PMID- 35012524 OWN - NLM STAT- MEDLINE DCOM- 20220112 LR - 20220114 IS - 1472-6963 (Electronic) IS - 1472-6963 (Linking) VI - 22 IP - 1 DP - 2022 Jan 10 TI - What makes an effective Quality Improvement Manager? A qualitative study in the New Zealand Health System. PG - 50 LID - 10.1186/s12913-021-07433-w [doi] LID - 50 AB - PURPOSE: Quality improvement is an international priority, and health organisations invest heavily in this endeavour. Little, however, is known of the role and perspectives of Quality Improvement Managers who are responsible for quality improvement implementation. We explored the quality improvement managers' accounts of what competencies and qualities they require to achieve day-to-day and long-term quality improvement objectives. DESIGN: Qualitative exploratory design using an interpretivist approach with semi-structured interviews analysed thematically. SETTING AND PARTICIPANTS: Interviews were conducted with 56 quality improvement managers from 15 (out of 20) New Zealand District Health Boards. Participants were divided into two groups: traditional and clinical quality improvement managers. The former group consisted of those with formal quality improvement education-typically operations managers or process engineers. The latter group was represented by clinical staff-physicians and nurses-who received on-the-job training. RESULTS: Three themes were identified: quality improvement expertise, leadership competencies and interpersonal competencies. Effective quality improvement managers require quality improvement experience and expertise in healthcare environments. They require leadership competencies including sense-giving, taking a long-term view and systems thinking. They also require interpersonal competencies including approachability, trustworthiness and supportiveness. Traditional and clinical quality improvement managers attributed different value to these characteristics with traditional quality improvement managers emphasising leadership competencies and interpersonal skills more than clinical quality improvement managers. CONCLUSIONS: We differentiate between traditional and clinical quality improvement managers, and suggest how both groups can be better prepared to be effective in their roles. Both groups require a comprehensive socialisation and training process designed to meet specific learning needs. CI - © 2022. The Author(s). FAU - Akmal, Adeel AU - Akmal A AD - Department of General Practice and Rural Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand. adeel.akmal@otago.ac.nz. AD - Centre for Health Systems and Technology, University of Otago, Dunedin, New Zealand. adeel.akmal@otago.ac.nz. FAU - Podgorodnichenko, Nataliya AU - Podgorodnichenko N AD - Centre for Health Systems and Technology, University of Otago, Dunedin, New Zealand. AD - DBA, Otago Business School, University of Otago, Dunedin, New Zealand. FAU - Stokes, Tim AU - Stokes T AD - Department of General Practice and Rural Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand. AD - Centre for Health Systems and Technology, University of Otago, Dunedin, New Zealand. FAU - Foote, Jeff AU - Foote J AD - Department of Management, Otago Business School, University of Otago, Dunedin, New Zealand. FAU - Greatbanks, Richard AU - Greatbanks R AD - Department of Management, Otago Business School, University of Otago, Dunedin, New Zealand. FAU - Gauld, Robin AU - Gauld R AD - Centre for Health Systems and Technology, University of Otago, Dunedin, New Zealand. AD - Dean's Office, Otago Business School, University of Otago, Dunedin, New Zealand. LA - eng PT - Journal Article DEP - 20220110 PL - England TA - BMC Health Serv Res JT - BMC health services research JID - 101088677 SB - IM MH - Delivery of Health Care MH - Humans MH - *Leadership MH - New Zealand MH - Qualitative Research MH - *Quality Improvement PMC - PMC8751312 OTO - NOTNLM OT - Health policy OT - Health services research OT - New Zealand OT - Qualitative research OT - Quality improvement OT - Quality improvement managers COIS- The authors declare that they have no competing interests. EDAT- 2022/01/12 06:00 MHDA- 2022/01/13 06:00 PMCR- 2022/01/10 CRDT- 2022/01/11 05:51 PHST- 2021/08/25 00:00 [received] PHST- 2021/12/14 00:00 [accepted] PHST- 2022/01/11 05:51 [entrez] PHST- 2022/01/12 06:00 [pubmed] PHST- 2022/01/13 06:00 [medline] PHST- 2022/01/10 00:00 [pmc-release] AID - 10.1186/s12913-021-07433-w [pii] AID - 7433 [pii] AID - 10.1186/s12913-021-07433-w [doi] PST - epublish SO - BMC Health Serv Res. 2022 Jan 10;22(1):50. doi: 10.1186/s12913-021-07433-w. PMID- 34219294 OWN - NLM STAT- MEDLINE DCOM- 20220207 LR - 20220207 IS - 1365-2702 (Electronic) IS - 0962-1067 (Linking) VI - 31 IP - 5-6 DP - 2022 Mar TI - Effects of a blended emergent research training programme for clinical nurses on nursing research competence and critical thinking (Part 2): A quasi-experimental study. PG - 755-769 LID - 10.1111/jocn.15934 [doi] AB - AIMS AND OBJECTIVES: To evaluate the effects of a blended emergent research training programme for clinical nurses on research competence and critical thinking. BACKGROUND: With the development of the nursing discipline and evidence-based nursing practice, nursing research competence is increasingly important for clinical nurses. Current nursing research training programmes cannot meet the needs of clinical nurses. DESIGN: A quasi-experimental study. METHODS: A total of 104 clinical nurses from two tertiary hospitals participated in this study. The intervention group received a blended emergent research training programme for clinical nurses, and the control group received no intervention. Nursing research competence and critical thinking were measured at baseline, after the intervention and three months after the intervention. The satisfaction with the training of clinical nurses in the intervention group was also measured after the intervention. Generalised linear mixed models were used to evaluate the effects of the intervention on outcome variables. Qualitative data were analysed by two researchers using the content analysis method. Our reporting complies with the TREND checklist. RESULTS: The blended emergent research training programme for clinical nurses finally showed positive effects on nursing research competence and critical thinking. The effects lasted until three months after the training programme. 'Learner-centred Training', 'Skilled Trainers', 'Encouraging Training Environment' and 'Positive Outcomes' are the main categories generated from the qualitative data. CONCLUSION: The blended emergent research training programme for clinical nurses could be used for clinical nurses' research education to improve their nursing research competence and critical thinking. RELEVANCE TO CLINICAL PRACTICE: The blended emergent teaching method could be considered as an effective method to provide an encouraging learning environment and promote learner-centred teaching for clinical nurses. The blended emergent research training programme could be used to improve nursing research competence and critical thinking of clinical nurses which are important for evidence-based nursing practice. CI - © 2021 John Wiley & Sons Ltd. FAU - Chen, Qirong AU - Chen Q AUID- ORCID: 0000-0003-1908-290X AD - Xiangya School of Nursing, Central South University, Changsha, Hunan, China. FAU - Tang, Siyuan AU - Tang S AUID- ORCID: 0000-0001-9940-5072 AD - Xiangya School of Nursing, Central South University, Changsha, Hunan, China. FAU - Liu, Dan AU - Liu D AUID- ORCID: 0000-0002-8213-3557 AD - Xiangya School of Nursing, Central South University, Changsha, Hunan, China. FAU - Zhou, Chuyi AU - Zhou C AD - Xiangya School of Nursing, Central South University, Changsha, Hunan, China. FAU - Castro, Aimee R AU - Castro AR AUID- ORCID: 0000-0002-6461-0866 AD - Ingram School of Nursing, McGill University, Montreal, Quebec, Canada. FAU - Jiang, Shan AU - Jiang S AD - Graduate School of Education, Shanghai Jiao Tong University, Shanghai, China. FAU - Huang, Chongmei AU - Huang C AD - Xiangya School of Nursing, Central South University, Changsha, Hunan, China. FAU - Chen, Jiarui AU - Chen J AUID- ORCID: 0000-0003-2005-288X AD - Xiangya School of Nursing, Central South University, Changsha, Hunan, China. LA - eng GR - 2017TP1004/Hunan Science and Technology Innovation Platform and Talent Plan/ GR - 201706370079/China Scholarship Council/ PT - Journal Article DEP - 20210704 PL - England TA - J Clin Nurs JT - Journal of clinical nursing JID - 9207302 MH - *Clinical Competence MH - Evidence-Based Nursing MH - Humans MH - Learning MH - *Nursing Research MH - Thinking OTO - NOTNLM OT - blended emergent teaching OT - critical thinking OT - nursing education OT - research competence EDAT- 2021/07/06 06:00 MHDA- 2022/02/08 06:00 CRDT- 2021/07/05 05:43 PHST- 2021/05/19 00:00 [revised] PHST- 2021/04/15 00:00 [received] PHST- 2021/06/09 00:00 [accepted] PHST- 2021/07/06 06:00 [pubmed] PHST- 2022/02/08 06:00 [medline] PHST- 2021/07/05 05:43 [entrez] AID - 10.1111/jocn.15934 [doi] PST - ppublish SO - J Clin Nurs. 2022 Mar;31(5-6):755-769. doi: 10.1111/jocn.15934. Epub 2021 Jul 4. PMID- 34297982 OWN - NLM STAT- MEDLINE DCOM- 20220307 LR - 20220307 IS - 1538-9375 (Electronic) IS - 1525-8610 (Linking) VI - 23 IP - 3 DP - 2022 Mar TI - Medical Decision-Making Practices for Unrepresented Residents in Nursing Homes. PG - 488-492 LID - S1525-8610(21)00639-3 [pii] LID - 10.1016/j.jamda.2021.07.001 [doi] AB - OBJECTIVES: Unrepresented adults are individuals who lack decision-making capacity and have neither an available surrogate decision maker nor an applicable advance directive. Currently, the prevalence of unrepresented nursing home (NH) residents and how medical decisions are made is unknown. We examined (1) the prevalence of unrepresented NH residents, (2) NH policies and procedures to address medical decision making for those residents, and (3) NH staff's perceptions of medical decision making for unrepresented residents. DESIGN: We reviewed resident medical records and NH policy and procedure documents. We also conducted a survey of NH staff using an investigator-developed questionnaire. SETTING AND PARTICIPANTS: Sixty-six staff members recruited from 3 NHs (433 residents total) in 1 metropolitan area of Georgia, USA. METHODS: Medical records and policy and procedure documents were reviewed using preset criteria. The survey included 31 structured and open-ended questions regarding medical decision-making practices for unrepresented residents (eg, awareness of medical decision-making processes, experiences in medical decision making, and suggestions to improve practice). We used descriptive statistics and conventional content analysis. RESULTS: Four residents (1%) met the criteria of being unrepresented. We found no written statements that specifically addressed medical decision making for unrepresented residents in the participating NHs. Of 66 survey participants, 11 had been involved in medical decision making for unrepresented residents. The most common decisions involved do-not-resuscitate orders, major medical and surgical treatments, and life-sustaining treatments. These decisions were made primarily by relying on the resident's physician or through discussions within the facility's interdisciplinary team. Suggestions included adopting explicit mechanisms or protocols related to decision making for unrepresented residents, education/training, and resources for group-based decision making. CONCLUSIONS AND IMPLICATIONS: Although prevalence in the 3 NHs was low, NH care providers, ethical and legal professionals, and other key stakeholders should discuss practical approaches and policies to systematically identify unrepresented residents and to improve NHs' medical decision-making practices for them. CI - Copyright © 2021 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. FAU - Kim, Hyejin AU - Kim H AD - Red Cross College of Nursing, Chung-Ang University, Seoul, Republic of Korea. Electronic address: hkim2019@cau.ac.kr. FAU - Perkins, Molly AU - Perkins M AD - Department of Medicine, School of Medicine, Emory University, Atlanta, GA, USA. FAU - Pope, Thaddeus M AU - Pope TM AD - Health Law Institute, Mitchell Hamline School of Law, Saint Paul, MA, USA. FAU - Comer, Patricia AU - Comer P AD - A.G. Rhodes Health and Rehab, Atlanta, GA, USA. FAU - Song, Mi-Kyung AU - Song MK AD - Center for Nursing Excellence in Palliative Care, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210721 PL - United States TA - J Am Med Dir Assoc JT - Journal of the American Medical Directors Association JID - 100893243 SB - IM MH - Adult MH - *Advance Directives MH - Clinical Decision-Making MH - Decision Making MH - Humans MH - *Nursing Homes MH - Resuscitation Orders OTO - NOTNLM OT - Unrepresented residents OT - decision making OT - nursing home OT - palliative care EDAT- 2021/07/24 06:00 MHDA- 2022/03/08 06:00 CRDT- 2021/07/23 20:10 PHST- 2021/05/15 00:00 [received] PHST- 2021/06/22 00:00 [revised] PHST- 2021/07/03 00:00 [accepted] PHST- 2021/07/24 06:00 [pubmed] PHST- 2022/03/08 06:00 [medline] PHST- 2021/07/23 20:10 [entrez] AID - S1525-8610(21)00639-3 [pii] AID - 10.1016/j.jamda.2021.07.001 [doi] PST - ppublish SO - J Am Med Dir Assoc. 2022 Mar;23(3):488-492. doi: 10.1016/j.jamda.2021.07.001. Epub 2021 Jul 21. PMID- 34402485 OWN - NLM STAT- MEDLINE DCOM- 20220502 LR - 20260213 IS - 1536-4801 (Electronic) IS - 0277-2116 (Linking) VI - 74 IP - S1 Suppl 1 DP - 2022 Mar 1 TI - Pediatric Endoscopy Quality Improvement Network Quality Standards and Indicators for Pediatric Endoscopy Facilities: A Joint NASPGHAN/ESPGHAN Guideline. PG - S16-S29 LID - 10.1097/MPG.0000000000003263 [doi] AB - INTRODUCTION: There is increasing international recognition of the impact of variability in endoscopy facilities on procedural quality and outcomes. There is also growing precedent for assessing the quality of endoscopy facilities at regional and national levels by using standardized rating scales to identify opportunities for improvement. METHODS: With support from the North American and European Societies of Pediatric Gastroenterology Hepatology and Nutrition (NASPGHAN and ESPGHAN), an international working group of the Pediatric Endoscopy Quality Improvement Network (PEnQuIN) used the methodological strategy of the Appraisal of Guidelines for REsearch and Evaluation (AGREE) II instrument to develop standards and indicators relevant for assessing the quality of facilities where endoscopic care is provided to children. Consensus was reached via an iterative online Delphi process and subsequent in-person meeting. The quality of evidence and strength of recommendations were rated according to the GRADE (Grading of Recommendation Assessment, Development and Evaluation) approach. RESULTS: The PEnQuIN working group achieved consensus on 27 standards for facilities supporting pediatric endoscopy, as well 10 indicators that can be used to identify high-quality endoscopic care in children. These standards were subcategorized into three subdomains: Quality of Clinical Operations (15 standards, 5 indicators); Patient and Caregiver Experience (9 standards, 5 indicators); and Workforce (3 standards). DISCUSSION: The rigorous PEnQuIN process successfully yielded standards and indicators that can be used to universally guide and measure high-quality facilities for procedures around the world where endoscopy is performed in children. It also underscores the current paucity of evidence for pediatric endoscopic care processes, and the need for research into this clinical area. CI - Copyright © 2021 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. FAU - Lightdale, Jenifer R AU - Lightdale JR AD - Department of Pediatrics, Division of Gastroenterology and Nutrition, UMass Memorial Children's Medical Center, University of Massachusetts Medical School, Worcester, MA, United States. FAU - Walsh, Catharine M AU - Walsh CM AD - Department of Paediatrics and the Wilson Centre, Division of Gastroenterology, Hepatology and Nutrition and the Research and Learning Institutes, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada. FAU - Narula, Priya AU - Narula P AD - Department of Paediatric Gastroenterology, Sheffield Children's Hospital NHS Foundation Trust, Sheffield, South Yorkshire, United Kingdom. FAU - Utterson, Elizabeth C AU - Utterson EC AD - Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Washington University School of Medicine/St. Louis Children's Hospital, St. Louis, MO, United States. FAU - Tavares, Marta AU - Tavares M AD - Pediatric Gastroenterology Department, Division of Pediatrics, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto, ICBAS - Instituto de Ciências Biomédicas Abel Salazar, Porto, Portugal. FAU - Rosh, Joel R AU - Rosh JR AD - Division of Pediatric Gastroenterology, Department of Pediatrics, Goryeb Children's Hospital, Icahn School of Medicine at Mount Sinai, Morristown, NJ, United States. FAU - Riley, Matthew R AU - Riley MR AD - Department of Pediatric Gastroenterology, Providence St. Vincent's Medical Center, Portland, OR, United States. FAU - Oliva, Salvatore AU - Oliva S AD - Pediatric Gastroenterology and Liver Unit, Maternal and Child Health Department, Umberto I - University Hospital, Sapienza - University of Rome, Rome, Italy. FAU - Mamula, Petar AU - Mamula P AD - Division of Gastroenterology, Hepatology and Nutrition, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States. FAU - Mack, David R AU - Mack DR AD - Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ontario, Canada. FAU - Liu, Quin Y AU - Liu QY AD - Division of Gastroenterology and Hepatology, Medicine and Pediatrics, Cedars-Sinai Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States. FAU - Lerner, Diana G AU - Lerner DG AD - Division of Pediatrics, Pediatric Gastroenterology, Hepatology and Nutrition, Children's of Wisconsin, Medical College of Wisconsin, Milwaukee, WI, United States. FAU - Leibowitz, Ian H AU - Leibowitz IH AD - Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Children's National Medical Center, George Washington University, Washington, DC, United States. FAU - Jacobson, Kevan AU - Jacobson K AD - Division of Gastroenterology, Hepatology and Nutrition, British Columbia's Children's Hospital and British Columbia Children's Hospital Research Institute, University of British Columbia, Vancouver, British Columbia, Canada. FAU - Huynh, Hien Q AU - Huynh HQ AD - Pediatric Gastroenterology and Nutrition, Department of Pediatrics, Stollery Children's Hospital, University of Alberta, Edmonton, Alberta, Canada. FAU - Homan, Matjaž AU - Homan M AD - Department of Gastroenterology, Hepatology and Nutrition, University Children's Hospital, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia. FAU - Hojsak, Iva AU - Hojsak I AD - Referral Center for Pediatric Gastroenterology and Nutrition, Children's Hospital Zagreb, University of Zagreb Medical School, Zagreb, University J.J. Strossmayer Medical School, Osijek, Croatia. FAU - Gillett, Peter M AU - Gillett PM AD - Paediatric Gastroenterology, Hepatology and Nutrition Department, Royal Hospital for Sick Children, Edinburgh, Scotland, United Kingdom. FAU - Furlano, Raoul I AU - Furlano RI AD - Pediatric Gastroenterology & Nutrition, Department of Pediatrics, University Children's Hospital Basel, University of Basel, Basel, Switzerland. FAU - Fishman, Douglas S AU - Fishman DS AD - Section of Pediatric Gastroenterology, Hepatology and Nutrition, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, United States. FAU - Croft, Nicholas M AU - Croft NM AD - Blizard Institute, Barts and the London School of Medicine, Queen Mary University of London, London, United Kingdom. FAU - Brill, Herbert AU - Brill H AD - Division of Gastroenterology & Nutrition, Department of Pediatrics, McMaster Children's Hospital, McMaster University, Department of Paediatrics, William Osler Health System, Department of Paediatrics, University of Toronto, Toronto, Ontario, Canada. FAU - Bontems, Patrick AU - Bontems P AD - Division of Pediatrics, Department of Pediatric Gastroenterology, Queen Fabiola Children's University Hospital, ICBAS - Université Libre de Bruxelles, Brussels, Belgium. FAU - Amil-Dias, Jorge AU - Amil-Dias J AD - Pediatric Gastroenterology, Department of Pediatrics, Centro Hospitalar Universitário S. João, Porto, Portugal. FAU - Kramer, Robert E AU - Kramer RE AD - Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Children's Hospital of Colorado, University of Colorado, Aurora, CO, United States. FAU - Ambartsumyan, Lusine AU - Ambartsumyan L AD - Division of Gastroenterology and Hepatology, Seattle Children's Hospital, Department of Pediatrics, University of Washington, Seattle, WA, United States. FAU - Otley, Anthony R AU - Otley AR AD - Gastroenterology & Nutrition, Department of Pediatrics, IWK Health, Dalhousie University, Halifax, Nova Scotia, Canada. FAU - McCreath, Graham A AU - McCreath GA AD - Child Health Evaluative Sciences, SickKids Research Institute, The Hospital for Sick Children, Toronto, Ontario, Canada. FAU - Connan, Veronik AU - Connan V AD - Child Health Evaluative Sciences, SickKids Research Institute, The Hospital for Sick Children, Toronto, Ontario, Canada. FAU - Thomson, Mike A AU - Thomson MA AD - Department of Paediatric Gastroenterology, Sheffield Children's Hospital NHS Foundation Trust, Sheffield, South Yorkshire, United Kingdom. CN - PEnQuIN Working Group LA - eng PT - Journal Article PT - Practice Guideline PT - Research Support, Non-U.S. Gov't PL - United States TA - J Pediatr Gastroenterol Nutr JT - Journal of pediatric gastroenterology and nutrition JID - 8211545 SB - IM MH - Child MH - Consensus MH - Endoscopy, Gastrointestinal/methods MH - *Gastroenterology MH - Humans MH - *Quality Improvement COIS- Conflicts of interest: P.B. has served on the advisory boards of Biocodex, Nutricia, and Avanos. P.B. has received honoraria for speaking engagements from AbbVie, Nutricia, and Avanos. N.M.C.'s institution received speaker fees, advisory board fees, and research funding on his behalf from AbbVie, Eli Lilly, Takeda, Shire, Pfizer, and 4D Pharma. D.S.F. has received royalties from UpToDate (“Pediatric Caustic Ingestions”). I.H. has received honoraria for speaking engagements from BioGaia, Oktal Pharma, Nutricia, Abela Pharm, and Nestle. H.Q.H. has received research support from Janssen, AbbVie, Takeda, and Allergan. H.Q.H. has served on the advisory boards of AbbVie and Jansen. K.J. has received research support from Janssen, AbbVie, and the Center for Drug Research and Development (CDRD). K.J. has served on the advisory boards of Janssen, AbbVie, and Merck and participates in the speaker's bureau for AbbVie and Janssen. D.G.L. has received consultant fees from EvoEndo. J.R.L. has received research support from AbbVie and an honorarium from Mead Johnson. A.R.O. has received research support from Janssen, AbbVie, Pfizer, and Eli Lilly. A.R.O. has served on the advisory boards of Janssen, AbbVie, and Eli Lilly and participates in the speaker's bureau for AbbVie and Janssen. J.R.R. has received research support from AbbVie and Janssen. J.R.R. has served on the advisory boards of Janssen, BMS, Eli Lilly, and Pfizer. C.M.W. has received research support from AbbVie. EDAT- 2021/08/18 06:00 MHDA- 2022/05/03 06:00 CRDT- 2021/08/17 08:46 PHST- 2021/08/18 06:00 [pubmed] PHST- 2022/05/03 06:00 [medline] PHST- 2021/08/17 08:46 [entrez] AID - 00005176-202203001-00003 [pii] AID - 10.1097/MPG.0000000000003263 [doi] PST - ppublish SO - J Pediatr Gastroenterol Nutr. 2022 Mar 1;74(S1 Suppl 1):S16-S29. doi: 10.1097/MPG.0000000000003263. PMID- 35532980 OWN - NLM STAT- MEDLINE DCOM- 20220823 LR - 20250728 IS - 1549-8425 (Electronic) IS - 1549-8417 (Print) IS - 1549-8417 (Linking) VI - 18 IP - 6 DP - 2022 Sep 1 TI - Incorporating Patient Safety and Quality Into the Medical School Curriculum: An Assessment of Student Gains. PG - 637-644 LID - 10.1097/PTS.0000000000001010 [doi] AB - BACKGROUND: Global efforts are being made to improve health care standards and the quality of care provided. It has been shown through research that the introduction of patient safety (PS) and quality improvement (QI) concepts in the medical curriculum prepares medical students to face future challenges in their professional careers. PURPOSE: This study aimed to evaluate how a brief course on QI and PS affects the knowledge, efficacy, and system thinking of medical students. METHODS: A 5-day QI and PS intervention course was implemented at the Aga Khan University medical college for 98 third-year medical students in March 2021. This weeklong course of lectures, interactive sessions, and hands-on skill workshops was conducted before the students began their clinical rotations. Students' knowledge, self-efficacy, and system thinking were assessed with pretest and posttest. Students were also asked to write personal reflections and fill out a satisfaction survey at the end of the intervention. RESULTS: Comparisons of pretest and posttest scores showed that the course significantly improved students' knowledge by a mean of 2.92 points (95% confidence interval, 2.30-3.53; P < 0.001) and system thinking by 0.16 points (95% confidence interval, 0.03-0.29; P = 0.018) of the maximum scores of 20 and 5 points, respectively. The students' self-assessment of PS knowledge also reflected statistically significant increases in all 9 domains ( P < 0.001). Students reported positive experiences with this course in their personal reflections. CONCLUSIONS: The medical students exhibited increases in knowledge, self-efficacy, and system thinking after this weeklong intervention. The design of the course can be modified as needed and implemented at other institutions in low- and middle-income countries. A targeted long-term assessment of knowledge and attitudes is needed to fully evaluate the impact of this course. CI - Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. FAU - Ahmed, Fasih Ali AU - Ahmed FA AD - From the Center for Patient Safety, Aga Khan University, Karachi, Pakistan. FAU - Asif, Fozia AU - Asif F AD - From the Center for Patient Safety, Aga Khan University, Karachi, Pakistan. FAU - Mubashir, Ayesha AU - Mubashir A AD - From the Center for Patient Safety, Aga Khan University, Karachi, Pakistan. FAU - Aboumatar, Hanan J AU - Aboumatar HJ FAU - Hameed, Malika AU - Hameed M AD - Department of Anaesthesiology, Aga Khan University, Karachi, Pakistan. FAU - Haider, Adil AU - Haider A AD - Medical College, Aga Khan University, Karachi, Pakistan. FAU - Latif, Asad AU - Latif A LA - eng PT - Journal Article DEP - 20220504 PL - United States TA - J Patient Saf JT - Journal of patient safety JID - 101233393 SB - IM MH - Curriculum MH - Humans MH - Patient Safety MH - Quality Improvement MH - *Schools, Medical MH - *Students, Medical PMC - PMC9422755 COIS- The authors disclose no conflict of interest. EDAT- 2022/05/10 06:00 MHDA- 2022/08/24 06:00 PMCR- 2022/08/29 CRDT- 2022/05/09 11:54 PHST- 2022/05/10 06:00 [pubmed] PHST- 2022/08/24 06:00 [medline] PHST- 2022/05/09 11:54 [entrez] PHST- 2022/08/29 00:00 [pmc-release] AID - 01209203-202209000-00018 [pii] AID - JPS_220214 [pii] AID - 10.1097/PTS.0000000000001010 [doi] PST - ppublish SO - J Patient Saf. 2022 Sep 1;18(6):637-644. doi: 10.1097/PTS.0000000000001010. Epub 2022 May 4. PMID- 34085597 OWN - NLM STAT- MEDLINE DCOM- 20221011 LR - 20221014 IS - 1545-0821 (Electronic) IS - 0895-9420 (Print) IS - 0895-9420 (Linking) VI - 34 IP - 5 DP - 2022 Sep 3 TI - Influencing Factors Associated with Implementation of INTERACT (Interventions to Reduce Acute Care Transfers) in VA Community Living Centers (CLCs) Using the Consolidated Framework. PG - 673-689 LID - 10.1080/08959420.2021.1926862 [doi] AB - Our objective was to identify the influencing factors associated with the implementation of the INTERACT (Interventions to Reduce Acute Care Transfers) Quality Improvement program within a national healthcare system. INTERACT focuses on early identification and management of changes in residents' condition leading to a reduction in potentially preventable hospital transfers. The Consolidated Framework was used to evaluate implementation data from eight VA Community Living Centers. Qualitative implementation data suggest two influencing Consolidated Framework domains had a strong influence: 1) key attributes of the intervention (e.g., adaptability or complexity) and 2) internal organizational factors (e.g., culture or compatibility). Using the Consolidated Framework can assist future adaptations to this and other complex quality improvement initiatives. FAU - Mochel, Amy L AU - Mochel AL AUID- ORCID: 0000-0002-1884-8777 AD - Providence VA Research Service, Providence VA Medical Center, Providence, Rhode Island, USA. FAU - Holle, Cynthia L AU - Holle CL AD - Providence VA Research Service, Providence VA Medical Center, Providence, Rhode Island, USA. AD - Nursing Department, Charter Oak State College, New Britain, Connecticut, USA. FAU - Rudolph, James L AU - Rudolph JL AD - Providence VA Research Service, Providence VA Medical Center, Providence, Rhode Island, USA. AD - School of Public Health, Brown University, Providence, Rhode Island, USA. FAU - Ouslander, Joseph G AU - Ouslander JG AD - Charles E. Schmidt College of Medicine, Florida Atlantic University (FAU), Boca Raton, Florida, USA. FAU - Saliba, Debra AU - Saliba D AD - Los Angeles VA Geriatric Research, Education and Clinical Center (GRECC) and Health Services Research & Development (HSR&D) Center of Innovation, Los Angeles, California, USA. AD - JH Borun Center for Gerontological Research, University of California, Los Angeles, California, USA. AD - RAND Health, Santa Monica, California, USA. FAU - Mor, Vincent AU - Mor V AD - Providence VA Research Service, Providence VA Medical Center, Providence, Rhode Island, USA. AD - School of Public Health, Brown University, Providence, Rhode Island, USA. FAU - Mittman, Brian S AU - Mittman BS AD - Department of Research and Evaluation, Kaiser Permanente Research, Pasadena, California, USA. LA - eng GR - I01 HX000978/HX/HSRD VA/United States PT - Journal Article DEP - 20210604 PL - England TA - J Aging Soc Policy JT - Journal of aging & social policy JID - 8914669 MH - Humans MH - *Patient Transfer MH - *Quality Improvement PMC - PMC8642456 MID - NIHMS1726224 OTO - NOTNLM OT - Quality improvement OT - education OT - implementation OT - intervention OT - preventable hospitalizations COIS- Disclosure statement J.O. serves as a paid adviser to Pathway Health, Think Research, and Curavi. Work on funded INTERACT research is subject to the terms of Conflict of Interest Management plans approved by the FAU Financial Conflict of Interest Committee. EDAT- 2021/06/05 06:00 MHDA- 2022/10/12 06:00 PMCR- 2022/10/13 CRDT- 2021/06/04 08:42 PHST- 2021/06/05 06:00 [pubmed] PHST- 2022/10/12 06:00 [medline] PHST- 2021/06/04 08:42 [entrez] PHST- 2022/10/13 00:00 [pmc-release] AID - 10.1080/08959420.2021.1926862 [doi] PST - ppublish SO - J Aging Soc Policy. 2022 Sep 3;34(5):673-689. doi: 10.1080/08959420.2021.1926862. Epub 2021 Jun 4. PMID- 36166633 OWN - NLM STAT- MEDLINE DCOM- 20220929 LR - 20230928 IS - 1539-0721 (Electronic) IS - 0002-0443 (Linking) VI - 52 IP - 10 DP - 2022 Oct 1 TI - Equipping Nurses to Lead Evidence-Based Practice: An Opportunity for Professional Nursing Associations. PG - 554-559 LID - 10.1097/NNA.0000000000001198 [doi] AB - OBJECTIVE: The aim of this study was to describe the evidence-based practice (EBP) attributes among California nurse leaders who are members of a professional nursing organization. BACKGROUND: Nurse leaders are pivotal for successful EBP implementation. The Association of California Nurse Leaders' (ACNL) mission to equip nurses to lead self, others, and systems propelled them to conduct a study of members' EBP beliefs, knowledge, competencies, and implementation. METHODS: Evidence-based practice attributes of California nurse leaders were measured using valid and reliable scales via an anonymous, electronic survey. RESULTS: Although ahead in the subjective EBP scales, California nurse leaders' perceptions of organizational EBP culture were comparable with those of a similar national sample. Scores still indicated opportunities for improvement. CONCLUSIONS: Nurse leaders must be prepared to lead EBP in their organizations. Professional organizations such as ACNL have an opportunity to help leaders by conducting research and assessing and meeting their members' learning needs. CI - Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved. FAU - Galuska, Lee AU - Galuska L AD - Author Affiliations : Executive Director (Dr Galuska), Nursing Practice, Education and Research, UCLA Health Center for Nursing Excellence, Los Angeles; Quality and Patient Safety Program Manager (Dr Loos), Dignity Health-Northridge Hospital Medical Center; and Nurse Scientist (Dr Kawar), Regional Nursing Research Program, Southern California Patient Care Services, Kaiser Permanente, Pasadena, California; and Clinical Program Manager (Ms Thomas) and Chief Operating Officer and Clinical Core Director (Dr Gallagher-Ford), Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Healthcare, Ohio State University College of Nursing, Columbus. FAU - Loos, Nancy AU - Loos N FAU - Kawar, Lina Najib AU - Kawar LN FAU - Thomas, Bindu AU - Thomas B FAU - Gallagher-Ford, Lynn AU - Gallagher-Ford L LA - eng PT - Journal Article PL - United States TA - J Nurs Adm JT - The Journal of nursing administration JID - 1263116 SB - IM MH - Attitude of Health Personnel MH - Evidence-Based Nursing MH - *Evidence-Based Practice MH - Humans MH - *Nurses MH - Organizational Culture MH - Surveys and Questionnaires COIS- The authors declare no conflicts of interest. EDAT- 2022/09/28 06:00 MHDA- 2022/09/30 06:00 CRDT- 2022/09/27 14:43 PHST- 2022/09/27 14:43 [entrez] PHST- 2022/09/28 06:00 [pubmed] PHST- 2022/09/30 06:00 [medline] AID - 00005110-202210000-00010 [pii] AID - 10.1097/NNA.0000000000001198 [doi] PST - ppublish SO - J Nurs Adm. 2022 Oct 1;52(10):554-559. doi: 10.1097/NNA.0000000000001198. PMID- 36252162 OWN - NLM STAT- MEDLINE DCOM- 20221019 LR - 20240126 IS - 2687-8941 (Electronic) IS - 2687-8941 (Linking) VI - 8 DP - 2022 Oct TI - Quality Improvement in Itself Changes Your Thinking: Lessons From Disseminating Quality Improvement Methods Through a Multisite International Collaborative Palliative Care Project in India. PG - e2200147 LID - 10.1200/GO.22.00147 [doi] LID - e2200147 AB - PURPOSE: Seven major palliative care (PC) centers in India were mentored through the Palliative Care-Promoting Assessment and Improvement of the Cancer Experience (PC-PAICE) by US and Australian academic institutions to implement a quality improvement (QI) project to improve the accessibility and quality of PC at their respective centers. The objective was to evaluate the experiences of teams in implementing QI methods across diverse geographical settings in India. METHODS: A quota sampling approach was used to elicit perspectives of local stakeholders at each site. The Consolidated Framework for Implementation Research informed development of a semistructured interview guide. Analysis leveraged deductive and inductive approaches. RESULTS: We interviewed 44 participants (eight organizational leaders, 12 clinical leaders, and 24 team members) at seven sites and identified five themes. (1) Implementing QI methods enabled QI teams to think analytically to solve a complex problem and to identify resources. (2) Developing a problem statement by identifying specific gaps in patient care fostered team collaboration toward a common goal. (3) Making use of QI tools (eg, A3 process) systematically provided a new, straightforward QI toolkit and improved QI teams' conceptual understanding. (4) Enhancing stakeholder engagement allowed shared understanding of QI team members' roles and processes and shaped interventions tailored to the local context. (5) Designing less subjective processes for patient care such as assessment scales to identify patient's symptomatic needs positively changed work practices and culture. CONCLUSION: Engaging and empowering multiple stakeholders to use QI methods facilitated the expansion and improvement of PC and cancer services in India. PC-PAICE demonstrated an efficient, effective way to apply QI methods in an international context. The impact of PC-PAICE is being magnified by developing a cadre of Indian QI leaders. FAU - Satija, Aanchal AU - Satija A AUID- ORCID: 0000-0001-5032-2479 AD - Department of Onco-Anesthesia and Palliative Medicine, Dr B. R. Ambedkar, IRCH, AIIMS, New Delhi, India. FAU - Lorenz, Karl A AU - Lorenz KA AD - VA HSR&D Center for Innovation to Implementation (Ci2i), Menlo Park, CA. AD - Division of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, CA. FAU - Spruijt, Odette AU - Spruijt O AUID- ORCID: 0000-0002-0957-9528 AD - Peter MacCallum Cancer Center, University of Melbourne, Melbourne, VIC, Australia. FAU - Ganesh, Archana AU - Ganesh A AD - Department of Onco-Anesthesia and Palliative Medicine, Dr B. R. Ambedkar, IRCH, AIIMS, New Delhi, India. FAU - Singh, Nainwant AU - Singh N AUID- ORCID: 0000-0001-5890-9215 AD - VA HSR&D Center for Innovation to Implementation (Ci2i), Menlo Park, CA. AD - Division of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, CA. FAU - Connell, Natalie B AU - Connell NB AD - VA HSR&D Center for Innovation to Implementation (Ci2i), Menlo Park, CA. AD - Division of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, CA. FAU - Gamboa, Raziel C AU - Gamboa RC AD - VA HSR&D Center for Innovation to Implementation (Ci2i), Menlo Park, CA. AD - Division of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, CA. FAU - Fereydooni, Soraya AU - Fereydooni S AD - Yale School of Medicine, New Haven, CT. FAU - Chandrashekaran, Shivani AU - Chandrashekaran S AUID- ORCID: 0000-0001-6203-2989 AD - Duke University School of Medicine, Durham, NC. FAU - Hennings, Tayler AU - Hennings T AD - VA HSR&D Center for Innovation to Implementation (Ci2i), Menlo Park, CA. FAU - Giannitrapani, Karleen F AU - Giannitrapani KF AUID- ORCID: 0000-0003-0987-6204 AD - VA HSR&D Center for Innovation to Implementation (Ci2i), Menlo Park, CA. AD - Division of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, CA. FAU - Bhatnagar, Sushma AU - Bhatnagar S AD - Department of Onco-Anesthesia and Palliative Medicine, Dr B. R. Ambedkar, IRCH, AIIMS, New Delhi, India. LA - eng GR - IK2 HX003077/HX/HSRD VA/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - JCO Glob Oncol JT - JCO global oncology JID - 101760170 SB - IM CIN - doi: 10.1200/GO.22.00301 MH - Australia MH - Humans MH - *Neoplasms MH - Palliative Care MH - Patient Care Team MH - *Quality Improvement PMC - PMC9812511 COIS- The following represents disclosure information provided by authors of this manuscript. All relationships are considered compensated unless otherwise noted. Relationships are self-held unless noted. I = Immediate Family Member, Inst = My Institution. Relationships may not relate to the subject matter of this manuscript. For more information about ASCO's conflict of interest policy, please refer to www.asco.org/rwc or ascopubs.org/go/authors/author-center. Open Payments is a public database containing information reported by companies about payments made to US-licensed physicians (Open Payments). No potential conflicts of interest were reported. EDAT- 2022/10/18 06:00 MHDA- 2022/10/20 06:00 PMCR- 2022/10/17 CRDT- 2022/10/17 16:03 PHST- 2022/10/17 16:03 [entrez] PHST- 2022/10/18 06:00 [pubmed] PHST- 2022/10/20 06:00 [medline] PHST- 2022/10/17 00:00 [pmc-release] AID - GO.22.00147 [pii] AID - 10.1200/GO.22.00147 [doi] PST - ppublish SO - JCO Glob Oncol. 2022 Oct;8:e2200147. doi: 10.1200/GO.22.00147. PMID- 35803785 OWN - NLM STAT- MEDLINE DCOM- 20221115 LR - 20250130 IS - 1532-1940 (Electronic) IS - 0266-4356 (Linking) VI - 60 IP - 9 DP - 2022 Nov TI - Patient-reported outcome measures in third molar surgery: a scoping review. PG - 1145-1150 LID - S0266-4356(22)00178-4 [pii] LID - 10.1016/j.bjoms.2022.05.013 [doi] AB - Despite a surge of interest in patient-centred outcomes (PROMs) in healthcare settings, they remain an underutilised resource in third molar surgery. Clinicians and researchers in the field of oral surgery who are interested in incorporating PROMs into their clinical practice may face challenges in instrument selection with as yet no consensus registry available. PROMs have undoubtedly transcended their original brief as research instruments, with the collection of PROMs data now a routine undertaking in many healthcare systems. Quality improvement, appropriate resource allocation, and measurement of effectiveness of interventions are but a few of their advantages. This review article presents a scoping overview of the instruments most relevant to the third molar surgery population. CI - Copyright © 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved. FAU - O'Sullivan, Laura AU - O'Sullivan L AD - Cork University Dental School and Hospital, University College Cork, Ireland. Electronic address: laura.osullivan@ucc.ie. FAU - Ní Ríordáin, Rícheal AU - Ní Ríordáin R AD - Cork University Dental School and Hospital, University College Cork, Ireland; University College London, London Eastman Dental Institute, UK. LA - eng PT - Journal Article PT - Scoping Review DEP - 20220611 PL - Scotland TA - Br J Oral Maxillofac Surg JT - The British journal of oral & maxillofacial surgery JID - 8405235 SB - IM MH - Humans MH - *Molar, Third/surgery MH - *Patient Reported Outcome Measures MH - Consensus MH - Delivery of Health Care MH - Quality Improvement MH - Quality of Life OTO - NOTNLM OT - Oral surgery OT - Patient reported outcome measures OT - Quality of life OT - Third molar OT - Wisdom tooth EDAT- 2022/07/09 06:00 MHDA- 2022/11/16 06:00 CRDT- 2022/07/08 22:04 PHST- 2022/03/10 00:00 [received] PHST- 2022/05/25 00:00 [revised] PHST- 2022/05/30 00:00 [accepted] PHST- 2022/07/09 06:00 [pubmed] PHST- 2022/11/16 06:00 [medline] PHST- 2022/07/08 22:04 [entrez] AID - S0266-4356(22)00178-4 [pii] AID - 10.1016/j.bjoms.2022.05.013 [doi] PST - ppublish SO - Br J Oral Maxillofac Surg. 2022 Nov;60(9):1145-1150. doi: 10.1016/j.bjoms.2022.05.013. Epub 2022 Jun 11. PMID- 36469316 OWN - NLM STAT- MEDLINE DCOM- 20221213 LR - 20260306 IS - 2574-3805 (Electronic) IS - 2574-3805 (Linking) VI - 5 IP - 12 DP - 2022 Dec 1 TI - Concordance Between Recommendations From Multidisciplinary Molecular Tumor Boards and Central Consensus for Cancer Treatment in Japan. PG - e2245081 LID - 10.1001/jamanetworkopen.2022.45081 [doi] LID - e2245081 AB - IMPORTANCE: Quality assurance of molecular tumor boards (MTBs) is crucial in cancer genome medicine. OBJECTIVE: To evaluate the concordance of recommendations by MTBs and centrally developed consensus treatment recommendations at all 12 leading institutions for cancer genomic medicine in Japan using 50 simulated cases. DESIGN, SETTING, AND PARTICIPANTS: This was a prospective quality improvement study of 50 simulated cancer cases. Molecular tumor boards from 12 core hospitals independently recommended treatment for 50 cases blinded to the centrally developed consensus treatment recommendations. The study's central committee consisted of representatives from all 12 core hospitals in Japan who selected the 50 simulated cases from The Cancer Genome Atlas database, including frequently observed genomic alterations. The central committee recommended centrally developed consensus treatment. The concordance rate for genomically matched treatments between MTBs and centrally developed consensus treatment recommendations was evaluated. Data analysis was conducted from January 22 to March 3, 2021. EXPOSURES: Simulated cases of cancer. MAIN OUTCOMES AND MEASURES: The primary outcome was concordance, defined as the proportion of recommendations by MTBs concordant with centrally developed consensus treatment recommendations. A mixed-effects logistic regression model, adjusted for institutes as a random intercept, was applied. High evidence levels were defined as established biomarkers for which the treatment was ready for routine use in clinical practice, and low evidence levels were defined as biomarkers for genomically matched treatment that were under investigation. RESULTS: The Clinical Practice Guidance for Next-Generation Sequencing in Cancer Diagnosis and Treatment (edition 2.1) was used for evidence-level definition. The mean concordance between MTBs and centrally developed consensus treatment recommendations was 62% (95% CI, 57%-65%). Each MTB concordance varied from 48% to 86%. The concordance rate was higher in the subset of patients with colorectal cancer (100%; 95% CI, 94.0%-100%), ROS1 fusion (100%; 95% CI, 85.5%-100%), and high evidence level A/R (A: 88%; 95% CI, 81.8%-93.0%; R:100%; 95% CI, 92.6%-100%). Conversely, the concordance rate was lower in cases of cervical cancer (11%; 95% CI, 3.1%-26.1%), TP53 mutation (16%; 95% CI, 12.5%-19.9%), and low evidence level C/D/E (C: 30%; 95% CI, 24.7%-35.9%; D: 25%; 95% CI, 5.5%-57.2%; and E: 18%; 95% CI, 13.8%-23.0%). Multivariate analysis showed that evidence level (high [A/R] vs low [C/D/E]: odds ratio, 4.4; 95% CI, 1.8-10.8) and TP53 alteration (yes vs no: odds ratio, 0.06; 95% CI, 0.03-0.10) were significantly associated with concordance. CONCLUSIONS AND RELEVANCE: The findings of this study suggest that genomically matched treatment recommendations differ among MTBs, particularly in genomic alterations with low evidence levels wherein treatment is being investigated. Sharing information on matched therapy for low evidence levels may be needed to improve the quality of MTBs. FAU - Naito, Yoichi AU - Naito Y AD - Department of General Internal Medicine, National Cancer Center Hospital East, Kashiwa, Japan. FAU - Sunami, Kuniko AU - Sunami K AD - Department of Laboratory Medicine, National Cancer Center Hospital, Tokyo, Japan. FAU - Kage, Hidenori AU - Kage H AD - Department of Next-Generation Precision Medicine Development Laboratory, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. AD - Clinical Research and Medical Innovation Center, Hokkaido University Hospital, Sapporo, Japan. FAU - Komine, Keigo AU - Komine K AD - Department of Medical Oncology, Tohoku University Hospital, Sendai, Japan. FAU - Amano, Toraji AU - Amano T AD - Division of Clinical Cancer Genomics, Hokkaido University Hospital, Sapporo, Japan. FAU - Imai, Mitsuho AU - Imai M AD - Genomics Unit, Keio University School of Medicine, Tokyo, Japan. AD - Translational Research Support Section, National Cancer Center Hospital East, Kashiwa, Japan. FAU - Koyama, Takafumi AU - Koyama T AD - Department of Experimental Therapeutics, National Cancer Center Hospital, Tokyo, Japan. FAU - Ennishi, Daisuke AU - Ennishi D AD - Department of Hematology and Oncology, Okayama University Hospital, Okayama, Japan. FAU - Kanai, Masashi AU - Kanai M AD - Department of Therapeutic Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Kenmotsu, Hirotsugu AU - Kenmotsu H AD - Division of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan. FAU - Maeda, Takahiro AU - Maeda T AD - Division of Precision Medicine, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan. FAU - Morita, Sachi AU - Morita S AD - Department of Clinical Oncology and Chemotherapy, Nagoya University Hospital, Nagoya, Japan. FAU - Sakai, Daisuke AU - Sakai D AD - Center for Cancer Genomics and Personalized Medicine, Osaka University, Suita, Japan. FAU - Watanabe, Kousuke AU - Watanabe K AD - Department of Clinical Laboratory, The University of Tokyo Hospital, Tokyo, Japan. FAU - Shirota, Hidekazu AU - Shirota H AD - Department of Medical Oncology, Tohoku University Hospital, Sendai, Japan. FAU - Kinoshita, Ichiro AU - Kinoshita I AD - Division of Clinical Cancer Genomics, Hokkaido University Hospital, Sapporo, Japan. FAU - Yoshioka, Masashiro AU - Yoshioka M AD - Department of Therapeutic Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Mamesaya, Nobuaki AU - Mamesaya N AD - Division of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan. FAU - Ito, Mamoru AU - Ito M AD - Division of Precision Medicine, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan. FAU - Kohsaka, Shinji AU - Kohsaka S AD - Section of Knowledge Integration, Center for Cancer Genomics and Advanced Therapeutics, National Cancer Center, Tokyo, Japan. FAU - Saigusa, Yusuke AU - Saigusa Y AD - Department of Biostatistics, Yokohama City University Graduate School of Medicine, Yokohama, Japan. FAU - Yamamoto, Kouji AU - Yamamoto K AD - Department of Biostatistics, Yokohama City University Graduate School of Medicine, Yokohama, Japan. FAU - Hirata, Makoto AU - Hirata M AD - Department of Genetic Medicine and Services, National Cancer Center Hospital, Tokyo, Japan. FAU - Tsuchihara, Katsuya AU - Tsuchihara K AD - Division of Translational Informatics, National Cancer Center Exploratory Oncology Research and Clinical Trial Center, Tokyo, Japan. FAU - Yoshino, Takayuki AU - Yoshino T AD - Department of Gastroenterology and Gastrointestinal Oncology, National Cancer Center Hospital East, Kashiwa, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20221201 PL - United States TA - JAMA Netw Open JT - JAMA network open JID - 101729235 SB - IM MH - Humans MH - Consensus MH - Japan MH - *Neoplasms/genetics/therapy MH - *Practice Guidelines as Topic MH - Prospective Studies MH - Quality Improvement PMC - PMC9855299 COIS- Conflict of Interest Disclosures: Dr Naito reported receiving grants from the Ministry of Health, Labour and Welfare 19EA1007 and personal fees from the Genomedia-NCC joint research fund during the conduct of the study; grants from ABBVIE, Ono Pharmaceutical Co Ltd, Daiichi Sankyo, Pfizer, Boehringer Ingelheim, Eli Lilly, Eisai Co Ltd, AstraZeneca, Chugai Pharmaceutical Co Ltd, Bayer AG, and Genomedia; and lecture fees from AstraZeneca, Eisai Co Ltd, Ono Pharmaceutical Co Ltd, Gardant, Takeda Pharmaceutical Co, Eli Lilly, Novartis, Pfizer, Chugai Pharmaceutical Co Ltd, Fuji Film Toyama Chemistry, Taiho Pharmaceutical Co Ltd, Mundi, Bristol-Myers Squibb, and Shionogi outside the submitted work. Dr Sunami reported receiving personal fees from Chugai Pharmaceutical Co Ltd and Sysmex during the conduct of the study. Dr Kage reported receiving grants from Konica Minolta Inc outside the submitted work. Dr Komine reported receiving personal fees from Chugai Pharmaceutical Co Ltd, Incyte, Kyowa Kirin Co Ltd, Merck, Taiho Pharmaceutical Co Ltd, Takeda Pharmaceutical Co, and Daiichi Sankyo outside the submitted work. Dr Imai reported receiving personal fees from Chugai Pharmaceutical Co Ltd outside the submitted work. Dr Koyama reported receiving grants from Chugai Pharmaceutical Co Ltd, Daiichi Sankyo, Novartis, PACT Pharma, Lilly, Takeda Pharmaceutical Co, and Noile-Immune Biotech and personal fees from Sysmex outside the submitted work. Dr Ennishi reported receiving personal fees from Eisai Co Ltd , Kyowa Kirin Co Ltd, and Chugai Pharmaceutical Co Ltd outside the submitted work. Dr Kanai reported receiving personal fees from Chugai Pharmaceutical Co Ltd outside the submitted work; in addition, Dr Kanai had patents US11141529B2, 6923162, and r6931853 issued. Dr Kenmotsu reported receiving personal fees and grants from Chugai Pharmaceutical Co Ltd during the conduct of the study; grants and personal fees from AstraZeneca KK, Eli Lilly Japan KK, Novartis Pharma KK, and Ono Pharmaceutical Co Ltd; personal fees from Amgen, Bayer AG, Boehringer Ingelheim, Bristol-Myers Squibb-Myers Squibb, Daiichi Sankyo, Merck, MSD, Pfizer, Taiho Pharmaceutical Co Ltd, Takeda Pharmaceutical Co, Kyowa Hakko Kirin Co Ltd, and Ono Pharmaceutical Co Ltd; and grants from LOXO Oncology outside the submitted work. Dr Watanabe reported receiving personal fees from Sysmex outside the submitted work. Dr Kinoshita reported receiving grants and personal fees from Merck Sharp & Dohme Corp, grants and personal fees from Bayer AG; and personal fees from Pfizer Japan Inc, Chugai Pharmaceutical Co Ltd, and AstraZeneca KK outside the submitted work. Dr Yoshioka reported receiving personal fees from Chugai Pharmaceutical Co Ltd outside the submitted work. Dr Yamamoto reported receiving personal fees from Chugai Pharmaceutical Co Ltd, CMIC holdings, J-Pharma, Craif, Johokiko, Triceps, Kanagawa Prefectural Hospital Organization, and Kanagawa Medical Practitioners Association; and grants from Taiho Pharmaceutical Co Ltd, Boehringer Ingelheim, Ono Pharmaceutical Co Ltd, Takeda Pharmaceutical Co Pharmaceutical, Bayer AG Yakuhin, Daiichi Sankyo, Astellas, and Kyowa Kirin Co Ltd outside the submitted work. Dr Tsuchihara reported receiving personal fees from Takeda Pharmaceutical Co, Chugai Pharmaceutical Co Ltd, Eisai Co Ltd, Boehringer Ingelheim, Bayer AG, Miyarisan, and Illumina outside the submitted work. Dr Yoshino reported receiving grants and personal fees from Ono Pharmaceutical Co Ltd; grants from Sanofi, Daiichi Sankyo, Parexel, Taiho Pharmaceutical Co Ltd, MSD, Amgen, Genomedia, Sysmex, Chugai Pharmaceutical Co Ltd, and Nippon Boehringer Ingelheim; and personal fees from Taiho Pharmaceutical Co Ltd, Chugai Pharmaceutical Co Ltd, Eli Lily, Merck Biopharma, Bayer AG Yakuhin, and MSD outside the submitted work. No other disclosures were reported. EDAT- 2022/12/06 06:00 MHDA- 2022/12/15 06:00 PMCR- 2022/12/05 CRDT- 2022/12/05 11:32 PHST- 2022/12/05 11:32 [entrez] PHST- 2022/12/06 06:00 [pubmed] PHST- 2022/12/15 06:00 [medline] PHST- 2022/12/05 00:00 [pmc-release] AID - 2799193 [pii] AID - zoi221275 [pii] AID - 10.1001/jamanetworkopen.2022.45081 [doi] PST - epublish SO - JAMA Netw Open. 2022 Dec 1;5(12):e2245081. doi: 10.1001/jamanetworkopen.2022.45081. PMID- 36516033 OWN - NLM STAT- MEDLINE DCOM- 20221216 LR - 20260316 IS - 1538-9774 (Electronic) IS - 1538-2931 (Linking) VI - 40 IP - 12 DP - 2022 Dec 1 TI - Development of a Clinical Data Model Addressing the Nursing Focus "Anxiety": A Consensus Development Study. PG - 825-835 LID - 10.1097/CIN.0000000000000863 [doi] AB - Anxiety disorders are among the most prevalent mental disorders worldwide. However, anxiety is not exclusive to anxiety disorders. In fact, the nursing discipline approaches anxiety as a human response to health conditions/life processes. Health information systems should primarily contribute to improving the quality of care, patient safety, and the effectiveness of care delivery. Nevertheless, nursing information systems still fail to incorporate evidence-based clinical data models addressing the nursing focus "anxiety." Thus, this study aimed to obtain consensus on the data to be included in a clinical data model addressing the nursing focus "anxiety," its organization, and its interrelationships by using a brainstorming session and a modified e-Delphi technique with a panel of nurse experts from across Portugal. Eight experts participated in the brainstorming session. A total of 59 and 54 participants completed the survey in e-Delphi rounds 1 and 2, respectively. Consensus was achieved to all data presented to the participants, and these data were later included in the clinical data model. This evidence-based clinical data model, grounded on a nursing theory and with standardized nursing language, will substantially contribute to nursing documentation and, consequently, to nursing care targeted at patients with anxiety. CI - Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved. FAU - Sampaio, Francisco AU - Sampaio F AD - Author Affiliations: Faculty of Medicine, University of Porto (Drs Sampaio and Vieira Marques); Higher School of Health Fernando Pessoa (Dr Sampaio); Research Group "NursID: Innovation & Development in Nursing," CINTESIS-Center for Health Technology and Services Research (Drs Sampaio, Gonçalves, and Sequeira); Institute of Health Sciences, Universidade Católica Portuguesa (Dr Gonçalves); Nursing School of Porto (Dr Sequeira); Research Group "Tech4edusim-Technologies for Education and Simulation in Healthcare," CINTESIS-Center for Health Technology and Services Research (Dr Vieira Marques), Porto, Portugal; and School of Nursing, University of Barcelona (Dr Lluch Canut), Spain. FAU - Gonçalves, Patrícia AU - Gonçalves P FAU - Vieira Marques, Pedro AU - Vieira Marques P FAU - Sequeira, Carlos AU - Sequeira C FAU - Lluch Canut, María Teresa AU - Lluch Canut MT LA - eng PT - Journal Article PT - Practice Guideline DEP - 20221201 PL - United States TA - Comput Inform Nurs JT - Computers, informatics, nursing : CIN JID - 101141667 SB - IM MH - Humans MH - *Anxiety Disorders MH - Consensus MH - Delphi Technique MH - *Patient Safety MH - Surveys and Questionnaires EDAT- 2022/12/15 06:00 MHDA- 2022/12/17 06:00 CRDT- 2022/12/14 12:33 PHST- 2022/12/14 12:33 [entrez] PHST- 2022/12/15 06:00 [pubmed] PHST- 2022/12/17 06:00 [medline] AID - 00024665-202212000-00005 [pii] AID - 10.1097/CIN.0000000000000863 [doi] PST - epublish SO - Comput Inform Nurs. 2022 Dec 1;40(12):825-835. doi: 10.1097/CIN.0000000000000863. PMID- 36126243 OWN - NLM STAT- MEDLINE DCOM- 20230113 LR - 20240102 IS - 2688-1535 (Electronic) IS - 2688-1527 (Print) IS - 2688-1527 (Linking) VI - 19 IP - 1 DP - 2023 Jan TI - Team Science Principles Enhance Cancer Care Delivery Quality Improvement: Interdisciplinary Implementation of Breast Cancer Screening Shared Decision Making. PG - e1-e7 LID - 10.1200/OP.22.00355 [doi] AB - PURPOSE: Implementing shared decision making (SDM), recommended in screening mammography by national guidelines for women age 40-49 years, faces challenges that innovations in quality improvement and team science (TS) are poised to address. We aimed to improve the effectiveness, patient-centeredness, and efficiency of SDM in primary care for breast cancer screening. METHODS: Our interdisciplinary team included primary and specialty care, psychology, epidemiology, communication science, engineering, and stakeholders (patients and clinicians). Over a 6-year period, we executed two iterative cycles of plan-do-study-act (PDSA) to develop, revise, and implement a SDM tool using TS principles. Patient and physician surveys and retrospective analysis of tool performance informed our first PDSA cycle. Patient and physician surveys, toolkit use, and clinical outcomes in the second PDSA cycle supported SDM implementation. We gathered team member assessments on the importance of individual TS activities. RESULTS: Our first PDSA cycle successfully generated a SDM tool called Breast Cancer Risk Estimator, deemed valuable by 87% of patients surveyed. Our second PDSA cycle increased Breast Cancer Risk Estimator utilization, from 2,000 sessions in 2017 to 4,097 sessions in 2019 while maintaining early-stage breast cancer diagnoses. Although TS activities such as culture, trust, and communication needed to be sustained throughout the project, shared goals, research/data infrastructure support, and leadership were more important earlier in the project and persisted in the later stages of the project. CONCLUSION: Combining rigorous quality improvement and TS principles can support the complex, interdependent, and interdisciplinary activities necessary to improve cancer care delivery exemplified by our implementation of a breast cancer screening SDM tool. FAU - Burnside, Elizabeth S AU - Burnside ES AUID- ORCID: 0000-0002-6600-435X AD - School of Medicine and Public Health, University of Wisconsin, Madison, WI. FAU - Schrager, Sarina AU - Schrager S AD - School of Medicine and Public Health, University of Wisconsin, Madison, WI. FAU - DuBenske, Lori AU - DuBenske L AD - School of Medicine and Public Health, University of Wisconsin, Madison, WI. FAU - Keevil, Jon AU - Keevil J AUID- ORCID: 0000-0002-9288-0097 AD - HealthDecision Founder, Madison, WI. FAU - Little, Terry AU - Little T AD - School of Medicine and Public Health, University of Wisconsin, Madison, WI. FAU - Trentham-Dietz, Amy AU - Trentham-Dietz A AUID- ORCID: 0000-0002-5971-4660 AD - School of Medicine and Public Health, University of Wisconsin, Madison, WI. FAU - Rolland, Betsy AU - Rolland B AD - School of Medicine and Public Health, University of Wisconsin, Madison, WI. FAU - Shah, Dhavan AU - Shah D AD - School of Journalism and Mass Communication, University of Wisconsin, Madison, WI. FAU - Alagoz, Oguzhan AU - Alagoz O AUID- ORCID: 0000-0001-5034-2816 AD - College of Engineering, University of Wisconsin, Madison, WI. LA - eng GR - UL1 TR002373/TR/NCATS NIH HHS/United States GR - UL1 TR000427/TR/NCATS NIH HHS/United States GR - P30 CA014520/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20220920 PL - United States TA - JCO Oncol Pract JT - JCO oncology practice JID - 101758685 SB - IM MH - Humans MH - Female MH - Adult MH - Middle Aged MH - *Breast Neoplasms/diagnosis/psychology MH - Decision Making, Shared MH - Decision Making MH - Interdisciplinary Research MH - Quality Improvement MH - Retrospective Studies MH - Mammography MH - Early Detection of Cancer PMC - PMC10476722 COIS- TEAM SCIENCE PRINCIPLES ENHANCE CANCER CARE DELIVERY QUALITY IMPROVEMENT: INTERDISCIPLINARY IMPLEMENTATION OF BREAST CANCER SCREENING SHARED DECISION MAKING: The following represents disclosure information provided by authors of this manuscript. All relationships are considered compensated unless otherwise noted. Relationships are self-held unless noted. I = Immediate Family Member, Inst = My Institution. Relationships may not relate to the subject matter of this manuscript. For more information about ASCO's conflict of interest policy, please refer to www.asco.org/rwc or ascopubs.org/op/authors/author-center. Open Payments is a public database containing information reported by companies about payments made to US-licensed physicians (Open Payments). Oguzhan Alagoz Consulting or Advisory Role: Bristol Myers Squibb, Exact Sciences, Johnson & Johnson/Janssen No other potential conflicts of interest were reported. EDAT- 2022/09/21 06:00 MHDA- 2023/01/14 06:00 PMCR- 2024/01/01 CRDT- 2022/09/20 16:03 PHST- 2022/09/21 06:00 [pubmed] PHST- 2023/01/14 06:00 [medline] PHST- 2022/09/20 16:03 [entrez] PHST- 2024/01/01 00:00 [pmc-release] AID - OP.22.00355 [pii] AID - 10.1200/OP.22.00355 [doi] PST - ppublish SO - JCO Oncol Pract. 