V olume 10│Issue 1│February 2019 Carilion Medical Center, 1906 Belleview Ave, Roanoke, VA 24014 http://chsweb.carilion.com/nursserv/NursW eb.html nursingresearch@carilionclinic.org (540)266 -6216
Everyone Loves a Good Story! Shanna Flowers, MA - Carilion Volunteer Services My byline has appeared in newspapers in Michigan, Florida and Virginia—and papers across the country that picked up my stories on the newswire. My name graced the cover of my first book I published 18 months ago. A few years ago, it even showed up under a “satisfied customer” testimonial in an internal booklet Lane Bryant distributes to its employees. But this is a first—and an honor!—having my name appear in a nursing research publication! Wow! Admittedly, when Kim Carter, Senior Director of Nursing Research, asked me to write this piece, I was a little intimidated, thinking, “What do I have to say to nurses? They heal broken bodies and reassure anxious patients. They save lives. Heck, the only thing I’m pretty good at is making my subjects and verbs agree. But as the first non-nurse on Carilion’s Nursing Editorial Board, what I decided I would share with my colleagues is a love of learning new things—and then using the written word to chronicle what we have learned to share it with others. As a newspaper journalist for nearly 25 years, that’s what I did. I met people from all walks of life, in all types of circumstances. They shared their stories— their triumphs, their heartbreaks, their successes—with me. And then I used my love of words to write what I had learned in a compelling way to educate, entertain, compel or prompt. For me, crafting words is like breathing. Writing is cathartic. It is storytelling on paper. Nurses, outlets such as Within REACH are one way for you to share your stories from the bedside, the classroom, or the conference. I already know what some of you are thinking, “Writing is hard.” And it is, even for professional writers like me. But the reward is putting on paper words you know will help your other nurses—with an innovative procedure or just sharing something funny that will get them through another day. That’s the beauty of words. They do all those things. They inspire. They tug at heartstrings. They infuriate. They educate. Collectively, words tell your story. And everyone loves a good story. ~
Carilion Clinic Roanoke Campus
Shanna
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ARTICLES/NOTIFICATIONS ZGGGG CALL FOR POSTERS! Art & Science of Nursing Showcase - Week of the Nurse [GGGGGCase Study Research: Not your everyday type of research study - Editorial Kim Carter, PhD, RN, NEA-BC
]GGGGGGMedication teaching in patients with heart failure Tiffany Nichols, BSN, RN; Casey Ashworth, RN
_GGGGGGCMC Nurse perceptions of shared governance Cindy Ward, DNP, RN-BC, CMSRN, ACNS-BC; Kim Carter, PhD, RN, NEA-BC; Pam Lindsey, MSN, RN, ACNS-BC
XWGGGGCarilion Nursing Professional Practice Model: EP1 - Clinical nurses are involved in the development, Implementation, and evaluation of the professional practice model.
RECOGNITION/EVENTS XXGGGGNursing Recognition X[ Conference Corner X]GGGGCitations & Recognitions X_GGG “See Where Our Nurses Have Traveled” Map X`GGGG2019 Carilion Nursing Research Classes YWGGGGAdditional Nursing Research Classes YXGGGG2019 Women’s Health and Perinatal Conference Information
Nursing Research Editorial Board: Kim Carter, PhD, RN, NEA-BC - Editor-in-Chief Lisa Allison-Jones, PhD, RN Nancy Altice, DNP, RN, CCNS, ACNS-BC Candace Asbury, BSN, RN Desiree Beasley, MSN, RN, CCRN, CCNS Ann Beheler, ADN, RN Catherine Brandon, RN Mary Brewer, MBA, MSN, RN, RD Sarah Browning, DNP, RN-BC Molly Clemons, RN, ONC Monica Coles, DNP, RN-BC, ACNS-BC Sarah Dooley, MPH, BSN, RN Christine Fish-Huson, MSN, RN Shanna Flowers, MA
Cindy W. Hodges, BSHS, RNC, FCN James Ingrassia, MSN, RN Michele Kosinski, DNP, MBA, RN Pam Lindsey, MSN, RN Margaret Perry, MSN, RN-BC Deirdre Rea, MSN, RN, PMHBC Angelina Surgent, MSN, RN, ONC Diana Talmadge, RN Mary Via, RN, CRRN, CTL Cindy Ward, DNP, RN-BC, CMSRN, ACNS-BC Stacy Wilson, Vivian Wilson, BSN, RN, CCRP
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Case Study Research: Not Your Everyday Type of Research Study - Editorial Kim Carter, PhD, RN, NEA-BC - Senior Director, Carilion Nursing Research & EBP While the randomized controlled trial (RCT) approach with a powered sample size is usually acknowledged as a gold standard approach, it is not always a feasible, possible, or ethical design to address certain hypotheses. For example, it would not be ethical to randomize a group of pregnant women into an intervention where some of the subjects were exposed to a harmful substance. Some populations or conditions are so rare that it would not be possible to achieve a sample size large enough for statistical power. Case study research reported through a case report is an option in these situations to share a narrative about an event or experience of a very small number of patients with some unusual or unique feature that has not been published before (Alpi & Evans, 2019; Cope, 2015).
