Hospital acquired conditions such as central line associated bloodstream infection (CLABSI), catheter associated urinary tract infection (CAUTI), hospital acquired pressure injury (HAPI), and falls can be very costly to the hospital and detrimental to the patient. Collectively, these avoidable conditions have been shown to impact the facilities that fail to prevent them and the patients that experience them. This research focused on the questions: Does adding an escape room simulation that covers the four quality initiative measures: CLABSI, CAUTI, HAPI, and falls, affect knowledge on prevention measures for new graduate nurses, and, what is the perception of new graduate nurses toward the escape room educational intervention? An escape room was created and participants completed a pretest, post-test and post activity survey. The study, showed that the nurses’ knowledge did improve by completing the escape room activity and the participants would like to see more educational opportunities presented in this format. Further research could include reviewing a short power point that reviews the hospitals preventative measures they have in place to reduce CAUTI, CLABSI, HAPI and falls before completing the escape room activity with staff and taking the time to review the activities with the participants that they weren’t able to complete in the allotted time., Copyrights are retained by Tamila Salisbury.
subject
Nursing Escape room games Health education (Higher)
Since 1965 the nation's population as a whole has increased by 19 percent. In comparison, the sixty-five and over age group has expanded by 35 percent. More and more of these elderly are maintaining a healthy, independent existence in our society and are capable of continued growth and development. One specific area of concern for health care professionals working with this growing segment is the development and maintenance of a healthy mental attitude by the aged. However, there has been limited research conducted to determine the characteristics of mental health, and the term remains ambiguous. Humanistic psychology emphasizes the positive aspect of man developing to his optimum human potential., Copyrights are retained by the author. Please contact Janice Giltinan for further use of this material
In today's society, it having become commonplace for dying persons to be institutionalized, the responsibility of providing emotional support to a patient and his family has been delegated to the health care worker. The nurse is often the first person approached by a dying patient with a need to talk about this predicament., Copyrights are retained by the author. Please contact Carole Welch for further use of this material.
The purpose of this study was to establish if participants in the Dementia Live® simulation would experience changes in empathy. It is estimated that 5.7 million Americans have Alzheimer's disease, which is the most common form of dementia (Alzheimer's Association facts and figures, 2018). The majority of individuals diagnosed with Alzheimer's disease are over the age of 65 and the incidence increases moderately with age (Alzheimer's Association, n.d.). It is estimated that 50% of people over the age of 85 have some form of dementia (Touhy and Jett, 2016). It is also estimated that 50% of people living in assisted living or long term care facilities have some form of dementia. Research indicates that many dementia care workers lack the skills necessary to respond to dementia related behaviors due to a lack of dementia specific training (Gaugler, Hobday, Robbins, and Barclay 2016).
Empathy is often thought of as an essential component of a nurse’s character and is relevant to the delivery of nursing care (Digby, 2016). It is important for the staff to understand what life is like for the person living with dementia. By developing a better understanding of what it is like to live with dementia, the staff can make changes to the care they provide and develop a better understanding of the thoughts and emotions a person living with dementia experiences. It is essential that healthcare professionals understand the uniqueness of dementia as a disease, and how to provide care to persons living with the disease. Enhancing empathy can help the staff understand the fact that the psychological care provided is just as important as the physical care (Pulsford, Duxbuy, and Carter, 2016). Higher levels of empathy have also been found to decrease staff burnout and can improve the staff patient relationship (Wagaman, Geiger,Shockley, and Segal, 2015).
The Jefferson Scale of Empathy HP version was administered prior to completion of the simulation. Participants then took part in the simulated experience and complete the Jefferson Scale of Empathy HP immediately after completing the simulation. Pretest and posttest scores were evaluated.
Opioid misuse has been a growing concern that has escalated to a public health emergency. Despite substance use programs that offer assistance in the treatment of opioid use disorder (OUD), keeping the client engaged in recovery treatment can be very challenging. Relapse prevention is a priority concern due to the higher risk of overdose following a period of sobriety. The use of Certified Peer Specialists to facilitate client engagement in treatment programs has proven to be beneficial and their role in helping individuals remain in recovery treatment is explored using the theoretical framework of Modeling and Role-modeling. The purpose of this research is to establish whether a peer support program provided by an outpatient facility was effective in achieving client engagement in recovery treatment. Data collected by the facility on client treatment encounters spanning six months was analyzed. Data sets related to individuals enrolled in a certified recovery services (CRS) program versus individuals engaged in treatment as usual were compared. Statistical analysis using the t test revealed greater engagement in recovery services among those enrolled in the CRS program. The findings support the benefit of a peer recovery service program as an option to encourage treatment engagement in clients with OUD. This research will be of value in the design and development of future program policy and treatment guidelines., Copyrights are retained by Michelle Zuccarini.
subject
Nursing Drug addiction Treatment Opioid abuse Behavior, Addictive Substance-related Disorders
This non-experimental, descriptive study was designed to investigate the learning style preferences of professional nurses for two different teaching methodologies using Knowle's adult learning theory. The purpose of the study was to give nurse educators direction in choosing an instructional method. Two separate groups of professional nurses from an acute health care facility in Northwestern Pennsylvania formed the sample for the study. The professional nurses' preferences about the method of teaching after a one hour course were compared. Group A (n=16) was given the lecture teaching method. Group B (n=14) was given the self-study packet teaching method. The Affective Measure Questionnaire was used to collect the data. The data was analyzed by using the t-test. The results revealed a t-value of 6.75 which was significant at the .05 level. The findings indicated that the lecture teaching method was preferred over the self-study packet teaching method by the professional nurses., Copyrights are retained by the author.