2023 Jan;19(1):e1-e7. doi: 10.1200/OP.22.00355. Epub 2022 Sep 20. PMID- 36541053 OWN - NLM STAT- MEDLINE DCOM- 20231128 LR - 20241029 IS - 2154-1671 (Electronic) IS - 2154-1671 (Linking) VI - 13 IP - 1 DP - 2023 Jan 1 TI - Association of Tolerance of Uncertainty With Outcomes in a Quality Improvement Collaborative. PG - 55-60 LID - 10.1542/hpeds.2022-006674 [doi] AB - BACKGROUND: Tolerance of uncertainty may influence how physicians and other providers practice and make clinical decisions. We hypothesized that increased tolerance of uncertainty would be associated with an increased uptake of a quality improvement (QI) intervention. METHODS: We examined tolerance of uncertainty using the Physicians' Reactions to Uncertainty Scale in the context of a national QI project in the Value in Inpatient Pediatrics network. The QI project aimed to increase exclusive isotonic fluid use and decrease laboratory draws. Exposure to the intervention was measured by using the stepped wedge design with sequential implementation across a diverse group of US hospitals. Multivariable analysis was conducted by using exposure to the intervention and tolerance of uncertainty as independent variables and exclusive isotonic fluid use or laboratory testing as the dependent variable. RESULTS: Of 106 participating hospitals, 97 contributed valid responses, with an overall mean reported tolerance of uncertainty of 3.39 (95% confidence interval: 3.27-3.50), with lower numbers on the 6-point scale indicating greater tolerance of uncertainty. Exposure to the QI intervention was significantly associated with exclusive isotonic fluid use (P <.001). Lower tolerance of uncertainty at baseline was associated with lower baseline isotonic fluid use and greater uptake of the use of isotonic fluids but not reduction in laboratory testing. CONCLUSIONS: Contrary to our hypothesis, lower tolerance of uncertainty was associated with greater uptake of the QI intervention for the outcome of isotonic fluids. This initial association warrants further study to evaluate how tolerance of uncertainty plays a role in quality improvement science. CI - Copyright © 2023 by the American Academy of Pediatrics. FAU - Foster, Byron A AU - Foster BA AD - Doernbecher Children's Hospital, Oregon Health & Science University, Portland, Oregon. AD - OHSU-PSU School of Public Health, Portland, Oregon. FAU - Zhou, Chuan AU - Zhou C AD - Department of Pediatrics, University of Washington, Seattle; Seattle, Washington. AD - Seattle Children's Research Institute, Seattle, Washington. FAU - Canty, Ethan AU - Canty E AD - Doernbecher Children's Hospital, Oregon Health & Science University, Portland, Oregon. FAU - Ralston, Shawn AU - Ralston S AD - Department of Pediatrics, University of Washington, Seattle; Seattle, Washington. FAU - Rooholamini, Sahar N AU - Rooholamini SN AD - Department of Pediatrics, University of Washington, Seattle; Seattle, Washington. LA - eng PT - Journal Article PL - United States TA - Hosp Pediatr JT - Hospital pediatrics JID - 101585349 SB - IM MH - Humans MH - Child MH - *Quality Improvement MH - Uncertainty EDAT- 2022/12/22 06:00 MHDA- 2023/11/28 06:42 CRDT- 2022/12/21 03:13 PHST- 2023/11/28 06:42 [medline] PHST- 2022/12/22 06:00 [pubmed] PHST- 2022/12/21 03:13 [entrez] AID - 190338 [pii] AID - 10.1542/hpeds.2022-006674 [doi] PST - ppublish SO - Hosp Pediatr. 2023 Jan 1;13(1):55-60. doi: 10.1542/hpeds.2022-006674. PMID- 36669843 OWN - NLM STAT- MEDLINE DCOM- 20230124 LR - 20250530 IS - 2044-6055 (Electronic) IS - 2044-6055 (Linking) VI - 13 IP - 1 DP - 2023 Jan 20 TI - Implementation of a quality improvement programme using the Active Patient Link call and recall system to improve timeliness and equity of childhood vaccinations: protocol for a mixed-methods evaluation. PG - e064364 LID - 10.1136/bmjopen-2022-064364 [doi] LID - e064364 AB - INTRODUCTION: Call and recall systems provide actionable intelligence to improve equity and timeliness of childhood vaccinations, which have been disrupted during the COVID-19 pandemic. We will evaluate the effectiveness, fidelity and sustainability of a data-enabled quality improvement programme delivered in primary care using an Active Patient Link Immunisation (APL-Imms) call and recall system to improve timeliness and equity of uptake in a multiethnic disadvantaged urban population. We will use qualitative methods to evaluate programme delivery, focusing on uptake and use, implementation barriers and service improvements for clinical and non-clinical primary care staff, its fidelity and sustainability. METHODS AND ANALYSIS: This is a mixed-methods observational study in 284 general practices in north east London (NEL). The target population will be preschool-aged children eligible to receive diphtheria, tetanus and pertussis (DTaP) or measles, mumps and rubella (MMR) vaccinations and registered with an NEL general practice. The intervention comprises an in-practice call and recall tool, facilitation and training, and financial incentives. The quantitative evaluation will include interrupted time Series analyses and Slope Index of Inequality. The primary outcomes will be the proportion of children receiving at least one dose of a DTaP-containing or MMR vaccination defined, respectively, as administered between age 6 weeks and 6 months or between 12 and 18 months of age. The qualitative evaluation will involve a 'Think Aloud' method and semistructured interviews of stakeholders to assess impact, fidelity and sustainability of the APL-Imms tool, and fidelity of the implementation by facilitators. ETHICS AND DISSEMINATION: The research team has been granted permission from data controllers in participating practices to use deidentified data for audit purposes. As findings will be specific to the local context, research ethics approval is not required. Results will be disseminated in a peer-reviewed journal and to stakeholders, including parents, health providers and commissioners. CI - © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Marszalek, Milena AU - Marszalek M AUID- ORCID: 0000-0001-5825-0609 AD - Wolfson Institute of Population Health, Yvonne Carter Building, Queen Mary University, London, UK m.marszalek@qmul.ac.uk. FAU - Hawking, Meredith K D AU - Hawking MKD AUID- ORCID: 0000-0003-1519-2458 AD - Wolfson Institute of Population Health, Yvonne Carter Building, Queen Mary University, London, UK. FAU - Gutierrez, Ana AU - Gutierrez A AD - Wolfson Institute of Population Health, Yvonne Carter Building, Queen Mary University, London, UK. FAU - Dostal, Isabel AU - Dostal I AD - Wolfson Institute of Population Health, Yvonne Carter Building, Queen Mary University, London, UK. FAU - Ahmed, Zaheer AU - Ahmed Z AD - Wolfson Institute of Population Health, Yvonne Carter Building, Queen Mary University, London, UK. FAU - Firman, Nicola AU - Firman N AUID- ORCID: 0000-0001-5213-5044 AD - Wolfson Institute of Population Health, Yvonne Carter Building, Queen Mary University, London, UK. FAU - Robson, John AU - Robson J AD - Wolfson Institute of Population Health, Yvonne Carter Building, Queen Mary University, London, UK. FAU - Bedford, Helen AU - Bedford H AD - Great Ormond Street Institute of Child Health, University College London, London, UK. FAU - Billington, Anna AU - Billington A AD - Wolfson Institute of Population Health, Yvonne Carter Building, Queen Mary University, London, UK. FAU - Moss, Ngawai AU - Moss N AD - Wolfson Institute of Population Health, Yvonne Carter Building, Queen Mary University, London, UK. FAU - Dezateux, Carol AU - Dezateux C AD - Wolfson Institute of Population Health, Yvonne Carter Building, Queen Mary University, London, UK. LA - eng GR - MR/S037527/1/MRC_/Medical Research Council/United Kingdom GR - DH_/Department of Health/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230120 PL - England TA - BMJ Open JT - BMJ open JID - 101552874 SB - IM MH - Child MH - Child, Preschool MH - Humans MH - Infant, Newborn MH - Pandemics MH - Quality Improvement MH - *COVID-19/epidemiology/prevention & control MH - Vaccination MH - *Measles MH - *Rubella/prevention & control MH - Observational Studies as Topic PMC - PMC9872487 OTO - NOTNLM OT - Community child health OT - IMMUNOLOGY OT - PREVENTIVE MEDICINE OT - Paediatric infectious disease & immunisation OT - Public health OT - Quality in health care COIS- Competing interests: None declared. EDAT- 2023/01/21 06:00 MHDA- 2023/01/25 06:00 PMCR- 2023/01/20 CRDT- 2023/01/20 21:03 PHST- 2023/01/20 21:03 [entrez] PHST- 2023/01/21 06:00 [pubmed] PHST- 2023/01/25 06:00 [medline] PHST- 2023/01/20 00:00 [pmc-release] AID - bmjopen-2022-064364 [pii] AID - 10.1136/bmjopen-2022-064364 [doi] PST - epublish SO - BMJ Open. 2023 Jan 20;13(1):e064364. doi: 10.1136/bmjopen-2022-064364. PMID- 35957589 OWN - NLM STAT- MEDLINE DCOM- 20230314 LR - 20240216 IS - 1365-2648 (Electronic) IS - 0309-2402 (Linking) VI - 79 IP - 3 DP - 2023 Mar TI - Can fundamental care be advanced using the science of care framework? PG - 991-1002 LID - 10.1111/jan.15404 [doi] AB - AIMS: This manuscript aims to provide a description of an evidence-informed Science of Care practice-based research and innovation framework that may serve as a guiding framework to generate new discoveries and knowledge around fundamental care in a more integrated manner. BACKGROUND: New ways of thinking about models of care and implementation strategies in transdisciplinary teams are required to accelerate inquiry and embed new knowledge and innovation into practice settings. A new way of thinking starts with an explicit articulation and commitment to the core business of the healthcare industry which is to provide quality fundamental care. DESIGN: This discursive paper delineates an iteratively derived Science of Care research and innovation framework (Science of Care Framework) that draws from a targeted literature review. METHOD: The Science of Care Framework integrates caring science with safety and symptom sciences with implementation, improvement, innovation and team sciences. Each science dimension is described in terms of seminal and evolving evidence and theoretical explanations, focusing on how these disciplines can support fundamental care. CONCLUSIONS: The Science of Care Framework can serve as a catalyst to guide future efforts to propel new knowledge and discoveries around fundamental care and how best to implement it into clinical practice through a transdisciplinary lens. IMPACT ON NURSING SCIENCE, PRACTICE, OR DISCIPLINARY KNOWLEDGE: The Science of Care Framework can accelerate nursing discipline-specific knowledge generation alongside inter and transdisciplinary insights. The novel articulation of the Science of Care Framework can be used to guide further inquiries that are co-designed, and led, by nurses into integrated models of care and innovations in clinical practice. CI - © 2022 John Wiley & Sons Ltd. FAU - Jeffs, Lianne AU - Jeffs L AUID- ORCID: 0000-0002-3522-2549 AD - Sinai Health, Toronto, Ontario, Canada. AD - Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. AD - Institute of Health Policy Management, University of Toronto, Toronto, Ontario, Canada. FAU - Merkley, Jane AU - Merkley J AD - Sinai Health, Toronto, Ontario, Canada. FAU - Ronald, Kara AU - Ronald K AD - Sinai Health, Toronto, Ontario, Canada. FAU - Newton, Gary AU - Newton G AD - Sinai Health, Toronto, Ontario, Canada. FAU - Yang, Lily AU - Yang L AD - Sinai Health, Toronto, Ontario, Canada. FAU - Gray, Carolyn Steele AU - Gray CS AD - Sinai Health, Toronto, Ontario, Canada. AD - Institute of Health Policy Management, University of Toronto, Toronto, Ontario, Canada. LA - eng PT - Journal Article DEP - 20220811 PL - England TA - J Adv Nurs JT - Journal of advanced nursing JID - 7609811 SB - IM MH - Humans MH - *Nursing Care/methods/standards MH - Patient-Centered Care MH - Evidence-Based Nursing OTO - NOTNLM OT - caring OT - fundamental care OT - implementation OT - improvement OT - innovation OT - safety OT - science OT - symptom OT - team EDAT- 2022/08/13 06:00 MHDA- 2023/03/14 06:00 CRDT- 2022/08/12 02:22 PHST- 2022/05/24 00:00 [revised] PHST- 2022/01/31 00:00 [received] PHST- 2022/07/05 00:00 [accepted] PHST- 2022/08/13 06:00 [pubmed] PHST- 2023/03/14 06:00 [medline] PHST- 2022/08/12 02:22 [entrez] AID - 10.1111/jan.15404 [doi] PST - ppublish SO - J Adv Nurs. 2023 Mar;79(3):991-1002. doi: 10.1111/jan.15404. Epub 2022 Aug 11. PMID- 37040320 OWN - NLM STAT- MEDLINE DCOM- 20230508 LR - 20230509 IS - 1558-9110 (Electronic) IS - 1058-0360 (Linking) VI - 32 IP - 3 DP - 2023 May 4 TI - The Role of Speech-Language Pathologists in Expanding Delivery of Teen Online Problem Solving for Adolescents With Acquired Brain Injury: A Quality Improvement Project. PG - 989-998 LID - 10.1044/2023_AJSLP-22-00241 [doi] AB - PURPOSE: Teen Online Problem Solving (TOPS) is an evidence-based teletherapy program designed to promote neurocognitive, behavioral, and psychosocial recovery following brain injury through family-centered training. To date, TOPS has been primarily administered by neuropsychologists and clinical psychologists. This clinical focus article discusses a quality improvement project to adapt the TOPS training and manual for use by speech-language pathologists (SLPs) and reports feedback from SLPs following TOPS training and after delivering the program with adolescents who experienced neurological insults. METHOD: SLPs were invited to participate in TOPS training. Trainees were asked to complete posttraining surveys, active therapist questionnaires, and follow-up surveys directed to SLPs who had completed the intervention with at least one patient. RESULTS: To date, a total of 38 SLPs completed TOPS training, 13 have implemented TOPS with at least one adolescent. Eight SLPs and 16 psychologists/trainees responded to follow-up surveys to share their perspectives on the program. Perceptions of clinicians delivering the program did not differ significantly in most respects. SLPs rated the ease of understanding nonverbal communication higher than psychologists. Seven SLPs responded to an SLP-specific survey about their experiences administering TOPS, noting a range of advantages and some limitations in their open-ended responses. CONCLUSION: Training SLPs to deliver TOPS has the potential to increase service provision to adolescents with acquired brain injury who have cognitive communication difficulties and their families. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.22357327. FAU - Lundine, Jennifer P AU - Lundine JP AUID- ORCID: 0000-0002-9113-7875 AD - Department of Speech and Hearing Science, The Ohio State University, Columbus. AD - Division of Clinical Therapies and Inpatient Rehabilitation Program, Nationwide Children's Hospital, Columbus, OH. FAU - Chitwood, Kerrie Lemons AU - Chitwood KL AD - Department of Education and Leadership, California State University, Monterey Bay. FAU - Wade, Shari L AU - Wade SL AUID- ORCID: 0000-0003-3764-7126 AD - College of Medicine, University of Cincinnati, OH. AD - Division of Rehabilitation Medicine, Cincinnati Children's Hospital Medical Center, OH. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230411 PL - United States TA - Am J Speech Lang Pathol JT - American journal of speech-language pathology JID - 9114726 SB - IM MH - Humans MH - Adolescent MH - Speech MH - Pathologists MH - Quality Improvement MH - *Brain Injuries MH - Problem Solving MH - *Communication Disorders MH - Surveys and Questionnaires MH - *Speech-Language Pathology EDAT- 2023/04/12 06:00 MHDA- 2023/05/08 06:42 CRDT- 2023/04/11 13:12 PHST- 2023/05/08 06:42 [medline] PHST- 2023/04/12 06:00 [pubmed] PHST- 2023/04/11 13:12 [entrez] AID - 10.1044/2023_AJSLP-22-00241 [doi] PST - ppublish SO - Am J Speech Lang Pathol. 2023 May 4;32(3):989-998. doi: 10.1044/2023_AJSLP-22-00241. Epub 2023 Apr 11. PMID- 37399361 OWN - NLM STAT- MEDLINE DCOM- 20230705 LR - 20230705 IS - 2632-1009 (Electronic) IS - 2632-1009 (Linking) VI - 30 IP - 1 DP - 2023 Jun TI - From measures to action: can integrating quality measures provide system-wide insights for quality improvement decision making? LID - 10.1136/bmjhci-2023-100792 [doi] LID - e100792 AB - BACKGROUND: Quality improvement decision makers are left to develop an understanding of quality within their healthcare system from a deluge of narrowly focused measures that reflect existing fragmentation in care and lack a clear method for triggering improvement. A one-to-one metric-to-improvement strategy is intractable and leads to unintended consequences. Although composite measures have been used and their limitations noted in the literature, what remains unknown is 'Can integrating multiple quality measures provide a systemic understanding of care quality across a healthcare system?' METHODS: We devised a four-part data-driven analytic strategy to determine if consistent insights exist about the differential utilisation of end-of-life care using up to eight publicly available end-of-life cancer care quality measures across National Cancer Institute and National Comprehensive Cancer Network-designated cancer hospitals/centres. We performed 92 experiments that included 28 correlation analyses, 4 principal component analyses, 6 parallel coordinate analyses with agglomerative hierarchical clustering across hospitals and 54 parallel coordinate analyses with agglomerative hierarchical clustering within each hospital. RESULTS: Across 54 centres, integrating quality measures provided no consistent insights across different integration analyses. In other words, we could not integrate quality measures to describe how the underlying quality constructs of interest-intensive care unit (ICU) visits, emergency department (ED) visits, palliative care use, lack of hospice, recent hospice, use of life-sustaining therapy, chemotherapy and advance care planning-are used relative to each other across patients. Quality measure calculations lack interconnection information to construct a story that provides insights about where, when or what care is provided to which patients. And yet, we posit and discuss why administrative claims data-used to calculate quality measures-do contain such interconnection information. CONCLUSION: While integrating quality measures does not provide systemic information, new systemic mathematical constructs designed to convey interconnection information can be developed from the same administrative claims data to support quality improvement decision making. CI - © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Khayal, Inas S AU - Khayal IS AUID- ORCID: 0000-0001-8354-6006 AD - The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA inas.khayal@dartmouth.edu. AD - Biomedical Data Science, Geisel School of Medicine, Lebanon, NH, USA. AD - Cancer Population Sciences Program, Norris Cotton Cancer Center, Lebanon, NH, USA. AD - Department of Computer Science, Dartmouth College, Hanover, NH, USA. FAU - Sanz, Jordan T AU - Sanz JT AD - Department of Computer Science, Dartmouth College, Hanover, NH, USA. LA - eng PT - Journal Article PL - England TA - BMJ Health Care Inform JT - BMJ health & care informatics JID - 101745500 SB - IM MH - Humans MH - Quality Improvement MH - Quality Indicators, Health Care MH - *Terminal Care/methods MH - *Hospice Care MH - Decision Making PMC - PMC10314486 OTO - NOTNLM OT - BMJ health informatics OT - data science OT - data visualization OT - health services research OT - informatics COIS- Competing interests: None declared. EDAT- 2023/07/03 19:08 MHDA- 2023/07/05 06:42 PMCR- 2023/06/30 CRDT- 2023/07/03 15:02 PHST- 2023/05/03 00:00 [received] PHST- 2023/06/21 00:00 [accepted] PHST- 2023/07/05 06:42 [medline] PHST- 2023/07/03 19:08 [pubmed] PHST- 2023/07/03 15:02 [entrez] PHST- 2023/06/30 00:00 [pmc-release] AID - bmjhci-2023-100792 [pii] AID - 10.1136/bmjhci-2023-100792 [doi] PST - ppublish SO - BMJ Health Care Inform. 2023 Jun;30(1):e100792. doi: 10.1136/bmjhci-2023-100792. PMID- 37141428 OWN - NLM STAT- MEDLINE DCOM- 20231113 LR - 20231113 IS - 1477-0989 (Electronic) IS - 0969-7330 (Linking) VI - 30 IP - 6 DP - 2023 Sep TI - Sub-categories of moral distress among nurses: A descriptive longitudinal study. PG - 885-903 LID - 10.1177/09697330231160006 [doi] AB - BACKGROUND: There is ongoing debate regarding how moral distress should be defined. Some scholars argue that the standard "narrow" definition overlooks morally relevant causes of distress, while others argue that broadening the definition of moral distress risks making measurement impractical. However, without measurement, the true extent of moral distress remains unknown. RESEARCH AIMS: To explore the frequency and intensity of five sub-categorizations of moral distress, resources used, intention to leave, and turnover of nurses using a new survey instrument. RESEARCH DESIGN: A mixed methods embedded design included a longitudinal, descriptive investigator-developed electronic survey with open-ended questions sent twice a week for 6 weeks. Analysis included descriptive and comparative statistics and content analysis of narrative data. PARTICIPANTS: Registered nurses from four hospitals within one large healthcare system in Midwest United States. ETHICAL CONSIDERATIONS: IRB approval was obtained. RESULTS: 246 participants completed the baseline survey, 80 participants provided data longitudinally for a minimum of 3 data points. At baseline, moral-conflict distress occurred with the highest frequency, followed by moral-constraint distress and moral-tension distress. By intensity, the most distressing sub-category was moral-tension distress, followed by "other" distress and moral-constraint distress. Longitudinally, when ranked by frequency, nurses experienced moral-conflict distress, moral-constraint distress, and moral-tension distress; by intensity, scores were highest for moral-tension distress, moral-uncertainty distress, and moral-constraint distress. Of available resources, participants spoke with colleagues and senior colleagues more frequently than using consultative services such as ethics consultation. CONCLUSIONS: Nurses experienced distress related to a number of moral issues extending beyond the traditional understanding of moral distress (as occurring due to a constraint) suggesting that our understanding and measurement of moral distress should be broadened. Nurses frequently used peer support as their primary resource but it was only moderately helpful. Effective peer support for moral distress could be impactful. Future research on moral distress sub-categories is needed. FAU - Morley, Georgina AU - Morley G AUID- ORCID: 0000-0002-0099-3597 AD - Nursing Ethics Program, Center for Bieothics, Stanley S. Zielony Institute for Nursing Excellence, Cleveland Clinic Health System, Cleveland, OH, USA. RINGGOLD: 2569 FAU - Bena, James F AU - Bena JF AUID- ORCID: 0000-0002-7592-0480 AD - Quantitative Health Sciences, Cleveland Clinic Health System, Cleveland, OH, USA. RINGGOLD: 2569 FAU - Morrison, Shannon L AU - Morrison SL AD - Quantitative Health Sciences, Cleveland Clinic Health System, Cleveland, OH, USA. RINGGOLD: 2569 FAU - Albert, Nancy M AU - Albert NM AD - Office of Nursing Research and Innovation, Stanley S. Zielony Institute for Nursing Excellence, Cleveland Clinic Health System, Cleveland, OH, USA. RINGGOLD: 2569 LA - eng PT - Journal Article DEP - 20230504 PL - England TA - Nurs Ethics JT - Nursing ethics JID - 9433357 MH - Humans MH - Longitudinal Studies MH - Surveys and Questionnaires MH - Uncertainty MH - *Morals MH - Stress, Psychological/etiology MH - *Nurses MH - Attitude of Health Personnel OTO - NOTNLM OT - clinical ethics OT - moral distress OT - nursing OT - nursing ethics OT - survey COIS- Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2023/05/04 18:41 MHDA- 2023/11/13 06:42 CRDT- 2023/05/04 14:53 PHST- 2023/11/13 06:42 [medline] PHST- 2023/05/04 18:41 [pubmed] PHST- 2023/05/04 14:53 [entrez] AID - 10.1177/09697330231160006 [doi] PST - ppublish SO - Nurs Ethics. 2023 Sep;30(6):885-903. doi: 10.1177/09697330231160006. Epub 2023 May 4. PMID- 37886591 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240311 IS - 2693-5015 (Electronic) IS - 2693-5015 (Linking) DP - 2023 Oct 13 TI - Understanding and barriers to formation Professional Identity among current and recent graduates of nurses and midwifery in two universities in a low resource setting: A qualitative study. LID - rs.3.rs-3423723 [pii] LID - 10.21203/rs.3.rs-3423723/v1 [doi] AB - INTRODUCTION: Professional identity (PI) in nursing is a sense of oneself and one's relationship with others that is influenced by characteristics, norms, and values of the nursing discipline, resulting in an individual thinking, acting, and feeling like a nurse. Therefore, transformative educational approaches that include professional judgement, reasoning, critical self-evaluation and a sense of accountability are required to foster professional identity. We explored the understanding and barriers to professional identity formation among recent graduates and nursing students in Uganda. METHODS: A qualitative research design was used to collect data from student Nurses and Midwives from Makerere University, Mbarara University and recent graduates attending their internship training at Mulago National and Mbarara Regional Referral hospitals. Thematic analysis was used to analyse the data. RESULTS: The participants who reported understanding of PI in nursing and midwifery mentioned that these are principles, characteristics and values, competencies, ethics and code of conduct, sense of belonging and professionalism that define the nursing profession and practice. Barriers to the formation of PI were provided under two themes education and health service delivery. Regarding education (nursing educators not working in clinical settings and inadequate clinical mentoring). Under health service delivery:(high workload, lack of interprofessional collaboration, many different professional groups, no clear scope of practice for the different professional careers, Low esteem among nurses and midwives, media and lack of policy implementation). CONCLUSION AND RECOMMENDATION: Participants were knowledgeable about professional identity in nursing/midwifery. They faced several challenges and barriers in professional identity formation during their training and internship. We recommend a need to streamline the scope of practice and enhance clinical mentorship and engagement of Leadership in Nursing in developing PI among students. FAU - Mbalinda, Scovia Nalugo AU - Mbalinda SN AD - Makerere University. FAU - Najjuma, Josephine Nambi AU - Najjuma JN AD - Mbarara University of Science and Technology. FAU - Mubuuke, Aloysius Gonzaga AU - Mubuuke AG AD - Makerere University. FAU - Kamoga, Livingstone AU - Kamoga L AD - Makerere University. FAU - Musoke, David AU - Musoke D AD - Makerere University. LA - eng GR - R25 TW011217/TW/FIC NIH HHS/United States PT - Journal Article PT - Preprint DEP - 20231013 PL - United States TA - Res Sq JT - Research square JID - 101768035 UIN - BMC Nurs. 2024 Mar 1;23(1):146. doi: 10.1186/s12912-024-01795-2. PMID: 38429682 PMC - PMC10602116 OTO - NOTNLM OT - Barriers OT - Midwives OT - Nurses OT - Professional Identity OT - Uganda COIS- Declarations Competing interests No competing interests EDAT- 2023/10/27 06:43 MHDA- 2023/10/27 06:44 PMCR- 2023/10/26 CRDT- 2023/10/27 04:45 PHST- 2023/10/27 06:43 [pubmed] PHST- 2023/10/27 06:44 [medline] PHST- 2023/10/27 04:45 [entrez] PHST- 2023/10/26 00:00 [pmc-release] AID - rs.3.rs-3423723 [pii] AID - 10.21203/rs.3.rs-3423723/v1 [doi] PST - epublish SO - Res Sq [Preprint]. 2023 Oct 13:rs.3.rs-3423723. doi: 10.21203/rs.3.rs-3423723/v1. PMID- 37494589 OWN - NLM STAT- MEDLINE DCOM- 20231113 LR - 20231113 IS - 1439-3824 (Electronic) IS - 0300-8630 (Print) IS - 0300-8630 (Linking) VI - 235 IP - 6 DP - 2023 Nov TI - Bridging the gap: A quality improvement project to implement psychosocial care standards into clinical practice in pediatric oncology. PG - 350-359 LID - 10.1055/a-2104-1049 [doi] AB - BACKGROUND: Psychosocial guidelines and standards systematically describe stressors and resources in particularly challenging situations and hence serve as a basis for interventions to achieve defined psychosocial goals. Despite fundamental principles and guidelines for psychosocial methods, the quality of provided care varies considerably depending on setting, provision, and profession. The purpose of the present protocol is to illustrate the development and evaluation of the standardized psychological intervention "My Logbook", a practical guide accompanying children through all stages of treatment by directly translating current quality standards of psychosocial care into practice. METHODS: In an evidence-based set-up, using face-to-face discussions and telephone conferences, a multi-professional team of local experts decide on critical disease-related issues, structure, content (information and intervention elements) and design of the quality improvement tool. Via delphi surveys an extended expert team is asked to rate the content, method, and design of all booklets which is concluded by a final agreement by the specialist group for quality assurance of the psychosocial working group in the Society for Pediatric Oncology (PSAPOH). The developed tools are piloted in an international multicenter study to evaluate the patient-reported outcome and feasibility and to integrate practical views of patients, as well as psychosocial and interdisciplinary professionals into the further development of the "My Logbook". DISCUSSION: The iterative development of the "My Logbook" including local and international experts as well as the patient and practical perspective allow for the design of a process-oriented, consensus - and evidence-based tool directly translating the S3-Guideline into clinical practice. Feasibility and applicability are fostered through an iterative process of constant evaluation and adaptation of the tool by international experts and through the clinical experience gathered in the multi-centered pilot study. Furthermore, the systematic evaluation of the tool by patients, psychosocial, and interdisciplinary professionals enables the identification of persisting gaps between evidence-based standards and clinical practice, discrepancies between the various stakeholders' perspectives as well as regional differences in feasibility, thereby directly linking practice and research. The preliminary results emphasize that psychological support can be standardized, enabling an evaluation and optimization of psychosocial care which future studies need to assess in multicenter clinical randomized controlled trials. CI - The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/). FAU - Weiler-Wichtl, Liesa J AU - Weiler-Wichtl LJ AUID- ORCID: 0000-0003-2908-8010 AD - Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria. FAU - Fohn-Erhold, Verena AU - Fohn-Erhold V AD - Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria. FAU - Schneider, Carina AU - Schneider C AD - Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria. AD - Childhood Cancer International - Europe (CCI-E), Vienna, Austria. FAU - Schwarzinger, Agathe AU - Schwarzinger A AD - Psychosocial Care, Austrian Childhood Cancer Aid, Vienna, Austria. FAU - Krottendorfer, Kerstin AU - Krottendorfer K AD - Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria. FAU - Pletschko, Thomas AU - Pletschko T AD - Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria. FAU - Rosenmayr, Verena AU - Rosenmayr V AD - Department of Pediatrics and Adolescent Medicine, General Hospital of Vienna, Vienna, Austria. FAU - Gojo, Johannes AU - Gojo J AD - Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria. FAU - Peyrl, Andreas AU - Peyrl A AD - Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria. FAU - Dieckmann, Karin AU - Dieckmann K AD - Department for Radiooncology, Medical University of Vienna, Vienna, Austria. FAU - Kollmann, Alina Stefanie AU - Kollmann AS AD - Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria. AD - Kepler Universitätsklinikum, Universitätsklinik für Kinder- und Jugendheilkunde, Med Campus IV, Onkologie. FAU - Hansl, Rita AU - Hansl R AD - Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria. FAU - Slavc, Irene AU - Slavc I AD - Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria. FAU - Fries, Jonathan AU - Fries J AUID- ORCID: 0000-0003-3253-5109 AD - Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria. AD - Institute of Psychology of Development and Education, Faculty of Psychology, University of Vienna, Vienna, Austria. FAU - Hopfgartner, Maximilian AU - Hopfgartner M AD - Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria. FAU - Leiss, Ulrike AU - Leiss U AD - Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria. LA - eng PT - Journal Article PT - Multicenter Study TT - Die Lücke überwinden: Ein Qualitätsverbesserungsprojekt für psychosoziale Standards in der pädiatrischen Onkologie. DEP - 20230721 PL - Germany TA - Klin Padiatr JT - Klinische Padiatrie JID - 0326144 SB - IM MH - Child MH - Humans MH - Quality Improvement MH - Pilot Projects MH - *Psychiatric Rehabilitation MH - Consensus MH - *Neoplasms/therapy PMC - PMC10635755 COIS- The authors declare that they have no conflict of interest. EDAT- 2023/07/26 19:11 MHDA- 2023/11/13 06:43 PMCR- 2023/07/01 CRDT- 2023/07/26 15:13 PHST- 2023/11/13 06:43 [medline] PHST- 2023/07/26 19:11 [pubmed] PHST- 2023/07/26 15:13 [entrez] PHST- 2023/07/01 00:00 [pmc-release] AID - klinpadiatr1765 [pii] AID - 10.1055/a-2104-1049 [doi] PST - ppublish SO - Klin Padiatr. 2023 Nov;235(6):350-359. doi: 10.1055/a-2104-1049. Epub 2023 Jul 21. PMID- 37915056 OWN - NLM STAT- MEDLINE DCOM- 20231104 LR - 20241001 IS - 1478-4505 (Electronic) IS - 1478-4505 (Linking) VI - 21 IP - 1 DP - 2023 Nov 1 TI - Development, Evaluation, and impLemenTation for guideline adaptation: a quality improvement protocol for the DELTA study in global health practice. PG - 114 LID - 10.1186/s12961-023-01060-z [doi] LID - 114 AB - BACKGROUND: Guideline adaptation is an emerging field to provide more appropriate recommendations for local clinical practice quality and to promote global health equity. However, its utilization status, adaptation procedures, and related materials remain to be studied. METHODS: This study developed a quality improvement protocol for a study as the Development, Evaluation, and impLemenTation for guideline Adaptation (DELTA) study. Current adapted clinical practice guidelines (CPGs) will be systematically searched. Their characteristics, utilization status, and adaptation procedures will be extracted, compared, and analyzed. Whether these adapted CPGs rigorously followed the instruments and steps of adaptation frameworks will also be appraised. In addition, the advantages and limitations of current adaptation methods and their suitable application situations will be analyzed. In addition, future perspectives as DELTA series and DELTA system, aiming for comprehensively evaluating current needs for guideline adaptation and developing a unified framework and related materials were proposed to improve the acceptability, applicability, and implementation of guideline adaptation in clinical practice. The DELTA series are divided into four phases: phase I in analyzing status, characteristics, and procedures and completeness of adapted CPGs; phase II in analyzing differences, heterogeneity, and implementation between adapted and original CPGs; and phase III in collecting, analyzing, and comparing all available adaptation materials. With these research bases, an international working group will be established in phase IV and will develop unified guideline adaptation materials after Delphi consensus, including adaptation frameworks, appraisal tools and checklists, registries, and databases. DISCUSSION: Guideline adaptation has been advanced as an efficient way to guide local clinical practice. However, it still faces several major challenges. The proposed DELTA study, series, and system will further contribute to this emerging topic. TRIAL REGISTRATION:  This study has been registered by the PROSPERO international database. https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=400170 . CI - © 2023. The Author(s). FAU - Wang, Shu AU - Wang S AUID- ORCID: 0000-0002-5914-0804 AD - Department of Neurosurgery, Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China. FAU - Zhang, Yuan AU - Zhang Y AUID- ORCID: 0000-0001-5236-2626 AD - Neonatal Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China. FAU - Wen, Zhixuan AU - Wen Z AD - Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China. FAU - Yang, Yueming AU - Yang Y AD - Department of Hematology, Dalian Municipal Woman and Children's Medical Center (Group), Dalian, 116000, China. FAU - Zhang, Yuxuan AU - Zhang Y AD - Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China. FAU - Geng, Yixiong AU - Geng Y AD - Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China. FAU - Liu, Yali AU - Liu Y AD - Center for Clinical Epidemiology and Evidence-Based Medicine, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China. lyl_201006@126.com. FAU - Zhang, Jianguo AU - Zhang J AD - Department of Neurosurgery, Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China. jianguozhang@ccmu.edu.cn. LA - eng GR - 81830033/National Natural Science Foundation of China/ GR - 2021YFC2401200/National Key Research and Development Program of China/ PT - Journal Article DEP - 20231101 PL - England TA - Health Res Policy Syst JT - Health research policy and systems JID - 101170481 SB - IM MH - Humans MH - Checklist MH - Consensus MH - Databases, Factual MH - *Global Health MH - *Quality Improvement MH - Guidelines as Topic PMC - PMC10619317 OTO - NOTNLM OT - Adaptation OT - Clinical practice guidelines OT - Global health OT - Health equity OT - Protocol OT - Quality improvement COIS- The authors declare that they have no competing interests. EDAT- 2023/11/02 06:42 MHDA- 2023/11/03 06:44 PMCR- 2023/11/01 CRDT- 2023/11/02 00:48 PHST- 2023/06/06 00:00 [received] PHST- 2023/10/07 00:00 [accepted] PHST- 2023/11/03 06:44 [medline] PHST- 2023/11/02 06:42 [pubmed] PHST- 2023/11/02 00:48 [entrez] PHST- 2023/11/01 00:00 [pmc-release] AID - 10.1186/s12961-023-01060-z [pii] AID - 1060 [pii] AID - 10.1186/s12961-023-01060-z [doi] PST - epublish SO - Health Res Policy Syst. 2023 Nov 1;21(1):114. doi: 10.1186/s12961-023-01060-z. PMID- 37916878 OWN - NLM STAT- MEDLINE DCOM- 20231103 LR - 20250502 IS - 1529-7535 (Print) IS - 1529-7535 (Linking) VI - 24 IP - 11 DP - 2023 Nov 1 TI - Implementation Science Research in Pediatric Critical Care Medicine. PG - 943-951 LID - 10.1097/PCC.0000000000003335 [doi] AB - OBJECTIVES: Delay or failure to consistently adopt evidence-based or consensus-based best practices into routine clinical care is common, including for patients in the PICU. PICU patients can fail to receive potentially beneficial diagnostic or therapeutic interventions, worsening the burden of illness and injury during critical illness. Implementation science (IS) has emerged to systematically address this problem, but its use of in the PICU has been limited to date. We therefore present a conceptual and methodologic overview of IS for the pediatric intensivist. DESIGN: The members of Excellence in Pediatric Implementation Science (ECLIPSE; part of the Pediatric Acute Lung Injury and Sepsis Investigators Network) represent multi-institutional expertise in the use of IS in the PICU. This narrative review reflects the collective knowledge and perspective of the ECLIPSE group about why IS can benefit PICU patients, how to distinguish IS from quality improvement (QI), and how to evaluate an IS article. RESULTS: IS requires a shift in one's thinking, away from questions and outcomes that define traditional clinical or translational research, including QI. Instead, in the IS rather than the QI literature, the terminology, definitions, and language differs by specifically focusing on relative importance of generalizable knowledge, as well as aspects of study design, scale, and timeframe over which the investigations occur. CONCLUSIONS: Research in pediatric critical care practice must acknowledge the limitations and potential for patient harm that may result from a failure to implement evidence-based or professionals' consensus-based practices. IS represents an innovative, pragmatic, and increasingly popular approach that our field must readily embrace in order to improve our ability to care for critically ill children. CI - Copyright © 2023 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. FAU - Woods-Hill, Charlotte Z AU - Woods-Hill CZ AD - Division of Critical Care Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA. AD - The Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA. FAU - Wolfe, Heather AU - Wolfe H AD - Division of Critical Care Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA. AD - The Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA. FAU - Malone, Sara AU - Malone S AD - Division of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO. FAU - Steffen, Katherine M AU - Steffen KM AD - Department of Pediatrics, Division of Pediatric Critical Care Medicine, Stanford University, Stanford, CA. FAU - Agulnik, Asya AU - Agulnik A AD - Department of Global Pediatric Medicine, Division of Critical Care, St Jude Children's Research Hospital, Memphis, TN. FAU - Flaherty, Brian F AU - Flaherty BF AD - Department of Pediatrics, Division of Critical Care, University of Utah, Salt Lake City, UT. FAU - Barbaro, Ryan P AU - Barbaro RP AD - Division of Pediatric Critical Care, University of Michigan Medical School, Ann Arbor, MI. AD - Susan B. Miester Child Health Evaluation and Research Center, University of Michigan, Ann Arbor, MI. FAU - Dewan, Maya AU - Dewan M AD - Division of Critical Care Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA. AD - The Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA. AD - Division of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO. AD - Department of Pediatrics, Division of Pediatric Critical Care Medicine, Stanford University, Stanford, CA. AD - Department of Global Pediatric Medicine, Division of Critical Care, St Jude Children's Research Hospital, Memphis, TN. AD - Department of Pediatrics, Division of Critical Care, University of Utah, Salt Lake City, UT. AD - Division of Pediatric Critical Care, University of Michigan Medical School, Ann Arbor, MI. AD - Susan B. Miester Child Health Evaluation and Research Center, University of Michigan, Ann Arbor, MI. AD - Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH. AD - Division of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. AD - Division of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. AD - Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD. AD - Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD. AD - Department of Physical Medicine & Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD. FAU - Kudchadkar, Sapna R AU - Kudchadkar SR AD - Division of Critical Care Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA. AD - The Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA. AD - Division of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO. AD - Department of Pediatrics, Division of Pediatric Critical Care Medicine, Stanford University, Stanford, CA. AD - Department of Global Pediatric Medicine, Division of Critical Care, St Jude Children's Research Hospital, Memphis, TN. AD - Department of Pediatrics, Division of Critical Care, University of Utah, Salt Lake City, UT. AD - Division of Pediatric Critical Care, University of Michigan Medical School, Ann Arbor, MI. AD - Susan B. Miester Child Health Evaluation and Research Center, University of Michigan, Ann Arbor, MI. AD - Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH. AD - Division of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. AD - Division of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. AD - Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD. AD - Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD. AD - Department of Physical Medicine & Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD. CN - and the Excellence in Pediatric Implementation Science (ECLIPSE) for the Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network LA - eng GR - R01 HL131544/HL/NHLBI NIH HHS/United States GR - R01 DK132348/DK/NIDDK NIH HHS/United States GR - L40 HD099805/HD/NICHD NIH HHS/United States GR - R01 HD103811/HD/NICHD NIH HHS/United States GR - UM1 TR004409/TR/NCATS NIH HHS/United States GR - R01 HD099284/HD/NICHD NIH HHS/United States GR - K12 HL138039/HL/NHLBI NIH HHS/United States GR - K23 HL151381/HL/NHLBI NIH HHS/United States GR - R01 HL153519/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20231102 PL - United States TA - Pediatr Crit Care Med JT - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies JID - 100954653 SB - IM MH - Humans MH - Child MH - *Implementation Science MH - *Acute Lung Injury MH - Consensus MH - Critical Care MH - Quality Improvement PMC - PMC10624111 MID - NIHMS1916452 COIS- Dr. Woods-Hill’s institution received funding from the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health (NIH) under Award Number K23HL151381 and the Agency for Healthcare Research and Quality. Drs. Woods-Hill, Barbaro, and Dewan received support for article research from the NIH. Dr. Wolfe received funding from The Debriefing Academy. She receives funding from the NIH (R01HL131544 and R01HD099284). Dr. Flaherty’s work reported in this publication was supported (in part or in full) by the National Center for Advancing Translational Sciences of the National Institutes of Health under Award Number UL1TR002538. Dr. Barbaro’s institution received funding from the NHLBI (R01 HL153519 and K12 HL138039-02); he disclosed that he is on the Board of Directors for the Extracorporeal Life Support Organization and Co-Chair of Member Pedi-Extracorporeal Membrane Oxygenation. Dr. Kudchadkar receives funding from the NIH (R01HD103811 and R01DK132348). The remaining authors have disclosed that they do not have any potential conflicts of interest. EDAT- 2023/11/02 12:44 MHDA- 2023/11/03 06:44 PMCR- 2024/11/02 CRDT- 2023/11/02 09:43 PHST- 2023/11/03 06:44 [medline] PHST- 2023/11/02 12:44 [pubmed] PHST- 2023/11/02 09:43 [entrez] PHST- 2024/11/02 00:00 [pmc-release] AID - 00130478-202311000-00009 [pii] AID - 10.1097/PCC.0000000000003335 [doi] PST - ppublish SO - Pediatr Crit Care Med. 2023 Nov 1;24(11):943-951. doi: 10.1097/PCC.0000000000003335. Epub 2023 Nov 2. PMID- 37741935 OWN - NLM STAT- MEDLINE DCOM- 20240110 LR - 20240313 IS - 1432-1971 (Electronic) IS - 0172-0643 (Linking) VI - 45 IP - 1 DP - 2024 Jan TI - Risk Factors and Nomogram Model of Postoperative Delirium in Children with Congenital Heart Disease: A Single-Center Prospective Study. PG - 68-80 LID - 10.1007/s00246-023-03297-5 [doi] AB - Delirium is a common postoperative complication in children with congenital heart disease, which affects their postoperative recovery. The purpose of this study is to explore the risk factors of delirium and construct a nomogram model to provide novel references for the prevention and management of postoperative delirium in children with congenital heart disease. 470 children after congenital heart surgery treated in the cardiac intensive care unit (CICU) of Shanghai Children's Medical Center were divided into a model and a validation cohort according to the principle of 7:3 distribution temporally. Then, the delirium-related influencing factors of 330 children in the training cohort were analyzed, and the nomogram model was established by a combination of Lasso regression and logistic regression. The data of 140 children in the validation cohort were used to verify the effectiveness of the model. Multivariable logistic regression analysis showed that age, disease severity, non-invasive ventilation after extubation, delayed chest closure, phenobarbital dosage, promethazine dosage, mannitol usage, and elevated temperature were independent risk factors for postoperative delirium. The area under the receiver operating characteristic curve (AUC) of the nomogram model was 0.864 and the Brier value was 0.121. Regarding the validation of the model's effect, our results showed that 51 cases were predicted by the model and 34 cases actually occurred, including 4 cases of false negative and 21 cases of false positive. The positive predictive value of the model was 58.8%, and its negative predictive value was 95.5%. The nomogram model established in this study showed acceptable performance in predicting postoperative delirium in children with congenital heart disease. CI - © 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. FAU - Mao, Dou AU - Mao D AD - School of Nursing, Shanghai Jiao Tong University, No. 227 Chongqing South Road, Shanghai, China. FAU - Fu, Lijuan AU - Fu L AD - College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), No. 966, Hengyu Road, Jin'an District, Fuzhou, China. fljscmc@126.com. FAU - Zhang, Wenlan AU - Zhang W AD - Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, No. 1678 Dongfang Road, Shanghai, China. LA - eng GR - FJKX-A2131/Research Project on Science and Technology Innovation Think Tank of Fujian Science and Technology Association, FJKX-A2131/ GR - SJTUHLXK2021/Nursing discipline construction project of Shanghai Jiao Tong University School of Medicine/ PT - Journal Article DEP - 20230923 PL - United States TA - Pediatr Cardiol JT - Pediatric cardiology JID - 8003849 SB - IM MH - Child MH - Humans MH - *Emergence Delirium MH - Prospective Studies MH - Nomograms MH - China/epidemiology MH - *Heart Defects, Congenital/complications/surgery MH - Risk Factors MH - Retrospective Studies OTO - NOTNLM OT - Child OT - Congenital heart disease OT - Nomogram OT - Postoperative delirium OT - Predictive model EDAT- 2023/09/24 00:42 MHDA- 2024/01/10 06:41 CRDT- 2023/09/23 23:25 PHST- 2023/03/28 00:00 [received] PHST- 2023/09/05 00:00 [accepted] PHST- 2024/01/10 06:41 [medline] PHST- 2023/09/24 00:42 [pubmed] PHST- 2023/09/23 23:25 [entrez] AID - 10.1007/s00246-023-03297-5 [pii] AID - 10.1007/s00246-023-03297-5 [doi] PST - ppublish SO - Pediatr Cardiol. 