Bold Voices - June 2014 - (Page 13)

AT THE BEDSIDE Nursing-Supportive Work Environments Linked to Better Care Magnet hospitals have more reports of excellent care, but every hospital can benefit from improving how nursing care is organized. P 13 Nurse-Led Team Approach Best Defense Against HAIs A team approach led by nurses is the best defense against healthcare-associated infections (HAIs), according to a study in AJIC: American Journal of Infection Control. "State of Infection Prevention in US Hospitals Enrolled in the National Health and Safety Network" indicates healthcare professionals in ICUs don't always adhere to infection-prevention policies, but just because HAIs are a nursing-sensitive outcome doesn't mean nurses bear sole responsibility, researcher Patricia Stone, Centennial professor of health policy at Columbia University School of Nursing, New York, explains in HealthLeaders Media. Stone addresses the importance of a team approach, including nurses, physicians and hospital leadership. If nurse leaders know policies aren't being adhered to, they need to acknowledge it and find out why, she notes. "Nurses are very much part of the team, but (HAIs) should be considered an interdisciplinary problem," she adds. "Nurses should be leading the team." AACN BOLD VOICES JUNE 2014 rofessional, nursing-supportive work environments, often found in Magnet hospitals, are directly linked to better patient care, finds a study in JONA: The Journal of Nursing Administration. "Understanding the Role of the Professional Practice Environment on Quality of Care in Magnet and Non-Magnet Hospitals" examines the relationship between Magnet hospitals and nursereported quality of care. Using data from the American Hospital Association's annual survey and an analysis of 56 Magnet and 495 non-Magnet hospitals, the study finds that Magnet hospitals have more reports of excellent care. "Having visible and accessible chief nurses, encouraging and including nurses in decision-making in their unit and throughout the organization, supporting nursing practice and engaging in interdisciplinary patient care, are but a few examples of readily modifiable features of a hospital," researcher Amy Witkoski Stimpfel, assistant professor at New York University College of Nursing, says in a related article in FierceHealthcare. "Because all organizations, Magnet and otherwise, have the potential to enrich their practice environment, every organization stands to benefit from improving the organization of nursing care." The study underscores research previously reported in FierceHealthcare, showing that Magnet hospitals that invest in nurse staffing, education and work environments achieve better patient outcomes and lower mortality rates. At Magnet hospitals, surgical mortality was 20 percent lower, and surgical patients were 14 percent less likely to die within 30 days. The American Nurses Credentialing Center offers Magnet recognition to hospitals that provide quality patient care, nursing excellence and innovations in professional nursing practice.

Table of Contents for the Digital Edition of Bold Voices - June 2014

Another Angle
Pres Note Teaser
‘Take a Chance to Make a Change in Your Patients’ Lives’
New Mobile App Launched: AACN Bedside
AACN Research Grants Continue to Drive Evidence-Based Care
AACN Scholarships to Develop Training Skills and Professional Growth
Institutional Racism Can Damage Healthcare
Culture of Violence Becoming Normal
Nip Ethical Violations in the Bud
Up to Half of Prescribed Antibiotics Unnecessary, Inappropriate
Minimal Sedation, Early Mobilization May Reduce Delirium
Care Transition Programs Reduce Readmissions, Penalties
Unclear Relationship Between Hypothyroidism and Mild Cognitive Impairment
Women Have Unique Stroke Risks
Costs Increase Because of More Inpatient Constipation
Nursing-Supportive Work Environments Linked to Better Care
Smile, You’re on ReadyCam!
Automated EHR-Linked Checklist Greatly Reduces CLABSIs
Online Game Helps Students Identify, Manage Sepsis
Sepsis Detection System More Effective in Patient Diagnosis
In Our Journals
Test Can Predict Breast Cancer Outcomes
Spice It Up With Cinnamon
IHEs: Significant Cause of Preventable ED Visits
Certification Capsules
With Deep Appreciation for Your Generosity
Save the Dates for Progressive Care, Nurse Manager Fall Conferences
AACN Chapters Model Excellence
‘I Am a Critical Care Nurse’
President’s Note

Bold Voices - June 2014