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university of iowa hospitals & clinics

DEPARTMENT OF NURSING SERVICES AND PATIENT CARE

calendar year 2019 annual report


C o mm u n it y

Safe, High-Quality Patient- and Family-Centered Care

Clinical Expertise

Education

Evidence-Based Practice

Research

Shared Governance

Leadership Innovation Collaboration Accountability Respect Excellence

professional nursing practice model


On behalf of the Department of Nursing Services and Patient Care at University of Iowa Hospitals & Clinics, I am delighted to present the Calendar Year 2019 Annual Report. The report is centered around the Professional Nursing Practice Model (PPM), a model that visually depicts the values, organizational structures, and processes that together provide a framework for nursing practice throughout the organization. The PPM was designed to ensure consistency in nursing care delivery and to define the authority, autonomy, and accountability assumed by all registered nurses as they provide safe, high-quality care for patients and families. The top portion of the PPM reflects our efforts to deliver this care to the Community—locally, regionally, and even globally. In order to ensure safety, interventions are implemented to help patients efficiently navigate their hospital stay without preventable complications and delays. Optimal quality outcomes are a direct result of team members’ knowledge and skills, and Safe, High-Quality Patient- and Family-Centered Care is based on mutually beneficial relationships developed among the health care team, patients, and families. Care is provided with dignity, respect, compassion, timely and succinct communication, and active patient and family participation in decision-making. The following six pillars comprise the middle section of the PPM: Leadership – Leaders are highly visible, accessible, and empower frontline clinicians to lead patient care.

Research – Drives innovation, clinical decision-making, and advances in health care. Evidence-Based Practice – New knowledge and innovations are implemented to improve care quality. Education – Patients and families are educated and empowered to make informed health care decisions, and clinicians are supported in pursuing advanced degrees, professional certification, and continuing education. Clinical Expertise – Exemplary clinical knowledge and skills allows clinicians to provide excellent care based on individual patient needs. Finally, our ICARE values make up the foundation of the PPM: Innovation – Innovative practice. Collaboration – Dedication to interprofessional teamwork and patient and family involvement in decision-making. Accountability – Accountable to patients, families, and interprofessional team members. Respect – Protect the dignity and rights of all. Excellence – Continuous recognition for excellence in patient care delivery and clinical outcomes by the American Nurses Credentialing Center Magnet Recognition Program® since 2004. It is an honor to share some of the work being done by individuals and interprofessional teams within the Department of Nursing Services and Patient Care that is directly aligned with the PPM. Please take a few moments to enjoy the content featured in the Calendar Year 2019 Annual Report. Sincerely,

Cindy J. Dawson, MSN, RN, CORLN Chief Nurse Executive and Associate Director University of Iowa Hospitals & Clinics

message from the chief nurse executive

Shared Governance – Shared decision-making occurs at the unit/clinic, division, department, and organizational levels through a well-established structure.

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community

Clinton firefighters share breakfast with University of Iowa Hospitals & Clinics nurses to thank them for Adam Cain’s treatment and care.

2

thank-you breakfast connects clinton firefighters and ui nurses Members of the Clinton, Iowa, Fire Department joined UI Hospitals & Clinics nurses for breakfast during National Nurses Week in May to express their appreciation for the care provided to firefighter Adam Cain. Cain was severely injured following an explosion at a Clinton grain processing facility in January that killed another firefighter. After returning to duty in May, Cain and fellow firefighters traveled to UI Hospitals & Clinics during National Nurses Week to share breakfast and give thanks to the nurses and care providers who treated Cain and helped him throughout his extended recovery.

“I think that just the appreciation for nurses for all that we do—not only what we do but for the profession of nursing—just a simple thank-you means a whole lot to us,” Nathalee Grue, MSN, RN, CCRN, nurse manager, told TV news station KCRG. “They’re all happy to see me, but it’s not very often where you get to meet someone you know that took a huge part in saving your life,” Cain told KCRG. “Thank you. I wish there were more words to say, but ‘thank you’ is best plainly put.” The breakfast aligned with National Nurses Week, which runs from May 6-12 annually.


‘stepping on’ fall prevention program reaches rural iowa

Mae Schatteman, 96, participating in the Stepping On program.

ɠ Community partners: Milestones Area Agency on Aging, Abbe Health, Heritage Area Agency on Aging, and Northeast Iowa Area on Aging ɠ Purpose: to extend the reach of providers of high-quality fall prevention programming to locations accessible to older community-dwelling adults in rural areas

THE 7-WEEK PROGRAM IS SHOWN TO REDUCE FALLS IN OLDER ADULTS BY 31% The program will reach approximately 90 rural Iowans in 2020. Funding is provided by the Geriatric Education Workforce Program. For more information, visit: uihc.org/patient-stories/ preventing-falls-mae-moves-forward

GIRLS GO STEM!

aircare celebrates 40 years April 2019 marked the 40th anniversary of AirCare, Iowa’s first hospital-based air ambulance service and the 11th EMS helicopter program in the country when it was established in 1979. Since then, the program has flown more than 30,000 patients and covered more than 3 million miles. AirCare nurses and staff work closely with emergency response personnel, fire departments, and law enforcement agencies throughout the region. In June 2019, AirCare hosted an open house at the Iowa City Municipal Airport to celebrate four decades of service.

+ 30,000 patients transported

+ 3milesMillion flown

corridor corporate games 2019 ɠ The first-time event, held from June 1-July 31, 2019, enables and supports teamwork, company pride, and corporate wellness through healthy competition and camaraderie. ɠ Over 25 competitive and non-competitive events were offered and held throughout the Cedar Rapids/Iowa City corridor. ɠ There were 115 UI participants and 8 UI volunteers. ɠ The UI won the blood donation challenge, with 394 units collected.

inspiring tomorrow’s clinicians through stem Clinicians with UI Health Care make a big impact on the lives of patients. They also impact the lives of students through science, technology, engineering, and mathematics (STEM) education programs. Our clinicians participate in UI Health Care programs such as Girls Go STEM, Kids Go STEM, and Nursing Interest Day, which inform and inspire students about careers in health care. Perioperative Nursing, for example, delivers STEM workshops to middle and high school students, and the Department of Respiratory Care delivers STEM programs to elementary and high school students.

community

Stepping On, a fall prevention program for older adults, was collaboratively developed by the UI Department of Surgery’s Division of Acute Care Surgery, the Geriatric Education Center, three Area Agencies on Aging, and three eastern Iowa rural hospitals.

3


safe, high-quality patient- and family-centered care 4

Alexas Ihrig, DPT, senior physical therapist, is part of an interprofessional care team that encourages patient mobility.

every body moves campaign sees success

In summer 2019, the Department of Rehabilitation Therapies and the Department of Nursing Services and Patient Care sponsored the #everyBODYmoves campaign, a grassroots effort to address immobility harm for patients in the acute hospital setting. For hospitalized patients, immobility can lead to health concerns such as loss of muscle mass and an increased likelihood of injury or illness. Helping patients become mobile, when they’re able, can help reduce length of stay and minimize the risk of hospital-acquired complications, readmission, and stays at a rehabilitation center.

IF EXERCISE WERE A DRUG, THERE IS NO DOUBT IT WOULD BE THE MOST PRESCRIBED DRUG THERE IS AND ONE WITH MOSTLY NO BAD SIDE EFFECTS. TO GET PATIENTS UP AND MOVING AS SOON AND AS OFTEN AS IS POSSIBLE IS ONE OF THE MOST IMPORTANT WAYS TO OPTIMIZE OUR PATIENT’S HEALTH AND FUNCTION. THIS PROJECT INVOLVED PHYSICAL THERAPY, OCCUPATIONAL THERAPY, NURSING, PHYSICIANS, VOLUNTEERS, AND OTHERS AND DEMONSTRATED THAT IT IS THE RESPONSIBILTY OF THE WHOLE INTERPROFESSIONAL TEAM TO HELP OUR PATIENTS MOVE.” –Libby Kestel, PT, DPT, MBA, director, rehabilitation therapies


innovative approaches to reducing infections Dedicated Two Central Line Dressing Changes

Vascular Access Team Development

ɠ There has been sustained focus by the health care team on central line-associated bloodstream infection (CLABSI) prevention.

ɠ A new vascular access team, comprised of five nurse clinicians, was formed in July 2019 and fully up and running in October 2019.

ɠ In October 2018, the Stem Cell Transplant Unit led the way in implementing a two-person dressing change team to reduce non-mucosal barrier injury (non-MBI) CLABSIs:

ɠ The team’s goals include: ɞ CLABSI reduction through alternate device placement— for example, extended dwell catheters and ultrasoundguided peripheral intravenous (IV) catheters

ɞ A core team of specially trained nurses uses a standardized workflow to maintain sterility during all central line dressing changes.