2024 Jan;45(1):68-80. doi: 10.1007/s00246-023-03297-5. Epub 2023 Sep 23. PMID- 35253508 OWN - NLM STAT- MEDLINE DCOM- 20240209 LR - 20241104 IS - 1547-8181 (Electronic) IS - 0018-7208 (Print) IS - 0018-7208 (Linking) VI - 66 IP - 3 DP - 2024 Mar TI - Human Factors Integration in Robotic Surgery. PG - 683-700 LID - 10.1177/00187208211068946 [doi] AB - OBJECTIVE: Using the example of robotic-assisted surgery (RAS), we explore the methodological and practical challenges of technology integration in surgery, provide examples of evidence-based improvements, and discuss the importance of systems engineering and clinical human factors research and practice. BACKGROUND: New operating room technologies offer potential benefits for patients and staff, yet also present challenges for physical, procedural, team, and organizational integration. Historically, RAS implementation has focused on establishing the technical skills of the surgeon on the console, and has not systematically addressed the new skills required for other team members, the use of the workspace, or the organizational changes. RESULTS: Human factors studies of robotic surgery have demonstrated not just the effects of these hidden complexities on people, teams, processes, and proximal outcomes, but also have been able to analyze and explain in detail why they happen and offer methods to address them. We review studies on workload, communication, workflow, workspace, and coordination in robotic surgery, and then discuss the potential for improvement that these studies suggest within the wider healthcare system. CONCLUSION: There is a growing need to understand and develop approaches to safety and quality improvement through human-systems integration at the frontline of care.Precis: The introduction of robotic surgery has exposed under-acknowledged complexities of introducing complex technology into operating rooms. We explore the methodological and practical challenges, provide examples of evidence-based improvements, and discuss the implications for systems engineering and clinical human factors research and practice. FAU - Catchpole, Ken AU - Catchpole K AUID- ORCID: 0000-0003-4073-3025 AD - Medical University of South Carolina, Charleston, USA. FAU - Cohen, Tara AU - Cohen T AUID- ORCID: 0000-0003-2137-6093 AD - Cedars-Sinai Medical Center, Los Angeles, CA, USA. FAU - Alfred, Myrtede AU - Alfred M AD - Medical University of South Carolina, Charleston, USA. FAU - Lawton, Sam AU - Lawton S AD - Medical University of South Carolina, Charleston, USA. FAU - Kanji, Falisha AU - Kanji F AD - Cedars-Sinai Medical Center, Los Angeles, CA, USA. FAU - Shouhed, Daniel AU - Shouhed D AD - Cedars-Sinai Medical Center, Los Angeles, CA, USA. FAU - Nemeth, Lynne AU - Nemeth L AUID- ORCID: 0000-0001-8691-1400 AD - Medical University of South Carolina, Charleston, USA. FAU - Anger, Jennifer AU - Anger J AD - UC San Diego, CA, USA. LA - eng GR - R01 HS026491/HS/AHRQ HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Review DEP - 20220305 PL - United States TA - Hum Factors JT - Human factors JID - 0374660 SB - IM MH - Humans MH - *Robotic Surgical Procedures MH - Operating Rooms MH - Workload MH - Quality Improvement MH - Communication PMC - PMC11268371 MID - NIHMS2001945 OTO - NOTNLM OT - robotics OT - surgery OT - task design OT - teamwork OT - workspace COIS- KEY POINTSRobotic surgery requires new technical, team, and workspace organization skills for the surgeon, the operating room team, and the anesthesiologist while also requiring new training and staff development practices.Limited systems thinking in healthcare means it has taken nearly 20 years of robotic surgery use to study and reveal these effects, and there remains no formal acknowledgement or approach to addressing them.We outline approaches to teamwork training, task design, and workspace management that might successfully address this gap when implemented carefully into the wider clinical system.Recognizing the need for formal intervention approaches and human factors engineering is an important step towards improving the safety, efficiency, and efficacy of future surgical technologies. EDAT- 2022/03/08 06:00 MHDA- 2024/02/09 06:42 PMCR- 2024/07/24 CRDT- 2022/03/07 08:46 PHST- 2024/02/09 06:42 [medline] PHST- 2022/03/08 06:00 [pubmed] PHST- 2022/03/07 08:46 [entrez] PHST- 2024/07/24 00:00 [pmc-release] AID - 10.1177/00187208211068946 [doi] PST - ppublish SO - Hum Factors. 2024 Mar;66(3):683-700. doi: 10.1177/00187208211068946. Epub 2022 Mar 5. PMID- 38727593 OWN - NLM STAT- MEDLINE DCOM- 20240510 LR - 20240604 IS - 1526-744X (Print) IS - 1526-744X (Linking) VI - 51 IP - 2 DP - 2024 Mar-Apr TI - Utilizing the 'Iowa Model Revised: Evidence-Based Practice' to Develop an Intervention for Use in a Hemodialysis Setting. PG - 173-179 AB - The development of nursing evidence within hemodialysis is challenged by the vast numbers of specialized tasks clinicians undertake. Developing an evidence base is complex and multi-faceted, requiring a collaborative and well-defined process. Commonly, a process of quality improvement is initially undertaken, whereby nurses develop a plan, undertake action, study outcomes, and review results. However, when reviewing current processes to identify and develop evidence-based practices across various health services, a more detailed and planned methodology is required. This article provides nurses with knowledge to apply a well-defined framework (the Iowa Model-Revised of Evidence-Based Practice to Promote Excel lence in Health Care) to transform a quality improvement project into the development of evidence-based practice. CI - Copyright© by the American Nephrology Nurses Association. FAU - Hensen, Angela AU - Hensen A AD - Nurse Educator, Department of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, Queensland, Australia. FAU - Jeffrey, Carol AU - Jeffrey C AD - Clinical Nurse Consultant Evidence Based Practice, Nursing Practice Development Unit, Princess Alexandra Hospital, Brisbane, Queensland, Australia. LA - eng PT - Journal Article PL - United States TA - Nephrol Nurs J JT - Nephrology nursing journal : journal of the American Nephrology Nurses' Association JID - 100909377 SB - IM MH - *Renal Dialysis/nursing MH - Humans MH - Evidence-Based Nursing MH - Models, Nursing MH - Nephrology Nursing MH - Evidence-Based Practice MH - Quality Improvement OTO - NOTNLM OT - Iowa OT - evidence OT - hemodialysis OT - knowledge COIS- The authors reported no actual or potential conflict of interest in relation to this nursing continuing professional development (NCPD) activity. EDAT- 2024/05/10 12:44 MHDA- 2024/05/10 12:45 CRDT- 2024/05/10 10:01 PHST- 2024/05/10 12:45 [medline] PHST- 2024/05/10 12:44 [pubmed] PHST- 2024/05/10 10:01 [entrez] PST - ppublish SO - Nephrol Nurs J. 2024 Mar-Apr;51(2):173-179. PMID- 38390878 OWN - NLM STAT- MEDLINE DCOM- 20240311 LR - 20260625 IS - 2047-9980 (Electronic) IS - 2047-9980 (Linking) VI - 13 IP - 5 DP - 2024 Mar 5 TI - Consensus-Based Development of a Pediatric Echocardiography Complexity Score: Design, Rationale, and Results of a Quality Improvement Collaborative. PG - e029798 LID - 10.1161/JAHA.123.029798 [doi] LID - e029798 AB - BACKGROUND: The complexity of congenital heart disease has been primarily stratified on the basis of surgical technical difficulty, specific diagnoses, and associated outcomes. We report on the refinement and validation of a pediatric echocardiography complexity (PEC) score. METHODS AND RESULTS: The American College of Cardiology Quality Network assembled a panel from 12 centers to refine a previously published PEC score developed in a single institution. The panel refined complexity categories and included study modifiers to account for complexity related to performance of the echocardiogram. Each center submitted data using the PEC scoring tool on 15 consecutive inpatient and outpatient echocardiograms. Univariate and multivariate analyses were performed to assess for independent predictors of longer study duration. Among the 174 echocardiograms analyzed, 68.9% had underlying congenital heart disease; 44.8% were outpatient; 34.5% were performed in an intensive care setting; 61.5% were follow-up; 46.6% were initial or preoperative; and 9.8% were sedated. All studies had an assigned PEC score. In univariate analysis, longer study duration was associated with several patient and study variables (age <2 years, PEC 4 or 5, initial study, preoperative study, junior or trainee scanner, and need for additional imaging). In multivariable analysis, a higher PEC score of 4 or 5 was independently associated with longer study duration after controlling for study variables and center variation. CONCLUSIONS: The PEC scoring tool is feasible and applicable in a variety of clinical settings and can be used for correlation with diagnostic errors, allocation of resources, and assessment of physician and sonographer effort in performing, interpreting, and training in pediatric echocardiography. FAU - Balasubramanian, Sowmya AU - Balasubramanian S AUID- ORCID: 0000-0003-3174-1410 AD - Department of Pediatrics University of Michigan Ann Arbor MI USA. FAU - Yu, Sunkyung AU - Yu S AUID- ORCID: 0000-0002-3995-1765 AD - Department of Pediatrics University of Michigan Ann Arbor MI USA. FAU - Behera, Sarina K AU - Behera SK AUID- ORCID: 0000-0002-4310-6791 AD - Pediatric Affiliates, Sutter Health San Francisco CA USA. FAU - Bhat, Aarti H AU - Bhat AH AD - Department of Pediatrics University of Washington and Seattle Children's Hospital Seattle WA USA. FAU - Camarda, Joseph A AU - Camarda JA AUID- ORCID: 0000-0002-0507-7117 AD - Department of Pediatrics Northwestern University Feinberg School of Medicine Chicago IL USA. FAU - Choueiter, Nadine F AU - Choueiter NF AD - Department of Pediatrics Albert Einstein College of Medicine Bronx NY USA. FAU - Jone, Pei-Ni AU - Jone PN AUID- ORCID: 0000-0001-5145-0341 AD - Department of Pediatrics Lurie Children's Hospital Chicago IL USA. FAU - Lopez, Leo AU - Lopez L AUID- ORCID: 0000-0001-9433-2708 AD - Department of Pediatrics Stanford School of Medicine Palo Alto CA USA. FAU - Natarajan, Shobha S AU - Natarajan SS AD - Department of Pediatrics Perelman School of Medicine at the University of Pennsylvania Philadelphia PA USA. FAU - Parra, David A AU - Parra DA AUID- ORCID: 0009-0000-4675-4455 AD - Department of Pediatrics Vanderbilt University Medical Center Nashville TN USA. FAU - Parthiban, Anitha AU - Parthiban A AD - Texas Children's Hospital, Baylor College of Medicine Houston TX USA. FAU - Sachdeva, Ritu AU - Sachdeva R AUID- ORCID: 0000-0001-5080-7433 AD - Emory University and Children's Healthcare of Atlanta Atlanta GA USA. FAU - Srivastava, Shubhika AU - Srivastava S AD - Department of Pediatrics Icahn School of Medicine, Mount Sinai New York NY USA. FAU - Tierney, Elif Seda Selamet AU - Tierney ESS AUID- ORCID: 0000-0002-4654-3794 AD - Department of Pediatrics Stanford School of Medicine Palo Alto CA USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20240223 PL - England TA - J Am Heart Assoc JT - Journal of the American Heart Association JID - 101580524 SB - IM MH - Child MH - Child, Preschool MH - Humans MH - Consensus MH - Diagnostic Errors MH - Echocardiography MH - *Heart Defects, Congenital/diagnostic imaging/surgery MH - *Quality Improvement MH - Practice Guidelines as Topic PMC - PMC10944062 OTO - NOTNLM OT - complexity score OT - congenital heart disease OT - pediatric echocardiography OT - resource use EDAT- 2024/02/23 12:44 MHDA- 2024/03/11 06:44 PMCR- 2024/03/05 CRDT- 2024/02/23 07:59 PHST- 2024/03/11 06:44 [medline] PHST- 2024/02/23 12:44 [pubmed] PHST- 2024/02/23 07:59 [entrez] PHST- 2024/03/05 00:00 [pmc-release] AID - JAH39347 [pii] AID - 10.1161/JAHA.123.029798 [doi] PST - ppublish SO - J Am Heart Assoc. 2024 Mar 5;13(5):e029798. doi: 10.1161/JAHA.123.029798. Epub 2024 Feb 23. PMID- 38447010 OWN - NLM STAT- MEDLINE DCOM- 20240311 LR - 20260611 IS - 1537-1948 (Electronic) IS - 0025-7079 (Print) IS - 0025-7079 (Linking) VI - 62 IP - 4 DP - 2024 Apr 1 TI - The Impact of Market Factors on Meaningful Use of Electronic Health Records Among Primary Care Providers: Evidence From Florida Using Resource Dependence Theory and Information Uncertainty Perspective. PG - 256-262 LID - 10.1097/MLR.0000000000001980 [doi] AB - BACKGROUND: Using federal funds from the 2009 Health Information Technology for Economic and Clinical Health Act, the Centers for Medicare and Medicaid Services funded the 2011-2021 Medicaid electronic health record (EHR) incentive programs throughout the country. OBJECTIVE: Identify the market factors associated with Meaningful Use (MU) of EHRs after primary care providers (PCPs) enrolled in the Florida-EHR incentives program through Adopting, Improving, or Upgrading (AIU) an EHR technology. RESEARCH DESIGN: Retrospective cohort study using 2011-2018 program records for 8464 Medicaid providers. MAIN OUTCOME: MU achievement after first-year incentives. INDEPENDENT VARIABLES: The resource dependence theory and the information uncertainty perspective were used to generate key-independent variables, including the county's rurality, educational attainment, poverty, health maintenance organization penetration, and number of PCPs per capita. ANALYTICAL APPROACH: All the county rates were converted into 3 dichotomous measures corresponding to high, medium, and low terciles. Descriptive and bivariate statistics were calculated. A generalized hierarchical linear model was used because MU data were clustered at the county level (level 2) and measured at the practice level (level 1). RESULTS: Overall, 41.9% of Florida Medicaid providers achieved MU after receiving first-year incentives. Rurality was positively associated with MU ( P <0.001). Significant differences in MU achievements were obtained when we compared the "high" terciles with the "low" terciles for poverty rates ( P =0.002), health maintenance organization penetration rates ( P =0.02), and number of PCPs per capita ( P =0.01). These relationships were negative. CONCLUSIONS: Policy makers and health care managers should not ignore the contribution of market factors in EHR adoption. CI - Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. FAU - Alexandre, Pierre K AU - Alexandre PK AD - Health Administration Program, Department of Management, College of Business, Florida Atlantic University, Boca Raton, FL. FAU - Monestime, Judith P AU - Monestime JP AD - Health Administration Program, Department of Management, College of Business, Florida Atlantic University, Boca Raton, FL. FAU - Alexandre, Kessie AU - Alexandre K AD - Department of Geography, University of Washington, Seattle, WA. LA - eng GR - R15 HD110923/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20240227 PL - United States TA - Med Care JT - Medical care JID - 0230027 SB - IM MH - Aged MH - Humans MH - United States MH - *Electronic Health Records MH - Florida MH - *Meaningful Use MH - Retrospective Studies MH - Uncertainty MH - Medicare MH - Primary Health Care PMC - PMC10939787 MID - NIHMS1959050 COIS- The authors declare no conflict of interest. EDAT- 2024/03/06 18:42 MHDA- 2024/03/11 06:43 PMCR- 2025/04/01 CRDT- 2024/03/06 14:43 PHST- 2024/03/11 06:43 [medline] PHST- 2024/03/06 18:42 [pubmed] PHST- 2024/03/06 14:43 [entrez] PHST- 2025/04/01 00:00 [pmc-release] AID - 00005650-202404000-00007 [pii] AID - 10.1097/MLR.0000000000001980 [doi] PST - ppublish SO - Med Care. 2024 Apr 1;62(4):256-262. doi: 10.1097/MLR.0000000000001980. Epub 2024 Feb 27. PMID- 38621019 OWN - NLM STAT- MEDLINE DCOM- 20240417 LR - 20240501 IS - 1836-7399 (Electronic) IS - 1448-7527 (Linking) VI - 30 DP - 2024 Apr TI - Co-designing a Health Journey Mapping resource for culturally safe health care with and for First Nations people. LID - PY23172 [pii] LID - 10.1071/PY23172 [doi] AB - Background Many healthcare professionals and services strive to improve cultural safety of care for Australia's First Nations people. However, they work within established systems and structures that do not reliably meet diverse health care needs nor reflect culturally safe paradigms. Journey mapping approaches can improve understanding of patient/client healthcare priorities and care delivery challenges from healthcare professionals' perspectives leading to improved responses that address discriminatory practices and institutional racism. This project aimed to review accessibility and usability of the existing Managing Two Worlds Together (MTWT) patient journey mapping tools and resources, and develop new Health Journey Mapping (HJM) tools and resources. Method Four repeated cycles of collaborative participatory action research were undertaken using repeated cycles of look and listen, think and discuss, take action together. A literature search and survey were conducted to review accessibility and usability of MTWT tools and resources. First Nations patients and families, and First Nations and non-First Nations researchers, hospital and university educators and healthcare professionals (end users), reviewed and tested HJM prototypes, shaping design, format and focus. Results The MTWT tool and resources have been used across multiple health care, research and education settings. However, many users experienced initial difficulty engaging with the tool and offered suggested improvements in design and usability. End user feedback on HJM prototypes identified the need for three distinct mapping tools for three different purposes: clinical care, detailed care planning and strategic mapping, to be accompanied by comprehensive resource materials, instructional guides, videos and case study examples. These were linked to continuous quality improvement and accreditation standards to enhance uptake in healthcare settings. Conclusion The new HJM tools and resources effectively map diverse journeys and assist recognition and application of strengths-based, holistic and culturally safe approaches to health care. FAU - Cormick, Alyssa AU - Cormick A AD - Adelaide Nursing School, The University of Adelaide, Kaurna Yarta, North Terrace, Adelaide, SA 5000, Australia. FAU - Graham, Amy AU - Graham A AD - Adelaide Nursing School, The University of Adelaide, Kaurna Yarta, North Terrace, Adelaide, SA 5000, Australia. FAU - Stevenson, Tahlee AU - Stevenson T AD - Adelaide Nursing School, The University of Adelaide, Kaurna Yarta, North Terrace, Adelaide, SA 5000, Australia. FAU - Owen, Kelli AU - Owen K AD - Adelaide Nursing School, The University of Adelaide, Kaurna Yarta, North Terrace, Adelaide, SA 5000, Australia. FAU - O'Donnell, Kim AU - O'Donnell K AD - Adelaide Nursing School, The University of Adelaide, Kaurna Yarta, North Terrace, Adelaide, SA 5000, Australia; and College of Medicine and Public Health, Flinders University, Kaurna Yarta, Bedford Park, SA 2100, Australia. FAU - Kelly, Janet AU - Kelly J AD - Adelaide Nursing School, The University of Adelaide, Kaurna Yarta, North Terrace, Adelaide, SA 5000, Australia. LA - eng PT - Journal Article PT - Review PL - Australia TA - Aust J Prim Health JT - Australian journal of primary health JID - 101123037 SB - IM MH - Humans MH - *Delivery of Health Care MH - Hospitals MH - *Indigenous Peoples MH - Patients MH - Quality Improvement EDAT- 2024/04/15 18:45 MHDA- 2024/04/17 06:42 CRDT- 2024/04/15 15:01 PHST- 2023/09/12 00:00 [received] PHST- 2024/03/13 00:00 [accepted] PHST- 2024/04/17 06:42 [medline] PHST- 2024/04/15 18:45 [pubmed] PHST- 2024/04/15 15:01 [entrez] AID - PY23172 [pii] AID - 10.1071/PY23172 [doi] PST - ppublish SO - Aust J Prim Health. 2024 Apr;30:PY23172. doi: 10.1071/PY23172. PMID- 38557993 OWN - NLM STAT- MEDLINE DCOM- 20240508 LR - 20250818 IS - 2691-3321 (Electronic) IS - 2691-3321 (Linking) VI - 22 IP - 2 DP - 2024 May 1 TI - Using the i-PARIHS theoretical framework to develop evidence implementation strategies for central venous catheter maintenance: a multi-site quality improvement project. PG - 195-204 LID - 10.1097/XEB.0000000000000418 [doi] AB - INTRODUCTION: Evidence-based nursing practice can reduce complications associated with central venous catheters (CVCs). In this project, the Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework was considered an ideal theoretical instrument to identify facilitators and barriers to implementing evidence-based practice. METHODS: The project was conducted in pediatric intensive care units in six Chinese tertiary children's hospitals. Twenty-two audit criteria were obtained from best practice recommendations, and a baseline audit was conducted to assess current practice against best practice. Next, the i-PARIHS framework was used to identify facilitators and barriers to best practice and develop improvement strategies. A follow-up audit was then conducted to measure changes in compliance with best practices. RESULTS: Facilitators and barriers were identified at the innovation, recipient, and context levels. A comprehensive CVC maintenance strategy was then developed to apply the best evidence to nurses' clinical work. Of the 22 audit criteria, 17 showed significant improvement compared with the baseline audit. CONCLUSIONS: The i-PARIHS framework is an effective tool for developing targeted, evidence-based improvement strategies and applying these to the clinical setting. The quality of the nurses' clinical practice improved during CVC maintenance. However, there is no certainty that these positive results can be maintained, and long-term data are needed to verify this. SPANISH ABSTRACT: http://links.lww.com/IJEBH/A185. CI - Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the University of Adelaide, JBI. FAU - Wang, Wenchao AU - Wang W AD - Emergency Department, Children's Hospital of Fudan University, Shanghai, China. FAU - Fu, Qin AU - Fu Q AD - Nursing Department, ShenZhen Children's Hospital, Guangdong, China. FAU - Shen, Weijie AU - Shen W AD - Pediatric Intensive Care Unit, Children's Hospital of Fudan University, Shanghai, China. FAU - Xu, Yulu AU - Xu Y AD - Cardiac Intensive Care Unit, Children's Hospital of Fudan University, Shanghai, China. FAU - Wang, Linjuan AU - Wang L AD - Pediatric Intensive Care Unit, Shenzhen Children's Hospital, Guangdong, China. FAU - Chun, Xiao AU - Chun X AD - Pediatric Intensive Care Unit, Guangzhou Woman and Children's Medical Center, Guangdong, China. FAU - Shi, Yuyun AU - Shi Y AD - Pediatric Intensive Care Unit, Children's Hospital of Zhejiang University School of Medicine, Zhejiang, China. FAU - Lin, Jianping AU - Lin J AD - Pediatric Intensive Care Unit, Xiamen Children's Hospital, Fujian, China. FAU - Zhao, Yaxun AU - Zhao Y AD - Pediatric Intensive Care Unit, Anhui Children's Hospital, Anhui, China. FAU - Gu, Ying AU - Gu Y AD - Nursing Department, Children's Hospital of Fudan University, Shanghai, China. LA - eng PT - Journal Article PT - Multicenter Study DEP - 20240501 PL - United States TA - JBI Evid Implement JT - JBI evidence implementation JID - 101772772 SB - IM MH - Humans MH - *Quality Improvement MH - *Central Venous Catheters MH - Catheterization, Central Venous/adverse effects/methods MH - Evidence-Based Nursing MH - China MH - Intensive Care Units, Pediatric MH - Hospitals, Pediatric PMC - PMC11107888 COIS- The authors declare no conflicts of interest. EDAT- 2024/04/01 18:42 MHDA- 2024/05/08 06:45 PMCR- 2024/05/21 CRDT- 2024/04/01 16:16 PHST- 2024/05/08 06:45 [medline] PHST- 2024/04/01 18:42 [pubmed] PHST- 2024/04/01 16:16 [entrez] PHST- 2024/05/21 00:00 [pmc-release] AID - 02205615-202405000-00010 [pii] AID - JBIEI-D-23-00018 [pii] AID - 10.1097/XEB.0000000000000418 [doi] PST - epublish SO - JBI Evid Implement. 2024 May 1;22(2):195-204. doi: 10.1097/XEB.0000000000000418. PMID- 38598260 OWN - NLM STAT- MEDLINE DCOM- 20240425 LR - 20260505 IS - 1538-7488 (Electronic) IS - 0002-936X (Linking) VI - 124 IP - 5 DP - 2024 May 1 TI - The Mountain Model for Evidence-Based Practice Quality Improvement Initiatives. PG - 32-37 LID - 10.1097/01.NAJ.0001014540.57079.72 [doi] AB - This article introduces the Mountain Model, the first conceptual model for evidence-based practice quality improvement (EBPQI) initiatives. The Mountain Model merges modern evidence-based practice (EBP) and quality improvement (QI) paradigm principles into a unified conceptual framework with the goal of disseminating and sustaining EBPQI projects across health care and related settings. The model was developed within the nursing discipline, but is designed for transdisciplinary implementation through interprofessional teams. CI - Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. FAU - Waldrop, Julee AU - Waldrop J AD - Julee Waldrop is a professor at the Duke University School of Nursing in Durham, NC, and editor-in-chief of the Journal for Nurse Practitioners . Jayne Jennings Dunlap is an associate professor at the Texas Woman's University College of Nursing in Houston. Contact author: Julee Waldrop, julee.waldrop@duke.edu . The authors and planners have disclosed no potential conflicts of interest, financial or otherwise. FAU - Dunlap, Jayne Jennings AU - Dunlap JJ LA - eng PT - Journal Article DEP - 20240425 PL - United States TA - Am J Nurs JT - The American journal of nursing JID - 0372646 SB - IM MH - *Quality Improvement MH - Humans MH - Evidence-Based Nursing MH - Evidence-Based Practice MH - Models, Organizational MH - Models, Nursing EDAT- 2024/04/10 12:44 MHDA- 2024/04/25 12:52 CRDT- 2024/04/10 11:44 PHST- 2024/04/25 12:52 [medline] PHST- 2024/04/10 12:44 [pubmed] PHST- 2024/04/10 11:44 [entrez] AID - 00000446-202405000-00020 [pii] AID - 10.1097/01.NAJ.0001014540.57079.72 [doi] PST - ppublish SO - Am J Nurs. 2024 May 1;124(5):32-37. doi: 10.1097/01.NAJ.0001014540.57079.72. Epub 2024 Apr 25. PMID- 38661700 OWN - NLM STAT- MEDLINE DCOM- 20240425 LR - 20260505 IS - 1538-7488 (Electronic) IS - 0002-936X (Linking) VI - 124 IP - 5 DP - 2024 May 1 TI - Clinical Inquiry and Problem Identification. PG - 38-46 LID - 10.1097/01.NAJ.0001016372.73610.a0 [doi] AB - This is the second article in a new series designed to provide readers with insight into educating nurses about evidence-based decision-making. It builds on AJN's award-winning previous series-Evidence-Based Practice, Step by Step and EBP 2.0: Implementing and Sustaining Change (to access both series, go to http://links.lww.com/AJN/A133). This follow-up series will address how to teach and facilitate learning about the evidence-based practice (EBP) and quality improvement (QI) processes and how they impact health care quality. This series is relevant for all nurses interested in EBP and QI, especially DNP faculty and students. The brief case scenario included in each article describes one DNP student's journey. CI - Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. FAU - Hays, Deana AU - Hays D AD - Deana Hays is an associate professor at Oakland University in Rochester, MI. Kerry A. Milner is a professor in the Davis and Henley College of Nursing at Sacred Heart University in Fairfield, CT. Susan Farus-Brown is an associate professor at the Ohio University School of Nursing in Athens. Mary C. Zonsius is an associate professor at the Rush University College of Nursing in Chicago. Ellen Fineout-Overholt is national senior director, Evidence-Based Practice & Implementation Science, at Ascension in St. Louis. Contact author: Kerry A. Milner, milnerk@sacredheart.edu . The authors have disclosed no potential conflicts of interest, financial or otherwise. FAU - Milner, Kerry A AU - Milner KA FAU - Farus-Brown, Susan AU - Farus-Brown S FAU - Zonsius, Mary C AU - Zonsius MC FAU - Fineout-Overholt, Ellen AU - Fineout-Overholt E LA - eng PT - Journal Article DEP - 20240425 PL - United States TA - Am J Nurs JT - The American journal of nursing JID - 0372646 SB - IM MH - Humans MH - *Quality Improvement MH - Evidence-Based Nursing MH - Education, Nursing, Graduate MH - Students, Nursing EDAT- 2024/04/25 12:52 MHDA- 2024/04/25 12:53 CRDT- 2024/04/25 10:53 PHST- 2024/04/25 12:53 [medline] PHST- 2024/04/25 12:52 [pubmed] PHST- 2024/04/25 10:53 [entrez] AID - 00000446-202405000-00022 [pii] AID - 10.1097/01.NAJ.0001016372.73610.a0 [doi] PST - ppublish SO - Am J Nurs. 2024 May 1;124(5):38-46. doi: 10.1097/01.NAJ.0001016372.73610.a0. Epub 2024 Apr 25. PMID- 38345546 OWN - NLM STAT- MEDLINE DCOM- 20240520 LR - 20250525 IS - 1941-9449 (Electronic) IS - 1941-9430 (Linking) VI - 35 IP - 2 DP - 2024 Jun 1 TI - Blue Sky Thinking: Physician Assistant Accreditation and the Potential Impact on the Programs, Faculty, and the Profession. PG - 162-166 LID - 10.1097/JPA.0000000000000577 [doi] AB - Blue sky thinking references the opportunity to brainstorm about a topic without limits… to consider what things might be like if creative thoughts were unconstrained by current philosophies or other boundaries. This article is a call to our fellow educators to consider how blue sky thinking applied to physician assistant (PA) program accreditation might further advance programs, faculty, and the profession. To develop and maintain a PA program, institutions must voluntarily undergo evaluation by the Accreditation Review Commission on Education for the Physician Assistant. Compliance with accreditation encourages sound educational practices, promotes program self-study, stimulates innovation, maintains confidence with the public, and focuses on continuous quality improvement. In addition, accreditation "can hold institutions accountable for desired outcomes and professional standards." Indeed, while the PA profession has promulgated across the globe, the 50+ years of graduating PAs educated with the highest quality education assures that the United States remains a gold standard. As the 5th edition of the standards are implemented and planning for the 6th edition is underway, in the spirit of continuous quality improvement, we encourage stakeholders of the PA profession to contemplate ways in which accreditation might continue to purposefully advance a desired future state for the profession. In this article, we draw on examples from other health professions which might inform a discussion around the future of PA accreditation. Specifically, the topics of a unified profession title and degree, a specific title and position for program leadership, a modification to how PA programs receive medical direction, and efforts to advance scholarship are addressed. CI - Copyright © 2024 PA Education Association. FAU - Snyder, Jennifer AU - Snyder J AD - Jennifer Snyder, PhD, PA-C, is an associate dean of College of Pharmacy and Health Sciences and professor of PA Program at Butler University, Indianapolis, Indiana. AD - Trenton Honda, PhD, PA-C, is an associate dean & clinical professor of Bouvé College of Health Sciences, at Northeastern University, Boston, Massachusetts. AD - Kevin Lohenry, PhD, PA-C, is an interim dean of College of Health Sciences, Health Science Innovation Building (HSIB) Room 910A at The University of Arizona, Tucson, Arizona. AD - David Asprey, PhD, PA-C, is an associate dean of College of Medicine and chair of Department of PA Studies at University of Iowa, 1216E Medical Education Research Facility, Iowa City, Iowa. FAU - Honda, Trenton AU - Honda T AD - Jennifer Snyder, PhD, PA-C, is an associate dean of College of Pharmacy and Health Sciences and professor of PA Program at Butler University, Indianapolis, Indiana. AD - Trenton Honda, PhD, PA-C, is an associate dean & clinical professor of Bouvé College of Health Sciences, at Northeastern University, Boston, Massachusetts. AD - Kevin Lohenry, PhD, PA-C, is an interim dean of College of Health Sciences, Health Science Innovation Building (HSIB) Room 910A at The University of Arizona, Tucson, Arizona. AD - David Asprey, PhD, PA-C, is an associate dean of College of Medicine and chair of Department of PA Studies at University of Iowa, 1216E Medical Education Research Facility, Iowa City, Iowa. FAU - Lohenry, Kevin AU - Lohenry K AD - Jennifer Snyder, PhD, PA-C, is an associate dean of College of Pharmacy and Health Sciences and professor of PA Program at Butler University, Indianapolis, Indiana. AD - Trenton Honda, PhD, PA-C, is an associate dean & clinical professor of Bouvé College of Health Sciences, at Northeastern University, Boston, Massachusetts. AD - Kevin Lohenry, PhD, PA-C, is an interim dean of College of Health Sciences, Health Science Innovation Building (HSIB) Room 910A at The University of Arizona, Tucson, Arizona. AD - David Asprey, PhD, PA-C, is an associate dean of College of Medicine and chair of Department of PA Studies at University of Iowa, 1216E Medical Education Research Facility, Iowa City, Iowa. FAU - Asprey, David AU - Asprey D AD - Jennifer Snyder, PhD, PA-C, is an associate dean of College of Pharmacy and Health Sciences and professor of PA Program at Butler University, Indianapolis, Indiana. AD - Trenton Honda, PhD, PA-C, is an associate dean & clinical professor of Bouvé College of Health Sciences, at Northeastern University, Boston, Massachusetts. AD - Kevin Lohenry, PhD, PA-C, is an interim dean of College of Health Sciences, Health Science Innovation Building (HSIB) Room 910A at The University of Arizona, Tucson, Arizona. AD - David Asprey, PhD, PA-C, is an associate dean of College of Medicine and chair of Department of PA Studies at University of Iowa, 1216E Medical Education Research Facility, Iowa City, Iowa. LA - eng PT - Journal Article DEP - 20240213 PL - United States TA - J Physician Assist Educ JT - The journal of physician assistant education : the official journal of the Physician Assistant Education Association JID - 101298201 SB - IM MH - *Physician Assistants/education/standards MH - *Accreditation/standards MH - Humans MH - United States MH - Faculty/standards/organization & administration MH - Quality Improvement/organization & administration COIS- Trenton Honda is Editor in Chief of JPAE. The remaining authors declare no conflict of interest. EDAT- 2024/02/12 15:44 MHDA- 2024/05/20 18:43 CRDT- 2024/02/12 10:23 PHST- 2024/05/20 18:43 [medline] PHST- 2024/02/12 15:44 [pubmed] PHST- 2024/02/12 10:23 [entrez] AID - 01367895-202406000-00007 [pii] AID - 10.1097/JPA.0000000000000577 [doi] PST - ppublish SO - J Physician Assist Educ. 2024 Jun 1;35(2):162-166. doi: 10.1097/JPA.0000000000000577. Epub 2024 Feb 13. PMID- 37366302 OWN - NLM STAT- MEDLINE DCOM- 20240812 LR - 20260528 IS - 1532-5725 (Electronic) IS - 1078-3903 (Linking) VI - 30 IP - 4 DP - 2024 Jul-Aug TI - Supporting the Safe Use of the Dorsogluteal Intramuscular Injection Site: An Evidence-Based Quality Improvement Project. PG - 819-827 LID - 10.1177/10783903231178556 [doi] AB - INTRODUCTION: Administering intramuscular (IM) injections is common in the adult mental health patient care setting, using the deltoid, vastus lateralis, ventrogluteal, or dorsogluteal site. Mental health nurses frequently use the dorsogluteal site to administer short and long-acting IM injections as specified in the drug package insert or because of patient agitation. However, the site is often not recommended due to the potential risk of nerve injury. AIMS: Aims of this evidence-based quality improvement project were to (1) determine the best evidence for supporting the safe use of the dorsogluteal site for short and long-acting IM injections and (2) implement this evidence through nurse education. METHOD: This project had two phases: Determining best evidence through an integrative literature review and implementing the recommendations to use the dorsogluteal site when directed by the drug package insert, clinical need, nursing judgment, or patient preference. Implementation followed the Plan-Do-Study-Act quality improvement process and involved written resources and simulation. RESULTS: Evidence supported the use of the dorsogluteal site in four instances and the importance of education. Nurses were highly satisfied with the education and opportunity to practice their skills with feedback during return demonstration. After studying nurses' follow-up survey results, a refresher simulation and medical center guideline were completed. There were no reports of IM injection patient injuries after 2 years and approximately 768 dorsogluteal and ventrogluteal IM injections in the academic medical center. CONCLUSION: Pursuing recent and possibly overlooked evidence provided guidance in supporting the safe use of the dorsogluteal site for IM injections. FAU - Kilroy, Grainne AU - Kilroy G AD - Grainne Kilroy, BSN, RN, Clement J. Zablocki VA Medical Center, Milwaukee, WI, USA. FAU - Lorbiecki, Meghan AU - Lorbiecki M AUID- ORCID: 0000-0002-0377-4883 AD - Meghan Lorbiecki, MSN, RN, CNL, PMH-BC, Clement J. Zablocki VA Medical Center, Milwaukee, WI, USA. FAU - Ndakuya-Fitzgerald, Florine AU - Ndakuya-Fitzgerald F AD - Florine Ndakuya-Fitzgerald, PhD, RN, NPD-BC, Clement J. Zablocki VA Medical Center, Milwaukee, WI, USA. FAU - Hagle, Mary AU - Hagle M AD - Mary Hagle, PhD, RN, NPD-BC, FAAN, Clement J. Zablocki VA Medical Center, Milwaukee, WI, USA. LA - eng PT - Journal Article DEP - 20230627 PL - United States TA - J Am Psychiatr Nurses Assoc JT - Journal of the American Psychiatric Nurses Association JID - 9507418 SB - IM MH - Humans MH - Injections, Intramuscular/methods MH - *Quality Improvement MH - Psychiatric Nursing/methods MH - Adult MH - Evidence-Based Nursing OTO - NOTNLM OT - nursing education OT - psychiatric nursing practice OT - quality improvement OT - safety OT - standard of practice COIS- Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2023/06/27 13:10 MHDA- 2024/08/12 12:42 CRDT- 2023/06/27 07:12 PHST- 2024/08/12 12:42 [medline] PHST- 2023/06/27 13:10 [pubmed] PHST- 2023/06/27 07:12 [entrez] AID - 10.1177/10783903231178556 [doi] PST - ppublish SO - J Am Psychiatr Nurses Assoc. 2024 Jul-Aug;30(4):819-827. doi: 10.1177/10783903231178556. Epub 2023 Jun 27. PMID- 38850400 OWN - NLM STAT- MEDLINE DCOM- 20240709 LR - 20260415 IS - 1751-7176 (Electronic) IS - 1524-6175 (Print) IS - 1524-6175 (Linking) VI - 26 IP - 7 DP - 2024 Jul TI - Development and usability of an EHR-driven hypertension disparities dashboard in primary care: A qualitative study. PG - 797-805 LID - 10.1111/jch.14834 [doi] AB - Hypertension disparities persist and remain high among racial and ethnic minority populations in the United States (US). Data-driven approaches based on electronic health records (EHRs) in primary care are seen as a strong opportunity to address this situation. This qualitative study evaluated the development, sustainability, and usability of an EHR-integrated hypertension disparities dashboard for health care professionals in primary care. Ten semi-structured interviews, exploring the approach and sustainability, as well as eight usability interviews, using the think aloud protocol were conducted with quality improvement managers, data analysts, program managers, evaluators, and primary care providers. For the results, dashboard development steps include having clear goals, defining a target audience, compiling data, and building multidisciplinary teams. For sustainability, the dashboard can enhance understanding of the social determinants of health or to inform QI projects. In terms of dashboard usability, positive aspects consisted of the inclusion of summary pages, patient's detail pages, and hover-over interface. Important design considerations were refining sorting functions, gender inclusivity, and increasing dashboard visibility. In sum, an EHR-driven dashboard can be a novel tool for addressing hypertension disparities in primary care. It offers a platform where clinicians can identify patients for culturally tailored interventions. Factors such as physician time constraints, data definitions, comprehensive patient demographic information, end-users, and future sustenance, should be considered before implementing a dashboard. Additional research is needed to identify practices for integrating a dashboard into clinical workflow for hypertension. CI - © 2024 The Author(s). The Journal of Clinical Hypertension published by Wiley Periodicals LLC. FAU - Adediran, Emmanuel AU - Adediran E AUID- ORCID: 0000-0003-4395-2485 AD - Department of Family and Preventive Medicine, University of Utah, Salt Lake City, Utah, USA. FAU - Owens, Robert AU - Owens R AD - Department of Family and Preventive Medicine, University of Utah, Salt Lake City, Utah, USA. FAU - Gardner, Elena AU - Gardner E AD - Department of Family and Preventive Medicine, University of Utah, Salt Lake City, Utah, USA. FAU - Lockrey, Alex AU - Lockrey A AD - Department of Family and Preventive Medicine, University of Utah, Salt Lake City, Utah, USA. FAU - Carlson, Emily AU - Carlson E AD - Community Physicians Group, University of Utah, Salt Lake City, Utah, USA. FAU - Forbes, Danielle AU - Forbes D AD - Utah Department of Health and Human Services, Salt Lake City, Utah, USA. FAU - Stuligross, John AU - Stuligross J AD - Intermountain Healthcare, Salt Lake City, Utah, USA. FAU - Ose, Dominik AU - Ose D AD - Department of Family and Preventive Medicine, University of Utah, Salt Lake City, Utah, USA. AD - Department of Health and Healthcare Sciences, Westsächsische Hochschule Zwickau, Zwickau, Saxony, Germany. LA - eng GR - 5NU58DP00609-05-00/Utah Department of Health and Human Services/ PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20240608 PL - United States TA - J Clin Hypertens (Greenwich) JT - Journal of clinical hypertension (Greenwich, Conn.) JID - 100888554 SB - IM MH - Adult MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Electronic Health Records MH - Ethnicity MH - Healthcare Disparities MH - *Hypertension/therapy/ethnology MH - Interviews as Topic MH - *Primary Health Care/organization & administration MH - *Qualitative Research MH - Quality Improvement MH - United States/epidemiology MH - Racial Groups PMC - PMC11232442 OTO - NOTNLM OT - dashboard OT - electronic health records (EHR) OT - hypertension OT - primary care OT - racial and ethnic minorities COIS- The authors declare that they have no competing interests. EDAT- 2024/06/08 19:45 MHDA- 2024/07/09 12:43 PMCR- 2024/06/08 CRDT- 2024/06/08 11:07 PHST- 2024/05/02 00:00 [revised] PHST- 2024/02/12 00:00 [received] PHST- 2024/05/09 00:00 [accepted] PHST- 2024/07/09 12:43 [medline] PHST- 2024/06/08 19:45 [pubmed] PHST- 2024/06/08 11:07 [entrez] PHST- 2024/06/08 00:00 [pmc-release] AID - JCH14834 [pii] AID - 10.1111/jch.14834 [doi] PST - ppublish SO - J Clin Hypertens (Greenwich). 2024 Jul;26(7):797-805. doi: 10.1111/jch.14834. Epub 2024 Jun 8. PMID- 38900123 OWN - NLM STAT- MEDLINE DCOM- 20240620 LR - 20260505 IS - 1538-7488 (Electronic) IS - 0002-936X (Linking) VI - 124 IP - 7 DP - 2024 Jul 1 TI - Removing Persistent Barriers to Systematic Searching. PG - 40-50 LID - 10.1097/01.NAJ.0001025648.00669.e7 [doi] AB - This is the third article in a new series designed to provide readers with insight into educating nurses about evidence-based decision-making (EBDM). It builds on AJN's award-winning previous series-Evidence-Based Practice, Step by Step and EBP 2.0: Implementing and Sustaining Change (to access both series, go to http://links.lww.com/AJN/A133). This follow-up series on EBDM will address how to teach and facilitate learning about the evidence-based practice (EBP) and quality improvement (QI) processes and how they impact health care quality. This series is relevant for all nurses interested in EBP and QI, especially DNP faculty and students. The brief case scenario included in each article describes one DNP student's journey. To access previous articles in this EBDM series, go to http://links.lww.com/AJN/A256. CI - Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. FAU - Fineout-Overholt, Ellen AU - Fineout-Overholt E AD - Ellen Fineout-Overholt is national senior director, Evidence-Based Practice & Implementation Science, at Ascension in St. Louis. Deana Hays is an associate professor at Oakland University in Rochester, MI. Susan Farus-Brown is an associate professor at the Ohio University School of Nursing in Athens. Mary C. Zonsius is an associate professor at the Rush University College of Nursing in Chicago. Kerry A. Milner is a professor in the Davis and Henley College of Nursing at Sacred Heart University in Fairfield, CT. Contact author: Kerry A. Milner, milnerk@sacredheart.edu . The authors have disclosed no potential conflicts of interest, financial or otherwise. FAU - Hays, Deana AU - Hays D FAU - Farus-Brown, Susan AU - Farus-Brown S FAU - Zonsius, Mary C AU - Zonsius MC FAU - Milner, Kerry A AU - Milner KA LA - eng PT - Journal Article DEP - 20240620 PL - United States TA - Am J Nurs JT - The American journal of nursing JID - 0372646 SB - IM MH - Humans MH - *Evidence-Based Nursing MH - Quality Improvement MH - Education, Nursing, Graduate MH - Information Storage and Retrieval/methods EDAT- 2024/06/20 12:42 MHDA- 2024/06/20 12:43 CRDT- 2024/06/20 10:43 PHST- 2024/06/20 12:43 [medline] PHST- 2024/06/20 12:42 [pubmed] PHST- 2024/06/20 10:43 [entrez] AID - 00000446-202407000-00019 [pii] AID - 10.1097/01.NAJ.0001025648.00669.e7 [doi] PST - ppublish SO - Am J Nurs. 2024 Jul 1;124(7):40-50. doi: 10.1097/01.NAJ.0001025648.00669.e7. Epub 2024 Jun 20. PMID- 38901274 OWN - NLM STAT- MEDLINE DCOM- 20240706 LR - 20250711 IS - 1873-5223 (Electronic) IS - 1471-5953 (Linking) VI - 78 DP - 2024 Jul TI - Evidence-based practice attitudes, knowledge and skills of nursing students and nurses, a systematic review and meta-analysis. PG - 104024 LID - S1471-5953(24)00153-7 [pii] LID - 10.1016/j.nepr.2024.104024 [doi] AB - AIM/OBJECTIVE: This study aims to carry out a meta-analysis of attitudes, knowledge, and skills level of nursing students and nurses in EBP, providing a reference for optimizing EBP education strategies. BACKGROUND: At present, no meta-analysis has been performed to quantitatively synthesize the attitudes, knowledge and skill levels of nursing students and nurses toward EBP. This makes it difficult to precisely identify the true level of EBP among nurses, implying that there is no evidence to support the adoption of EBP teaching strategies approaches. DESIGN: A total of 9 Chinese and English databases including CNKI, Wan fang, VIP, CBM, PubMed, Embase, Web of Science, Cochrane Library and CINAHL were used to search cross-sectional quantitative articles on EBP attitudes, knowledge and skills level of nurses and nursing students. The search time limit was from the inception of the database to September 2023. METHODS: Two researchers independently screened the literature and extracted the data. The Agency for Healthcare Research and Quality (AHRQ) was used to assess the quality of the included studies. Stata15.0 software was used for statistical analysis to summarize the scores of EBP attitude, knowledge and skills level of nursing students and nurses included in the study. RESULTS: A total of 25 cross-sectional studies from 13 countries were included, involving 11363 nursing students and nurses. The meta-analysis results revealed that nursing students and nurses lacked evidence-based practical knowledge and skills, with pooled mean scores of 3.06 (95 % CI: 2.72, 3.39), 2.91 (95 % CI: 2.60, 3.22), 4.31 (95 % CI: 4.08, 4.54) and 4.45 (95 % CI: 4.20, 4.70). In contrast, nursing students and nurses revealed a positive attitude towards EBP, with pooled mean scores of 3.57 (95 % CI: 3.28, 3.86) and 5.11 (95 % CI: 4.80, 5.42). Subgroup analysis revealed that senior nursing students and nurses with master's degree or above had higher attitudes, knowledge and skills. CONCLUSIONS: In summary, nursing students and nurses have a positive attitude towards EBP. However, they seem to lack the necessary knowledge and skills. Therefore, nursing educators should consider this as an opportunity to strengthen the teaching of their evidence-based practical knowledge and skills. This will lay a reference for developing nursing discipline. CI - Copyright © 2024 Elsevier Ltd. All rights reserved. FAU - Li, Hang AU - Li H AD - College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 611137, China. Electronic address: 975677963@qq.com. FAU - Xu, Ran AU - Xu R AD - College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 611137, China. Electronic address: 20152050@cdutcm.edu.cn. FAU - Gao, Di AU - Gao D AD - Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 610032, China. Electronic address: 421821061@qq.com. FAU - Fu, Han AU - Fu H AD - College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 611137, China. Electronic address: 195472575@qq.com. FAU - Yang, Qing AU - Yang Q AD - College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 611137, China. Electronic address: 2575782019@qq.com. FAU - Chen, XinYu AU - Chen X AD - College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 611137, China. Electronic address: 1763580017@qq.com. FAU - Hou, Chaoming AU - Hou C AD - College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 611137, China. Electronic address: 19941012@cdutcm.edu.cn. FAU - Gao, Jing AU - Gao J AD - College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 611137, China. Electronic address: 19942021@cdutcm.edu.cn. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20240615 PL - Scotland TA - Nurse Educ Pract JT - Nurse education in practice JID - 101090848 SB - IM MH - Humans MH - *Students, Nursing/psychology/statistics & numerical data MH - *Health Knowledge, Attitudes, Practice MH - *Clinical Competence/standards MH - *Evidence-Based Practice MH - Cross-Sectional Studies MH - Nurses/psychology/statistics & numerical data MH - Evidence-Based Nursing OTO - NOTNLM OT - Evidence-based practice OT - Nurse OT - Nursing students COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2024/06/21 00:42 MHDA- 2024/07/07 00:42 CRDT- 2024/06/20 18:07 PHST- 2024/01/25 00:00 [received] PHST- 2024/05/05 00:00 [revised] PHST- 2024/06/07 00:00 [accepted] PHST- 2024/07/07 00:42 [medline] PHST- 2024/06/21 00:42 [pubmed] PHST- 2024/06/20 18:07 [entrez] AID - S1471-5953(24)00153-7 [pii] AID - 10.1016/j.nepr.2024.104024 [doi] PST - ppublish SO - Nurse Educ Pract. 2024 Jul;78:104024. doi: 10.1016/j.nepr.2024.104024. Epub 2024 Jun 15. PMID- 38949809 OWN - NLM STAT- MEDLINE DCOM- 20240701 LR - 20250802 IS - 2574-3805 (Electronic) IS - 2574-3805 (Linking) VI - 7 IP - 7 DP - 2024 Jul 1 TI - Prediction-Augmented Shared Decision-Making and Lung Cancer Screening Uptake. PG - e2419624 LID - 10.1001/jamanetworkopen.2024.19624 [doi] LID - e2419624 AB - IMPORTANCE: Addressing poor uptake of low-dose computed tomography lung cancer screening (LCS) is critical, especially for those having the most to gain-high-benefit persons with high lung cancer risk and life expectancy more than 10 years. OBJECTIVE: To assess the association between LCS uptake and implementing a prediction-augmented shared decision-making (SDM) tool, which enables clinicians to identify persons predicted to be at high benefit and encourage LCS more strongly for these persons. DESIGN, SETTING, AND PARTICIPANTS: Quality improvement interrupted time series study at 6 Veterans Affairs sites that used a standard set of clinical reminders to prompt primary care clinicians and screening coordinators to engage in SDM for LCS-eligible persons. Participants were persons without a history of LCS who met LCS eligibility criteria at the time (aged 55-80 years, smoked ≥30 pack-years, and current smoking or quit <15 years ago) and were not documented to be an inappropriate candidate for LCS by a clinician during October 2017 through September 2019. Data were analyzed from September to November 2023. EXPOSURE: Decision support tool augmented by a prediction model that helps clinicians personalize SDM for LCS, tailoring the strength of screening encouragement according to predicted benefit. MAIN OUTCOME AND MEASURE: LCS uptake. RESULTS: In a cohort of 9904 individuals, the median (IQR) age was 64 (57-69) years; 9277 (94%) were male, 1537 (16%) were Black, 8159 (82%) were White, 5153 (52%) were predicted to be at intermediate (preference-sensitive) benefit and 4751 (48%) at high benefit, and 1084 (11%) received screening during the study period. Following implementation of the tool, higher rates of LCS uptake were observed overall along with an increase in benefit-based LCS uptake (higher screening uptake among persons anticipated to be at high benefit compared with those at intermediate benefit; primary analysis). Mean (SD) predicted probability of getting screened for a high-benefit person was 24.8% (15.5%) vs 15.8% (11.8%) for a person at intermediate benefit (mean absolute difference 9.0 percentage points; 95% CI, 1.6%-16.5%). CONCLUSIONS AND RELEVANCE: Implementing a robust approach to personalized LCS, which integrates SDM, and a decision support tool augmented by a prediction model, are associated with improved uptake of LCS and may be particularly important for those most likely to benefit. These findings are timely given the ongoing poor rates of LCS uptake. FAU - Caverly, Tanner J AU - Caverly TJ AD - Center for Clinical Management Research, Department of Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan. AD - Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor. FAU - Wiener, Renda S AU - Wiener RS AD - The Pulmonary Center, Boston University School of Medicine, Boston, Massachusetts. AD - Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts. FAU - Kumbier, Kyle AU - Kumbier K AD - Center for Clinical Management Research, Department of Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan. FAU - Lowery, Julie AU - Lowery J AD - Center for Clinical Management Research, Department of Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan. FAU - Fagerlin, Angela AU - Fagerlin A AD - University of Utah School of Medicine, Salt Lake City. AD - Informatics Decision-Enhancement and Analytic Sciences (IDEAS) Center for Innovation, Department of Veterans Affairs Salt Lake City Healthcare System, Salt Lake City, Utah. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20240701 PL - United States TA - JAMA Netw Open JT - JAMA network open JID - 101729235 SB - IM MH - Humans MH - *Lung Neoplasms/diagnosis MH - Aged MH - Male MH - *Early Detection of Cancer/methods/statistics & numerical data MH - Female MH - Middle Aged MH - *Decision Making, Shared MH - Aged, 80 and over MH - Tomography, X-Ray Computed/methods/statistics & numerical data MH - United States MH - Interrupted Time Series Analysis MH - Quality Improvement PMC - PMC12312416 COIS- Conflict of Interest Disclosures: Dr Caverly reported holding a license for DecisionPrecision, a freely available, open-source tool to enable personalized shared decision-making for lung cancer screening. Dr Wiener reported receiving grants from Veterans Affairs (VA) QUERI during the conduct of the study and serving in unpaid leadership positions or creating policy statements for the American Thoracic Society, American College of Chest Physicians, American College of Radiology, and the National Lung Cancer Round Table. Dr Fagerlin reported receiving grants from the Department of Veterans Affairs during the conduct of the study. No other disclosures were reported. EDAT- 2024/07/01 12:42 MHDA- 2024/07/01 12:43 PMCR- 2024/07/01 CRDT- 2024/07/01 11:32 PHST- 2024/07/01 12:43 [medline] PHST- 2024/07/01 12:42 [pubmed] PHST- 2024/07/01 11:32 [entrez] PHST- 2024/07/01 00:00 [pmc-release] AID - 2820599 [pii] AID - zoi240634 [pii] AID - 10.1001/jamanetworkopen.2024.19624 [doi] PST - epublish SO - JAMA Netw Open. 2024 Jul 1;7(7):e2419624. doi: 10.1001/jamanetworkopen.2024.19624. PMID- 38951726 OWN - NLM STAT- MEDLINE DCOM- 20240702 LR - 20250608 IS - 1538-8670 (Electronic) IS - 0744-6314 (Linking) VI - 55 IP - 7 DP - 2024 Jul 1 TI - Catheter-associated urinary tract infection prevention: Implementation of a multimodal and evidence-based education program. PG - 34-40 LID - 10.1097/nmg.0000000000000147 [doi] FAU - Russell, Mary Beth AU - Russell MB AD - Mary Beth Russell is a senior vice president at The Center for Professional Development, Innovation, Research and The Institute for Nursing Excellence and a nursing professional development (NPD) specialist at RWJBarnabas Health in West Orange, N.J. Jill Cox is a clinical professor at Rutgers University School of Nursing in Newark, N.J. Naomi Fox is the director of education and a nursing professional development (NPD) specialist at the Association for Nursing Professional Development, Inc. (ANPD) in Chicago, Ill. Nancy E. Holecek is an executive vice president and CNO at RWJBarnabas Health in West Orange, N.J. FAU - Cox, Jill AU - Cox J FAU - Fox, Naomi AU - Fox N FAU - Holecek, Nancy E AU - Holecek NE LA - eng PT - Journal Article DEP - 20240702 PL - United States TA - Nurs Manage JT - Nursing management JID - 8219243 SB - IM MH - Humans MH - *Urinary Tract Infections/prevention & control MH - *Catheter-Related Infections/prevention & control MH - *Urinary Catheterization/adverse effects MH - *Evidence-Based Nursing MH - Education, Nursing, Continuing MH - Nursing Staff, Hospital/education/psychology EDAT- 2024/07/02 00:42 MHDA- 2024/07/02 06:42 CRDT- 2024/07/01 23:53 PHST- 2024/07/02 06:42 [medline] PHST- 2024/07/02 00:42 [pubmed] PHST- 2024/07/01 23:53 [entrez] AID - 00006247-202407000-00006 [pii] AID - 10.1097/nmg.0000000000000147 [doi] PST - ppublish SO - Nurs Manage. 