Abstract：
BACKGROUND:Transitions of care (TOC) from hospitals is a continuing focus for quality improvement to reduce readmissions. Sufficient resources to offer interventions remain an issue for hospitals, leading to efforts to target high-risk patients and identify effective interventions. OBJECTIVES:Describe and measure effects, hospital-wide and among high-risk patients, of a multifaceted TOC program on 30-day readmissions in a 441-bed acute care community hospital. METHODS:Pre-post TOC intervention examining 30-day readmission rates during planning, implementation, and intervention years compared to baseline. Patient characteristics and services received by patients targeted for TOC individualized interventions during hospitalization and after discharge were retrieved from medical records and compared over 4 years during which the intervention was planned and implemented. RESULTS:Summary hospital-wide readmission rates reduced from 11.8% during planning (2011), 12.0% during implementation (2012), to 11.4% during intervention (2013) compared to 13.7% at prestudy baseline (2010; p < .001). TOC program patients were mostly identified by clinician referral (66.7%) rather than computer-generated risk at admission (32.3%), and nearly one-third (30.6%) were readmitted within 30 days of release. LINKING EVIDENCE TO ACTION:Reductions in readmissions were achieved using a multifaceted approach with efforts at admission, predischarge, and postdischarge in a community hospital. Having clinical staff involved in TOC program is important in both patient identification and interventions to reduce readmissions.
journal_name
Worldviews Evid Based Nursjournal_title
Worldviews on evidence-based nursingauthors
Dizon ML,Reinking Cdoi
10.1111/wvn.12260subject
Has Abstractpub_date
2017-12-01 00:00:00pages
432-439issue
6eissn
1545-102Xissn
1741-6787journal_volume
14pub_type
杂志文章abstract：PURPOSE:Instruments used to assess evidence-based practice (EBP) competence in nurses have been subjective, unreliable, or invalid. The Fresno test was identified as the only instrument to measure all the steps of EBP with supportive reliability and validity data. However, the items and psychometric properties of the o...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/wvn.12289
更新日期：2018-06-01 00:00:00
abstract：BACKGROUND:The appropriate nursing staff mix is imperative to the provision of quality care. Nurse staffing levels and staff mix vary from country to country, as well as between care settings. Understanding how staffing skill mix impacts patient, organizational, and financial outcomes is critical in order to allow poli...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,评审
doi：10.1111/wvn.12283
更新日期：2018-08-01 00:00:00
abstract：BACKGROUND:One out of three adults is obese, making obesity the most common presenting chronic medical condition in the primary care setting. Obesity is associated with an increased risk of developing secondary illnesses resulting in a higher rate of morbidity. This chronic condition is a constant challenge facing inte...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1524-475X.2004.04038.x
更新日期：2004-01-01 00:00:00
abstract：BACKGROUND:Ventilator-associated pneumonia (VAP) is an ongoing challenge for critical care nurses as they use current evidence-based strategies to decrease its incidence and prevalence. Mechanical intubation negates effective cough reflexes and impedes mucociliary clearance of secretions, causing leakage and microaspir...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1741-6787.2008.00140.x
更新日期：2008-01-01 00:00:00
abstract：BACKGROUND:Heart failure (HF) is considered a condition in which a portion of hospital admissions are preventable if timely and appropriate outpatient care management occurs. Facility readmission rates for HF are reportable and subject to penalty. Both military and civilian healthcare systems have fiscal responsibility...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/wvn.12336
更新日期：2019-02-01 00:00:00
abstract：BACKGROUND:Pain prevalence in nursing homes remains high, with multiple resident, staff, and physician barriers presenting serious challenges to its improvement. AIMS:The study aims were to (1) develop and test a multifaceted, culturally competent intervention to improve nursing home pain practices; (2) improve staff,...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1524-475X.2004.04045.x
更新日期：2004-01-01 00:00:00
abstract：BACKGROUND:To improve the overall quality and effectiveness of the Canadian health care system through better decisions supported by research-based evidence (RBE), the Canadian Health Services Research Foundation (CHSRF) and partners have created the Executive Training for Research Application (EXTRA) program. OBJECTI...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/j.1741-6787.2011.00218.x
更新日期：2012-08-01 00:00:00
