MEDSURG Nursing

Includes bibliographical references.

What Makes a Medical-Surgical Unit Excellent? -- The Effect of Initiating Chlorhexidine Gluconate Dressings at Insertion on Central Line Infection Rates in Surgical Patients Requiring Access -- Self-Reported Leadership Practices among Frontline Medical-Surgical Nurses: An Exploratory Descriptive Study of Prevalence, Patterns, and Associated Factors -- Orthostatic Vital Signs Assessment for Reducing Falls -- Taste-Specific Eating Recommendation for Head and Neck Treatment Survivors: A Randomized Controlled Trial -- Staff Knowledge and Attitudes toward Oral Care in an Acute Care Hospital Pre- and Post-Implementation of an Evidence-Based Practice Change -- An Evidence-Based Interprofessional Collaborative Practice Approach to Decrease Tracheostomy-Related Pressure Injury -- The Effect of Coloring Mandalas on the Anxiety of Medical-Surgical Nurses and Nursing Support Staff.

[Article title : What Makes a Medical-Surgical Unit Excellent? / Barbara B. Brewer, Megan C. Quinn; Claire Bethel, p. 145-150] Abstract : This study analyzed PRISM unit applications to identify key characteristics of units that did and did not achieve recognition. Results may provide unit leaders with a roadmap for achieving excellence in medical-surgical patient care.;[Article title : The Effect of Initiating Chlorhexidine Gluconate Dressings at Insertion on Central Line Infection Rates in Surgical Patients Requiring Access / Kimberly Huppert, Stacey Jones, Kelly Johnson, p. 151-157] Abstract : Central line infections are a preventable condition that have serious implications. In this study, the central line infection rate decreased after simulated training sessions for nursing staff and implementation of chlorhexidine gluconate (CHG) dressings at line insertion.;[Article title : Self-Reported Leadership Practices among Frontline Medical-Surgical Nurses: An Exploratory Descriptive Study of Prevalence, Patterns, and Associated Factors / Terry L. Jones, p. 159-168] Abstract : Leadership is embedded in professional practice behaviors of frontline medical-surgical nurses (FMSNs), but leadership competencies remain under-developed in the workforce. An exploratory descriptive online survey design was used to examine prevalence and patterns of leadership behaviors among FMSNs.;[Article title : Orthostatic Vital Signs Assessment for Reducing Falls / Shiela Shields, Chrissie Quill, and Loretta DiCenso, p. 169-172] Asbtract : Inpatient falls can have serious consequences for older adults, and one of the major risk factors is postural hypo - tension. This quality improvement project involves assessing orthostatic vital signs on admission to two medicalsurgical units in a community hospital.;[Article title : Taste-Specific Eating Recommendation for Head and Neck Treatment Survivors: A Randomized Controlled Trial / Laura McLaughlin, p. 173-179] Abstract : Findings of this study determined patients with head and neck cancer (HNC) experience long-term taste and eating problems. Nurses providing care to survivors of HNC treatment may improve quality of life for these patients by considering how to provide tailored intervention instead of global, general instructions.;[Article title : Staff Knowledge and Attitudes toward Oral Care in an Acute Care Hospital Pre- and Post-Implementation of an Evidence-Based Practice Change / Debra L. Schutte and Warren, Chastity, p. 181-188] Abstract : Hospital-acquired pneumonia (HAP) is prevalent and associated with increased morbidity/mortality, length of stay, and costs. This study examined staff knowledge and attitudes toward oral care, an effective intervention to decrease HAP, before and after implementation of an evidence-based Oral Care Protocol.;[Article title : An Evidence-Based Interprofessional Collaborative Practice Approach to Decrease Tracheostomy-Related Pressure Injury / Diane Maydick-Youngberg, Kathleen Francis, Julieann Liao, and Sarah Kaplan, p. 189-191] Abstract : Communication failure be - tween teams and individual clinicians has been recognized as the leading root cause of sentinel events and a primary contributing factor to adverse events and near misses in the clinical setting. The interprofessional approach used in this project to develop an evidence-based guideline and implement a standardized approach to tracheostomy management was effective in reducing device-related pressure injury.;[Article title : The Effect of Coloring Mandalas on the Anxiety of Medical-Surgical Nurses and Nursing Support Staff / Patricia Maguire, Ann Coughlan, Deborah Drayton, Hannah Lacko, Jessie Reich, p. 192-199] Abstract : The increasing complexity of nursing duties and the drive to control costs are producing considerable pressure in nursing work environments. Findings of this study suggest coloring pre-drawn mandalas is an effective, individualized way to lower anxiety in medical-surgical nurses and nursing staff.