Podium and poster presentations from RRH Nursing Research and Evidence-Based Practice Day.
Held on November 15, 2024.
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Morale Wednesday
Sadie Bonetti, Christen Ballard, Desiree Dixon, Casey Legros, Danielle Pickney, Meghan Camp, Alyson Harp, Jonathan Ferrer, Catie Wood, Melissa Combs, Heather Lewis, and Dena Chapman
Many factors lead to low nurse satisfaction and poor morale. Some of the factors identified in the literature include organizational culture, burnout, staff shortages, and lack of leadership support. Nurses who are not satisfied at work may become less engaged and may be more likely to leave the organization
This project implemented manager rounding, break buddies, staff snack sharing and encouraged intentional recognition of peers.
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12-Hour Shifts: Heaven or Hell?
Amy Bontrager, Mary Caprio, Lakysha Grant, Seth Kibler, Savanah Wirth, and Sarah Reynolds
In many hospital settings, the 12-hour shift is the standard. While it may be better for continuity of patient care, many studies have looked at the effect it has on nurses as well as patient safety. This project identified themes in the literature and while it couldn’t see a precise path forward, flexible scheduling may be looming just over the horizon.
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Flexible Work Schedules to Promote Leader Wellbeing Ambulatory Care Nursing Leadership
Elizabeth Carreira, Rebecca Hall, and Rebecca Dellafave
Nursing leaders in ambulatory care may experience high levels of work-related stress and dissatisfaction with the number of hours they were working, and this dissatisfaction may result in higher turnover among nursing leadership.
The purpose of this evidence-based practice project was to develop a flexible scheduling option for nursing leaders practicing in ambulatory care at Rochester Regional Health to promote leader wellbeing and role satisfaction.
Results indicated that leadership satisfaction with their role and the amount of time spent working with nursing staff increased. Perceptions of work-life balance improved as did their interprofessional relationships. A decrease in the average number of weekly hours worked were also reported.
As a result of the success of the pilot program, the flexible scheduling option was expanded to become a permanent scheduling option for all nurse managers in good standing and who have completed orientation practicing in ambulatory care. Future plans include expanding the flexible scheduling option to other nursing leadership roles.
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Decreasing Workplace Violence in Ambulatory Care
Jeanene Case, Christine Cook, Nicole Gemme, Rebecca Hass, Taylor Mikiewicz, Lynn Paladino, Erin Parkinson, Maydelin Reve Padilla, Amanda Thongsirimonghoun, and Carolyn Vojtush
Workplace violence is recognized as a significant public health issue. Staff in ambulatory settings are at high risk for experiencing violence from patients or clinic visitors. Exposure to workplace violence may put staff at risk for depression, chronic fatigue, or poor job satisfaction. Developing a safety plan that incorporates organizational policy, staff training, environmental changes and debriefing may help reduce the risk of workplace violence.
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Improving Incidence of Hospital Acquired Pressure Injuries
Dena Chapman, Melissa Combs, Heather Lewis, Amanda Spamer, Gracie Young, Hope Van Duyne, Brandon Sproul, Sarah Stripp, and Bethany Surline
Pressure injuries remain a huge concern in both the acute and long term care settings worldwide. It is estimated that nearly 2.5 million people are affected each year by a pressure injury. They contribute to higher costs for care, decrease patient’s quality of life and can increase morbidity and mortality.
This project implemented the use of rounding by both skin care champions and nurse residents for high risk patients, while leadership utilized huddles to reinforce appropriate interventions. Turning and positioning every two hours was endorsed as was daily bathing for patients at high risk for developing pressure injuries.
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Unleashing the Power of Bite Therapy: An Innovative Way to Treat Multiple Myeloma
Morgan Cruz, Kelsey Hawkins-Rusch, Saad Jamshed, Maria Sbenghe, Julia Wuest, Maggie Schuyler, Martha Wright, MaryJo Moran, Erica Walter, and Megan Callahan
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The Effect of Interruptions in Surgical Counts
Jaidin DeGraw and Brooke Gisel
Retained surgical items can lead to patient frustration and prolonged hospital stays. They remain the top reason for reoperation despite the tools that are used to maintain accurate counts. Minimizing disruptions and distractions in the operating room may be one way to assist circulating nurses in obtaining correct and consistent counts.