ɞ Improve the patient experience through fewer IV catheter attempts

ɞ The unit’s non-MBI CLABSI rate declined by 78% from October 2018 to August 2019.

ɞ Train frontline clinicians in the use of point-of-care ultrasound-guided peripheral IVs

ɞ Remove peripherally inserted central catheters ɞ Support units that need assistance with accessing and de-accessing implanted ports

Left to right: Kristen Van Scoyoc, BSN, RN, assistant nurse manager, and Jennifer Clark, BSN, RN, staff nurse.

ɠ Based on the Stem Cell Transplant Unit’s success, the two-person dressing change team was implemented on the Medical Surgical Oncology Unit in March 2019: ɞ This unit’s non-MBI CLABSI rate declined by 100% from March 2019 to September 2019.

Left to right: Jodi Dufoe, BSN, RN, nurse clinician; Austin Walhof, BSN, RN, nurse clinician; Robin Burvee, BSN, RN, nurse clinician; and Nick Poch, DNP, RN, MBA, nursing practice leader.

interactive assessment tool aids in care coordination The Indica for Care Coordination module was integrated into the electronic health record in May 2018. This tool guides and tracks patients’ clinical progression and documents and tracks variances from the expected clinical care path.

new collaborative efforts with volunteer services positively impacts geriatric psychiatry patients ɠ Provided patient distraction and increased observation ɠ Reduced number of patient falls ɠ Positive feedback from patients, volunteers, and unit staff

1047.5 hours were contributed by 32 volunteers in 2019 Left to right: Colleen McFarlane, volunteer; Danielle Wissink, volunteer; and Carla Shield, MHCDS, RN-BC, nurse manager.

safe, high-quality patient- and family-centered care

ɞ Support frontline nursing staff in central line dressing changes

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leadership

UI College of Nursing Dean Julie Zerwic (left) and UI Hospitals & Clinics Chief Nurse Executive Cindy Dawson.

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dawson talks nursing on the steele report

During National Nurses Week in May, UI Hospitals & Clinics Chief Nurse Executive Cindy Dawson, MSN, RN, CORLN, appeared on an eastern Iowa television talk show to discuss the challenges and rewards of a career in nursing. Dawson joined Julie Zerwic, PhD, RN, FAHA, FAAN, professor and the Kelting Dean of the UI College of Nursing, as a guest on The Steele Report on NBC affiliate KWWL, hosted by news anchor Ron Steele. The show, which airs on Sunday mornings, features newsmakers and community leaders from across the area. Key topics Dawson and Zerwic discussed during the program included: ɠ Addressing a nationwide shortage of nurses and other health care providers ɠ Collaborations between the UI Hospitals & Clinics Department of Nursing Services and Patient Care and the UI College of Nursing related to the college’s curriculum, hands-on training, and employment opportunities for nursing school graduates ɠ Highly ranked programs and facilities providing premier learning opportunities for nursing students within the college and hospital settings


a new role to align teams ɠ The year 2019 was big for quality improvement efforts, with Suresh Gunasekaran, MBA, associate vice president for UI Health Care and chief executive officer of UI Hospitals & Clinics, committing to ensuring programs focused on quality have the needed resources to be successful. ɠ Sara Caven, MSN, RN, CENP, added the duties of associate chief quality officer (ACQO) to her existing role in January 2019. ɠ The ACQO role was created to more formally align efforts of the nursing quality team and the committees, workgroups, and shared governance teams they lead with the organizational infrastructure and operations plan being built within the Quality Improvement Program (QuIP). Sara Caven, MSN, RN, CENP, associate chief quality officer and director, centralized functions and Magnet® program.

ɠ The ACQO role exemplifies a true partnership and interprofessional approach to organizational quality improvement and has led to stronger relationships across all disciplines and increased confidence that UI Health Care is truly committed to ensuring the highest quality of care for our patients and their families.

leading by example: clinician well-being

51

wellness ambassadors

4

“Leadership Learning at Lunch” topics

7

wellness heroes

working hard behind the scenes From Jan. 1, 2019, through Dec. 18, 2019, the nursing recruitment team filled 1,307 positions and maintained a registered nurse vacancy rate below 6%, outperforming national benchmarks and historical performance.

15-minute walks, led by Cindy Dawson, MSN, RN,

leadership

CORLN, chief nurse executive and associate director, and Megan Hammes, MS, MCHES, director, UI Wellness/ University Human Resources, during seven Department of Nursing shared governance committee meetings.

357 clinicians trained in “Building Resilience” as

part of the nurse residency program, merit preceptor program, and experienced nurse fellowship. Nursing recruitment team.

american organization for nursing leadership™ Eleven leaders attended the 2019 annual conference in San Diego to learn the latest about leadership, nursing, and health care. Thirty-nine leaders joined or renewed their organizational membership in 2019. Front row, left to right: Elizabeth Brau, BSN, RN, CNML, nurse manager; and Jay Jackson, BSN, MHA, RN, NE-BC, nurse manager. Middle row, left to right: Nathalee Grue, MSN, RN, CCRN, nurse manager; Jenniffer Carpe, BSN, MBA, RN, CNML, nurse manager; Ami Gaarde, BSN, MBA, RN, OCN, director, nursing services; and Cindy Dawson, MSN, RN, CORLN, chief nurse executive and associate director. Back row, left to right: Tamara Sebolt, MSN, MBA, RN, CNML, nurse manager; Ray Small, BSN, MBA, RN, CNML, house operations manager; John Swenning, BSN, MBA, RN, CENP, director, nursing services; and Dana Upton, DNP, RN, CPN, nurse manager. Not pictured: Sara Caven, MSN, RN, CENP, director, centralized functions and Magnet® program.

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shared governance

Employees enjoying a food truck event this fall.

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night shift engagement: ‘little’ things help make a big difference with employees The Night Nurse Council, a shared governance council addressing needs of night shift employees, has tackled tough issues like sign-off times and offering classes during more “night shift friendly” times. Another pervasive issue resonating with members was the desire for more overnight food options. “We wanted to find creative ways to offer more food options and engage night staff, and someone said, ‘Well, what’s that food truck thing on Thursdays?’” explains Sara Caven, MSN, RN, CENP, administrative liaison.

That “food truck thing” is Science Thursdays, a weekly event series hosted by the Carver College of Medicine that brings local food trucks, musicians, and a sciencethemed activity for students, employees, and the public to enjoy over the lunch hour. A collaborative effort between key stakeholder groups ensued, and food trucks were available on several evenings/nights this fall. All employees were welcome and encouraged to check out the event, which will continue in 2020.


reducing pressure injuries associated with respiratory-related medical devices ɠ The Department of Respiratory Care collaborated with the wound ostomy nurses and Intensive & Specialty Services Division to decrease hospital-acquired pressure injuries (HAPIs) associated with respiratory-related medical devices. ɠ Respiratory care staff are actively involved in awareness campaigns, participate in weekly just-in-time training during skin audits in the intensive care units, and integrate new products to reduce pressure points.

40

%

HAPI DECREASE

HAPIs from respiratory-related medical devices, as measured through quarterly skin surveys, decreased from 15 in 2018 to 9 in 2019.

interprofessional unit councils: surgical and neurosciences intensive care unit exemplar ɠ Forum for discussion of topics related to quality, unit policies/procedures, patient satisfaction, staff engagement, and unit resources/finances and for action planning to support overall unit performance ɠ Provides a means for direct communication among frontline care providers and unit leadership ɠ Standing Surgical and Neurosciences Intensive Care Unit (SNICU) agenda items: quality metrics, incident reports, patient satisfaction data, product changes, medication changes, and regulatory/accreditation updates ɠ Recent SNICU work: re-infusion and standardization of evidence-based ABCDEF bundle to optimize patient recovery and outcomes

15-25 people

routinely attend SNICU monthly meetings; 18 different disciplines invited to participate

The shared governance council’s monthly meetings began in December 2018 and include more than 45 members. The council’s objectives include: ɠ Providing a means for direct communication between the chief nurse executive and nurses in nursing practice leader or clinical practice leader roles ɠ Forum for communication and discussion of clinical matters, resource utilization, patient education, professional issues and trends, and formulation of pertinent recommendations Staff nurse Taylor Gossweiler, BSN, RN, PCCN, and respiratory therapist Hallie Dittmar, RRT, apply a foam dressing to protect the skin before placing a non-invasive mask.

