Flat Maggie takes a vacation!

Since 2009 Maggie has been travelling St Joseph Hospital, chronicling our initial Magnet journey and staff nurse accomplishments. After a successful Magnet Hospital re-designation by the ANCC in late 2011, Maggie has decided to take a brief sabbatical from the clinical setting. We look forward to Maggie's return and wish her a most relaxing holiday.

Flat Maggie's Favorite Spring Memories

Nurses celebrate a Mardi Gras-themed Nurse Week in May

Congratulations to the 2011 Nurse Week award winners!

ROY FAMILY AWARD
Bryan Johnson, E.D.
Vera Trone, BHS
John Worker,MICU
Diane “Missy” Fisher, Mother Baby Unit
Quynh Nguyen General Surgery

NANCY BERARDINO CLINICAL NURSING EXCELLENCE AWARD
Suzanne Torres, Cardiac Renal

NURSE YEARLING EXCELLENCE AWARD
Jessica Laster MBU

NURSING LEADERSHIP EXCELLENCE AWARD
Julie Zhe, Endoscopy
Cathy Leong, Medical Pulmonary

NURSING ASSISTANT EXCELLENCE AWARD
Leticia Gudino, L&D
Susana Melendez, Cardiac Renal

FRIEND OF NURSING
Cathy Semar (Marketing), Chaplains: Kraig Beardemphl, Deborah Brancheau, Susan DeLongis, Maureen Harris, David Hodgson, Oliver Lee, Marilyn Mearns, Marie Polhamus, Fr. Elly Tavarro, Fr. Basil Royston, Sharon Luker

M.D. FRIEND OF NURSING
Reza Mina-Araghi, MD, Pulmonary Disease & Internal Medicine
Kasra Morshedizadeh, MD,Hospitalist / Internal Medicine
Lawrence Santora, MD, Cardiology / Internal Medicine

St. Joseph Hospital Nurses & Staff Publish Two New Articles!

Congratulations to the following St. Joseph Hospital nurses and staff for their recent contributions to the literature:

Pamela Matten, RN, BSN, OCN; Victoria Morrison, RN, MSN, FNP; Dana Rutledge, RN, PhD; Timothy Chen, PharmD; Eunice Chung, PharmD; Siu-Fun Wong, PharmD, FASHP, FCSHP; Jane Johnson, RN, BSN, CWOCN; Darcie Peterson, RN, BSN, CWOCN; Betty Campbell, RN, BSN, CWOCN; Regina Richardson, RN, BSN.

See the details of their two publications below. Articles are available in full text online to all SJH & CHOC employees. Please visit the Burlew Medical Library website for more information.

Evaluation of Tobacco Cessation Classes Aimed at Hospital Staff Nurses.
Oncology Nursing Forum
Volume 38(1), January 2011
Pages 67-73

Pamela Matten, RN, BNS, OCN, Victoria Morrison, RN, MSN, FNP, Dana N. Rutledge, RN, PhD, Timothy Chen, PharmD, Eunice Chung, PharmD, Siu-Fun Wong, PharmD, FASHP, FCSHP

Abstract

To evaluate a three-hour smoking cessation program and its effect on nurse knowledge, counseling behaviors, and confidence in counseling behaviors.

Hospital-Acquired Pressure Ulcer Prevalence-Evaluating Low-Air-Loss Beds.
Journal of Wound, Ostomy & Continence Nursing
38(1), January/February 2011
Pages 55-60

Johnson, Jane; Peterson, Darcie; Campbell, Betty; Richardson, Regina; Rutledge, Dana

Abstract

Higher-category pressure redistribution mattresses are considered a critical component of a pressure ulcer prevention program, but few studies have quantified the impact of specific preventive measures on the incidence or prevalence of hospital-acquired pressure ulcers (HAPUs). Therefore, this study was undertaken to determine the impact of low-air-loss beds on HAPU prevalence. METHODS: This prospective, comparative cohort study monitored the prevalence of HAPU at our hospital and compared rates of matched medical-surgical units with and without low-air-loss beds. Units without low-air-loss beds used a variety of alternative pressure redistribution devices for patients deemed at risk for pressure ulceration. The prevalence of HAPU was operationally defined as the number of patients with HAPUs divided by numbers of patients observed. RESULTS: The prevalence of HAPU over 3 quarters in 2008 ranged from 1.0% to 3.3% (overall rate 2.4%). Eighty-three percent of patients with HAPUs were cared for on low-air-loss beds. Of 12 patients with 16 HAPUs during this time, 75% were aged 70 years or older and 25% were managed in critical care units. Over half of patients who developed HAPUs had been hospitalized for 20 days or more. Half of the patients with HAPUs were scored as no-low risk on the Braden Scale. On the paired medical-surgical units, no statistically significant differences were found when patients with low-air-loss beds were compared to standard hospital mattresses supplemented by a variety of pressure redistribution devices. Seven of 11 HAPUs (63%) occurred in patients placed on low-air-loss beds. CONCLUSIONS: The prevalence of HAPU in patients placed on low-air-loss beds was no different from patients placed on standard hospital mattresses supplemented by a variety of pressure redistribution devices. Further research is needed to determine the impact of specific strategies on prevention of HAPU.

Maggie Learns about Watson's Theory of Caring on the Units!

St. Joseph Hospital has adopted Jean Watson's Theory of Human Caring to guide our caregivers in building and recognizing transpersonal caring moments with our patients. The Theory's 10 Caritas Processes such as Loving Kindness, Authentic Presence, & Healing Environment allow patients and caregivers to truly connect, building patient and nurse satisfaction levels! Magnet Maggie recently visited St. Joseph's Med-Tele unit to learn how our caregivers are adapting Watson's Theory into practice.

