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Nursing Reports
Special Issues
Nursing Innovation and Quality Improvement
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Nursing Innovation and Quality Improvement

A special issue of Nursing Reports (ISSN 2039-4403).

Deadline for manuscript submissions: 30 September 2024 | Viewed by 2663

Special Issue Editor

Prof. Ashley Shepherd

E-Mail Website
Guest Editor
Faculty of Health Sciences and Sport, University of Stirling, Stirling FK9 4LA, UK
Interests: quality improvement; Innovation in nursing; continence care

Special Issue Information

Dear Colleagues,

As the largest profession in healthcare, nurses are fundamental to high-quality care. There is hardly a patient treatment or intervention that has not been handled at some point by a nurse. The Nursing and Midwifery Council Strategy (2020–2025) and the Future of Nursing (2020–2030) highlight the importance of improvement and innovation, with nurses being advocated as innovators and leaders in healthcare being called upon to support nurses in this role.  

There has never been a more crucial time to give nurses the skills and opportunities to embrace innovation and make improvements to enhance productivity, improve wellbeing, and positively impact on healthcare quality and patient safety. However, creating a culture for innovation and quality improvement (QI) in nursing is not easy; it takes time to build and requires vision, strategy, support, and resources. Innovators need the space and opportunity to connect with others, brainstorm, discuss, and take risks. Greater engagement of front-line nurses in QI initiatives improves nurse-sensitive indicators; however, the number of nurses involved in QI is still worryingly low.  

Innovations and Improvements led by nurses can make significant contributions to patient care, but the speed of these actions needs to improve if we are to address some of the global health challenges that face us today. 

Prof. Ashley Shepherd
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nursing Reports is an international peer-reviewed open access quarterly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • innovation
  • nursing
  • quality improvement
  • nursing care

Published Papers (4 papers)

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Research

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9 pages, 207 KiB  
Article
When Infections Are Found: A Qualitative Study Characterizing Best Management Practices for Central Line-Associated Bloodstream Infection and Catheter-Associated Urinary Tract Infection Performance Monitoring and Feedback
by Alice A. Gaughan, Sarah R. MacEwan, Megan E. Gregory, Jennifer L. Eramo, Laura J. Rush, Courtney L. Hebert and Ann Scheck McAlearney
Nurs. Rep. 2024, 14(2), 1058-1066; https://doi.org/10.3390/nursrep14020080 (registering DOI) - 27 Apr 2024
Viewed by 265
Abstract
Healthcare-associated infections (HAIs) remain a significant patient safety problem that can lead to illness and death, despite the implementation of clinical bundles to prevent HAIs. Management practices can support HAI prevention, but their role in HAI performance monitoring and feedback is not well [...] Read more.
Healthcare-associated infections (HAIs) remain a significant patient safety problem that can lead to illness and death, despite the implementation of clinical bundles to prevent HAIs. Management practices can support HAI prevention, but their role in HAI performance monitoring and feedback is not well understood. To address this knowledge gap, we previously conducted semi-structured interviews with staff at 18 hospitals to examine the role of management practices around the prevention of central line-associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs). Interview transcripts were analyzed to identify themes related to HAI performance monitoring and feedback. The current analysis focuses on 10 higher-performing hospitals that were successful in preventing CLABSIs and CAUTIs. These institutions had robust practices including timely event analysis, leadership engagement, and multidisciplinary participation in HAI reviews. Across these sites, we found common goals including investigating HAIs without blame and identifying opportunities for improvement. Management practices such as timely analysis of HAIs, collaboration between facility leadership and multidisciplinary team members, and a focus on identifying the failure of a procedure or protocol, rather than the failure of staff members, are all approaches that can support infection prevention efforts. These management practices may be especially important as hospitals attempt to address increases in CLABSI and CAUTI rates that may have occurred during the coronavirus pandemic. Full article
(This article belongs to the Special Issue Nursing Innovation and Quality Improvement)
22 pages, 1084 KiB  
Article
Determining the Innovativeness of Nurses Who Engage in Activities That Encourage Innovative Behaviors
by Marion Leary, George Demiris, J. Margo Brooks Carthon, Pamela Z. Cacchione, Subhash Aryal and Jose A. Bauermeister
Nurs. Rep. 2024, 14(2), 849-870; https://doi.org/10.3390/nursrep14020066 - 03 Apr 2024
Viewed by 514
Abstract
Background: We sought to understand the innovativeness of nurses engaging in innovative behaviors and quantify the associated characteristics that make nurses more able to innovate in practice. We first compared the innovativeness scores of our population; then we examined those who self-identified as [...] Read more.
Background: We sought to understand the innovativeness of nurses engaging in innovative behaviors and quantify the associated characteristics that make nurses more able to innovate in practice. We first compared the innovativeness scores of our population; then we examined those who self-identified as an innovator versus those who did not to explore differences associated with innovativeness between these groups. Methods: A cross-sectional survey study of nurses in the US engaging in innovative behaviors was performed. We performed an exploratory factor analysis (EFA) to determine the correlates of innovative behavior. Results: Three-hundred and twenty-nine respondents completed the survey. Respondents who viewed themselves as innovators had greater exposure to HCD/DT workshops in the past year (55.8% vs. 36.6%, p = 0.02). The mean innovativeness score of our sample was 120.3 ± 11.2 out of a score of 140. The mean innovativeness score was higher for those who self-identified as an innovator compared with those who did not (121.3 ± 10.2 vs. 112.9 ± 14.8, p =< 0.001). The EFA created four factor groups: Factor 1 (risk aversion), Factor 2 (willingness to try new things), Factor 3 (creativity and originality) and Factor 4 (being challenged). Conclusion: Nurses who view themselves as innovators have higher innovativeness scores compared with those who do not. Multiple individual and organizational characteristics are associated with the innovativeness of nurses. Full article
(This article belongs to the Special Issue Nursing Innovation and Quality Improvement)
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11 pages, 272 KiB  
Article
Experiences for Geriatric Care from Nursing Students’ Knowledge: A Qualitative Approach
by Elsa Gil-Mateu, Silvia Reverté-Villarroya, Núria Albacar-Riobóo and Josep Barceló-Prats
Nurs. Rep. 2024, 14(2), 733-743; https://doi.org/10.3390/nursrep14020056 - 27 Mar 2024
Viewed by 452
Abstract
(1) Background: Studies have shown that clinical experience has an impact on how students perceive geriatric care. The vulnerability of older people particularly allows students to reflect on and evaluate their learning. In this context, communication between tutors and students is important to [...] Read more.
(1) Background: Studies have shown that clinical experience has an impact on how students perceive geriatric care. The vulnerability of older people particularly allows students to reflect on and evaluate their learning. In this context, communication between tutors and students is important to guiding a contextualized view of the complexity of clinical situations. The principal objective was to explore the feelings, perceptions, and experiences of nursing students in geriatric care units during their practices. (2) Methods: This is a qualitative study using content analysis where the data collected were analyzed deductively. An intentional sample of 81 nursing degree students enrolled in the subject of clinical practices. During these sessions, a dynamic discussion forum was incorporated. (3) Results: There were 6 forums with a total of 591 participants, with an average of 98.5 per forum. Four categories emerged: humanization, geriatric nurse, aging, and learning. (4) Conclusions: A change of management oriented to the person-centered model would improve the quality in the residences and as well as in the expectations of the students towards geriatric nursing. Changing perspectives could be a way to confront and become aware of the fallacies of care that have been evidenced. This study was not registered. Full article
(This article belongs to the Special Issue Nursing Innovation and Quality Improvement)