2024 Jul 1;55(7):34-40. doi: 10.1097/nmg.0000000000000147. Epub 2024 Jul 2. PMID- 39093935 OWN - NLM STAT- MEDLINE DCOM- 20240802 LR - 20240806 IS - 1550-5014 (Electronic) IS - 0161-9268 (Linking) VI - 47 IP - 3 DP - 2024 Jul-Sep 01 TI - Current Status of Translational Science in Nursing Across Four Countries. PG - 302-315 LID - 10.1097/ANS.0000000000000537 [doi] AB - The raison d'être of nursing is caring for human beings. Mainly due to its close link to the nursing discipline's raison d'être, "caring," translational science is recently getting more attention from nursing scientists across the globe. This paper is to discuss the current status of translational science in nursing across four countries (the USA, Taiwan, South Korea, and Japan). The data used in this discussion paper included: (a) written notes on issues related translational research/science in individual countries; (b) written memos on exemplars/cases from their own experiences; and (c) summaries of literature reviews. The data analysis was conducted using a simple content analysis. Four themes reflecting the current status of translational science across the countries were identified: (a) "contextualized in unique culture and history of nursing"; (b) "connecting basic science to clinical practice"; (c) "an extension of evidence-based practice"; and (d) "highly promoted, but still minimal translation of nursing knowledge." CI - Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. FAU - Tsai, Hsiu-Min AU - Tsai HM AD - Author Affiliations: Hung Kuang University, Taichung City, Taiwan (Dr Tsai); Kaohsiung Medical University, Kaohsiung, Taiwan (Dr Wang); University of Hyogo, Hyogo, Japan (Dr Sakashita); Yonsei University, Seoul, South Korea (Dr Oh); Taiwan Nurses Association and National Cheng Kung University, Taiwan (Dr Chen); and School of Nursing, The University of Texas at Austin, Austin, Texas (Dr Im). FAU - Wang, Hsiu-Hung AU - Wang HH FAU - Sakashita, Reiko AU - Sakashita R FAU - Oh, Eui Geum AU - Oh EG FAU - Chen, Ching-Min AU - Chen CM FAU - Im, Eun-Ok AU - Im EO LA - eng PT - Journal Article DEP - 20240725 PL - United States TA - ANS Adv Nurs Sci JT - ANS. Advances in nursing science JID - 7809992 SB - IM MH - Humans MH - United States MH - Republic of Korea MH - Japan MH - Taiwan MH - *Nursing Research MH - Evidence-Based Nursing/organization & administration MH - Translational Research, Biomedical MH - Cross-Cultural Comparison EDAT- 2024/08/02 18:41 MHDA- 2024/08/02 18:42 CRDT- 2024/08/02 13:53 PHST- 2024/08/02 18:42 [medline] PHST- 2024/08/02 18:41 [pubmed] PHST- 2024/08/02 13:53 [entrez] AID - 00012272-202407000-00007 [pii] AID - 10.1097/ANS.0000000000000537 [doi] PST - ppublish SO - ANS Adv Nurs Sci. 2024 Jul-Sep 01;47(3):302-315. doi: 10.1097/ANS.0000000000000537. Epub 2024 Jul 25. PMID- 38164535 OWN - NLM STAT- MEDLINE DCOM- 20240725 LR - 20260227 IS - 1478-5242 (Electronic) IS - 0960-1643 (Linking) VI - 74 IP - 745 DP - 2024 Aug TI - Patient influence on general practice service improvement decision making: a participatory research mixed-methods intervention study. PG - e552-e559 LID - 10.3399/BJGP.2023.0263 [doi] AB - BACKGROUND: Health policy promotes patient participation in decision making about service organisation. In English general practice this happens through contractually required patient participation groups (PPGs). However, there are problems with the enactment of PPGs that have not been systematically addressed. AIM: To observe how a co-designed theory-informed intervention can increase representational legitimacy and facilitate power sharing to support PPGs to influence decision making about general practice service improvement. DESIGN AND SETTING: Participatory action research to implement the intervention in two general practices in the North of England was undertaken. The intervention combined two different participatory practices: partnership working involving externally facilitated meetings with PPG members and staff; and consultation with the wider patient population using a bespoke discrete choice experiment (DCE). METHOD: To illustrate decision making in PPGs, qualitative data are presented from participant observation notes and photographed visual data generated through participatory methods. The DCE results are summarised to illustrate how wider population priorities contributed to overall decision making. Observational data were thematically analysed using normalisation process theory with support from a multi-stakeholder co-research group. RESULTS: In both general practices, patients influenced decision making during PPG meetings and through the DCE, resulting in bespoke patient-centred action plans for service improvement. Power asymmetries were addressed through participatory methods, clarification of PPG roles in decision making, and addressing representational legitimacy through wider survey consultation. CONCLUSION: Combining participatory practices and facilitated participatory methods enabled patients to influence decision making about general practice service improvement. The policy of mandatory PPGs needs updating to recognise the need to resource participation in a meaningful way. CI - © The Authors. FAU - Drinkwater, Jessica AU - Drinkwater J AUID- ORCID: 0000-0003-1034-0781 AD - Centre for Primary Care and Health Services Research, University of Manchester, Manchester, and honorary research fellow, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK. FAU - MacFarlane, Anne AU - MacFarlane A AUID- ORCID: 0000-0002-9708-5025 AD - Participatory Health Research Unit, School of Medicine and Health Research Institute, University of Limerick, Limerick, Ireland. FAU - Twiddy, Maureen AU - Twiddy M AUID- ORCID: 0000-0002-3794-1598 AD - Hull York Medical School, Institute of Clinical and Applied Health Research, University of Hull, UK. FAU - Meads, David AU - Meads D AUID- ORCID: 0000-0003-1369-2483 AD - Leeds Institute of Health Sciences, University of Leeds, Leeds, UK. FAU - Chadwick, Ruth H AU - Chadwick RH AD - Leeds Institute of Health Sciences, University of Leeds, Leeds, UK. FAU - Donnelly, Ailsa AU - Donnelly A AD - Leeds Institute of Health Sciences, University of Leeds, Leeds, UK. FAU - Gleeson, Phil AU - Gleeson P AD - Leeds Institute of Health Sciences, University of Leeds, Leeds, UK. FAU - Hayward, Nick AU - Hayward N AD - Leeds Institute of Health Sciences, University of Leeds, Leeds, UK. FAU - Kelly, Michael AU - Kelly M AD - Leeds Institute of Health Sciences, University of Leeds, Leeds, UK. FAU - Mir, Robina AU - Mir R AD - Leeds Institute of Health Sciences, University of Leeds, Leeds, UK. FAU - Prestwich, Graham AU - Prestwich G AD - Leeds Institute of Health Sciences, University of Leeds, Leeds, UK. FAU - Rathfelder, Martin AU - Rathfelder M AD - Leeds Institute of Health Sciences, University of Leeds, Leeds, UK. FAU - Foy, Robbie AU - Foy R AUID- ORCID: 0000-0003-0605-7713 AD - Leeds Institute of Health Sciences, University of Leeds, Leeds, UK. LA - eng PT - Journal Article DEP - 20240725 PL - England TA - Br J Gen Pract JT - The British journal of general practice : the journal of the Royal College of General Practitioners JID - 9005323 SB - IM MH - Humans MH - *General Practice MH - *Patient Participation MH - England MH - *Quality Improvement MH - *Community-Based Participatory Research MH - *Decision Making MH - Male MH - Female MH - Health Services Research PMC - PMC11005925 OTO - NOTNLM OT - general practice OT - participatory research OT - patient participation OT - primary care EDAT- 2024/01/02 11:43 MHDA- 2024/07/26 12:44 CRDT- 2024/01/02 03:48 PHST- 2023/05/24 00:00 [received] PHST- 2023/10/23 00:00 [accepted] PHST- 2024/07/26 12:44 [medline] PHST- 2024/01/02 11:43 [pubmed] PHST- 2024/01/02 03:48 [entrez] AID - BJGP.2023.0263 [pii] AID - 10.3399/BJGP.2023.0263 [doi] PST - epublish SO - Br J Gen Pract. 2024 Jul 25;74(745):e552-e559. doi: 10.3399/BJGP.2023.0263. Print 2024 Aug. PMID- 38886903 OWN - NLM STAT- MEDLINE DCOM- 20240807 LR - 20240807 IS - 1741-6787 (Electronic) IS - 1545-102X (Linking) VI - 21 IP - 4 DP - 2024 Aug TI - Practice and process improvement: An integrated evidence-based quality model. PG - 342-344 LID - 10.1111/wvn.12737 [doi] FAU - Dufour, Karey M AU - Dufour KM AD - College of Nursing, Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare, The Ohio State University, Columbus, Ohio, USA. FAU - Strait, Lee Ann AU - Strait LA AD - College of Nursing, Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare, The Ohio State University, Columbus, Ohio, USA. FAU - Beckett, Cindy AU - Beckett C AUID- ORCID: 0000-0002-3281-1436 AD - College of Nursing, Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare, The Ohio State University, Columbus, Ohio, USA. FAU - Gallagher-Ford, Lynn AU - Gallagher-Ford L AD - College of Nursing, Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare, The Ohio State University, Columbus, Ohio, USA. LA - eng PT - Editorial DEP - 20240617 PL - United States TA - Worldviews Evid Based Nurs JT - Worldviews on evidence-based nursing JID - 101185267 SB - IM MH - Humans MH - *Quality Improvement MH - Evidence-Based Practice/methods/standards MH - Evidence-Based Nursing/methods/standards/trends EDAT- 2024/06/18 06:41 MHDA- 2024/08/07 06:42 CRDT- 2024/06/18 00:33 PHST- 2024/05/30 00:00 [received] PHST- 2024/06/04 00:00 [accepted] PHST- 2024/08/07 06:42 [medline] PHST- 2024/06/18 06:41 [pubmed] PHST- 2024/06/18 00:33 [entrez] AID - 10.1111/wvn.12737 [doi] PST - ppublish SO - Worldviews Evid Based Nurs. 2024 Aug;21(4):342-344. doi: 10.1111/wvn.12737. Epub 2024 Jun 17. PMID- 38975653 OWN - NLM STAT- MEDLINE DCOM- 20240725 LR - 20240805 IS - 1536-0911 (Electronic) IS - 1536-0903 (Linking) VI - 24 IP - 4 DP - 2024 Aug 1 TI - A Nurse-Driven Protocol for Neonatal Enteral Access Device Placement Confirmation. PG - 324-332 LID - 10.1097/ANC.0000000000001186 [doi] AB - BACKGROUND: Preterm infants require the use of nasogastric and orogastric enteral access devices (EADs) to provide nutrition and medications. Confirmation of the location of the tip of the EAD is essential to minimize complications. At the study site, EAD location was limited to verifying the centimeter marking at the lip/nares and nonevidence-based methods of visual observation of aspirate and auscultation. PURPOSE: Implement an evidenced-based EAD placement confirmation protocol, and by 90 days post-education and implementation, achieve adherence of 90%. METHODS: This quality improvement project implemented a nurse-driven evidence-based protocol for EAD verification. The intervention was based on the New Opportunities for Verification of Enteral Tube Location best practice recommendations. Prior to implementation, education sessions focused on insertion measurement technique and gastric pH measurement. Radiographs, insertion measurement technique, centimeter marking, and gastric pH measurement were used for EAD location confirmation. To determine compliance with the protocol, audits were conducted and questionnaires assessing current practice regarding EAD confirmation were administered pre- and postimplementation. RESULTS: The protocol increased nursing knowledge regarding evidence-based EAD insertion and verification procedures, incorporated pH measurement into practice, and reduced use of auscultation for confirmation. Nursing adherence to the protocol was 92%. IMPLICATIONS FOR PRACTICE AND RESEARCH: This provides a model for how to successfully implement and achieve adherence to an evidence-based EAD placement confirmation nurse-driven protocol. Further research is needed to verify the effectiveness of the protocol and establish consensus on approaches specifically for the neonatal population. CI - Copyright © 2024 by The National Association of Neonatal Nurses. FAU - Cooley, Kim V AU - Cooley KV AUID- ORCID: 0000-0002-3736-8701 AD - Neonatal Intensive Care Unit, Emory University Hospital Midtown (Dr Cooley); and Department of Pediatrics, Neonatal Intensive Care Unit, Emory University Hospital Midtown, and Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, Georgia (Dr Denning). FAU - Denning, Patricia W AU - Denning PW LA - eng PT - Journal Article DEP - 20240708 PL - United States TA - Adv Neonatal Care JT - Advances in neonatal care : official journal of the National Association of Neonatal Nurses JID - 101125644 SB - IM MH - Humans MH - Infant, Newborn MH - *Intubation, Gastrointestinal/methods/nursing MH - *Enteral Nutrition/methods/nursing/instrumentation MH - *Quality Improvement MH - *Neonatal Nursing/methods/standards MH - Infant, Premature MH - Clinical Protocols MH - Intensive Care Units, Neonatal MH - Evidence-Based Nursing/methods EDAT- 2024/07/08 12:43 MHDA- 2024/07/26 12:43 CRDT- 2024/07/08 08:02 PHST- 2024/07/26 12:43 [medline] PHST- 2024/07/08 12:43 [pubmed] PHST- 2024/07/08 08:02 [entrez] AID - 00149525-202408000-00004 [pii] AID - 10.1097/ANC.0000000000001186 [doi] PST - ppublish SO - Adv Neonatal Care. 2024 Aug 1;24(4):324-332. doi: 10.1097/ANC.0000000000001186. Epub 2024 Jul 8. PMID- 38525853 OWN - NLM STAT- MEDLINE DCOM- 20240812 LR - 20250320 IS - 1471-6712 (Electronic) IS - 0283-9318 (Linking) VI - 38 IP - 3 DP - 2024 Sep TI - What can nurses learn from patient's needs and wishes when developing an evidence-based quality improvement learning culture? A qualitative study. PG - 680-691 LID - 10.1111/scs.13252 [doi] AB - BACKGROUND: Patient participation is fundamental in nursing care and has yielded benefits for patient outcomes. However, despite their compassionate care approach, nurses do not always incorporate patients' needs and wish into evidence-based practice, quality improvement or learning activities. Therefore, a shift to continuous quality improvement based on evidence-based practice is necessary to enhance the quality of care. The patient's opinion is an essential part of this process. To establish a more sustainable learning culture for evidence-based quality improvement, it is crucial that nurses learn alongside their patients. However, to promote this, nurses require a deeper understanding of patients' care preferences. OBJECTIVE: To explore patients' needs and wishes towards being involved in care processes that nurses can use in developing an evidence-based quality improvement learning culture. METHODS: A qualitative study was conducted in two hospital departments and one community care team. In total, 18 patients were purposefully selected for individual semi-structured interviews with an average of 15 min. A framework analysis based on the fundamental of care framework was utilised to analyse the data deductively. In addition, inductive codes were added to patients' experiences beyond the framework. For reporting this study, the SRQR guideline was used. RESULTS: Participants needed a compassionate nurse who established and sustained a trusting relationship. They wanted nurses to be present and actively involved during the care delivery. Shared decision-making improved when nurses offered fair, clear and tailored information. Mistrust or a disrupted nurse-patient relationship was found to be time-consuming and challenging to restore. CONCLUSIONS: Results confirmed the importance of a durable nurse-patient relationship and showed the consequences of nurses' communication on shared decision-making. Insights into patients' care preferences are essential to stimulate the development of an evidence-based quality improvement learning culture within nursing teams and for successful implementation processes. CI - © 2024 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science. FAU - Giesen, Jeltje AU - Giesen J AUID- ORCID: 0000-0001-6768-0838 AD - Radboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands. FAU - Timmerman, Ilse AU - Timmerman I AD - Psychiatry Department, Radboud University Medical Center, Nijmegen, The Netherlands. FAU - Bakker-Jacobs, Annick AU - Bakker-Jacobs A AD - Radboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands. FAU - Berings, Marjolein AU - Berings M AD - Radboudumc Health Academy, Radboud University Medical Center, Nijmegen, The Netherlands. FAU - Huisman-de Waal, Getty AU - Huisman-de Waal G AD - Radboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands. AD - Surgical Department, Radboud University Medical Center, Nijmegen, The Netherlands. FAU - Van Vught, Anneke AU - Van Vught A AD - Department on Health and Vitality, HAN University of Applied Sciences, School of Allied Health, Nijmegen, The Netherlands. FAU - Vermeulen, Hester AU - Vermeulen H AUID- ORCID: 0000-0003-1905-2890 AD - Radboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands. AD - Department on Health and Vitality, HAN University of Applied Sciences, School of Allied Health, Nijmegen, The Netherlands. LA - eng GR - ZONMW_/ZonMw/Netherlands PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20240325 PL - Sweden TA - Scand J Caring Sci JT - Scandinavian journal of caring sciences JID - 8804206 SB - IM MH - Humans MH - *Quality Improvement MH - *Qualitative Research MH - Male MH - Female MH - Adult MH - Middle Aged MH - *Nurse-Patient Relations MH - Aged MH - Nursing Staff, Hospital/psychology MH - Evidence-Based Nursing MH - Patient Participation/psychology OTO - NOTNLM OT - appropriate care OT - community care OT - evidence‐based quality improvement OT - fundamental care OT - hospital OT - nurses OT - person‐centred care EDAT- 2024/03/25 12:45 MHDA- 2024/08/12 06:42 CRDT- 2024/03/25 06:34 PHST- 2024/02/02 00:00 [revised] PHST- 2023/10/31 00:00 [received] PHST- 2024/02/24 00:00 [accepted] PHST- 2024/08/12 06:42 [medline] PHST- 2024/03/25 12:45 [pubmed] PHST- 2024/03/25 06:34 [entrez] AID - 10.1111/scs.13252 [doi] PST - ppublish SO - Scand J Caring Sci. 2024 Sep;38(3):680-691. doi: 10.1111/scs.13252. Epub 2024 Mar 25. PMID- 39128874 OWN - NLM STAT- MEDLINE DCOM- 20240811 LR - 20240811 IS - 1442-2018 (Electronic) IS - 1441-0745 (Linking) VI - 26 IP - 3 DP - 2024 Sep TI - Implementation lead nurses to lead EBP quality improvement project using the PEACE framework. PG - e13153 LID - 10.1111/nhs.13153 [doi] AB - Implementing evidence-based practice (EBP) in clinical practice is an ongoing challenge for nurses. EQUIP-Evidence-based QUality Improvement Project- is a multiphase project aimed at equipping nurses with the essential skills to implement EBP and advanced nursing practice. EQUIP embraces the assumption that implementation science models and partnership models can facilitate the implementation process of EBP, leading to successful and sustainable change. The current study is one of the EQUIP feasibility investigations in which the perspective of 12 implementation lead nurses (IL nurses) who attended a 1-day PEACE-based workshop was explored. Thematic analysis identified 2 overarching themes, 6 themes, and 18 subthemes. The first overarching theme showed that the PEACE-based workshop has successfully achieved its intended training implications, and the second overarching theme gave insight into factors that may influence the role of IL nurses. IL nurses reported general satisfaction and willingness to use the PEACE model at work; however, some IL nurses found Step 3 difficult to apply. The study's findings provide evidence of the perceived usefulness of adopting the PEACE model as an augmented approach in the EQUIP and the interest and enthusiasm of IL nurses in receiving more training on the implementation process of EBP. CI - © 2024 John Wiley & Sons Australia, Ltd. FAU - Aljuaid, Jamil AU - Aljuaid J AD - Medical Surgical Nursing Department, College of Nursing, Taif University, Taif, Saudi Arabia. AD - Children's Hospital, MOH, Taif, Saudi Arabia. FAU - Al-Moteri, Modi AU - Al-Moteri M AUID- ORCID: 0000-0002-5703-1057 AD - Medical Surgical Nursing Department, College of Nursing, Taif University, Taif, Saudi Arabia. LA - eng GR - TU-DSPP-2024-282/Taif University/ PT - Journal Article PL - Australia TA - Nurs Health Sci JT - Nursing & health sciences JID - 100891857 SB - IM MH - Humans MH - *Quality Improvement MH - Adult MH - Female MH - Qualitative Research MH - Leadership MH - Male MH - Nurses/psychology MH - Middle Aged MH - Implementation Science MH - Evidence-Based Nursing/methods MH - Evidence-Based Practice/methods OTO - NOTNLM OT - focus group OT - implementation leadership OT - translational research EDAT- 2024/08/12 00:41 MHDA- 2024/08/12 00:42 CRDT- 2024/08/11 22:02 PHST- 2024/07/08 00:00 [revised] PHST- 2024/04/02 00:00 [received] PHST- 2024/07/25 00:00 [accepted] PHST- 2024/08/12 00:42 [medline] PHST- 2024/08/12 00:41 [pubmed] PHST- 2024/08/11 22:02 [entrez] AID - 10.1111/nhs.13153 [doi] PST - ppublish SO - Nurs Health Sci. 2024 Sep;26(3):e13153. doi: 10.1111/nhs.13153. PMID- 39043534 OWN - NLM STAT- MEDLINE DCOM- 20240915 LR - 20260112 IS - 1878-3449 (Electronic) IS - 0749-2081 (Linking) VI - 40 IP - 5 DP - 2024 Oct TI - Using Data to Improve Healthcare: A Case Study of Pancreatic Enzyme Replacement in Pancreatic Cancer. PG - 151688 LID - S0749-2081(24)00151-7 [pii] LID - 10.1016/j.soncn.2024.151688 [doi] AB - OBJECTIVES: In the UK, guidelines recommend pancreatic enzyme replacement therapy (PERT) to all people with unresectable pancreatic cancer. In 2023, we published a national audit of PERT which showed suboptimal prescribing and wide regional variation in England. The aim of this manuscript was to describe how we used the PERT audit to drive improvements in healthcare. METHODS: Building on the PERT audit, we deployed an online dashboard which will deliver ongoing updates of the PERT audit. We developed a collaborative intervention with cancer nurse specialists (CNS) to improve care delivered to people with pancreatic cancer. The intervention called Creating a natiOnAL CNS pancrEatic cancer network to Standardise and improve CarE (COALESCE) will use the dashboard to evaluate improvements in prescribing of PERT. RESULTS: We demonstrated how large databases of electronic healthcare records (EHRs) can be used to improve cancer care. The PERT audit was implemented into a dashboard for tracking the progress of COALESCE. We will measure improvements in PERT prescribing as the intervention with CNS progresses. CONCLUSIONS: Improving healthcare is an ongoing and iterative process. By implementing the PERT dashboard, we created a resource-efficient, automated evaluation method enabling COALESCE to deliver a sustainable change. National-scale databases of EHRs enable rapid cycles of audits, providing regular feedback to interventions, working systematically to deliver change. Here, the focus is on pancreatic cancer. However, this methodology is transferable to other areas of healthcare. IMPLICATIONS FOR NURSING PRACTICE: Nurses play a key role in collecting good quality data which are needed in clinical audits to identify shortcomings in healthcare. Nurse-driven interventions can be designed to improve healthcare. In this study, we capitalize on the unique role of CNS coordinating care for every patient with cancer. COALESCE is the first national collaborative study which uses CNS as researchers and change agents. CI - Copyright © 2024 Elsevier Inc. All rights reserved. FAU - Varghese, Teena S AU - Varghese TS AD - Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK. FAU - Andrews, Colm AU - Andrews C AD - Bennett Institute for Applied Data Science, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. FAU - Fisher, Louis AU - Fisher L AD - Bennett Institute for Applied Data Science, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. FAU - Goldacre, Ben AU - Goldacre B AD - Bennett Institute for Applied Data Science, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. FAU - Mehrkar, Amir AU - Mehrkar A AD - Bennett Institute for Applied Data Science, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. FAU - Pande, Rupaly AU - Pande R AD - Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK. FAU - Smith, Nadia A S AU - Smith NAS AD - Data Science Department, National Physical Laboratory, Teddington, UK. FAU - Walker, Alex J AU - Walker AJ AD - Bennett Institute for Applied Data Science, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. FAU - Roberts, Keith J AU - Roberts KJ AD - Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK. FAU - Sultana, Asma AU - Sultana A AD - Department of Molecular and Clinical Cancer Medicine, University of Liverpool, Liverpool, UK. FAU - MacKenna, Brian AU - MacKenna B AD - Bennett Institute for Applied Data Science, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. FAU - Lemanska, Agnieszka AU - Lemanska A AD - Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK; Data Science Department, National Physical Laboratory, Teddington, UK. Electronic address: a.lemanska@surrey.ac.uk. LA - eng GR - MR/W016729/1/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20240722 PL - United States TA - Semin Oncol Nurs JT - Seminars in oncology nursing JID - 8504688 SB - IM MH - Humans MH - *Pancreatic Neoplasms/nursing/drug therapy MH - *Enzyme Replacement Therapy/methods MH - Quality Improvement MH - United Kingdom MH - England MH - Electronic Health Records MH - Female MH - Male MH - Oncology Nursing/methods/standards OTO - NOTNLM OT - Clinical audit OT - Electronic healthcare records OT - Improving healthcare OT - Pancreatic cancer enzyme replacement OT - Pancreatic enzyme insufficiency OT - Quality of care COIS- Declaration of competing interest BG received research funding from the Laura and John Arnold Foundation, the NHS National Institute for Health Research (NIHR), the NIHR School of Primary Care Research, NHS England, the NIHR Oxford Biomedical Research Centre, the Mohn-Westlake Foundation, NIHR Applied Research Collaboration Oxford and Thames Valley, the Wellcome Trust, the Good Thinking Foundation, Health Data Research UK, the Health Foundation, the World Health Organization, UKRI MRC, Asthma UK, the British Lung Foundation, and the Longitudinal Health and Wellbeing strand of the National Core Studies program; he is a Non-Executive Director at NHS Digital; he also receives personal income from speaking and writing for lay audiences on the misuse of science. BMK is employed as a pharmacist by NHS England and seconded to the Bennett Institute. EDAT- 2024/07/24 00:42 MHDA- 2024/09/16 00:42 CRDT- 2024/07/23 21:55 PHST- 2024/02/03 00:00 [received] PHST- 2024/05/23 00:00 [revised] PHST- 2024/05/29 00:00 [accepted] PHST- 2024/09/16 00:42 [medline] PHST- 2024/07/24 00:42 [pubmed] PHST- 2024/07/23 21:55 [entrez] AID - S0749-2081(24)00151-7 [pii] AID - 10.1016/j.soncn.2024.151688 [doi] PST - ppublish SO - Semin Oncol Nurs. 2024 Oct;40(5):151688. doi: 10.1016/j.soncn.2024.151688. Epub 2024 Jul 22. PMID- 39313835 OWN - NLM STAT- MEDLINE DCOM- 20240924 LR - 20250605 IS - 1538-8662 (Electronic) IS - 0361-1817 (Linking) VI - 49 IP - 10 DP - 2024 Oct 1 TI - Preventing delirium in post-acute care. PG - 1-7 LID - 10.1097/01.NPR.0000000000000231 [doi] AB - Older adults admitted to post-acute care often are frail with multiple comorbidities, making them particularly vulnerable to developing delirium. The purpose of this quality improvement project was to create, implement, and evaluate an NP-led, evidence-based delirium prevention protocol in a skilled nursing facility (SNF). The incidence of new-onset delirium was assessed pre- and postimplementation; following implementation, no patients were diagnosed with new-onset delirium, and nurses and certified nursing assistants reported changes to their practice. Based on project design, the approximately 42,000 NPs in the US with nursing home or long-term-care facility privileges are optimally positioned to lead SNFs in the prevention of new-onset delirium. CI - Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. FAU - Spear, Rebecca A AU - Spear RA FAU - Martin-Plank, Lori AU - Martin-Plank L FAU - Crist, Janice D AU - Crist JD LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20240924 PL - United States TA - Nurse Pract JT - The Nurse practitioner JID - 7603663 SB - IM MH - Humans MH - *Delirium/prevention & control/nursing MH - Aged MH - *Subacute Care MH - *Quality Improvement MH - *Skilled Nursing Facilities MH - Nurse Practitioners MH - Evidence-Based Nursing MH - Female MH - Aged, 80 and over MH - Male EDAT- 2024/09/24 10:19 MHDA- 2024/09/24 18:51 CRDT- 2024/09/24 00:15 PHST- 2024/09/24 18:51 [medline] PHST- 2024/09/24 10:19 [pubmed] PHST- 2024/09/24 00:15 [entrez] AID - 00006205-202410000-00011 [pii] AID - 10.1097/01.NPR.0000000000000231 [doi] PST - ppublish SO - Nurse Pract. 2024 Oct 1;49(10):1-7. doi: 10.1097/01.NPR.0000000000000231. Epub 2024 Sep 24. PMID- 39324920 OWN - NLM STAT- MEDLINE DCOM- 20240926 LR - 20260507 IS - 1538-7488 (Electronic) IS - 0002-936X (Linking) VI - 124 IP - 10 DP - 2024 Oct 1 TI - Critical Appraisal of Evidence for DNP-Prepared Nurses. PG - 42-50 LID - 10.1097/01.NAJ.0001069528.63799.b8 [doi] AB - This is the fourth article in a new series designed to provide readers with insight into educating nurses about evidence-based decision-making (EBDM). It builds on AJN's award-winning previous series-Evidence-Based Practice, Step by Step and EBP 2.0: Implementing and Sustaining Change (to access both series, go to https://links.lww.com/AJN/A133). This follow-up series on EBDM will address how to teach and facilitate learning about the evidence-based practice (EBP) and quality improvement (QI) processes and how they impact health care quality. This series is relevant for all nurses interested in EBP and QI, especially DNP faculty and students. The brief case scenario included in each article describes one DNP student's journey. To access previous articles in this EBDM series, go to https://links.lww.com/AJN/A256. CI - Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. FAU - Fineout-Overholt, Ellen AU - Fineout-Overholt E AD - Ellen Fineout-Overholt is national senior director, Evidence-Based Practice & Implementation Science, at Ascension in St. Louis. Deana Hays is an associate professor at Oakland University in Rochester, MI. Susan Farus-Brown is an associate professor at the Ohio University School of Nursing in Athens. Mary C. Zonsius is an associate professor at the Rush University College of Nursing in Chicago. Kerry A. Milner is a professor in the Davis and Henley College of Nursing at Sacred Heart University in Fairfield, CT. Contact author: Kerry A. Milner, milnerk@sacredheart.edu . The authors have disclosed no potential conflicts of interest, financial or otherwise. FAU - Hays, Deana AU - Hays D FAU - Farus-Brown, Susan AU - Farus-Brown S FAU - Zonsius, Mary C AU - Zonsius MC FAU - Milner, Kerry A AU - Milner KA LA - eng PT - Journal Article DEP - 20240926 PL - United States TA - Am J Nurs JT - The American journal of nursing JID - 0372646 SB - IM MH - Humans MH - *Education, Nursing, Graduate MH - *Evidence-Based Nursing MH - Quality Improvement EDAT- 2024/09/26 12:44 MHDA- 2024/09/26 12:45 CRDT- 2024/09/26 10:04 PHST- 2024/09/26 12:45 [medline] PHST- 2024/09/26 12:44 [pubmed] PHST- 2024/09/26 10:04 [entrez] AID - 00000446-202410000-00022 [pii] AID - 10.1097/01.NAJ.0001069528.63799.b8 [doi] PST - ppublish SO - Am J Nurs. 2024 Oct 1;124(10):42-50. doi: 10.1097/01.NAJ.0001069528.63799.b8. Epub 2024 Sep 26. PMID- 39394597 OWN - NLM STAT- MEDLINE DCOM- 20241012 LR - 20260312 IS - 1748-5908 (Electronic) IS - 1748-5908 (Linking) VI - 19 IP - 1 DP - 2024 Oct 11 TI - Planning for and Assessing Rigor in Rapid Qualitative Analysis (PARRQA): a consensus-based framework for designing, conducting, and reporting. PG - 71 LID - 10.1186/s13012-024-01397-1 [doi] LID - 71 AB - BACKGROUND: The use of rapid qualitative methods has increased substantially over the past decade in quality improvement and health services research. These methods have gained traction in implementation research and practice, wherein real-time adjustments are often made to optimize processes and outcomes. This brisk increase begs the questions: what does rigor entail in projects that use rapid qualitative analysis (RQA)? How do we define a pragmatic framework to help research teams design and conduct rigorous and valid rapid qualitative projects? How can authors articulate rigor in their methods descriptions? Lastly, how can reviewers evaluate the rigor of rapid qualitative projects?. METHODS: A team of seven interdisciplinary qualitative methods experts developed a framework for ensuring rigor and validity in RQA and methods suitable for this analytic approach. We conducted a qualitative evidence synthesis to identify gaps in the literature and then drew upon literature, standard procedures within our teams, and a repository of rapid qualitative training materials to create a planning and reporting framework. We iteratively refined this framework through 11 group working meetings (60-90 minutes each) over the course of one year and invited feedback on items to ensure their completeness, clarity, and comprehensibility. RESULTS: The Planning for and Assessing Rigor in Rapid Qualitative Analysis (PARRQA) framework is organized progressively across phases from design to dissemination, as follows: 1) rigorous design (rationale and staffing), 2) semi-structured data collection (pilot and planning), 3) RQA: summary template development (accuracy and calibration), 4) RQA: matrix analysis (matrices), and 5) rapid qualitative data synthesis. Eighteen recommendations across these sections specify best practices for rigor and validity. CONCLUSIONS: Rapid qualitative methods play a central role in implementation evaluations, with the potential to yield prompt information and insights about context, processes, and relationships. However, guidance on how to assess rigor is nascent. The PARRQA framework enhances the literature by offering criteria to ensure appropriate planning for and assessment of rigor in projects that involve RQA. This framework provides a consensus-based resource to support high-level qualitative methodological rigor in implementation science. CI - © 2024. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply. FAU - Kowalski, Christine P AU - Kowalski CP AD - Center for Clinical Management Research, VA Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI, 48105, USA. Christine.Kowalski@va.gov. FAU - Nevedal, Andrea L AU - Nevedal AL AD - Center for Clinical Management Research, VA Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI, 48105, USA. FAU - Finley, Erin P AU - Finley EP AD - VA Health Systems Research Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, 16111 Plummer Street, Sepulveda, CA, 91343, USA. AD - Departments of Medicine and Psychiatry and Behavioral Sciences, Long School of Medicine, UT Health San Antonio, 7703 Floyd Curl Drive, MC 7792, San Antonio, TX, 78229, USA. FAU - Young, Jessica P AU - Young JP AD - Seattle-Denver Center of Innovation (COIN) for Veteran-Centered Value-Driven Care, Seattle, WA, USA. FAU - Lewinski, Allison A AU - Lewinski AA AD - Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, 508 Fulton St, Durham, NC, 27705, USA. AD - School of Nursing, Duke University, 307 Trent Drive, Box 3322 DUMC, Durham, NC, 27710, USA. FAU - Midboe, Amanda M AU - Midboe AM AD - Center for Innovation to Implementation (Ci2i), Palo Alto Health Care System, 795 Willow Rd, Menlo Park, CA, USA. AD - Division of Health Policy and Management, University of California Davis-School of Medicine, Davis, CA, USA. FAU - Hamilton, Alison B AU - Hamilton AB AD - VA Health Systems Research Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, 16111 Plummer Street, Sepulveda, CA, 91343, USA. AD - Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA. LA - eng GR - IK6 HX002836/HX/HSRD VA/United States GR - IK6 HX003394/HX/HSRD VA/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20241011 PL - England TA - Implement Sci JT - Implementation science : IS JID - 101258411 SB - IM MH - Humans MH - *Consensus MH - Health Services Research/standards MH - Implementation Science MH - *Qualitative Research MH - Quality Improvement/organization & administration MH - Reproducibility of Results MH - *Research Design/standards MH - Guidelines as Topic PMC - PMC11468362 OTO - NOTNLM OT - Qualitative methods OT - Rapid qualitative analysis OT - Rapid qualitative methods OT - Rapid qualitative studies OT - Rigor OT - Validity COIS- Dr. Lewinski reports receiving funds from PhRMA Foundation and Otsuka for activities not related to this work. Dr. Alison Hamilton is on the editorial board of Implementation Science and is an associate editor for Implementation Science Communications. Dr. Erin Finley is on the editorial board for Implementation Science Communications. All other authors: none. EDAT- 2024/10/12 21:42 MHDA- 2024/10/12 21:43 PMCR- 2024/10/11 CRDT- 2024/10/11 23:45 PHST- 2024/01/23 00:00 [received] PHST- 2024/09/13 00:00 [accepted] PHST- 2024/10/12 21:43 [medline] PHST- 2024/10/12 21:42 [pubmed] PHST- 2024/10/11 23:45 [entrez] PHST- 2024/10/11 00:00 [pmc-release] AID - 10.1186/s13012-024-01397-1 [pii] AID - 1397 [pii] AID - 10.1186/s13012-024-01397-1 [doi] PST - epublish SO - Implement Sci. 2024 Oct 11;19(1):71. doi: 10.1186/s13012-024-01397-1. PMID- 39468540 OWN - NLM STAT- MEDLINE DCOM- 20241029 LR - 20241119 IS - 1472-6939 (Electronic) IS - 1472-6939 (Linking) VI - 25 IP - 1 DP - 2024 Oct 28 TI - Differing needs for Advance Care Planning in the Veterans Health Administration: use of latent class analysis to identify subgroups to enhance Advance Care Planning via Group Visits for veterans. PG - 120 LID - 10.1186/s12910-024-01117-w [doi] LID - 120 AB - BACKGROUND: Advance Care Planning via Group Visits (ACP-GV) is a patient-centered intervention facilitated by a clinician using a group modality to promote healthcare decision-making among veterans. Participants in the group document a "Next Step" to use in planning for their future care needs. The next step may include documentation of preferences in an advance directive, discussing plans with family, or anything else to fulfill their ACP needs. This evaluation seeks to determine whether there are identifiable subgroups of group participants with differing needs prior to delivery of the ACP-GV program and, if so, to use information about the subgroups to enhance the program offered to veterans in United States Department of Veterans Affairs (VA) healthcare settings. METHODS: We conducted a secondary analysis of national data from a quality improvement evaluation. Patient- and provider-level data from administrative healthcare records for VA users in all 50 states, territories, and the District of Columbia provides data on veterans attending ACP-GV during federal fiscal years 2018-2022 (N = 26,857). Latent class analysis seeks to identify the various subgroups of veterans based on their level of ACP self-efficacy before attending ACP-GV and any demographic differences across the resulting subgroups of veterans attending ACP-GV. ACP self-efficacy is derived from seven items obtained from a participant worksheet used during the group. RESULTS: Analysis revealed two distinct groups of veterans, distinguishable by their pre-ACP-GV levels of one aspect of ACP self-efficacy: prior knowledge of ACP. Veterans with higher prior knowledge of ACP are associated with an identified next step focused on checking their current AD status and updating it, and veterans with lower ACP prior knowledge are associated with identifying a next step to discuss ACP more fully with family. Differences in age, sex, race, ethnicity, and marital status exist across subgroups of veterans. CONCLUSION: Greater attention must be paid to ACP and veterans' prior knowledge of ACP to consistently encourage annual review and status updates. CI - © 2024. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply. FAU - Matthieu, Monica M AU - Matthieu MM AD - U.S. Department of Veterans Affairs Medical Center, Central Arkansas Veterans Healthcare System, HSR&D Center of Innovation: Center for Mental Healthcare & Outcomes Research, 2200 Fort Roots Dr. North Little Rock, Arkansas, 72114, USA. Monica.Matthieu@va.gov. AD - School of Social Work, Saint Louis University, Saint Louis, Missouri, USA. Monica.Matthieu@va.gov. FAU - Ounpraseuth, Songthip T AU - Ounpraseuth ST AD - Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. FAU - Williams, J Silas AU - Williams JS AD - U.S. Department of Veterans Affairs Medical Center, Central Arkansas Veterans Healthcare System, HSR&D Center of Innovation: Center for Mental Healthcare & Outcomes Research, 2200 Fort Roots Dr. North Little Rock, Arkansas, 72114, USA. FAU - Hu, Bo AU - Hu B AD - U.S. Department of Veterans Affairs Medical Center, Central Arkansas Veterans Healthcare System, HSR&D Center of Innovation: Center for Mental Healthcare & Outcomes Research, 2200 Fort Roots Dr. North Little Rock, Arkansas, 72114, USA. FAU - Adkins, David A AU - Adkins DA AD - U.S. Department of Veterans Affairs Medical Center, Central Arkansas Veterans Healthcare System, HSR&D Center of Innovation: Center for Mental Healthcare & Outcomes Research, 2200 Fort Roots Dr. North Little Rock, Arkansas, 72114, USA. FAU - Oliver, Ciara M AU - Oliver CM AD - U.S. Department of Veterans Affairs Medical Center, Central Arkansas Veterans Healthcare System, HSR&D Center of Innovation: Center for Mental Healthcare & Outcomes Research, 2200 Fort Roots Dr. North Little Rock, Arkansas, 72114, USA. FAU - Taylor, Laura D AU - Taylor LD AD - U.S. Department of Veterans Affairs Medical Center, Central Arkansas Veterans Healthcare System , Geriatric Research, Education and Clinical Center, Little Rock, Arkansas, USA. FAU - McCullough, Jane Ann AU - McCullough JA AD - U.S. Department of Veterans Affairs Medical Center, Central Arkansas Veterans Healthcare System , Geriatric Research, Education and Clinical Center, Little Rock, Arkansas, USA. FAU - Mallory, Mary J AU - Mallory MJ AD - U.S. Department of Veterans Affairs Medical Center, Central Arkansas Veterans Healthcare System , Geriatric Research, Education and Clinical Center, Little Rock, Arkansas, USA. FAU - Smith, Ian D AU - Smith ID AD - U.S. Department of Veterans Affairs Medical Center, Central Arkansas Veterans Healthcare System, HSR&D Center of Innovation: Center for Mental Healthcare & Outcomes Research, 2200 Fort Roots Dr. North Little Rock, Arkansas, 72114, USA. FAU - Suarez, Jack H AU - Suarez JH AD - U.S. Department of Veterans Affairs Medical Center, Central Arkansas Veterans Healthcare System, HSR&D Center of Innovation: Center for Mental Healthcare & Outcomes Research, 2200 Fort Roots Dr. North Little Rock, Arkansas, 72114, USA. FAU - Garner, Kimberly K AU - Garner KK AD - U.S. Department of Veterans Affairs Medical Center, Central Arkansas Veterans Healthcare System , Geriatric Research, Education and Clinical Center, Little Rock, Arkansas, USA. AD - College of Medicine, Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. LA - eng GR - PEC 18-206/Quality Enhancement Research Initiative/ PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20241028 PL - England TA - BMC Med Ethics JT - BMC medical ethics JID - 101088680 SB - IM MH - Humans MH - *Advance Care Planning MH - United States MH - *United States Department of Veterans Affairs MH - *Veterans MH - Male MH - Female MH - Middle Aged MH - Aged MH - Adult MH - Veterans Health MH - Patient-Centered Care MH - Quality Improvement MH - Decision Making PMC - PMC11514638 OTO - NOTNLM OT - Advance care planning OT - Advance directives OT - Latent class analysis OT - Veterans OT - Veterans Health Administration COIS- The authors declare no competing interests. EDAT- 2024/10/29 06:23 MHDA- 2024/10/29 06:24 PMCR- 2024/10/28 CRDT- 2024/10/29 01:49 PHST- 2024/03/28 00:00 [received] PHST- 2024/10/14 00:00 [accepted] PHST- 2024/10/29 06:24 [medline] PHST- 2024/10/29 06:23 [pubmed] PHST- 2024/10/29 01:49 [entrez] PHST- 2024/10/28 00:00 [pmc-release] AID - 10.1186/s12910-024-01117-w [pii] AID - 1117 [pii] AID - 10.1186/s12910-024-01117-w [doi] PST - epublish SO - BMC Med Ethics. 2024 Oct 28;25(1):120. doi: 10.1186/s12910-024-01117-w. PMID- 38888387 OWN - NLM STAT- MEDLINE DCOM- 20241023 LR - 20241226 IS - 1932-8095 (Electronic) IS - 1932-8087 (Linking) VI - 29 IP - 6 DP - 2024 Nov-Dec 01 TI - The Impact of an Online Preceptorship Training Program on Preceptor Self-Efficacy Among Nurse Case Managers Working in an Acute Care Setting. PG - 237-242 LID - 10.1097/NCM.0000000000000753 [doi] AB - PURPOSE/OBJECTIVES: The U.S. health care system is experiencing a critical workforce shortage of nurse case managers exacerbated by an older workforce and looming retirements and the growth of this specialty. This quality improvement project aimed to develop an online case manager preceptor training program and examine its impact on the nurse case manager preceptors' self-efficacy. PRACTICE SETTING: This project was implemented at a 395-bed acute care, community-based hospital in the northeast. METHODOLOGY AND SAMPLE: The target population for the intervention included a convenience sample of 13 nurse case managers who were assigned a preceptor role. The intervention was an abbreviated version of an online preceptorship program by Lippincott. The Preceptor Self-Efficacy Questionnaire (PSEQ), with a Cronbach's alpha of 0.96, measured nurse preceptors' confidence in various skills including fostering critical thinking and providing feedback. Data from pre- and post-intervention PSEQ surveys were analyzed using a Wilcoxon rank sum test in SPSS version 28. RESULTS: The Wilcoxon rank sum test revealed a statistically significant improvement in preceptor confidence scores ( p = .043) between pre- and post-intervention PSEQ results. IMPLICATIONS FOR CASE MANAGEMENT PRACTICE: This project demonstrated feasibility of an online nurse case manager preceptor training program while also identifying improved preceptors' self-efficacy. Future research can include investigating the impact of a preceptor training program on the nurse case manager learners receiving role training from the trained case manager preceptor. CI - Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. FAU - O'Connor, Jonelle M AU - O'Connor JM AD - Jonelle O'Connor, MSN, RN, CMGT-BC, is a Nurse Case Manager at Mass General Brigham. She is the DNP student noted during the implementation of this quality improvement project, and her interests include improving care transitions, population health, and generational differences in the workforce. AD - Patricia MacCulloch, PhD, DNP, ANP-C, FNAP, is an Associate Clinical Professor at the University of Massachusetts Lowell Solomont School of Nursing and board-certified Adult Nurse Practitioner at UMass Memorial Healthcare. She is a National Hartford Center of Geriatric Nursing Excellence Distinguished Educator and a Fellow of the National Academies of Practice. FAU - MacCulloch, Patricia AU - MacCulloch P AD - Jonelle O'Connor, MSN, RN, CMGT-BC, is a Nurse Case Manager at Mass General Brigham. She is the DNP student noted during the implementation of this quality improvement project, and her interests include improving care transitions, population health, and generational differences in the workforce. AD - Patricia MacCulloch, PhD, DNP, ANP-C, FNAP, is an Associate Clinical Professor at the University of Massachusetts Lowell Solomont School of Nursing and board-certified Adult Nurse Practitioner at UMass Memorial Healthcare. She is a National Hartford Center of Geriatric Nursing Excellence Distinguished Educator and a Fellow of the National Academies of Practice. LA - eng PT - Journal Article DEP - 20240617 PL - United States TA - Prof Case Manag JT - Professional case management JID - 101291585 SB - IM MH - *Preceptorship MH - Humans MH - *Self Efficacy MH - Female MH - Adult MH - Male MH - *Case Managers/education/psychology MH - Middle Aged MH - Case Management MH - Surveys and Questionnaires MH - Education, Distance MH - United States COIS- The authors report no conflicts of interest. EDAT- 2024/06/18 17:43 MHDA- 2024/10/23 12:35 CRDT- 2024/06/18 09:23 PHST- 2024/10/23 12:35 [medline] PHST- 2024/06/18 17:43 [pubmed] PHST- 2024/06/18 09:23 [entrez] AID - 01269241-202411000-00002 [pii] AID - 10.1097/NCM.0000000000000753 [doi] PST - ppublish SO - Prof Case Manag. 2024 Nov-Dec 01;29(6):237-242. doi: 10.1097/NCM.0000000000000753. Epub 2024 Jun 17. PMID- 39107902 OWN - NLM STAT- MEDLINE DCOM- 20241010 LR - 20260611 IS - 1365-2702 (Electronic) IS - 0962-1067 (Linking) VI - 33 IP - 11 DP - 2024 Nov TI - Acute care nurses' decisions to recognise and respond to patient improvement: A qualitative study. PG - 4445-4454 LID - 10.1111/jocn.17400 [doi] AB - AIM: To explore and describe acute care nurses' decisions to recognise and respond to improvement in patients' clinical states as they occurred in the real-world clinical environment. DESIGN: A descriptive study. METHODS: Nine medical and eleven surgical nurses in a large Australian metropolitan hospital were individually observed during nurse-patient interactions and followed up in interview to describe their reasoning and clinical judgements behind observed decisions. Verbal description of observations and interviews were recorded and transcribed. Reflexive thematic analysis was used to analyse the data. RESULTS: The three themes constructed from the data were as follows: nurses checking in; nurses reaching judgements about improvements; and nurses deciding on the best person to respond. Acute care nurses made targeted assessment decisions based on predicted safety risks related to improvement in clinical states. Subjective and objective cues were used to assess for and make judgements about patient improvement. Acute care nurses' judgment of patient safety and a desire to promote patient centred care guided their decisions to select the appropriate person to manage improvement. CONCLUSIONS: The outcomes of this research have demonstrated that the proven safety benefits of acute care nurses' decision making in response to deterioration extend to improvement in patients' clinical states. In response to improvement, acute care nurses' decisions protect patients from harm and promote recovery. IMPLICATIONS FOR PATIENT CARE: Early recognition and response to improvement enable acute care nurses to protect patients from risks of unnecessary treatment and promote recovery. IMPACT: This study makes explicit nurses' essential safety role in recognising and responding to improvement in patients' clinical states. Healthcare policy and education must reflect the equal importance of assessment for and management of deterioration and improvement to ensure patients are protected and provided with safe care. CI - © 2024 The Author(s). Journal of Clinical Nursing published by John Wiley & Sons Ltd. FAU - Burdeu, Gabrielle AU - Burdeu G AUID- ORCID: 0000-0003-4295-9239 AD - School of Nursing and Midwifery, Deakin University, Geelong, Australia. AD - Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Geelong, Australia. FAU - Rasmussen, Bodil AU - Rasmussen B AUID- ORCID: 0000-0002-6789-8260 AD - School of Nursing and Midwifery, Deakin University, Geelong, Australia. AD - Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Geelong, Australia. AD - Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. AD - Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark. FAU - Lowe, Grainne AU - Lowe G AD - Institute of Health and Wellbeing, Federation University, Berwick, Australia. FAU - Considine, Julie AU - Considine J AUID- ORCID: 0000-0003-3801-2456 AD - School of Nursing and Midwifery, Deakin University, Geelong, Australia. AD - Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Geelong, Australia. AD - Eastern Health, Box Hill, Victoria, Australia. LA - eng GR - Eastern Health Foundation PhD Support Scholarship/ GR - Deakin University, School of Nursing and Midwifery, Acute Nursing Care Research Scholarship/ PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20240806 PL - England TA - J Clin Nurs JT - Journal of clinical nursing JID - 9207302 SB - IM MH - Humans MH - *Qualitative Research MH - Female MH - Adult MH - Australia MH - Nursing Staff, Hospital/psychology MH - Male MH - Nurse-Patient Relations MH - Middle Aged MH - Patient Safety/standards MH - Decision Making MH - Quality Improvement MH - Critical Care Nursing/standards/methods OTO - NOTNLM OT - art of nursing OT - assessment OT - caring intervention OT - clinical OT - clinical decision making OT - diagnostic reasoning OT - hospital care OT - medical nursing OT - surgical nursing EDAT- 2024/08/07 06:41 MHDA- 2024/10/10 06:22 CRDT- 2024/08/07 00:03 PHST- 2024/06/01 00:00 [revised] PHST- 2023/12/05 00:00 [received] PHST- 2024/07/10 00:00 [accepted] PHST- 2024/10/10 06:22 [medline] PHST- 2024/08/07 06:41 [pubmed] PHST- 2024/08/07 00:03 [entrez] AID - 10.1111/jocn.17400 [doi] PST - ppublish SO - J Clin Nurs. 2024 Nov;33(11):4445-4454. doi: 10.1111/jocn.17400. Epub 2024 Aug 6. PMID- 39279685 OWN - NLM STAT- MEDLINE DCOM- 20241029 LR - 20241029 IS - 1478-5153 (Electronic) IS - 1362-1017 (Linking) VI - 29 IP - 6 DP - 2024 Nov TI - Adult intensive care unit nurses' knowledge of and compliance barriers to evidence-based guidelines for prevention of ventilator-associated pneumonia: A cross-sectional survey. PG - 1591-1600 LID - 10.1111/nicc.13162 [doi] AB - BACKGROUND: Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in intensive care units (ICUs) and is a common cause of morbidity and mortality in intensive care patients. Previous studies show that insufficient knowledge and compliance barriers among nurses affect pneumonia. There have been no investigations into intensive care nurses' knowledge and compliance barriers to evidence-based guidelines (EBGs) for VAP prevention in county-level hospitals in China. AIM: To explore adult ICU nurses' knowledge and compliance barriers to EBGs for preventing VAP in county-level hospitals in Hunan Province, China, examine the correlation between knowledge and compliance barriers, and analyse associated factors. STUDY DESIGN: A cross-sectional electronic survey was conducted to focus on nurses' knowledge of and compliance barriers to EBGs for preventing VAP. RESULTS: A total of 386 valid questionnaires were collected, with a response rate of 97.47% (386/396 = 97.47%). The median scores for nurses' knowledge (out of 9) and compliance barriers (out of 8) to EBGs for preventing VAP were 7 (interquartile range: 5-8) and 3 (interquartile range: 2-4), respectively. Knowledge was negatively associated with compliance barriers (r = -0.437, p < .01). The results of the multiple linear regression analysis showed that hospital level, age, nurses' attendance at VAP training and years of experience in ICUs were related to the level of knowledge. Nurses' attendance at VAP training, age and years of experience in ICUs were associated with the level of compliance barriers. CONCLUSIONS: Intensive care nurses have satisfactory knowledge of EBGs for preventing VAP, but compliance barriers can be reduced. Better knowledge helps reduce the barriers to compliance among nurses. RELEVANCE TO CLINICAL PRACTICE: Nurse managers and nurse educators are suggested to examine nurses' knowledge and compliance barriers to EBGs for preventing VAP, develop personalized training plans, promote continuous education based on the latest EBGs and raise the nurse-patient ratio reasonably. CI - © 2024 British Association of Critical Care Nurses. FAU - Yao, Nian AU - Yao N AD - Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, China. AD - Xiangya School of Nursing, Central South University, Changsha, China. FAU - Xu, Binbin AU - Xu B AD - School of Nursing, Hunan University of Chinese Medcine, Changsha, China. FAU - Xu, Ran AU - Xu R AD - Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, China. AD - Xiangya School of Nursing, Central South University, Changsha, China. FAU - Gong, Zhihong AU - Gong Z AD - Nursing Department of the Second Xiangya Hospital, Central South University, Changsha, China. FAU - Ma, Guiyuan AU - Ma G AD - Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, China. AD - Xiangya School of Nursing, Central South University, Changsha, China. FAU - Peng, Sha AU - Peng S AD - Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, China. AD - Xiangya School of Nursing, Central South University, Changsha, China. FAU - Zhang, Jinghui AU - Zhang J AUID- ORCID: 0000-0002-1461-2580 AD - Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, China. AD - Xiangya School of Nursing, Central South University, Changsha, China. AD - National Clinical Research Center for Geriatric Disorders, Xiangya Hospital of Central South University, Changsha, China. LA - eng GR - 2021LNJJ09/Clinical Research Fund of the National Clinical Research Center for Geriatric Disorders/ GR - 72174210/National Natural Science Foundation of China/ GR - 2021xyhlpyjh004/Xiangya Nursing Discipline High-level Scientific Research Project Cultivation Plan/ PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20240916 PL - England TA - Nurs Crit Care JT - Nursing in critical care JID - 9808649 SB - IM MH - Humans MH - Cross-Sectional Studies MH - *Pneumonia, Ventilator-Associated/prevention & control MH - *Guideline Adherence/statistics & numerical data MH - Male MH - Female MH - Adult MH - *Intensive Care Units MH - Surveys and Questionnaires MH - China MH - *Critical Care Nursing/standards/education MH - Health Knowledge, Attitudes, Practice MH - Middle Aged MH - Nursing Staff, Hospital/education/psychology MH - Practice Guidelines as Topic MH - Evidence-Based Nursing OTO - NOTNLM OT - EBGs OT - barriers OT - intensive care nurses OT - knowledge OT - ventilator‐associated pneumonia EDAT- 2024/09/16 06:22 MHDA- 2024/10/29 12:26 CRDT- 2024/09/16 05:22 PHST- 2024/07/23 00:00 [revised] PHST- 2023/12/19 00:00 [received] PHST- 2024/09/02 00:00 [accepted] PHST- 2024/10/29 12:26 [medline] PHST- 2024/09/16 06:22 [pubmed] PHST- 2024/09/16 05:22 [entrez] AID - 10.1111/nicc.13162 [doi] PST - ppublish SO - Nurs Crit Care. 2024 Nov;29(6):1591-1600. doi: 10.1111/nicc.13162. Epub 2024 Sep 16. PMID- 39542590 OWN - NLM STAT- MEDLINE DCOM- 20241115 LR - 20241115 IS - 1293-8505 (Print) IS - 1293-8505 (Linking) VI - 73 IP - 305 DP - 2024 Nov TI - [Proposal of a clinical judgment model for the nursing discipline]. PG - 22-24 LID - S1293-8505(24)00276-8 [pii] LID - 10.1016/j.revinf.2024.10.006 [doi] AB - In response to the need to introduce nursing knowledge into the curriculum of nursing training institutes, the university nursing department of the Faculty of Angers has chosen a model of clinical judgment matched to nursing theories. This article describes the implementation of this project, which was carried out as part of an experiment to create a "nursing sciences" course for a health degree. CI - Copyright © 2024 Elsevier Masson SAS. All rights reserved. FAU - Garry-Bruneau, Mathilde AU - Garry-Bruneau M AD - Desi, Faculté de santé, Université d'Angers, rue Haute-de-Reculée 49000 Angers, France. Electronic address: mathilde.garry-bruneau@univ-angers.fr. FAU - Alfred, Stéphanie AU - Alfred S AD - Ifsi CH Saumur, 80 rue des Îles, 49400 Saumur, France. FAU - Huet, Sylvie AU - Huet S AD - Ifsi CHU Angers, 4 rue Larrey, 49933 Angers, France. FAU - Passavant, Valérie AU - Passavant V AD - Ifsi CH Cholet, 1 rue Marengo, 49300 Cholet, France. FAU - Rouet, Édith AU - Rouet É AD - Ifsi CH Le Mans, 194 avenue Rubillard, 72037 Le Mans cedex, France. FAU - Poiroux, Laurent AU - Poiroux L AD - Desi, Faculté de santé, Université d'Angers, rue Haute-de-Reculée 49000 Angers, France. LA - fre PT - English Abstract PT - Journal Article TT - Proposition d’un modèle de jugement clinique pour la discipline infirmière. DEP - 20241030 PL - France TA - Rev Infirm JT - Revue de l'infirmiere JID - 1267175 SB - IM MH - Humans MH - *Models, Nursing MH - Curriculum MH - Judgment MH - Education, Nursing/organization & administration MH - Clinical Reasoning OTO - NOTNLM OT - clinical judgment model OT - enseignement OT - modèle de jugement clinique OT - mémoire en soins infirmiers OT - nursing dissertation OT - nursing knowledge OT - nursing science OT - recherche OT - research OT - savoir infirmier OT - science infirmière OT - teaching EDAT- 2024/11/15 00:32 MHDA- 2024/11/16 09:58 CRDT- 2024/11/14 21:05 PHST- 2024/11/16 09:58 [medline] PHST- 2024/11/15 00:32 [pubmed] PHST- 2024/11/14 21:05 [entrez] AID - S1293-8505(24)00276-8 [pii] AID - 10.1016/j.revinf.2024.10.006 [doi] PST - ppublish SO - Rev Infirm. 