Thursday, January 04, 2018

St. Joseph RNs publish in Journal of Emergency Nursing

Congratulations to Beth Winokur, PhD, RN, CEN, Jeannine Loucks, MSN, RN-BC, PMH and Glenn H. Raup, PhD, RN, MSN, MBA, CEN for their newly published article on caring for behavioral health patients at St. Joseph Hospital. SJO employees have access to the full article through Burlew Medical Library. Contact library staff for more details.

J Emerg Nurs.
2018; 44 26-32
Use of a Standardized Procedure to Improve Behavioral Health Patients' Care: A Quality Improvement Initiative.
Winokur EJ, Loucks J, Raup GH.

Abstract
PROBLEM: Meeting the complex needs of behavioral health (BH) patients in the emergency department is an ongoing challenge. Delays in care can have adverse consequences for patient and staff safety and delay transfer to specialized care.
METHODS: A quality improvement, nurse-driven initiative using a standardized procedure (STP) was developed and implemented in our busy Southern California Emergency Department, which focused on improving time to first medication and reduction of restraints. The project used a multidisciplinary team to develop the STP scoring tool and corresponding medications. Improvement was seen in all quality metrics. Time to first medication decreased from 43 minutes to less than 5 minutes. Adopting the STP resulted in a 50% decrease in use of restraints and time in restraints. Staff injuries remained low, with less than 3.6% of staff sustaining physical injuries.
DISCUSSION: The STP is an effective method to initiate immediate treatment of patients with signs of anxiety and aggression and thus reduce risk of violence. Additional benefits are reduced time to disposition and earlier initiation of specialized BH care. This process can be replicated in other emergency departments with similar clinical environments through the use of STPs or protocols based on state regulations. Contribution to Emergency Nursing Practice.

Friday, October 13, 2017

St. Joseph RNs publish in Journal for Nurse Practitioners

Congratulations to Deidra Bonner, MSN, RN and Beth Winokur, PhD, RN, CEN, on their newly published article on keratoconus. SJO employees have access to the full article through Burlew Medical Library. Contact library staff for more details.

The eyes have it: A review of keratoconus, the nurse practitioner perspective.
Bonner, D. & Winokur, E.J.
The Journal for Nurse Practitioners
2017; 13(8) 532-7

Abstract
Keratoconus, a chronic, progressive ocular disease, is characterized by thinning and protrusion of the cornea. Etiology is not wholly understood; however, associations with heredity and environmental factors have been established. Keratoconic patients present with irregular astigmatism, diminishing visual acuity, and a continuous need to have prescriptive changes to spectacles and contact lenses. Keratoconus is a principal indicator for corneal transplantation. It affects both sexes and all races, beginning in adolescence. Nurse practitioners are uniquely positioned to interrupt the preventable contributors to keratoconus through assessment, prompt referral, and treatment of the physiologic and environmental factors linked to development and advancement.

Wednesday, August 02, 2017

St. Joseph RNs publish in Journal of Emergency Nursing

Congratulations to Andrea Pallares, RN and Beth Winokur, PhD, RN, CEN, on their newly published article on the recognition of West Nile Encephalitis. SJO employees have access to the full article through Burlew Medical Library. Contact library staff for more details.
J Emerg Nurs. 2017 Jul 13. doi: 10.1016/j.jen.2017.06.003. [Epub ahead of print]
West Nile Encephalitis in the Emergency Department: Prevalence and Recognition.
Pallares AC, Winokur EJ.

Thursday, May 25, 2017

St. Joseph RNs publish in JEN: Journal of Emergency Nursing

Congratulations to Beth Winokur, PhD, RN, CEN, Jeannine Loucks, MSN, RN-BC, PMH and Dana Rutledge, PhD, RN for their newly published article on psychiatric education for nurses at St. Joseph Hospital. SJO employees have access to the full article through Burlew Medical Library. Contact library staff for more details.

Effect of Concentrated Psychiatric Education on Perceived Competence to Care for Behavioral Health Patients.
Winokur EJ, Loucks J, Rutledge DN

Abstract Increasing numbers of behavioral patients are presenting to emergency departments, where competency of staff to care for this group is unknown. METHODS: This pre-post study measured the effects of a 7-hour conference on perceived competency of nurses and allied health professionals to care for behavioral health (BH) patients, as measured by the 23-item Behavioral Health Care Competency (BHCC) survey. RESULTS: Of 102 participants, most were emergency nurses (72%), acute care nurses and case managers (20%), and allied health personnel (trauma technicians and paramedics) (8%). Before the conference, participants had moderate average perceived competency in caring for BH patients. BHCC scores differed significantly by job category, with emergency nurses scoring higher than did nonemergency nurses and allied health personnel. Overall competence of participants increased significantly after the conference. The effect size, as reflected by partial eta squared, was 0.265. Significant increases in scores from before to after the conference occurred for the total BHCC and 2 competencies: practice/intervention and resource adequacy. DISCUSSION: This study provides needed research demonstrating improved perceived competency of nurses and allied health professionals to care for BH patients in emergency departments after brief concentrated education. Improvements occurred despite the fact that participants had initial baseline competencies that were higher than those of general hospital nurses from a historical sample.

Thursday, December 22, 2016

Picks from the literature - December 2016


Here are my picks from the literature for December 2016. Articles are accessible to St. Joseph Nurses via the Burlew Medical Library website. Or contact the library at 714-771-8291 for assistance.