Case study research utilizes a qualitative approach where the author is a participant in the study experience and may use many methodologies, such as observations, interviews, artifact analysis, to understand the phenomenon of interest (Alpi & Evans, 2019). Some case study methodologists allow both qualitative and quantitative data, while others require exclusively qualitative data sources (Cope, 2015). Case study research is a methodology; a case report is the vehicle for dissemination of case study research. In nursing, case study research seeks to describe (who or what), explain (how and why), or explore (what happened), focusing “on one phenomenon, variable or set of variables, thing, or case occurring in a defined or bounded context of time and place to gain an understanding of the whole of … a person, group, an organization or event” (Cope, 2015, p. 681; Sangster-Gormley, 2013). An essential component that must be embedded throughout the case study research methodology is rigor. The usual approaches to rigor employed in qualitative design are applicable for case study research, such as Lincoln & Guba’s (1985) credibility, dependability, confirmability, and transferability (Houghton, Casey, Shaw & Murphy, 2013). As a participant in the research experience, the investigator must take steps to minimize bias and assure accuracy of data and interpretation. This can be done through researcher journaling, audits, and thick descriptions (Cope, 2015). It is important that the researcher assume the role of “dispassionate enquirer” (Price, 2008). The case report from case study research should be attentive to content validity by providing “sufficient evidence and displaying a deep understanding of the case” (Cope, 2015, p. 682). The case study research process occurs in three phases. Phase 1: Development of propositions and a conceptual framework which inform development of the research questions, which in turn guide the design of the study. Phase 2: Preparation, collection, and analysis of data Phase 3: Dissemination through a case report (Sangster-Gormley, 2013, p.7) It is important to design case study research in collaboration with key stakeholders, including the patient/subject, family, other caregivers, and professional colleagues (Price, 2008). Carilion Clinic’s Institutional Review Board (IRB) has Standard Operating Guidelines (last revised July 2015) that outline the IRB’s position and requirements for case reports.These standard operating guidelines focus on the product of case study research: the case report. Per these guidelines, a retrospective analysis of 3 or less clinical cases within one study that meets specific criteria does not meet the federal definition for a human subject and does not need IRB review.
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There is an option for an IRB determination for a case report with 3 or fewer clinical cases and for when the researcher is uncertain. Should a case report include 4 or more clinical cases, then it is considered human subjects research, and requires IRB involvement. Regardless of the role of the IRB in the case report, patient privacy and the use of protected health information and HIPAA identifiers must be protected. Because a case report focuses on a unique disease, condition, or outcome, the Carilion Clinic Privacy and information Security Officer should be consulted if the researcher intends to disseminate findings. Informed consent from the patient or legally authorized representative is strongly advised. Case study research provides important knowledge to advance practice and nursing science. It is an approach that requires some additional considerations from the planning stage forward. I am happy to work with you to explore this methodology if you have an interesting case to explore. Let’s talk! References Alpi, K. & Evans, J. 2019. Editorial: Distinguishing case study as a research method from case reports as a publication type. Journal of the Medical Library Association, 107(1), 1-5. Cope, D. 2015. Case study research methodology in nursing research. Oncology Nursing Forum, 42(6), 681-682. Houghton, C., Case, D., Shaw, D., & Murphy, K. 2013. Rigour in qualitative case-study research. Nurse Researcher, 20(4), 12-17. Lincoln, Y. & Guba, E. 1985. Naturalistic Inquiry. Newbury Park CA: Sage.
