COVID-19 and Nurse-Sensitive Indicators

Stifter, Janet; Sermersheim, Emily Read; Ellsworth, Mary; Dowding, Erin; Day, Elizabeth; Silvestri, Karen; Margwarth, Jessica; Korkmaz, Kerem; Walkowiak, Nicole; Boudreau, Lisa; Hernandez, Laura; Harbert, Bryce; Ambutas, Shirley; Abraham, Aney; Shaw, Phil

doi:10.1097/ncq.0000000000000523

Cited by 19 publications

(20 citation statements)

References 1 publication

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“…Some of our results are in line with a previous study conducted in the United States (US) that showed that fall rates in COVID‐19‐infected patients did not rise due to COVID‐19 restrictions (Stifter et al, 2021 ). In the US COVID‐19 policy also consisted of isolation and visitor restrictions (Stifter et al, 2021 ).…”

Section: Discussionsupporting

confidence: 92%

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Impact of family visit restrictions due to COVID‐19 policy on patient outcomes: A cohort study

Bloemberg

Musters

Wal-Huisman

et al. 2022

Journal of Advanced Nursing

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Aim To investigate the impact of family visit restrictions during the COVID‐19 pandemic on deliriums, falls, pneumonia, pressure ulcers and readmissions among surgical inpatients with gastrointestinal (oncologic) diseases. Design Cohort study. Methods This study was conducted among adult inpatients undergoing gastrointestinal surgery in two academic hospitals. During the COVID‐19 outbreak in 2020, over a 10‐week period, one cohort was subjected to family visit restrictions. Per patient, one person per day was allowed to visit for a maximum of 30 min. This cohort was compared with another cohort in which patients were not subjected to such restrictions during a 10‐week period in 2019. Logistic regression analyses were used to investigate the impact of the restrictions on deliriums, falls, pneumonia, pressure ulcers and readmissions. Results In total, 287 patients were included in the 2020 cohort and 243 in the 2019 cohort. No differences were observed in the cohorts with respect to baseline characteristics. Logistic regression analyses showed no significant differences in deliriums, falls, pneumonia, pressure ulcers and readmissions between the cohorts. Conclusion We cautiously conclude that the family visit restrictions during the COVID‐19 pandemic did not contribute to deliriums, falls, pneumonia, pressure ulcers or readmissions in surgical patients with gastrointestinal (oncologic) diseases. Impact COVID‐19 influenced family‐centred care due to family visit restrictions. Nurses need to continue monitoring outcomes known to be sensitive to family‐centred care to gain insight into the effects of visit restrictions and share the results in order to include nurses' perspectives in COVID‐19‐decision‐making. Re‐implementing of family visit restrictions should be carefully considered in policy‐making.

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Section: Discussionsupporting

confidence: 92%

“…These virtual opportunities were an innovative approach to ensure high‐quality and safe nursing care (Stifter et al, 2021 ). In addition, physical presence of family in hospital was allowed for 30 min per day per patient.…”

Section: Discussionmentioning

confidence: 99%

Impact of family visit restrictions due to COVID‐19 policy on patient outcomes: A cohort study

Bloemberg

Musters

Wal-Huisman

et al. 2022

Journal of Advanced Nursing

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“…Over the course of the pandemic, healthcare quality professionals were called on to support critical operations such as implementing incident command and triage systems, collecting and reporting data to state and local agencies, developing processes for mass immunization centers, and facilitating rapid cycle improvement of processes where and when needed. [5][6][7][8][9] Much of this work relied on common performance and process improvement (PPI) methods and tools. Performance and process improvement is a core domain of healthcare quality work, which involves using project management and change management methods to support operational and clinical quality initiatives.…”

Section: Introductionmentioning

confidence: 99%

Utilization of Improvement Methodologies by Healthcare Quality Professionals During the COVID-19 Pandemic

et al. 2022

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Introduction:This study describes the work of healthcare quality professionals during the COVID-19 pandemic, highlighting the successes and challenges they faced when applying their expertise in performance and process improvement (PPI) to help manage the crisis.Methods:The researchers performed a descriptive analysis of anonymous survey data collected from members of the National Association for Healthcare Quality professional community who were asked about their improvement work during the pandemic response.Results:Most survey respondents used improvement methods to a great or moderate extent to measure what was happening (83%), rapidly review processes and practice (81%), and decide where to focus effort (81%). Fewer respondents used PPI methods to engage with patients and families (58% to a great or moderate extent). Looking to the future, respondents indicated that embedding systematic approaches to improvement within healthcare organizations (59%) and working in a more integrated way across teams (48%) should be prioritized in the post-pandemic recovery.Conclusions:The results from this study demonstrate why healthcare leaders should recognize the value that performance improvement approaches provide to everyday operations. They must empower PPI experts to lead this critical work and continue building workforce capacity in PPI methods to strengthen staff engagement and achieve better outcomes.

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“…Necessary decisions to defer standard reporting and disruptive innovations in practice to ensure patient and staff safety may have created a distorted and incomplete quality of care picture. 1,2 The complexities of maintaining regular quality reporting such as NSI coupled with unprecedented urgency to preserve life caused us to suspend reporting and face COVID-19 head-on. Now, as we reset our organizational and nursing practice, chief nursing officers recognize the need to enhance efforts to share outcomes, innovations, and strategies in real time to improve the quality of care delivery.…”

mentioning

confidence: 99%

“…Quality of care delivery and the negative impact of COVID-19 on NSI have been addressed and described in the literature where an individual organization recounted their own experience and addressed NSI performance along with the resultant practice changes. 1 This article shares the national CNO perspective of the impact of COVID-19 on 4 NSIs: CLABSI, CAUTI, hospital-acquired pressure injuries (HAPIs), and patient falls. Additionally, this article outlines strategies implemented and lessons learned when addressing nurse-sensitive indicators through the COVID-19 pandemic.…”

mentioning

confidence: 99%

Nurse Sensitive Indicators and How COVID-19 Influenced Practice Change

Grimley

Gruebling²,

Kurani³

et al. 2021

Nurse Leader

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Hospitals and health systems have only now started to realize the impact of the COVID-19 pandemic on the quality of nursing care. This analysis outlines the effects of the pandemic on nurse sensitive indicators (NSI) as described by chief nursing officers from across the nation. Demographic data concerning staffing and NSIs, including performance and surveillance during COVID-19, were collected to gain a national perspective on the collective experience of chief nursing executives. Shared solutions and lessons learned through the pandemic were captured during round-table discussions with 272 executives.

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COVID-19 and Nurse-Sensitive Indicators

Cited by 19 publications

References 1 publication

Impact of family visit restrictions due to COVID‐19 policy on patient outcomes: A cohort study

Impact of family visit restrictions due to COVID‐19 policy on patient outcomes: A cohort study

Utilization of Improvement Methodologies by Healthcare Quality Professionals During the COVID-19 Pandemic

Nurse Sensitive Indicators and How COVID-19 Influenced Practice Change

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