1. The integration and evaluation of a social-media facilitated journal club to enhance the student learning experience of evidence-based practice: A case study.
Ferguson, Caleb; DiGiacomo, Michelle; Gholizadeh, Leila; Ferguson, Leila E.; Hickman, Louise D.;
Nurse Education Today, Jan2017; 48 123-128.

2. Engaging patients in understanding and using evidence to inform shared decision making.
Cohen, Monique D.;
Patient Education & Counseling, Jan2017; 100(1): 2-3.

3. Engaging patients in the uptake, understanding, and use of evidence: Addressing barriers and facilitators of successful engagement.
Street Jr., Richard L.; Volk, Robert J.; Lowenstein, Lisa; Michael Fordis Jr., C.;
Patient Education & Counseling, Jan2017; 100(1): 4-4.

4. Updated evidence-based guide to smoking cessation therapies.
Siddiqui, Faraz; Huque, Rumana; Dogar, Omara;
British Journal of Community Nursing, Dec2016; 21(12): 607-611.

5. Developing Competency to Sustain Evidence-Based Practice.
Fisher, Cheryl; Cusack, Georgie; Cox, Kim; Feigenbaum, Kathryn; Wallen, Gwenyth R.;
Journal of Nursing Administration, Nov2016; 46(11): 581-585.

6. Factors that affect nurse practitioners' implementation of evidence-based practice.
Hellier, Susan; Cline, Thomas;
Journal of the American Association of Nurse Practitioners, Nov2016; 28(11): 612-621.

7. Promoting Bedside Nurse-Led Research Through a Dedicated Neuroscience Nursing Research Fellowship.
Stutzman, Sonja; Olson, DaiWai; Supnet, Charlene; Harper, Caryn; Brown-Cleere, Shelley; McCulley, Becky; Goldberg, Mark;
Journal of Nursing Administration, Dec2016; 46(12): 648-653.

8. Nurse staffing and patient outcomes: Are we asking the right research question?
Welton, John. M.;
International Journal of Nursing Studies, Nov2016; 63 A1-A2.

9. Turning a clinical question into nursing research: the benefits of a pilot study.
Henson, Angela; Jeffrey, Carol;
Renal Society of Australasia Journal, Nov2016; 12(3): 99-105.

10. Creative Approaches to Increasing Hospital-Based Nursing Research.
Wilson, Barbara; Kelly, Lesly; Reifsnider, Elizabeth; Pipe, Teri; Brumfield, Valerie;
Journal of Nursing Administration, Oct2016 Supplement; S27-S35.

11. Nurses' Research Capacity, Use of Evidence, and Research Productivity in Acute Care.
Duffy, Joanne R.; Culp, Stacey; Sand-Jecklin, Kari; Stroupe, Lya; Lucke-Wold, Noelle;
Journal of Nursing Administration, Oct2016 Supplement; S43-S48.

12. Fostering Clinical Nurse Research in a Hospital Context.
Hatfield, Linda A.; Kutney-Lee, Ann; Hallowell, Sunny G.; Del Guidice, Mary; Ellis, Lauren N.; Verica, Lindsey; Aiken, Linda H.;
Journal of Nursing Administration, Oct2016 Supplement; S49-S53.

Thursday, November 03, 2016

St. Joseph Hospital RNs publish in AORN Journal

Congratulations to Vivian Norman, MSN, RN, CCRN-K, Kim Rossillo, BSN, RN, PCCN and Katie Skelton, MBA, RN, NEA-BC for their newly published article on creating a healing environment at St. Joseph Hospital. SJO employees have access to the full article through Burlew Medical Library. Contact library staff for more details.

Creating Healing Environments Through the Theory of Caring November 2016; 104(5) 401–409

Abstract: We describe the journey of personnel at one hospital to create a healing environment for patients and staff members at all levels through the implementation of Watson’s Theory of Human Caring and her Caritas Processes (ie, loving kindness, authentic presence, spirituality, being the environment, believing in miracles). We used experiential teaching and learning to explore the nursing theory with staff members. Positive outcomes include using Caritas Processes care plans in our electronic medical record, greater ease in the understanding and application of Watson’s theory, integrating a blessing for nurses during National Nurses Week, inclusion of ministry formation courses to extend the mission of the hospital’s founding religious order to current and future employees, and positive patient feedback. As a result of theory application, our nurses are more open to discussing caring, authentic presence and, when appropriate, prayer in their clinical narratives and how it is affecting patients and themselves.

Tuesday, October 04, 2016

Congratulations to St. Joseph Hospital Emergency Care Center nurses!

St. Joseph Hospital Emergency Care Center nurses Belinda Leos, RN, MSN, Sherry Endo, RN, MSN, Robert Garcia, RN, MSN, CMSRN, and Beth Winokur, RN, PhD, CEN were awarded first place in the research category for their poster, Evaluating Fall Tools for the Emergency Setting at the National Emergency Nursing Annual Scientific Assembly.

Other presentations at this conference by our ECC staff included the poster, A Recipe for Success: Integrating a Sepsis Bundle into the Emergency Department by Laura Derr, RN, BSN, CEN, Dixie Stiles, RN, MSN, CEN, and Soledad Mathus, RN, BSN. Beth Winokur, RN, PhD, CEN and Juleene McGowan, RN, BSN, CEN, presented poster and podium entitled “A Picture is Worth a 1000 Words: Using Pictographs to Improve Health Care Literacy.” Jeannine Loucks, RN-BC, MSN, and Beth Winokur, RN, PhD, CEN also presented their research poster – Have No Fear: The Effects of Education on Perceived Competence to Care for Behavioral Health Patients.