Transitioning Newly Licensed Nurses Into Practice Through an Academic-Practice Partnership.

Can a one-on-one mentorship program reduce the turnover rate of new graduate nurses in China? A longitudinal study

Transition experiences, intrapersonal resources, and job retention of new graduate nurses from accelerated and traditional nursing programs: A cross-sectional comparative study

To assess the impact of an intervention consisting of a computer-assisted clinical decision support system and performance-based incentives, aiming at improving quality of antenatal and childbirth care. Intervention study in rural primary healthcare (PHC) facilities in Burkina Faso, Ghana and Tanzania. In each country, six intervention and six non-intervention PHC facilities, located in one intervention and one non-intervention rural districts, were selected. Quality was assessed in each facility by health facility surveys, direct observation of antenatal and childbirth care, exit interviews, and reviews of patient records and maternal and child health registers. Findings of pre- and post-intervention and of intervention and non-intervention health facility quality assessments were analysed and assessed for significant (P < 0.05) quality of care differences. Post-intervention quality scores do not show a clear difference to pre-intervention scores and scores at non-intervention facilities. Only a few variables had a statistically significant better post-intervention quality score and when this is the case this is mostly observed in only one study-arm, being pre-/post-intervention or intervention/non-intervention. Post-intervention care shows similar deficiencies in quality of antenatal and childbirth care and in detection, prevention, and management of obstetric complications as at baseline and non-intervention study facilities. Our intervention study did not show a significant improvement in quality of care during the study period. However, the use of new technology seems acceptable and feasible in rural PHC facilities in resource-constrained settings, creating the opportunity to use this technology to improve quality of care.

Although retaining new nurses is imperative for the future of the nursing profession, it remains a challenging task in the healthcare industry. Understanding the career journey of new graduates as they transition from students to nurses is vital. However, longitudinal studies investigating the factors influencing retention during this period are lacking. The aim of this study is to identify the influencing factors and develop a longitudinal prediction model for new graduate nurse retention. A secondary data analysis was conducted using the New Nurse e-Cohort Study dataset from two survey periods, November-December 2020 and February-March 2022. The participants were categorized into either retention or turnover groups based on their turnover experiences. A decision tree based on classification and regression tree (CART) analysis was utilized. Of the total 586 participants, 463 (79%) were in the retention group. The CART model highlighted that new nurses' retention was significantly associated with younger age, higher readiness for practice (clinical problem-solving) during the nursing program, lower transition shock (such as confusion in professional values, loss of social support, and conflicts between theory and practice), and a higher person-environment fit (person-job fit). The predictive accuracy of the CART model was 79.7%. To retain new nurses, nursing educators and hospital managers should collaborate to prepare nursing students for actual practice, offer support during organizational socialization, and foster healthy professional values for competence in the workplace. Implications for Nursing Management. Transforming the educational strategies of nursing programs and hospital management policies is imperative to ultimately enhance the retention of new graduate nurses.

Faced with a threatened shortage of highly skilled, acute care pediatric nurses, an RN Internship in Pediatrics program for new graduates was brought from vision to reality. Goals of the program were to: 1) facilitate transition of the new graduate nurse to professional registered nurse (RN); 2) prepare a beginning level staff nurse who is confident and who provides competent and safe patient care; and 3) increase the commitment and retention of new graduate nurses within the organization. A 1-year pilot program evaluation demonstrated that the interns who had an average of 8 months of RN experience were comparable or better on all measures than were control group participants who obtained up to 2 years of RN experience. A return on investment of 67.3% was established.

