Jinan University, Guangzhou, People's Republic of China.
Aim: To evaluate healthcare workers' knowledge, attitudes and practices level of prevention and management of catheter-associated urinary tract infection.
Design: A mixed-methods systematic review.
Methods: Searches were conducted in CINAHL, Cochrane Library, EMBASE, Medline, PubMed and Web of Science databases.
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