abstract：PURPOSE:Literature suggests that quality of life (QOL), quality of care (QOC) and Behavioural and Psychological Symptoms of Dementia (BPSD) can be improved by relatively simple and inexpensive person-centred approaches to nursing care practices (PCC) and modifications to physical environment (PCE). Most research on thi...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,随机对照试验
doi：10.1111/j.1741-6787.2010.00204.x
更新日期：2011-09-01 00:00:00
abstract：BACKGROUND:Previous studies on bedside handovers have identified nurse-related barriers and facilitators for implementing bedside handovers, but have neglected the existing ward's nursing care system as an important influencing factor. AIMS:To determine the association between the existing nursing care system (i.e., d...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/wvn.12386
更新日期：2019-08-01 00:00:00
abstract：BACKGROUND:Increasingly, health policy decision-makers and professionals are turning to research-based evidence to support decisions about policy and practice. Systematic reviews are useful for gathering, summarizing, and synthesizing published and unpublished research about clearly defined interventions. State-of-the-...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/j.1741-6787.2006.00051.x
更新日期：2006-01-01 00:00:00
abstract：BACKGROUND:Anxiety is the most common mental health problem in children, yet less than one third of children with anxiety disorders seek treatment. Cognitive-behavioral therapy (CBT) is recommended as a first-line treatment for childhood anxiety. However, current practice generally does not include CBT due to issues of...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,评审
doi：10.1111/wvn.12024
更新日期：2014-02-01 00:00:00
abstract：BACKGROUND:Mechanical ventilation is a necessary procedure for patients with a range of illnesses and conditions. Mechanical ventilation affects voice production, leaving patients unable to communicate their needs with nurses and family. The communication difficulty causes distress, frustration, and anger if not attend...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,评审
doi：10.1111/wvn.12146
更新日期：2016-06-01 00:00:00
abstract：BACKGROUND:Many agencies over the last few decades have called for the explicit inclusion and application of health promotion in all aspects of nursing practice. This article reviews the body of empirical (research-based) and theoretical (conceptual) literature addressing health promotion in nursing clinical practice, ...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1741-6787.2006.00068.x
更新日期：2006-01-01 00:00:00
abstract：BACKGROUND:The purpose of the study was to ascertain the place of knowledge and evidence in the context of Australian general practice nursing. General practice nursing is a rapidly developing area of specialized nursing in Australia. The provision of primary care services in Australia rests largely with medical genera...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/j.1741-6787.2009.00163.x
更新日期：2009-01-01 00:00:00
abstract：AIMS:Parenting interventions in this review refer to supportive parenting training provided for parents or primary caregivers of children and adolescents with type 1 diabetes mellitus (T1DM). The review aimed to synthesize evidence about parenting interventions in parents or caregivers of children and adolescents with ...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,meta分析
doi：10.1111/wvn.12399
更新日期：2019-12-01 00:00:00
abstract：BACKGROUND:Central venous catheters (CVCs) have provided many benefits in modern-day medical practice; however, they also put patients at risk of catheter-related complications. Numerous studies have been carried out in relation to the management of central venous catheters with conflicting results. While there were se...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1524-475X.2005.04085.x
更新日期：2005-01-01 00:00:00
abstract：BACKGROUND:An increasing number of nursing practice guidelines (NPGs) of varying methodological and reporting quality have been issued and published in international journals. Currently, the quality of NPGs in mainland China has not been explored. OBJECTIVE:To assess the quality of NPGs in China mainland using the AGR...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/wvn.12127
更新日期：2016-04-01 00:00:00
abstract：BACKGROUND:The capacity for self-care and positive mental health (PMH) has an influence on well-being and on one's approach to chronic illness. PURPOSE:The aim was to determine the level of PMH and self-care agency as well as the relations among sociodemographic variables, PMH, and the level of self-care among patient...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/wvn.12453
更新日期：2020-08-01 00:00:00
abstract：BACKGROUND:The gap between what is stated in legislation about written individualized nursing care plans (ICP) and how they are used in practice is still too wide. AIM:To explore attitudes and experiences among nurses and managers in order to capture which factors and conditions impact on the successful implementation...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1741-6787.2010.00195.x
