Purpose: To develop a definition of basic nursing care for the hospitalized adult patient and drive uptake of that definition through the implementation of an electronic health record. Design and Methods: A team of direct care nurses, assisted by subject matter experts, analyzed nursing theory and regulatory requirements related to basic nursing care. The resulting list of activities was coded…
Background: Conflicting evidence exists on the effectiveness of routinely measured vital signs on the early detection of increased probability of adverse events. Purpose: To assess the clinical relevance of routinely measured vital signs in medically and surgically hospitalized patients through a systematic review. Data Sources: MEDLINE, Embase, Cochrane Central Register of Controlled Trial…
Purpose: The purpose of this article is to characterize the concept knowing the patient as reflected in the contemporary nursing literature and to consider implications for nursing practice. Organizing Construct: A literature review was conducted to identify primary source publications concerned with knowing the patient within the nursing discipline. Methods: Cumulative Index to Nursing and…
Purpose: To evaluate the frequency and duration of nursing care activity related to mobilizing older patients in acute care settings and determining who initiates the mobility event (patient or nurse). Methods: This was an observation study using time and motion. Observers shadowed 15 registered nurses (RNs) each for two to three 8-hr periods using hand-held computer tablets to collect data o…
Objective: To review the risk factors included in pressure ulcer risk assessment scales and construct a theoretical model for identifying the etiological factors of skin ulcers, excluding those of systemic origin (e.g., venous, arterial, and neuropathic). Methods: Consensus study with expert panel (Delphi Method) based on a structured review of the literature. A search was conducted of the ma…
Purpose: Nonventilator hospital-acquired pneumonia (NV-HAP) is an underreported and unstudied disease, with potential for measurable outcomes, fiscal savings, and improvement in quality of life. The purpose of our study was to (a) identify the incidence of NV-HAP in a convenience sample of U.S. hospitals and (b) determine the effectiveness of reliably delivered basic oral nursing care in reduci…