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Peppermint Essential Oil for Chemo Nausea and Vomiting
Maxine Fearrington
Patients beginning chemotherapy experience increased anxiety about the many side effects of treatment, especially nausea and vomiting. The purpose of this study to determine if using a commercially available essential oil via a roller ball while undergoing chemotherapy in adult cancer patients reduces nausea and vomiting. The intervention and control groups were similar. The intervention group had statistically significantly higher scores for improved quality of life after both roller ball rounds, less nausea and vomiting, and were more likely to continue using the roller ball after round 2.
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Nurse Navigation Supports Implementation of Guideline Based Care
Michelle Ferguson, Uzma Iqbal, and Alyssa Pino
The European Society of Cardiology has developed guidelines aimed at identifying and mitigating risk for cardio-oncology events in oncology patients. Cardiovascular risk factors, cancer type and therapeutic regimen present unique treatment considerations requiring individualized risk assessment. Use of a nurse navigator to initiate triage with pre-visit testing and to coordinate care with the provider ensures patients receive timely treatment.
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Nurses Busting Burnout: How Self Care Programs Support Nurse Well-Being
Lenard Fernandez, Marguerite Loughrey, Andrea Cooley, Ashley Dilimone, Mariah Luce, and Gabriella Rindell
Nurses working in acute care suffer from high levels of stress, burnout and turnover. Our question: For acute care nurses, what is the effect of self-care program versus no program on moral resilience? A literature review was conducted and results showed that when education on group-based wellness practices was provided, there was increased job satisfaction, moral resilience, and problem solving ability. There were decreases in feelings of burnout, and improved work/life balance. Some studies demonstrated an increase in patient satisfaction. Within Rochester Regional Health, it may not be too difficult to implement group based programs and coaching services.
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Family Presence During Resuscitation Efforts
Gabrielle Gavin, Marissa Pecora, Gabrielle Narvaez, Kalpana Rai, Matthew Mendolera, Leanne Coon, Bailey Oldham, and Olivia Pino
Family presence during resuscitation enables family members to be present during the resuscitation efforts of a loved one. The focus of this process is to provide support to the patient and their family, while also providing transparency and trust in the medical process and personnel.
The purpose of this project was to identify the impact on family members of witnessing life saving measures on their loved one.
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State of Science Literature Review: The Effect Nutrition Has on Wound Healing
Alicia M. Grandy
Objectives:
- State the steps necessary to conduct a comprehensive review of the literature
- Utilize available resources/tools when conducting a literature search
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Creating a Virtual Nursing Journal Club
Tami Hartzell
Objectives:
- Identify EBP process used to develop nursing journal club
- Identify available tools to support EBP projects
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Centralized Triage: Working Together to Improve Patient Safety, Quality and Satisfaction - A Focus on Improving Average Speed to Answer
Maria Larner, Tammy Palamitia, Nora Closser, and Heather Waske
The speed in which triage calls are answered affects patient access to care. After addressing workflows and barriers through huddles and team meetings, this quality improvement project adjusted staff schedules, partnered with Access Coordinators, and utilized the Genesys team to streamline calls and monitor call volume, quality and safety.
Results from these initiatives substantially reduced the average speed to answer for both inbound and outbound queues. The team will continue to monitor the data and capture trends in volume to ensure we sustain the gains.
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Roadmap to Address Nursing Recruitment and Retention in Ambulatory Care
Susan Madison and Tiffany Smith
As hospital stays shorten, ambulatory care must expand to meet the increased patient acuity and need for care. Ambulatory care is the entry point for care delivery and the initiator of disease management and wellness (Ulrich, 2019). The ambulatory care system of Rochester Regional Health includes 400 registered nurses, and 600 licensed practical nurses with a nursing turnover rate of 18.75%.
By leveraging technology and innovation in program development, ambulatory-specific programs have been implemented to target nursing staff recruitment and retention, resulting in a 4% decrease in ambulatory nurse turnover rates.
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Children in Psychiatric Crises
Elizabeth McGarvey, Gabriella DeMeo, Jasmine Clark, Carrie Ribbing, Paige Hameister, and Sally Hannafon
Mental illness in children is on the rise and more children are becoming psychiatric boarders while awaiting treatment. Many hospitals lack a separate area to board children in psychiatric crisis who can’t be discharged to home which means that children are housed in the same unit as adult psychiatric patients. This EBP project sought to identify best practices for children experiencing a mental health crisis, but a more thorough review of the literature as well as an evidence synthesis needs to be completed before practice recommendations can be identified.
