Sigma Repository
Not a member yet
16599 research outputs found
Sort by
Evidence-Based Practice Improves Patient Outcomes and Healthcare System Return on Investment: Findings From a Scoping Review
No full textBackground: Evidence-based practice and decision-making have been consistently linked to improved quality of care, patient safety, and many positive clinical outcomes in isolated reports throughout the literature. However, a comprehensive summary and review of the extent and type of evidence-based practices (EBPs) and their associated outcomes across clinical settings are lacking.
Aims: The purpose of this scoping review was to provide a thorough summary of published literature on the implementation of EBPs on patient outcomes in healthcare settings.
Methods: A comprehensive librarian-assisted search was done with three databases, and two reviewers independently performed title/abstract and full-text reviews within a systematic review software system. Extraction was performed by the eight review team members.
Results: Of 8537 articles included in the review, 636 (7.5%) met the inclusion criteria. Most articles (63.3%) were published in the United States, and 90% took place in the acute care setting. There was substantial heterogeneity in project definitions, designs, and outcomes. Various EBPs were implemented, with just over a third including some aspect of infection prevention, and most (91.2%) linked to reimbursement. Only 19% measured return on investment (ROI); 94% showed a positive ROI, and none showed a negative ROI. The two most reported outcomes were length of stay (15%), followed by mortality (12%)
Expressions of Compassion Fatigue by Emergency Department Nurses Caring for Patients With Substance Use Disorders
No full textCompassion fatigue occurs in unhealthy and violent environments. This qualitative study interviewed 53 emergency department nurses at a Level I trauma center. The ED nurses expressed frustration with addicted patients, negative responses, and decreased job satisfaction. Creating a healthy work environment includes fostering self-awareness and strategies to avoid compassion fatigue.
Detailed abstract attached
Creating Healthy Work Environments: The Value of Academic-Practice Partnerships
No full textThis presentation will provide an overview of the history of a unique academic-practice partnership, the comprehensive deployment strategy and timeline for initiatives aimed at enhancing the work environment, as well as the impact of these collaborative efforts on the quality of the work environment.
Detailed abstract attached
Nurses at the Nexus of Clinical Care Provision and Organizational Structure
No full textThis qualitative study explores the effects of power dynamics within the neonatal intensive care unit and hospital organizational structure upon clinical care delivery for infants from a substance-exposed pregnancy in the NICU. Results suggest that power imbalances can inhibit the delivery of high-quality care, especially with high workload demands.
Detailed abstract attached
Healing the Heart of Healthcare
No full textLearn how to help healthcare workers in your community heal from the trauma caused by being on the front line of the COVID-19 pandemic so that they can return to work feeling proud, validated, and with a renewed sense of purpose for the profession.
Detailed abstract attached
Cognitive Appraisals and Coping Strategies of Nurses in Emergency Department Combating COVID-19: A Scoping Review
No full textThis research synthesized 16 studies to corroborate that the fear of uncertainty, dilemma of triage, and adverse mental health were the significant threats to EDRNs. Additionally, the up-to-date training program, modified triage system, promotion of resilience, early stress-relieved intervention, and professional affirmation may help EDRNs cope with pandemic-related challenges effectively.
Detailed abstract attached
Organ Procurement Perioperative Education: Reinforcing Competencies and Alleviating Anxiety Among Team Members
No full textThe perioperative team-consisting of the registered nurse, certified surgical technologist, and perioperative nursing assistants-work collaboratively to ensure high-quality and safe patient care. Most of the members of the team are feel anxious when dealing with organ procurement because of the complexity of the procedure and needs.
Detailed abstract attached
Promoting Interprofessional Collaboration: Transcatheter Aortic Valve Replacement Program to Optimize Patient Outcomes
No full textThis session provides an overview of an interprofessionally driven collaborative to create a patient-centered program that enhances care delivery, patient safety and satisfaction, and cost savings when transcatheter aortic valve replacement is selected as the clinical modality to manage aortic stenosis.
Detailed abstract attached
REST for Self-Care: Improving Student Nurses’ Health
No full textThe Essentials for nursing education prioritize improving students’ health and resilience. In this presentation, we describe how nursing students used the REST mnemonic to create self-care plans. At the end of the semester, students reported increased engagement in self-care activities and a new awareness of the need for self-care.
Detailed abstract attached
Older adults’ perception of missed nursing care in Western Australia: A cross-sectional study
No full textMissed nursing care may predispose older adults\u27 to worse clinical outcomes. Because eliciting perception of missed care is one way to identify care missed or delayed and target interventions, this quantitative study was conducted to determine older adults\u27 perception of missed care in a Western Australian teaching hospital.
Detailed abstract attached