Middle managers’ experience implementing healthcare innovations in practice

"If engaging in hypothesized roles promotes implementation effectiveness, then the middle manager role theory should be leveraged to develop an intervention to enable middle managers to fulfill hypothesized roles with the support of top managers; doing so may promote the implementation of innovations intended to reduce the gap between evidence and practice."

Elaborating on theory with middle managers’ experience implementing healthcare innovations in practice
SA Birken, LD DiMartino, MA Kirk, SD Lee, M McClelland, NM Albert
Implementation Science 2016, 11:2  doi:10.1186/s13012-015-0362-6

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Improving compliance with iron infusion therapy in the treatment of chronic anemia in haemodialysis patients with chronic kidney disease

"We aimed to empower hemodialysis nursing staff to manage the iron infusions based on a checklist of ferritin and hemoglobin values thereby making them more independent. This had the added benefit of freeing doctor time."

Improving compliance with iron infusion therapy in the treatment of chronic anemia in haemodialysis patients with chronic kidney disease
ANuti
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u204642.w2177

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Using a theory of planned behaviour framework to explore hand hygiene beliefs

"Improving hand hygiene among health care workers (HCWs) is the single most effective intervention to reduce health care associated infections in hospitals. Understanding the cognitive determinants of hand hygiene decisions for HCWs with the greatest patient contact (nurses) is essential to improve compliance."

Using a theory of planned behaviour framework to explore hand hygiene beliefs at the ‘5 critical moments’ among Australian hospital-based nurses

KM White et al.
BMC Health Services Research 2015, 15:59  doi:10.1186/s12913-015-0718-2

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Safe staffing for nursing in adult inpatient wards in acute hospitals

"The guideline identifies organisational and managerial factors that are required to support safe staffing for nursing, and makes recommendations for monitoring and taking action if there are not enough nursing staff available to meet the nursing needs of patients on the ward.Safe staffing for nursing in adult inpatient wards in acute hospitals"

Safe staffing for nursing in adult inpatient wards in acute hospitals
NICE Guidelines [SG1]
July 2014

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Improving Medication Administration Safety

"Ultimately, these findings affirm that nurse adherence to safe practices reduces medication administration (MA) errors. Although MA errors account for a minority of overall adverse drug events, they are typically not intercepted by other members of the healthcare team. Integrating these findings into evidence-based staffing considerations, nursing education and clinical practice competency validation has the potential to improve the quality, cost, and outcomes of MA."

Improving Medication Administration Safety: Using Naïve Observation to Assess Practice and Guide Improvements in Process and Outcomes
N Donaldson, C Aydin, M Fridman, M Fole
Journal for Healthcare Quality, 2014, 36: 58–68. doi: 10.1111/jhq.12090

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Integrated health and social care in England

"This briefing paper is part of a series of RCN documents examining the policies and practical arrangements surrounding the integration of health and social care."

Integrated health and social care in England: the story so far
Royal College of Nursing
May 2014

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Framework for personalised care and population health for nurses, midwives, health visitors and allied health professionals

"The Framework has been developed as a resource to support nurses, midwives, health visitors and allied health professionals’ access to best evidence and support them in delivery of their public health role. It is also a tool for clinical leaders, managers and commissioners to develop services which use the knowledge and skills of healthcare practitioners to deliver the best health outcomes for the populations they serve."

A framework for personalised care and population health for nurses, midwives, health visitors and allied health professionals: caring for populations across the lifecourse 
Department of Health, Public Health England
July 2014

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Preferences of users of electronic medical records in hospitals

"Currently electronic medical records (EMRs) are implemented in hospitals, because of 
expected benefits for quality and safety of care...This paper quantifies the relative importance of known barriers and facilitators of EMR, experienced by the users (i.e., nurses and physicians in hospitals)"

The preferences of users of electronic medical records in hospitals: quantifying the relative importance of barriers and facilitators of an innovation
MHL Struik, F Koster, AJ Schuit, R Nugteren, J Veldwijk, MS Lambooij
Implementation Science, 2014, 9: 69

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Care, compassion, competence, communication, courage, commitment

"The 6Cs Live! Communication hub will offer support and help to staff to deliver the six areas of action by signposting to evidence based tools and techniques as well as examples of how colleagues from across the country have delivered improvement in these areas."

Access 6Cs Live! here.

Nursing a safer future

"Nurses are well placed to make care safer and are doing impressive work to improve the safety of their patients."

Nursing a safer future: how nurses are using proactive approaches to manage patient safety
Health Foundation, Nursing Times
July 2013

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Evidence base of the public health contribution of nurses and midwives

This guide provides evidence sources for nurses and midwives working in public health. It lists sources of good practice, innovation, evidence, and key public health domains:

1. Improving the wider determinants of ill health
2. Health improvement
3. Health protection
4. Healthcare public health and preventing premature mortality

Read more here.

Making health care safer

The Annals of Internal Medicine have published a special edition reviewing the evidence supporting strategies to improve patient safety. The articles included in this issue are:

1. The top patient safety strategies that can be encouraged for adoption now promoting a culture of safety as a patient safety strategy: a systematic review
2. In-facility delirium prevention programs as a patient safety strategy: a systematic review
3. Patient safety strategies targeted at diagnostic errors: a systematic review 
4. Inpatient fall prevention programs as a patient safety strategy: a systematic review
5. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review
6. Nurse–patient ratios as a patient safety strategy: a systematic review
7. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review
8. Rapid-response systems as a patient safety strategy: a systematic review
9. Simulation exercises as a patient safety strategy: a systematic review
10. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review

Read the whole issue here.

Nurse staffing, burnout, and health care-associated infection

"Reducing burnout in registered nurses is a promising strategy to help control infections in acute care facilities."

Nurse staffing, burnout, and health care-associated infection
JP Cimiotti, LH Aiken, DM Sloane, ES Wu
American Journal of Infection Control, 2012, 40:486-490

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Intentional rounding: what is the evidence?

"The available evidence suggests that intentional rounding can help staff to organise their workload and provide more systematic reliable care."

Intentional rounding: what is the evidence?
Policy +
King's College, London
April 2012

Read more here.