Price, B. 2008. Case study research with children and their families. Paediatric Nursing, 20(6), 3945. Sangster-Gormley, E. 2013. How case-study research can help to explain implementation of the nurse practitioner role. Nurse Researcher, 20(4), 6-11.
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Medication Teaching in Patients with Heart Failure. Tiffany Nichols, BSN,RN and Casey Ashworth, ADN, RN - 8S PCU Background Heart failure medications can save lives, prolong life span, and increase heart function 1. The Carilion Coronary Progressive Care Unit set a goal to improve medication knowledge for patients with heart failure, focusing on the medications most prescribed for the patient population: diuretics, ace inhibitors, beta-blockers and angiotensin II receptor blockers. The goal of this project was to determine if personalized medication cards with teaching from a Registered Nurse throughout the hospitalization would improve patients' knowledge of their prescriptions. Niewenhuis et al. (2012) found that one hundred percent of study participants reported they always take their medications as prescribed; however, after reviewing results, seventy-six percent of them were non-adherent with their medication regimen2. This illustrates that some patients may perceive they know and are taking their prescriptions as prescribed, but in reality, they are not. A lack of understanding with pharmaceuticals can lead to non-compliance, reduced quality of life, and increased hospital admissions2. A study with 16 randomized, controlled trials reported that one-on-one education about medications in person or by telephone led to pharmaceutical compliance as evidenced by improved symptoms, decreased hospital admissions and increased survival rates3. Koelling el al. (2005) reported that a one-hour teaching session, in addition to the standard discharge process with the patient and nurse, resulted in lower readmission rates and decreased fatalities when compared with those who solely received the standard discharge information by the nurse4. The literature supports the potential for improvement with medication teaching to improve patient outcomes. Goal The PICOT question guiding this performance improvement demonstration project was: Among heart failure patients, does repeated medication teaching by nurses with the use of personalized medication cards improve patients’ understanding of heart failure medications as opposed to those who did not receive personalized medication cards in a two month period? The objectives of this included: 1. As a result of the medication card and personalized teaching, the patient will express increased comfort with managing their medications. 2. As a result of the medication cards, the patient will know at least one side-effect of each prescribed heart failure medication. Activity Completed as part of the Nurse Residency program, this pilot demonstration project focused on testing a process improvement related to medication teaching as is presented here as a pilot demonstration project comparing post-survey results to pre-survey results in a limited number of patients. Stickers with the drug name, therapeutic effects, side-effects, and blank lines were created for patients to write their regimen. Each individual's prescribed medication stickers were placed on an eight-by-eight orange card that was used throughout the day for one-on-one teaching with the patient and primary nurse at the bedside. Outcome Pilot study participants were given a survey on admission and on discharge to evaluate the effectiveness of the medication cards they received during their hospitalization. The survey included five Likert-type questions and a log for the subjects to report their daily drug regimen (Figure 1). Four patients completed surveys in June and July 2018. There was self-reported
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improvement in knowledge of medication side-effects and a greater knowledge of their prescription regimen by memory. This was assessed by a more thorough completion of the medication regimen log at discharge. Figure 1.
Impact on Patient Care This demonstration project suggests the potential impact of nurse-facilitated patient education using personalized medication teaching cards. More study is warranted to increase sample size, consistency in nurse teaching style, and time-frame. A randomized study comparing those who receive medication cards during hospitalization to those who do not would strengthen understanding of the approach. Finding ways to improve medication knowledge of those with heart failure will support their quality of life and assist in saving lives. References 1. American Heart Association. (2018). Medications Used to Treat Heart Failure. Retrieved from https://www.heart.org/en/health-topics/heart-failure/treatment-options-for-heart-failure/ medications-used-to-treat-heart-failure 2. Nieuwenhuis, M. W., Jaarsma, T., van Veldhuisen, D. J., & van der Wal, M. L. (2012). Selfreported versus 'true' adherence in heart failure patients: a study using the Medication Event Monitoring System. Netherlands Heart Journal: Monthly Journal of The Netherlands Society Of Cardiology And The Netherlands Heart Foundation, 20(7-8), 313-319. doi:10.1007/s12471-0120283-9 3. Molloy, G. J., Witham, M. D., McMurdo, M. E., & O'carroll, R. E. (2012). Interventions to enhance adherence to medications in patients with heart failure. Circulation: Heart Failure, 5(1), 126. doi:10.1161/CIRCHEARTFAILURE.111.96456 4.
