The Journal of nursing administration
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Comparative Study
Exploring relationships between patient safety culture and patients' assessments of hospital care.
The purpose of this study was to examine relationships among 2 Agency for Healthcare Research and Quality measures of hospital patient safety and quality, which reflect different perspectives on hospital performance: the Hospital Survey on Patient Safety Culture (Hospital SOPS)--a hospital employee patient safety culture survey--and the Consumer Assessment of Healthcare Providers and Systems Hospital Survey (CAHPS Hospital Survey)--a survey of the experiences of adult inpatients with hospital care and services. Our hypothesis was that these 2 measures would be positively related. ⋯ This study found that hospitals where staff have more positive perceptions of patient safety culture tend to have more positive assessments of care from patients. This finding helps validate both surveys and suggests that improvements in patient safety culture may lead to improved patient experience with care. Further research is needed to determine the generalizability of these results to larger sets of hospitals, to hospital units, and to other settings of care.
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This study explored Magnet® hospital chief nursing officers' (CNOs') attitudes toward gays and lesbians and the impact that these attitudes have on providing advocacy for lesbian, gay, bisexual, or transgender (LGBT) patients and staff. ⋯ Recognizing and addressing bias among nurse leaders through education are important to ensure equitable healthcare for patients and employees.
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The objective of this study was to investigate nurses' perceptions of caring for hospitalized medical-surgical patients with comorbid conditions of substance abuse/dependence. ⋯ Data analysis revealed ethical duty to care, negative perceptions toward patients with substance abuse/dependence, need for further education, sympathy, and issues with pain management. Providing quality nursing care for the hospitalized medical-surgical patient with concomitant alcohol and/or drug dependence is challenging for nursing. Nurses need additional education and professional support in caring for these individuals.
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The aim of this study was to determine the effectiveness of the nurse-run annual wellness visit (AWV) in improving adherence to cancer screening recommendations for colonoscopies and/or mammograms. ⋯ Nurse-run AWV clinics are associated with adherence to mammograms and show promise of increasing colonoscopy compliance.
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To measure the impact of interdisciplinary rounds (IDRs) and the situation-background-assessment-recommendation (SBAR) communication protocol on staff situation awareness and patient outcomes. ⋯ The structure, consistency, and familiarity afforded by SBAR and IDR resulted in improved situation awareness and provided process, staff, and patient benefits.