How to write good publication and how to prepare sound figures
Do the Write Thing: Writing for Publication
1
leadership. Overall, findings supported a difference in perceptions of CC in Magnet and non-Magnet hospitals. CC and HWES are di- agnostic measures that can be used in any type/size facility, provid- ing information that can be shared with unit staff to plan interventions that help diminish CC and improve HWES. Program: Concurrent IB There’s No Place Like Home: Discharge by Eleven Suzanne Connaster, BSN, RN, K. Renee James, MSN, RN, CVN, Abigail Robinson, BSN, RN, Lauren Scarbro, BSN, RN As healthcare faces demands to decrease length of stay and increase patient satisfaction, hospital staff seeks to streamline the discharge process. Evidence suggests an interdisciplinary dis- charge process results in increased nurse satisfaction, reduced in- cidence of medical errors and hospital acquired infections. The purpose of the Vascular Surgery and Transplant Unit (VSTU) Discharge by Eleven Project is to identify barriers to discharge and increase efficiency throughout the discharge process. A patient database was developed to detect variables affecting early discharge. An improvement plan was implemented focusing on timeliness of writing discharge orders by surgical residents and early recognition of potential discharge by nursing, medical and case management staff. Subsequently, the ‘VSTU Resident Survival Guide’ was created highlighting the expectations of nurses rounding daily with attending physicians and residents to identify discharges for the next day. Methods of communication included the team leaders, who served as discharge champions, and utilization of the assignment board as a visual cue. Nurses were instructed to commu- nicate that discharge occurs before eleven to every admission. Dis- charge times and customer satisfaction scores were posted weekly. The five month study showed an increase in the satisfaction with speed of the discharge process (75 to 89.3) and overall satisfaction with the process (83.6 to 89.3) based on Press Ganey raw scores. The percent of discharges by eleven increased from 11% to 15% and late discharges decreased from 50% to 37%. These findings suggest that by targeting unit specific variables early discharges can be increased. Program: Concurrent Session 1C Opioid Administration Post-operatively: Reviewing the Process and Identifying Standards and Expectations for Safe, Effective Care Gail Davis, RN, MSN, CCRN APRN BC, Elizabeth Cox, RN, MSN, CMSRN Purpose: Patients recovering from surgery routinely require large amounts of opioids for post-operative pain, especially the immediate phase of the recovery room. Due to a specific incident where a patient received opioids, was transferred to a division, and then required narcan to reverse the opioid effects, we wanted to review our standards, expectations, and post-operative order limits to identify opportunities for improvement. Surgical divi- sion’s receiving patients from the PACU frequently questioned amounts of opioids given. A retrospective chart review of all patients requiring narcan was performed looking for trends. Staff were surveyed on their perceptions regarding administration of opioids to look for educational opportunities. Description: From a list of patients requiring narcan obtained from pharmacy, case review was performed on each. Data included: OSA risk, age, length and type of surgery, opioids given in the op- erating and recovery room, time in the recovery room, time narcan was administered, vital signs and pain scores. Data was reviewed and discussion centered on medications ordered, standard doses on order sheets, and patient assessment. Staff were surveyed regarding their perception on pain medication administration. Evaluation: Standards were updated stating patients recover- ing from surgery would stay on the division for monitoring a half hour past last IV push dose of opioids. Education sessions were developed to update staff on new standards, review medications peaks, stacking effects of multiple doses, and to define appropri- ate assessment. Hand-off to surgical divisions was updated. Program: Concurrent Session 2A Do the Write Thing: Writing for Publication Cynthia Lewis, MNS, RN, ACNS-BC Writing for publication can be an overwhelming challenge for some nurses. The importance of developing the art and science of nursing is based, however, on sharing important clinical and theoret- ical aspects of practice through Journal articles and nursing text- books. Achieving technical mastery of writing is particularly necessary for nurses. As knowledge increases within a specialty, the information to be relayed from one generation to the next grows more complex, demanding growth in the power of individuals to communicate knowledge. In addition, nursing’s future position in the health care system depends greatly on how effectively nurses communicate developments within the profession to colleagues, other health care professionals, government and regulatory agencies and the public. Writing for publication is an opportunity for nurses to tell a story, to impart knowledge, share research and/or professional experience. Effective writing is a skill involving organization, clarity and knowledge of the practical aspects of writing and publishing. Knowledge of the mechanics of writing and publishing resources can be beneficial in the development of onea ˆVÔs writing style and efforts. Nurses do have an obligation as responsible members of the profession to develop skills in writing for publication. Program: Concurrent Session 2B Improved Patient Care and Clinic Productivity in a Large Rural Veteran Vascular Surgery Practice: Lessons Learned From a Systematic Review and Implementation of an Integrated Interdisciplinary Care Coordination Process Kimberlee Manning-Maestas, BSN, MSN, CFNP, Christina Paap, RN-BC, BSN, CCRN Background: The New Mexico VA Healthcare System serves a rural population of 99,000 veterans covering a three state area providing subspecialty vascular surgery care in the largest VA geographic region within the continental United States. Prior to July 2007, our section had a disjointed and dys- functional patient appointing process, a lack of care coordina- tion, inadequate patient follow-up, and little patient education. The result was a failed process of care for our veterans, their providers, and the staff. Vol. XXVIII No. 3 JOURNAL OF VASCULAR NURSING PAGE 107 www.jvascnurs.net
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Transcript of Do the Write Thing: Writing for Publication
Vol. XXVIII No. 3 JOURNAL OF VASCULAR NURSING PAGE 107www.jvascnurs.net
leadership. Overall, findings supported a difference in perceptionsof CC inMagnet and non-Magnet hospitals. CC andHWES are di-agnosticmeasures that can be used in any type/size facility, provid-ing information that can be shared with unit staff to planinterventions that help diminish CC and improve HWES.