Koelling, T., Johnson, M., Cody, R., & Aaronson, K. (2005). Discharge education improves clinical outcomes in patients with chronic heart failure. Circulation, 111(2), 179-
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CMC Nurse Perceptions of Shared Governance Cindy Ward, DNP, RN-BC,CMSRN, ACNS-BC - Clinical Nurse Specialist; Kim Carter, PhD, RN, NEA-BC - Senior Director of Nursing Research & EBP; Pam Lindsay, MSN, RN, ACNSBC - Nurse Professional Practice Manager & Magnet Program Director Background of the Problem Shared Governance (SG) has been recognized for many years as a mechanism to give staff nurses input into their practice. Control over one’s nursing practice provides a sense of empowerment and increased job satisfaction, and it is linked to improved quality of patient care1. Shared governance can be measured in a continuum from traditional governance to self-governance. The Index of Professional Nursing Governance (IPNG) instrument was developed to measure governance2. While Carilion Medical Center (CMC) has had a council structure for several years, concern had been voiced that the model should be re-evaluated. Indicators that the existing model could be improved for best practice included: lack of a forum for clinical outcome accountability, reporting, and decision making; poor attendance of frontline staff; perceived lack of authority of council members in influencing their units; lack of bidirectional information-sharing; and poor communication between staff and units. In late 2015, we met to discuss the status of the shared governance structure and ways to increase nurse engagement in shared governance. The Hess IPNG was chosen as the tool for an evaluation of the current shared governance structure. Goal Statement The aims of the study were to understand and measure the nurses’ perception of the state of shared governance at CMC. Intervention/Initiative/Activities The Carilion Clinic Institutional Review Board determined the study did not meet the regulatory definition of human subjects research as outlined in Department of Health and Human Services regulations. The Hess IPNG was sent to all CMC nurses by email. The Hess Index of Professional Nursing Governance is a Likert scale measure of nurse perceptions of control, influences, official authority, participation, access, and ability with .95 content validity and test-retest reliability of .773. The initial survey was conducted in March 2016. Surveys were distributed to 1505 nurses, including inpatient and ambulatory areas. With 304 surveys completed, a 20% response rate was achieved. A shared governance design team consisting of frontline nurses, unit directors, clinical nurse specialists, and senior directors was formed to examine the survey results, generate ideas for change, and redesign the structure. Recommendations from the survey included focusing on enhancing full-time nurse participation and the participation of Generation X nurses in councils, which were taken into account in the re-design of the structure. The hospital-level shared governance councils were identified as Nursing Quality, Nursing Education, Nursing Professional Practice, Nursing Research, Nursing Informatics and Technology, and Nursing Professional Recognition. The second Tuesday and Wednesday of each month were designated as council meeting days to aide with scheduling. Celebrations and information sessions were held in October, November, and December 2016. All nurses received education about SG. Council co-chairs received education about expectations of the co-chair, leadership, change management, and council charters. The new governance structure began in January 2017. Outcomes The IPNG survey was repeated in April 2018. The survey was sent to 1608 nurses, with 372 completed surveys returned (23% response rate). The overall shared governance score increased from 169.75 to 175.11. Scores on both surveys reached the level of shared governance in the areas of resources (who influences resources that support professional practice), participation (who creates and participates in committee structures related to governance), and practice (who controls professional practice) (R. Hess, Personal Communication, May 2016). See Table 1 and Table 2 for results of the surveys. Following the 2018 survey, the Carilion SG program score met the minimus threshold for Shared Governance and was accredited by the Forum for Shared Governance.
