2.50
Hdl Handle:
http://hdl.handle.net/10755/182537
Category:
Abstract
Type:
Presentation
Title:
Evidence and Research Driving Nursing Communication and Quality Patient Care
Author(s):
Matter, Sheri
Author Details:
Sheri Matter, MS, BSN, RN, CNAA-BC, PinnacleHealth System, Harrisburg, Pennsylvania, USA, email: smatter@pinnaclehealth.org
Abstract:
Podium Presentation: BRIEF DESCRIPTION: A partnership of a Magnet system, a content vendor, and an IT company are exploring the opportunities and challenges associated with integrating evidence-based knowledge into an electronic health record. Results include increased staff understanding of evidence-based practice and improved outcomes related to nursing care. ABSTRACT: In 2005, a Health System, content vendor, and IT company partnered to study the opportunities and challenges associated with the integration of evidence-based nursing knowledge in the electronic health record (EHR). The study goals include creating repeatable methodologies for integrating nursing knowledge in the EHR and understanding the impact of the integrated knowledge on key processes and outcomes of care. The three-phase study involves integration of customized evidence-based plans of care within the documentation and plan of care applications of the EHR. Key results of this ongoing study include greater insight into how structured data elements should appear to end users in terms of form, order and context; staff nurse response to the availability of evidence-based content in their care planning and documentation workflow; and the impact of customizable evidence-based plans of care on various organizational processes. Study methods include the creation of a collaborative team comprised of staff nurses, clinical nurse specialists, informatics nurses, and librarian to manage and champion use of the evidence based content solution, as well as to develop education materials on evidence based practice. In the second phase of the study, improvements in various quality indicators were demonstrated including rate of serious falls, pain reassessment rates, and several infection rates. The third phase of the study has focused on the use of evidence based nursing content and the inter-disciplinary plan of care as part of shift report and on monitoring of a comprehensive set of metrics using IHI 5 Million Lives Campaign indicators. Evidence based nursing knowledge has been added to the EHR, which is subsequently integrated into the process of shift report, so nurses have the complete picture needed for inter-shift communication and care continuity. Both the work list and the plans of care are reviewed during the nurse's change of shift report allowing time for review of the plan of care with the patient. This effort has improved the quality of patient care transition and has increased patient satisfaction. The ability to have up to date evidence that is embedded within the EHR and subsequently infused into nursing workflow has improved both quality of care and satisfaction of both nurses and patients. REFERENCES: Anderson, C. D., & Mangino, R. R. (2006). Nurse shift report: who says you can't talk in front of the patient? Nursing administration quarterly, 30(2), 112-122. Baldwin, L., & McGinnis, C. (1994). A computer-generated shift report. Nursing management, 25(9), 61-64. Bates, D. W., & Gawande, A. A. (2003). Improving Safety with Information Technology. The New England Journal of Medicine, 348(25), 2526-2534. Benson, E., Rippin-Sisler, C., Jabusch, K., & Keast, S. (2006). Improving Nursing Shift-to-Shift Report. Journal Nursing Care Quality, 22(1), 80-84. Caruso, E. (2007). The Evolution of Nurse-to-Nurse Bedside Report on a Medical-Surgical Cardiology Unit. MEDSURG Nursing, 16(1), 17-22. Clemow, R. (2006). Care plans as the main focus of nursing handover: information exchange model. Journal of clinical nursing, 15(11), 1463-1465. Council, S. a. Q. i. H. A. (2005). Clinical Handover and Patient Safety. Australian Council for Safety and Quality in Health Care, 1(1), 1-31. Dowding, D. (2001). Examining the effects that manipulating information given in the change of shift report has on nurses' care planning ability. Health and Nursing Policy Issues, 33(6), 836-846. Ekman, I., & Segesten, K. (1995). Deputed Power of Medical Control: The Hidden Message in the Ritual for Oral Shift Reports. Journal of Advanced Nursing, 22(1), 1006-1111. Fenton, W. (2006). Developing a guide to improve the quality of nurses' handover. Nursing Older People, 18(11), 32-36. Gugerty B, Maranda M, Rook D. The Clinical Information System Implementation Evaluation Scale. Studies in Health Technology and Informatics, 2006. 