Innovations that bring value propositions through new processes, resources, or technologies to practice. How are we changing outcomes through new innovations in practice? The articles in this issue will provide nurses with the information they need to improve patient outcomes. Articles are devoted to skin cancer screening in the medically underserved, innovative practices for risk assessment and documentation in preventative colon screenings, evidenced-based protocol for diagnosis and treatment of catheter associated urinary tract infection within adult neurocritical care patient population, changing the focus to the PATIENT plan of care, and a nursing focus on EMR usability enhancing documentation of patient outcomes.
Nurses are faced with unprecedented challenges and opportunities. Healthcare delivery models are transforming that require adaptive and flexible nurses. The primary role of the frontline nurse is providing patient care. To be successful in this role it requires numerous competencies supported by evidence-based data. Frontline bedside nurses are fundamental to the success of value-based care delivery models. These transformational models rely on robust nursing contributions for success. Most frontline nurses don't understand value-based care models and their role in promoting positive outcomes for reimbursement. This issue is a tool kit to empower our frontline nurses for challenges they are facing with transformations occurring at their bedside practice site. The articles will be a best practice handbook for frontline nurses by providing resources to develop clinical skills to provide safe, quality, and accountable patient care needed for new healthcare delivery models.
This issue of Nursing Clinics of North America, Guest Edited by Joanne Disch, PhD, RN, FAAN, and Jane Barnsteiner, PhD, RN, FAAN, will focus on Second Generation Work with QSEN, with article topics including: Second Victim; Interprofessional education for QSEN; The Quality Burden; New technologies for teaching quality and safety; Creating Academic/Clinical Partnerships; Incorporating QSEN into Pre-Licensure Programs; Innovative Strategies for Embedding QSEN; Gaining Senior Level Support for QSEN; and Nursing Internships to Promote Quality and Safety.
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
This issue of Nursing Clinics, Guest Edited by Robin Dennison, DNP, MSN, CCNS, RN, will focus on Future of Advanced Nursing Practice with topics including: regulatory procedures for APNs; future of the NP role; future of CNS role; future of nurse midwife role; future of the nurse anesthetist role; impact of LACE in public health; merging roles of the psychiatric mental health CNS and NP; impact of DNP on AP roles; future of reimbursement for APNs; role of APN in EBP; genetics and APNs; APNs in medical home; and executive role of the APN.
In consultation with Consulting Editor, Dr. Jan Foster, Drs. Garbee and Danna have put together a state-of the-art issue of the Critical Care Nursing Clinics devoted to Quality Outcomes and Costs. Clinical review articles are specifically devoted to the following: Information Technology, Electronic Medical Records, and Practice Alerts; Telehealth Use to Promote Quality Outcomes and Reduce Costs; Impact of a Mobility Team on ICU Patient Outcomes; MACRA and MIPS Impact on Quality and Cost Outcomes; Leadership’s Impact on Quality, Outcomes, and Costs; Big Data Sets Use for Quality, Outcomes, and Cost; Pediatric Quality Metrics Related to Quality Outcomes and Cost; Geriatric Outcomes Related to Quality and Cost; Mental Health/Behavioral Health Metrics; Obstetric Quality Outcomes and Cost; Emergency Department Throughput; and Veteran Outcomes. Readers will come away with the latest information they need to improve quality and improve out comes in critically ill patients.
This issue contains a series of articles focused on various initiatives aimed at improving the quality of patient care delivery and promoting safe passage across the continuum of care. Exemplary, evidence-based nursing practice is the cornerstone of quality care, and this issue highlights many ways in which nurses have led changes to optimize patient outcomes. In addition, quality care enhances cost-effectiveness by reducing avoidable complications and diminishing avoidable hospital readmissions, a concept more important than ever due to value-based purchasing and the Affordable Care Act. Articles are specifically devoted to prevention of delirium in critical care patients, palliative care in the intensive care unit, prevention of pressure ulcers, fall prevention in high-risk patients, prevention readmissions, preventing sepsis mortality, and nursing interventions in the elderly critical care patient, to name a few.
This issue of Nursing Clinics of North America will focus on Magnet Hospitals. Article topics will include nursing workforce data on magnet versus non-magnet hospitals, magnet culture and satisfaction, best practices in ensuring engagement among nurses, nursing retention, partnerships between academics and practice, and nursing retention strategies.
The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