2024 Nov;73(305):22-24. doi: 10.1016/j.revinf.2024.10.006. Epub 2024 Oct 30. PMID- 39556538 OWN - NLM STAT- MEDLINE DCOM- 20241118 LR - 20241120 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 19 IP - 11 DP - 2024 TI - "Developing the tool SDM:KOMPASS. Supporting shared decision making implementation processes". PG - e0312990 LID - 10.1371/journal.pone.0312990 [doi] LID - e0312990 AB - Shared decision-making (SDM) involves patients in choosing their treatment or care options. SDM enhances patient engagement and treatment satisfaction. SDM has proved difficult to implement and sustain in routine clinical practice, hence a supportive tool is needed. This quality improvement study focuses on the development of a generic tool, labeled SDM:KOMPASS, which is intended to support hospital settings by facilitating the visualization of their formative progress and the setting of goals for the SDM implementation into routine clinical practice. The main objective of the present paper is to describe the development of this generic tool. A six-step development process was performed to develop a tool and investigate the tool's overall perceived usability. Qualitative methods, such as observations, individual and focus group interviews, provided insights. A 10-item quantitative survey gauged informants' immediate attitudes towards the tool. Purposefully sampled informants (N = 20), including healthcare professionals and patients, contributed diverse perspectives regarding; 1) The tool's readability and clarity, 2) the construct's domains and content, and 3) the tool's perceived usability. In alignment with real-world challenges, SDM:KOMPASS emerges as a potentially valuable resource for healthcare organizations embedding SDM. The six-step development process revealed how the tool SDM:KOMPASS has potential to enhance SDM implementation's manageability, goal-setting, and focus. Professionals engaged in strategic implementation within somatic and mental hospital departments find the tool potentially beneficial and feasible. The tool shows promise and usability but requires careful attention due to its comprehensiveness. The next step is to alpha test the tool in clinical practice. CI - Copyright: © 2024 Lund et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. FAU - Lund, Lea AU - Lund L AUID- ORCID: 0000-0002-8546-5792 AD - Center for Shared Decision Making, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark. AD - Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark. FAU - Hansen, Dorte Gilså AU - Hansen DG AUID- ORCID: 0000-0002-5946-9968 AD - Center for Shared Decision Making, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark. AD - Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark. FAU - Korsbek, Lisa AU - Korsbek L AD - Mental Health Services, Vejle, Denmark. FAU - Christiansen, Mette AU - Christiansen M AD - University Hospital of Southern Denmark, Aabenraa, Denmark. FAU - Steffensen, Karina Dahl AU - Steffensen KD AD - Center for Shared Decision Making, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark. AD - Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark. FAU - Olling, Karina AU - Olling K AUID- ORCID: 0000-0003-4667-0547 AD - Center for Shared Decision Making, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark. AD - Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark. LA - eng PT - Journal Article DEP - 20241118 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Humans MH - *Decision Making, Shared MH - Patient Participation MH - Male MH - Female MH - Surveys and Questionnaires MH - Focus Groups MH - Adult MH - Middle Aged MH - Quality Improvement MH - Health Personnel/psychology PMC - PMC11573207 COIS- The authors have declared that no competing interests exist. EDAT- 2024/11/18 22:18 MHDA- 2024/11/19 00:22 PMCR- 2024/11/18 CRDT- 2024/11/18 13:33 PHST- 2024/01/17 00:00 [received] PHST- 2024/10/17 00:00 [accepted] PHST- 2024/11/19 00:22 [medline] PHST- 2024/11/18 22:18 [pubmed] PHST- 2024/11/18 13:33 [entrez] PHST- 2024/11/18 00:00 [pmc-release] AID - PONE-D-24-00433 [pii] AID - 10.1371/journal.pone.0312990 [doi] PST - epublish SO - PLoS One. 2024 Nov 18;19(11):e0312990. doi: 10.1371/journal.pone.0312990. eCollection 2024. PMID- 39236449 OWN - NLM STAT- MEDLINE DCOM- 20241124 LR - 20241124 IS - 1877-1300 (Electronic) IS - 1877-1297 (Linking) VI - 16 IP - 12 DP - 2024 Dec TI - Evaluating the impact of a decision-making game on empathy development in pharmacy students from the dual perspectives of the patient and pharmacist. PG - 102187 LID - S1877-1297(24)00219-3 [pii] LID - 10.1016/j.cptl.2024.102187 [doi] AB - INTRODUCTION: Doctor of Pharmacy programs are charged with developing students' empathy by the 2016 Accreditation Council for Pharmacy Education (ACPE) Standard 3 and the 2022 Curriculum Outcomes and Entrustable Professional Activities (COEPA). Although empathy is essential to optimal patient care, its subjective nature makes it challenging to teach and therefore literature is lacking on best teaching practices. The authors of this paper describe a novel simulated approach to elicit and assess empathy in a pharmacy classroom. This study evaluated the impact of a decision-making game in a pharmacy skills lab course on the development of students' empathy using a validated empathy scale. METHODS: This is a cohort-based quality improvement project in which third year pharmacy students participated in a 3-h classroom empathy game experience that simulated a month in a patient's life including issues related to the cycle of poverty. Prior to the game, students completed a voluntary, anonymous baseline demographics survey. They also completed a pre- and post-survey of the validated empathy tool, the Kiersma-Chen Empathy Scale (KCES-R), to assess change in the empathy score following the decision-making game. Students also provided narrative comments in the post-survey. Statistical tests used included descriptive statistics for demographic data, Shapiro-Wilk test of normality, and Wilcoxon Signed-Rank test for survey scores (SPSS Version 29). RESULTS: Pharmacy students (n = 37) showed an overall increase in composite KCES-R scores after participating in the empathy game class session (z = -5.071, p < 0.001). The scores of each of the 14 KCES-R items also increased after the learning experience (p < 0.05). Students' narrative comments were all positive and indicated that the activity offered new insights on self-perceived empathy development. CONCLUSION: The empathy game simulation was a successful approach to increase empathy scores in third-year pharmacy students. CI - Copyright © 2024 Elsevier Inc. All rights reserved. FAU - Lobkovich, Alison M AU - Lobkovich AM AD - Assistant Professor (Clinical), Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, 259 Mack Ave, Detroit, MI 48201, United States of America; Ambulatory Care Clinical Pharmacy Specialist, Henry Ford Health, Detroit, MI, United States of America. Electronic address: alison.lobkovich@wayne.edu. FAU - Mohammad, Insaf AU - Mohammad I AD - Assistant Professor (Clinical), Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, 259 Mack Ave, Detroit, MI 48201, United States of America; Ambulatory Care Clinical Pharmacy Specialist, Corewell Health Dearborn Hospital, Dearborn, MI, United States of America. Electronic address: insaf@wayne.edu. FAU - Ouahab, Wiam AU - Ouahab W AD - Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, 259 Mack Avenue, Detroit, MI 48201, United States of America. Electronic address: hj1345@wayne.edu. FAU - Wilhelm, Sheila M AU - Wilhelm SM AD - Professor (Clinical), Patient Care Skills Laboratory Coordinator, Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, 259 Mack Avenue, Detroit, MI 48201, United States of America. Electronic address: swilhelm@wayne.edu. LA - eng PT - Journal Article DEP - 20240904 PL - United States TA - Curr Pharm Teach Learn JT - Currents in pharmacy teaching & learning JID - 101560815 SB - IM MH - Humans MH - *Students, Pharmacy/psychology/statistics & numerical data MH - *Empathy MH - Male MH - Female MH - Surveys and Questionnaires MH - *Decision Making MH - *Education, Pharmacy/methods/standards/statistics & numerical data MH - Adult MH - Cohort Studies MH - Quality Improvement MH - Educational Measurement/methods/statistics & numerical data MH - Curriculum/trends/standards OTO - NOTNLM OT - Empathy OT - Game OT - Pharmacy student OT - Simulation OT - Skills lab COIS- Declaration of competing interest The authors declare no potential conflicts of interest with respect to the study, authorship and/or publication of this article. No funding was received to support the research project nor the preparation of this manuscript. EDAT- 2024/09/06 01:02 MHDA- 2024/11/25 01:26 CRDT- 2024/09/05 18:04 PHST- 2024/05/29 00:00 [received] PHST- 2024/08/09 00:00 [revised] PHST- 2024/08/20 00:00 [accepted] PHST- 2024/11/25 01:26 [medline] PHST- 2024/09/06 01:02 [pubmed] PHST- 2024/09/05 18:04 [entrez] AID - S1877-1297(24)00219-3 [pii] AID - 10.1016/j.cptl.2024.102187 [doi] PST - ppublish SO - Curr Pharm Teach Learn. 2024 Dec;16(12):102187. doi: 10.1016/j.cptl.2024.102187. Epub 2024 Sep 4. PMID- 39072449 OWN - NLM STAT- MEDLINE DCOM- 20250423 LR - 20250514 IS - 1550-5065 (Electronic) IS - 1057-3631 (Linking) VI - 40 IP - 1 DP - 2025 Jan-Mar 01 TI - Evidence-Based Practice Quality Improvement Critical Appraisal Tool. PG - 15-23 LID - 10.1097/NCQ.0000000000000789 [doi] AB - BACKGROUND: Optimal quality improvement in health care is based on research and other types of evidence. Critical appraisal of evidence is a fundamental component of evidence-based practice (EBP) and is also needed to evaluate the quality of quality improvement (QI) projects. PROBLEM: Currently available EBP or QI critical appraisal tools can be challenging for students learning the critical appraisal process and for practicing clinicians who desire access to a standardized EBPQI approach to inform health care decision-making. The currently available tools are incomplete, too brief, or too complicated for ease of use in education and practice. APPROACH: This article introduces the first combined EBP and QI (EBPQI) critical appraisal tool, which is aligned with the new EBPQI mountain model. CONCLUSION: This newly developed appraisal tool may be used in appraising evidence for an EBPQI initiative and to appraise the quality of disseminated EBPQI. CI - Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. FAU - Waldrop, Julee Briscoe AU - Waldrop JB AUID- ORCID: 0000-0003-4827-7992 AD - Author Affiliations: Duke University School of Nursing, Durham, North Carolina (Drs Waldrop and Reynolds), and Texas Womans University, Houston, Texas (Dr Dunlap). FAU - Dunlap, Jayne Jennings AU - Dunlap JJ FAU - Reynolds, Staci S AU - Reynolds SS LA - eng PT - Journal Article DEP - 20240722 PL - United States TA - J Nurs Care Qual JT - Journal of nursing care quality JID - 9200672 SB - IM MH - *Quality Improvement MH - Humans MH - *Evidence-Based Practice MH - *Evidence-Based Nursing COIS- The authors declare no conflict of interest. EDAT- 2024/07/29 12:43 MHDA- 2025/01/18 15:09 CRDT- 2024/07/29 07:03 PHST- 2025/01/18 15:09 [medline] PHST- 2024/07/29 12:43 [pubmed] PHST- 2024/07/29 07:03 [entrez] AID - 00001786-202501000-00004 [pii] AID - 10.1097/NCQ.0000000000000789 [doi] PST - ppublish SO - J Nurs Care Qual. 2025 Jan-Mar 01;40(1):15-23. doi: 10.1097/NCQ.0000000000000789. Epub 2024 Jul 22. PMID- 39702916 OWN - NLM STAT- MEDLINE DCOM- 20241220 LR - 20241220 IS - 1538-8689 (Electronic) IS - 0360-4039 (Linking) VI - 55 IP - 1 DP - 2025 Jan 1 TI - Embracing practice innovation: The synergy of evidence-based practice and quality improvement strategies. PG - 40-48 LID - 10.1097/NSG.0000000000000122 [doi] AB - This article explores the synergistic relationship between evidence-based practice (EBP) and quality improvement (QI) methods in nursing, highlighting their potential to enhance patient outcomes and foster practice change. By identifying clinical gaps and employing a structured approach to integrate EBP and QI, nurses can effectively implement best practices tailored to evolving healthcare needs. Ultimately, this article provides a comprehensive framework for nurses to leverage EBP and QI collaboratively, thereby advancing nursing practice and improving patient care. CI - Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved. FAU - Makic, Mary Beth Flynn AU - Makic MBF AD - At the University of Colorado, Anschutz Medical Campus, College of Nursing in Aurora, Colo., Mary Beth Flynn Makic is a professor, Jennifer Dailey-Vail is an associate professor, Gail Armstrong is a professor, and Laura Rosenthal is a professor and the Senior Assistant Dean of Academic Operations. FAU - Dailey-Vail, Jennifer AU - Dailey-Vail J FAU - Armstrong, Gail AU - Armstrong G FAU - Rosenthal, Laura AU - Rosenthal L LA - eng PT - Journal Article DEP - 20241220 PL - United States TA - Nursing JT - Nursing JID - 7600137 SB - IM MH - *Quality Improvement MH - Humans MH - *Evidence-Based Nursing MH - Organizational Innovation MH - Evidence-Based Practice MH - Diffusion of Innovation MH - Cooperative Behavior EDAT- 2024/12/20 06:24 MHDA- 2024/12/20 06:25 CRDT- 2024/12/20 01:01 PHST- 2024/12/20 06:25 [medline] PHST- 2024/12/20 06:24 [pubmed] PHST- 2024/12/20 01:01 [entrez] AID - 00152193-202501000-00009 [pii] AID - 10.1097/NSG.0000000000000122 [doi] PST - ppublish SO - Nursing. 2025 Jan 1;55(1):40-48. doi: 10.1097/NSG.0000000000000122. Epub 2024 Dec 20. PMID- 39723791 OWN - NLM STAT- MEDLINE DCOM- 20241226 LR - 20260508 IS - 1538-7488 (Electronic) IS - 0002-936X (Linking) VI - 125 IP - 1 DP - 2025 Jan 1 TI - Critical Appraisal of Evidence: Synthesis and Recommendations. PG - 38-43 LID - 10.1097/01.NAJ.0001094792.61439.17 [doi] AB - This is the fifth article in a new series designed to provide readers with insight into educating nurses about evidence-based decision-making (EBDM). It builds on AJN's award-winning previous series-Evidence-Based Practice, Step by Step and EBP 2.0: Implementing and Sustaining Change (to access both series, go to https://links.lww.com/AJN/A133). This follow-up series on EBDM will address how to teach and facilitate learning about the evidence-based practice (EBP) and quality improvement (QI) processes and how they impact health care quality. This series is relevant for all nurses interested in EBP and QI, especially DNP faculty and students. The brief case scenario included in each article describes one DNP student's journey. To access previous articles in this EBDM series, go to https://links.lww.com/AJN/A256. CI - Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved. FAU - Farus-Brown, Susan AU - Farus-Brown S AD - Susan Farus-Brown is an associate professor at the Ohio University School of Nursing in Athens. Ellen Fineout-Overholt is national senior director, Evidence-Based Practice & Implementation Science, at Ascension in St. Louis. Deana Hays is an associate professor at Oakland University in Rochester, MI. Mary C. Zonsius is an associate professor at the Rush University College of Nursing in Chicago. Kerry A. Milner is a professor in the Davis and Henley College of Nursing at Sacred Heart University in Fairfield, CT. Contact author: Kerry A. Milner, milnerk@sacredheart.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise. FAU - Fineout-Overholt, Ellen AU - Fineout-Overholt E FAU - Hays, Deana AU - Hays D FAU - Zonsius, Mary C AU - Zonsius MC FAU - Milner, Kerry A AU - Milner KA LA - eng PT - Journal Article DEP - 20241226 PL - United States TA - Am J Nurs JT - The American journal of nursing JID - 0372646 SB - IM MH - Humans MH - *Evidence-Based Nursing MH - Quality Improvement MH - Education, Nursing, Graduate MH - Evidence-Based Practice MH - Students, Nursing MH - Decision Making EDAT- 2024/12/26 18:15 MHDA- 2024/12/26 18:16 CRDT- 2024/12/26 08:33 PHST- 2024/12/26 18:16 [medline] PHST- 2024/12/26 18:15 [pubmed] PHST- 2024/12/26 08:33 [entrez] AID - 00000446-202501000-00024 [pii] AID - 10.1097/01.NAJ.0001094792.61439.17 [doi] PST - ppublish SO - Am J Nurs. 2025 Jan 1;125(1):38-43. doi: 10.1097/01.NAJ.0001094792.61439.17. Epub 2024 Dec 26. PMID- 39993896 OWN - NLM STAT- MEDLINE DCOM- 20250509 LR - 20250509 IS - 1532-8481 (Electronic) IS - 8755-7223 (Linking) VI - 56 DP - 2025 Jan-Feb TI - Improving the evaluation of clinical competence in undergraduate students, evidence and technology: An integrative review. PG - 19-25 LID - S8755-7223(24)00164-9 [pii] LID - 10.1016/j.profnurs.2024.10.003 [doi] AB - BACKGROUND: Assessment of clinical practice is integral to determining nursing students' knowledge, critical thinking, and overall clinical competency to ensure patients are receiving quality care. There are no best practice approaches to evaluating competency in undergraduate nursing students despite the necessity to attest to how students are meeting regulatory standards upon graduation. The use of technology in healthcare and post-secondary institutions has increased, however, within nursing education, technology use for clinical evaluation remains largely underused. PURPOSE: This integrative narrative review aimed to synthesize literature on evaluating undergraduate nursing students' clinical competence and the role of technology in enhancing the assessment process. METHODS: An integrative review was conducted to inform quality improvement projects relative to the assessment of students' clinical performance in an undergraduate nursing program in Canada. Authors searched the Cumulative Index to Nursing and Allied Health Literature (CINAHL) database for articles relating to competency, clinical performance evaluation, clinical evaluation tools, formative and summative evaluation, and technology in clinical evaluation. The main questions guiding this review were: How is competence assessed in relation to undergraduate students' clinical performance? And, how can technology enhance the assessment of students' clinical performance? RESULTS: A total of 34 articles were included in this review. Current clinical evaluation processes use a combination of methods and tools to evaluate students' competence, however, there remains room for ongoing advancements. Adopting technology into the evaluation process can help students better understand competencies and learning outcomes, receive near real-time feedback from clinical instructors, and promote critical self-reflection. Technology has also reduced student and faculty workload with a more efficient and streamlined process. Further research is needed to understand how technology can best be incorporated into clinical evaluation processes. CONCLUSION: Though under-researched, technology has been shown to be a valuable tool in the clinical evaluation process to promote student engagement in the assessment of clinical performance. In addition, considering factors such as the student and faculty relationship, preferences for feedback, and overall workload in the design of clinical evaluation processes is necessary. CI - Copyright © 2024 Elsevier Inc. All rights reserved. FAU - O'Rae, Amanda AU - O'Rae A AD - Faculty of Nursing, University of Calgary, Calgary, Alberta T2N 1N4, Canada. Electronic address: aorae@ucalgary.ca. FAU - Peters, Kaleigh AU - Peters K AD - Faculty of Nursing, University of Calgary, Calgary, Alberta T2N 1N4, Canada. FAU - Shajani, Zahra AU - Shajani Z AD - Faculty of Nursing, University of Calgary, Calgary, Alberta T2N 1N4, Canada. FAU - Burkett, Justin AU - Burkett J AD - Faculty of Nursing, University of Calgary, Calgary, Alberta T2N 1N4, Canada. FAU - Laing, Catherine AU - Laing C AD - Faculty of Nursing, University of Calgary, Calgary, Alberta T2N 1N4, Canada. LA - eng PT - Journal Article PT - Review DEP - 20241010 PL - United States TA - J Prof Nurs JT - Journal of professional nursing : official journal of the American Association of Colleges of Nursing JID - 8511298 SB - IM MH - *Clinical Competence/standards MH - *Students, Nursing MH - Humans MH - *Education, Nursing, Baccalaureate MH - Canada MH - *Educational Measurement/methods MH - Quality Improvement OTO - NOTNLM OT - Clinical education OT - Competency assessment OT - Competency based education OT - Curriculum development OT - Nursing education OT - Student performance appraisal COIS- Declaration of competing interest None. EDAT- 2025/02/25 00:22 MHDA- 2025/02/25 00:23 CRDT- 2025/02/24 20:59 PHST- 2023/12/21 00:00 [received] PHST- 2024/09/25 00:00 [revised] PHST- 2024/10/03 00:00 [accepted] PHST- 2025/02/25 00:23 [medline] PHST- 2025/02/25 00:22 [pubmed] PHST- 2025/02/24 20:59 [entrez] AID - S8755-7223(24)00164-9 [pii] AID - 10.1016/j.profnurs.2024.10.003 [doi] PST - ppublish SO - J Prof Nurs. 2025 Jan-Feb;56:19-25. doi: 10.1016/j.profnurs.2024.10.003. Epub 2024 Oct 10. PMID- 39825403 OWN - NLM STAT- MEDLINE DCOM- 20250502 LR - 20250522 IS - 1472-6920 (Electronic) IS - 1472-6920 (Linking) VI - 25 IP - 1 DP - 2025 Jan 17 TI - Implementation effectiveness of 'Problem solving for better health' training in Lesotho using mixed methods and the reach, effectiveness, adoption, implementation and maintenance (RE-AIM) framework. PG - 86 LID - 10.1186/s12909-025-06666-1 [doi] LID - 86 AB - BACKGROUND: Healthcare resources have been concentrated in urban areas, leaving rural regions vulnerable to poorer health outcomes. The Problem Solving for Better Health (PSBH) program was implemented to enhance healthcare systems in resource-limited regions by training personnel to maximize existing resources in problem-solving. This study evaluated the implementation effectiveness of PSBH-Nursing (PSBHN), a nationally led initiative to train nurses in PSBH in Lesotho. METHODS: A mixed-methods study employing a single-group pre-test post-test design was conducted, guided by the RE-AIM theory. Training occurred from November 2021 to June 2022. Nurses completed the Problem-Solving Inventory (PSI) before and 3-6 months after training to measure changes in problem-solving efficacy. Quality scores were assigned to nurses' planned quality improvement projects; project implementation was assessed 3-6 months after training. In-depth interviews (IDIs) explored changes in knowledge, problem-solving efficacy, and skills. Statistical analyses utilized paired T-tests and logistic regressions using STATA 17; content analysis was conducted on IDIs using NVivo12. RESULTS: Of 300 nurses, 89 were trained (30%) in the first year. Mainly medium or high-quality scores were achieved for the project designed. However, among 79 participants, only 49.4% reported initiating their projects. Overall problem-solving efficacy improved 3-6 months after training, but the increase was not statistically significant. Nurses reported improved knowledge, confidence and communication skills, enhanced problem-solving approaches, and increased emotional maturity in solving problems. A one-unit increase in project quality score correlated with a 35.0% increase in the odds of project initiation. CONCLUSION: PSBHN demonstrated improved knowledge and minimal improvement in problem-solving efficacy among nurses 3-6 months post-training. However, application of skills gained in implementing their projects was insufficient. Still, PSBHN shows promise in addressing healthcare challenges in resource-limited settings. Some participants were able to start their projects but the inconsistency in follow-through suggests a need for more research into the factors that can improve completion of implementation for better health outcomes. CI - © 2025. The Author(s). FAU - Akolbire, Doris AU - Akolbire D AD - Boston University School of Public Health, 715 Albany St, Boston, MA, 02118, USA. ddameyaw3@gmail.com. FAU - Sabin, Lora L AU - Sabin LL AD - Boston University School of Public Health, 715 Albany St, Boston, MA, 02118, USA. FAU - Lethunya, Paballo P AU - Lethunya PP AD - Lesotho Boston-Health Alliance, Florida 567, Maseru West 105, Hlotse, Lesotho. AD - Stellenbosch University, Private Bag X1, Matieland, Stellenbosch, 7602, South Africa. FAU - Sharma, Abhinav AU - Sharma A AD - Vancouver, British Columbia, Canada. FAU - Cabral, Howard J AU - Cabral HJ AD - Boston University School of Public Health, 715 Albany St, Boston, MA, 02118, USA. FAU - Jack, Brian W AU - Jack BW AD - Avedisian School of Medicine, Boston University, 72 E Concord St, Chobanian, Boston, MA, 02118, USA. AD - Lesotho Boston-Health Alliance, Florida 567, Maseru West 105, Hlotse, Lesotho. FAU - Scott, Nancy A AU - Scott NA AD - Boston University School of Public Health, 715 Albany St, Boston, MA, 02118, USA. LA - eng GR - 9550305106 - 55208748/BU OSP (Office of Sponsored Programs)/ PT - Journal Article DEP - 20250117 PL - England TA - BMC Med Educ JT - BMC medical education JID - 101088679 SB - IM MH - Humans MH - Lesotho MH - *Problem Solving MH - Female MH - Quality Improvement MH - Male MH - Adult MH - Program Evaluation MH - Clinical Competence MH - *Education, Nursing PMC - PMC11742190 OTO - NOTNLM OT - Low- and middle-income country project OT - Quality improvement project OT - Quality improvement rubric OT - Resource constrained project COIS- Declarations. Competing interests: The authors declare no competing interests. Clinical trial number: This study was not a clinical trial. It was an observational cohort study. IRB approval: Boston University IRB (IRB Number: H-41915) and the National Research Ethics Committee in Lesotho (Lesotho-ID172-2021). Ethical approval: The study was approved by Boston University IRB (IRB Number: H-41915) and the National Research Ethics Committee in Lesotho (Lesotho-ID172-2021). Verbal informed consent was obtained from all the participants at the beginning of each training session. Participants, as part of the informed consent, consented to the publication of this paper. There are however no self-identifying information about any participant in this paper. Financial Disclosure: None to disclose. EDAT- 2025/01/18 15:09 MHDA- 2025/01/18 15:10 PMCR- 2025/01/17 CRDT- 2025/01/17 23:35 PHST- 2024/05/21 00:00 [received] PHST- 2025/01/07 00:00 [accepted] PHST- 2025/01/18 15:10 [medline] PHST- 2025/01/18 15:09 [pubmed] PHST- 2025/01/17 23:35 [entrez] PHST- 2025/01/17 00:00 [pmc-release] AID - 10.1186/s12909-025-06666-1 [pii] AID - 6666 [pii] AID - 10.1186/s12909-025-06666-1 [doi] PST - epublish SO - BMC Med Educ. 2025 Jan 17;25(1):86. doi: 10.1186/s12909-025-06666-1. PMID- 40012462 OWN - NLM STAT- MEDLINE DCOM- 20250227 LR - 20250510 IS - 2093-758X (Electronic) IS - 2005-3673 (Linking) VI - 55 IP - 1 DP - 2025 Feb TI - Effects of a nursing leadership program on self-leadership, interpersonal relationships, clinical performance, problem-solving abilities, and nursing professionalism among nursing students in South Korea: a quasi-experimental study. PG - 137-151 LID - 10.4040/jkan.24110 [doi] AB - PURPOSE: This study investigated the effects of a nursing leadership program on self-leadership, interpersonal relationships, clinical performance, problem-solving abilities, and nursing professionalism among nursing students in South Korea. METHODS: A quasi-experimental study was conducted. The Practice-Driven Nursing Leadership Program for Students (PDNLP-S) was developed based on the ADDIE model (analysis, design, development, implementation, and evaluation). This quasi-experimental study design included 60 nursing students. The experimental group (n=30) participated in the PDNLP-S for 120-minute sessions over 5 weeks, while the control group (n=30) received usual lectures. The PDNLP-S included lectures, discussions, and individual and group activities to cultivate core nursing leadership competencies such as individual growth, collaboration, nursing excellence, creative problem-solving, and influence. Data were analyzed using descriptive statistics, the Mann-Whitney U-test, and the independent t-test with IBM SPSS Windows ver. 26.0. RESULTS: The experimental group demonstrated significant improvements in self-leadership (t=3.28, p=.001), interpersonal relationships (t=3.07, p=.002), clinical performance (U=268.50, p=.004), and problem-solving abilities (t=2.20, p=.017) compared to the control group. No significant difference was observed in nursing professionalism (t=0.50, p=.311). CONCLUSION: This study demonstrates that the PDNLP-S improved nursing students' self-leadership, interpersonal relationships, clinical performance, and problem-solving abilities. The PDNLP-S can play a significant role in cultivating future nurse leaders by enhancing these nursing leadership competencies among nursing students. FAU - Kim, Sunmi AU - Kim S AD - College of Nursing, Woosuk University, Wanju, Korea. FAU - Jeong, Young Ju AU - Jeong YJ AD - Department of Nursing, Wonkwang Health Science University, Iksan, Korea. FAU - Kim, Hee Sun AU - Kim HS AD - College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Korea. FAU - Jeong, Seok Hee AU - Jeong SH AD - College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Korea. FAU - Lee, Eun Jee AU - Lee EJ AD - College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Korea. LA - eng PT - Journal Article DEP - 20250225 PL - Korea (South) TA - J Korean Acad Nurs JT - Journal of Korean Academy of Nursing JID - 101488689 SB - IM MH - Humans MH - *Students, Nursing/psychology MH - *Leadership MH - *Problem Solving MH - Republic of Korea MH - Female MH - Male MH - Professionalism MH - *Interpersonal Relations MH - Adult MH - Young Adult MH - Surveys and Questionnaires MH - Program Evaluation MH - Education, Nursing, Baccalaureate MH - Clinical Competence OTO - NOTNLM OT - Leadership OT - Nursing OT - Program OT - Students EDAT- 2025/02/27 06:22 MHDA- 2025/02/27 06:23 CRDT- 2025/02/27 03:18 PHST- 2024/09/09 00:00 [received] PHST- 2025/01/24 00:00 [accepted] PHST- 2025/02/27 06:23 [medline] PHST- 2025/02/27 06:22 [pubmed] PHST- 2025/02/27 03:18 [entrez] AID - jkan.24110 [pii] AID - 10.4040/jkan.24110 [doi] PST - ppublish SO - J Korean Acad Nurs. 2025 Feb;55(1):137-151. doi: 10.4040/jkan.24110. Epub 2025 Feb 25. PMID- 39900411 OWN - NLM STAT- MEDLINE DCOM- 20250505 LR - 20250525 IS - 2044-6055 (Electronic) IS - 2044-6055 (Linking) VI - 15 IP - 2 DP - 2025 Feb 3 TI - Co-producing a safe mobility and falls informatics platform to drive meaningful quality improvement in the hospital setting: a mixed-methods protocol for the insightFall study. PG - e082053 LID - 10.1136/bmjopen-2023-082053 [doi] LID - e082053 AB - INTRODUCTION: Manual investigation of falls incidents for quality improvement is time-consuming for clinical staff. Routine care delivery generates a large volume of relevant data in disparate systems, yet these data are seldom integrated and transformed into real-time, actionable insights for frontline staff. This protocol describes the co-design and testing of a safe mobility and falls informatics platform for automated, real-time insights to support the learning response to inpatient falls. METHODS: Underpinned by the learning health system model and human-centred design principles, this mixed-methods study will involve (1) collaboration between healthcare professionals, patients, data scientists and researchers to co-design a safe mobility and falls informatics platform; (2) co-production of natural language processing pipelines and integration with a user interface for automated, near-real-time insights and (3) platform usability testing. Platform features (data taxonomy and insights display) will be co-designed during workshops with lay partners and clinical staff. The data to be included in the informatics platform will be curated from electronic health records and incident reports within an existing secure data environment, with appropriate data access approvals and controls. Exploratory analysis of a preliminary static dataset will examine the variety (structured/unstructured), veracity (accuracy/completeness) and value (clinical utility) of the data. Based on these initial insights and further consultation with lay partners and clinical staff, a final data extraction template will be agreed. Natural language processing pipelines will be co-produced, clinically validated and integrated with QlikView. Prototype testing will be underpinned by the Technology Acceptance Model, comprising a validated survey and think-aloud interviews to inform platform optimisation. ETHICS AND DISSEMINATION: This study protocol was approved by the National Institute for Health Research Imperial Biomedical Research Centre Data Access and Prioritisation Committee (Database: iCARE-Research Data Environment; REC reference: 21/SW/0120). Our dissemination plan includes presenting our findings to the National Falls Prevention Coordination Group, publication in peer-reviewed journals, conference presentations and sharing findings with patient groups most affected by falls in hospital. CI - © Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY. Published by BMJ Group. FAU - Lear, Rachael AU - Lear R AUID- ORCID: 0000-0002-8670-3799 AD - Robin Hood Lane Health Centre, Sutton, London, UK. AD - Imperial Clinical Analytics Research & Evaluation (iCARE) Secure Data Environment, NIHR Imperial Biomedical Research Centre, Imperial College Healthcare NHS Trust, London, UK. AD - Faculty of Medicine, Department of Surgery and Cancer, Imperial College London, London, UK. FAU - Averill, Phoebe AU - Averill P AD - Imperial Clinical Analytics Research & Evaluation (iCARE) Secure Data Environment, NIHR Imperial Biomedical Research Centre, Imperial College Healthcare NHS Trust, London, UK p.averill@imperial.ac.uk. AD - NIHR North West London Patient Safety Research Collaboration, Imperial College London, London, UK. FAU - Carenzo, Catalina AU - Carenzo C AD - Imperial Clinical Analytics Research & Evaluation (iCARE) Secure Data Environment, NIHR Imperial Biomedical Research Centre, Imperial College Healthcare NHS Trust, London, UK. AD - Faculty of Medicine, Department of Surgery and Cancer, Imperial College London, London, UK. FAU - Tao, Rachel AU - Tao R AD - Imperial Clinical Analytics Research & Evaluation (iCARE) Secure Data Environment, NIHR Imperial Biomedical Research Centre, Imperial College Healthcare NHS Trust, London, UK. AD - Faculty of Medicine, Department of Surgery and Cancer, Imperial College London, London, UK. FAU - Glampson, Ben AU - Glampson B AD - Imperial Clinical Analytics Research & Evaluation (iCARE) Secure Data Environment, NIHR Imperial Biomedical Research Centre, Imperial College Healthcare NHS Trust, London, UK. AD - Faculty of Medicine, Department of Surgery and Cancer, Imperial College London, London, UK. FAU - Leon-Villapalos, Clare AU - Leon-Villapalos C AUID- ORCID: 0000-0002-1610-0319 AD - Imperial College Healthcare NHS Trust, London, UK. FAU - Latchford, Robert AU - Latchford R AD - Imperial College Healthcare NHS Trust, London, UK. FAU - Mayer, Erik AU - Mayer E AD - Imperial Clinical Analytics Research & Evaluation (iCARE) Secure Data Environment, NIHR Imperial Biomedical Research Centre, Imperial College Healthcare NHS Trust, London, UK. AD - Faculty of Medicine, Department of Surgery and Cancer, Imperial College London, London, UK. AD - NIHR North West London Patient Safety Research Collaboration, Imperial College London, London, UK. AD - Imperial College Healthcare NHS Trust, London, UK. LA - eng PT - Journal Article DEP - 20250203 PL - England TA - BMJ Open JT - BMJ open JID - 101552874 SB - IM MH - *Accidental Falls/prevention & control MH - Humans MH - *Quality Improvement MH - Research Design MH - Hospitals MH - Electronic Health Records MH - *Medical Informatics MH - Natural Language Processing PMC - PMC11795406 OTO - NOTNLM OT - Electronic Health Records OT - Health & safety OT - Hospitals OT - Information Storage and Retrieval OT - Quality in health care OT - Safety COIS- Competing interests: None declared. EDAT- 2025/02/04 00:20 MHDA- 2025/02/04 00:21 PMCR- 2025/02/03 CRDT- 2025/02/03 20:53 PHST- 2025/02/04 00:21 [medline] PHST- 2025/02/04 00:20 [pubmed] PHST- 2025/02/03 20:53 [entrez] PHST- 2025/02/03 00:00 [pmc-release] AID - bmjopen-2023-082053 [pii] AID - 10.1136/bmjopen-2023-082053 [doi] PST - epublish SO - BMJ Open. 2025 Feb 3;15(2):e082053. doi: 10.1136/bmjopen-2023-082053. PMID- 38725412 OWN - NLM STAT- MEDLINE DCOM- 20250422 LR - 20250513 IS - 1938-2715 (Electronic) IS - 1049-9091 (Linking) VI - 42 IP - 3 DP - 2025 Mar TI - Impact of Implementing Serious Illness Conversations Across a Comprehensive Cancer Center Using an Interdisciplinary Approach. PG - 253-260 LID - 10.1177/10499091241252058 [doi] AB - BACKGROUND: Gaps in communication of end-of-life care preferences increase risk of patient harm. Adoption of oncology practice guidelines advocating serious illness communication for patients with advanced cancer is limited. OBJECTIVES: (1) Increase Serious Illness Conversation (SIC) use across oncology teams via an interdisciplinary quality improvement (QI) approach and (2) assess patient reported shared decision making (SDM) experiences with clinicians engaged in SIC implementation. DESIGN: QI methodology was applied to spread the implementation of SIC across 4 oncology teams. CollaboRATE scores were used to evaluate patient reported outcomes of SDM for patients with advanced cancer. SETTINGS/SUBJECTS: The SIC QI initiative was a component of the Promise Partnership Learning Health System (PPLHS) piloted in the Dartmouth Cancer Center, Lebanon, NH, USA. MEASUREMENTS: (1) The percentage of eligible patients with documented SIC and (2) a comparison of a patient reported measure of SDM (CollaboRATE) among SIC eligible patients in encounters with providers who took part in the implementation versus those who did not. RESULTS: Oncology teams screened a total of 538 patients, identified 278 eligible patients, and completed 144 SIC conversations. The teams improved the proportion of documented SIC among eligible patients from near 0% to a collective frequency of 52%. For clinicians' top-box CollaboRATE scores, a chi-squared test demonstrated a statistically significant association between providers implementing SIC into practice and patient reported shared decision making (.16, p = .031). CONCLUSIONS: This approach allows for tailoring of iterative improvement cycles to mitigate barriers and improve the practice of SIC among oncology teams. FAU - Guo, Karen AU - Guo K AUID- ORCID: 0009-0000-5886-8513 AD - The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA. RINGGOLD: 539576 FAU - Wasp, Garrett AU - Wasp G AD - The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA. RINGGOLD: 539576 AD - Section of Oncology, Department of Medicine, Dartmouth-Hitchcock Medical Center (DHMC), Lebanon, NH, USA. RINGGOLD: 22916 AD - Dartmouth Cancer Center, Lebanon, NH, USA. RINGGOLD: 25964 AD - Geisel School of Medicine at Dartmouth, Hanover, NH, USA. FAU - Vergo, Maxwell AU - Vergo M AD - Geisel School of Medicine at Dartmouth, Hanover, NH, USA. FAU - Wilson, Matthew AU - Wilson M AD - Geisel School of Medicine at Dartmouth, Hanover, NH, USA. FAU - Holthoff, Megan M AU - Holthoff MM AD - The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA. RINGGOLD: 539576 FAU - Buus-Frank, Madge E AU - Buus-Frank ME AD - The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA. RINGGOLD: 539576 AD - Section of Neonatology, Department of Pediatrics, The Children's Hospital at Dartmouth, Lebanon, NH, USA. RINGGOLD: 549985 FAU - Perry, James J AU - Perry JJ AD - Department of Operational Excellence, DHMC, Lebanon, NH, USA. RINGGOLD: 22916 FAU - Cullinan, Amelia M AU - Cullinan AM AD - Geisel School of Medicine at Dartmouth, Hanover, NH, USA. AD - Section of Palliative Care, Department of Medicine, DHMC, Lebanon, NH, USA. RINGGOLD: 22916 LA - eng PT - Journal Article DEP - 20240510 PL - United States TA - Am J Hosp Palliat Care JT - The American journal of hospice & palliative care JID - 9008229 SB - IM MH - Humans MH - Male MH - Female MH - *Neoplasms/psychology/therapy MH - Middle Aged MH - *Communication MH - Aged MH - Quality Improvement/organization & administration MH - Decision Making, Shared MH - Lebanon MH - *Cancer Care Facilities/organization & administration MH - *Patient Care Team/organization & administration MH - *Terminal Care/organization & administration/psychology MH - Adult OTO - NOTNLM OT - advance care planning OT - advanced cancer OT - palliative care OT - patient family adviser OT - quality improvement OT - serious illness conversation OT - shared decision making COIS- Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2024/05/10 06:42 MHDA- 2025/02/04 06:21 CRDT- 2024/05/10 03:33 PHST- 2025/02/04 06:21 [medline] PHST- 2024/05/10 06:42 [pubmed] PHST- 2024/05/10 03:33 [entrez] AID - 10.1177/10499091241252058 [doi] PST - ppublish SO - Am J Hosp Palliat Care. 2025 Mar;42(3):253-260. doi: 10.1177/10499091241252058. Epub 2024 May 10. PMID- 39253893 OWN - NLM STAT- MEDLINE DCOM- 20250423 LR - 20260323 IS - 1365-2753 (Electronic) IS - 1356-1294 (Linking) VI - 31 IP - 2 DP - 2025 Mar TI - Designing an integrated care pathway for spondyloarthritis: A Lean Thinking approach. PG - e14132 LID - 10.1111/jep.14132 [doi] AB - INTRODUCTION: Integrated care pathways (ICPs) are crucial for delivering individualised care. However, the development of ICPs is challenging and must be well designed to provide the expected benefits. Regarding this, healthcare organisations are increasingly adopting management systems based on Lean Thinking to improve their organisational processes by eliminating non-value-added steps. This study elucidates the process and evaluates the impact of applying Lean Thinking to redesign an ICP for patients with spondyloarthritis, a chronic inflammatory disease affecting young adults. METHODS: A multidisciplinary team was assembled and trained in Lean Thinking. Patient's perspective was gathered through a focus group. Guided by an expert methodologist, the team constructed a value stream map of the entire care pathway and analysed each step. Five work streams were defined to increase value at each step, leading to targeted process improvements. Key process and outcome metrics were collected and compared in 2-month baseline and post-implementation audits. RESULTS: A total of 118 patients were included in the baseline audit (September-October 2022), and 116 in the post-implementation audit (January-February 2023). Process redesign resulted in statistically significant improvements (p < 0.05), including a reduction in the mean number of hospital visits per patient over a 2-month period from 2.54 (SD = 0.93) to 1.84 (SD = 0.79), an increase in complementary exams scheduled on the same day (81.4% to 94.8%) and an increase in baseline disease and treatment education (from 22.2% to 84.2% and from 18.2% to 84.6%, respectively). Regarding standardisation of clinical practice, there were significant increases in collecting data for medical records on composite activity indices (76.3% to 95.7%), reporting of pharmacological treatment adherence (68.6% to 94%) and providing nonpharmacological recommendations (31.3% to 95.7%). CONCLUSIONS: The application of Lean Thinking to redesign the spondyloarthritis ICP led to significant improvements in outpatient appointment scheduling, reduced patient hospital visits, improved interdepartmental coordination and standardised clinical practice. CI - © 2024 John Wiley & Sons Ltd. FAU - Lobo-Prat, David AU - Lobo-Prat D AUID- ORCID: 0000-0002-4649-1904 AD - Rheumatology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. AD - Rheumatology Department, Hospital Universitari de Girona Dr Josep Trueta, Girona, Spain. AD - Faculty of Medicine, Universitat Autonoma de Barcelona, Barcelona, Spain. AD - Institut de Recerca Sant Pau (IR SANT PAU), Barcelona, Spain. FAU - Sainz, Luis AU - Sainz L AUID- ORCID: 0000-0001-9249-1983 AD - Rheumatology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. AD - Faculty of Medicine, Universitat Autonoma de Barcelona, Barcelona, Spain. AD - Institut de Recerca Sant Pau (IR SANT PAU), Barcelona, Spain. FAU - Laiz, Ana AU - Laiz A AUID- ORCID: 0000-0002-2820-4801 AD - Rheumatology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. AD - Faculty of Medicine, Universitat Autonoma de Barcelona, Barcelona, Spain. AD - Institut de Recerca Sant Pau (IR SANT PAU), Barcelona, Spain. FAU - De Dios, Anna AU - De Dios A AUID- ORCID: 0000-0001-5587-3106 AD - Faculty of Medicine, Universitat Autonoma de Barcelona, Barcelona, Spain. AD - Institut de Recerca Sant Pau (IR SANT PAU), Barcelona, Spain. AD - Digital Health Validation Center, Digital Health Unit, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. AD - Pharmacy Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. FAU - Fontcuberta, Lalis AU - Fontcuberta L AUID- ORCID: 0009-0007-8612-4379 AD - Lean Management Institute, Barcelona, Spain. FAU - Fernández, Susana AU - Fernández S AUID- ORCID: 0000-0002-3219-065X AD - Rheumatology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. AD - Institut de Recerca Sant Pau (IR SANT PAU), Barcelona, Spain. FAU - Masip, Montserrat AU - Masip M AUID- ORCID: 0000-0001-9517-2734 AD - Institut de Recerca Sant Pau (IR SANT PAU), Barcelona, Spain. AD - Pharmacy Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. FAU - Riera, Pau AU - Riera P AUID- ORCID: 0000-0002-3074-3927 AD - Institut de Recerca Sant Pau (IR SANT PAU), Barcelona, Spain. AD - Pharmacy Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. AD - CIBER de Enfermedades Raras (CIBERER), Instituto de Salud Carlos III, Madrid, Spain. FAU - Pagès-Puigdemont, Neus AU - Pagès-Puigdemont N AUID- ORCID: 0000-0003-4788-2728 AD - Institut de Recerca Sant Pau (IR SANT PAU), Barcelona, Spain. AD - Pharmacy Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. FAU - Ros, Sandra AU - Ros S AUID- ORCID: 0000-0002-6267-1059 AD - Rheumatology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. AD - Institut de Recerca Sant Pau (IR SANT PAU), Barcelona, Spain. FAU - Gomis-Pastor, Mar AU - Gomis-Pastor M AUID- ORCID: 0000-0003-4097-9316 AD - Institut de Recerca Sant Pau (IR SANT PAU), Barcelona, Spain. AD - Digital Health Validation Center, Digital Health Unit, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. FAU - Corominas, Hèctor AU - Corominas H AUID- ORCID: 0000-0002-7738-6787 AD - Rheumatology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. AD - Faculty of Medicine, Universitat Autonoma de Barcelona, Barcelona, Spain. AD - Institut de Recerca Sant Pau (IR SANT PAU), Barcelona, Spain. LA - eng GR - Novartis/ PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20240910 PL - England TA - J Eval Clin Pract JT - Journal of evaluation in clinical practice JID - 9609066 SB - IM MH - Humans MH - *Delivery of Health Care, Integrated/organization & administration MH - *Spondylarthritis/therapy MH - Focus Groups MH - Adult MH - Male MH - Female MH - *Critical Pathways/organization & administration MH - Patient Care Team/organization & administration MH - Quality Improvement/organization & administration OTO - NOTNLM OT - Lean Thinking OT - integrated care OT - patient engagement OT - spondylarthritis OT - value‐based healthcare EDAT- 2024/09/10 06:43 MHDA- 2025/03/26 12:30 CRDT- 2024/09/10 05:43 PHST- 2024/08/07 00:00 [revised] PHST- 2024/05/01 00:00 [received] PHST- 2024/08/16 00:00 [accepted] PHST- 2025/03/26 12:30 [medline] PHST- 2024/09/10 06:43 [pubmed] PHST- 2024/09/10 05:43 [entrez] AID - 10.1111/jep.14132 [doi] PST - ppublish SO - J Eval Clin Pract. 