ɠ Monthly evaluation of departmental performance related to quality outcomes and progress related to strategic initiatives and goals

emergency medical services learning resources center advisory committee ɠ Eight community members provide direction and feedback on the Emergency Medical Services Learning Resources Center’s (EMSLRC) paramedic education program. ɠ Members include a current paramedic student, non-UI Hospitals & Clinics emergency department staff, local and statewide paramedic employers from West Des Moines and Davenport, a public member, and a paramedic program graduate. ɠ Ten participants with UI Health Care serve on the committee. ɠ The committee identified additional program goals and metrics to achieve the goals. ɠ The committee endorsed expansion of the program’s use of a web-based student data collection system along with the new curriculum and class delivery model. Right: Jerry Ewers, NRP, EFO, chief of the Muscatine Fire Department and chair of the EMSLRC advisory committee.

shared governance

nursing practice leader and clinical practice leader council

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research

Office of Nursing Research and Evidence-Based Practice team.

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world-class inquiry, innovation, and implementation: growing nursing research and evidence-based practice capacity The vision of the Office of Nursing Research and Evidence-Based Practice (EBP) is “World-Class Inquiry, Innovation, and Implementation.� Inquiry begins with frontline clinicians asking questions, which leads to the implementation of innovative practices. Director of Nursing Research and EBP Kirsten Hanrahan, DNP, ARNP, CPNP-PC, FAAN, is building a team to accommodate forward progress, growth, and expanded reach. In the past year, research and EBP specialists Elyse Laures, MSN, RN, and Casie Fowler, MSN, RN, and nurse scientist, Stephanie Edmonds, PhD, MPH, RN, joined the team. The team looks for innovative solutions to improve outcomes here and abroad.


parents’ experiences during a child’s resuscitation: getting through it ɠ Key findings: ɞ Clinical information during resuscitation helps parents make sense of what is happening ɞ Some parents preferred clinical information over spiritual or emotional support ɞ Compassionate, connected care is valued ɞ Mothers in the delivery room feel unable to be “present” at the experience

ɞ Getting through it

children’s hospital evaluation ɠ Stewart and Hanrahan led a research study to evaluate the impact of the new children’s hospital environment. ɠ Evaluated design changes including: ɞ State-of-the-art safety and infection control measures ɞ Advanced monitoring ɞ Standardized layout ɠ Perceptions of the hospital’s physical healing environment improved between year 1 (baseline) and year 2 and 3 for both health care clinicians and parents; this was expected and likely attributable to state-of-theart design features. ɠ Parents’ overall perceptions of a healing environment and health care satisfaction improved in year 2 and 3 and for all subscales; implementation of standard communication and advanced technology within patient rooms may have facilitated this improvement; parents may also have felt more comforted by reduced noise exposure, abundance of natural light, soothing colors, individual room controls, and family amenities.

ɞ Joy mixed with heartache

ɠ Published in Journal of Pediatric Nursing: ɞ Stewart, S. A. (2019). Parents’ experience during a child’s resuscitation: Getting through it. Journal of Pediatric Nursing, 47, 58-67.

human factors research identifies issues with secondary roller clamps and smart pumps ɠ The research study evaluated smart pump design issues contributing to secondary medication errors related to roller clamps. ɠ Six interprofessional team members took part. ɠ Nine observation episodes of intensive care unit nurses using smart pumps revealed a complex work environment with smart pump signal problems. ɠ Forty-three usability problems were identified, including a lack of visibility of controls and possible user actions. ɠ Recommendations were made for quality improvements and technology upgrades.

milk and molasses enemas ɠ Study completed, through the Research Internship, by Jackline Wangui-Verry, MSN, RN, assistant director ɠ First-of-its-kind study that found milk and molasses enemas for hospitalized adults are safe; further studies are needed to evaluate efficacy ɠ Research has been published in the American Journal of Nursing as well as a featured video on their website ɠ Wangui-Verry, J., Farrington, M., Matthews, G., & Tucker, S. J. (2019). Are milk and molasses enemas safe for hospitalized adults? A retrospective electronic health record review. American Journal of Nursing, 119(9), 24-28. Watch the clip at: https://journals.lww.com/ajnonline/pages/videogallery. aspx?videoId=132&autoPlay=true Left: Jackline Wangui-Verry, MSN, RN-BC, assistant director.

research

Stephanie Stewart, PhD, RN, RNC-NIC, associate director (left), and Kirsten Hanrahan, DNP, ARNP, CPNP-PC, FAAN, director, nursing research and EBP.

ɠ Qualitative data about parents’ experience during their child’s resuscitation were coded into four main themes with corresponding sub-themes: ɞ Overwhelming chaos ɞ Cognitive presence

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evidence-based practice

Members of one of the EBP Change Champion teams.

evidence-based practice change champion program

The program provides an overview of The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care© and concentrates on evidence surrounding the topic. The focus is on implementing change with an understanding of local needs. For greatest success, the EBP Change Champion works closely with their leadership team while implementing and evaluating progress.

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The Evidence-Based Practice (EBP) Change Champion Program is uniquely designed to facilitate change at the point of care. This “top-down” interprofessional, hospital-wide program focuses on topics aligned with the organization’s priorities.

One team, led by Nicolette Johnson, BSN, RN, staff nurse, focused on hospital-acquired pressure injury reduction by creating a decision tree for determining the correct level of heel protection and increasing use of protective devices. This exemplary work demonstrates the ability of frontline clinicians effectively leading change. Some of her team members were: Katy Rasmussen, BSN, RN, CCRN, assistant nurse manage; Annie Nimtz, BSN, RN, CCRN, assistant nurse manager; Julia Langin, MSN, RN, CWON, CMSRN, nursing practice leader; and Linda Abbott, DNP, RN, AOCN, CWON, nursing practice leader.


evidence-based practice training across the career continuum A series of evidence-based practice (EBP) training opportunities are available to promote inquiry across the career continuum. Many of these opportunities are facilitated by the Office of Nursing Research and EBP and the Nursing Research and EBP Committee.

nursing career expert

simply saline ɠ Jane Utech, MSN, RN, OCN, clinical practice leader, questioned the use of heparin as the standard flush/lock solution for central venous catheters in adults. ɠ The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care© guided an interprofessional EBP initiative. ɠ Evidence review determined that saline was acceptable.

Executive Leadership Academy

ɠ The focus was to implement saline use and de-implement current heparin use. ɠ A “Push Pause” logo and educational materials were developed to assist clinicians.

Small Grants

EBP Change Champion Leadership Partner Clinical Leadership Development Academy

navigating the highway of health care: patient engagement and care coordination The 26th National Evidence-Based Practice Conference was held April 17-18, 2019.

EBP Internship EBP Change Champions Experienced Nurse Fellowship Nurse Residency EBP Projects Orientation & Preceptors

289

25

3

16

87

5

registered participants

United States represented

UI Health Care oral presenters

29

posters presented

countries represented

posters from UI Health Care

UI Health Care participants received registration fee scholarships

novice

yoga for acute medical/psychiatric patients ɠ A 2018-2019 EBP Internship project, led by Angela Dossett, BSN, RN, CMSRN, staff nurse, focused on relaxation for the mind and body in an inpatient medicine/psychiatric unit using structured yoga classes. ɠ Yoga/relaxation was found to be a safe and effective intervention that reduced anxiety and stress among the hospitalized patients. ɠ Patients’ evaluations showed that yoga/relaxation helped increase feelings of calmness and improved socialization. ɠ Yoga is now offered for a variety of adult and pediatric patients by certified yoga instructors working as occupational therapists, physical therapists, and child life specialists.

Calm & Relaxed 100%

Patient-Reported Change in Feelings from Yoga

80% 60% 40% 20% 0% Pre-Yoga (n=20) Yes

Post-Yoga (n=40)

Somewhat

No

evidence-based practice

Advanced EBP

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education

The Nurse Residency Program celebrated 10 years in 2019.

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nurse residency program celebrates 10 years 38 cohort groups

1,631

new graduate nurses are program graduates

different schools of nursing 160 represented

508

2,368

posters presented at program graduations

pieces of cake consumed at the celebrations

The Nurse Residency Program began in 2009 as a joint venture between UI Hospitals & Clinics and the UI College of Nursing. This 12-month program provides continuing education, mentoring, and support for new graduate nurses entering the profession. The program is accredited by the Commission on Collegiate Nursing Education and participates in the Vizient and American Association of Colleges of Nursing Nurse Residency ProgramTM. A celebration for the program’s 10th anniversary was held on Oct. 16, 2019, to recognize the program leaders, faculty, and current and former nurse residents.


sepsis state of the art: 1st annual interprofessional management of the critically ill conference The conference was held Nov. 7-8, 2019, at the Radisson Hotel & Conference Center and featured nationally recognized faculty. The keynote presentation was by Timothy Girard, MD, MSCI, associate professor, Department of Critical Care Medicine, University of Pittsburgh School of Medicine.