122:621-5. Haig, K. M., Sutton, S., & Whittington, J. (2006). SBAR: A shared mental model for improving communication between clinicians. Journal on Quality and Patient Safety, 32(3), 167-175. IOM. (2003). Keeping Patients Safe: Transforming the Work Environment of Nurses. IOM, 1(1). JCAHO, T. J. C. (2007). Communication During Patient Hand-Overs. JCAHO, 1(3), 1-4. JCI, S. (2006). Root causes of sentinel events, all categories. Oakbrook, IL: Joint Commission, 2006. Kaiser, P. (2007). Clinical Excellence Nurse Knowledge Exchange. KP News Center, N/A(N/A), N/A. Keenan, G. (2007). HANDS Care Plan Tool Seeks to Improve Nurse Communication at Handoff in AHRQ-Funded Study AHRQ. Lamond, D. (2000). The information content of the nurse change of shift report: a comparative study. Journal of advanced nursing, 31(4), 794-804. Lardner, R. (1996). Effective Shift Handover - A Literature Review. Health and Safety Executive(Report Issue), 1-17. Manning, M. L. (2006). Improving Clinical Communication Through Structured Conversation. Nursing Economics, 24(5), 268-271. McMahon, R. (1990). What are we saying? Nursing Times, 86(30), 38-40. Parker, J., Gardner, G., & Wiltshire, J. (1992). Handover: the collective narrative of nursing practice. Aust Journal Advanced Nursing, 9(3), 31-37. Patterson, P. K. (1995). Nurse information needs for efficient care continuity across patient units. Journal of Nursing Administration, 25(10), 28-36. Pothier, D., Monteiro, P., Mooktiar, M., & Shaw, A. (2005). Handover. Pilot study to show the loss of important data in nursing handover. British Journal of Nursing (BJN), 14(20), 1090-1093. Strople, B., Ottani, Patricia. (2006). Can Technology Improve Intershift Report? What the Research Reveals. Journal of Professional Nursing, 22(3), 197-204.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleEvidence and Research Driving Nursing Communication and Quality Patient Careen_GB
dc.contributor.authorMatter, Sherien_US
dc.author.detailsSheri Matter, MS, BSN, RN, CNAA-BC, PinnacleHealth System, Harrisburg, Pennsylvania, USA, email: smatter@pinnaclehealth.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182537-
dc.description.abstractPodium Presentation: BRIEF DESCRIPTION: A partnership of a Magnet system, a content vendor, and an IT company are exploring the opportunities and challenges associated with integrating evidence-based knowledge into an electronic health record. Results include increased staff understanding of evidence-based practice and improved outcomes related to nursing care. ABSTRACT: In 2005, a Health System, content vendor, and IT company partnered to study the opportunities and challenges associated with the integration of evidence-based nursing knowledge in the electronic health record (EHR). The study goals include creating repeatable methodologies for integrating nursing knowledge in the EHR and understanding the impact of the integrated knowledge on key processes and outcomes of care. The three-phase study involves integration of customized evidence-based plans of care within the documentation and plan of care applications of the EHR. Key results of this ongoing study include greater insight into how structured data elements should appear to end users in terms of form, order and context; staff nurse response to the availability of evidence-based content in their care planning and documentation workflow; and the impact of customizable evidence-based plans of care on various organizational processes. Study methods include the creation of a collaborative team comprised of staff nurses, clinical nurse specialists, informatics nurses, and librarian to manage and champion use of the evidence based content solution, as well as to develop education materials on evidence based practice. In the second phase of the study, improvements in various quality indicators were demonstrated including rate of serious falls, pain reassessment rates, and several infection rates. The third phase of the study has focused on the use of evidence based nursing content and the inter-disciplinary plan of care as part of shift report