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Research, Technology and Publications

Nurses practicing at Rush Copley are catalysts for change and are responsible for unlocking the power of innovation within the nursing community. Nursing research shapes our practice and ultimately affects the care our patients receive. Transforming patient care at the bedside leads to enhanced patient outcomes and empowerment of our nurses.

Research and Scholarly Activities at a Glance

International Watson Caritas Comparative Database (IWCCD) Study

The purposes of this study are: 1) to apply the Watson Caritas Patient Score (WCPS) in a group of acute care institutions using a common professional practice model; 2) to build an accurate and reliable national comparative database; 3) to use the data for ongoing performance improvement and clinical investigations; 4) to improve the validity and reliability of the WCPS; 5) build a user-generated reporting tool and evaluate its utility to the end user and 6) to appraise the value of the database. To carry out this project Rush Copley is partnering with the Watson Caring Science Institute.

The Anticoagulated Head Injured Trauma Patient:
Rapid Identification and Expedited Imaging for this Time Sensitive Patient

Purpose of this project was to design, develop and implement a process that rapidly identified, prioritized and expedited the imaging for the anticoagulated patient with a suspected traumatic brain injury.

IDPH Hemorrhage Project

Purpose is to decrease the incidence of maternal morbidity and mortality related to Hemorrhage in pregnancy and post partum patients. The New Project includes Quantified Blood Loss (QBL) for all patients every delivery until 2 hours post delivery, active management of the second stage of labor, protocol for patients refusing blood products and massive transfusion policy and protocol for Obstetrics.

ILPQC Hypertension Initiative

Purpose is to decrease the incidence of maternal morbidity and mortality related to Hypertension in pregnancy and post partum. Interventions include, education on proper blood pressure assessment by staff, treatment of severe range blood pressure within 30-60 minutes, policy for management of severe range blood pressure, and discharge education to patients with preeclampsia and follow-up appointment.

Improving Outcomes by Delaying Baby’s First Bath

Purpose to improve outcomes for newborns by delaying the bath, which includes: Hypothermia, Hypoglycemia, Bonding, Skin to Skin, Breastfeeding and parents satisfaction. The outcomes showed a 10% decrease in the incidence of Hypoglycemia among newborns, a 3 % decrease in Hypothermia and a 99% satisfaction rate among parents related to the process.

Magnet-Aspiring Hospital Nurses Perceived Value of Certification

The purpose of this study is to assess the perceived value of specialty certification among all registered nurses and the barriers to certification for non-certified nurses at Rush Copley. The Perceived Value of Certification (PVCT)© instrument with additional demographic questions will be distributed via SurveyMonkey© and data will be analyzed by the Competency & Credentialing Institute (CCI).

Leadership Framework Development for Novice Nurse Leaders

Described as a 4-phased mixed-method study using descriptive statistics and grounded theory approach to formulate a leadership framework for novice nurses seeking the management/leadership route within the profession of nursing. The American Organization Nurse Executives (AONE) Competencies captured in a model developed by the Healthcare Leadership Alliance in 2004 was utilized to make conceptual distinctions and organize ideas for the development of the structured framework for novice nurse leaders.

Hospital Based Educators’ Perception of Ability to Teach Critical Thinking

Accepted for Publication
Improve the hospital educators' perception of their ability to teach critical thinking. Participants attended a one-day workshop on Critical Thinking/Clinical Reasoning by Keith Rischer and were surveyed on their perception to teach critical thinking at the conclusion of the workshop. Outcomes showed an increase of the educators' perceived ability to teach critical thinking.

Implementing a Safe Patient Handling Program in a Community Hospital Setting

Accepted for Publication
A safe patient handling program was initiated using a multidisciplinary committee. Staff coaches were put into place to support a transition to a minimal lift environment. In the first year, patient handling injuries were reduced by 43% and lost time and associated expense was reduced 37%. The second year goals include developing a model to support sustainable staff training and orientation, adding additional tools to support a minimal lift environment, and creating a protocol for floor recovery after a patient fall.

Disease-Specific Care: Spine Surgery Program Development

Accepted for Publication
A framework for the development of a spine surgery program was described to help guide organizations seeking disease-specific certification. In developing a comprehensive program it is critical to define the program’s mission and vision, identify key stakeholders, implement clinical practice guidelines, and evaluate program outcomes.

Implementation of an Integrated Neuroscience Unit

Accepted for Publication
Neuroscience care must be patient-specific during the course of frequent acuity changes, and one way to achieve this is through a neuroscience-focused unit. This article describes the evolution of a neuroscience unit (NSU), layout, implementation strategies, education and competency, staffing and acuity, team approach and results.