GREAT CONFERENCE! ENJOYED ALL OF IT! I LIKED THE 20-MINUTE PRESENTATIONS, KEPT OUR ATTENTION.” –Participant

ɠ Co-sponsored by the Intensive & Specialty Services Division and the UI Carver College of Medicine critical care physicians ɠ Nearly 200 attendees, representing 13 interprofessional teams and 7 states ɠ Conference Planning Committee: 20 representatives from 7 interprofessional teams with UI Health Care ɠ 34 short presentations highlighting the latest evidence-based practices and strategies for managing sepsis and other critical care issues

“GREAT CONFERENCE! THANK YOU SO MUCH FOR PUTTING THIS TOGETHER. CAN’T WAIT FOR NEXT YEAR! –Participant

ɠ 24 vendors ɠ Opportunities to network with interprofessional teams and to learn about cutting-edge technology and strategies

NEd.: progressive technology for nursing education in the 21st century An innovative, online nursing education application, NEd., provides just-in-time information on 92 topics. From July 1, 2019, through Dec. 31, 2019:

42,367 pageviews

5,347

individual users

8.16 min.

average time per page

ɠ Method of access: 70% mobile, 30% desktop ɠ Top 3 topics: Contaminated Instrument Handling, Suicidal Patients, and Fluid Intake Chart and Output (I and O) with Cleanis for Incontinent Patient

american academy of ambulatory care nursing certification review course The Ambulatory Nursing Division hosted the course on Nov. 2, 2019, at UI Health Care-Iowa River Landing in Coralville, Iowa.

46 ambulatory frontline nurses and nursing leaders participated

ɠ Nationally recognized faculty: E. Mary Johnson, BSN, RNBC, NE-BC, and Susan Paschke, MSN, RN-BC, NEA-BC ɠ Course content based on test outline for the Ambulatory Care Nursing Certification (RN-BC®) exam ɠ Topics offered in an interactive, case problem-solving style to enhance critical thinking

education

ɠ Peak use: 7 a.m. – 5 p.m.

collaborating with medical assistant programs to attract the best talent ɠ 4 contracts with local colleges for medical assistants (MAs) to complete externships with UI Health Care—Kirkwood Community College, Hamilton Technical College, Ross College (new as of September 2019), and Hawkeye Community College (new as of October 2019) ɠ 31 MA externs from January to November 2019 (22 Kirkwood Community College, 9 Hamilton Technical College) ɞ 22 MA externs applied to UI Health Care ɞ 17 MA externs hired

ɠ Opportunity to reinforce knowledge of ambulatory care, identify weak areas, and learn new information Left to right: Former Kirkwood Community College MA extern Maitland Sieren, CMA, medical assistant, and former Hamilton Technical College MA extern Jade Green, medical assistant.

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clinical expertise

Members of the wound ostomy nurse team.

16

wound ostomy nurse team receives institute for healthcare improvement daisy award Out of 3,600 health care facilities and nursing schools worldwide, the UI Hospitals & Clinics wound ostomy nurse team was honored with the Institute for Healthcare Improvement (IHI) DAISY Award for Extraordinary Nurses, which honors a nurse-led team for their exceptional contributions to patient safety. The recognition highlights the wound ostomy nurse team’s excellent clinical care by surpassing national standards. The team improved patient outcomes by preventing hospital-acquired pressure injuries with a program that conducts skin surveys. In addition, they also developed an app to conduct skin surveys and better process their collected data. Thanks to their efforts, the hospital is below national benchmarks for pressure injuries for both adult and pediatric patients. The team received the award at the IHI Patient Safety Conference, held May 15–17 in Houston, Texas.

THIS YEAR’S HONOREES EXEMPLIFY THE PROFESSIONALISM AND HUMANITY THAT ARE HALLMARKS OF OUTSTANDING NURSING CARE.” –Bonnie Barnes, FAAN, co-founder and CEO of The DAISY FoundationTM


beacon award for excellenceTM ɠ Awarded by the American Association of Critical-Care Nurses ɠ Three levels: Gold, Silver, Bronze ɠ For patients and families: Signifies exceptional care through improved outcomes and greater overall satisfaction ɠ For nurses: Signals a positive and supportive work environment with greater collaboration between colleagues and leaders, higher morale, and lower turnover

ɠ 9 Beacon Awards in Iowa: 6 of the 9 are from UI Hospitals & Clinics ɞ 2 Gold awards: Medical Surgical Cardiology Unit and Neonatal Intensive Care Unit ɞ 4 Silver awards: Burn/Trauma Intensive Care Unit/Intermediate Care Unit, Medical Surgical/Hematology Oncology Unit, Stem Cell Transplant and Cellular Therapy Unit, and Surgical and Neurosciences Intensive Care Unit

Expertise

ɠ

The Otolaryngology Clinic team is comprised of nurses who have worked together for many years, with over 238 combined years of experience.

ɠ Many started at UI Hospitals & Clinics as new graduates from the UI College of Nursing. ɠ Each nurse started on the inpatient Otolaryngology Unit and has since transitioned to the clinic. ɠ All seven have the certified otorhinolaryngology nurse specialty certification, and many have maintained the certification for close to 20 years. ɠ These nurses lead the local Heartland Regional Chapter of the Society of Otorhinolaryngology and Head-Neck Nurses Inc. (SOHN). ɠ All have presented at local or national SOHN educational offerings. ɠ The Otolaryngology Nursing team shares a special bond and is a group of dedicated and passionate nurses who enjoy working and having fun together while continuing to provide the highest quality patient-centered care.

specialty certifications demonstrate enhanced clinical expertise Benefits of certification: ɠ Demonstrated experience and knowledge ɠ Provides ongoing validation of specialty experience, knowledge, and skills ɠ Personal growth ɠ Commitment to career advancement ɠ Professional recognition ɠ Perceived empowerment

Crisis Stabilization Officers Improve Psychiatric Patient Care

2

Occupational therapists

17

Physical therapists

836

Registered nurses

47

Respiratory therapists

10

Social workers

clinical expertise

otolaryngology clinic nurses

17

ɠ Select hospital security officers have been cross-trained as psychiatric nursing assistants since October 2017. ɠ The goal is to improve psychiatric patient care. ɠ When the Crisis Stabilization Unit opened in October 2018, crisis stabilization officers (CSOs) were part of the staffing model. ɠ Psychiatric nursing assistants have been hired into the CSO role since November 2018. ɠ Currently, 13 security officers have received CSO training. Left to right: Sam Patel, crisis stabilization officer; David Beltz, crisis stabilization officer; Katie Schneider, MSN, RN, CEN, staff nurse; and Raymond Richardson, crisis stabilization officer.


RECOGNITION AND AWARDS 100 GREAT IOWA NURSES 2019: The 100 Great Iowa Nurses Program annually honors 100 outstanding nurses

selected from the 99 counties in Iowa and funds financial awards to support the education of Iowa nurses. Established in 2004, the program recognizes qualities that demonstrate efforts beyond those expected of a nurse within their normal duties, such as concern for humanity, significant contribution to the profession, and mentoring. Molly Bauer, ARNP, CPNP, CHPPN, pediatric nurse practitioner Amy Bowman, MSN, RN, CCRN, nursing practice leader Heather Eastman, MSN, RN-BC, nursing practice leader Rhonda Evans, MSN, RN, OCN, BMTCN, bone marrow transplant donor program coordinator Lisa Hughes, RN-BC, staff nurse Paula Ingalls McCue, MA, RN, OCN, pediatric bone marrow transplant coordinator

recognition and awards

Seth Jackson, BSN, RN, staff nurse and ECMO specialist Julia Langin, MSN, RN, CMSRN, CWON, nursing practice leader Angela O’Toole, BSN, RN, clinical coordinator Gail Reynolds, DNP, ARNP, PNP, critical care/neonatal nurse practitioner Erin Springer, MSN, RN, nurse clinician Janis Tener, BSN, RN, CDN, interim nurse manager

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100 Great Iowa Nurses 2019 awardees.

