Monday, February 18, 2019

St. Joseph Hospital RN published in Journal of Emergency Nursing

Congratulations to Beth Winokur, PhD, RN, CEN for her newly published article on management of meconium aspiration in the emergency department. PSJH caregivers have access to the full article through Burlew Medical Library. Contact library staff for more details.

Journal of Emergency Nursing
2019 Jan;45(1):6-11. doi: 10.1016/j.jen.2018.06.007.
A Sticky Situation: Meconium Aspiration in the Emergency Department.
Huang L., Winokur E.J.


  • The current literature on meconium aspiration syndrome indicates that there is insufficient evidence to support the need for routine tracheal intubation for nonvigorous neonates born in meconium-stained fluid in contrast to no intubation for suctioning.
  • This article contributes information on management of the nonvigorous infant born with meconium aspiration syndrome.
  • Key implications for emergency nursing practice found in this article are signs and symptoms of meconium aspiration, the updated American Heart Association guidelines for management of a nonvigorous infant born in meconium-stained fluid, and equipment to prepare for a precipitous delivery and possible intubation.

Thursday, January 03, 2019

St. Joseph RNs publish article in Journal of Nursing Measurement


Congratulations to Dana Rutledge, PhD, RN, Mary Wickman, PhD, RN and Beth Winokur, PhD, RN, CEN for their newly published article on measuring hospital nurse perceptions of meaning and joy in work at St. Joseph Hospital. SJO employees have access to the full article through Burlew Medical Library. Contact library staff for more details.

Instrument Validation: Hospital Nurse Perceptions of Meaning and Joy in Work
Rutledge, Dana N., PhD, RN, Wickman, Mary, PhD, RN, Winokur, Elizabeth J., PhD, RN
Journal of Nursing Measurement
2018; 26(3)
Abstract
Background and Purpose: When workers experience meaning and joy in work (MJW), job satisfaction and retention are enhanced. No measure for MJW among nurses exists. The purpose of this work was to develop/test the MJW Questionnaire (MJWQ). Methods: The initial MJWQ was piloted with a convenience sample of post-licensure nursing students. Factor analyses established MJWQ subscales for the MJWQ: “value /connections,” “meaningful work,” “caring.” Subsequently, 463 employed nurses validated MJWQ psychometrics. Results: The MJWQ demonstrated acceptable construct validity and internal consistency (α = .94). Scores were significantly associated with job satisfaction (r = .686). Conclusions: Initial testing supports adequate measurement of MJW for hospital nurses in varying roles. Testing in other settings, evaluation of sensitivity in determining intervention effectiveness, and inclusion in multivariate analyses of workforce engagement are suggested.

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.
Abstract
BACKGROUND:
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.
OBJECTIVES:
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.
METHODS:
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.
FINDINGS:
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.

Abstract
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.

Friday, October 13, 2017

St. Joseph RNs publish in Journal for Nurse Practitioners

Congratulations to Deidra Bonner, MSN, RN and Beth Winokur, PhD, RN, CEN, on their newly published article on keratoconus. SJO employees have access to the full article through Burlew Medical Library. Contact library staff for more details.

The eyes have it: A review of keratoconus, the nurse practitioner perspective.
Bonner, D. & Winokur, E.J.
The Journal for Nurse Practitioners
2017; 13(8) 532-7

Abstract
Keratoconus, a chronic, progressive ocular disease, is characterized by thinning and protrusion of the cornea. Etiology is not wholly understood; however, associations with heredity and environmental factors have been established. Keratoconic patients present with irregular astigmatism, diminishing visual acuity, and a continuous need to have prescriptive changes to spectacles and contact lenses. Keratoconus is a principal indicator for corneal transplantation. It affects both sexes and all races, beginning in adolescence. Nurse practitioners are uniquely positioned to interrupt the preventable contributors to keratoconus through assessment, prompt referral, and treatment of the physiologic and environmental factors linked to development and advancement.

Wednesday, August 02, 2017

St. Joseph RNs publish in Journal of Emergency Nursing

Congratulations to Andrea Pallares, RN and Beth Winokur, PhD, RN, CEN, on their newly published article on the recognition of West Nile Encephalitis. SJO employees have access to the full article through Burlew Medical Library. Contact library staff for more details.
J Emerg Nurs. 2017 Jul 13. doi: 10.1016/j.jen.2017.06.003. [Epub ahead of print]
West Nile Encephalitis in the Emergency Department: Prevalence and Recognition.
Pallares AC, Winokur EJ.

Thursday, May 25, 2017

St. Joseph RNs publish in JEN: Journal of Emergency Nursing

Congratulations to Beth Winokur, PhD, RN, CEN, Jeannine Loucks, MSN, RN-BC, PMH and Dana Rutledge, PhD, RN for their newly published article on psychiatric education for nurses at St. Joseph Hospital. SJO employees have access to the full article through Burlew Medical Library. Contact library staff for more details.

Effect of Concentrated Psychiatric Education on Perceived Competence to Care for Behavioral Health Patients.
Winokur EJ, Loucks J, Rutledge DN

Abstract Increasing numbers of behavioral patients are presenting to emergency departments, where competency of staff to care for this group is unknown. METHODS: This pre-post study measured the effects of a 7-hour conference on perceived competency of nurses and allied health professionals to care for behavioral health (BH) patients, as measured by the 23-item Behavioral Health Care Competency (BHCC) survey. RESULTS: Of 102 participants, most were emergency nurses (72%), acute care nurses and case managers (20%), and allied health personnel (trauma technicians and paramedics) (8%). Before the conference, participants had moderate average perceived competency in caring for BH patients. BHCC scores differed significantly by job category, with emergency nurses scoring higher than did nonemergency nurses and allied health personnel. Overall competence of participants increased significantly after the conference. The effect size, as reflected by partial eta squared, was 0.265. Significant increases in scores from before to after the conference occurred for the total BHCC and 2 competencies: practice/intervention and resource adequacy. DISCUSSION: This study provides needed research demonstrating improved perceived competency of nurses and allied health professionals to care for BH patients in emergency departments after brief concentrated education. Improvements occurred despite the fact that participants had initial baseline competencies that were higher than those of general hospital nurses from a historical sample.