2025 Mar;31(2):e14132. doi: 10.1111/jep.14132. Epub 2024 Sep 10. PMID- 39361157 OWN - NLM STAT- MEDLINE DCOM- 20250317 LR - 20260510 IS - 1573-3289 (Electronic) IS - 0894-587X (Print) IS - 0894-587X (Linking) VI - 52 IP - 2 DP - 2025 Mar TI - Navigating Uncertainty: Adapting Guidance for Mental Health During the COVID-19 Public Health Emergency & the Crucial Role of Bi-directional Feedback. PG - 364-378 LID - 10.1007/s10488-024-01412-z [doi] AB - In response to the COVID-19 public health emergency, state and local mental health authorities rapidly developed and disseminated guidance to community mental health agencies. While tailored communication is effective to reach target audiences under usual circumstances, strategies to facilitate the implementation of guidance amidst a rapidly evolving public health emergency are not well understood. This project sought to understand factors informing decision-making about adaptations to guidance, and strategies used to disseminate and facilitate guidance implementation among system-level community partners in OnTrackNY Coordinated Specialty Care (CSC) programs for early psychosis. Semi-structured interviews were conducted with New York State Office of Mental Health (NYS OMH) state and local mental health authorities including state leaders (n = 3) and NYS OMH field office directors (n = 4), OnTrackNY program directors (n = 4), and leadership and trainers of an intermediary organization, OnTrack Central (n = 12). Interviews were analyzed using content analysis. Code reports relevant to guidance decision-making and dissemination were reviewed to identify emerging themes. For state and local mental health authorities, decision-making was influenced by changing COVID-19 risk levels, need for alignment between federal and local guidance, and balancing support for workforce capacity and mental health service continuity. For OnTrackNY program directors, decision-making was influenced by internal infrastructure and processes (e.g., program autonomy), availability of resources (e.g., technology), and perspective on managing risk and uncertainty (e.g., COVID-19, regulatory waiver expiration). For OnTrack Central, decision-making focused on balancing CSC model fidelity with OnTrackNY team capacity and resources. Dissemination of guidance consisted of mass and targeted strategies. Information flow was bidirectional such that top-down dissemination of guidance (e.g., from state mental health authorities to providers) was informed and refined with bottom-up feedback (e.g., from providers to state leadership) through surveys and professional forums (e.g., COVID-19 town halls, provider learning collaboratives). Unlike a planned approach to disseminate new policies, public health emergencies create variable landscapes that may warrant a deeper understanding of how guidance may be adapted to fit rapidly evolving community partner needs. Findings may inform efforts to identify processes that contribute to adaptation and dissemination of guidance for mental health during future public health emergencies. CI - © 2024. The Author(s). FAU - Montague, Elaina AU - Montague E AUID- ORCID: 0000-0002-5996-9700 AD - Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA. emontague@northwell.edu. AD - Department of Psychiatry, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA. emontague@northwell.edu. AD - Division of Behavioral Health Services and Policy Research, New York State Psychiatric Institute, New York, NY, USA. emontague@northwell.edu. FAU - Mendon-Plasek, Sapna J AU - Mendon-Plasek SJ AD - RAND, Boston, MA, USA. FAU - Stefancic, Ana AU - Stefancic A AD - Department of Psychiatry, Columbia University, New York, NY, USA. AD - Division of Clinical Therapeutics, New York State Psychiatric Institute, New York, NY, USA. FAU - Patel, Sapana R AU - Patel SR AD - Division of Behavioral Health Services and Policy Research, New York State Psychiatric Institute, New York, NY, USA. AD - Department of Psychiatry, Columbia Vagelos College of Physicians and Surgeons, New York, NY, USA. FAU - Florence, Ana C AU - Florence AC AD - Division of Behavioral Health Services and Policy Research, New York State Psychiatric Institute, New York, NY, USA. AD - Department of Psychiatry, Columbia University, New York, NY, USA. FAU - Bello, Iruma AU - Bello I AD - Division of Behavioral Health Services and Policy Research, New York State Psychiatric Institute, New York, NY, USA. AD - Department of Psychiatry, Columbia Vagelos College of Physicians and Surgeons, New York, NY, USA. FAU - Rahim, Reanne AU - Rahim R AD - Institute for Excellence in Health Equity, NYU Langone, New York, NY, USA. FAU - Giannicchi, Anna A AU - Giannicchi AA AD - Department of Psychology, Saint John's University, Queens, NY, USA. FAU - Nossel, Ilana R AU - Nossel IR AD - Division of Behavioral Health Services and Policy Research, New York State Psychiatric Institute, New York, NY, USA. AD - Department of Psychiatry, Columbia Vagelos College of Physicians and Surgeons, New York, NY, USA. FAU - Cabassa, Leopoldo J AU - Cabassa LJ AD - George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, MO, USA. AD - Center for Mental Health Services Research, Washington University in St. Louis, St. Louis, MO, USA. FAU - Dixon, Lisa AU - Dixon L AD - Division of Behavioral Health Services and Policy Research, New York State Psychiatric Institute, New York, NY, USA. AD - Department of Psychiatry, Columbia Vagelos College of Physicians and Surgeons, New York, NY, USA. LA - eng GR - R01 MH120597/MH/NIMH NIH HHS/United States GR - R01MH120597/MH/NIMH NIH HHS/United States GR - R01MH120597-02S1/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20241003 PL - United States TA - Adm Policy Ment Health JT - Administration and policy in mental health JID - 8914574 SB - IM MH - Uncertainty MH - *COVID-19/epidemiology/prevention & control MH - Mental Health MH - *Mental Health Services/organization & administration/standards MH - Pandemics/prevention & control MH - *Emergencies MH - *Psychotic Disorders/therapy MH - Decision Making, Organizational MH - Practice Guidelines as Topic MH - Intersectoral Collaboration MH - New York MH - Community Mental Health Services/organization & administration/standards MH - Feedback MH - Local Government MH - Humans MH - Quality Improvement MH - Mental Health Teletherapy/organization & administration/standards MH - Organizational Culture MH - Interviews as Topic MH - Professional Role PMC - PMC11903506 OTO - NOTNLM OT - COVID-19 OT - Dissemination OT - Learning health system OT - Mental health services OT - Policy and guidance OT - Public health emergency COIS- Declarations. Conflict of interest: The authors have no relevant financial or non-financial interests to disclose. Ethical Approval: All activities were conducted as part of quality improvement and the project was determined to be non-human subjects research by the New York State Psychiatric Institute Institutional Review Board. Informed consent was obtained verbally prior to participation in interviews. EDAT- 2024/10/03 12:45 MHDA- 2025/03/12 18:17 PMCR- 2024/10/03 CRDT- 2024/10/03 11:14 PHST- 2024/09/10 00:00 [accepted] PHST- 2025/03/12 18:17 [medline] PHST- 2024/10/03 12:45 [pubmed] PHST- 2024/10/03 11:14 [entrez] PHST- 2024/10/03 00:00 [pmc-release] AID - 10.1007/s10488-024-01412-z [pii] AID - 1412 [pii] AID - 10.1007/s10488-024-01412-z [doi] PST - ppublish SO - Adm Policy Ment Health. 2025 Mar;52(2):364-378. doi: 10.1007/s10488-024-01412-z. Epub 2024 Oct 3. PMID- 39586017 OWN - NLM STAT- MEDLINE DCOM- 20250228 LR - 20260630 IS - 1535-4970 (Electronic) IS - 1073-449X (Print) IS - 1073-449X (Linking) VI - 211 IP - 3 DP - 2025 Mar TI - Randomized Clinical Trial of the Four Supports Intervention for Surrogate Decision-Makers in Intensive Care Units. PG - 370-380 LID - 10.1164/rccm.202405-0931OC [doi] AB - Rationale: Individuals acting as surrogate decision-makers for critically ill patients frequently struggle in this role and experience high levels of long-term psychological distress. Prior interventions that were designed solely to improve information sharing between clinicians and family members have been ineffective. Objectives: We sought to examine the impact of a multicomponent family support intervention on patient and family outcomes. Methods: We conducted a patient-level randomized clinical trial at six ICUs in a healthcare system in Pennsylvania. An external interventionist interacted daily with surrogate decision-makers for incapacitated, critically ill patients at high risk of death or severe long-term functional impairment to deliver four types of protocolized support during the ICU stay: emotional support; communication support; decisional support; and, if indicated, anticipatory grief support. The control condition involved usual care plus two brief education sessions about critical illness. Measurements and Main Results: Primary outcome was the surrogates' scores on the Hospital Anxiety and Depression Scale at 6 months (range = 0-42). A total of 444 surrogates of 291 patients were enrolled (233 surrogates in intervention and 211 in control). The Four Supports intervention was delivered with high fidelity (frequency of per protocol delivery of key intervention elements, 97.1%; quality rating of intervention delivery, 2.9 ± 0.2 on a scale ranging from 1 to 3, with higher scores indicating higher quality of intervention delivery). There was no intervention effect on the primary outcome, surrogates' Hospital Anxiety and Depression Scale total scores at 6-month follow-up (β = 0.06; 95% confidence interval, -0.07 to 0.19; P = 0.35), or the prespecified secondary outcomes. Conclusions: Among critically ill patients at high risk of death or functional impairment, a family support intervention delivered by an external interventionist did not reduce surrogates' long-term psychological symptom burden.Clinical trial registered with www.clinicaltrials.gov (NCT01982877). FAU - Butler, Rachel A AU - Butler RA AUID- ORCID: 0000-0001-7024-3575 AD - Department of Critical Care Medicine. FAU - Seaman, Jennifer B AU - Seaman JB AD - Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania. FAU - Felman, Kristyn AU - Felman K AD - Department of Physical Medicine and Rehabilitation. FAU - Stonehouse, Wendy AU - Stonehouse W AD - Experiential Learning Program, Nightingale College, Pittsburgh, Pennsylvania. FAU - San Pedro, Rachel AU - San Pedro R AD - Department of Occupational Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania. FAU - Morse, Jennifer Q AU - Morse JQ AD - School of the Health Sciences, Chatham University, Pittsburgh, Pennsylvania. FAU - Chang, Chung-Chou H AU - Chang CH AD - Department of Critical Care Medicine. AD - Section of Palliative Care and Medical Ethics, Division of General Internal Medicine, Department of Medicine, and. FAU - Lincoln, Taylor AU - Lincoln T AD - Department of Critical Care Medicine. AD - Section of Palliative Care and Medical Ethics, Division of General Internal Medicine, Department of Medicine, and. FAU - Reynolds, Charles F 3rd AU - Reynolds CF 3rd AD - Department of Psychiatry, School of Medicine, and. FAU - Landefeld, Seth AU - Landefeld S AD - Department of Medicine, University of Alabama School of Medicine, Birmingham, Alabama. FAU - Happ, Mary Beth AU - Happ MB AD - Center for Healthy Aging, Self-Management and Complex Care, The Ohio State University College of Nursing, Columbus, Ohio. FAU - Song, Mi-Kyung AU - Song MK AD - Center for Nursing Excellence in Palliative Care, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia; and. FAU - Angus, Derek C AU - Angus DC AD - Department of Critical Care Medicine. FAU - Arnold, Robert M AU - Arnold RM AD - Section of Palliative Care and Medical Ethics, Division of General Internal Medicine, Department of Medicine, and. AD - UPMC Palliative and Supportive Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. FAU - White, Douglas B AU - White DB AUID- ORCID: 0000-0003-2269-4173 AD - Department of Critical Care Medicine. LA - eng SI - ClinicalTrials.gov/NCT01982877 GR - K24 HL148314/HL/NHLBI NIH HHS/United States GR - R01 AG045176/AG/NIA NIH HHS/United States GR - K24HL148314/HL/NHLBI NIH HHS/United States GR - R01AG045176/AG/NIA NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PL - England TA - Am J Respir Crit Care Med JT - American journal of respiratory and critical care medicine JID - 9421642 SB - IM CIN - Am J Respir Crit Care Med. 2025 Mar;211(3):309-311. doi: 10.1164/rccm.202411-2233ED. PMID: 39680954 MH - Humans MH - Female MH - Male MH - *Intensive Care Units MH - Middle Aged MH - *Critical Illness/psychology/therapy MH - Pennsylvania MH - Aged MH - *Decision Making MH - *Family/psychology MH - Social Support MH - Adult MH - *Critical Care/psychology MH - Anxiety/prevention & control PMC - PMC11936126 OTO - NOTNLM OT - clinical trial OT - communication OT - critical care OT - decision-making OT - family support EDAT- 2024/11/25 18:27 MHDA- 2025/02/28 12:24 PMCR- 2026/03/01 CRDT- 2024/11/25 15:33 PHST- 2025/02/28 12:24 [medline] PHST- 2024/11/25 18:27 [pubmed] PHST- 2024/11/25 15:33 [entrez] PHST- 2026/03/01 00:00 [pmc-release] AID - 10.1164/rccm.202405-0931OC [doi] PST - ppublish SO - Am J Respir Crit Care Med. 2025 Mar;211(3):370-380. doi: 10.1164/rccm.202405-0931OC. PMID- 39611248 OWN - NLM STAT- MEDLINE DCOM- 20250426 LR - 20250517 IS - 1741-6612 (Electronic) IS - 1440-6381 (Linking) VI - 44 IP - 1 DP - 2025 Mar TI - Using real-time Delphi methods to develop a consensus-based framework to improve nursing assessment in residential aged care. PG - e13387 LID - 10.1111/ajag.13387 [doi] AB - OBJECTIVES: Evidence-based tools are needed to support aged care nurses in recognising and responding to changes in residents' conditions and clinical deterioration. Systematised emergency nursing frameworks such as HIRAID® (History including Infection risk, Red flags, Assessment, Interventions, Diagnostics, reassessment and communication) assist nurses in accurately assessing and documenting a patient's condition and identifying and prioritising care needs. This study aimed to adapt the HIRAID® emergency nursing framework for use in the residential aged care setting. METHODS: A real-time Delphi method was employed to contextually adapt the HIRAID® framework. Twelve expert health-care clinical leaders with understanding of patient assessment and residential aged care management were recruited through purposive sampling. Panel consensus was established a priori at 80%. A secondary measure of panel stability was used to understand panel consensus. RESULTS: Consensus was reached after two survey rounds. In Round 1, 105 (88%) of 119 items were accepted after reaching consensus. In Round 2, all remaining 29 items reached consensus, whereby 20 were accepted and nine rejected. Key modifications were identified for 'History', which needed to consider more comprehensive and adaptive techniques, and 'Interventions' and 'Diagnostics', where differences arose in the scope of practice of aged care nurses compared to their acute care counterparts. CONCLUSION: The study demonstrated how a small expert multidisciplinary health-care panel can be stable and reach consensus to adapt and contextualise an emergency care framework to the aged care setting. These findings will form the content to scaffold educational resources to support learning and practice change. CI - © 2024 AJA Inc’. FAU - Fry, Margaret AU - Fry M AD - Faculty of Health, School of Nursing and Midwifery, University of Technology Sydney, Ultimo, New South Wales, Australia. AD - Northern Sydney Local Health District, New South Wales, Australia. FAU - Curtis, Kate AU - Curtis K AD - Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Camperdown, New South Wales, Australia. AD - Emergency Services, Illawarra Shoalhaven Local Health District, Wollongong Hospital, Wollongong, New South Wales, Australia. FAU - Considine, Julie AU - Considine J AD - School of Nursing and Midwifery and Centre for Quality and Patient Safety Research in the Centre for Health Transformation, Deakin University, Geelong, Victoria, Australia. AD - Eastern Health, Box Hill, Victoria, Australia. FAU - Viengkham, Catherine AU - Viengkham C AD - Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Camperdown, New South Wales, Australia. FAU - Watson, Karen AU - Watson K AD - Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Camperdown, New South Wales, Australia. FAU - Dunsmore, Moira AU - Dunsmore M AD - Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Camperdown, New South Wales, Australia. FAU - Shaban, Ramon Z AU - Shaban RZ AUID- ORCID: 0000-0002-5203-0557 AD - Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Camperdown, New South Wales, Australia. AD - Faculty of Medicine and Health, Sydney Institute of Infectious Diseases, The University of Sydney, Camperdown, New South Wales, Australia. AD - Research and Education Network, Western Sydney Local Health District, Westmead, New South Wales, Australia. AD - New South Wales High Consequence Infectious Disease Advisory Service, Westmead Hospital, Western Sydney Local Health District, Westmead, New South Wales, Australia. LA - eng GR - APP2023190/National Health and Medical Research Council Medical Research Future Fund Clinician Researcher Initiative/ PT - Journal Article DEP - 20241129 PL - Australia TA - Australas J Ageing JT - Australasian journal on ageing JID - 9808874 SB - IM MH - *Delphi Technique MH - Humans MH - Consensus MH - *Homes for the Aged/standards MH - *Nursing Homes/standards MH - *Nursing Assessment/standards/methods MH - *Geriatric Assessment/methods MH - Aged MH - *Geriatric Nursing/standards MH - *Quality Improvement/standards OTO - NOTNLM OT - health services for the aged OT - homes for the aged OT - nursing OT - nursing care OT - quality of health care EDAT- 2024/11/29 06:21 MHDA- 2025/01/21 09:03 CRDT- 2024/11/29 04:53 PHST- 2024/09/18 00:00 [revised] PHST- 2024/05/08 00:00 [received] PHST- 2024/09/26 00:00 [accepted] PHST- 2025/01/21 09:03 [medline] PHST- 2024/11/29 06:21 [pubmed] PHST- 2024/11/29 04:53 [entrez] AID - 10.1111/ajag.13387 [doi] PST - ppublish SO - Australas J Ageing. 2025 Mar;44(1):e13387. doi: 10.1111/ajag.13387. Epub 2024 Nov 29. PMID- 40186743 OWN - NLM STAT- MEDLINE DCOM- 20250515 LR - 20250515 IS - 1478-5153 (Electronic) IS - 1362-1017 (Linking) VI - 30 IP - 3 DP - 2025 May TI - Nurse-led evidence-based quality improvement programme to improve intensive care unit patient sleep quality. PG - e70028 LID - 10.1111/nicc.70028 [doi] AB - BACKGROUND: Patients in the intensive care unit (ICU) suffer from significant sleep disturbances, which can negatively impact their healing and overall health. Nurses, as the primary caregivers, need to have expertise in sleep management to ensure better patient outcomes. Implementing nurse-led, evidence-based sleep protocols in ICUs is crucial. AIM: This study aimed to improve ICU patients' sleep quality by developing and implementing a nurse-led, evidence-based SLEEP Bundle, including Sleep initiative, Light control, Eye mask and earplugs usage, Environment noise cancellation and Provision of non-pharmacological (aromatherapy and music therapy) and pharmacological (dexmedetomidine and painkillers) support. METHODS: The Framework of Evidence-based Continuous Quality Improvement and the Ottawa Model of Research Use framework were used to guide the development, implementation and assessment of the SLEEP Bundle. A quasi-experimental study was conducted in a 12-bed surgical intensive care unit (SICU), assessing patient-perceived sleep quality, nurses' self-report knowledge, attitudes and actions regarding patient sleep conditions and nurses' adherence to the interventions. INTERVENTIONS: In order to successfully translate evidence into clinical practice, the protocol was crafted with significant nurse involvement, input in sleep promotion materials and a flexible continuing education component, which provided credits to encourage nurse participation. A sleep-aid kit, complete with non-pharmacological tools, and a system of regular quality control and feedback were integral to the clinical application of the protocol. RESULTS: The intervention significantly enhanced ICU patients' sleep quality, as evidenced by a significant increase in Richards-Campbell Sleep Questionnaire scores from 62 (IQR = 48-72) to 70 (IQR = 62-76) (95% CI [-10.000, -6.000], Z = -6.100, p < .001). Nurses demonstrated a 100% agreement in knowledge items and a significant upsurge in action items following the intervention. Concurrently, adherence to practice standards showed notable improvements in sleep management practices, including enhanced sleep quality assessment, daytime functional exercise support and compliance with environmental regulations, along with increased use of earplugs, eye masks and aromatherapy/music therapy. CONCLUSIONS: The study highlights the effectiveness and feasibility of a nurse-led sleep management strategy, as demonstrated by improved patient outcomes and increased nurse adherence to sleep promotion interventions. RELEVANCE TO CLINICAL PRACTICE: The significant improvements in sleep quality as well as the increased adherence to evidence-based interventions by nurses suggest that this SLEEP Bundle could be effectively translated to other clinical settings. CI - © 2025 British Association of Critical Care Nurses. FAU - Wang, Weidi AU - Wang W AUID- ORCID: 0000-0003-2233-2906 AD - Department of Nursing, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Cao, Xinyan AU - Cao X AD - Department of Nursing, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Luan, Jiabin AU - Luan J AD - Department of Nursing, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Zhang, Qi AU - Zhang Q AD - Department of Nursing, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Cai, Chun AU - Cai C AD - Department of Nursing, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Han, Juan AU - Han J AD - Department of Nursing, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. LA - eng GR - TJJXYJ2023029/Tongji Medical College, Huazhong University of Science and Technology/ PT - Journal Article PL - England TA - Nurs Crit Care JT - Nursing in critical care JID - 9808649 SB - IM MH - Humans MH - *Quality Improvement MH - *Sleep Quality MH - *Intensive Care Units MH - *Critical Care Nursing MH - *Evidence-Based Nursing MH - Female MH - Male MH - *Sleep Wake Disorders/nursing MH - Middle Aged OTO - NOTNLM OT - evidence‐based practice OT - intensive care OT - nurse‐led programme OT - quality improvement OT - sleep quality EDAT- 2025/04/05 16:34 MHDA- 2025/04/05 16:35 CRDT- 2025/04/05 11:06 PHST- 2025/02/06 00:00 [revised] PHST- 2024/10/11 00:00 [received] PHST- 2025/03/10 00:00 [accepted] PHST- 2025/04/05 16:35 [medline] PHST- 2025/04/05 16:34 [pubmed] PHST- 2025/04/05 11:06 [entrez] AID - 10.1111/nicc.70028 [doi] PST - ppublish SO - Nurs Crit Care. 2025 May;30(3):e70028. doi: 10.1111/nicc.70028. PMID- 39212322 OWN - NLM STAT- MEDLINE DCOM- 20250609 LR - 20250609 IS - 1938-2421 (Electronic) IS - 0148-4834 (Linking) VI - 64 IP - 6 DP - 2025 Jun TI - Differentiation and Integration of Research, Evidence-Based Practice, and Quality Improvement. PG - e44-e47 LID - 10.3928/01484834-20240514-01 [doi] AB - BACKGROUND: Substantial discrepancies exist in how research, evidence-based practice (EBP), and quality improvement (QI) are taught to nursing students across academic levels. As nursing education programs adopt the new The Essentials: Core Competencies for Professional Nursing Education and move toward competency-based education, prelicensure and advanced nursing students will need to demonstrate research, EBP, and QI competencies; therefore, faculty must possess the knowledge and skills to teach these paradigms' differences and integration. METHOD: An evidence-based approach that builds on the literature and our experience as nurses and educators was used to develop this educational innovation. RESULTS: An innovative representation in table and figure format of the differences and interdependence of research, EBP, and QI is presented herein. CONCLUSION: These documents clarify the evolving differences, similarities, and synergies as a framework for faculty development. [J Nurs Educ. 2025;64(6):e44-e47.]. FAU - Dunlap, Jayne Jennings AU - Dunlap JJ FAU - Waldrop, Julee Briscoe AU - Waldrop JB FAU - Brewer, Tracy L AU - Brewer TL FAU - Mainous, Rosalie O AU - Mainous RO LA - eng PT - Journal Article DEP - 20240903 PL - United States TA - J Nurs Educ JT - The Journal of nursing education JID - 7705432 SB - IM MH - Humans MH - *Quality Improvement MH - *Evidence-Based Practice/education MH - Curriculum MH - *Nursing Research/education MH - Nursing Education Research MH - *Education, Nursing, Baccalaureate/organization & administration MH - *Evidence-Based Nursing/education MH - Faculty, Nursing COIS- Disclosure: Dr. Mainous has received no payment for serving on the Hope Center Board. The remaining authors have disclosed no potential conflicts of interest, financial or otherwise. EDAT- 2024/08/31 09:49 MHDA- 2025/06/09 18:28 CRDT- 2024/08/30 08:23 PHST- 2025/06/09 18:28 [medline] PHST- 2024/08/31 09:49 [pubmed] PHST- 2024/08/30 08:23 [entrez] AID - 10.3928/01484834-20240514-01 [doi] PST - ppublish SO - J Nurs Educ. 2025 Jun;64(6):e44-e47. doi: 10.3928/01484834-20240514-01. Epub 2024 Sep 3. PMID- 40163207 OWN - NLM STAT- MEDLINE DCOM- 20250602 LR - 20260401 IS - 2168-6211 (Electronic) IS - 2168-6203 (Print) IS - 2168-6203 (Linking) VI - 179 IP - 6 DP - 2025 Jun 1 TI - Evidence-Informed Quality Indicators for Pediatric Trauma Care. PG - 666-674 LID - 10.1001/jamapediatrics.2025.0036 [doi] AB - IMPORTANCE: Despite the unique physiological characteristics and health care needs of pediatric trauma patients, there is a lack of quality indicators (QIs) based on pediatric-specific evidence to support quality improvement in this population. OBJECTIVE: To develop a consensus-based set of QIs for acute pediatric trauma care that considers evidence on effectiveness, safety, cost-effectiveness, equity, and caregiver perspectives and is applicable in pediatric and nonpediatric trauma centers. DESIGN, SETTING, AND PARTICIPANTS: A modified Research and Development (RAND)/University of California Los Angeles (UCLA) expert consensus study was conducted consisting of an online survey and a virtual workshop, led by an independent moderator. Panelists represented key areas of pediatric trauma patient management, diverse care settings (from level I pediatric trauma centers to level III referring centers), 5 high-resource countries, and caregivers. Data were analyzed from May to August 2024. EXPOSURE: Likert-scale ratings of 41 QIs. MAIN OUTCOMES AND MEASURES: Panelists rated 41 QIs on a 7-point Likert scale according to 4 criteria: importance, supporting evidence, actionability, and measurability. QIs with a global score of 24 of 28 or greater and an importance score of 6 of 7 or greater were considered accepted by consensus. RESULTS: A total of 65 experts were invited, of whom 59 accepted (91%; 25 over 50 years of age [44.7%]; 34 female [60.7%]), 56 (95%) completed the first round, and 54 (92%) completed both rounds. Twenty-three QIs were selected covering key areas of acute pediatric trauma management (eg, transfer to a pediatric trauma center for neurotrauma or major multisystem trauma, documentation of vital signs, early rehabilitation, nutritional support), the most common types of injuries (eg, hypertonic saline in severe traumatic brain injury, stabilization of femoral shaft fractures, nonoperative management of solid organ injuries), value in care (eg, imaging in children at low risk on a clinical decision rule), patient-centered care (eg, designated support person, caregiver presence), and equity (eg, mental health screening). CONCLUSIONS: These results may be used by trauma quality improvement programs in high-resource countries to select context-specific quality indicators to improve the effectiveness, safety, cost-effectiveness, equity, and patient-centered nature of pediatric trauma care. FAU - Moore, Lynne AU - Moore L AD - Population Health and Optimal Health Practices Research Unit, Trauma-Emergency-Critical Care Medicine, Centre de Recherche du CHU de Québec-Université Laval (Hôpital de l'Enfant-Jésus), Québec, Québec, Canada. AD - Department of Social and Preventative Medicine, Université Laval, Québec, Québec, Canada. FAU - Yanchar, Natalie L AU - Yanchar NL AD - Department of Surgery, University of Calgary, Calgary, Alberta, Canada. FAU - Tardif, Pier-Alexandre AU - Tardif PA AD - Population Health and Optimal Health Practices Research Unit, Centre de Recherche du CHU de Québec (Hôpital de l'Enfant-Jésus), Université Laval, Québec, Québec, Canada. FAU - Weiss, Matthew AU - Weiss M AD - Department of Pediatrics, Centre Mère-Enfant Soleil du CHU de Québec, Université Laval, Québec, Québec, Canada. FAU - Beaulieu, Emilie AU - Beaulieu E AD - Département de Pédiatrie, Faculté de Médecine, Centre Hospitalier Universitaire de Québec-Université Laval, Quebec City, Quebec, Canada. FAU - Stang, Antonia AU - Stang A AD - Department of Pediatrics, Emergency Medicine, and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. FAU - Gagnon, Isabelle AU - Gagnon I AD - Montreal Children's Hospital, Division of Pediatric Emergency Medicine, McGill University Health Centre, Montréal, Quebec, Canada. FAU - Gabbe, Belinda AU - Gabbe B AD - School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia. FAU - Stelfox, Thomas AU - Stelfox T AD - Department of Critical Care Medicine, O'Brien Institute for Public Health, University of Calgary, Calgary, Alberta, Canada. AD - Department of Medicine, O'Brien Institute for Public Health, University of Calgary, Calgary, Alberta, Canada. AD - Department of Community Health Sciences, O'Brien Institute for Public Health, University of Calgary, Calgary, Alberta, Canada. FAU - Pike, Ian AU - Pike I AD - Department of Pediatrics, The University of British Columbia, Vancouver, British Columbia, Canada. AD - BC Children's Hospital Research Institute, BC Children's Hospital, Vancouver, British Columbia, Canada. FAU - Macpherson, Alison AU - Macpherson A AD - School of Kinesiology and Health Science, York University, Toronto, Ontario, Canada. FAU - Berthelot, Simon AU - Berthelot S AD - Population Health and Optimal Health Practices Research Unit, Trauma-Emergency-Critical Care Medicine, Centre de Recherche du CHU de Québec-Université Laval (Hôpital de l'Enfant-Jésus), Québec, Québec, Canada. FAU - Klassen, Terry AU - Klassen T AD - George & Fay Yee Centre for Health Care Innovation, Children's Hospital Research Institute of Manitoba, Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada. FAU - Beno, Suzanne AU - Beno S AD - Division of Emergency Medicine, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada. FAU - Carsen, Sasha AU - Carsen S AD - Division of Orthopaedic Surgery, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada. FAU - Labrosse, Mélanie AU - Labrosse M AD - Division of Emergency Medicine, Department of Pediatrics, CHU Sainte-Justine, Université de Montréal, Montréal, Quebec, Canada. FAU - Zemek, Roger AU - Zemek R AD - Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada. FAU - Priestap, Fran AU - Priestap F AD - Trauma Program, London Health Sciences Centre,, London, Ontario, Canada. FAU - Burstein, Brett AU - Burstein B AD - Montreal Children's Hospital, Division of Pediatric Emergency Medicine, McGill University Health Centre, Montréal, Quebec, Canada. AD - Department of Biostatistics, Epidemiology and Occupational Health, McGill University, Montréal, Quebec, Canada. FAU - Remick, Katherine E AU - Remick KE AD - Department of Pediatrics, Dell Medical School at the University of Texas at Austin, Austin. FAU - Yeates, Keith Owen AU - Yeates KO AD - Department of Psychology, Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada. AD - Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada. FAU - Merritt, Neil AU - Merritt N AD - Department of Surgery, Western University, London, Ontario, Canada. FAU - Kuppermann, Nathan AU - Kuppermann N AD - The Departments of Pediatrics and Emergency Medicine, George Washington School of Medicine and Health Sciences, Children's National Hospital, Washington, DC. FAU - Loellgen, Ruth AU - Loellgen R AD - Department of Pediatric Emergency Medicine, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden. FAU - Davis, Naomi AU - Davis N AD - Division of Nursing, Midwifery & Social Work, School of Health Sciences, University of Manchester, Manchester, United Kingdom. FAU - Lecky, Fiona AU - Lecky F AD - School of Health and Related Research, University of Sheffield, Sheffield, United Kingdom. AD - Trauma Audit and Research Network, United Kingdom. FAU - Teague, Warwick AU - Teague W AD - Department of Paediatric Surgery, The Royal Children's Hospital, Melbourne, Victoria, Australia. FAU - Holland, Andrew AU - Holland A AD - The Burns Unit, The Children's Hospital at Westmead Burns Research Institute, Westmead, New South Wales, Australia. FAU - Malo, Christian AU - Malo C AD - Département de Médicine Familiale et de Médicine d'Urgence, Faculté de Médecine, Université Laval, Québec City, Québec, Canada. FAU - Beaudin, Marianne AU - Beaudin M AD - Department of Paediatric Surgery, Sainte-Justine Hospital, Université de Montréal, Montréal, Québec, Canada. FAU - Archambault, Patrick AU - Archambault P AD - Population Health and Optimal Health Practices Research Unit, Centre de Recherche du CHU de Québec (Hôpital de l'Enfant-Jésus), Université Laval, Québec, Québec, Canada. FAU - Freire, Gabrielle AU - Freire G AD - Division of Emergency Medicine, Department of Paediatrics, University of Toronto, Toronto, Ontario, Canada. CN - Quality Indicators in Pediatric Trauma Care Expert Consensus Group LA - eng PT - Journal Article PL - United States TA - JAMA Pediatr JT - JAMA pediatrics JID - 101589544 SB - IM MH - Humans MH - *Quality Indicators, Health Care MH - *Trauma Centers/standards MH - Child MH - Quality Improvement MH - *Wounds and Injuries/therapy MH - Consensus MH - *Pediatrics/standards MH - Female MH - Male MH - Evidence-Based Medicine PMC - PMC11959479 COIS- Conflict of Interest Disclosures: Dr Zemek reported that his program of research has received financial support through competitively-funded research grants from Canadian Institutes of Health Research (CIHR), Ontario Neurotrauma Foundation, Physician Services Incorporated Foundation, CHEO Foundation, Ontario Brain Institute, National Football League, Ontario Ministry of Health, Public Health Agency of Canada, Health Canada, Parachute Canada and Ontario SPOR Support Unit, and Health Resources and Services Administration; receiving support as a tier 1 clinical research chair in pediatric concussion from University of Ottawa; serving on the board of directors for North American Brain Injury Society (NABIS), which is a volunteer (unpaid) role; and serving as scientific director, founding partner, and minority shareholder of 360 Concussion Care (a learning health system and network of interdisciplinary concussion clinics in Ontario) outside the submitted work. Dr Lecky reported receiving advisor fees from the National Institute of Health and Care Excellence UK outside the submitted work. Dr Teague reported receiving a philanthropic grant from the Royal Children's Hospital Foundation, which provides salary support for academic activities as distinct from clinical activities. Dr Archambault reported receiving grants from CIHR during the conduct of the study. No other disclosures were reported. EDAT- 2025/03/31 21:16 MHDA- 2025/06/02 12:30 PMCR- 2026/03/31 CRDT- 2025/03/31 11:54 PHST- 2025/06/02 12:30 [medline] PHST- 2025/03/31 21:16 [pubmed] PHST- 2025/03/31 11:54 [entrez] PHST- 2026/03/31 00:00 [pmc-release] AID - 2831741 [pii] AID - poi250003 [pii] AID - 10.1001/jamapediatrics.2025.0036 [doi] PST - ppublish SO - JAMA Pediatr. 2025 Jun 1;179(6):666-674. doi: 10.1001/jamapediatrics.2025.0036. PMID- 40581969 OWN - NLM STAT- MEDLINE DCOM- 20250629 LR - 20260320 IS - 1365-2753 (Electronic) IS - 1356-1294 (Print) IS - 1356-1294 (Linking) VI - 31 IP - 4 DP - 2025 Jun TI - Development of a Comprehensive Tool to Assess Rigor When Evaluating Quality Improvement Projects. PG - e70193 LID - 10.1111/jep.70193 [doi] LID - e70193 AB - PURPOSE: The aim of this study was to develop a pragmatic domain-based tool to Comprehensively Assess Rigor when Evaluating Quality Improvement projects (CARE-QI) that can be used by health professionals, researchers, or academics. PATIENTS AND METHODS: An expert panel was recruited to provide consensus on the tool. The development of the CARE-QI instrument followed a three-stage methodology. Firstly, a scoping review was used to identify potential items for inclusion. Secondly, using these items, a draft version of the tool was developed by the researchers and finally a Delphi survey was initiated to reach consensus on the final items. Two rounds of surveys were required where participants rated their level of agreement with each item on a Likert scale from 1 not important to 5 very important. The final version was sent out in the third round. Participants could provide free text comments on the tool during all rounds. RESULTS: A total of 40 experts participated in the first round of the Delphi survey. Members consisted of international multi-disciplinary healthcare professionals including clinicians and researchers with an interest in quality improvement and evidence implementation. The final CARE-QI tool consists of 13 items within four-domains: problem and design, context, intervention and implementation, and evaluation and sustainability. CONCLUSION: A pragmatic domains-based tool has been developed, in collaboration with experts within the field, to comprehensively assess rigor when evaluating different types of clinical quality improvement projects. Further testing will confirm validity and reliability of the items within the tool. CI - © 2025 The Author(s). Journal of Evaluation in Clinical Practice published by John Wiley & Sons Ltd. FAU - Kynoch, Kathryn AU - Kynoch K AUID- ORCID: 0000-0001-5353-9876 AD - School of Nursing, Queensland University of Technology, Brisbane, Australia. AD - Mater Health, Brisbane, Australia. AD - Queensland Centre for Evidence Based Nursing and Midwifery: A JBI Centre of Excellence, Brisbane, Australia. FAU - Ramis, Mary-Anne AU - Ramis MA AD - School of Health, University of the Sunshine Coast, Brisbane, Petrie, Australia. FAU - de Moel-Mandel, Caroline AU - de Moel-Mandel C AUID- ORCID: 0000-0001-8825-2824 AD - Department of Public Health, La Trobe University, School of Psychology and Public Health, Melbourne, Australia. FAU - Fernandez, Ritin AU - Fernandez R AD - School of Nursing and Midwifery, University of Newcastle, New South Wales, Australia. AD - Centre for Transformative Nursing, Midwifery, and Health Research: A JBI Centre of Excellence, NSW, Australia. FAU - Khalil, Hanan AU - Khalil H AD - Department of Public Health, La Trobe University, School of Psychology and Public Health, Melbourne, Australia. LA - eng PT - Journal Article PL - England TA - J Eval Clin Pract JT - Journal of evaluation in clinical practice JID - 9609066 SB - IM MH - *Quality Improvement/organization & administration/standards MH - Humans MH - Delphi Technique MH - Consensus MH - Surveys and Questionnaires MH - *Program Evaluation/methods PMC - PMC12206485 OTO - NOTNLM OT - Delphi OT - healthcare OT - implementation OT - innovation OT - quality improvement COIS- The authors declare no conflicts of interest. EDAT- 2025/07/01 04:06 MHDA- 2025/07/01 04:07 PMCR- 2025/06/29 CRDT- 2025/06/29 14:02 PHST- 2025/05/21 00:00 [revised] PHST- 2025/03/31 00:00 [received] PHST- 2025/05/27 00:00 [accepted] PHST- 2025/07/01 04:07 [medline] PHST- 2025/07/01 04:06 [pubmed] PHST- 2025/06/29 14:02 [entrez] PHST- 2025/06/29 00:00 [pmc-release] AID - JEP70193 [pii] AID - 10.1111/jep.70193 [doi] PST - ppublish SO - J Eval Clin Pract. 2025 Jun;31(4):e70193. doi: 10.1111/jep.70193. PMID- 40665770 OWN - NLM STAT- MEDLINE DCOM- 20250902 LR - 20250902 IS - 2752-7549 (Electronic) IS - 2752-7530 (Linking) VI - 42 IP - 4 DP - 2025 Jul-Aug TI - Beyond the Bundle: Reducing Central Line-Associated Bloodstream Infections on a Pediatric Hematology, Oncology, and Bone Marrow Transplant Unit. PG - 183-192 LID - 10.1177/27527530251346733 [doi] AB - BackgroundPediatric patients with cancer or undergoing hematopoietic stem cell transplantation (HSCT) are at an increased risk for central line-associated bloodstream infections (CLABSIs). Previous reports show that while primary prevention bundle elements have resulted in clinically important reductions in CLABSI events, they have not eliminated events in this patient population.MethodThe quality improvement (QI) project team implemented four interventions to reduce CLABSI in a pediatric inpatient combined hematology/oncology/bone marrow transplant (PHOB) unit, using the Plan-Do-Study-Act improvement model. (a) In situ simulation provided a practical application to bedside nurses to practice skills and critical thinking without disrupting care. (b) Interdisciplinary proactive safety huddles provided an opportunity to generate patient-specific strategies for patients with unique risks. (c) Prevantics(®) Device swabs for catheter hub disinfection, replacing single agent isopropyl alcohol. (d) Levofloxacin prophylaxis was expanded to a broader scope of patients.ResultsDuring the 30-month project period, the inpatient PHOB unit experienced a reduced nonmucosal barrier injury (non-MBI) CLABSI rate from a baseline of 2.19 infections per 1,000 catheter days to 0.52 infections per 1,000 catheter days. MBI CLABSI rates remained unchanged.DiscussionWhile traditional prevention bundle elements play an essential role in CLABSI prevention efforts, pediatric patients with cancer or undergoing HSCT may require additional targeted strategies to achieve desired results. Our QI project, implemented at a large, freestanding pediatric academic center effectively reduced CLABSI rates during a 30-month project. We believe the interventions may be effective in other PHOB programs. FAU - Bibart, Mindy AU - Bibart M AUID- ORCID: 0009-0005-7491-8062 AD - Division of Hematology, Oncology, and Bone Marrow Transplant, Nationwide Children's Hospital, Columbus, OH, USA. RINGGOLD: 2650 AD - Apheresis Program, Nationwide Children's Hospital, Columbus, OH, USA. RINGGOLD: 2650 AD - Center for Clinical Excellence, Nationwide Children's Hospital, Columbus, OH, USA. RINGGOLD: 2650 FAU - Eisel, Emily A AU - Eisel EA AD - Division of Hematology, Oncology, and Bone Marrow Transplant, Nationwide Children's Hospital, Columbus, OH, USA. RINGGOLD: 2650 FAU - Taylor, Kimberly AU - Taylor K AD - Division of Bone Marrow Transplant, Nationwide Children's Hospital, Columbus, OH, USA. RINGGOLD: 2650 FAU - Olshefski, Randal AU - Olshefski R AD - Division of Hematology, Oncology, and Bone Marrow Transplant, Nationwide Children's Hospital, Columbus, OH, USA. RINGGOLD: 2650 AD - Department of Clinical Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA. FAU - Camacho, Cheryl AU - Camacho C AD - Simulation and Outreach Education Program, Nationwide Children's Hospital, Columbus, OH, USA. RINGGOLD: 2650 FAU - Welty, Micheal AU - Welty M AD - Center for Clinical Excellence, Nationwide Children's Hospital, Columbus, OH, USA. RINGGOLD: 2650 FAU - Gajarski, Robert AU - Gajarski R AD - Center for Clinical Excellence, Nationwide Children's Hospital, Columbus, OH, USA. RINGGOLD: 2650 AD - Division of Cardiology, Nationwide Children's Hospital, Columbus, OH, USA. RINGGOLD: 2650 FAU - Guinipero, Terri AU - Guinipero T AD - Division of Hematology, Oncology, and Bone Marrow Transplant, Nationwide Children's Hospital, Columbus, OH, USA. RINGGOLD: 2650 AD - Department of Clinical Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA. LA - eng PT - Journal Article DEP - 20250716 PL - United States TA - J Pediatr Hematol Oncol Nurs JT - Journal of pediatric hematology/oncology nursing JID - 9918282681506676 SB - IM MH - Humans MH - *Catheter-Related Infections/prevention & control/etiology MH - Child MH - *Catheterization, Central Venous/adverse effects MH - *Bone Marrow Transplantation MH - *Hematopoietic Stem Cell Transplantation MH - Quality Improvement MH - Female MH - Male MH - Child, Preschool MH - Medical Oncology MH - Patient Care Bundles OTO - NOTNLM OT - CLABSI OT - pediatric oncology nursing OT - quality improvement COIS- Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2025/07/16 06:25 MHDA- 2025/09/02 14:45 CRDT- 2025/07/16 03:33 PHST- 2025/09/02 14:45 [medline] PHST- 2025/07/16 06:25 [pubmed] PHST- 2025/07/16 03:33 [entrez] AID - 10.1177/27527530251346733 [doi] PST - ppublish SO - J Pediatr Hematol Oncol Nurs. 2025 Jul-Aug;42(4):183-192. doi: 10.1177/27527530251346733. Epub 2025 Jul 16. PMID- 40844539 OWN - NLM STAT- MEDLINE DCOM- 20250822 LR - 20250822 IS - 1539-0721 (Electronic) IS - 0002-0443 (Linking) VI - 55 IP - 8 DP - 2025 Sep 1 TI - Using the Hess Index of Professional Nursing Governance to Explore Nurses' Perceptions of Shared Decision-Making in a Magnet® Designated Medical Center. PG - 472-478 LID - 10.1097/NNA.0000000000001612 [doi] AB - OBJECTIVE: The purpose of this study was to assess nurses' perceptions of shared governance using the Index of Professional Nursing Governance version 3.0 (IPNG). BACKGROUND: A goal of creating shared governance awareness among frontline nurses is to empower them to assemble and create positive change in their practice. METHODS: This cross-sectional, descriptive, exploratory quantitative study design measured nurses' perceptions of shared governance on a continuum ranging from traditional to shared to self-governance in an academic medical center using the 50-item IPNG. RESULTS: Findings demonstrated a nascent shared governance structure with the lowest scoring items related to control over personnel. Active involvement in shared governance and education level impacted subscale scores (P < 0.05). CONCLUSIONS: Findings from this study supported the accreditation of the organization by the Forum for Shared Governance. CI - Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved. FAU - Booth, Adam T AU - Booth AT AUID- ORCID: 0009-0007-8497-7693 AD - Author Affiliations: Nurse Researcher (Dr Booth), Office of Professional Practice Education, Nursing Research, & Nursing Excellence, University of Louisville Health; Clinical Leadership Educator (Hines), Nursing Congress Co-Chair & Stroke Intensive Care Unit Staff RN (Newton), Nursing Excellence Coordinator & Magnet Program Director (Dr Self), Nursing Congress Chair & Medical Intensive Care Unit Staff RN (Beierle), Director of the Office of Professional Practice (Russell), University of Louisville Hospital Office of Professional Practice, Kentucky; and Founder & CEO of Forum for Shared Governance, LLC (Dr Hess), Hobe Sound, Florida. FAU - Hines, Brittany AU - Hines B FAU - Newton, Addison AU - Newton A FAU - Self, April AU - Self A FAU - Beierle, Jill AU - Beierle J FAU - Russell, Kelly AU - Russell K FAU - Hess, Robert AU - Hess R LA - eng PT - Journal Article PL - United States TA - J Nurs Adm JT - The Journal of nursing administration JID - 1263116 SB - IM MH - Humans MH - Cross-Sectional Studies MH - *Nursing Staff, Hospital/psychology/organization & administration MH - Female MH - Adult MH - Male MH - *Academic Medical Centers/organization & administration MH - *Attitude of Health Personnel MH - Middle Aged MH - *Decision Making, Shared MH - *Clinical Governance MH - Surveys and Questionnaires COIS- The authors declare no conflicts of interest. EDAT- 2025/08/22 12:46 MHDA- 2025/08/22 12:47 CRDT- 2025/08/22 11:03 PHST- 2024/10/02 00:00 [received] PHST- 2025/06/06 00:00 [accepted] PHST- 2025/08/22 12:47 [medline] PHST- 2025/08/22 12:46 [pubmed] PHST- 2025/08/22 11:03 [entrez] AID - 00005110-202509000-00009 [pii] AID - 10.1097/NNA.0000000000001612 [doi] PST - ppublish SO - J Nurs Adm. 2025 Sep 1;55(8):472-478. doi: 10.1097/NNA.0000000000001612. PMID- 41097866 OWN - NLM STAT- MEDLINE DCOM- 20251016 LR - 20260522 IS - 1538-7488 (Electronic) IS - 0002-936X (Linking) VI - 125 IP - 9 DP - 2025 Sep 1 TI - Establishing Benchmarks. PG - 52-58 LID - 10.1097/AJN.0000000000000134 [doi] AB - This is the seventh article in a new series designed to provide readers with insight into educating nurses about evidence-based decision-making (EBDM). It builds on AJN's award-winning previous series-Evidence-Based Practice, Step by Step and EBP 2.0: Implementing and Sustaining Change (to access both series, go to https://links.lww.com/AJN/A133). This follow-up series on EBDM will address how to teach and facilitate learning about the evidence-based practice (EBP) and quality improvement (QI) processes and how they impact health care quality. This series is relevant for all nurses interested in EBP and QI, especially DNP faculty and students. The brief case scenario included in each article describes one DNP student's journey. To access previous articles in this EBDM series, go to https://links.lww.com/AJN/A256. CI - Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved. FAU - Milner, Kerry A AU - Milner KA AD - Kerry A. Milner is a professor in the Davis and Henley College of Nursing at Sacred Heart University in Fairfield, CT. Susan Farus-Brown is an associate professor at the Ohio University School of Nursing in Athens. Mary C. Zonsius is an associate professor at the Rush University College of Nursing in Chicago. Ellen Fineout-Overholt is consultant and coach, Thought Transformation for LIFE, Longview, TX. Contact author: Kerry A. Milner, milnerk@sacredheart.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise. FAU - Farus-Brown, Susan AU - Farus-Brown S FAU - Zonsius, Mary C AU - Zonsius MC FAU - Fineout-Overholt, Ellen AU - Fineout-Overholt E LA - eng PT - Journal Article DEP - 20250821 PL - United States TA - Am J Nurs JT - The American journal of nursing JID - 0372646 SB - IM MH - Humans MH - *Benchmarking MH - *Quality Improvement MH - *Education, Nursing, Graduate MH - Students, Nursing MH - *Evidence-Based Nursing/education EDAT- 2025/10/16 06:29 MHDA- 2025/10/16 06:30 CRDT- 2025/10/16 01:44 PHST- 2025/10/16 06:30 [medline] PHST- 2025/10/16 06:29 [pubmed] PHST- 2025/10/16 01:44 [entrez] AID - 00000446-202509000-00022 [pii] AID - 10.1097/AJN.0000000000000134 [doi] PST - ppublish SO - Am J Nurs. 2025 Sep 1;125(9):52-58. doi: 10.1097/AJN.0000000000000134. Epub 2025 Aug 21. PMID- 40359550 OWN - NLM STAT- MEDLINE DCOM- 20250905 LR - 20260325 IS - 1550-5065 (Electronic) IS - 1057-3631 (Linking) VI - 40 IP - 4 DP - 2025 Oct-Dec 01 TI - Empowering Frontline Nurses as Implementation Science Leaders: The EQUIP Model for Evidence-Based Practice Integration and Quality Improvement. PG - 295-301 LID - 10.1097/NCQ.0000000000000871 [doi] AB - BACKGROUND: Sustaining evidence-based practice (EBP) in nursing faces systemic and workforce barriers. Implementation science (IS) offers structured approaches to support EBP integration. Under Saudi Arabia's Vision 2030, scalable nurse-led models are critical to bridging the research-to-practice gap. AIM: To evaluate the Evidence-Based Quality Improvement Project (EQUIP), a nurse-led model grounded in IS, by assessing its implementation through frontline implementation lead (IL) nurses. METHODS: A mixed-methods formative evaluation was conducted across multiple healthcare facilities. Two IL nurse-led quality improvement (QI) projects were used as illustrative examples. Data sources included QI documentation, clinical metrics, and researcher field notes. RESULTS: EQUIP enabled IL nurses to apply EBP in routine care and proved adaptable across diverse settings. However, inconsistent engagement and competing workload demands were the most influential barriers, underscoring the need for structured support. CONCLUSION: EQUIP presents a scalable IS-based initiative to embed EBP in nursing. Institutional support is essential for sustained implementation. CI - Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved. FAU - Al-Moteri, Modi AU - Al-Moteri M AUID- ORCID: 0000-0002-5703-1057 AD - Author Affiliations: Medical Surgical Nursing Department, College of Nursing, Taif University, Al-Taif, Western Region, Saudi Arabia. LA - eng PT - Journal Article DEP - 20250512 PL - United States TA - J Nurs Care Qual JT - Journal of nursing care quality JID - 9200672 SB - IM MH - Humans MH - *Quality Improvement MH - *Implementation Science MH - Saudi Arabia MH - *Leadership MH - *Evidence-Based Practice/methods MH - *Empowerment MH - Evidence-Based Nursing OTO - NOTNLM OT - evidence-based practice OT - implementation science OT - lead OT - quality OT - research COIS- The author declares no conflicts of interest. EDAT- 2025/05/13 18:40 MHDA- 2025/09/05 18:33 CRDT- 2025/05/13 17:13 PHST- 2025/09/05 18:33 [medline] PHST- 2025/05/13 18:40 [pubmed] PHST- 2025/05/13 17:13 [entrez] AID - 00001786-202510000-00003 [pii] AID - 10.1097/NCQ.0000000000000871 [doi] PST - ppublish SO - J Nurs Care Qual. 2025 Oct-Dec 01;40(4):295-301. doi: 10.1097/NCQ.0000000000000871. Epub 2025 May 12. PMID- 40795923 OWN - NLM STAT- MEDLINE DCOM- 20251007 LR - 20260505 IS - 1439-1902 (Electronic) IS - 0171-6425 (Linking) VI - 73 IP - 7 DP - 2025 Oct TI - Diagnosis-Driven, Cross-Disciplinary QA System for Coronary Artery Disease-Study Protocol. PG - 554-559 LID - 10.1055/a-2680-6089 [doi] AB - Percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) are invasive treatment options for coronary artery disease (CAD), aiming to improve quality of life and reduce cardiovascular morbidity and mortality. Guidelines-based revascularization decisions should consider anatomical complexity, comorbidities, and patient preferences, with procedural risk assessed through validated scoring systems. However, the current legal quality assurance (QA) programs in Germany remain procedure specific and therefore lack a patient-centered, diagnosis-oriented approach. This study proposes a paradigm shift toward diagnosis-based QA to optimize individualized treatment selection, improve outcome attribution, and ensure transparent quality assessment. By integrating guideline recommendations with enhanced data linkage, this framework aims to standardize and improve CAD care quality while addressing limitations of existing QA schemes.This mixed-methods study aims to develop a cross-disciplinary QA framework for CAD patients undergoing elective PCI or CABG. Qualitative methods will be employed to formulate preliminary evidence-based quality indicators (QI), while secondary data analyses will provide empirical support for QI prioritization, modeling, and future evaluation. Findings from both approaches will undergo a structured consensus process to establish validated QI as basis of a redesigned QA scheme.The resulting framework seeks to standardize and improve QA procedures across CAD care pathways, integrating clinical expertise with real-world data to enhance patient outcome.The study proposes a patient-centered, diagnosis-based quality assurance framework for coronary artery disease care, aiming to improve treatment decisions and outcomes. By integrating guideline, expert input, and real-world data, it seeks to enhance transparency and standardization in quality assessment across CAD treatment pathways. CI - Thieme. All rights reserved. FAU - Iqbal, Fakhrah Maryam AU - Iqbal FM AD - Institute for Health Services Research and Clinical Epidemiology, Marburg University (UMR), Marburg, Germany. FAU - Geraedts, Max AU - Geraedts M AD - Institute for Health Services Research and Clinical Epidemiology, Marburg University (UMR), Marburg, Germany. FAU - Ji, Limei AU - Ji L AD - Institute for Health Services Research and Clinical Epidemiology, Marburg University (UMR), Marburg, Germany. FAU - Falk, Volkmar AU - Falk V AD - German Society for Thoracic and Cardiovascular Surgery (DGTHG), Berlin, Germany. FAU - Doenst, Torsten AU - Doenst T AD - German Society for Thoracic and Cardiovascular Surgery (DGTHG), Berlin, Germany. FAU - Blankenberg, Stefan AU - Blankenberg S AD - German Society for Cardiology, Heart and Circulation Research (DGK), Düsseldorf, Germany. FAU - Diemert, Patrick AU - Diemert P AD - Association of Senior Cardiological Hospital Physicians (ALKK), Düsseldorf, Germany. FAU - Döbler, Klaus AU - Döbler K AD - Competence Center for Quality Assurance (KCQ), Stuttgart, Germany. FAU - Günster, Christian AU - Günster C AD - The AOK Research Institute (WIdO), Berlin, Germany. FAU - Beckmann, Andreas AU - Beckmann A AUID- ORCID: 0000-0003-0785-2591 AD - German Society for Thoracic and Cardiovascular Surgery (DGTHG), Berlin, Germany. LA - eng GR - 01VSF24056/Innovation Fund of the Federal Joint Committee/ PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20250812 PL - Germany TA - Thorac Cardiovasc Surg JT - The Thoracic and cardiovascular surgeon JID - 7903387 SB - IM MH - Humans MH - *Coronary Artery Disease/therapy/diagnosis/diagnostic imaging/surgery/mortality MH - *Quality Indicators, Health Care/standards MH - *Percutaneous Coronary Intervention/standards/adverse effects/mortality MH - *Coronary Artery Bypass/standards/adverse effects/mortality MH - Treatment Outcome MH - Germany MH - *Quality Improvement/standards MH - Predictive Value of Tests MH - Research Design MH - Interdisciplinary Communication MH - Consensus MH - Practice Guidelines as Topic/standards MH - *Patient Care Team/standards MH - *Process Assessment, Health Care/standards MH - Clinical Decision-Making MH - *Outcome and Process Assessment, Health Care/standards MH - Cooperative Behavior COIS- None declared. EDAT- 2025/08/13 00:28 MHDA- 2025/10/08 00:29 CRDT- 2025/08/12 19:02 PHST- 2025/10/08 00:29 [medline] PHST- 2025/08/13 00:28 [pubmed] PHST- 2025/08/12 19:02 [entrez] AID - 10.1055/a-2680-6089 [doi] PST - ppublish SO - Thorac Cardiovasc Surg. 2025 Oct;73(7):554-559. doi: 10.1055/a-2680-6089. Epub 2025 Aug 12. PMID- 40986498 OWN - NLM STAT- MEDLINE DCOM- 20250923 LR - 20260305 IS - 1549-8425 (Electronic) IS - 1549-8417 (Print) IS - 1549-8417 (Linking) VI - 21 IP - 7Supp DP - 2025 Oct 1 TI - Design and Development of an Intervention to Improve the Quality and Safety of Pediatric Dental Sedation: A Human-Centered Design Approach. PG - S72-S80 LID - 10.1097/PTS.0000000000001401 [doi] AB - BACKGROUND: There are gaps in understanding the experiences of children, parents, and providers during dental conscious sedation. This study aimed to capture and analyze these experiences to identify opportunities for improvement and enhance the quality and safety of pediatric dental conscious sedation. METHODS: A human-centered design approach was used to examine the conscious sedation experience in 2 US advanced education pediatric dental clinics. Researchers conducted field observations, interviews with providers and parents, and providers focus groups to explore experiential factors. Data were transcribed and analyzed using content thematic analysis. Insights from the data were used to explore and generate new solutions to improve dental conscious sedation quality and safety. RESULTS: A total of 25 observations, 18 interviews (9 providers, 9 parents), and 4 provider focus groups were conducted across both sites. The process identified 4 key improvement opportunities: helping providers navigate the ambiguity of patient behavior, facilitating rapport building between providers and patients/parents, aligning expectations and supporting sedation sensemaking, and making the sedation experience more patient-centered. A multicomponent intervention was developed to address these needs, including a parent-facing brochure, a patient educational video, and an enhanced set of sedation records for providers to document patient and sedation information. CONCLUSIONS: This study used human-centered design to identify key challenges in pediatric dental conscious sedation and develop a multicomponent intervention in collaboration with patients, parents, and providers. The research demonstrates the potential of this approach to enhance sedation quality and safety, with future studies needed to assess its impact. CI - Copyright © 2025 The Author(s). Published by Wolters Kluwer Health, Inc. FAU - Zouaidi, Kawtar AU - Zouaidi K AD - Texas Center for Oral Healthcare Quality and Safety, UTHealth Houston School of Dentistry, Houston, TX. FAU - Yeager, Jan AU - Yeager J AD - Clinical Innovation Center, UCSF, San Francisco, California. FAU - Bangar, Suhasini AU - Bangar S AD - Department of Diagnostic and Biomedical Sciences, UTHealth School of Dentistry, Houston, TX. FAU - Tungare, Sayali AU - Tungare S AD - Texas Center for Oral Healthcare Quality and Safety, UTHealth Houston School of Dentistry, Houston, TX. FAU - Mehta, Urvi AU - Mehta U AD - Texas Center for Oral Healthcare Quality and Safety, UTHealth Houston School of Dentistry, Houston, TX. FAU - Urata, Janelle AU - Urata J AD - University of California, San Francisco School of Dentistry, San Francisco. FAU - Yansane, Alfa-Ibrahim AU - Yansane AI AD - Preventive & Restorative Dentistry Sciences, University of California, San Francisco School of Dentistry, California. FAU - Tanbonliong, Thomas AU - Tanbonliong T AD - Pediatric Dentistry, Graduate Program Director, Pediatric Dentistry, University of Washington, School of Dentistry, Seattle, Washington. FAU - Kim, Jungsoo AU - Kim J AD - Pediatric Dentistry, University of California, San Francisco School of Dentistry, San Francisco, California. FAU - Sedlock, Emily AU - Sedlock E AD - Texas Center for Oral Healthcare Quality and Safety, UTHealth Houston School of Dentistry, Houston, TX. FAU - Kookal, Krishna Kumar AU - Kookal KK AD - Technology Services and Informatics and Texas Center for Oral Healthcare Quality and Safety, UTHealth Houston School of Dentistry, Houston. FAU - Xiao, Yan AU - Xiao Y AD - Colleges of Nursing and Health Innovation and Engineering, University of Texas at Arlington, Arlington. FAU - Oluwabunmi, Tokede AU - Oluwabunmi T AD - Department of Diagnostic and Biomedical Sciences, UTHealth Houston School of Dentistry, Houston, TX. FAU - Spallek, Heiko AU - Spallek H AD - School of Dentistry, The University of Sydney, New South Wales, Australia. FAU - Franklin, Amy AU - Franklin A AD - Faculty, and Community Affairs, McWilliams School of Biomedical Informatics, Houston. FAU - Olson, Gregory W AU - Olson GW AD - Department of Pediatric Dentistry, School of Dentistry, UTHealth Science Center Houston, Houston, TX. FAU - White, Joel AU - White J AD - Preventive and Restorative Dentistry Science, University of California, San Francisco School of Dentistry, San Francisco, California. FAU - Kalenderian, Elsbeth AU - Kalenderian E AD - School of Dentistry, Marquette University, Milwaukee, Wisconsin. AD - School of Dentistry, University of Pretoria, Pretoria, South Africa. FAU - Walji, Muhammad F AU - Walji MF AD - Texas Center for Oral Healthcare Quality and Safety, UTHealth Houston School of Dentistry, Houston, TX. AD - Department of Clinical and Health Informatics, McWilliams School of Biomedical Informatics, Houston, TX. LA - eng GR - R18 HS027268/HS/AHRQ HHS/United States PT - Journal Article DEP - 20250923 PL - United States TA - J Patient Saf JT - Journal of patient safety JID - 101233393 SB - IM MH - Humans MH - *Procedural Sedation/standards/methods MH - Child MH - *Patient Safety MH - *Quality Improvement MH - Parents/psychology MH - Focus Groups MH - *Anesthesia, Dental/standards/methods MH - Patient-Centered Care MH - Male MH - Female MH - *Dental Care for Children/standards/methods MH - *User-Centered Design PMC - PMC12453093 OTO - NOTNLM OT - design thinking OT - patient experience OT - pediatric dentistry OT - sedation COIS- The authors disclose no conflict of interest. EDAT- 2025/09/23 18:29 MHDA- 2025/09/23 18:30 PMCR- 2025/09/22 CRDT- 2025/09/23 13:23 PHST- 2024/12/11 00:00 [received] PHST- 2025/05/07 00:00 [accepted] PHST- 2025/09/23 18:30 [medline] PHST- 2025/09/23 18:29 [pubmed] PHST- 2025/09/23 13:23 [entrez] PHST- 2025/09/22 00:00 [pmc-release] AID - 01209203-202510001-00012 [pii] AID - JPS-24-0358 [pii] AID - 10.1097/PTS.0000000000001401 [doi] PST - ppublish SO - J Patient Saf. 2025 Oct 1;21(7Supp):S72-S80. doi: 10.1097/PTS.0000000000001401. Epub 2025 Sep 23. PMID- 39673236 OWN - NLM STAT- MEDLINE DCOM- 20251018 LR - 20251020 IS - 1365-2648 (Electronic) IS - 0309-2402 (Print) IS - 0309-2402 (Linking) VI - 81 IP - 11 DP - 2025 Nov TI - Facilitating an Evidence-Based Quality Improvement Learning Culture in Nursing Teams Through Coaching and Identification of Key Influencing Factors: An Action Research Approach. PG - 7802-7819 LID - 10.1111/jan.16679 [doi] AB - AIMS: To explore how coaching can facilitate the development of an Evidence-Based Quality Improvement (EBQI) learning culture within nursing teams in hospital and community care settings. This study also explores the specific contextual factors that influence effective outcomes. DESIGN: Action research. METHOD: Nine teams, including 254 nurses were selected from four hospitals and two community care organisations to participate in the development of an EBQI-learning culture under the guidance of internal and external coaches. Data were gathered from 27 focus groups with 56 unique participants (of whom 31 participated multiple times) and six individual interviews with three external coaches. Transcripts of all interviews were subjected to abductive thematic analysis. RESULTS: To promote an EBQI learning culture in nursing teams, it is essential that internal coaches effectively guide their team members. The internal coaches in this study focused on enhancing readiness for EBQI by providing support, encouraging involvement and motivating team members. They deepened innovation competencies including assessing daily care, implementing well-structured changes in care practices and embedding small steps in the change process in daily routines. It was found that barriers and facilitators within the team's context can influence the development of EBQI-learning culture and therefore need to be considered when seeking to make changes. The presence of external coaches served as a valuable resource and a motivator in supporting internal coaches to apply and improve their coaching skills. CONCLUSIONS: To stimulate the development of an EBQI-learning culture, internal coaches need to focus on team readiness to work with EBQI. Priority needs to be given to enhancing the care change competencies of team members. Barriers to change must also be addressed. Internal coaches require external support and motivation to continually develop coaching skills. REPORTING METHOD: The Standards for Reporting Qualitative Research. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution. CI - © 2024 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd. FAU - Giesen, Jeltje AU - Giesen J AUID- ORCID: 0000-0001-6768-0838 AD - Radboud Institute for Health Sciences, IQ Health, Radboud University Medical Center, Nijmegen, The Netherlands. FAU - Berings, Marjolein AU - Berings M AD - Radboud University Medical Center, Radboudumc Health Academy, Nijmegen, The Netherlands. FAU - Bakker-Jacobs, Annick AU - Bakker-Jacobs A AD - Radboud Institute for Health Sciences, IQ Health, Radboud University Medical Center, Nijmegen, The Netherlands. FAU - Vermeulen, Hester AU - Vermeulen H AD - Radboud Institute for Health Sciences, IQ Health, Radboud University Medical Center, Nijmegen, The Netherlands. AD - Department on Health and Vitality, School of Allied Health, HAN University of Applied Sciences, Nijmegen, The Netherlands. FAU - Huisman-De Waal, Getty AU - Huisman-De Waal G AUID- ORCID: 0000-0003-2811-4176 AD - Radboud Institute for Health Sciences, IQ Health, Radboud University Medical Center, Nijmegen, The Netherlands. FAU - Van Vught, Anneke AU - Van Vught A AD - Department on Health and Vitality, School of Allied Health, HAN University of Applied Sciences, Nijmegen, The Netherlands. AD - Dutch Healthcare Authority (NZa), Utrecht, The Netherlands. LA - eng GR - 80-83900-98-854/ZONMW_/ZonMw/Netherlands PT - Journal Article DEP - 20241213 PL - England TA - J Adv Nurs JT - Journal of advanced nursing JID - 7609811 SB - IM MH - Humans MH - *Quality Improvement/organization & administration MH - *Mentoring MH - Organizational Culture MH - Female MH - Male MH - Adult MH - *Evidence-Based Nursing MH - Focus Groups MH - Middle Aged MH - Health Services Research PMC - PMC12535335 OTO - NOTNLM OT - Evidence‐Based Practice (EBP) OT - Evidence‐Based Quality Improvement (EBQI) OT - action research OT - care transition OT - coaching OT - community care OT - hospital OT - learning culture OT - nursing COIS- The authors declare no conflicts of interest. EDAT- 2024/12/14 20:07 MHDA- 2025/10/18 18:28 PMCR- 2025/10/18 CRDT- 2024/12/14 02:53 PHST- 2024/11/22 00:00 [revised] PHST- 2024/02/28 00:00 [received] PHST- 2024/12/04 00:00 [accepted] PHST- 2025/10/18 18:28 [medline] PHST- 2024/12/14 20:07 [pubmed] PHST- 2024/12/14 02:53 [entrez] PHST- 2025/10/18 00:00 [pmc-release] AID - JAN16679 [pii] AID - 10.1111/jan.16679 [doi] PST - ppublish SO - J Adv Nurs. 2025 Nov;81(11):7802-7819. doi: 10.1111/jan.16679. Epub 2024 Dec 13. PMID- 41137525 OWN - NLM STAT- MEDLINE DCOM- 20251025 LR - 20251025 IS - 1478-5153 (Electronic) IS - 1362-1017 (Linking) VI - 30 IP - 6 DP - 2025 Nov TI - Best Evidence Summary for Monitoring and Management of Invasive Arterial Blood Pressure in Critically Ill Patients: An Evidence-Based Review. PG - e70215 LID - 10.1111/nicc.70215 [doi] AB - BACKGROUND: Invasive arterial blood pressure monitoring is crucial in critical care, yet it has risks. Complications such as CRBSI and inaccurate readings are common. There is a lack of standardised nursing guidelines, and weak awareness of evidence-based protocols among nurses affects care quality. AIM: To summarise the evidence for monitoring and management of invasive arterial blood pressure in critically ill patients and optimise critical care outcomes. STUDY DESIGN: This study was conducted using the Joanna Briggs Institute (JBI) methodology. The PIPOST model guided the formulation of the review question, and a systematic bilingual search was performed across Chinese and international databases following the 6S evidence hierarchy. Eligible studies were screened, critically appraised using appropriate tools, and the extracted evidence was thematically categorised and graded to support standardised nursing practices in invasive arterial blood pressure monitoring. RESULTS: A total of 36 pieces of evidence were synthesised and categorised into six sections: catheterisation, catheter maintenance, blood pressure monitoring accuracy, complication management, patient safety and comfort and education and training. CONCLUSIONS: These 36 synthesised recommendations form a comprehensive and actionable framework for the standardised management of invasive arterial blood pressure monitoring in critical care. Notably, the synthesis emphasises the integration of technical precision with nursing practice, addressing both clinical safety and operational feasibility. Their implementation holds the potential to reduce complications, enhance monitoring accuracy and promote evidence-based nursing excellence. RELEVANCE TO CLINICAL PRACTICE: Implementing these evidence-based guidelines can streamline monitoring, reduce complications and improve data reliability for better patient care. CI - © 2025 British Association of Critical Care Nurses. FAU - Zhang, Wenwen AU - Zhang W AUID- ORCID: 0009-0007-7206-7684 AD - School of Nursing, Xuzhou Medical University, Xuzhou City, China. FAU - Zhang, Xiang AU - Zhang X AD - Intensive Care Unit, Affiliated Hospital of Xuzhou Medical University, Xuzhou City, China. FAU - Han, Jiachen AU - Han J AD - School of Nursing, Xuzhou Medical University, Xuzhou City, China. FAU - Wang, Luo AU - Wang L AUID- ORCID: 0009-0004-2868-4069 AD - School of Nursing, Xuzhou Medical University, Xuzhou City, China. FAU - Sun, Ying AU - Sun Y AD - School of Nursing, Xuzhou Medical University, Xuzhou City, China. FAU - Chen, Cui AU - Chen C AD - Intensive Care Unit, Affiliated Hospital of Xuzhou Medical University, Xuzhou City, China. FAU - Zhou, Fang AU - Zhou F AD - School of Nursing, Xuzhou Medical University, Xuzhou City, China. LA - eng PT - Journal Article PT - Review PL - England TA - Nurs Crit Care JT - Nursing in critical care JID - 9808649 SB - IM MH - Humans MH - *Critical Illness/nursing MH - *Blood Pressure Determination/nursing/methods MH - *Arterial Pressure/physiology MH - *Critical Care/methods MH - *Critical Care Nursing MH - Monitoring, Physiologic/methods MH - *Evidence-Based Nursing OTO - NOTNLM OT - clinical guidelines OT - critical care OT - evidence‐based practice OT - nursing assessment OT - patient safety EDAT- 2025/10/25 06:31 MHDA- 2025/10/25 06:32 CRDT- 2025/10/25 04:02 PHST- 2025/09/08 00:00 [revised] PHST- 2025/05/05 00:00 [received] PHST- 2025/09/23 00:00 [accepted] PHST- 2025/10/25 06:32 [medline] PHST- 2025/10/25 06:31 [pubmed] PHST- 2025/10/25 04:02 [entrez] AID - 10.1111/nicc.70215 [doi] PST - ppublish SO - Nurs Crit Care. 2025 Nov;30(6):e70215. doi: 10.1111/nicc.70215. PMID- 41127943 OWN - NLM STAT- MEDLINE DCOM- 20251023 LR - 20260108 IS - 1654-9880 (Electronic) IS - 1654-9716 (Print) IS - 1654-9880 (Linking) VI - 18 IP - 1 DP - 2025 Dec TI - Adapting a digital quality improvement system (Neotree) for newborn care in primary health centres and community hospitals: a mixed-methods implementation study in Malawi. PG - 2560716 LID - 10.1080/16549716.2025.2560716 [doi] LID - 2560716 AB - BACKGROUND: Digital innovations incorporating clinical digital support can improve the delivery of perinatal and postnatal care, yet few interventions exist in primary care settings. OBJECTIVES: We aimed to adapt a digital quality improvement system (Neotree) from tertiary facilities to lower-level facilities providing Level 1 newborn care. METHODS: We conducted a mixed method stepwise study using the ADAPT framework. We conducted a needs and technology assessment of eight facilities in Lilongwe district, Malawi. We next adopted a user-centred approach to modify the clinical decision support and data capture functionalities to fit the new context. We completed 'think aloud' usability testing with six prospective users to refine the system, alongside qualitative research informed by behavioural science frameworks with 10 healthcare professionals to identify potential barriers and facilitators to implementation. Finally, we carried out a stakeholder assessment to identify a potential pathway to scale. RESULTS: The adapted application was highly usable achieving a mean System Usability Scale (SUS) score of 92.5 among prospective users during the final round of testing. Our qualitative findings indicated Neotree was anticipated to be acceptable among healthcare professionals. We found high levels of motivation to implement Neotree, but key perceived implementation barriers included psychological and physical capability (such as skills and knowledge in neonatal care), as well as physical opportunity (e.g. human resources, equipment and adequate space for newborn care). CONCLUSION: Using a stepwise user-centred approach, we successfully adapted a digital quality improvement intervention (Neotree) ready for real-world piloting in community hospital and primary health centres in Malawi. FAU - Wilson, Emma AU - Wilson E AUID- ORCID: 0000-0001-7091-2417 AD - Population, Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, UK. FAU - Hull-Bailey, Tim AU - Hull-Bailey T AD - Neotree Charity, London, UK. FAU - Sutcliffe Goodman, Sophie AU - Sutcliffe Goodman S AD - Neotree Charity, London, UK. FAU - Sinjani, Mtheto AU - Sinjani M AD - Global Health Informatics Institute, Lilongwe, Malawi. FAU - Chintolo, Elizabeth AU - Chintolo E AD - Department of Paediatrics, Kamuzu Central Hospital, Lilongwe, Malawi. FAU - Deula, Rashid AU - Deula R AD - Global Health Informatics Institute, Lilongwe, Malawi. FAU - Mwandira, Kondwani AU - Mwandira K AUID- ORCID: 0000-0001-8362-7156 AD - Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, Malawi. FAU - Nkhoma, Deliwe AU - Nkhoma D AD - Global Health Informatics Institute, Lilongwe, Malawi. FAU - Zailani, Gloria AU - Zailani G AD - Department of Paediatrics, Kamuzu Central Hospital, Lilongwe, Malawi. FAU - Rao, Aditi AU - Rao A AUID- ORCID: 0000-0003-4966-5778 AD - Population, Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, UK. FAU - Chiume, Msandeni AU - Chiume M AD - Department of Paediatrics, Kamuzu Central Hospital, Lilongwe, Malawi. FAU - Heys, Michelle AU - Heys M AUID- ORCID: 0000-0002-1458-505X AD - Population, Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, UK. AD - Specialist Children & Young People's Services, East London NHS Foundation Trust, London, UK. LA - eng PT - Journal Article DEP - 20251023 PL - United States TA - Glob Health Action JT - Global health action JID - 101496665 SB - IM MH - Humans MH - Malawi MH - *Quality Improvement/organization & administration MH - Infant, Newborn MH - *Primary Health Care/organization & administration MH - *Hospitals, Community/organization & administration/standards MH - Qualitative Research MH - *Community Health Centers/organization & administration MH - Female PMC - PMC12584896 OAB - Main findings: Despite the dearth of digital data capture and clinical decision support systems for newborn care outside of tertiary settings, we found healthcare professionals in lower-level facilities were highly motivated to use an adapted digital quality improvement system to support the delivery of newborn care.Added knowledge: In our intervention adaptation process, we found that lower-level facilities providing basic essential newborn care in Malawi are falling short of global standards, with respect to training, routine data collection and basic equipment.Global health impact for policy and action: International guidance for the provision of newborn care across all levels of the health system need to be adopted within national contexts, thereby ensuring implementers have contextually relevant benchmarks to achieve quality improvements across the care continuum. OABL- eng OTO - NOTNLM OT - Digital health OT - adaptation OT - implementation research OT - newborn care OT - primary health care COIS- No potential conflict of interest was reported by the author(s). EDAT- 2025/10/23 06:27 MHDA- 2025/10/23 12:29 PMCR- 2025/10/23 CRDT- 2025/10/23 05:14 PHST- 2025/10/23 12:29 [medline] PHST- 2025/10/23 06:27 [pubmed] PHST- 2025/10/23 05:14 [entrez] PHST- 2025/10/23 00:00 [pmc-release] AID - 2560716 [pii] AID - 10.1080/16549716.2025.2560716 [doi] PST - ppublish SO - Glob Health Action. 2025 Dec;18(1):2560716. doi: 10.1080/16549716.2025.2560716. Epub 2025 Oct 23. PMID- 41432128 OWN - NLM STAT- MEDLINE DCOM- 20260121 LR - 20260122 IS - 2691-3321 (Electronic) IS - 2691-3321 (Linking) VI - 24 IP - 1 DP - 2026 Jan 1 TI - Assessing the Ethical Integrity of Quality Improvement Studies [AEGIS]: a mixed methods study. PG - 151-162 LID - 10.1097/XEB.0000000000000545 [doi] AB - INTRODUCTION: Although health care agencies are encouraged to use quality improvement (QI) initiatives to improve quality of care, the ethical integrity of such initiatives has received little attention. OBJECTIVE: This project aimed to develop and evaluate key criteria to operationalize the Assessment of the Ethical Integrity of QI Studies (AEGIS). METHODS: The study used a four-phase sequential mixed methods design, comprising (i) a systematic mapping study to identify [Phase I] and map [Phase II] preliminary criteria against international ethical guidelines; (ii) an e-Delphi study to reach consensus on the transformed AEGIS criteria [Phase III]; and (iii) a psychometric evaluation to assess the utility and reliability of the AEGIS criteria [Phase IV]. RESULTS: Phase I identified 23 preliminary AEGIS criteria, which were mapped against 18 ethical guidelines/statements [Phase II]. No statements were mapped to the five levels of ethical review; 0%-61.5% were mapped to four criteria for ethical review exemption; 15.4%-30.8% were mapped to seven triggers for ethical review; and 69.2%-100% were mapped to seven ethical principles. Preliminary criteria were transformed into 18 criteria, with a Delphi panel reaching > 70% consensus on all criteria [Phase III]. A panel of international experts tested the AEGIS tool against five randomly selected publications of QI activities [Phase IV], demonstrating that the tool had good internal consistency (α = 0.734), moderate interrater reliability (κ = 0.481), and good utility. CONCLUSIONS: The 18-item AEGIS tool demonstrated excellent face and content validity, good internal consistency and utility, moderate interrater reliability, and broad application and international relevance. Thus, the AEGIS tool represents an important step toward improving the ethical conduct and integrity of QI projects. SPANISH ABSTRACT: http://links.lww.com/IJEBH/A451. CI - Copyright © 2025 JBI. Unauthorized reproduction of this article is prohibited. FAU - Leach, Matthew J AU - Leach MJ AD - Faculty of Health and Community Services, TAFE SA, Adelaide, SA, Australia. AD - JBI, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, SA, Australia. FAU - Bochkezanian, Vanesa AU - Bochkezanian V AD - JBI, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, SA, Australia. FAU - McArthur, Alexa AU - McArthur A AD - JBI, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, SA, Australia. FAU - Cardoso, Daniela AU - Cardoso D AD - JBI Portugal Centre for Evidence-Based Practice, Nursing School of Coimbra, Coimbra, Portugal. FAU - Underwood, Frazer AU - Underwood F AD - JBI University of Plymouth Centre of Implementation Science, University of Plymouth, Plymouth, Devon, UK. FAU - Muñoz, Laura Albornos AU - Muñoz LA AD - JBI Spanish Centre for Evidence-Based Nursing and Healthcare, Carlos III Institute of Health, Madrid, Spain. FAU - Zazu, Mariana AU - Zazu M AD - JBI Romanian Centre for Nursing Research, The Order of Nurses, Midwives and Medical Assistants in Romania Bucharest Branch, Bucharest, Romania. FAU - Kim, Hannah Jang AU - Kim HJ AD - National Patient Care Services, Kaiser Permanente, Oakland, CA, USA. FAU - Rodrigues, Rogério AU - Rodrigues R AD - JBI Portugal Centre for Evidence-Based Practice, Nursing School of Coimbra, Coimbra, Portugal. FAU - Lockwood, Craig AU - Lockwood C AD - JBI, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, SA, Australia. LA - eng PT - Journal Article DEP - 20260101 PL - United States TA - JBI Evid Implement JT - JBI evidence implementation JID - 101772772 SB - IM MH - *Quality Improvement/ethics MH - Humans MH - Delphi Technique MH - Reproducibility of Results MH - Psychometrics MH - Consensus MH - Research Design OTO - NOTNLM OT - clinical audit OT - ethical review OT - ethics OT - quality assurance OT - quality improvement COIS- The authors declare no conflicts of interest EDAT- 2025/12/23 12:47 MHDA- 2026/01/21 12:59 CRDT- 2025/12/23 06:43 PHST- 2026/01/21 12:59 [medline] PHST- 2025/12/23 12:47 [pubmed] PHST- 2025/12/23 06:43 [entrez] AID - 02205615-202601000-00015 [pii] AID - 10.1097/XEB.0000000000000545 [doi] PST - epublish SO - JBI Evid Implement. 2026 Jan 1;24(1):151-162. doi: 10.1097/XEB.0000000000000545. PMID- 41460497 OWN - NLM STAT- MEDLINE DCOM- 20251229 LR - 20251229 IS - 1938-2472 (Electronic) IS - 0022-0124 (Linking) VI - 57 IP - 1 DP - 2026 Jan TI - Readiness for System-Wide Integration of Nursing Evidence-Based Practice. PG - 5-7 LID - 10.3928/00220124-20251121-01 [doi] AB - During the coronavirus disease 2019 pandemic, patient safety metrics decreased. A health care organization measured the culture and readiness for evidence-based practice (EBP) and its effect on improving the quality of care. This column describes the results of a quality improvement project focused on the use of EBP by nurses, scientists, and medical librarians within an organization as well as the effect of EBP knowledge and culture. It shows the effect of professional development on sustaining EBP and improving the delivery of care. FAU - Carey, Mary G AU - Carey MG FAU - Qualls, Brandon W AU - Qualls BW LA - eng PT - Journal Article DEP - 20260101 PL - United States TA - J Contin Educ Nurs JT - Journal of continuing education in nursing JID - 0262321 SB - IM MH - Humans MH - *COVID-19/nursing/epidemiology MH - *Evidence-Based Nursing/organization & administration MH - *Quality Improvement/organization & administration MH - *Education, Nursing, Continuing/organization & administration MH - SARS-CoV-2 COIS- Disclosure: The authors have disclosed no potential conflicts of interest, financial or otherwise. EDAT- 2025/12/29 13:02 MHDA- 2025/12/29 13:03 CRDT- 2025/12/29 11:32 PHST- 2025/12/29 13:03 [medline] PHST- 2025/12/29 13:02 [pubmed] PHST- 2025/12/29 11:32 [entrez] AID - 10.3928/00220124-20251121-01 [doi] PST - ppublish SO - J Contin Educ Nurs. 2026 Jan;57(1):5-7. doi: 10.3928/00220124-20251121-01. Epub 2026 Jan 1. PMID- 42313519 OWN - NLM STAT- MEDLINE DCOM- 20260618 LR - 20260618 IS - 2150-1327 (Electronic) IS - 2150-1319 (Print) IS - 2150-1319 (Linking) VI - 17 DP - 2026 Jan-Dec TI - From Consensus Through Prioritization: A Delphi Method, Clinical Audit, and Analytic Hierarchy Process Framework for Quality Improvement in Primary Diabetes Care. PG - 21501319261462640 LID - 10.1177/21501319261462640 [doi] LID - 21501319261462640 AB - BackgroundType 2 diabetes mellitus (T2DM) affects approximately 17% of adults in Qatar, making improved primary care management a national health priority. Despite established guidelines, significant gaps persist between recommended care and real-world practice, particularly in preventive and patient-centered services. To address this, a structured, data-driven quality improvement (QI) framework was implemented.MethodsWe conducted a mixed-methods, pre-implementation QI study across 31 primary health care facilities in Qatar. The three-phase approach included: (1) a Delphi consensus with 65 primary care physicians to validate 17 key performance indicators (KPIs) for T2DM care; (2) a retrospective audit of 450 adult T2DM patient records to assess adherence to each KPI; and (3) prioritization of improvement interventions using the Analytic Hierarchy Process (AHP), based on clinical impact (50%), feasibility (30%), and urgency (20%).ResultsThe Delphi panel reached unanimous consensus on all 17 KPIs (median importance rating 5/5), covering preventive care, metabolic monitoring, therapy management, and patient education. The audit revealed high adherence to laboratory-based indicators (∼82%) but low performance in preventive and patient-centered care: ASCVD risk assessment (19.6%), foot examinations (24.0%), and individualized HbA1c goal documentation (1.3%). KPI adherence varied widely across centers (e.g., foot exam rates ranged from 0% to 95.6%). AHP analysis identified five top-priority gaps accounting for 63% of total priority weight: ASCVD risk assessment (16%), foot examinations (16%), lifestyle education (12%), follow-up HbA1c testing (10%), and individualized HbA1c goal-setting(9%).ConclusionThis study highlights critical deficits in preventive and patient-centered diabetes care in primary care facilities. By integrating expert consensus, real-world performance data, and structured prioritization through the Delphi-AHP framework, we developed a robust, evidence-based model for QI planning. Importantly, involving frontline clinicians in both KPI selection and intervention prioritization fostered ownership, contextual relevance, and alignment with clinical realities. This participatory approach enhanced the credibility and feasibility of proposed interventions and laid a strong foundation for sustainable practice change. FAU - Majeed, Ansif Pallath AU - Majeed AP AUID- ORCID: 0000-0001-8892-5056 AD - Yenepoya (Deemed to Be University), Mangalore, Karnataka, India. RINGGOLD: 219141 AD - Department of Clinical Affairs, Primary Health Care Corporation, Doha, Qatar. RINGGOLD: 420951 FAU - Panakaje, Niyaz AU - Panakaje N AD - Yenepoya Research Centre for Finance and Entrepreneurship Development (YEN-REFINED), Yenepoya (Deemed to Be University), Mangalore, India. RINGGOLD: 219141 FAU - Thekke Veettil, Shajitha AU - Thekke Veettil S AD - Department of Clinical Affairs, Primary Health Care Corporation, Doha, Qatar. RINGGOLD: 420951 FAU - Harikumar, Kiran AU - Harikumar K AD - Department of Clinical Affairs, Primary Health Care Corporation, Doha, Qatar. RINGGOLD: 420951 FAU - Sathish Kumta, Saurav AU - Sathish Kumta S AD - Yenepoya Research Centre for Finance and Entrepreneurship Development (YEN-REFINED), Yenepoya (Deemed to Be University), Mangalore, India. RINGGOLD: 219141 FAU - Al Mujalli, Hanan AU - Al Mujalli H AD - Department of Clinical Affairs, Primary Health Care Corporation, Doha, Qatar. RINGGOLD: 420951 FAU - Khan, Sharifullah AU - Khan S AD - Department of Clinical Affairs, Primary Health Care Corporation, Doha, Qatar. RINGGOLD: 420951 FAU - Ali Shah, Abdul AU - Ali Shah A AD - Department of Clinical Affairs, Primary Health Care Corporation, Doha, Qatar. RINGGOLD: 420951 FAU - AlKubaisi, Noora Jassim AU - AlKubaisi NJ AD - Department of Clinical Affairs, Primary Health Care Corporation, Doha, Qatar. RINGGOLD: 420951 LA - eng PT - Journal Article DEP - 20260618 PL - United States TA - J Prim Care Community Health JT - Journal of primary care & community health JID - 101518419 SB - IM MH - Humans MH - Delphi Technique MH - *Quality Improvement/organization & administration MH - *Primary Health Care/standards/organization & administration MH - *Diabetes Mellitus, Type 2/therapy MH - Qatar MH - Consensus MH - Female MH - Retrospective Studies MH - Quality Indicators, Health Care MH - Clinical Audit MH - Adult MH - Male MH - Middle Aged MH - Patient-Centered Care PMC - PMC13287424 OTO - NOTNLM OT - Type 2 Diabetes Mellitus OT - clinical audit OT - decision making OT - delphi technique OT - primary care settings OT - quality improvement COIS- Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2026/06/18 18:32 MHDA- 2026/06/18 18:33 PMCR- 2026/06/18 CRDT- 2026/06/18 12:13 PHST- 2026/06/18 18:33 [medline] PHST- 2026/06/18 18:32 [pubmed] PHST- 2026/06/18 12:13 [entrez] PHST- 2026/06/18 00:00 [pmc-release] AID - 10.1177_21501319261462640 [pii] AID - 10.1177/21501319261462640 [doi] PST - ppublish SO - J Prim Care Community Health. 2026 Jan-Dec;17:21501319261462640. doi: 10.1177/21501319261462640. Epub 2026 Jun 18. PMID- 41453517 OWN - NLM STAT- MEDLINE DCOM- 20260131 LR - 20260226 IS - 1559-2030 (Electronic) IS - 1551-7144 (Print) IS - 1551-7144 (Linking) VI - 161 DP - 2026 Feb TI - STARRS-PC: A stepped approach to reducing suicide in primary care: Design and methods of a hybrid type 1 effectiveness-implementation trial. PG - 108208 LID - S1551-7144(25)00402-1 [pii] LID - 10.1016/j.cct.2025.108208 [doi] AB - BACKGROUND: Suicide is the second leading cause of death among youth aged 12-17. Although most at-risk youth receive primary care, routine screening is limited in primary care due to provider discomfort, time constraints, limited training, and inadequate referral sources. Research evaluating and implementing suicide prevention strategies in pediatric primary care is vitally needed. PURPOSE: We aim to test the effectiveness of the Stepped Approach to Reducing Suicide in Primary Care (STARRS-PC), a population-based quality improvement intervention implementing a structured clinical pathway consisting of risk detection, assessment and triage, and follow-up with transitional care. METHODS: A stepped wedge cluster randomized design will evaluate the effectiveness of STARRS-PC compared to treatment as usual (TAU) across 16 primary care sites. 2324 adolescents aged 12-17 screening positive for suicide risk will be enrolled (1033 in the TAU phase; 1291 in the intervention phase). Primary outcomes include suicide attempts and deaths. Secondary outcomes are suicidal ideation, non-suicidal self-injury, and family satisfaction. Youth and parents will complete assessments at baseline, 3, 6, and 12 months. Tests of moderation and mediation will be conducted to understand finding generalizability and identify variables that change as a result of the intervention and are associated with suicide attempts/death. Implementation outcomes (reach, adoption, maintenance, feasibility, and acceptability) will be evaluated through provider surveys and qualitative interviews. CONCLUSIONS: This study will provide evidence on the effectiveness and implementation of a quality improvement supported, structured suicide prevention pathway in pediatric primary care, which could transform youth suicide risk identification and management. CI - Copyright © 2025 Elsevier Inc. All rights reserved. FAU - Fontanella, Cynthia A AU - Fontanella CA AD - Center for Suicide Prevention and Research at Nationwide Children's Hospital, 444 Butterfly Gardens Drive, Suite 2B, Columbus, OH 43215, USA; Department of Psychiatry and Behavioral Health, The Ohio State University College of Medicine, 1670 Upham Dr, Suite 130, Columbus, OH 43210, USA. Electronic address: Cynthia.Fontanella@nationwidechildrens.org. FAU - Hughes, Jennifer L AU - Hughes JL AD - Center for Suicide Prevention and Research at Nationwide Children's Hospital, 444 Butterfly Gardens Drive, Suite 2B, Columbus, OH 43215, USA; Department of Psychiatry and Behavioral Health, The Ohio State University College of Medicine, 1670 Upham Dr, Suite 130, Columbus, OH 43210, USA. FAU - Brock, Guy AU - Brock G AD - Department of Biomedical Informatics and Center for Biostatistics, The Ohio State University College of Medicine, 1800 Cannon Drive, Columbus, OH 43210, USA. FAU - Ruch, Donna A AU - Ruch DA AD - Center for Suicide Prevention and Research at Nationwide Children's Hospital, 444 Butterfly Gardens Drive, Suite 2B, Columbus, OH 43215, USA; Department of Pediatrics, The Ohio State University College of Medicine, 700 Childrens Drive, Columbus, OH 43205, USA. FAU - Kemper, Alex R AU - Kemper AR AD - Division of Primary Care Pediatrics, Nationwide Children's Hospital, 700 Childrens Drive, Columbus, OH 43205, USA. FAU - Bunger, Alicia C AU - Bunger AC AD - Department of Internal Medicine, Division of General Internal Medicine, The Ohio State University College of Medicine, 700 Ackerman Rd, Columbus, OH 43202, USA; CATALYST, The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, The Ohio State Wexner Medical Center, 700 Ackerman Road, Columbus, OH 43202, USA. FAU - Walker, Dan M AU - Walker DM AD - CATALYST, The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, The Ohio State Wexner Medical Center, 700 Ackerman Road, Columbus, OH 43202, USA; Department of Family and Community Medicine, The Ohio State University College of Medicine, 700 Ackerman Road, Columbus, OH 43202, USA. FAU - McAlearney, Ann Scheck AU - McAlearney AS AD - CATALYST, The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, The Ohio State Wexner Medical Center, 700 Ackerman Road, Columbus, OH 43202, USA; Department of Family and Community Medicine, The Ohio State University College of Medicine, 700 Ackerman Road, Columbus, OH 43202, USA. FAU - Maa, Tensing AU - Maa T AD - Center for Clinical Excellence, Nationwide Children's Hospital, 700 Childrens Drive, Columbus, OH 43205, USA. FAU - Miller, Melissa AU - Miller M AD - Center for Clinical Excellence, Nationwide Children's Hospital, 700 Childrens Drive, Columbus, OH 43205, USA. FAU - Desirazu, Priyanka AU - Desirazu P AD - Center for Suicide Prevention and Research at Nationwide Children's Hospital, 444 Butterfly Gardens Drive, Suite 2B, Columbus, OH 43215, USA. FAU - Obee, Jeremy AU - Obee J AD - Center for Suicide Prevention and Research at Nationwide Children's Hospital, 444 Butterfly Gardens Drive, Suite 2B, Columbus, OH 43215, USA. FAU - Bridge, Jeffrey A AU - Bridge JA AD - Center for Suicide Prevention and Research at Nationwide Children's Hospital, 444 Butterfly Gardens Drive, Suite 2B, Columbus, OH 43215, USA; Department of Pediatrics, The Ohio State University College of Medicine, 700 Childrens Drive, Columbus, OH 43205, USA. LA - eng GR - P50 MH127476/MH/NIMH NIH HHS/United States PT - Clinical Trial Protocol PT - Journal Article DEP - 20251224 PL - United States TA - Contemp Clin Trials JT - Contemporary clinical trials JID - 101242342 SB - IM MH - Humans MH - *Primary Health Care/organization & administration MH - Adolescent MH - *Suicide Prevention MH - Child MH - Suicidal Ideation MH - *Quality Improvement/organization & administration MH - Female MH - Male MH - Risk Assessment/methods MH - Randomized Controlled Trials as Topic MH - Suicide, Attempted/statistics & numerical data MH - Triage/organization & administration MH - Self-Injurious Behavior/epidemiology/prevention & control PMC - PMC12933724 MID - NIHMS2133219 OTO - NOTNLM OT - Adolescents OT - Clinical pathway OT - Implementation science OT - Primary care OT - Quality improvement OT - Suicide COIS- Declaration of competing interest Dr. Fontanella receives funding from the National Institute of Mental Health, the National Institute on Drug Abuse, the Agency for Healthcare Research and Quality, and the American Foundation for Suicide Prevention. Dr. Hughes is employed by Nationwide Children's Hospital and The Ohio State University. She has research support from the American Foundation for Suicide Prevention (AFSP), the National Institutes of Mental Health (NIMH), the National Institute of Nursing Research (NINR), the National Center for Complementary and Integrative Health (NCCIH), and the Patient Centered Outcomes Research Institute (PCORI). She also has been paid to consult on youth suicide prevention efforts for Mental Health in Mind, International AB, Baylor College of Medicine, Intermountain Health, Child Study Center of New York, Didi Hirsch, Family Connections, and the Michigan Public Health Institute. In the past year, she has received speaker's honoraria from Nemours Children's Health and Vanderbilt Medical Center. She is a member of the American Psychological Association Society of Clinical Child and Adolescent Psychology Board. Dr. Hughes receives royalties from Guilford Press. Dr. Ruch receives funding from the National Institute of Mental Health. Dr. Bridge receives funding from the National Institute of Mental Health, the Agency for Healthcare Research and Quality, and the American Foundation for Suicide Prevention. EDAT- 2025/12/27 00:54 MHDA- 2026/02/01 00:44 PMCR- 2026/12/24 CRDT- 2025/12/26 19:32 PHST- 2025/08/07 00:00 [received] PHST- 2025/12/18 00:00 [revised] PHST- 2025/12/23 00:00 [accepted] PHST- 2026/02/01 00:44 [medline] PHST- 2025/12/27 00:54 [pubmed] PHST- 2025/12/26 19:32 [entrez] PHST- 2026/12/24 00:00 [pmc-release] AID - S1551-7144(25)00402-1 [pii] AID - 10.1016/j.cct.2025.108208 [doi] PST - ppublish SO - Contemp Clin Trials. 2026 Feb;161:108208. doi: 10.1016/j.cct.2025.108208. Epub 2025 Dec 24. PMID- 41566581 OWN - NLM STAT- MEDLINE DCOM- 20260630 LR - 20260630 IS - 1538-7488 (Electronic) IS - 0002-936X (Linking) VI - 126 IP - 2 DP - 2026 Feb 1 TI - Teaching DNP Students Evidence-Based Practice and Quality Improvement. PG - 8-9 LID - 10.1097/AJN.0000000000000236 [doi] AB - It's time to eliminate inaccurate language and clarify competencies. CI - Copyright © 2026 Wolters Kluwer Health, Inc. All rights reserved. FAU - Waldrop, Julee AU - Waldrop J AD - Julee Waldrop is professor emeritus at the University of North Carolina at Chapel Hill School of Nursing and clinical associate at the Duke University School of Nursing, Durham, NC. Kerry A. Milner is adjunct professor of nursing at Sacred Heart University, Fairfield, CT. Staci S. Reynolds is clinical professor at the Duke University School of Nursing. Ellen Fineout-Overholt is a consultant and coach at Thought Transformation for Life, Hallsville, TX. Jayne Jennings Dunlap is associate professor at the Texas Woman's University College of Nursing in Houston. Contact author: Julee Waldrop, julee.waldrop@duke.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise. FAU - Milner, Kerry A AU - Milner KA FAU - Reynolds, Staci S AU - Reynolds SS FAU - Fineout-Overholt, Ellen AU - Fineout-Overholt E FAU - Dunlap, Jayne Jennings AU - Dunlap JJ LA - eng PT - Journal Article DEP - 20260122 PL - United States TA - Am J Nurs JT - The American journal of nursing JID - 0372646 SB - IM MH - Humans MH - *Quality Improvement MH - *Education, Nursing, Graduate MH - *Evidence-Based Nursing/education MH - Curriculum EDAT- 2026/01/22 07:43 MHDA- 2026/01/22 07:44 CRDT- 2026/01/22 00:13 PHST- 2026/01/22 07:44 [medline] PHST- 2026/01/22 07:43 [pubmed] PHST- 2026/01/22 00:13 [entrez] AID - 00000446-202602000-00003 [pii] AID - 10.1097/AJN.0000000000000236 [doi] PST - ppublish SO - Am J Nurs. 2026 Feb 1;126(2):8-9. doi: 10.1097/AJN.0000000000000236. Epub 2026 Jan 22. PMID- 41703518 OWN - NLM STAT- MEDLINE DCOM- 20260627 LR - 20260627 IS - 1472-6920 (Electronic) IS - 1472-6920 (Linking) VI - 26 IP - 1 DP - 2026 Feb 17 TI - Health systems science education for undergraduate medical students: a 3-year longitudinal curriculum preparing students to drive real-world health system improvement. LID - 10.1186/s12909-026-08773-z [doi] LID - 554 AB - BACKGROUND: Medical education has traditionally relied on basic and clinical sciences as the two foundational pillars for preparing physicians to enter practice. Recently, health systems science (HSS) has emerged as a third pillar, aiming to address the complexities of rapidly evolving healthcare systems. However, it remains limited or absent from most medical education programs worldwide, often lacking structured formal integration within broader medical education curriculum. METHODS: In August 2019, a new 3-year longitudinal Health Systems Science (HSS) course was introduced into the fourth year of a 6-year undergraduate medical curriculum at the Mohammed Bin Rashid University of Medicine and Health Sciences in Dubai, United Arab Emirates. The course addresses competencies such as value-based care, population health, interprofessional collaboration, health system improvement, and systems thinking. It combines structured classroom instruction, online modules via the Institute for Healthcare Improvement (IHI), and the completion of an experiential Quality Improvement (QI) project in the final year. RESULTS: All students participated in workplace-based quality improvement project and presented their findings as posters at a year-end HSS school symposium. When surveyed at the end of the course, all 47 students who completed the survey indicated they would recommend the course to future students, with 93.62% of respondents rating the course as ‘Excellent’ or ‘Good’ (M = 4.34, SD = 0.60). Students also appreciated the new QI skills they acquired and their deeper understanding of health systems. NEXT STEPS: The course faculty plan to continue instilling and nurturing HSS competencies during the early stages of medical education and envision expanding such courses to more health professionals in the future, including those from nursing, pharmacy, and other health programs. Student feedback and lessons learned will be used to inform course improvements, implement robust assessments, and influence a cultural shift towards greater engagement in QI work alongside clinical care. FAU - Popatia, Rizwana AU - Popatia R AD - Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, UAE. Rizwana.popatia@dubaihealth.ae. AD - M42 Mubadala Health, PO Box 4200, Mubadala Tower, Abu Dhabi, UAE. Rizwana.popatia@dubaihealth.ae. FAU - D'Silva, Jessica AU - D'Silva J AD - Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, UAE. AD - Mubadala Health Dubai, Sunset Mall Kite Beach - Level 1, Jumeirah 3, Dubai, UAE. FAU - Stanley, Adrian AU - Stanley A AD - Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, UAE. AD - Mediclinic Middle East, Publishing Pavilion Floors 5-7, Dubai Production City, Dubai, UAE. FAU - Khan, Nusrat AU - Khan N AD - Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, UAE. AD - Mediclinic Middle East, Publishing Pavilion Floors 5-7, Dubai Production City, Dubai, UAE. FAU - Ho, Samuel B AU - Ho SB AD - Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, UAE. AD - Mediclinic Middle East, Publishing Pavilion Floors 5-7, Dubai Production City, Dubai, UAE. FAU - Alsheikh-Ali, Alawi AU - Alsheikh-Ali A AD - Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, UAE. AD - Dubai Health Authority, Al Jadaf, Dubai, UAE. LA - eng PT - Journal Article DEP - 20260217 PL - England TA - BMC Med Educ JT - BMC medical education JID - 101088679 SB - IM MH - *Education, Medical, Undergraduate MH - *Curriculum MH - Humans MH - United Arab Emirates MH - *Quality Improvement MH - *Students, Medical MH - Longitudinal Studies MH - *Delivery of Health Care PMC - PMC13045028 OTO - NOTNLM OT - Health system science (HSS) OT - Innovation in medical education OT - System-based practice OT - Systems thinking OT - Value-based care COIS- Declarations. Ethics approval and consent to participate: This research was conducted in accordance with the ethical principles outlined in the Belmont Report. The study was reviewed and approved by the Mohammed Bin Rashid University Institutional Research Board (IRB-2024-577). Implied informed consent was obtained as a part of the anonymous survey, ensuring that the participants were aware of their voluntary involvement and the confidentiality of their responses. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. EDAT- 2026/02/18 00:49 MHDA- 2026/06/27 18:36 PMCR- 2026/02/17 CRDT- 2026/02/17 23:58 PHST- 2024/09/30 00:00 [received] PHST- 2026/02/04 00:00 [accepted] PHST- 2026/06/27 18:36 [medline] PHST- 2026/02/18 00:49 [pubmed] PHST- 2026/02/17 23:58 [entrez] PHST- 2026/02/17 00:00 [pmc-release] AID - 10.1186/s12909-026-08773-z [pii] AID - 8773 [pii] AID - 10.1186/s12909-026-08773-z [doi] PST - epublish SO - BMC Med Educ. 2026 Feb 17;26(1):554. doi: 10.1186/s12909-026-08773-z. PMID- 39918302 OWN - NLM STAT- MEDLINE DCOM- 20260217 LR - 20260219 IS - 1536-5026 (Print) IS - 1536-5026 (Linking) VI - 47 IP - 2 DP - 2026 Mar-Apr 01 TI - Building Competencies: The Impact of Simulation on Doctor of Nursing Practice Projects. PG - 119-120 LID - 10.1097/01.NEP.0000000000001382 [doi] AB - For this simulation experience, doctor of nursing practice students present their proposed quality improvement (QI) projects to an embedded participant. The project requires students to refine their skills in QI design, leadership, critical thinking, team building, and effective communication, crucial for navigating the complexities of modern health care settings. Positive feedback from 11 cohorts underscores the simulation's efficacy in enhancing preparedness, fostering teamwork, and enhancing communication. CI - Copyright © 2025 National League for Nursing. FAU - White, Tracie AU - White T AD - Tracie White, DNP, CRNP, ACNP-BC, CNOR, CRNFA, is assistant professor. FAU - Suttle, Becky AU - Suttle B AD - Becky Suttle, DNP, CRNP, is assistant professor. FAU - Holland, Aimee AU - Holland A AD - Aimee Holland, DNP, CRNP, FAAN, FAANP, is a professor. FAU - Dailey, Kelly AU - Dailey K AD - Kelly Dailey, MSN, is an instructor. FAU - Hafley, Sherrie AU - Hafley S AD - Sherrie Hafley, MSN, RN, CHSOS, is simulation coordinator. FAU - Smith, Tedra AU - Smith T AD - Tedra Smith, DNP, CRNP, CPNP-PC, CNE, CHSE, is associate professor. FAU - Bordelon, Curry AU - Bordelon C AD - Curry Bordelon, DNP, CRNP, CNE, is associate professor. LA - eng PT - Journal Article DEP - 20260216 PL - United States TA - Nurs Educ Perspect JT - Nursing education perspectives JID - 101140025 SB - IM MH - Humans MH - *Education, Nursing, Graduate/methods/organization & administration MH - *Clinical Competence MH - *Simulation Training/methods MH - *Quality Improvement/organization & administration MH - Leadership MH - Communication MH - Nursing Education Research OTO - NOTNLM OT - Competency-Based Education OT - Embedded Participant OT - Graduate Nursing Education OT - Quality Improvement COIS- The authors have declared no conflict of interest. EDAT- 2025/02/07 12:26 MHDA- 2026/02/17 18:53 CRDT- 2025/02/07 08:53 PHST- 2026/02/17 18:53 [medline] PHST- 2025/02/07 12:26 [pubmed] PHST- 2025/02/07 08:53 [entrez] AID - 00024776-202603000-00015 [pii] AID - 10.1097/01.NEP.0000000000001382 [doi] PST - ppublish SO - Nurs Educ Perspect. 2026 Mar-Apr 01;47(2):119-120. doi: 10.1097/01.NEP.0000000000001382. Epub 2026 Feb 16. PMID- 40613630 OWN - NLM STAT- MEDLINE DCOM- 20260212 LR - 20260214 IS - 1523-536X (Electronic) IS - 0730-7659 (Print) IS - 0730-7659 (Linking) VI - 53 IP - 1 DP - 2026 Mar TI - Consensus Guidelines for Intermittent Auscultation in United States Community Birth Settings. PG - 100-107 LID - 10.1111/birt.70002 [doi] AB - BACKGROUND: Intermittent auscultation is the gold standard for fetal assessment in uncomplicated pregnancies and labors and is used universally in the community birth setting. Great variation exists in intermittent auscultation practices and language used by community birth midwives across the country. Current standards, as defined by midwifery schools, state midwifery licensing boards, and individual midwifery practices, differ significantly and sometimes contradict each other. Community birth midwives, nurses and birth assistants, midwifery educators and those working in community birth quality improvement have been in need of common language and guidance on best practices in intermittent auscultation. OBJECTIVE: Develop and disseminate consensus standards for intermittent auscultation in the community birth setting in the United States. METHODOLOGY: Creation of guidelines through a 21-month consensus process with a workgroup of educators, leaders, quality improvement experts, and practicing midwives by identifying practices supported by evidence or clinical experience, evaluating current evidence and guidelines, eliciting feedback from education, midwifery, nursing, and birth center organizations, and incorporating revisions to create the final document. RESULTS: Consensus was reached on various elements of intermittent auscultation and guidelines were created. These guidelines address readiness, assessment, interpretation, and documentation of fetal heart tones, clinical decision making, and areas for future research. These guidelines provide a minimum standard for performance and documentation of intermittent auscultation in community birth midwifery practice. CI - © 2025 The Author(s). Birth published by Wiley Periodicals LLC. FAU - Akerson, Silke AU - Akerson S AD - Oregon Perinatal Collaborative, Oregon, USA. FAU - Bradbury, Sarah AU - Bradbury S AUID- ORCID: 0000-0001-7782-7768 AD - Broadlawns Medical Center, Des Moines, Iowa, USA. FAU - Davis, Rosanna AU - Davis R AD - California Association of Licensed Midwives, San Leandro, California, USA. FAU - Gordon, Wendy AU - Gordon W AD - Bastyr University, Kenmore, Washington, USA. FAU - Romano, Amy AU - Romano A AD - Primary Maternity Care, Milford, Connecticut, USA. FAU - Scholles, Holly AU - Scholles H AD - Birthingway College, Beaverton, Oregon, USA. LA - eng PT - Journal Article PT - Practice Guideline DEP - 20250704 PL - United States TA - Birth JT - Birth (Berkeley, Calif.) JID - 8302042 SB - IM MH - Humans MH - Pregnancy MH - United States MH - *Midwifery/standards/methods MH - Female MH - Consensus MH - *Auscultation/standards/methods MH - *Heart Auscultation/standards MH - Practice Guidelines as Topic MH - Quality Improvement PMC - PMC12894500 OTO - NOTNLM OT - community birth OT - fetal assessment OT - intermittent auscultation OT - midwifery COIS- The authors declare no conflicts of interest. EDAT- 2025/07/04 12:44 MHDA- 2026/02/12 06:55 PMCR- 2026/02/12 CRDT- 2025/07/04 08:33 PHST- 2025/01/30 00:00 [revised] PHST- 2024/07/26 00:00 [received] PHST- 2025/06/14 00:00 [accepted] PHST- 2026/02/12 06:55 [medline] PHST- 2025/07/04 12:44 [pubmed] PHST- 2025/07/04 08:33 [entrez] PHST- 2026/02/12 00:00 [pmc-release] AID - BIRT70002 [pii] AID - 10.1111/birt.70002 [doi] PST - ppublish SO - Birth. 2026 Mar;53(1):100-107. doi: 10.1111/birt.70002. Epub 2025 Jul 4. PMID- 41380815 OWN - NLM STAT- MEDLINE DCOM- 20260306 LR - 20260529 IS - 1558-349X (Electronic) IS - 1546-1440 (Linking) VI - 23 IP - 3 DP - 2026 Mar TI - Review of Artificial Intelligence Business Cases to Advance Toward Learning Health Care Systems. PG - 399-409 LID - S1546-1440(25)00727-6 [pii] LID - 10.1016/j.jacr.2025.12.012 [doi] AB - Multiple barriers have been identified to developing a learning health care systems (LHSs) including organizational culture, data systems and interoperability, funding and workforce limitations, and regulatory challenges. Artificial intelligence (AI) is being explored both inside and outside of health care, with varying degrees of scientific rigor in the testing of AI applications. LHSs and AI face similar implementation challenges, which presents an opportunity for synergy. By reviewing AI use cases from the lens of how it can be used to reduce previously identified barriers to progressing toward an LHS, opportunities for facilitating this journey can be identified. AI tools can impact both clinical and nonclinical business processes. The process of testing and implementing AI tools based on high-quality evidence or signal should prespecify thresholds and expectations of incremental effectiveness (marginal risk-benefit) improvement compared with current standards of care, as is standard in health services research, quality improvement, process improvement, and best practices of comparative health care research. Business process examples to improve workflow using AI tools may adhere to less rigorous evidentiary standards compared with tools guiding patient-centered clinical decision scenarios, such as with AI-based diagnostic applications. This review indicates that AI tools provide tremendous opportunities for radiology to improve health care systems, workflow processes, and patients' health outcomes. CI - Copyright © 2025 American College of Radiology. Published by Elsevier Inc. All rights reserved. FAU - Nasser, Omar Msto Hussain AU - Nasser OMH AD - Harvard Medical School, Boston, Massachusetts; Department of Radiology, Beth Israel Medical Center, Boston, Massachusetts. FAU - Bresnahan, Brian W AU - Bresnahan BW AD - Department of Radiology, Beth Israel Medical Center, Boston, Massachusetts; Vice Chair and Senior Medical Director, Operations and Special Projects, Beth Israel Deaconess Medical Center Radiology; Lead, Applied Engineering and Creating Value in Clinical Operations, Center for Health Delivery Science, BIDMC. FAU - Cross, Nathan M AU - Cross NM AD - Department of Radiology, University of Washington and Harborview Medical Center, Seattle, Washington; Manager of the Harborview Medical Center Float Competencies' Program for Radiology Residents, University of Washington. FAU - Rawson, James V AU - Rawson JV AD - Department of Radiology, University of Washington and Harborview Medical Center, Seattle, Washington; Vice Chair of Informatics, Radiology, University of Washington. Electronic address: jrawson@bidmc.harvard.edu. LA - eng PT - Journal Article PT - Review DEP - 20251209 PL - United States TA - J Am Coll Radiol JT - Journal of the American College of Radiology : JACR JID - 101190326 SB - IM MH - *Artificial Intelligence MH - Humans MH - *Learning Health System/organization & administration MH - *Radiology/organization & administration MH - United States MH - Quality Improvement OTO - NOTNLM OT - Artificial intelligence OT - learning health system OT - radiology OT - systems thinking OT - workflow EDAT- 2025/12/12 03:30 MHDA- 2026/03/07 01:38 CRDT- 2025/12/11 19:31 PHST- 2025/07/09 00:00 [received] PHST- 2025/11/21 00:00 [revised] PHST- 2025/12/04 00:00 [accepted] PHST- 2026/03/07 01:38 [medline] PHST- 2025/12/12 03:30 [pubmed] PHST- 2025/12/11 19:31 [entrez] AID - S1546-1440(25)00727-6 [pii] AID - 10.1016/j.jacr.2025.12.012 [doi] PST - ppublish SO - J Am Coll Radiol. 