2019 CULTURALLY RESPONSIVE HEALTH CARE AWARD Trudy Laffoon, DNP, RN-BC, nurse manager

2019 FULD INSTITUTE FOR EVIDENCE-BASED PRACTICE NATIONAL SUMMIT POSTER AWARD

Turning the Evidence Pyramid Upside Down Laura Cullen, DNP, RN, FAAN, associate research scientist/engineer; Jennifer DeBerg, OT, MLS, user services librarian; and Kirsten Hanrahan, DNP, ARNP, CPNP-PC, FAAN, director, nursing research and evidence-based practice Trudy Laffoon


Morgan Samson

Andrea Childs

Mary Beth Davis

2019 NURSING EXCELLENCE IN CLINICAL EDUCATION AWARD Morgan Samson, BSN, RN, staff nurse (recipient) Andrea Childs, BSN, RN, staff nurse (semi-finalist)

Lauren Maus

Debra Bruene

ANN WILLIAMSON AWARD FOR LEADERSHIP AND INNOVATION IN NURSING AND PATIENT CARE

Christina Woline, MSN, RN-BC, nursing practice leader

2019 SALLY MATHIS HARTWIG SCHOLARSHIPS

recognition and awards

Mary Beth Davis, MSN, RN-BC, nursing practice leader Lauren Maus, BSN, RN, CCRN, assistant nurse manager

AMERICAN SOCIETY FOR PAIN MANAGEMENT NURSING® CLINICAL PRACTICE POSTER AWARD

Implementation of a Needleless Jet Injector to Decrease Needle Pain Debra Bruene, MA, RN-BC, nursing practice leader Poster Co-Authors: DeeAnn Hebrink, RN-BC, staff nurse; Sharon Olson-Comer, BSN, RN, staff nurse; Erin Steffen, MSN, RN, CAPA, assistant nurse manager; Rhonda Regennitter, BSN, RN, staff nurse; Katrina Strabala, BSN, RN, staff nurse; and Mark Sorenson, RPh, clinical pharmacist

19 Left to right: Ann Williamson, PhD, RN, NEA-BC; Christina Woline, MSN, RN-BC; and Cindy Dawson, MSN, RN, CORLN.

DISTINGUISHED EVIDENCE-BASED PRACTICE TRAILBLAZER AWARD

EAR, NOSE AND THROAT NURSING FOUNDATION NEW AUTHOR AWARD Deborah Strike, BSN, RN, CORLN, staff nurse

Laura Cullen, DNP, RN, FAAN, associate research scientist/ engineer

Laura Cullen

Deborah Strike


THE BEACON AWARD FOR EXCELLENCETM is awarded by the American Association of Critical-Care Nurses.

recognition and awards

For patients and families, the Beacon Award signifies exceptional care through improved outcomes and greater overall satisfaction. For nurses, a Beacon Award signals a positive and supportive work environment with greater collaboration between colleagues and leaders, higher morale, and lower turnover.

Medical Surgical Cardiology Unit / Gold Beacon Award.

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Burn/Trauma Intensive Care Unit/Intermediate Care Unit / Silver Beacon Award.


recognition and awards

Stem Cell Transplant and Cellular Therapy Unit / Silver Beacon Award.

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Surgical and Neurosciences Intensive Care Unit / Silver Beacon Award.


THE CLINICAL LEADERSHIP DEVELOPMENT ACADEMY is a UI Health Care program that addresses the

recognition and awards

complexity, breadth, and importance of the developing leader and promotes excellence through clinical scholarship.

Fall 2018 participants.

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Fall 2019 participants.


THE EXECUTIVE LEADERSHIP ACADEMY is a comprehensive UI Health Care program that addresses core characteristics and skills needed to lead effectively in an academic health care environment.

Kirsten Hanrahan

Kyle Upton

Kelly Petrulevich

FELLOW OF THE AMERICAN ACADEMY OF NURSING

Joseph Schmuecker

Katie Owen

INNOVATIONS IN TEACHING WITH TECHNOLOGY AWARD

Kirsten Hanrahan, DNP, ARNP, CPNP-PC, FAAN, director, nursing research and evidence-based practice

GREAT CATCH AWARD 2019 Kyle Upton, nursing assistant

PATRIOTIC EMPLOYER AWARD

Kelly Petrulevich, MSN, RN, OCN, nurse manager

PEDIATRIC EMERGENCY NURSING RISING STAR AWARD Joseph Schmuecker, RN, staff nurse

SUNSHINE AWARD

Katie Owen, RN, staff nurse

Left to right: Timothy Elgin, DO, clinical assistant professor; Emily Spellman, MSN, RN, RNC-NIC, associate director; and Hannah Dobroski, student simulation assistant.

recognition and awards

2018-2019 participants.

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Yashasvi Manektala

Alexus Tennant

Venantie N’Duhirahe

Megan Orifici

Isaiah Rodriguez

Tabara Katile

Sean Nollen

HELPING HANDS: RECOGNIZING OUTSTANDING MERIT STAFF

Assistants, technologists, and clerks have an enormous impact on the patient experience. The Nursing Assistant Workgroup created a program focused on positive reinforcement and public recognition to reward individuals for outstanding work and as a way to remind the entire hospital of the importance of support staff.

recognition and awards

Yashasvi Manektala, nursing assistant Alexus Tennant, nursing assistant Venantie N’Duhirahe, clinical technician Megan Orifici, nursing assistant Isaiah Rodriguez, nursing assistant Tabara Katile, AAMA, medical assistant Sean Nollen, nursing assistant

IMPROVING OUR WORKPLACE AWARDS

Throughout the past year, two nursing and interprofessional teams went above and beyond in creating new initiatives to improve the workplace and were honored with an Improving Our Workplace Award. An interprofessional team was formed with the goal to simplify the care process for individuals who have experienced a blood/body fluid exposure (S-T-I-C-K). The Nursing Education Team created the nursing education application for the mobile communication device used by UI Hospitals & Clinics. The mobile communication device is used as the primary communication tool among clinicians.

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Members of the S-T-I-C-K team.

Members of the Nursing Education team.


PROFESSIONAL RECOGNITION PROGRAM RECIPIENTS

COHORT 11 – FEBRUARY 2019 LEVEL 1 RECIPIENTS Jaspreet Arora, BSN, RN, CMSRN Jessica Becker, BSN, RN, CCRN Amanda Brauweiler, BSN, RN, CPN Rebecca Bruegge, BSN, RN Maja Campbell, BSN, RN, CPN Daniel Dietzel, BSN, RN, CCRN Angela Dossett, BSN, RN, CMSRN Veronica Dziubinski, BSN, RN, CPN Emily Ford, BSN, RN, CCRN Andrea Haynes, BSN, RN, CCRN Holly Heims, BSN, RN, CMSRN Sarah Hellem, BSN, RN Summer Jagnow, BSN, RN-BC Angela Jipp, BSN, RN, CNOR Teresa Julich, MSN, RN, CCRN Caroline Liebe, BSN, RN, CCRN Tom Mahoney, BSN, RN, CCRN Zachary Matthews, BSN, RN, CMSRN, RN-BC Mallory McKay, BSN, RN, CNRN Haley McNulty, BSN, RN, IBCLC Julie Phanthavong, MSN, RN, CCRN Lindsey Sadewasser, BSN, RN, OCN Theresa Smith, MSN, RN, CCRN, MSSM Stephanie Specht, BSN, RN Deb Strike, BSN, RN, CORLN Ashley Switzer, MSN, RN, CMSRN Kimberly Taylor, BSN, RNC-MNN, CCCE, CBE, ICCBE Hope Tribbey, BSN, RN, CCRN Kaitlyn Troge, BSN, RN-BC Wrenna Walsh, BSN, RN-BC LEVEL 2 RECIPIENTS Lisa Kongable, MA, ARNP, PMH-CNS, CNE Jenna Pisarik, BSN, RN, CMSRN Kelly Poch, MBA, BSN, RN, CCRN Anna Rhodes, MSN, RN, CCRN-CSC, HNB-BC, HWNC-BC COHORT 12 – AUGUST 2019 LEVEL 1 RECIPIENTS Sara Arafat, BA, BSN, RN Linda Baylor, MS, BSN, RN, CPN Jenna Bert, BSN, RN Jessica Block, MSN, RN, CNRN Melissa Bodecker, BSN, RN Katie Buettner, BSN, RN

Jason Bussler, BSN, RN, CCRN Marissa Casey, BSN, RN Justin Dolezal, BSN, RN Michelle Dunnington, BSN, RN, CNRN Katlin Francik, BSN, RN Emily Gage, MSN-CNL, RN, CNOR Brenda Gordley, BSN, RN, BC-RN, CCLS Jodi Heth, BSN, RN, CAPA Katelin Hildreth, BSN, RN Ashley Hinman, MSN, RN Natalie Kassa, MSN, RN-BC Grayce Kerr, BSN, RN, CCRN Emma Kolterman, BSN, RN, PCCN Stephenie Lacquement, MSN, RN, CNL Haylee Latta, BAN, RN, CPN Kayci McChristy, BSN, RN, RNC-MNN Katelyn Meyer, MN, RN, SCRN, CCRN Katie Naber, BSN, RN, BMTCN Alexandria Niemann, BSN, RN Sheila Ours, BSN, RN Kelli Pool, BSN, RN, CCRN Rania Schreiber, BSN, RN Bonnie Schug, BSN, RN Lindsay Snipes, BSN, RN Katie Steele, BSN, RN-BC Sara Strauel, BSN, RN Emily Sutton, BSN, RN, CCRN Brittany Walker, BSN, RN, CAPA Kendra Walsh, MSN, RN Victoria Walstrum, BSN, RN, CPN Haylee Wasson, BSN, RN Erin Weber, BSN, RN Monica Willis, BSN, RN, PCCN Tara Willis, BSN, RN LEVEL 2 RECIPIENTS Katelyn Ahmann, BSN, RN, CMSRN Tyler Arensdorf, MSN, RN, PCCN, CNL Julie Barrett, BSN, RN-BC Elaine Dettner, MSN, RN-BC, CMSRN Emily Dimmer, BSN, RN, CMSRN Chelsea Dvorak, BSN, RN, CCRN Samantha Engblom, BSN, RN, CCRN Karreen Kephart, BSN, RN, CCRN Gracie Laughton, MSN, RN, CPHON Jennifer Off, BSN, RN, OCN Carrie Swenka, BSN, RN Jennifer Szymanowski, BSN, RN, CCRN

recognition and awards

The Professional Recognition Program recognizes the accomplishments of the direct care staff nurse and incentivizes them to stay engaged in direct patient care as they support safety, quality, and research. The program compensates nurses who consistently go “above and beyond.”