and on monitoring of a comprehensive set of metrics using IHI 5 Million Lives Campaign indicators. Evidence based nursing knowledge has been added to the EHR, which is subsequently integrated into the process of shift report, so nurses have the complete picture needed for inter-shift communication and care continuity. Both the work list and the plans of care are reviewed during the nurse's change of shift report allowing time for review of the plan of care with the patient. This effort has improved the quality of patient care transition and has increased patient satisfaction. The ability to have up to date evidence that is embedded within the EHR and subsequently infused into nursing workflow has improved both quality of care and satisfaction of both nurses and patients. REFERENCES: Anderson, C. D., & Mangino, R. R. (2006). Nurse shift report: who says you can't talk in front of the patient? Nursing administration quarterly, 30(2), 112-122. Baldwin, L., & McGinnis, C. (1994). A computer-generated shift report. Nursing management, 25(9), 61-64. Bates, D. W., & Gawande, A. A. (2003). Improving Safety with Information Technology. The New England Journal of Medicine, 348(25), 2526-2534. Benson, E., Rippin-Sisler, C., Jabusch, K., & Keast, S. (2006). Improving Nursing Shift-to-Shift Report. Journal Nursing Care Quality, 22(1), 80-84. Caruso, E. (2007). The Evolution of Nurse-to-Nurse Bedside Report on a Medical-Surgical Cardiology Unit. MEDSURG Nursing, 16(1), 17-22. Clemow, R. (2006). Care plans as the main focus of nursing handover: information exchange model. Journal of clinical nursing, 15(11), 1463-1465. Council, S. a. Q. i. H. A. (2005). Clinical Handover and Patient Safety. Australian Council for Safety and Quality in Health Care, 1(1), 1-31. Dowding, D. (2001). Examining the effects that manipulating information given in the change of shift report has on nurses' care planning ability. Health and Nursing Policy Issues, 33(6), 836-846. Ekman, I., & Segesten, K. (1995). Deputed Power of Medical Control: The Hidden Message in the Ritual for Oral Shift Reports. Journal of Advanced Nursing, 22(1), 1006-1111. Fenton, W. (2006). Developing a guide to improve the quality of nurses' handover. Nursing Older People, 18(11), 32-36. Gugerty B, Maranda M, Rook D. The Clinical Information System Implementation Evaluation Scale. Studies in Health Technology and Informatics, 2006. 122:621-5. Haig, K. M., Sutton, S., & Whittington, J. (2006). SBAR: A shared mental model for improving communication between clinicians. Journal on Quality and Patient Safety, 32(3), 167-175. IOM. (2003). Keeping Patients Safe: Transforming the Work Environment of Nurses. IOM, 1(1). JCAHO, T. J. C. (2007). Communication During Patient Hand-Overs. JCAHO, 1(3), 1-4. JCI, S. (2006). Root causes of sentinel events, all categories. Oakbrook, IL: Joint Commission, 2006. Kaiser, P. (2007). Clinical Excellence Nurse Knowledge Exchange. KP News Center, N/A(N/A), N/A. Keenan, G. (2007). HANDS Care Plan Tool Seeks to Improve Nurse Communication at Handoff in AHRQ-Funded Study AHRQ. Lamond, D. (2000). The information content of the nurse change of shift report: a comparative study. Journal of advanced nursing, 31(4), 794-804. Lardner, R. (1996). Effective Shift Handover - A Literature Review. Health and Safety Executive(Report Issue), 1-17. Manning, M. L. (2006). Improving Clinical Communication Through Structured Conversation. Nursing Economics, 24(5), 268-271. McMahon, R. (1990). What are we saying? Nursing Times, 86(30), 38-40. Parker, J., Gardner, G., & Wiltshire, J. (1992). Handover: the collective narrative of nursing practice. Aust Journal Advanced Nursing, 9(3), 31-37. Patterson, P. K. (1995). Nurse information needs for efficient care continuity across patient units. Journal of Nursing Administration, 25(10), 28-36. Pothier, D., Monteiro, P., Mooktiar, M., & Shaw, A. (2005). Handover. Pilot study to show the loss of important data in nursing handover. British Journal of Nursing (BJN), 14(20), 1090-1093. Strople, B., Ottani, Patricia. (2006). Can Technology Improve Intershift Report? What the Research Reveals. Journal of Professional Nursing, 22(3), 197-204.en_GB
dc.date.available2011-10-28T15:28:41Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:28:41Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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