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Nursing Studying and teaching Lecture method in teaching Education, Nursing
16 X 24 cm frame containing a 9 X 13 cm oval black and white picture of Ella Goodell holding Carrie as an infant. Two notes written on back, first reads "Carrie Helen Goodell. 5 months 15 days." The second note reads "This Ella Parson Goodell and her daughter Carrie Helen given to her friend- Addie E. Cole Loenox.
Alcohol Use Disorder (AUD) is a chronic medical condition characterized by an impaired ability to control or stop the use of alcohol, despite the adverse social, occupational, and health consequences (APA, 2013; Witkiewicz, Litten & Leggio, 2019). The purpose of this study was to identify the presence of stigma and perceived negative attitudes of nurses working with patients diagnosed with AUD in all areas of practice, with the aim of decreasing stigma and enhancing positive attitudes in nurses caring for patients with AUD through an educational intervention. The literature is well established that nurses feel unprepared educationally to care for patients with AUD, and also hold negative attitudes and perceptions of working with patients with AUD (Haskins, et. al, 2014). This research will conduct a pre-and post-survey of registered nurses’ attitudes and perceived stigma followed by an educational intervention to evaluate whether the education is a positive critical element that can help to reduce stigma and improve negative attitudes nurses may hold toward caring for patients with AUD. This research is a quality improvement project to collect and use data that is meant to drive change that has practice and policy changing implications. The Seaman-Mannello Survey was used as a pre-and post-survey to measure the efficacy of the interventional education video. A convenience sampling of 76 registered nurses from three Northwestern Pennsylvania hospitals was used. The goal of this research study was to investigate the effectiveness of an educational intervention that, if significantly effective, can be used on a larger scale to decrease stigma and improve attitudes of nurses toward patients with AUD. The results found no significant relationship between the provided educational intervention and reduced stigma or improved attitudes of nurses while working with patients with AUD. Although a positive relationship could not be established, it was inferred from the pre-and post-survey scores, ongoing education is still needed and may impact the care of individuals with AUD., Copyrights are retained by the author. Please contact Jennifer Peterson for further use of this material.
subject
Nursing Educational evaluation Alcohol use Alcoholism
Background: Heart failure (HF) readmissions are incredibly burdensome to hospitals across the country. In 2020, approximately $563 million in penalties from the Center for Medicaid and Medicare Services (CMS) were assigned based on higher than average admission rates (Allen, 2019) with a significant portion related to HF. Our facility has consistently had readmission rates higher than the CMS national benchmark. This is both detrimental to our patients and the cause of assessed yearly CMS reimbursement penalties, which significantly impacts payment for care delivered. There has historically been a very incomplete and disjointed care transition post-discharge for our HF population. Methods: The Transitional Heart Failure Program was designed to target gaps in care and decrease readmissions through comprehensive, holistic transitional care interventions. Financial data were pulled and comparatives reviewed between the 3rd quarters of 2019 and 2020 to determine correlations between financial data and improvements in care delivery. Results: Productivity data were obtained and analyzed to determine differences in volumes and work RVUs (wRVUs) for Advanced Practice Providers (APPs) designated to provide post-discharge and HF care in the outpatient setting. CMS reimbursement penalties were analyzed and compared year over year, and future penalties were extrapolated based on available information. APP wRVUs were positively impacted by the program implementation and reimbursement penalties are projected to decline substantially based on readmission rate improvements. Conclusions: Ongoing evaluation would be beneficial to determine the long-term impact of the HF discharge program, but data suggests that there is a significant financial benefit to continuing current efforts., Copyrights are retained by the author. Please contact Bonnie Nye for further use of this material.
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Hospital -- Prospective payment Heart failure Transitional care Nursing Home care services -- Prospective payment
The purpose of this study was to develop and evaluate a performance evaluation tool for use by the preceptors in a particular orientation program. The tool was devised by an ad hoc committee of five preceptors appointed by the Staff Development Coordinator. It was expected that an easy to use but consistent tool to evaluate the preceptees would increase the effectiveness of a preceptor program., Copyrights are retained by the author. Please contact Teri Swartzbeck for further use of this material.
subject
Nursing Nursing- Studying and teaching (Preceptorship)
The nursing staff on an inpatient psychiatric unit were seeking ways to improve quality of nursing care in order to meet the standards mandated by the American Nurses' Association and Joint Commission on Accreditation of Hospitals. Problems arising from use of the team nursing model on the unit included fragmentation of client care, complex and ineffective channels of communication, and lack of accountability due to shared responsibility for client care. Continuity of care was lacking, and task-oriented care prevented individualized treatment of clients. The professional nurse spent most of her time directing and supervising the care given by others rather than delivering direct client care., Copyrights are retained by the author.