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THE DAISY FOUNDATION™ provides grants, encouragement, and awards for

recognition and awards

exceptional nurses across the country. Developed as a way to give back to nurses who give so much to their patients, The DAISY Award™ recognizes one of our nurses each month with a bouquet of daisies, a unique sculpture, cinnamon rolls, and a banner displayed on the clinical area.

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Allyssa Vruno

Kelly Poch

Kelly Hartz

Nicolette Johnson

Abby Bird

Faith Murphy

January 2019 – Allyssa Vruno, BSN, RN, CNRN, staff nurse February 2019 – Kelly Poch, BSN, RN, CCRN, staff nurse March 2019 – Abby Bird, BSN, RN, BMTCN, nurse clinician April 2019 – Amazing-Grace Ighedo, BSN, RN, BA, CCRN, staff nurse May 2019 – Debbie Sheikholeslami, BSN, RN-BC, OCN, staff nurse June 2019 – Kelly Hartz, BSN, RN, BBA, staff nurse July 2019 – Nicolette Johnson, BSN, RN, staff nurse August 2019 – Faith Murphy, BSN, RN, staff nurse September 2019 – Seth Seltun, BSN, RN, CCRN, staff nurse October 2019 – Jennie Carver-Westra, RN, staff nurse November 2019 – Norma Feldmann, BSN, RN, staff nurse December 2019 – Amanda Kosarek, BSN, RN, staff nurse

Amazing-Grace Ighedo

Debbie Sheikholeslami

Seth Seltun

Jennie Carver-Westra

Norma Feldmann

Amanda Kosarek


THE DAISY TEAM AWARD™ is designed to honor collaboration by two or more people, led by a nurse, who identify and meet patient and/or family needs by going above and beyond the traditional role of nursing.

THE DAISY TEAM AWARD™ WINNER

THE DAISY NURSE LEADER AWARD™ 2019 Kara Barquist, MSN, RN, CCRN, nurse manager

THE PHIL (PULMONARY HEALTH AND ILLNESSES OF THE LUNG) AWARD Megan Heck, RRT, respiratory therapist

Megan Heck Left to right: Emily Ward, BSN, RN, MBA, CENP, CCRN-K, associate chief nurse executive; Kara Barquist, MSN, RN, CCRN, nurse manager; Cindy Dawson, MSN, RN, CORLN, chief nurse executive & associate director; and John Swenning, BSN, RN, MBA, CENP, director, nursing services.

NOMINEES Scott Barron, RRT, respiratory therapist Jennifer Brown, RRT, senior respiratory therapist Melissa Forsythe, RRT, ACCS, respiratory therapist Judy Garringer, RRT, respiratory therapist Larissa Kopp, RRT, respiratory therapist Samantha Prado, RRT, respiratory therapist Howard Seigel, RRT, NPS, senior respiratory therapist Allen Wigger, RRT, respiratory therapist

recognition and awards

Cardiovascular Intensive Care Unit

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oral presentations Abbott, L. (2019, February/September). Getting started: Project management. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.*

Cullen, L. (2019, February). Developing an educational program for staff nurses. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.*

Ahmann, K. (2019, September). Staff nurse exemplars: Simply saline for central venous catheter flush/ locks. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.*

Cullen, L. (2019, February). Piloting the practice change. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.*

Anderson, R., & Poch, N. (2019, October). Navigating the tortuous road to a successful program: Pointof-care ultrasound (POCUS)-guided peripheral IV program development for the bedside nurse. AVA 2019 Annual Scientific Meeting, Association of Vascular Access, Las Vegas, NV.

oral presentations

Bair, H., Forman, J., Hartman, J., Hosking, J., Leonard, P., Lindower, J., Miller Obr, B., Obr, C., & Thenuwara, K. (2019, January). Rapid cycle debriefing practice. International Meeting on Simulation in Healthcare, San Antonio, TX. Brue, D. (2019, February). Staff nurse exemplars: EBP smoke plume evacuation. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.*Â Bruene, D., & Laures, E. (2019, April). A fork in the road - Pain assessment for pediatric ICU patients. 26th National Evidence-Based Practice Conference, Coralville, IA.*

28 Cook, D., & Gingerich, M. (2019, April). De-escalation techniques for challenging behaviors. 26th National Evidence-Based Practice Conference, Coralville, IA.* Cook, D., Matthews, G., Cullen, L., & Wagner, M. (2019, April). Navigating the EBP journey. 26th National Evidence-Based Practice Conference, Coralville, IA.* Cook, D., Matthews, G., Seabold, R., & Wagner, M. (2019, September). The EBP journey. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.* Cullen, L. (2019, April). Integrating evidence within an organizational structure. Annual Evidence-Based Practice Conference, University of Missouri, Columbia, MO.

Cullen, L. (2019, February/September). Be creative Can this be taught? Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.* Cullen, L. (2019, February/September). Designing your EBP program. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.* Cullen, L. (2019, February/September). Evaluation for EBP return on investment (ROI). Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.* Cullen, L. (2019, February/September). Implementation strategies. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.* Cullen, L. (2019, February/September). Organizational infrastructure for EBP program success. Advanced Practice Institute: Promoting Adoption of EvidenceBased Practice, Iowa City, IA.* Cullen, L. (2019, February/September). Sustaining the practice change. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.* Cullen, L. (2019, June). Evidence-based healthcare Creating and sustaining it with the interprofessional team. 15th Annual Research Day, Nebraska Methodist College of Nursing, Omaha, NE. Cullen, L. (2019, June). How the health system works with the EBP process. 15th Annual Research Day, Nebraska Methodist College of Nursing, Omaha, NE. Cullen, L. (2019, June). Implementing evidence-based practice: Navigating the process. 15th Annual Research Day, Nebraska Methodist College of Nursing, Omaha, NE.


Cullen, L. (2019, November). Nurse-led evidence-based practice. Sepsis State of the Art: 1st Annual Interprofessional Management of the Critically Ill Conference, Coralville, IA.*

Eppen, K. (2019, November). Special considerations for rehab in the lung transplant population. Fall Conference 2019, Pulmonary Rehabilitation Program, Iowa City, IA.*

Cullen, L., & Hanrahan, K. (2019, February/September). Introduction and overview of program. Advanced Practice Institute: Promoting Adoption of EvidenceBased Practice, Iowa City, IA.*

Everhart, C. (2019, April). Movement impairments in pelvic pain. 6th Annual Midwest Pelvic PT Study Day, Iowa City, IA.