Multifaceted Comparison of Two Cryotherpy Devices Used After Total Knee Arthroplasty

Accepted for Publication
This study demonstrates the noninferiority of an ice/gel pack cryotherapy compression wrap compared to a circulating cold water cryotherapy device. This study also demonstrates that an institution can switch from the more expensive circulating cold water therapy device to a less expense ice/gel pack cryotherapy compression wrap at a substantial institutional savings without compromising patient satisfaction or outcomes.

The Effect of Nursing Quality Improvement and Mobile Health Interventions on Infant Sleep Practices: A Randomized Control Trial.

Author: Moon, R., Hauck, F., Colson, E.; et al.
Year: 2017
Journal: JAMA
In a 4-group cluster randomized clinical trial with 1263 families, mothers who received a mobile health intervention with regular text or email messages and videos reported statistically significant higher rates of placing their infants supine to sleep compared with mothers who received control interventions, room sharing without bed sharing, no soft bedding use, and any pacifier use. Rush Copley Medical Center was a participating hospital within the study.

Technology

Technology is changing the health care environment at warp speed and nurses at Rush Copley are leading the way. Nurses play a major role in the planning, implementation and evaluation of technological advancements throughout the health continuum.

Implemented advancements include:

  • Stroke Robot to assist with audiovisual communications connecting patients to stroke neurologists at Rush University
  • Nurse Simulation Lab
  • Video Remote Interpreting (VRI) software
  • Lift Equipment to decrease patient handling injuries
  • Nurse Call System to support patient centered care delivery
  • Bar Code Medication Administration
  • Positive Patient Identification System (SOFT) for blood administration

2018 Publications and Rush Nurses in the News

Implementing a Process to Measure Return on Investment for Nursing Professional Development

Determining the impact of the nursing professional development role can be subjective. Return on investment is one way to quantify the value that nursing professional development brings to the organization. The purpose of this article is to provide readers with a process to begin tracking return on investment for nursing professional development.

Beth Garrison, MSN, MBA APN, ACNP-BC, CWON, RN-BC
Jodie Beverage, MSN, RN, CNOR

Journal for Nurses in Professional Development, Jan/Feb 2018

Orienting the New Graduate Nurse to Floating:
Ideas to Ease the Transition

The purpose of the project was to improve new graduate nurses comfort level with floating to other units for the first time.   A PICOT (Population, Intervention, Comparison, Outcome, and Time) question was developed:   For new graduate nurses (P), does providing a float shadow shift at 5 months of hire (I) compared to just in time orientation on the float unit (C) improve the nurses’ comfort level with floating to other units (O) in a 3 month period (T)?  After the intervention,  there was improvement in the comfort level with floating of the new graduate nurses.

Beth Garrison, MSN, MBA, APN, ACNP-BC, CWON, RN-BC

Journal for Nurses in Professional Development, Mar/April 2018

Specialty Certification: One Hospital's Study of
Nurses' Perceived Value and Barriers to Certification

Professional certification for nursing validates advanced knowledge in their specialty.  When beginning the Magnet® journey, this institution wanted to identify nurses’ awareness of certifications, barriers to becoming certified, and perceived value of certification.  This would enhance the ability of the institution to meet nurses’ needs in their path to certification.

Beth Garrison, MSN, MBA, APN, ACNP-BC, CWON, RN-BC
Carol Schulz, M.S., APN/CNS, CEN, RN-BC
Christa Nelson, MSN, RNC-NIC
Corrine Lindquist, BSN, CMSRN

Nursing Management, May 2018

Teaching to think: Improving educator's perceived ability to teach critical thinking

The ability of the hospital-based educator to develop and implement education that promotes critical thinking is essential.  This study investigated nurse educators’ perceived ability to teach critical thinking.  There was an improvement in the hospital-based educators’ perceived ability to teach critical thinking after attending a training workshop and implementing new teaching techniques into existing education.

Carol Schulz, M.S., APN/CNS, CEN, RN-BC
Beth Garrison, MSN, MBA, APN, ACNP-BC, CWON, RN-BC

Nursing 2018, Vol 47(11), 19-22

Finding a Better Way: Nurses and Innovation

Every day, nurses create better ways to improve patient care. Unfortunately, nurses do not think of themselves as innovators. Within our profession, there is a disconnect between realizing “we could do this better” and turning that idea, whatever it may be, into reality. If you have ever thought of a better way to do something or realized that a current process needs improvement, you are an innovator. On a daily basis, nurses find solutions and create ways to improve patient care. The problem is, many of these amazing innovations don’t make it out of the unit where they were created. Nurses are innovators, but often their creations are not disseminated or shared on a larger scale. The narrative pedagogy of our profession needs to include the myriad of success stories about how nursing innovations have positively changed the world.

Olivia Lemberger, MSN, RN, CHSE

Sigma Theta Tau's Reflections on Nursing Leadership Journal, May 2018

One hospitals experience with
implementing on-demand annual competencies for nurses

Competence in nursing practice can be determined by self-assessment, peer review, knowledge tests, and performance observations. In the hospital setting, this determination is traditionally completed during an annual competency day. By implementing on-demand competencies in one organization, the assessment of nurse competence is completed in real-time, resulting in increased nurse satisfaction and positive financial impact for the organization.techniques into existing education.

