Weathering the storm: nurses’ satisfaction with a mobile admission nurse service

Kirkbride, Geri; Floyd, Valerie; Tate, Cheryl; Wendler, M. Cecilia

doi:10.1111/j.1365-2834.2011.01273.x

Cited by 5 publications

(4 citation statements)

References 13 publications

(43 reference statements)

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“…The research team decided a priori to randomly select 20 cases/transcripts out of a pool of 72 to begin data analysis. We also set aside an additional 10% ( n = 7), in the event that data saturation did not occur within the identified 20 cases/transcripts (Kirkbride et al, 2012). Data saturation occurred with the initial 20 artefacts chosen, and no further sampling was needed.…”

Section: Methodsmentioning

confidence: 99%

Older adults ‘Have so Much to Teach Us’: A qualitative study of BSN student perceptions when anticipating clinical in the nursing home

Shropshire

Hovey

Ford

et al. 2021

Int J Older People Nursing

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Background As the population of older adults is estimated to double by 2050, the growing demand for nurses to provide care to older adults will grow. Internationally, attitudes among nursing students towards caring for older adults range from negative to slightly positive. Objective The purpose of this qualitative descriptive study was to examine undergraduate nursing students’ thoughts, feelings and perspectives towards older adults residing in nursing homes prior to their clinical experience. Methods/Results Students enrolled in a clinical component of a course within a baccalaureate nursing programme were prompted to write a one‐page reflection on their thoughts and feelings toward caring for older adults in a nursing home. Artefacts from 72 undergraduate students’ were examined, and data saturation was obtained at 20 cases. Utilizing a one‐time inquiry approach, we identified eight categories that emerged from the data: Range of emotions when anticipating clinical, building rewarding relationships with older adults, preparing for my nursing career, student pre‐existing attitudes, providing the best care possible, relationships with grandparents, experience(s) in nursing homes and older adults ‘have so much to teach us’. Two themes encompassed all the others: ‘[Older adults] have so much to teach us’ and ‘providing the best care possible’. A strong majority of students expressed enthusiasm for their upcoming clinical in a nursing home. Conclusion Students’ attitudes were significantly more positive than those in prior studies. The results offer essential insight for nursing faculty who teach and design clinical experiences for undergraduate nursing students in nursing home facilities. Faculty should take account of their students’ prior experiences, thoughts, and feelings to prepare them appropriately to care for older adults in their future nursing careers. Implications for Practice Increasing staffing and retention of staff in nursing homes facilities remains a priority for stakeholders in long‐term care of older adults. Nursing educators must continuously assess students’ knowledge and attitudes assists to identify knowledge gaps and misconceptions, which must be addressed to teach student nurses how to provide high‐quality, effective and culturally sensitive care to older adults. As students become more competent in caring for older adults, their desire to pursue a nursing career in gerontology care may increase. Early experiences of student nurses with older adults will prepare nursing students for their future career. Understanding students’ thoughts and feelings will assist faculty in tailoring clinical orientation, designing clinical experiences and post‐conference debriefings that address students’ concerns. This research contributes to the knowledge of perceptions of nursing students and will assist to design educational experiences. Nursing educators who understand nursing students’ attitudes toward caring for older persons can facilitate therapeutic interactions between nursing students an...

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Section: Methodsmentioning

confidence: 99%

Older adults ‘Have so Much to Teach Us’: A qualitative study of BSN student perceptions when anticipating clinical in the nursing home

Shropshire

Hovey

Ford

et al. 2021

Int J Older People Nursing

View full text Add to dashboard Cite

show abstract

“…The use of PDSA cycle guides the testing of the change to determine if the change is an improvement (Dover, ; Gillam & Siriwardena, ; Taylor et al., ). In the Plan phase, the following key components are identified or defined: idea being tested, people's roles and functions during the test, and specific strategies to execute experimentation for the microsystem (Gage, ; Kirkbride, Floyd, Tate, & Wendler, ). In the Do phase, the plan is carried out and problems or unexpected observations are documented (Kirkbride et al., ; Varkey et al., ; Varkey & Kollengode, ).…”

Section: Methodsmentioning

confidence: 99%

An Evidence‐Based Approach to Reducing Cardiac Telemetry Alarm Fatigue

Srinivasa

Mankoo

Kerr

2017

Worldviews Ev Based Nurs

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Background It is estimated that between 80% and 99% of alarms in the clinical areas are in actionable alarms (Gross, Dahl, & Nielson). Alarm management is one of the Joint Commission's National Patient Safety Goals (2014) because sentinel events have directly been linked to the devices generating these alarms. Purpose At an acute care facility in Boston, a multidisciplinary team consisting of Nursing, Biomedical Engineers, Patient Safety and Providers was formed to conduct a pilot study on the state of telemetry alarms on a surgical floor. Methods An evidence‐based approach was taken utilizing Philips Real‐time data exporter alarms tracking software to capture all telemetry alarms during a 43‐day time span. Likewise, noise meters were placed near telemetry alarm speakers to track decibel levels within the aforementioned timeframe for 21 days. Analysis of the data showed that clinically insignificant Premature Ventricular Contractions (PVC) alarms accounted for more than 40% of all alarms in the unit within the time span, while also contributing to an average noise level of 58.49 dB. In response to the data, the interdisciplinary team approved to permanently default the settings for PAIR PVC, MULTIFORM PVC, and RUN PVC alarms to off. Results The results showed a 54% decrease in the rate of alarms per bed per day, and an average noise reduction of 2.3 dB between the two selected noise measurement areas. Linking Evidence to Action Organizing a multidisciplinary team provides an effective framework toward analyzing and addressing cardiac telemetry alarm fatigue. Looking at quantitative datasets for clinical care areas through various lenses helps identify opportunities for improvement in regards to highlighting alarms that are not actionable. Pilot changes to alarm parameters can be tested for their environmental impact in the care area.

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“…The turbulence caused by such patient turnover has been perceived by nurses to decrease the relationship quality with patients and their family (Jennings, Sandelowski, & Higgins, 2013). The SWAT team allows for newly admitted patients to arrive according to their needs; not those of the receiving nurse who may receive multiple admissions during a shift while also discharging other patients (Kirkbride, Floyd, Tate, & Wendler, 2012).…”

Section: The Role Of the Swat Nursementioning

confidence: 99%

A Nursing SWAT Team: Using the EMR to Improve Patient Throughput

Simmons

Goldschmidt

2014

Journal of Pediatric Nursing

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Weathering the storm: nurses’ satisfaction with a mobile admission nurse service

Abstract: Proactively redesigning work processes, using a structured theoretical model such as the (Plan-Do-Study-Act) PDSA approach, may improve outcomes in a chaotic practice environment.

Cited by 5 publications

References 13 publications

Older adults ‘Have so Much to Teach Us’: A qualitative study of BSN student perceptions when anticipating clinical in the nursing home

Older adults ‘Have so Much to Teach Us’: A qualitative study of BSN student perceptions when anticipating clinical in the nursing home

An Evidence‐Based Approach to Reducing Cardiac Telemetry Alarm Fatigue

A Nursing SWAT Team: Using the EMR to Improve Patient Throughput

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