Background Mexico does not have comprehensive care services for members of the LGBT+ community, who also still suffer from a social context that still develops between traditions of inequality and lack of inclusion. Objective: To determine the factors associated with the perception of good quality of medical care in patients from the LGBT+ community Methods A cross-sectional, observational, prospective and analytical study was carried out between November and April 2023. Members of the LGBT+ community of Veracruz, Mexico were included; Subjects with visual or hearing disabilities or some psychological disorder that affects the perception of behavior were excluded. Data collection was done through Google Forms. The SPSS v22 program was used, X2 test, Odds Ratio (OR) and confidence interval (CI95%). Results 489 subjects were included, 295 (60.6%) use the public medical system, 155 (31.7%) consider a medical specialty is necessary to care for the LGBT+ community and 150 (30.7 %) indicates that the specialty should only be for care of patients with gender change; 297 (60.7%) perceive that they receive good quality medical care and 69 (14.1%) have perceived that they have been denied consultation because they belong to the LGBT+ community. The factors associated (OR/CI95%) to the perception of good medical care is the lack of: a family doctor (0.4/0.3-0.6), discomfort on physical examination (13.1/6.9-24.0), verbal abuse (13.3 /6.7-26.0), sexual harassment (5.1/2.7-9.5), physical harassment (11.5/4.7-28.0), discomfort of the doctor during the consultation (10/6.0-19.2), breach of confidentiality (7.2/3.7-14.1), denying care (12.7/6.3-25.6) (p &amp;lt; 0.05). Conclusions The factors associated with the perception of a good quality of care in patients from the LGBT+ community are similar to those reported in the literature within any community, which invites health institutions to reinforce their inclusion programs, to reduce acts of discrimination. Key messages • Health systems need to consider care for the LGBT+ community from specialists who can make a comprehensive assessment that favors adequate medical care. • Discrimination is still present within the medical care of patients from the LGBT+ community, so it is essential that the doctor is trained and sensitized in the processes of inclusion.

The professional learning community is a strategy to help staff development educators address recruitment and retention and organizational culture. The purpose of this article is to analyze the concept of learning communities and discuss their potential to increase the recruitment and retention of new graduate nurses and returning practitioners to the nursing profession. Incorporating learning communities into the healthcare organization will decrease the number of nurses leaving nursing, foster retention, and thus, enhance recruitment.

We adapted a rapid quality of care monitoring method to a fragile state with two aims: to assess the delivery of child health services in South Sudan at the time of independence and to strengthen local capacity to perform regular rapid health facility assessments. Using a two-stage lot quality assurance sampling (LQAS) design, we conducted a national cross-sectional survey among 156 randomly selected health facilities in 10 states. In each of these facilities, we obtained information on a range of access, input, process and performance indicators during structured interviews and observations. Quality of care was poor with all states failing to achieve the 80% target for 14 of 19 indicators. For example, only 12% of facilities were classified as acceptable for their adequate utilisation by the population for sick-child consultations, 16% for staffing, 3% for having infection control supplies available and 0% for having all child care guidelines. Health worker performance was categorised as acceptable in only 6% of cases related to sick-child assessments, 38% related to medical treatment for the given diagnosis and 33% related to patient counselling on how to administer the prescribed drugs. Best performance was recorded for availability of in-service training and supervision, for seven and ten states, respectively. Despite ongoing instability, the Ministry of Health developed capacity to use LQAS for measuring quality of care nationally and state-by-state, which will support efficient and equitable resource allocation. Overall, our data revealed a desperate need for improving the quality of care in all states.

Patient safety is a global issue that must be prioritized in health care facilities, Patient Safety Incidents often occur and one of the causes is human error from health workers, therefore it is important to improve the quality of Human Resources, especially Nurses in Health Care Facilities by utilizing technological developments to increase effectiveness and efficiency. The purpose of this research is to determine the effect of mobile application empowerment educational program on nurses knowledge, attitude and competencies towards patient safety. The design of this study was purely experimental, the population was all nurses implementing the inpatient ward in 3 hospitals in Medan City (Murni Teguh Memorial Hospital, Rosiva Mother and Child Hospital and Susanna Wesley Hospital) as many as 860 nurses. Sampling was determined by the proportional random sampling method of 300 nurses. Showed that there was an increase in scores between before and after being given learning using the Mobile Application (Wilcoxon Test P value &lt;0.001), being given learning between the intervention and control groups (Mann-Whitney Test P Value &lt;0.001). There is an influence of the use of mobile applications (SBN Patient Safety) as a learning method on the attitudes, and competencies of respondents Multivariate ANOVA (MANOVA) test shows that all four significant values of Pillai's Trace, P Wilks' Lambda, Hotelling's Trace, Roy's Largest Root &lt;0.001). In this study, mobile Application was well received as a learning method to improve nurses' attitudes and competencies about patient safety. It is expected that health service facilities and all related parties will maintain and improve the quality of health services by implementing patient safety as an effort to prevent patient safety incidents.