更新日期：2011-06-01 00:00:00
abstract：BACKGROUND:Violence in health care has been widely reported and health care workers, particularly nurses in acute care settings, are ill-equipped to manage patients who exhibit aggressive traits. AIM:The aim of this systematic review was to establish best practice in the prevention and management of aggressive behavio...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1741-6787.2010.00206.x
更新日期：2011-06-01 00:00:00
abstract：BACKGROUND:Lavender inhalation aromatherapy is widely believed to impart a hypnotic effect, act as a mood stabilizer, and enhance the positive feelings of mothers toward their infants. However, research into these and other potential therapeutic effects of lavender tea has been limited. AIMS:This study was conducted i...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/wvn.12122
更新日期：2015-12-01 00:00:00
abstract：INTRODUCTION:A global health project undertaken in Qatar on the Arabian Peninsula immersed undergraduate nursing students in hands-on learning to address the question: What strategies are effective in preventing stillbirth? Worldwide stillbirth estimates of 2.6 million per year and the high rate in the Eastern Mediterr...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,meta分析,评审
doi：10.1111/wvn.12048
更新日期：2014-08-01 00:00:00
abstract：BACKGROUND:Nurses are increasingly engaged in evidence-based practice (EBP) processes to answer significant questions and guide nursing practice. However, there are no criteria to evaluate the rigor and quality of EBP projects, making the decision about whether to implement a recommended practice change questionable. ...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/j.1741-6787.2012.00264.x
更新日期：2013-08-01 00:00:00
abstract：BACKGROUND:Our research team has undertaken implementation of evidence in the form of practice guideline recommendations for populations in hospital, community, and long-term care settings with diverse provider and patient populations (people with chronic wounds, e.g., pressure and leg ulcers, heart failure, stroke, di...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/j.1741-6787.2012.00256.x
更新日期：2012-12-01 00:00:00
abstract：BACKGROUND:It is known that registered nurses' (RNs') work context is related to their use of research and that it can affect nurse and patient satisfaction, as well as the outcomes of care. However, little is known about the relationship between work context and nurses' adherence to clinical practice guidelines. The a...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/wvn.12046
更新日期：2014-08-01 00:00:00
abstract：BACKGROUND:This paper shows patients' enactment of choice in mixed methods, multidisciplinary study on the use of bedrails as restraints. APPROACH:Under the pressure of the implementation of impending legislation, patients from a Canadian elderly care rehabilitation unit were recruited to be part of this study and ass...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/j.1741-6787.2006.00042.x
更新日期：2006-01-01 00:00:00
abstract：BACKGROUND:Cognitive behavioral therapy for insomnia (CBT-I) has been shown to improve depressive symptoms in older adults with comorbid insomnia and depression. However, it remains unclear whether brief CBT-I is effective for improving depressive symptoms in community-dwelling older adults with insomnia symptoms of va...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,随机对照试验
doi：10.1111/wvn.12342
更新日期：2019-02-01 00:00:00
abstract：BACKGROUND:Innovative approaches are required to facilitate the adoption and sustainability of evidence-based care practices. We propose a novel implementation strategy, a peer reminder role, which involves offering a brief formal reminder to peers during structured unit meetings. AIMS:This study aims to (a) identify ...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/wvn.12224
更新日期：2017-06-01 00:00:00
abstract：BACKGROUND:Traumatic brain injury (TBI) is an acquired brain injury that occurs when there is sudden trauma that leads to brain damage. This acute complex event can happen when the head is violently or suddenly struck or an object pierces the skull or brain. The current principal treatment of TBI includes various pharm...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,评审
doi：10.1111/wvn.12167
更新日期：2016-10-01 00:00:00
abstract：BACKGROUND:The field of knowledge utilization has been hampered by several issues including: the synonymous use of multiple terms with little attempt at definition precision; an overexamination of knowledge utilization as product, rather than a process; and a lack of progress to cross disciplinary boundaries to advance...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/j.1741-6787.2010.00197.x
更新日期：2010-12-01 00:00:00