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Gender Employment Status Highest Education
Table 1: Survey Demographics March 2016 (Baseline) April 2018 Male 196.20* (n=26) Male 158.04 (n=23) Female 170.58 (n= 280) Female 173.49* (n=346) Full-time 175.41* (n=321) Full-time 169.23 (n=273) Part-time 173.55* (n=29) Part-time 174.51* (n=50) Diploma 185.00 (n=41) Diploma 173.27* (n=61) ADN 171.01 (n= 119) ADN 174.01*(n=147) BSN 167.12 (n=118) BSN 173.78* (n=184)
Certification
Yes 175.46* (n=123) No 165.56 (n=179)
Yes 175.96* (n=143) No 174.58* (n=229)
*Indicates score fell within the range for SG
Table 2: Index of Professional Nursing Governance Subscale Scores March 2016 (Baseline) April 2018 Total (SG 173 – 344) 169.75 175.11* Personnel (SG: 45 - 88) 32 30 Information (SG: 31 – 60) Resources (SG: 27 – 52) Participation (SG: 25 – 48) Practice (SG: 33 – 64) Goals (SG: 17 – 32)
30
30
33*
36*
26*
25*
33* 16
34* 14
*Indicates score fell within the range for SG
Impact on Patient Care/Nursing Practice Carilion attained SG status in the lower range of scoring, which, indicates opportunity for improvement with increasing staff input into governance. Our SG program continues to grow and strengthen, and we anticipate CMC’s Shared Governance to continue to mature. We will continue to improve our governance processes and continuously engage and educate nurses about SG, their role in SG, and the impact of SG on their rofessional practice and patient outcomes.
References 1. Brody, A.A., Barnes, K., Ruble, C., & Sakowski, J. (2012). Evidence-based practice councils. Journal of Nursing Administration, 42(1), 28 – 33. doi: 10.1097/NNA.0b013e31823c17f5 2. Hess, R.G. (2017). Professional governance: Another new concept? Journal of Nursing Administration, 47(1), 1 – 2. doi: 10.1097/NNA.0000000000000427 3. Hess, R.G. (1998). Measuring nursing governance. Nursing Research, 47(1), 35 – 42. *Acknowledgement: Kathleen Baudreau, MSN, RN, CPHQ was a member of the early study design.
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Carilion Nursing Professional Practice Model (from Magnet Document ® ) EP1: Clincal nurses are involved in the development, implementation, and evaluation of the professional practice model
Carilion Nursing Professional Practice Model: REACH Carilion Clinic Roanoke Campus’ professional practice model (PPM), REACH, is an innovative, creative model that was originally developed by our nurses in 2006 as a framework for transforming professional nursing practice and excellence in patient care to improve the lives of those we serve. This model was adapted from the Relationship-Based Care model (Koloroutis, 2004) and grounded in nursing theory, including Watson’s Theory of Caring, Swanson’s Caring Processes, Leininger’s Theory of Culture Care, and Dingman’s Caring Model. The REACH Professional Practice Model defines our image as professionals dedicated to the communities we serve: x Research: Commit to clinical excellence through inquiry and evidence-based practice. x Educate: Educate to elevate standards of practice and professional growth and development. x Advocate: Advocate for those we serve through interprofessional collaboration. x Clinical: Provide safe, high-quality patient-centered care. x Human Touch: Connect with patients, colleagues and communities with compassion and respect (EP1_Ref01_REACHModel). REACH is one of the ways Carilion nurses distinguish themselves from other practice environments in that our nurses apply the principles of REACH in everyday practice. A transformation of the original image and wording was adopted in the fall of 2014 to align with Carilion Clinic’s Mission and Vision and RelationshipBased care delivery model. The REACH model provides a foundational infrastructure for innovation and excellence in professional nursing practice. The REACH model is embedded in: x x x x x
Strategic planning processes as related to performance measures for effectiveness and efficiency Career Advancement program (CAP) Performance Management and Peer Review Shared Governance Care Delivery System.
Our shared governance program integrates the components of the REACH model to promote overarching accountability, responsibility, and authority to the delivery of nursing care. By incorporating REACH throughout our shared governance structure, nurses are empowered to make decisions at the point of service to drive excellence and innovation. Carilion Clinic Roanoke Campus’ shared governance program includes: x x x x x x
Research: Nursing Research and Evidence Based Council Education: Nursing Education Council and information Technology Council Advocacy: Nursing Core Team Clinical: Nursing Quality Council Human Touch: Nursing Professional Practice Council and Nursing Quality Council All components of REACH: Nursing Professional Practice Council
Reference Koloroutis, M. (2004). Relationship-Based Care: A Model for Transforming Practice Minneapolis: Creative Healthcare Management.