Adherence to dementia guidelines is poor despite evidence that some guideline recommendations can improve symptoms and delay institutionalization of patients. To test the effectiveness of a dementia guideline-based disease management program on quality of care and outcomes for patients with dementia. Clinic-level, cluster randomized, controlled trial. 3 health care organizations collaborating with 3 community agencies in southern California. 18 primary care clinics and 408 patients with dementia age 65 years or older paired with 408 informal caregivers. Disease management program led by care managers and provided to 238 patient-caregiver pairs at 9 intervention clinics for more than 12 months. Adherence to 23 guideline recommendations (primary outcome) and receipt of community resources and patient and caregiver health and quality-of-care measures (secondary outcomes). The mean percentage of per-patient guideline recommendations to which care was adherent was significantly higher in the intervention group than in the usual care group (63.9% vs. 32.9%, respectively; adjusted difference, 30.1% [95% CI, 25.2% to 34.9%]; P < 0.001). Participants who received the intervention had higher care quality on 21 of 23 guidelines (P < or = 0.013 for all), and higher proportions received community agency assistance (P < or = 0.03) than those who received usual care. Patient health-related quality of life, overall quality of patient care, caregiving quality, social support, and level of unmet caregiving assistance needs were better for participants in the intervention group than for those in the usual care group (P < 0.05 for all). Caregiver health-related quality of life did not differ between the 2 groups. Participants were well-educated, were predominantly white, had a usual source of care, and were not institutionalized. Generalizability to other patients and geographic regions is unknown. Also, costs of a care management program under fee-for-service reimbursement may impede adoption. A dementia guideline-based disease management program led to substantial improvements in quality of care for patients with dementia. Current Controlled Trials identifier: ISRCTN72577751.

Background: Diabetes is a major metabolic disorder, and the number of people affected by it is continuously increasing worldwide. Numerous risk factors, such as improper nutrition and physical inactivity, play significant roles in its incidence, prevalence, and complications. Proper care and management of diabetes are essential actions in addressing this disease. Objectives: The present study aims to evaluate the quality of care provided to diabetic patients in Behbahan city. Methods: This cross-sectional study was conducted from January to March 2021 in Behbahan city (southwest of Iran). A total of 310 diabetic patients were selected using random sampling. Data were collected using a questionnaire that included demographic information, variables related to disease care, a Health-Related Quality Of Life (HRQOL) Questionnaire, and a mental distress questionnaire. For data analysis, structural equation modeling (SEM) was performed using the partial least squares (PLS) method. Results: The PLS-SEM showed the effect sizes of various factors on the quality of diabetic patient care. The effect sizes were as follows: Comorbidity (-0.29), family history (-0.30), moderate physical activity (0.20), mental distress (-0.13), marital status (0.081), physical dimension of quality of life (QOL) (0.20), and psychological dimension of QOL (0.10). The mean and standard deviation of HbA1c values — one of the most important indicators of diabetes care — were 9.71 ± 2.13. Conclusions: The quality of care for diabetic patients was found to be below desirable standards, with more than 70% of patients receiving poor quality care. Therefore, strengthening care programs for diabetic patients — particularly within the framework of the IraPEN (package of essential non-communicable) program, which includes psychosocial interventions — can help improve the quality of care for patients with type 2 diabetes.