Other

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14 pages, 868 KiB  
Protocol
Artificial Intelligence in Wound Care Education: Protocol for a Scoping Review
by Rúben Encarnação, Tânia Manuel, Hélder Palheira, João Neves-Amado and Paulo Alves
Nurs. Rep. 2024, 14(1), 627-640; https://doi.org/10.3390/nursrep14010048 - 14 Mar 2024
Viewed by 992
Abstract
As healthcare continues evolving in the age of digital technology, the integration of artificial intelligence has emerged as a powerful force, particularly in wound care. The education of healthcare professionals in wound care is crucial for ensuring they acquire the necessary knowledge and [...] Read more.
As healthcare continues evolving in the age of digital technology, the integration of artificial intelligence has emerged as a powerful force, particularly in wound care. The education of healthcare professionals in wound care is crucial for ensuring they acquire the necessary knowledge and skills, optimizing patient outcomes. This paper outlines the protocol for a scoping review with the goal of mapping and analyzing the current scientific evidence regarding the potential impact of artificial intelligence in wound care education. The current protocol follows the JBI methodological framework. The search was conducted in December 2023 in the following databases: CINAHL Complete (via EBSCOhost), MEDLINE (via PubMed), Cochrane Library, Academic Search Complete, Scientific Electronic Library Online (Scielo), Scopus, and Web of Science. Electronics searches were conducted in the Scientific Open Access Scientific Repositories of Portugal (RCAAP) and ProQuest Dissertations and Theses, OpenAIRE, and Open Dissertations databases to access gray literature. Additionally, searches were performed on Google Scholar and specific journals such as the International Wound Journal, Skin Research and Technology, Journal of Wound Care, and Wound Repair and Regeneration. The initial database searches retrieved a total of 11,323 studies. After removing duplicates, a total of 6450 studies were submitted for screening. Currently, 15 studies are included in this review, and data charting and analysis are underway. The findings of this scoping review will likely provide insights into the application of artificial intelligence in wound care education. Full article
(This article belongs to the Special Issue Nursing Innovation and Quality Improvement)
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