Kathy Ostrander, MSN, RN, CPN
Beth Garrison, MSN, MBA, APN, ACNP-BC, CWON, RN-BC
April Caruso, MSN, APN, ACNS-BC, RNC

Journal of Nurses Professional Development; 35(1):12-17 2019

Building a framework for novice nurse development

Described as a 4-phased mixed-method study using descriptive statistics and grounded theory approach to formulate a leadership framework for novice nurses seeking the management/leadership route within the profession of nursing. The American Organization Nurse Executives (AONE) Competencies captured in a model developed by the Healthcare Leadership Alliance in 2004 was utilized to make conceptual distinctions and organize ideas for the development of the structured framework for novice nurse leaders.

Katie Koerner DNP, MBA, RN, CNML

Nurse Manage; Vol 48 (10), 8-14. 2017

Leading change throughout the continuum of
care

An article was written to explain that healthcare organizations are under pressure to produce high quality outcomes while in turn, decrease costs. Because leaders within healthcare, direct care providers and policy makers are instrumental in transforming the way patient care is delivered, they must remodel care delivery to advocate on behalf of patients. Both formal and informal leaders are in a position to streamline care delivery across healthcare settings. The establishment of collaborative partnerships throughout the community to address practice differences can be effective in developing educational programs for patients and caregivers, establishing standards and guidelines in caring for multiple patient populations, and creating formal care paths to enhance care delivery. Developments in regards to transitional care practices have the potential to enhance quality outcomes and optimize healthcare spending.

Katie Koerner, DNP, MBA, RN, CNML
Barbara Douglas, MBA, RN, NEA-BC

J Comm Pub Health Nurse; Vol 3(4): 199. 2017

Disease-
specific care: Spine surgery program development

A framework for the development of a spine surgery program was described to help guide organizations seeking disease-specific certification. In developing a comprehensive program it is critical to define the program’s mission and vision, identify key stakeholders, implement clinical practice guidelines, and evaluate program outcomes.

Katie Koerner, DNP, MBA, RN, CNML
Lauren M. Franker, DNP, APRN, ACNP - BC
Barbara Douglas, MBA, RN, NEA-BC
E. Javier Medero, MSN, MBA, RN, CNOR
Jennifer L. Bromeland, MSN, APN, ACNP-BC

J Neurosci Nurs; 49(5):286-291. 2017

Recommended Reading - Book review of Telling Ain't Teaching: Updated, Expanded and Enhanced (2nd ed)

This book is written as a training resource for all professions.  The theme of the book is to transform learners by offering education that is learner-centered and performance-based.  The authors demonstrate that how content is presented has an impact on learning and retention.

Beth Garrison, MSN, MBA, APN, ACNP-BC, CWON, RN-BC

ANPD TrendLines: A monthly newsletter for the members of the Association for Nursing Professional Development, June 2018

Initiating a Volume-Based Feeding Protocol: It Takes a Village

Volume-based enteral feeding (VBF) is an evidence-based nurse-driven protocol that helps to achieve adequacy of nutrient provision for tube-fed patients. In August 2016, Rush Copley dietitians and nurses began collecting baseline data and designing a VBF program, implementing it in the intensive care unit (ICU) almost a year later in July 2017. Since the program was such a success in the ICU, the interdisciplinary workgroup designed and implemented a VBF program for non-ICU units in December 2017 taking this evidence-based protocol house-wide.

Jen Waters, M.S., RDN, CNSC, LDN
Gina Wilderspin, RDN, CNSC, LDN
Andrea Heimer, MSN, RN, CCRN

Future Dimensions in Clinical Nutrition Practices, Summer 2018

Recommended Reading - Book review of Revolutionize learning & development: Performance and innovation strategy for the information age.

This book begins with a Call to Arms to change learning and development, describing what it should be and encouraging educators to get started.  The author states that there needs to be a shift from learning to performance, integrating learning into work. This is described as performance and development where the outcome is what matters.

Beth Garrison, MSN, MBA, APN, ACNP-BC, CWON, RN-BC

ANPD TrendLines: A monthly newsletter for the members of the Association for Nursing Professional Development, Aug 2018

Column: Bill requiring hospitals to have specially trained nurses for rape victims is 'important' but challenging, officials say

Article featuring Jennifer Perry MSN, BA, RN, TNS, CEN, and
Tia Underwood, RN, BSN, SANE, TNS

Beacon News, Aug 16, 2018

Standardizing Patient Acuity: A Project on a Medical-Surgical/Cancer Care Unit

Kim DiClemente, MSN, RN, CMSRN, CNL

MEDSURG Nursing Journal, Nov/Dec 2018