Stay tuned for more of Maggie's travels on the units in 2011!

The Nurse Angels of St. Joseph Hospital

Another St. Joseph Hospital nurse is recognized in the press for a job well done! Critical Care Manager Gemma Seidl, MSN, MPH, RN, PHN is featured in the latest issue of Advance for Nurses, discussing her innovative ICU Angel program to recognize staff nurses who go above and beyond the call of duty.

“The ICU Angel recognizes ICU team members who receive positive written feedback from patients and their families,” says Seidl, “[we] get the sickest of the sick, just hearing ‘thank you’ makes a difference. Morale is definitely up here.” Read more about Gemma Seidl and the ICU nurses at St. Joseph Hospital here.

New article published by Bogert, Ferrell, & Rutledge: St. Joseph Hospital, Orange

Congratulations to St. Joseph Hospital authors Soudi Bogert, Carmen Ferrell & Dana Rutledge for their new article published in the July/August 2010 edition of MEDSURG Nursing!

Experience with Family Activation of Rapid Response Teams
Soudi Bogert, Carmen Ferrell, and Dana N. Rutledge
MEDSURG Nursing: The Journal of Adult Health, 2010 July/August; 19 (4): 215-22.

Condition H allows family activation of a rapid response team in a hospital setting. Systematic implementation of Condition H at a 500-bed Magnet® community hospital led to varied types of calls, all of which met the policy criteria. Many communication issues were discovered through this process.

This article is so new it is yet to hit the pages of PubMed or CINAHL, but staff at St. Joseph Hospital, Orange & CHOC may access the full text of this article by making a request through the Burlew Medical Library.

Working together: nurses & librarians

While perusing the ANCC 2010 Magnet Conference virtual poster session, Magnet Maggie (a frequent library user – despite her horrible accident) was pleasantly surprised to find the following presentation:

The Evolving Role of the Librarian-Nurse Collaboration: Before, During, and Beyond Magnet Designation
Susan Keller, MLS, Medical Library; Wayne Neal, MAT, RN-BC, BSN; Eileen Engh, MSN, RN- BC, CPN; Deborah Gilbert, MLS

The authors present their experiences working together to support their organization’s magnet program, professional nursing practice, and evidence based nursing.

Here are a few more recent examples from the literature on collaboration between nurses and librarians:

1. Merging silos: collaborating for information literacy. Miller LC; Jones BB; Graves RS; Sievert MC; Journal of Continuing Education in Nursing, 2010 Jun; 41 (6): 267-72 CINAHL AN: 2010692418

2. A unique collaborative nursing evidence-based practice initiative using the Iowa model: a clinical nurse specialist, a health science librarian, and a staff nurse's success story. Krom ZR; Batten J; Bautista C; Clinical Nurse Specialist: The Journal for Advanced Nursing Practice, 2010 Mar-Apr; 24 (2): 54-9 CINAHL AN: 2010583113

3. Partnering with your library to strengthen nursing research. Hallyburton A; St John B; Journal of Nursing Education, 2010 Mar; 49 (3): 164-7 CINAHL AN: 2010602293

4. The road not taken: consumer information in nursing training for magnet re-certification. Muallem M; Journal of Hospital Librarianship, 2010 Jan-Mar; 10 (1): 64-71 CINAHL AN: 2010549526

5. Solo librarian and outreach to hospital staff using Web 2.0 technologies. Landau R; Medical Reference Services Quarterly, 2010 Jan-Mar; 29 (1): 75-84 CINAHL AN: 2010571386

6. The Magnet journey: opportunities for librarians to partner with nurses. Allen MP; Allison MM; Bandy MM; KenneDy JC; Sherwill-Navarro P; Journal of the Medical Library Association, 2009 Oct; 97 (4): 302-7 CINAHL AN: 2010448138

7. An information technology infrastructure to enable evidence-based nursing practice. Pochciol JM; Warren JI; Nursing Administration Quarterly, 2009 Oct-Dec; 33 (4): 317-24 CINAHL AN: 2010435221

8. Networking with clinical nurses: fusing Magnet and organizational missions. Wickline M; National Network, 2009 Jul; 34 (1): 8-9 CINAHL AN: 2010580315

9. In an emergency--call the clinical librarian!. Coats TJ; Sutton S; Vorwerk C; Cooke MW; Emergency Medicine Journal, 2009 May; 26 (5): 321-3 CINAHL AN: 2010358158

10. Promoting research in clinical practice: strategies for implementing research initiatives [corrected] [published erratum appears in J TRAUMA NURS 2009 Jul-Sep;16(3):168]. Kleinpell RM; Journal of Trauma Nursing, 2009 Apr-Jun; 16 (2): 114-9 CINAHL AN: 2010325840

11. Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center. Brown CE; Wickline MA; Ecoff L; Glaser D; Journal of Advanced Nursing, 2009 Feb; 65 (2): 371-81 CINAHL AN: 2010177698

12. Knowledge-based information to improve the quality of patient care. Garcia JL; Wells KK; Journal for Healthcare Quality: Promoting Excellence in Healthcare, 2009 Jan-Feb; 31 (1): 30-5 CINAHL AN: 2010201141

13. Nurses working with librarians. Hallyburton A; St. John B; Billings DM; Kowalski K; Journal of Continuing Education in Nursing, 2009 Jan; 40 (1): 16-7 CINAHL AN: 2010172054

14. Magnet again! Librarian's role in research collaboration to maintain magnet status. Schwartz LM; Iobst BJ; Journal of Hospital Librarianship, 2008; 8 (1): 72-81 CINAHL AN: 2009936018

15. Swimming with nurses: the hospital librarian Magnet perspective. Rourke D; National Network, 2008 Jan; 32 (3): 11 CINAHL AN: 2010060322