Friday, July 27, 2018

St. Joseph RNs publish article in Clinical Journal of Oncology Nursing

Congratulations to Kathy Keener, MSN, RN, OCN and Beth Winokur, PhD, RN, CEN for their newly published article on educating chemotherapy patients at St. Joseph Hospital. SJO employees have access to the full article through Burlew Medical Library. Contact library staff for more details.
Clin J Oncol Nurs. 2018 Aug 1;22(4):444-449. doi: 10.1188/18.CJON.444-449.
Digitally Recorded Education: Effects on Anxiety and Knowledge Recall in Patients Receiving First-Time Chemotherapy.
Keener KA, Winokur EJ.
Prechemotherapy information is overwhelming, and retention of critical information can be challenging. Patients from a Southern California infusion clinic had varying degrees of retention when nurses used traditional one-on-one teaching with supplemental handouts.
The intent of this article is to determine the effectiveness of standardized, digitally recorded education as an alternative teaching method for increasing knowledge recall and decreasing anxiety in English- and Spanish-speaking patients receiving first-time chemotherapy.
Baseline data were obtained from five patients who received traditional teaching. Using a pre-/post-test design, 92 patients receiving digitally recorded education completed a paper-and-pencil instrument that rated their anxiety and knowledge recall.
The digitally recorded education method produced significant decreases in anxiety and increases in knowledge recall.

Thursday, January 04, 2018

St. Joseph RNs publish in Journal of Emergency Nursing

Congratulations to Beth Winokur, PhD, RN, CEN, Jeannine Loucks, MSN, RN-BC, PMH and Glenn H. Raup, PhD, RN, MSN, MBA, CEN for their newly published article on caring for behavioral health patients at St. Joseph Hospital. SJO employees have access to the full article through Burlew Medical Library. Contact library staff for more details.

J Emerg Nurs.
2018; 44 26-32
Use of a Standardized Procedure to Improve Behavioral Health Patients' Care: A Quality Improvement Initiative.
Winokur EJ, Loucks J, Raup GH.

PROBLEM: Meeting the complex needs of behavioral health (BH) patients in the emergency department is an ongoing challenge. Delays in care can have adverse consequences for patient and staff safety and delay transfer to specialized care.
METHODS: A quality improvement, nurse-driven initiative using a standardized procedure (STP) was developed and implemented in our busy Southern California Emergency Department, which focused on improving time to first medication and reduction of restraints. The project used a multidisciplinary team to develop the STP scoring tool and corresponding medications. Improvement was seen in all quality metrics. Time to first medication decreased from 43 minutes to less than 5 minutes. Adopting the STP resulted in a 50% decrease in use of restraints and time in restraints. Staff injuries remained low, with less than 3.6% of staff sustaining physical injuries.
DISCUSSION: The STP is an effective method to initiate immediate treatment of patients with signs of anxiety and aggression and thus reduce risk of violence. Additional benefits are reduced time to disposition and earlier initiation of specialized BH care. This process can be replicated in other emergency departments with similar clinical environments through the use of STPs or protocols based on state regulations. Contribution to Emergency Nursing Practice.