Using Knowledge Management and Data Literacy to enable caregivers to have ready access to Organizations’ documented base of facts, source of information and solutions.
Marietta Sperry and Kimberly Kohlieber
Background: Nurses have been noted to model unsafe sleep practices for the newborn in the hospital, despite having been extensively trained. Parents report they repeat this behavior at home. There is a reluctance of nurses to comply, notwithstanding implementation of Back to Sleep programs and documentation of parents being taught safe sleep practices, causing a plateau in the reduction sudden infant death syndrome (SIDS).
Methods: Systematic review of literature from CINHAL, Indiana State University Library, Google Scholar, and PubMed from last five years.
Results: Nurses were found to agree with many guidelines. Personal bias, or habit influenced poor implementation. Although provided with the knowledge, infants were continually placed in unsafe sleep positions, resulting in an inconsistency from knowledge to practice by nurses.
Discussion: Every nurse must model a consistent safe sleep message at every bedside interaction throughout the hospital stay. Interventions could include nurse re-education with mandatory declaration of education, and a Nurse Champion to follow up on unsafe sleep observations. Education should resolve the perceived risk of aspiration for supine positioning by nurses, the primary reason for non-compliance. Under educated parents use sleep positions modeled by nurses. Nurses must be educated that modeling unsafe sleep behaviors, such as using rolled blankets, bulb syringes to support side lying, or propping the bassinet up in the crib cannot be used in the hospital. Non-supine positioning should be utilized only when medically indicated, and with clear education for parents.
Krishnansu S Tewari, Richard T. Penson, and Bradley J. Monk
From the Publisher:
Now updated quarterly for the life of the edition, DeVita, Hellman, and Rosenberg's Cancer: Principles & Practice of Oncology, 11th Edition, carries on a tradition of excellence while keeping you continually up to date in this fast-changing field. Every quarter, your eBook will be updated with late-breaking developments in oncology, including new drugs, clinical trials, and more. These quarterly updates ensure that your purchase remains fresh and relevant to your practice—a unique, living reference to enhance and improve your patient care.
Meredith Roberts Tomasi, Katie Dobler, and Pamela Mariea-Nason
Learn how Oregon and other states and regions are addressing health care quality and affordability with multi-payer regional data, cost reporting, and community stakeholder collaborations. This session will create a common understanding of terminology and share reports in use today. Participants will draft an affordability roadmap, deepen their knowledge of how to identify meaningful partnerships, and understand how any organization fits into the conversation.
After this presentation you will be able to:
- 1. Discuss the terminology, data elements, and regional resources already working with quality and cost data across the country, and explain how Oregon uses regional data and multi-stakeholder partnerships to address barriers to affordability
- Identify key champions of effective multi-stakeholder collaborations, and develop an affordability asset map for a community
- Generate ideas to create a collaborative community approach to understanding and optimizing the use of data
A volume in the Translational Oncology series, Immunotherapy in Translational Cancer Research explores the recent developments in the role that immunotherapy plays in the treatment of a wide range of cancers. The editors present key concepts, illustrative examples, and suggest alternative strategies in order to achieve individualized targeted therapy. Comprehensive in scope, Immunotherapy in Translational Cancer Research reviews the relevant history, current state, and the future of burgeoning cancer-fighting therapies. The book also includes critical information on drug development, clinical trials, and governmental resources and regulatory issues.
Each chapter is created to feature: development of the immunotherapy; challenges that have been overcome in order to scale up and undertake clinical trials; and clinical experience and application of research. This authoritative volume is edited by a team of noted experts from MD Anderson Cancer Center, the world’s foremost cancer research and care center and:
- Offers a comprehensive presentation of state-of-the-art cancer immunotherapy research that accelerates the pace of clinical cancer care
- Filled with the concepts, examples, and approaches for developing individualized therapy
- Explores the breath of treatments that reflect the complexity of the immune system itself
- Includes contributions from a panel international experts in the field of immunotherapy
Designed for physicians, medical students, scientists, pharmaceutical executives, public health and public policy government leaders and community oncologists, this essential resource offers a guide to the bidirectional interaction between laboratory and clinic immunotherapy cancer research.
Patrick Triplett and Amy Nist
Medical/Surgical units often lack behavioral health specialty resources to identify and support individuals with mental health and substance misuse conditions. Not addressing these issues increases costs, imposes undue burdens on staff, intensifies patient agitation, and impairs the care experience for individuals and their families. Our behavioral health teams proactively identify, assess and intervene on patients in our medical/surgical units while supporting and teaching medical/surgical staff how to more effectively interact with these populations.
Objectives for Johns Hopkins:
- Describe some of the considerations that go into formation of a pro-active psychiatric consultation service
- Review metrics and purported quality measures used to assess psychiatric consultation programs
- Discuss the cultural and qualitative impacts of a successful pro-active psychiatric consultation program
Objectives for Providence St. Joseph Health:
- Discuss an actionable roadmap to implementing a proactive Behavioral Health Intervention Team in an inpatient setting
- Identify how proactively identifying and intervening in behavioral health issues (mental health and substance misuse) on medical units improves care for patients while improving employee satisfaction
- Define measurable outcomes to monitor program evaluation, development, and improvement in support of a sustainable Behavioral Health Intervention Team
R. Bryan Bell, Peter E. Andersen, and Rui P. Fernandes
From the Publisher:
Oral, Head and Neck Oncology and Reconstructive Surgery is the first multidisciplinary text to provide readers with a system for managing adult head and neck cancers based upon stage. Using an evidence-based approach to the management and treatment of a wide variety of clinical conditions, the extensive experience of the author and contributors in head and neck surgery and oncology are highlighted throughout the text. This includes computer aided surgical simulation, intraoperative navigation, robotic surgery, endoscopic surgery, microvascular reconstructive surgery, molecular science, and tumor immunology. In addition, high quality photos and illustrations are included, which are easily accessible on mobile devices.
Systematic review of patient teaching outcomes to form a concept requiring validation of patient’s understanding of information disseminated. Concept map illustrating defining attributes, antecedents, consequences, empirical referents, and model case.
Background and new guidelines vs. old guidelines. Systematic review of obstacles, recommendations, and conclusions.
Is there a difference in outcomes with both mothers & babies in mothers that deliver by Cesarean Section who experience Skin to Skin Contact (SSC) in the Operating Room (OR) compared to those who do not have SSC after a Cesarean Delivery?
At the end of this presentation the learner will be able to:
- Describe the use of the FOCUS - PDSA cycle in an Evidence Based Practice quality improvement project.
- Discuss the value of utilizing stakeholders at the unit level to introduce evidence-based interventions to prevent pressure ulcers.
- Describe what to do when it all goes horribly wrong!