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Commitment! Cindy Ward, DNP, RN-BC, CMSRN, ACNS-BC, Jen Bath, MSN, RN, AGCNS-BC, CEN, TCRN & Brandie Bailey, MSN, RN, NEABC attended VNA Lobby Day where they learned about proposed legislation of interest to nurses and supported by the VNA. Two examples are Protect Healthcare Workers, which would make it a penalty to threaten a healthcare worker while they are performing their job, and Equitable Reimbursement for Nurse Practitioners, which would allow NPs to independently and directly bill insurance for their services. (l-r: Cindy Ward & Jen Bath)
Cindy and Jen used this opportunity to visit our legislators to educate them about clinical nurse specialist practice and barriers to practice in Virginia. They were also part of a group of ten CNSs from across Virginia who met with Virginia Department of Health and Human Services Secretary Dr.Dan Carey to discuss CNS practice, barriers to practice, and proposed changes to the regulations related to CNS practice.
Curiosity!
(l-r: William Rea, MD, Allison Tegge, PhD, Manavi Bhagwat, BS, Kim Carter, PhD, RN, NEA-BC, Phyllis Whitehead, PhD, APRN, ACHPN, RN-BC, Anita Kablinger, MD)
The team was awarded 2nd place in the datathon competition!
Allison Tegge, PhD; Manavi Bhagwat, BS; Kim Carter, PhD, RN, NEA-BC; Phyllis Whitehead, PhD, APRN, ACHPN, RN-BC; Anita Kablinger, MD; William Rea, MD (mentor) participated in the 2019 Virginia Tech Roanoke Center Opioid Datathon, a competition organized in collaboration with the Urgent Love (www.urgentlove.org) initiative of Southwest Virginia that brought together bright, multi-disciplinary teams. Teams analyzed data sets and turned them into useful information that will support local initiatives and policies that are vital to managing the opiod crisis at the local/regional level. Title of their project: The Portal: A
resource for southwestern Virginia.
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Commitment! Cindy Hodges, RNC, BSHS, FCN CRMH OR Services March of Dimes Nurse of the Year Category - Quality & Risk Management (Cindy Hodges)
Each year, the Virginia March of Dimes recognizes nurses across the Commonwealth who are nominated by their peers as outstanding clinicians committed to patient care, evidence-based practice, quality and patient safety. There are 20 categories of nominations, and the March of Dimes received over 200 nominations this year, so competition is very rigorous. Cindy was recognized for the many contributions made to quality and patient safety in the OR setting.
Community! Sarah Beth Dinwiddie, BSN, RN CRMH Trauma Services Governor’s EMS Award for Nurse with Outstanding Contribution to EMS (Sarah Beth Dinwiddie)
The award recognizes the efforts and contributions to our EMS system. The awards ceremony provides an opportunity to give special recognition to a select group of individuals and agencies who demonstrated a particular achievement or contribution within their communities over the last year.
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Compassion! Phyllis Whitehead, PhD, APRN, ACHPN, RN-BC CRMH 10S Palliative Care 2018 Honorable Mention National Compassionate Caregiver of the Year (NCCY)ÂŽ (l-r: Trish Kingery; Phyllis Whitehead)
The National Compassionate Caregiver of the Year (NCCYÂŽ) Award is a national recogniation program that elevates excellence in compassionate healthcare. Since 1999, the Schwartz Center for Compassionate Healthcare has honored outstanding healthcare professionals who display extraordinary devotion and compassion in caring for patients and families. The award recognizes those who make a profound difference through their unmatched dedication to compassionate, collaborative care.
Community! (Sara Wohlford)
Sara Wohlford, MPH, RN Carilion Efficiency and Sustainability Program Manager Recognized in The Roanoker Magazine Sara was recognized in the January/February edition of The Roanoker magazine for her amazing work with her project that reduced unopened or expired medical waste within the Carilion Health System. Go to: https:// theroanoker.com/magazine/features/changes-on-the-health-horizon/? for the full article.
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2019 Virginia Patient Safety Summit, Richmond, VA Veronica Stump, MA, BSN, RN, NEA-BC, Senior Director of Nursing at CGMH presented her poster titled, Medication Safety Pump Utilization at the Virginia Patient Safety Summit in the category of “Using innovation, technology, and modern medicine to promote patient safety”.