Cullen, L., Hanrahan, K., & Stewart, S. (2019, January). Advanced practice institute: Promoting adoption of evidence-based practice. Children’s Hospital of Minnesota, Minneapolis, MN. Dawson, C. (2019, April). Welcome. 26th National EvidenceBased Practice Conference, Coralville, IA.* Dawson, C. (2019, February/September). Welcome. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.* Dawson, C. (2019, January/August). Clinical beginnings. White Coat Ceremony, University of Iowa College of Nursing, Iowa City, IA. Dimmer, E. (2019, July). Empowering frontline clinicians as EBP change champions improves clinical outcomes. 30th International Nursing Research Congress, Sigma Theta Tau International, Calgary, Alberta, Canada. Dimmer, E. (2019, September). Staff nurse exemplars: Empowering frontline clinicians as EBP change champions improves clinical outcomes. Advanced Practice Institute: Promoting Adoption of Evidence- Based Practice, Iowa City, IA.* Dole, N. (2019, September). Staff nurse exemplars: A nurse’s journey with EBP. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.* Dolezal, D., & Wagner, M. (2019, February/September). Nursing leadership role in facilitating EBP. Advanced Practice Institute: Promoting Adoption of EvidenceBased Practice, Iowa City, IA.*

Farrington, M. (2019, May). Knowledge sharing through dissemination - How to make an impact with poster presentations. 2019 Spring Seminar Series, Society of Otorhinolaryngology and Head-Neck Nurses, Inc., Austin, TX. Farrington, M., & Fuller, K. (2019, September). Aromatherapy overview and ORL use for impaired smell. 43rd Annual Society of Otorhinolaryngology and Head-Neck Nurses Congress and Nursing Symposium, New Orleans, LA. Farrington, M., & Hanrahan, K. (2019, July). EBP change champion program creation and evaluation. 30th International Nursing Research Congress, Sigma Theta Tau International, Calgary, Alberta, Canada. Farrington, M., & Laffoon, T. (2019, July). Pain-related patient satisfaction in outpatient settings - The need for standardization and benchmarking. 30th International Nursing Research Congress, Sigma Theta Tau International Calgary, Alberta, Canada. Femino, L., & Bowman, A. (2019, April). Simulation as the expressway for learning how to critique research. 26th National Evidence-Based Practice Conference, Coralville, IA.* Femino, L., & Hosking, J. (2019, April). Debriefing: An essential stop along the way. 26th National EvidenceBased Practice Conference, Coralville, IA.* Fenton, C. (2019, October). Rehabbing on a budget: Cheap & effective interventions for your burn patients. PreConference Workshop, 2019 Midwest Region Burn Conference, Iowa City, IA.* Fowler, C. (2019, February). Staff nurse exemplars: Parental presence in LL2 first stage recovery. Advanced Practice Institute: Promoting Adoption of Evidence- Based Practice, Iowa City, IA.*

oral presentations

Cullen, L., & Hanrahan, K. (2019, March). Evidencebased practice training program. Roswell Park Comprehensive Cancer Center, Buffalo, NY.

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Fowler, C. (2019, September). Piloting the practice change. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.* Greiner, J. (2019, November). Achieving maximum efficacy from prescribed inhalers. Fall Conference 2019, Pulmonary Rehabilitation Program, Iowa City, IA.* Hanrahan, K. (2019, August). Distraction in action: Translating research to practice for painful pediatric procedures. 10th Annual Nursing Research Symposium, Children’s Healthcare of Atlanta, Atlanta, GA.

oral presentations

Hanrahan, K. (2019, February). Sacred cow solutions. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.*

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Hanrahan, K., & Cullen, L. (2019, November). Precision implementation approach™. 2019 Fuld Institute for EBP National Summit, The Ohio State University, Columbus, OH. Hanrahan, K., Stewart, S., Kurtt, J., Kleiber, C., Perkhounkova, Y., & Hein, M. (2019, March). Longitudinal evaluation of a new children’s hospital: Healthcare staff, parent, and quality outcomes. 43rd Annual Research Conference, Midwest Nursing Research Society, Kansas City, MO. Hanrahan, K., Tucker, S., & McNett, M. (2019, November). Implementation: Accelerating the uptake of evidence into practice. Pre-Summit Conference, 2019 Fuld Institute for EBP National Summit, The Ohio State University, Columbus, OH.

Hanrahan, K. (2019, February/September). Diffusion of innovations - An overview. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.*

Hanrahan, K., & Utech, J. (2019, November). Deimplementation of heparin and implementation of saline for central venous catheter flush/lock in adults. 2019 Fuld Institute for EBP National Summit, The Ohio State University, Columbus, OH.

Hanrahan, K. (2019, February/September). EBP change champion program. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.*

House, M. (2019, April). Orthostatic vital signs: A fall prevention strategy. 2019 Orthopedic Nursing Conference, Iowa City, IA.*

Hanrahan, K. (2019, February/September). Evaluation methods for EBP. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.* Hanrahan, K. (2019, July). Evidence-based practice development for practicing nurses across the career continuum. 30th International Nursing Research Congress, Sigma Theta Tau International, Calgary, Alberta, Canada. Hanrahan, K. (2019, September). EBP de-implementation and sacred cow solutions. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.* Hanrahan, K. (2019, September). EBP training across the career continuum. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.*

Jackson, S. (2019, February). Staff nurse exemplars: Spore no more. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.* Kelchen, J., Skinner, B., Harrison, C., & English, J. (2019, October). Respiratory care roundtable discussion. 39th Annual Respiratory Care Seminar, Coralville, IA.* Knipper, J. (2019, November). Pulmonary rehabilitation billing, coding and documentation. Fall Conference 2019, Pulmonary Rehabilitation Program, Iowa City, IA.* Laffoon, T. (2019, April). Immersion experience: Impact on cultural competency in undergraduate nursing students. 26th National Evidence-Based Practice Conference, Coralville, IA.* Laffoon, T. (2019, July). Immersion experience: Impact on cultural competency in undergraduate nursing students. 30th International Nursing Research Congress, Sigma Theta Tau International Calgary, Alberta, Canada.


Laures, E., & Bruene, D. (2019, September). Improving pain assessment in the PICU: The development of an algorithm. 29th National Conference, American Society for Pain Management Nursing, Portland, OR. Little, A. (2019, March). Pelvic floor physical therapy: Not just a fitness fad. Men’s Health Seminar, Iowa City, IA.* Lose, D., & Seo, M. (2019, April). Keeping watch: Utilizing technology to improve patient safety. ANA Quality and Innovation Conference, American Nurses Association, Orlando, FL. Mark, A. (2019, October). Interprofessional approach to ICU mobility. Pre-Conference Workshop, 2019 Midwest Region Burn Conference, Iowa City, IA.* Mark, A., Mellecker, L., Anderson, R., & Burmeister, D. (2019, November). Multidisciplinary approach to early mobility and ICU rehabilitation. Sepsis State of the Art: 1st Annual Interprofessional Management of the Critically Ill Conference, Coralville, IA.* Martin, E. (2019, April). No you can’t come between 10 and 2: Infusion scheduling and workflow improvement with the use of computer simulation & lean management. Oncology Nursing Society 44th Annual Congress, Anaheim, CA. Miers, S. (2019, November). Evaluation, treatment and staging of brachial plexus injuries in infants, toddlers, and teens. Indian Hills Community College, Ottumwa, IA. Miller, M. (2019, April). Seeing the whole person: Occupational therapist’s role in fall and hospital readmissions prevention. 2019 Orthopedic Nursing Conference, Iowa City, IA.* Phillips, A. (2019, October). Medical management & rehabilitation of burns. Pre-Conference Workshop, 2019 Midwest Region Burn Conference, Iowa City, IA.* Recker, T., & Berger, H. (2019, October). Respiratory management of neuromuscular patients. 39th Annual Respiratory Care Seminar, Coralville, IA.*

Rottinhaus, G., & Horak, T. (2019, June). Happy together: Outcomes of NICU babies who stay with mom. AWHONN Annual Convention, Association of Women’s Health, Obstetric and Neonatal Nurses, Atlanta, GA. Schneider, J., Slagel, M., Wellsandt, S., Samson, M., Lundquist, K., & Fenton, C. (2019, October). Dressings workshop & splint application. 2019 Midwest Region Burn Conference, Iowa City, IA.* Semrau, K. (2019, May). UI access to care model. Patient Access Collaborative, UK Healthcare, Lexington, KY. Shaffer, M., Yotty, A., & Jacobson, L. (2019, July). Concussion and safe return to play: What parents and athletes need to know. Sports Medicine Program, Iowa City, IA.* Stewart, S. (2019, April). Experience of parents during and after a child’s resuscitation. 26th National EvidenceBased Practice Conference, Coralville, IA.* Stewart, S. (2019, February). Synthesis and use of the evidence. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.* Ward, E. (2019, October). Transforming staff engagement results. 2019 ANCC National Magnet Conference®, American Nurses Credentialing Center, Orlando, FL. Ward, E., & Dawson, C. (2019, July). Growing leaders at all levels: A transformational framework. 30th International Nursing Research Congress, Sigma Theta Tau International, Calgary, Alberta, Canada. Wood, L. (2019, October). Patient motivation. PreConference Workshop, 2019 Midwest Region Burn Conference, Iowa City, IA.* Wood, L., Lundquist, K., Fenton, C., & Phillips, A. (2019, October). Head/neck/mouth splints workshop. PreConference Workshop, 2019 Midwest Region Burn Conference, Iowa City, IA.* Program sponsored by University of Iowa Health Care.