2026 Mar;23(3):399-409. doi: 10.1016/j.jacr.2025.12.012. Epub 2025 Dec 9. PMID- 41413791 OWN - NLM STAT- MEDLINE DCOM- 20260225 LR - 20260707 IS - 2169-981X (Electronic) IS - 2169-9798 (Linking) VI - 42 IP - 2 DP - 2026 Mar-Apr 01 TI - Standardization of Evidence-Based Peripheral Intravenous Catheter Insertion, Assessment, and Maintenance Practices on a Medical-Surgical Unit: A Quality Improvement Project. PG - 74-80 LID - 10.1097/NND.0000000000001206 [doi] AB - A quality improvement project to standardize peripheral intravenous catheter insertion, maintenance, and documentation was implemented with the goal of aligning with professional standards for peripheral intravenous catheter removal as clinically indicated. The project team included nursing professional development roles, content experts, and clinical nurses and engaged learners with multimodal strategies including interactive education and competency validation. Nurses successfully adopted practices to align with professional standards and increased dwell time without an increase in related bloodstream infections. CI - Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved. FAU - Coleman, Kristie AU - Coleman K FAU - Bonamer, Jennifer AU - Bonamer J FAU - Benham, Calli AU - Benham C FAU - Szmania, Taylor AU - Szmania T FAU - Williams, Kaylyn AU - Williams K LA - eng PT - Journal Article DEP - 20251219 PL - United States TA - J Nurses Prof Dev JT - Journal for nurses in professional development JID - 101603887 SB - IM MH - Humans MH - *Quality Improvement MH - *Catheterization, Peripheral/standards/nursing/methods MH - *Evidence-Based Nursing/standards MH - *Medical-Surgical Nursing/standards EDAT- 2025/12/19 06:31 MHDA- 2026/02/25 10:20 CRDT- 2025/12/19 00:03 PHST- 2026/02/25 10:20 [medline] PHST- 2025/12/19 06:31 [pubmed] PHST- 2025/12/19 00:03 [entrez] AID - 01709760-990000000-00163 [pii] AID - 10.1097/NND.0000000000001206 [doi] PST - ppublish SO - J Nurses Prof Dev. 2026 Mar-Apr 01;42(2):74-80. doi: 10.1097/NND.0000000000001206. Epub 2025 Dec 19. PMID- 41692543 OWN - NLM STAT- MEDLINE DCOM- 20260216 LR - 20260216 IS - 1558-0474 (Electronic) IS - 0889-8545 (Linking) VI - 53 IP - 1 DP - 2026 Mar TI - Quality Improvement Initiatives in Urogynecology. PG - 91-106 LID - S0889-8545(25)00088-9 [pii] LID - 10.1016/j.ogc.2025.11.001 [doi] AB - Urogynecology aims to improve care for women with pelvic floor disorders. The field has advanced rapidly, highlighting the need for patient-centered quality improvement. Landmark studies reveal gaps in care, driving the creation of quality measures to assess quality of care. Primary care settings have emerged as a key target, with initiatives like electronic consultation, advanced practice provider integration, and online toolkits to enhance clinical care. Initiatives on the specialist side include the incorporation of shared decision-making for patients, standardized surgical protocols, and postsurgical follow-up. These efforts build infrastructure to improve urogynecology at all health care levels. CI - Published by Elsevier Inc. FAU - Parija, Sweta AU - Parija S AD - Department of Urology, University of California, San Diego, 200 West Arbor Drive, San Diego, CA 92103, USA. Electronic address: swparija@health.ucsd.edu. FAU - Anger, Jennifer T AU - Anger JT AD - Department of Urology, University of California, San Diego, 200 West Arbor Drive, San Diego, CA 92103, USA. LA - eng PT - Journal Article PT - Review DEP - 20251229 PL - United States TA - Obstet Gynecol Clin North Am JT - Obstetrics and gynecology clinics of North America JID - 8709551 SB - IM MH - Humans MH - Female MH - *Gynecology/methods/standards MH - *Urology/methods/standards MH - *Quality Improvement MH - *Pelvic Floor Disorders MH - Decision Making, Shared MH - *Quality Indicators, Health Care MH - Public Health Infrastructure/standards MH - Patient-Centered Care/standards MH - Primary Health Care/standards OTO - NOTNLM OT - Pelvic floor dysfunction OT - Pelvic organ prolapse OT - Primary care OT - Quality improvement OT - Urinary incontinence OT - Urogynecology COIS- Disclosure Dr J.T. Anger has funding from Agency for Healthcare Research and Quality, United States (1U18HS028740) and Patient-Centered Outcomes Research Institute, United States (UI2021C223690). EDAT- 2026/02/16 00:31 MHDA- 2026/02/16 00:32 CRDT- 2026/02/15 20:54 PHST- 2026/02/16 00:32 [medline] PHST- 2026/02/16 00:31 [pubmed] PHST- 2026/02/15 20:54 [entrez] AID - S0889-8545(25)00088-9 [pii] AID - 10.1016/j.ogc.2025.11.001 [doi] PST - ppublish SO - Obstet Gynecol Clin North Am. 2026 Mar;53(1):91-106. doi: 10.1016/j.ogc.2025.11.001. Epub 2025 Dec 29. PMID- 41709391 OWN - NLM STAT- MEDLINE DCOM- 20260708 LR - 20260708 IS - 1538-7488 (Electronic) IS - 0002-936X (Linking) VI - 126 IP - 3 DP - 2026 Mar 1 TI - Implementation: From Plan to Action. PG - 36-49 LID - 10.1097/AJN.0000000000000251 [doi] AB - This is the ninth article in a new series designed to provide readers with insight into educating nurses about evidence-based decision-making (EBDM). It builds on AJN's award-winning previous series-Evidence-Based Practice, Step by Step and EBP 2.0: Implementing and Sustaining Change (to access both series, go to https://links.lww.com/AJN/A133). This follow-up series on EBDM will address how to teach and facilitate learning about the evidence-based practice (EBP) and quality improvement (QI) processes and how they impact health care quality. This series is relevant for all nurses interested in EBP and QI, especially DNP faculty and students. The brief case scenario included in each article describes one DNP student's journey. To access previous articles in this EBDM series, go to https://links.lww.com/AJN/A256. CI - Copyright © 2026 Wolters Kluwer Health, Inc. All rights reserved. FAU - Farus-Brown, Susan AU - Farus-Brown S AD - Susan Farus-Brown is an associate professor at the Ohio University School of Nursing in Athens. Ellen Fineout-Overholt is a consultant and coach at Thought Transformation for Life, Hallsville, TX. Mary C. Zonsius is an associate professor at the Rush University College of Nursing in Chicago. Kerry A. Milner is an adjunct professor in the Davis and Henley College of Nursing at Sacred Heart University in Fairfield, CT. Contact author: Kerry A. Milner, milnerk@sacredheart.edu . The authors have disclosed no potential conflicts of interest, financial or otherwise. FAU - Fineout-Overholt, Ellen AU - Fineout-Overholt E FAU - Zonsius, Mary C AU - Zonsius MC FAU - Milner, Kerry A AU - Milner KA LA - eng PT - Journal Article DEP - 20260219 PL - United States TA - Am J Nurs JT - The American journal of nursing JID - 0372646 SB - IM CIN - Am J Nurs. 2026 Mar 01;126(3):50. doi: 10.1097/AJN.0000000000000252. PMID: 41709392 MH - Humans MH - *Quality Improvement MH - *Evidence-Based Nursing/education MH - *Education, Nursing, Graduate/organization & administration EDAT- 2026/02/19 07:02 MHDA- 2026/02/19 07:03 CRDT- 2026/02/19 00:21 PHST- 2026/02/19 07:03 [medline] PHST- 2026/02/19 07:02 [pubmed] PHST- 2026/02/19 00:21 [entrez] AID - 00000446-202603000-00021 [pii] AID - 10.1097/AJN.0000000000000251 [doi] PST - ppublish SO - Am J Nurs. 2026 Mar 1;126(3):36-49. doi: 10.1097/AJN.0000000000000251. Epub 2026 Feb 19. PMID- 41886103 OWN - NLM STAT- MEDLINE DCOM- 20260326 LR - 20260621 IS - 1432-0711 (Electronic) IS - 0932-0067 (Print) IS - 0932-0067 (Linking) VI - 313 IP - 1 DP - 2026 Mar 26 TI - Effectiveness of evidence-based nursing protocols in managing postpartum hemorrhage after vaginal delivery: a prospective observational quality-improvement evaluation. LID - 10.1007/s00404-026-08393-4 [doi] LID - 142 AB - OBJECTIVE: To investigate the effectiveness of evidence-based intervention strategies in managing postpartum hemorrhage following vaginal delivery. METHODS: This was a prospective, observational quality-improvement evaluation conducted among 120 women who experienced postpartum hemorrhage after vaginal delivery. Two nursing strategies were compared consecutively: a conventional nursing routine and a structured evidence-based nursing protocol developed from current literature and clinical guidelines. Outcomes assessed included postpartum blood loss, coagulation indicators [prothrombin time (PT), thrombin time (TT), activated partial thromboplastin time (APTT), and fibrinogen (FIB)], adverse events, self-care ability, nursing satisfaction, emotional status [Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS)], and quality of life. RESULTS: Compared with the routine nursing phase, the evidence-based nursing phase was associated with lower bleeding volume at 0.5, 2, 12, and 24 h postpartum (P < 0.05). After 5 days of nursing care, PT, TT, and APTT were shorter, and FIB levels were higher (P < 0.05). The frequency of adverse events was lower (10.0% vs. 23.3%), while self-care ability, nursing satisfaction, and quality-of-life scores were higher. Both phases showed decreases in SAS and SDS scores, with greater improvement observed in the evidence-based phase (P < 0.05). CONCLUSION: An observational study of quality-improvement demonstrated a significant association between the implementation of a standardized evidence-based nursing protocol and reduced postpartum hemorrhage, improved coagulation profiles, lower incidence of adverse events, and improved psychosocial outcomes. These results should be validated in future randomized controlled trials. CI - © 2026. The Author(s). FAU - Chen, Yanting AU - Chen Y AD - Obstetrics Department of China-Japan Friendship Hospital, No. 2, Yinghuayuan East Street, Chaoyang District, Beijing, 100029, China. FAU - Ling, Mengxue AU - Ling M AD - Obstetrics Department of China-Japan Friendship Hospital, No. 2, Yinghuayuan East Street, Chaoyang District, Beijing, 100029, China. FAU - Nan, Dandan AU - Nan D AD - International Obstetrics Department of China-Japan Friendship Hospital, Beijing, 100029, China. FAU - Zhang, Zhenzhen AU - Zhang Z AD - Obstetrics Department of China-Japan Friendship Hospital, No. 2, Yinghuayuan East Street, Chaoyang District, Beijing, 100029, China. FAU - Liu, Shanshan AU - Liu S AD - Obstetrics Department of China-Japan Friendship Hospital, No. 2, Yinghuayuan East Street, Chaoyang District, Beijing, 100029, China. FAU - Kou, Meijing AU - Kou M AD - Obstetrics Department of China-Japan Friendship Hospital, No. 2, Yinghuayuan East Street, Chaoyang District, Beijing, 100029, China. FAU - Pan, Xiaoyu AU - Pan X AD - Obstetrics Department of China-Japan Friendship Hospital, No. 2, Yinghuayuan East Street, Chaoyang District, Beijing, 100029, China. xiaoyupan894@163.com. LA - eng GR - 2023-NHLHCRF-YYPPLC-ZR-11/National High Level Hospital Clinical Research Funding/ PT - Journal Article PT - Observational Study DEP - 20260326 PL - Germany TA - Arch Gynecol Obstet JT - Archives of gynecology and obstetrics JID - 8710213 SB - IM MH - Humans MH - Female MH - *Postpartum Hemorrhage/nursing MH - Prospective Studies MH - Adult MH - Pregnancy MH - *Quality Improvement MH - *Delivery, Obstetric/adverse effects MH - *Evidence-Based Nursing/methods/standards MH - Quality of Life MH - Clinical Protocols PMC - PMC13021826 OTO - NOTNLM OT - Evidence-based nursing OT - Maternal outcomes OT - Postpartum hemorrhage OT - Postpartum women OT - Quality-improvement evaluation OT - Vaginal delivery COIS- Declarations. Conflict of interest: The authors declare no competing interests. Ethical approval and consent to participate: The study protocol was reviewed and approved by the Institutional Review Board of China–Japan Friendship Hospital (Approval number: 2024-KY-380–2). Written informed consent was obtained from all participants or their legal representatives prior to enrollment. Consent for publication: Not applicable. Clinical register number: The study was prospectively registered in the Chinese Clinical Trial Registry as a prospective observational quality-improvement evaluation (ChiCTR2500110845|| http://www.chictr.org.cn/ ). EDAT- 2026/03/26 18:49 MHDA- 2026/03/26 18:50 PMCR- 2026/03/26 CRDT- 2026/03/26 12:15 PHST- 2025/11/28 00:00 [received] PHST- 2026/03/03 00:00 [accepted] PHST- 2026/03/26 18:50 [medline] PHST- 2026/03/26 18:49 [pubmed] PHST- 2026/03/26 12:15 [entrez] PHST- 2026/03/26 00:00 [pmc-release] AID - 10.1007/s00404-026-08393-4 [pii] AID - 8393 [pii] AID - 10.1007/s00404-026-08393-4 [doi] PST - epublish SO - Arch Gynecol Obstet. 2026 Mar 26;313(1):142. doi: 10.1007/s00404-026-08393-4. PMID- 41633917 OWN - NLM STAT- MEDLINE DCOM- 20260408 LR - 20260408 IS - 1528-3984 (Electronic) IS - 0197-4572 (Linking) VI - 69 DP - 2026 Apr TI - Older adults need evidence-based and empathetic care everywhere. PG - 103915 LID - S0197-4572(26)00121-7 [pii] LID - 10.1016/j.gerinurse.2026.103915 [doi] AB - The NICHE GRN model and program have enjoyed broad implementation over more than three decades and align well with various care settings, subspecialties, and geriatric excellence programs. As NICHE continues to grow and amplify its impact on clinical nursing excellence in the care of older adults, it focuses on adapting and aligning program implementation efforts to amplify the impact of complementary geriatric quality programs and expand to new care settings. CI - Copyright © 2026 Elsevier Inc. All rights reserved. FAU - Mack, Karen AU - Mack K AD - Nurses Improving Care for Healthsystem Elders, NYU Rory Meyers College of Nursing, NY, NY, 10010, USA. Electronic address: karen.mack@nyu.edu. FAU - Popil, Inna AU - Popil I AD - Nurses Improving Care for Healthsystem Elders, NYU Rory Meyers College of Nursing, NY, NY, 10010, USA. Electronic address: inna.popil@nyu.edu. LA - eng PT - Journal Article DEP - 20260202 PL - United States TA - Geriatr Nurs JT - Geriatric nursing (New York, N.Y.) JID - 8309633 SB - IM MH - Humans MH - Male MH - Female MH - Aged MH - Aged, 80 and over MH - *Geriatric Nursing/methods/standards MH - *Evidence-Based Nursing/methods/standards MH - *Models, Nursing MH - *Empathy MH - *Health Services for the Aged/organization & administration/standards MH - Quality of Health Care MH - Health Plan Implementation OTO - NOTNLM OT - Care continuum OT - Geriatric OT - Interprofessional OT - NICHE OT - Nursing COIS- Declaration of competing interest The authors declare that they have no competing interests. There are no funding sources to acknowledge. EDAT- 2026/02/04 05:06 MHDA- 2026/04/07 06:31 CRDT- 2026/02/03 21:54 PHST- 2025/11/20 00:00 [received] PHST- 2026/01/21 00:00 [accepted] PHST- 2026/04/07 06:31 [medline] PHST- 2026/02/04 05:06 [pubmed] PHST- 2026/02/03 21:54 [entrez] AID - S0197-4572(26)00121-7 [pii] AID - 10.1016/j.gerinurse.2026.103915 [doi] PST - ppublish SO - Geriatr Nurs. 2026 Apr;69:103915. doi: 10.1016/j.gerinurse.2026.103915. Epub 2026 Feb 2. PMID- 41719440 OWN - NLM STAT- MEDLINE DCOM- 20260708 LR - 20260708 IS - 1539-2031 (Electronic) IS - 0192-0790 (Linking) VI - 60 IP - 4 DP - 2026 Apr 1 TI - Development of an Evidence-based Quality Indicator Set for Patients With Inflammatory Bowel Disease in Belgium. PG - 349-355 LID - 10.1097/MCG.0000000000002145 [doi] AB - GOALS: This study aimed to develop and validate a set of quality indicators that can be used to improve clinical IBD care in Belgium. BACKGROUND: Several quality indicator sets have been developed to standardize, measure, and optimize IBD care. However, currently, no set exists for use in IBD in Belgium. STUDY: In a 2 round modified Delphi exercise, 221 quality indicators were scored on a 10-point Likert scale by 32 IBD experts. In a third ranking round, room for improvement benefitting the patient was prioritized to agree on a subset of indicators. In parallel, patient perspectives were collected through 2 patient focus groups. Indicators scoring 7 or higher by ≥80% of the participants during the second scoring round or based on agreement during a closing consensus meeting were included in the final set. RESULTS: To assess IBD care in Belgium, the following number of quality indicators were agreed upon: 41 structure, 123 process, and 35 outcome indicators (n=199). In the improvement subset, 18 indicators were retained that related to patient characteristics, endoscopy guidelines, infection prevention, steroid use, the IBD care team, services provided in the IBD clinic, the documentation of patient characteristics, the care pathway, and the monitoring of disease activity. Patients considered the latter 5 indicators particularly important. CONCLUSIONS: A set of quality indicators, including an improvement subset, was developed and validated, allowing Belgian IBD centers to assess care, set up quality improvement projects, and potentially a benchmarking exercise. CI - Copyright © 2026 Wolters Kluwer Health, Inc. All rights reserved. FAU - Fierens, Liselotte AU - Fierens L AD - Department of Chronic Diseases and Metabolism, KU Leuven, Leuven. FAU - Liefferinckx, Claire AU - Liefferinckx C AD - Department of Gastroenterology, Hôpital Erasme, Brussels. FAU - Sabino, João AU - Sabino J AD - Department of Chronic Diseases and Metabolism, KU Leuven, Leuven. AD - Department of Gastroenterology and Hepatology, University Hospitals, Leuven. FAU - De Dycker, Els AU - De Dycker E AD - Department of Gastroenterology and Hepatology, University Hospitals, Leuven. FAU - Wambacq, Valérie AU - Wambacq V AD - Department of Gastroenterology, Hôpital Erasme, Brussels. FAU - Vanhaecht, Kris AU - Vanhaecht K AD - Department of Quality, University Hospitals Leuven, Leuven. AD - Department of Public Health and Primary Care, KU Leuven, Leuven. FAU - Rademakers, Frank E AU - Rademakers FE AD - Faculty of Medicine, KU Leuven, Leuven. FAU - Bossuyt, Peter AU - Bossuyt P AD - Imelda GI Clinical Research Centre, Imelda General Hospital, Bonheiden. FAU - Baert, Filip AU - Baert F AD - Department of Gastroenterology, AZ Delta, Roeselare. FAU - Baert, Didier AU - Baert D AD - Department of Gastroenterology, AZ Maria Middelares, Gent, Belgium. FAU - Vanhaverbeke, Manon AU - Vanhaverbeke M AD - Department of Chronic Diseases and Metabolism, KU Leuven, Leuven. FAU - Ferrante, Marc AU - Ferrante M AD - Department of Chronic Diseases and Metabolism, KU Leuven, Leuven. AD - Department of Gastroenterology and Hepatology, University Hospitals, Leuven. CN - BEATLES Expert Panel CN - BIRD Group CN - BEATLES Expert Panel and The BIRD Group LA - eng PT - Journal Article PT - Validation Study DEP - 20260401 PL - United States TA - J Clin Gastroenterol JT - Journal of clinical gastroenterology JID - 7910017 SB - IM MH - Humans MH - Belgium MH - *Quality Indicators, Health Care/standards MH - *Inflammatory Bowel Diseases/therapy MH - Delphi Technique MH - Consensus MH - Female MH - Evidence-Based Medicine MH - Quality Improvement MH - Male MH - Focus Groups MH - Adult OTO - NOTNLM OT - Delphi OT - inflammatory bowel diseases OT - quality improvement OT - quality indicators OT - quality of care FIR - Crapé, Lara IR - Crapé L FIR - Schoenaers, Patrick IR - Schoenaers P FIR - Himpe, Sofie IR - Himpe S FIR - Van der Wijst, Edwin IR - Van der Wijst E FIR - Van Dyck, Evi IR - Van Dyck E FIR - Budé, Inez IR - Budé I FIR - Van Damme, Laura IR - Van Damme L FIR - Dewint, Pieter IR - Dewint P FIR - Annel, Annelies Verreth IR - Annel AV FIR - Colard, Arnaud IR - Colard A FIR - Ouziel, Romy IR - Ouziel R FIR - Muls, Vinciane IR - Muls V FIR - Mana, Fazia IR - Mana F FIR - Mokaddem, Fady IR - Mokaddem F FIR - Smets, Françoise IR - Smets F FIR - Cremer, Anneline IR - Cremer A FIR - Liefferinckx, Claire IR - Liefferinckx C FIR - de Suray, Nicolas IR - de Suray N FIR - Couturier, Filip IR - Couturier F FIR - Heremans, Jenny IR - Heremans J FIR - Bertrand, Anne IR - Bertrand A FIR - De Zutter, Astrid IR - De Zutter A FIR - Kelchterma, Natascha IR - Kelchterma N FIR - Schelkens, Sophie IR - Schelkens S FIR - Somers, Michaeal IR - Somers M FIR - Veereman, Gi IR - Veereman G FIR - Dewitte, Goedele IR - Dewitte G FIR - Akhayad, Soumaya IR - Akhayad S FIR - Dycker, Els De IR - Dycker E FIR - Nigro, Melissa IR - Nigro M FIR - Vermeire, Séverine IR - Vermeire S FIR - Caenepeel, Clara IR - Caenepeel C EDAT- 2026/02/20 21:28 MHDA- 2026/03/07 18:38 CRDT- 2026/02/20 14:52 PHST- 2024/08/27 00:00 [received] PHST- 2025/01/19 00:00 [accepted] PHST- 2026/03/07 18:38 [medline] PHST- 2026/02/20 21:28 [pubmed] PHST- 2026/02/20 14:52 [entrez] AID - 00004836-990000000-00609 [pii] AID - 10.1097/MCG.0000000000002145 [doi] PST - epublish SO - J Clin Gastroenterol. 2026 Apr 1;60(4):349-355. doi: 10.1097/MCG.0000000000002145. PMID- 41747760 OWN - NLM STAT- MEDLINE DCOM- 20260709 LR - 20260709 IS - 1552-7409 (Electronic) IS - 0894-3184 (Linking) VI - 39 IP - 2 DP - 2026 Apr TI - Concept Analysis for the Nursing Discipline. PG - 79-85 LID - 10.1177/08943184251406758 [doi] AB - This column presents a scholarly dialogue with Dr. Lorraine O. Walker. As a co-author of the book Strategies for Theory Construction in Nursing (Walker & Avant, 2019), first published in 1983 and now in its 6th edition, Dr. Walker has made substantial contributions to advancing nursing knowledge and nursing practice. Furthermore, she has dedicated herself to the scientific inquiries into the motherhood transition with its implications for maternal and infant health. In this scholarly dialogue, she shares her expectations of concept analysis for the nursing discipline, along with her new research endeavors and the future of nursing as a science and discipline. It will guide nurse scholars to the world of nursing as a science. FAU - Doe, Mi Jin AU - Doe MJ AUID- ORCID: 0000-0003-1417-1110 AD - Clinical Associate Professor, Decker College of Nursing and Health Sciences, Binghamton University, Binghamton, NY, USA. FAU - Walker, Lorraine O AU - Walker LO AUID- ORCID: 0000-0002-3746-3928 AD - Luci B. Johnson Centennial Professor in Nursing, The University of Texas at Austin, Austin, TX, USA. LA - eng PT - Journal Article DEP - 20260226 PL - United States TA - Nurs Sci Q JT - Nursing science quarterly JID - 8805022 SB - IM MH - Humans MH - *Nursing Theory MH - *Concept Formation MH - *Nursing OTO - NOTNLM OT - concept analysis OT - discipline OT - implication OT - nursing OT - science COIS- Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the authorship and/or publication of this review. EDAT- 2026/02/27 00:33 MHDA- 2026/03/22 06:04 CRDT- 2026/02/26 19:13 PHST- 2026/03/22 06:04 [medline] PHST- 2026/02/27 00:33 [pubmed] PHST- 2026/02/26 19:13 [entrez] AID - 10.1177/08943184251406758 [doi] PST - ppublish SO - Nurs Sci Q. 2026 Apr;39(2):79-85. doi: 10.1177/08943184251406758. Epub 2026 Feb 26. PMID- 41860319 OWN - NLM STAT- MEDLINE DCOM- 20260407 LR - 20260620 IS - 1530-0293 (Electronic) IS - 0090-3493 (Linking) VI - 54 IP - 4 DP - 2026 Apr 1 TI - 10 Steps to Improve Sepsis Care in Low-Resource Settings. PG - 939-949 LID - 10.1097/CCM.0000000000007090 [doi] AB - OBJECTIVES: To develop a practical consensus-based framework for 10 steps to improve sepsis care in low-resource settings (LRSs), aligned with the sepsis chain of survival and informed by global expertise. DATA SOURCES: We reviewed peer-reviewed literature on sepsis epidemiology, prevention, recognition, and management in LRS; international guidelines, including the Surviving Sepsis Campaign; and prior "10-step" consensus frameworks for resuscitation and emergency care. STUDY SELECTION: A Task Force representing adult and pediatric sepsis care, emergency care, critical care, infectious diseases, public health, and implementation science identified key domains from the above data sources. DATA EXTRACTION: With guidance from methodologists and implementation science experts, we utilized an iterative, consensus-based process-literature review, Delphi survey, Utstein-style conference, stakeholder input, and public comment-to first define and then refine steps and implementation strategies. DATA SYNTHESIS: The process resulted in 10 nonsequential, actionable steps covering governance and commodities, provider and caregiver education, community and facility prevention, early recognition and rapid response, timely guideline-based interventions, structured post-sepsis care, data systems, quality improvement, a culture of excellence and respect, and holistic well-being of patients, caregivers, and providers. Each step includes a rationale and potential implementation strategies adaptable to local resources and needs. Collectively, the ten steps emphasize integration across the continuum of care, equitable access to essential interventions, and the role of emerging technologies to prevent, recognize, monitor, and follow-up sepsis. CONCLUSIONS: The 10 steps provide a consensus-driven roadmap for health leaders, clinicians, and policymakers to improve sepsis care, strengthen the sepsis chain of survival, reduce preventable morbidity and mortality, and address global inequities in sepsis outcomes. CI - Copyright © 2026 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved. FAU - Kortz, Teresa B AU - Kortz TB AUID- ORCID: 0000-0003-3326-1736 AD - Department of Pediatrics, Critical Care Medicine, University of California San Francisco, San Francisco, CA. AD - Institute for Global Health Sciences, University of California San Francisco, San Francisco, CA. FAU - Hidalgo, Jorge L AU - Hidalgo JL AD - Division of Critical Care and COVID-19-Unit, Belize Healthcare Partners Limited, Belize. FAU - Akech, Samuel O AU - Akech SO AD - Kenya Medical Research Institute-Wellcome Trust Research Program (KWTRP), Nairobi, Kenya. FAU - Myatra, Sheila N AU - Myatra SN AD - Department of Anesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India. FAU - Maves, Ryan C AU - Maves RC AD - Sections of Infectious Diseases and Critical Care Medicine, Wake Forest University School of Medicine, Winston-Salem, NC. FAU - Perez-Fernandez, Javier AU - Perez-Fernandez J AD - Critical Care Services, Baptist Hospital of Miami, Miami, FL. FAU - Acharya, Subhash P AU - Acharya SP AD - Maharajgunj Medical Campus at Institute of Medicine, Tribhuvan University Teaching Hospital, Tribhuvan University, Kathmandu, Nepal. FAU - Coopersmith, Craig M AU - Coopersmith CM AD - Department of Surgery and Emory Critical Care Center, Emory School of Medicine, Atlanta, GA. FAU - Jacob, Shevin T AU - Jacob ST AD - Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United Kingdom. AD - Walimu, Kampala, Uganda. FAU - Johnston, Cintia AU - Johnston C AD - Department of Pediatrics, Faculty of Medicine, University of São Paulo (FMUSP), São Paulo, Brazil. FAU - Kissoon, Niranjan AU - Kissoon N AD - Department of Pediatrics, British Columbia Children's Hospital, Vancouver, BC, Canada. FAU - Machado, Flávia R AU - Machado FR AD - Intensive Care Department, Hospital Universitário/Hospital São Paulo, Escola Paulista de Medcina, Federal University of São Paolo, São Paulo, Brazil. FAU - Molyneux, Elizabeth AU - Molyneux E AD - Kamuzu University of Health Sciences, Blantyre, Malawi. FAU - Morrow, Brenda M AU - Morrow BM AD - Department of Pediatrics and Child Health, University of Cape Town, Cape Town, South Africa. FAU - Pérez Cornejo, Martha Susana AU - Pérez Cornejo MS AD - Division of Critical Care, State General Hospital, Hermosillo, Sonora, Mexico. FAU - Permpikul, Chairat AU - Permpikul C AD - Division of Critical Care, Department of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. FAU - Piyavechviratana, Kunchit AU - Piyavechviratana K AD - Division of Pulmonary and Critical Care Medicine, Phramongkutklao Hospital, Bangkok, Thailand. FAU - Rhodes, Andrew AU - Rhodes A AD - Adult Critical Care, St George's University Hospitals NHS Foundation Trust & City St George's, University of London, London, United Kingdom. FAU - Ulisubisya, Mpoki M AU - Ulisubisya MM AD - Muhimbili Orthopaedic Institute, Dar es Salaam, Tanzania. FAU - Kumar, Vishakha K AU - Kumar VK AD - Department of Research and Quality, Society of Critical Care Medicine, Mount Prospect, IL. FAU - Patel, Hariyali AU - Patel H AD - Department of Research and Quality, Society of Critical Care Medicine, Mount Prospect, IL. FAU - Woznica, Daniel AU - Woznica D AD - Department of Research and Quality, Society of Critical Care Medicine, Mount Prospect, IL. FAU - Nadkarni, Vinay M AU - Nadkarni VM AD - Department of Anesthesiology, Critical Care and Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA. LA - eng PT - Journal Article PT - Review DEP - 20260320 PL - United States TA - Crit Care Med JT - Critical care medicine JID - 0355501 SB - IM MH - Humans MH - *Resource-Limited Settings MH - *Sepsis/therapy/prevention & control/diagnosis MH - *Quality Improvement/organization & administration MH - Critical Care/standards MH - Practice Guidelines as Topic MH - Consensus OTO - NOTNLM OT - emergency care frameworks OT - international collaboration OT - low-income countries OT - low-resource settings OT - public health policy OT - sepsis management COIS- Dr. Coopersmith’s laboratory is funded by the National Institutes of Health (NIH); he is the current co-chair of the Surviving Sepsis Campaign Steering Committee. Dr. Hidalgo is the current president of the World Federation of Intensive and Critical Care (WFICC). Dr. Jacob received sepsis research grant funding from the German Federal Ministry of Research, Technology, and Space, the U.K. National Institute for Health and Care Research, and the U.K. Medical Research Council; he is the Board and Executive Member for the Global Sepsis Alliance and for the African Sepsis Alliance; and he is the Member of the Surviving Sepsis Campaign guidelines committee. Dr. Machado is the speaker for Baxter, and the relationship is now ended. Dr. Maves received research funding to my institution from AiCuris, Biotest, Geovax, and Merck; he is consulted for Shionogi and GSK; and he is the member of the Surviving Sepsis Campaign guidelines committee. Dr. Myatra is the member of the Surviving Sepsis Campaign guidelines committee; she is a member of the Asia Pacific Sepsis Alliance. Dr. Pérez Cornejo is the speaker of Pfizer; she is the current president of the Mexican College of Critical Medicine. Dr. Perez-Fernandez is the speaker for AstraZeneca and the President-Elect of the WFICC. Dr. Piyavechviratana is the current president of the Thai Society of Critical Care Medicine. Dr. Kortz is supported by the National Institute of Allergy and Infectious Diseases (award number K23AI144029). Dr. Kumar received research grant funding from the Laerdal Foundation and the NIH/National Heart, Lung, and Blood Institute for my institution. Dr. Nadkarni received research grant funding for my institution from the NIH, the Department of Defense, the Agency for Healthcare Quality and Safety, the Zoll Medical, the Laerdal Foundation, and the American Heart Association. The remaining authors have disclosed that they do not have any potential conflicts of interest. EDAT- 2026/03/20 13:22 MHDA- 2026/04/07 12:33 CRDT- 2026/03/20 09:33 PHST- 2026/04/07 12:33 [medline] PHST- 2026/03/20 13:22 [pubmed] PHST- 2026/03/20 09:33 [entrez] AID - 00003246-990000000-00765 [pii] AID - 10.1097/CCM.0000000000007090 [doi] PST - ppublish SO - Crit Care Med. 2026 Apr 1;54(4):939-949. doi: 10.1097/CCM.0000000000007090. Epub 2026 Mar 20. PMID- 41875477 OWN - NLM STAT- MEDLINE DCOM- 20260620 LR - 20260620 IS - 1550-5103 (Electronic) IS - 0363-9568 (Print) IS - 0363-9568 (Linking) VI - 50 IP - 2S Suppl 2 DP - 2026 Apr-Jun 01 TI - Transforming Care: Nursing Research, EBP, and Innovation: Celebrating the 10-Year Anniversary of the Kaiser Permanente Scholars Academy. PG - S35-S38 LID - 10.1097/NAQ.0000000000000747 [doi] AB - Kaiser Permanente Northern California (KPNCAL) has a long-standing commitment to advancing nursing excellence through workforce development, professional education, and the integration of Caring Science and Unitary Nursing frameworks. Building on this foundation, the organization identified the need to strengthen nurse-led research, evidence-based practice (EBP), and innovation in alignment with Magnet designation standards. Historically, nursing research infrastructure lagged behind physician-led efforts, with limited structural support, few nurse principal investigators, and minimal collaboration between research-focused PhDs and practice-focused DNPs. To address these gaps, the NCAL Research and EBP Program was launched in 2019, followed by the Research & Innovation Academy (RIA) in 2021 under the Scholars Academy. RIA was designed to institutionalize nursing research and EBP across 21 medical centers through a unified infrastructure, local, national, and regional EBP and research councils, curriculum development, mentorship pathways, and academic partnerships. Initiatives included monthly office hours, grand rounds, regional conferences, and the creation of a community of practice connecting over 300 PhD- and DNP-prepared nurses. RIA also partnered with the Institutional Review Board, Research Determination Office, and KP Libraries to streamline processes and build capacity for nurse-led scholarship. With more than 28 000 nurses in the region, these efforts have accelerated engagement in quality improvement in initiatives, research studies, and dissemination of findings. Looking forward, RIA is advancing large-scale, multi-site studies while preparing for the integration of big data and artificial intelligence in nursing research. By embedding research and EBP into the culture of every medical center, RIA positions KPNCAL to advance innovation, professional nursing excellence, and patient-centered outcomes. CI - Copyright © 2026 The Authors. Published by Wolters Kluwer Health, Inc. FAU - Sohal, Janet AU - Sohal J AD - Kaiser Permanente Scholars Academy & Magnet, NCAL Regional Patient Care Services, Pleasanton, California, USA (Dr Sohal). FAU - Kim, Hannah AU - Kim H AD - Community Health Systems, UCSF School of Nursing, San Francisco, California, USA (Dr Kim). FAU - Nnaji, Ifeoma AU - Nnaji I AD - National Patient Care Services, Kaiser Permanente, Oakland, California, USA (Drs Kim and Nnaji). LA - eng PT - Journal Article DEP - 20260317 PL - United States TA - Nurs Adm Q JT - Nursing administration quarterly JID - 7703976 SB - IM MH - Humans MH - *Nursing Research/trends/methods MH - California MH - Academia MH - *Evidence-Based Nursing/methods/trends PMC - PMC12994889 OTO - NOTNLM OT - caring science OT - evidence-based practice (EBP) OT - innovation OT - magnet designation OT - nursing research OT - workforce development EDAT- 2026/03/25 01:05 MHDA- 2026/03/25 01:06 PMCR- 2026/03/17 CRDT- 2026/03/24 18:23 PHST- 2026/03/25 01:06 [medline] PHST- 2026/03/25 01:05 [pubmed] PHST- 2026/03/24 18:23 [entrez] PHST- 2026/03/17 00:00 [pmc-release] AID - 00006216-202604001-00009 [pii] AID - NAQ-D-25-00077 [pii] AID - 10.1097/NAQ.0000000000000747 [doi] PST - ppublish SO - Nurs Adm Q. 2026 Apr-Jun 01;50(2S Suppl 2):S35-S38. doi: 10.1097/NAQ.0000000000000747. Epub 2026 Mar 17. PMID- 41911479 OWN - NLM STAT- MEDLINE DCOM- 20260621 LR - 20260621 IS - 1440-1800 (Electronic) IS - 1320-7881 (Linking) VI - 33 IP - 2 DP - 2026 Apr TI - Reimagining Nursing Theories in the Age of Artificial Intelligence: Preserving the Human Essence Amid Digital Transformation. PG - e70099 LID - 10.1111/nin.70099 [doi] AB - The exponential growth of artificial intelligence (AI) in healthcare has sparked both enthusiasm and apprehension within the nursing discipline. While AI promises to enhance clinical efficiency, accuracy, and decision-making, it simultaneously challenges nursing's humanistic foundations, its ethical commitments, relational presence, and caring philosophy. This paper critically examines how classical nursing theories, including those of Nightingale, Peplau, Orem, Roy, and Watson, can be reinterpreted in light of AI's expanding role in clinical practice, education, and research. Building on the epistemological traditions of caring science and adaptation theory, it introduces the AI-Enhanced Caring Adaptation Theory (AI-CAT) as a conceptual framework that situates AI as a collaborative partner in care delivery. AI-CAT conceptualizes the dynamic interaction among the Human Domain (empathy, ethics, and judgment), the AI Domain (data analytics, predictive modeling), and the Adaptive Interface (trust calibration, techno-empathy, and ethical co-agency), yielding augmented caring. The framework asserts that AI can amplify human compassion and moral reasoning when guided by nursing theory and ethical reflection. It also delineates implications for education, practice, and policy, advocating for digital literacy, critical reflection, and equitable AI governance. Ultimately, this discursive theoretical paper argues that the essence of nursing must evolve not by surrendering its humanity to algorithms, but by redefining what it means to care in an intelligent, interconnected world. AI may transform how nurses think, but it must never alter why they care. CI - © 2026 John Wiley & Sons Ltd. FAU - Nashwan, Abdulqadir AU - Nashwan A AUID- ORCID: 0000-0003-4845-4119 AD - Nursing and Midwifery Research Department, Hamad Medical Corporation, Doha, Qatar. FAU - Kunjavara, Jibin AU - Kunjavara J AUID- ORCID: 0000-0001-6718-181X AD - Nursing and Midwifery Research Department, Hamad Medical Corporation, Doha, Qatar. LA - eng PT - Journal Article PL - Australia TA - Nurs Inq JT - Nursing inquiry JID - 9505881 SB - IM MH - Humans MH - *Artificial Intelligence/trends MH - *Nursing Theory MH - Empathy OTO - NOTNLM OT - artificial intelligence OT - nursing education OT - nursing ethics OT - nursing technology OT - nursing theory EDAT- 2026/03/30 18:30 MHDA- 2026/03/30 18:31 CRDT- 2026/03/30 15:23 PHST- 2026/03/12 00:00 [revised] PHST- 2025/11/26 00:00 [received] PHST- 2026/03/20 00:00 [accepted] PHST- 2026/03/30 18:31 [medline] PHST- 2026/03/30 18:30 [pubmed] PHST- 2026/03/30 15:23 [entrez] AID - 10.1111/nin.70099 [doi] PST - ppublish SO - Nurs Inq. 2026 Apr;33(2):e70099. doi: 10.1111/nin.70099. PMID- 42046246 OWN - NLM STAT- MEDLINE DCOM- 20260622 LR - 20260622 IS - 1464-3677 (Electronic) IS - 1353-4505 (Print) IS - 1353-4505 (Linking) VI - 38 IP - 2 DP - 2026 Apr 13 TI - Enhancing patient safety in the emergency care of poisoned patients: a participatory systems approach. LID - 10.1093/intqhc/mzag050 [doi] LID - mzag050 AB - BACKGROUND: Poisoning is a leading cause of injury-related mortality globally, with emergency departments (EDs) playing a critical role in managing these cases. However, treating poisoned patients in EDs presents unique challenges, including variations in clinical presentations, delays in toxicology testing, and communication breakdowns among healthcare professionals. METHODS: This study aimed to develop practical guidance for managing poisoned patients in EDs by engaging multidisciplinary stakeholders using a participatory systems design approach. Structured brainstorming sessions were conducted with 38 healthcare professionals, including toxicologists, emergency nurses, and physicians, organized into six multidisciplinary teams. The Improvement Canvas, developed at the Cambridge Engineering Design Centre, was used to guide participants in identifying key challenges, mapping system dynamics, defining core problems, and proposing targeted solutions. The guidance was refined through multiple iterations and shared with representatives from the Department of Health Abu Dhabi for feedback. Additionally, process maps were created to facilitate the implementation of recommendations across regional hospitals. RESULTS: Participants identified several critical areas for improvement, including standardized workflows for triage, resuscitation, and toxicology testing; enhanced mental health support; and improved interdepartmental communication. The resulting framework emphasizes continuous monitoring, real-time information sharing, and cross-functional collaboration among healthcare teams. Feedback from the Department of Health validated the practical relevance and feasibility of the proposed strategies. CONCLUSION: By integrating frontline expertise and systems thinking, this study delivers evidence-based recommendations to standardize care and enhance patient safety in emergency settings. The developed framework supports streamlined emergency care processes by fostering effective teamwork and incorporating perspectives from mental health and toxicology. Implementing these strategies can improve care efficiency and ensure high-quality outcomes for poisoned patients in EDs. CI - © The Author(s) 2026. Published by Oxford University Press on behalf of International Society for Quality in Health Care. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com. FAU - Simsekler, Mecit Can Emre AU - Simsekler MCE AUID- ORCID: 0000-0002-1555-5012 AD - Department of Management Science & Engineering, Khalifa University of Science & Technology, Abu Dhabi, UAE. FAU - Rahmadani, Firda AU - Rahmadani F AD - Department of Management Science & Engineering, Khalifa University of Science & Technology, Abu Dhabi, UAE. FAU - AlRaeesi, Nahed Ali AU - AlRaeesi NA AD - Department of Health Abu Dhabi, Abu Dhabi, UAE. FAU - Alsereidi, Mozah Mohamed AU - Alsereidi MM AD - Department of Health Abu Dhabi, Abu Dhabi, UAE. LA - eng GR - Khalifa University of Science and Technology through the Research/ GR - KU-INT-RIG-2025-8471000044/Innovation Grant Program/ PT - Journal Article PL - England TA - Int J Qual Health Care JT - International journal for quality in health care : journal of the International Society for Quality in Health Care JID - 9434628 SB - IM MH - Humans MH - *Patient Safety/standards MH - *Emergency Service, Hospital/organization & administration/standards MH - *Poisoning/therapy MH - Quality Improvement/organization & administration MH - Triage/organization & administration MH - Workflow MH - Resuscitation MH - Patient Care Team/organization & administration MH - Communication PMC - PMC13285728 OTO - NOTNLM OT - emergency care OT - human-centered design OT - participatory systems approach OT - patient safety OT - poisoning OT - process mapping OT - quality improvement COIS- The author(s) report no conflicts of interest in this work. EDAT- 2026/04/28 06:34 MHDA- 2026/05/22 12:35 PMCR- 2026/04/27 CRDT- 2026/04/28 00:53 PHST- 2025/04/08 00:00 [received] PHST- 2026/03/19 00:00 [revised] PHST- 2026/04/09 00:00 [accepted] PHST- 2026/05/22 12:35 [medline] PHST- 2026/04/28 06:34 [pubmed] PHST- 2026/04/28 00:53 [entrez] PHST- 2026/04/27 00:00 [pmc-release] AID - 8663757 [pii] AID - mzag050 [pii] AID - 10.1093/intqhc/mzag050 [doi] PST - ppublish SO - Int J Qual Health Care. 2026 Apr 13;38(2):mzag050. doi: 10.1093/intqhc/mzag050. PMID- 42162990 OWN - NLM STAT- MEDLINE DCOM- 20260624 LR - 20260624 IS - 1538-7488 (Electronic) IS - 0002-936X (Linking) VI - 126 IP - 6 DP - 2026 Jun 1 TI - Evaluation for Clinical Practice Change. PG - 38-44 LID - 10.1097/AJN.0000000000000309 [doi] AB - This is the 10th article in a new series designed to provide readers with insight into educating nurses about evidence-based decision-making (EBDM). It builds on AJN's award-winning previous series-Evidence-Based Practice, Step by Step and EBP 2.0: Implementing and Sustaining Change (to access both series, go to https://links.lww.com/AJN/A133). This follow-up series on EBDM will address how to teach and facilitate learning about the evidence-based practice (EBP) and quality improvement (QI) processes and how they impact health care quality. This series is relevant for all nurses interested in EBP and QI, especially DNP faculty and students. The brief case scenario included in each article describes one DNP student's journey. To access previous articles in this EBDM series, go to https://links.lww.com/AJN/A256. CI - Copyright © 2026 Wolters Kluwer Health, Inc. All rights reserved. FAU - Milner, Kerry A AU - Milner KA AD - Kerry A. Milner is an adjunct professor at the Davis and Henley College of Nursing at Sacred Heart University in Fairfield, CT. Mary C. Zonsius is an associate professor at the Rush University College of Nursing in Chicago, IL. Susan Farus-Brown is an associate professor at the Ohio University School of Nursing in Athens, OH. Ellen Fineout-Overholt is a consultant and coach at Thought Transformation for Life, Hallsville, TX. Contact author: Kerry A. Milner, milnerk@sacredheart.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise. FAU - Zonsius, Mary C AU - Zonsius MC FAU - Farus-Brown, Susan AU - Farus-Brown S FAU - Fineout-Overholt, Ellen AU - Fineout-Overholt E LA - eng PT - Journal Article DEP - 20260521 PL - United States TA - Am J Nurs JT - The American journal of nursing JID - 0372646 SB - IM MH - Humans MH - *Quality Improvement MH - *Evidence-Based Nursing/education MH - *Education, Nursing, Graduate/organization & administration EDAT- 2026/05/21 06:32 MHDA- 2026/05/21 06:33 CRDT- 2026/05/21 00:13 PHST- 2026/05/21 06:33 [medline] PHST- 2026/05/21 06:32 [pubmed] PHST- 2026/05/21 00:13 [entrez] AID - 00000446-202606000-00020 [pii] AID - 10.1097/AJN.0000000000000309 [doi] PST - ppublish SO - Am J Nurs. 2026 Jun 1;126(6):38-44. doi: 10.1097/AJN.0000000000000309. Epub 2026 May 21. PMID- 42343188 OWN - NLM STAT- MEDLINE DCOM- 20260625 LR - 20260625 IS - 1538-7488 (Electronic) IS - 0002-936X (Linking) VI - 126 IP - 7 DP - 2026 Jul 1 TI - Enhancing the Professional Work Environment Through Nursing Engagement in an Academic Medical Center. PG - 58-63 LID - 10.1097/AJN.0000000000000325 [doi] AB - BACKGROUND: Shared decision-making and professional governance have long been defining features of American Nurses Credentialing Center (ANCC) Magnet-designated organizations, supporting high-quality outcomes, professional autonomy, and nurse engagement. Within our multi-Magnet-designated academic medical center, part of a larger academic health system, a shared governance structure had been in place for many years. However, to respond to the evolving demands of the academic medical center, the increasing complexity of health care delivery, and the need for stronger alignment between frontline practice and organizational strategy, the leadership and governance model was redesigned to fully integrate professional shared governance into the model with direct care nurses. PURPOSE: The purpose of this article is to describe how an ANCC Magnet-designated academic medical center systematically developed, implemented, and evaluated a transition from traditional shared governance to a robust professional shared governance framework by intentionally engaging nurses at all levels of the organization. This work aimed to strengthen nurses' voice in decision-making; enhance professional accountability; and hardwire structures that align nursing practice, quality, and innovation with organizational priorities. METHODS: A pre-post survey design was used to examine nurse engagement over a two-year period spanning the implementation of the professional shared governance model. Validated engagement measures were administered to nurses across the academic medical center before the redesign (2024 presurvey) and after its full implementation (2025 postsurvey). Comparative analyses were conducted to assess changes in overall engagement and in specific domains associated with professional practice, informatics, recruitment and retention, recognition, and evidence-based practice/research. RESULTS: A total of 248 and 286 nurses responded to the preimplementation and postimplementation surveys, respectively, and their responses were compared. Overall nurse engagement scores increased between the 2024 presurvey and the 2025 postsurvey, indicating stronger perceptions of involvement, influence, and professional support following implementation of the professional shared governance model. The largest gains were observed in domains related to maximizing the capabilities of clinical and information technology to support patients and families; recruitment, retention, and recognition activities; and engagement in evidence-based practice and research opportunities. Clinical nurses demonstrated increased engagement across all measured categories, mirroring the overall pattern of improvement and showing the most substantial gains in the same high-impact domains. CONCLUSION: Transitioning from shared governance to professional shared governance within an academic medical center is a complex, iterative, and developmental process that advances over time. Effective professional shared governance structures require intentional design, sustained leadership commitment, and active nurse participation at every level of the organization. To ensure these structures remain meaningful and high performing, they must be continuously evaluated, refined, and adapted to reflect contemporary practice, emerging priorities, and the evolving needs of nurses, patients, and the health system. By leveraging data-driven insights, incorporating innovative strategies, and maintaining a culture of shared accountability and collaboration, professional shared governance can remain agile, forward-thinking, and a powerful driver of nursing excellence and organizational outcomes. CI - Copyright © 2026 Wolters Kluwer Health, Inc. All rights reserved. FAU - Spano-Szekely, Lauraine AU - Spano-Szekely L AD - Lauraine Spano-Szekely is vice president of nursing and patient care services at NYU Langone Health in New York City, where Benjamin Bass is a research coordinator, Julie Villanella is Magnet program director, and Kathleen Evanovich Zavotsky is system senior director of nursing research and program evaluation. Contact author: Kathleen Evanovich Zavotsky, kathleen.zavotsky@nyulangone.org. The authors have disclosed no potential conflicts of interest, financial or otherwise. FAU - Bass, Benjamin AU - Bass B FAU - Villanella, Julie AU - Villanella J FAU - Zavotsky, Kathleen Evanovich AU - Zavotsky KE LA - eng PT - Journal Article DEP - 20260625 PL - United States TA - Am J Nurs JT - The American journal of nursing JID - 0372646 SB - IM MH - *Academic Medical Centers/organization & administration MH - Humans MH - *Nursing Staff, Hospital/psychology/organization & administration MH - *Work Engagement MH - Leadership MH - Surveys and Questionnaires OTO - NOTNLM OT - Magnet designation OT - nursing engagement OT - nursing practice OT - professional shared governance OT - transformational leadership EDAT- 2026/06/25 06:37 MHDA- 2026/06/25 06:38 CRDT- 2026/06/25 00:13 PHST- 2026/06/25 06:38 [medline] PHST- 2026/06/25 06:37 [pubmed] PHST- 2026/06/25 00:13 [entrez] AID - 00000446-202607000-00024 [pii] AID - 10.1097/AJN.0000000000000325 [doi] PST - ppublish SO - Am J Nurs. 2026 Jul 1;126(7):58-63. doi: 10.1097/AJN.0000000000000325. Epub 2026 Jun 25. PMID- 42393663 OWN - NLM STAT- MEDLINE DCOM- 20260704 LR - 20260704 IS - 1472-6963 (Electronic) IS - 1472-6963 (Linking) VI - 26 IP - 1 DP - 2026 Jul 2 TI - The Green Planet: development and early evaluation of a novel method for climate actions in clinical practice. LID - 10.1186/s12913-026-15059-z [doi] LID - 909 AB - BACKGROUND: Climate change is becoming an increasingly serious threat to human health. At the same time, healthcare delivery is contributing substantially to greenhouse gas emissions, thus aggravating climate disruption. To integrate climate actions into clinical practice is therefore important but remains challenging. Health professionals often express environmental awareness but face barriers to engaging in pro-climate behaviours at work. There is limited evidence on how workplace interventions can be designed and implemented to support such behaviours. This study describes the development and early evaluation of Green Planet, a co-created method designed to integrate climate awareness and actions into healthcare. METHODS: The Green Planet was developed through a service design process in collaboration with managers and clinical staff at a Swedish hospital, adapting an established quality improvement method, the Green Cross, to focus on climate actions. The method was tested over a six-weeks period in a medicine ward. A qualitative evaluation was conducted using eight semi-structured interviews, one focus group discussion with eleven participants, and three non-participatory observations. Data was analysed using an inductive thematic analysis to examine how the method was used in practice, and a deductive thematic analysis guided by the Capability, Opportunity, Motivation-Behaviour (COM-B) model to explore how the intervention influenced conditions for pro-climate behaviours. RESULTS: The Green Planet was largely implemented as intended, with local adaptations to fit clinical routines. Staff reported that the method increased awareness and knowledge about climate actions, promoted reflection on everyday practices, and fostered a sense of collective responsibility. The intervention enhanced capability, opportunity, and motivation for pro-climate behaviour, particularly by making climate actions visible, concrete, and part of daily team discussions. Challenges included variable staff engagement, time constraints, and reliance on a designated test leader. CONCLUSIONS: This early evaluation suggests that a co-created, theory-informed method integrated into existing work routines can strengthen conditions for pro-climate behaviours in healthcare settings. The Green Planet shows promise as an adaptable approach to normalising climate action in everyday clinical practice. Further research is needed to assess long-term effects, scalability, and measurable environmental impact. CI - © 2026. The Author(s). FAU - Stabel, Linda Sturesson AU - Stabel LS AD - Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Stockholm, Sweden. linda.sturesson-stabel@ki.se. FAU - Kristensson, Desirée AU - Kristensson D AD - Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Stockholm, Sweden. FAU - Hasson, Henna AU - Hasson H AD - Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Stockholm, Sweden. AD - Centre för Epidemiology and Community Medicine, Region Stockholm, Stockholm, Sweden. FAU - Schettini, Greta AU - Schettini G AD - Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden. AD - Centre for Dependency Disorders, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden. FAU - Sävblom, Charlotta AU - Sävblom C AD - Södertälje Hospital, Södertälje, Sweden. FAU - Mazzocato, Pamela AU - Mazzocato P AD - Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Stockholm, Sweden. AD - Södertälje Hospital, Södertälje, Sweden. LA - eng PT - Journal Article DEP - 20260702 PL - England TA - BMC Health Serv Res JT - BMC health services research JID - 101088677 SB - IM MH - Humans MH - Sweden MH - *Climate Change MH - Qualitative Research MH - Focus Groups MH - Interviews as Topic MH - Quality Improvement PMC - PMC13330229 OTO - NOTNLM OT - Behaviour change OT - Climate change OT - Delivery of healthcare OT - Environment OT - Health personnel OT - Leadership OT - Qualitative study OT - Quality improvement OT - Service design thinking OT - Social change COIS- Declarations. Ethics approval and consent to participate: The study was conducted in accordance with the ethical principles of the Declaration of Helsinki. Written informed consent was gathered from interviewees prior to interviews and focus group discussions. Before observations, information was given orally. Participants were informed that they could withdraw their participation at any time. Data were handled in compliance with applicable data protection regulations. Identifiable information was anonymised (WMA, 2024). The Swedish Ethical Review Authority deemed that ethical approval was not required under the Swedish Ethical Review Act, as the study fell outside its scope (dnr. 2023-04910-01). Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. EDAT- 2026/07/03 10:11 MHDA- 2026/07/04 13:09 PMCR- 2026/07/02 CRDT- 2026/07/03 00:11 PHST- 2026/02/23 00:00 [received] PHST- 2026/06/26 00:00 [accepted] PHST- 2026/07/04 13:09 [medline] PHST- 2026/07/03 10:11 [pubmed] PHST- 2026/07/03 00:11 [entrez] PHST- 2026/07/02 00:00 [pmc-release] AID - 10.1186/s12913-026-15059-z [pii] AID - 15059 [pii] AID - 10.1186/s12913-026-15059-z [doi] PST - epublish SO - BMC Health Serv Res. 2026 Jul 2;26(1):909. doi: 10.1186/s12913-026-15059-z.