Awarded 3rd place for favorite poster among Summit attendees!
Centra - Virginia Henderson Nursing Research Symposium, Lynchburg, VA Cindy Ward, DNP, RN-BC, CMSRN, ACNS-BC presented oral presentations at both the morning and afternoon podium sessions. Her presentations titled “My research is completed. Now what?” and “Nuts & Bolts of Abstract Preparation” described how important it is to disseminate your project, outlined the specifics of that process and provided tips and tools on publishing your work.
(Cindy Ward)
(Veronica Stump)
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Virginia Organization of Nurse Executives & Leaders, Williamsburg, VA Brandie Bailey, MSN, RN, NEA-BC prsented her DNP abstract as a poster presentation at the 2018 VONEL Fall Conference. Her project was titled, The Use of an Early Warning System to Improve Patient Outcomes. The project summarized how early warning systems offer innovative solutions to assist healthcare providers with early detection of subtle changes in order to prevent clinical deterioration.
(Carl Cline; Brandie Bailey)
2019 International Stroke Conference, Honolulu, HI Lindsay Collins, MSN, RN, CEN and Barbara Boggs, MSN, RN, CCRN represented Carilion at the International Stroke Conference with their 2017 Fellowship project titled, Dysphagia Severity and Decision Making Algorithm Impact on Length of Hospital Stay, Restraint Use and Cost in Stroke Patients. Their project reduced delays in hospital discharge and saved the organization over $82,000 per year. The abstract was also published in the online Stroke journal.
(Lindsey Collins; Barbara Boggs)
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October 2018- February 2019 Bailey, B., Hudson, J., Carter, K. 2018, October 18. The use of early warning signs to improve patient outcomes. VONEL Fall Conference, Williamsburg, VA Stump V., Westmorland, A., Salazar, C., Hamilton, Y. 2019, January 31 - February 1. Medication safety pump utlilization. Virginia Patient Safety Summit 2019, Richmond, VA *Awarded 3rd place for favorite poster among Summit attendees! Collins, L., Boggs, B., Ward, C. 2019, February 6-8. Dysphagia severity and decision making algorithm impact on length of hospital stay, restraint use and cost in stroke patients. International Stroke Conference 2019, Honolulu, HI
Kiefer, C. 2018, November 11-14. Strategies that support IP practice across the continum of care (workgroup participation). Association for Professionals in Infection Control and Epidemiology, Arlington, VA. Ward, C. 2018, November 9. Nuts and bolts of abstract preparation and My research is completed. Now What? Centra - Virginia Henderson Nursing Research Symposium, Lynchburg, VA Scheaffell, M., Musick, D., Trinkle, D., Tabor, J. 2019, February 19. Implementing a new nurse shadowing experience for second year medical students. Seventh Annual Emswiller Interprofessional Symposium, Glen Allen, VA
Kidd, A. 2019, February 13-14. Knock, Knock: Intrinsic accountability is knocking at the door. Nurses conference in Honolulu, HI/ Transforming Healthcare - Exploring the Current Challenges and Possibilities in Nursing.
Anderson, R., Brenin, C., Camacho, F., Carter, K., Chow, P., DeGuzman, P., Eton, D., Guterbock, T., Kennedy, E., Ruddy, K., Cohn, W. 2018, April. Predictors of healthrelated quality of life in survivors of women’s cancer. Quality of Life Research Journal, Issue 1 Supplement, 2081-2083. Carter, K. 2018, November. Getting started with EBP.Virginia Nurses Today, 26(4), 10-12. Ward, C. 2018, November/December. Clinical Nurse Specialist: The unknown APRN. MedSurg Nursing, 27(6), 347-348 Bath, J., Freeman, D., Salamoun, M., Harvey, E., Wright, A., Hamill, M., Lollar, D., Bower, K., Collier, B. 2019, January/ February. Decreasing trauma readmission rates by implementing a callback program. Journal of Trauma Nursing, 26(1), 33-40. DOI: 10.1097.0000000000000413. Collins, L., Boggs, B., Ward, C. 2019. Dysphagia severity and decision making algorithm impact on length of hospital stay, restraint use and cost in stroke patients. Stroke, 50(Suppl 1), WP492. Clark R, Carter K. 2019. Successful grant applications: Follow the four F’s. Nursing2019, 49(2), 55-58.
