Nursing

Innovations

Standardized Contact Process Based on Individual Physician Preferences Saves Nurses Significant Time When Trying to Reach Doctors 03/28/08

St. Rita's Medical Center uses a system based on individualized physician preferences that allows nurses to contact physicians at any time of day by making only one phone call, leading to significant time savings.

Faith Community Nurses Work With Local, Trusted Organizations to Enhance Access to Primary and Preventive Care for Low-Income Individuals in Los Angeles 02/25/08

Faith community nurses provide case management, consultation, health education, screenings, and basic care at little or no cost to low-income, uninsured/underinsured individuals.

Advanced Practice Nurse-Mental Health Provider Partnership Enhances Access and Improves Health Outcomes for Those With Severe Mental Illness 02/25/08

Advanced practice nurses provide primary, preventive, and mental health care to individuals with severe mental illness, leading to improvements in health outcomes.

Nurse Home Visitation Program Reduces Readmissions, Emergency Department Visits, Child Abuse, and Foster Home Placements for Medically Fragile Infants 02/25/08

Bridge to the Future provides nursing home visits to low-income families with medically fragile infants who have been discharged from the neonatal intensive care unit, thus ensuring a smooth transition to long-term care in the home.

Automated, Telephone-Based Interactive, Language-Appropriate Monitoring Engages and Improves Health Behaviors of Low-Income Diabetes Patients 02/22/08

The Automated Telephone Diabetes Management program, a part of the IDEALL project, provided automated telephone monitoring of individuals with poorly controlled type II diabetes who receive their care at four safety net clinics in San Francisco.

Nurse-Led Visits and Care Coordination Promote Self-Care and Improve the Health of Diabetic Adults With Severe Mental Illness 02/21/08

Psychiatric nurses work intensively with diabetic adults with severe mental illness over a 16-visit intervention to empower them to manage their diabetes more effectively.

Residency Program for First-Year Nurses Eases Entry Into Profession, Producing Well-Above Average Retention Rates 02/20/08

Marquette University College of Nursing runs a 1-year residency program for first-year nurses at 53 Wisconsin hospitals. Known as the Wisconsin Nurse Residency Program, the initiative is intended to help first-year nurses better adjust to their new careers. The junior nurses are paired with veteran nurses who provide clinical coaching on the job; they also attend monthly 6.5-hour classes on critical issues and follow a professional development plan tailored to their needs.

Standardized Nursing Terminology and Communication Protocols Lead to Increased Use of Patients' Plan of Care 02/20/08

Standardized plans of care, enabled by the Hands-on Automated Nursing Data System, helps nurses document and communicate patient information, which is particularly critical during patient handoffs.

Peer Coaching Combined With Nurse Outreach Improves Adherence to Medical Recommendations Among Elderly Cardiac Patients Who Live Alone Following Discharge 02/12/08

A nurse-guided, patient-centered approach combines ongoing peer support from a trained elder with home visits and followup phone calls from an advanced practice nurse for unpartnered, elderly patients who are discharged from the hospital after a heart attack or bypass surgery. The program is intended to encourage compliance with medication regimens and recommended lifestyle changes, with the goal of reducing hospital readmissions. A 247-patient randomized controlled trial found that the program improved adherence to medical recommendations and reduced hospitalizations due to cardiac-related complications but failed to reduce overall hospital readmissions.

Patient Lift Team Program Reduces Injuries and Boosts Productivity Among Nurses 02/11/08

The patient lift team initiative employs three two-person teams of physically fit adults, working overlapping shifts, who assist with lifting immobile patients who need assistance in an 800-bed hospital.

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