Background. There are many quality indicators for evaluation of quality of care in patients with myocardial infarction in the USA and Europe, but no such indicators exist in Russia.Material and Methods. This retrospective study included 475 STEMI patients, admitted within the first 12 hours during 2016. The baseline characteristics and treatment of our STEMI patients were compared with the OPERA register (France). The quality of care in STEMI patients was assessed using the quality criteria of the Association of Acute Cardiovascular Care of the European Society of Cardiology. Thrombolytic therapy, primary PCI, cardiogenic shock, pulmonary edema, acute LV aneurysm, and acute psychotic disorders were endpoints for a comparative assessment of quality of care in different age groups.Results. The following was more frequent among patients of our center: female, history of MI, hypertension, dyslipidemia and smoker. Our patients were less likely to receive primary PCI and GP IIb/IIIa inhibitor, but more often thrombolytic therapy, LMWH, aspirin, inhibitor P2Y12, beta-blocker, ACEI/ARBs and statins. All eligible STEMI patients received reperfusion and recommended medication, but hospital mortality was higher than in the OPERA register (7.4% versus 4.6%; p&lt;0.05). Senile STEMI patients are less likely to undergo invasive reperfusion due to severe comorbidity, dementia and acute psychotic disorders, which leads to a manifold increase in hospital mortality.Conclusion. It is necessary to develop new devices for PCI of calcinated lesions, and methods for neuroprotection to overcome the existing barriers to ensure high-tech care in senile STEMI patients.

RationaleThe quality of physiotherapy care for patients with chronic obstructive pulmonary disease (COPD) can be improved by comparing outcomes of care in practice.AimTo evaluate the experiences of physiotherapists implementing a standard set of measurement instruments to measure outcomes and improve the quality of care for patients with COPD.MethodsThis sequential explanatory mixed methods study was performed in two parts. In the quantitative part, a survey of 199 physiotherapists was conducted to evaluate their attitudes and knowledge, as well as the influence of contextual factors (i.e., practice policy and support from colleagues), in the implementation of the standard measurement set. In the qualitative part, 11 physiotherapists participated in individual interviews to elucidate their experiences using a thematical framework.ResultsThe survey showed that, on average, 68.4% of the physiotherapists reported having a positive attitude about using the standard set, 85.0% felt they had sufficient knowledge of the measurement instruments, and 84.7% felt supported by practice policy and colleagues. In total, 80.3% of physiotherapists thought the standard set had added value in clinical practice, and 90.3% indicated that the measurement instruments can be valuable for evaluating treatment outcomes. The physiotherapists mentioned several barriers, such as lack of time and the unavailability of the entire standard set of measurement instruments in their practice. Moreover, the physiotherapists indicated that the measurement instruments have added value in providing transparency to policymakers through the anonymized publication of outcomes.ConclusionPhysiotherapists support the use of the standard set of measurement instruments to improve the quality of physiotherapy treatment for patients with COPD.

Aligning Healthcare Safety and Quality Competencies: Quality and Safety Education for Nurses (QSEN), The Joint Commission, and American Nurses Credentialing Center (ANCC) Magnet® Standards Crosswalk

Grading the quality of care in patients with systemic lupus erythematosus and determining its relationship with care satisfaction may recognize gaps that could lead to better clinical practice. Eighteen quality indicators (QIs) were recently developed and validated for patients with SLE based on the 2019 EULAR management recommendations. Few studies have analyzed the relationship between quality of care and care satisfaction in patients with lupus. This was a cross-sectional study. We included patients at least 18years old who met the EULAR/ACR 2019 classification criteria for SLE. We interviewed patients and retrieved data from medical records to assess their compliance with a set of 18 EULAR-based QIs. We calculated each QI fulfillment as the proportion of fulfilled QI divided by the number of eligible patients for each indicator. Care satisfaction was evaluated with the satisfaction domain of LupusPRO version 1.7. Spearman correlation coefficient was used to determine the relationship between quality of care and care satisfaction. Seventy patients with a median age of 33 (IQR 23-48) were included, 90% were women. Overall adherence was 62.29%. The median care satisfaction was 100. Global adherence to the 18-QIs and the care satisfaction score revealed no correlation (r = 0.064, p = 0.599). Higher QI fulfillment was found in the group with remission versus the moderate-high activity group (p = 0.008). In our study, SLE patients in remission had higher fulfillment of quality indicators. We found no correlation between the quality of care and satisfaction with care.