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Alderman, A. 2018, November. Appointed as part of the design team for the Pediatric Special Interest Group of the Association for Vascular Access, Herriman, UT Hodges, C. 2018, November. Recipient of the March of Dimes Nurse of the Year Award in the Category of Quality & Risk Management. Whitehead, P. 2018 November. Received the 2018 Honorable Mention National Compassionate Caregiver of the Year (NCCY)® Award offered by the Schwartz Center Organization. Whitehead, P. 2018, December. Chosen to partipate on the Hospital & Palliative Nurses Association (HPNA) Advanced Practice Nurses (APN) Council. Dinwiddie, S. 2019, January. Received the prestigious Governor’s EMS award for “Nurse with Outstanding Contribution to EMS” Bhagwat, M., Tegge, A., Carter, K., Whitehead, P., & Kablinger, A. Rea, W (mentor). 2019, February 23, 2nd place in Virginia Tech Opioid DataThon for The Portal: A resource for southwestern Virginia. Bond, D. 2019, February. Selected as one of the inaugural class of fellows for the Clinical Nurse Specialist Institute. Upon induction, these individuals will begin using the new credential, “FCNS”. Induction ceremony will be held on March 8, 2019 at the NACNS Annual Meeting at the Renaissance Orlando at SeaWorld.
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“The World is a book, and those who do not travel read only a page.” – Saint Augustine United Kingdom
Natl. Harbor, MD Williamsburg
Palm Springs
Lake Buena Vista
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REGISTER IN CORNERSTONE FOR ONE OF OUR ADDITIONAL RESEARCH CLASSES!
Pre-Nursing Research Fellowship Brainstorm Sessions CE354L June 25, 2019 & July 17, 2019 ********** Open Mentored Writing Lab CE037L August 20, 2019 (available as a walk-in no registration needed) *********** Developing a Competitive Abstract for the Next Magnet Conference & Similar Events CE335L October 3, 2019 ************* Keep an eye out for our 2020 dates for these classes which have already been held for 2019:
Courageous Editing and Compassionate Critique CE192L Creating Professional Posters Workshop CE238L
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Practical Applications of Nursing Inquiry
WHEN: Friday, May 4, 2019 7:30 AM - 4:30 PM WHERE: Hotel Roanoke and Conference Center 110 Shendandoah Ave., NE Roanoke, VA 24016 PLANNER: Loretta Hall - lfhall@carilionclinic.org
2019 Women’s Health and Perinatal Conference: Healthy Women. Healthy Babies. Healthy Communities CONFERENCE INFORMATION Welcome to the 2019 Carilion Women’s Health and Perinatal Conference registration website! Copy and paste this link into your browser to take you to our conference website: https://www.carilionclinic.org/conferences Scroll down until you come to our conference title and links for registration. Please make sure you have your email address handy for registration. Note to Carilion Clinic employees: Please use your Carilion Clinic email and your badge number when registering.
CONFERENCE HIGHLIGHTS Six plenary sessions will be offered to communicate best practice evidence related to clinical care and improving health outcomes for women and infants. Highlights include: x Introduce the Virginia Neonatal Perinatal Collaborative, a statewide initiative established to improve neonatal and perinatal outcomes presented by Joan Williamson, Director of Virginia Patient Safety Organization, VHHA x Review the Southwest Virginia Opioid Task Force initiatives as they apply to women and infants, presented by Robert Trestman, PhD, MD, Chair, Psychiatry and Behavioral Medicine, Carilion Clinic x Outline the Addiction and Recovery Treatment Services (ARTS) program through the Virginia DMAS and discuss the impact on women and families, presented by Ashley Harrell, LCSW, Senior Program Advisor, Developmental Disability and Behavioral Health Division DMAS x Discuss local initiatives that support women with Substance Use Disorders (SUDs) and their infants, presented by multiple Carilion Clinic providers and clinicians.
Need editorial or financial support to present your work at a national nursing conference? Contact Nursing Research & EBP for: x Assistance with writing your abstract x Poster development x Financial support through Nightingale grants. nursingresearch@carilionclinic.
Carilion Clinic Roanoke Campus