Program: Concurrent IB
There’s No Place Like Home: Discharge by Eleven
Suzanne Connaster, BSN, RN, K. Renee James, MSN, RN, CVN,Abigail Robinson, BSN, RN, Lauren Scarbro, BSN, RN
As healthcare faces demands to decrease length of stay andincrease patient satisfaction, hospital staff seeks to streamlinethe discharge process. Evidence suggests an interdisciplinary dis-charge process results in increased nurse satisfaction, reduced in-cidence of medical errors and hospital acquired infections. Thepurpose of the Vascular Surgery and Transplant Unit (VSTU)Discharge by Eleven Project is to identify barriers to dischargeand increase efficiency throughout the discharge process.
A patient database was developed to detect variables affectingearly discharge. An improvement plan was implemented focusingon timeliness of writing discharge orders by surgical residents andearly recognition of potential discharge by nursing, medical andcasemanagement staff. Subsequently, the ‘VSTUResidentSurvivalGuide’was createdhighlighting the expectationsof nurses roundingdaily with attending physicians and residents to identify dischargesfor the next day. Methods of communication included the teamleaders, who served as discharge champions, and utilization of theassignment board as a visual cue.Nurseswere instructed to commu-nicate that discharge occurs before eleven to every admission. Dis-charge times and customer satisfaction scores were posted weekly.
The five month study showed an increase in the satisfactionwith speed of the discharge process (75 to 89.3) and overallsatisfaction with the process (83.6 to 89.3) based on Press Ganeyraw scores. The percent of discharges by eleven increased from11% to 15% and late discharges decreased from 50% to 37%.These findings suggest that by targeting unit specific variablesearly discharges can be increased.
Program: Concurrent Session 1C
Opioid Administration Post-operatively: Reviewing theProcess and Identifying Standards and Expectations forSafe, Effective Care
Gail Davis, RN, MSN, CCRN APRN BC, Elizabeth Cox, RN,MSN, CMSRN
Purpose: Patients recovering from surgery routinely requirelarge amounts of opioids for post-operative pain, especially theimmediate phase of the recovery room. Due to a specific incidentwhere a patient received opioids, was transferred to a division,and then required narcan to reverse the opioid effects, we wantedto review our standards, expectations, and post-operative orderlimits to identify opportunities for improvement. Surgical divi-sion’s receiving patients from the PACU frequently questionedamounts of opioids given. A retrospective chart review of allpatients requiring narcan was performed looking for trends. Staffwere surveyed on their perceptions regarding administration ofopioids to look for educational opportunities.
Description: From a list of patients requiring narcan obtainedfrompharmacy, case reviewwasperformedoneach.Data included:OSA risk, age, length and type of surgery, opioids given in the op-erating and recovery room, time in the recovery room, time narcanwas administered, vital signs and pain scores. Data was reviewedand discussion centered on medications ordered, standard doseson order sheets, and patient assessment. Staff were surveyedregarding their perception on pain medication administration.
Evaluation: Standards were updated stating patients recover-ing from surgery would stay on the division for monitoring a halfhour past last IV push dose of opioids. Education sessions weredeveloped to update staff on new standards, review medicationspeaks, stacking effects of multiple doses, and to define appropri-ate assessment. Hand-off to surgical divisions was updated.
Program: Concurrent Session 2A
Do the Write Thing: Writing for Publication
Cynthia Lewis, MNS, RN, ACNS-BC
Writing for publication can be an overwhelming challenge forsome nurses. The importance of developing the art and science ofnursing is based, however, on sharing important clinical and theoret-ical aspects of practice through Journal articles and nursing text-books. Achieving technical mastery of writing is particularlynecessary for nurses. As knowledge increases within a specialty,the information to be relayed from one generation to the next growsmore complex, demanding growth in the power of individuals tocommunicate knowledge. In addition, nursing’s future position inthe health care system depends greatly on how effectively nursescommunicate developments within the profession to colleagues,other health care professionals, government and regulatory agenciesand the public.Writing for publication is an opportunity for nurses totell a story, to impart knowledge, share research and/or professionalexperience. Effectivewriting is a skill involving organization, clarityand knowledge of the practical aspects of writing and publishing.Knowledge of the mechanics of writing and publishing resourcescan be beneficial in the development of oneaV�s writing styleand efforts. Nurses do have an obligation as responsible membersof the profession to develop skills in writing for publication.
Program: Concurrent Session 2B
Improved Patient Care and Clinic Productivity in a LargeRural Veteran Vascular Surgery Practice: LessonsLearned From a Systematic Review and Implementationof an Integrated Interdisciplinary CareCoordination Process
Kimberlee Manning-Maestas, BSN, MSN, CFNP, ChristinaPaap, RN-BC, BSN, CCRN
Background: The New Mexico VA Healthcare Systemserves a rural population of 99,000 veterans covering a threestate area providing subspecialty vascular surgery care in thelargest VA geographic region within the continental UnitedStates. Prior to July 2007, our section had a disjointed and dys-functional patient appointing process, a lack of care coordina-tion, inadequate patient follow-up, and little patient education.The result was a failed process of care for our veterans, theirproviders, and the staff.