*

oral presentations

Laures, E. (2019, September). Synthesis and use of the evidence. Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice, Iowa City, IA.*

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poster presentations Bowman, A., Femino, L., Hanrahan, K., & Cullen, L. (2019, June). Research critique simulation: A novel approach to constructing confidence in staff nurses. 2019 Conference, International Nursing Association for Clinical Simulation and Learning, Phoenix, AZ. Brenner, L. (2019, April). Care of normal skin during radiation treatment. 26th National EvidenceBased Practice Conference, Coralville, IA.* Bruene, D., Hebrink, D., Olson-Comer, S., Steffen, E., Regennitter, R., Strabala, K., & Sorenson, M. (2019, September). Implementation of a needleless jet injector to decrease venipuncture pain. 29th National Conference, American Society for Pain Management Nursing, Portland, OR.

poster presentations

Cullen, L., DeBerg, J., & Hanrahan, K. (2019, November). Turning the evidence pyramid upside down. 2019 Fuld Institute for EBP National Summit, The Ohio State University, Columbus, OH.

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Davis, M. B., Rahhal, R., & Pechous, B. (2019, October). Transitioning from hospital to home: Helping families feel confident as they prepare to care for their child’s CVC in the home. AVA 2019 Annual Scientific Meeting, Association for Vascular Access, Las Vegas, NV. Dawson, C., & Ward, E. (2019, July). Agency nursing staff reduction strategies = $7.7 million in savings. 30th International Nursing Research Congress, Sigma Theta Tau International Calgary, Alberta, Canada. Eppen, K. (2019, November). Exercise prescription for general health benefits. George Fox University, Portland, OR. Erickson, A. (2019, April). Shortening preoperative fasting. 26th National Evidence-Based Practice Conference, Coralville, IA.* Hanrahan, K., Cullen, L., & Rempel, K. (2019, July). The Iowa Model: A catalyst for evidence-based practice collaborations near and far. 30th International Nursing Research Congress, Sigma Theta Tau International, Calgary, Alberta, Canada.

Johnson, M. (2019, April). Innovative approaches to improve neurodevelopmental care in the NICU. 26th National Evidence-Based Practice Conference, Coralville, IA.* Kair, L. R., Nidey, N., Marks, J., Femino, L., Hanrahan, K., Ryckman, K., & Wood, K. E. (2019, April). Disparities in donor milk supplementation in the well newborn nursery. 2019 Meeting, Pediatric Academic Society, Baltimore, MD. Koonce, L. (2019, April). Gastric enteral tube placement in the neonatal population: Applying the best evidence. 26th National Evidence-Based Practice Conference, Coralville, IA.* Kuhlman, E. (2019, April). The impact of nurse beliefs, attitudes, and cultural perceptions of pain on patient pain management. 26th National Evidence-Based Practice Conference, Coralville, IA.* LaFond, C., Hanrahan, K., Pierce, N., & McCarthy, A. M. (2019, July). Painful procedures in critically ill children in the US: What are we doing and to whom? 12th International Symposium on Paediatric Pain, Special Interest Group on Pain in Childhood, International Association for the Study of Pain, Basel, Switzerland. Langin, J., Abbott, L., Phearman, L., Greve, M., Culver, E. A., Barnes, M., Swartz, S., Papke, T., & Hanrahan, K. (2019, April). HAPI© app: An innovative approach to conducting skin surveys. 26th National Evidence-Based Practice Conference, Coralville, IA.* Langin, J., Abbott, L., Phearman, L., Greve, M., Culver, E. A., Barnes, M., Swartz, S., Papke, T., & Hanrahan, K. (2019, June). HAPI© app: An innovative approach to conducting skin surveys. 2019 WOCNext, Wound, Ostomy and Continence Nurses Society, Nashville, TN. Laures, E., Bruene, D., & Houston, A. (2019, March). Improving nurse pain assessment in the PICU: Development of an algorithm. 43rd Annual Research Conference, Midwest Nursing Research Society, Kansas City, MO.


Poock, A., Quinn, G., Farrington, M., & Abbott, L. (2019, April). Food for thought: Nutrition screening in a cancer clinic. Oncology Nursing Society 44th Annual Congress, Anaheim, CA. Rindels, E., Leira, E., Adams Jr, H., Lewis, A., Crabb, V., & Torner, J. (2019, August). Rural stroke patient differences between primary stroke centers and comprehensive stroke centers. 2019 Advances in Stroke Care Conference, American Association of Neuroscience Nurses, Austin, TX.

Stewart, S., Hanrahan, K., Kurtt, J., Perkhounkova, E., Hein, M., Davis, A., & Kleiber, C. (2019, April). Longitudinal evaluation of a new children’s hospital: Healthcare staff, parent and quality outcomes. 29th Annual Conference, Society of Pediatric Nurses, Washington, DC. Stewart, S., Hanrahan, K., Kurtt, J., Perkhounkova, Y., Hein, M., Davis, A., & Kleiber, C. (2019, March). Longitudinal evaluation of a new children’s hospital: Healthcare staff, parent, and quality outcomes. 43rd Annual Research Conference, Midwest Nursing Research Society, Kansas City, MO. Utech, J., Farrington, M., & Quinn, G. (2019, April). Aromatherapy: Makes “scents” for oncology patients. Oncology Nursing Society 44th Annual Congress, Anaheim, CA. Winder, R. (2019, April). Increasing nursing involvement in patient and family-centered care. 26th National Evidence-Based Practice Conference, Coralville, IA.* Yoder, J., Farrington, M., Utech, J., Bullard, T., Kirsch, G., Bender, D., & Quinn, G. (2019, April). Flushing out the optimal solution for intraperitoneal ports. Oncology Nursing Society 44th Annual Congress, Anaheim, CA. Program sponsored by University of Iowa Health Care.

*

poster presentations

Stewart, S., Hanrahan, K., Kurtt, J., Perkhounkova, E., Hein, M., Davis, A., & Kleiber, C. (2019, April). Longitudinal evaluation of a new children’s hospital: Healthcare staff, parent and quality outcomes. 26th National Evidence-Based Practice Conference, Coralville, IA.*

33


publications Cifra, C. L., Houston, M., Otto, A., & Kamath, S. S. (2019). Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit. Joint Commission Journal on Quality and Patient Safety, 45(8), 543-551. Cullen, L., Hanrahan, K., Tucker, S. J., & GallagherFord, L. (2019). Data-driven precision implementation approach. American Journal of Nursing, 119(8), 60-63.

publications

Dang, D., Melnyk, B. M., Fineout-Overholt, E., Yost, J., Cullen, L., Cvach, M., Larabee, J. H., Rycroft-Malone, J., Schultz, A. A., Stetler, C. B., & Stevens, K. R. (2019). Models to guide implementation and sustainability of evidence-based practice. In B. M. Melnyk & E. Fineout-Overholt (Eds.), Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed., pp. 378-427). Philadelphia, PA: Lippincott, Williams, & Wilkins.

34

Edmonds, S., Lou, Y., Robinson, B., Cram, P., Roblin, D. W., Wright, N. C., Saag, K., & Wolinsky, F. D. (2019). Characteristics of older adults using patient web portals to view their DXA results. BMC Medical Informatics and Decision Making, 19(1), 187. Erickson, M., Lawrence, M., Jansen, C. W. S., Coker, D., Amadio, P., & Cleary, C. (2019). Hand pain and sensory deficits: Carpal tunnel syndrome. Journal of Orthopaedic and Sports Physical Therapy, 49(5), CPG1-CPG85. Ersig, A. L., Schutte, D. L., Standley, J., Leslie, E. J., Zimmerman, B., Hanrahan, K., Murray, J. C., & McCarthy, A. M. (2019). Genetic variants and the cortisol response in children: An exploratory study. Biological Research for Nursing, 21(2), 157-165. Farrington, M. (2019). Nose, sinuses and oral cavity online module - Comprehensive ORL and head and neck nursing course [Media Review]. ORL Head and Neck Nursing, 37(1), 15. Farrington, M. (2019). Otology online module Comprehensive ORL and head & neck nursing course [Media Review]. ORL - Head and Neck Nursing, 37(2), 18.

Farrington, M. (2019). Pediatric otolaryngology issues Comprehensive ORL and head-neck nursing course [Media Review]. ORL - Head and Neck Nursing, 37(3), 19. Farrington, M., & Baumler, S. (2019). Oral mucositis. In M. Hickey & S. Newton (Eds.), Telephone triage for oncology nurses (3rd ed., pp. 231-238). Pittsburgh, PA: Oncology Nursing Society. Farrington, M., & Dawson, C. (2019). Step by step, building the best - Iowa: 2018 Iowa public policy priorities [Highlights From The States]. ORL - Head and Neck Nursing, 37(1), 16-17. Hanrahan, K., Fowler, C., & McCarthy, A. M. (2019). Iowa Model revised: Research and evidence-based practice application. Journal of Pediatric Nursing, 48, 121-122. Joseph, M. L., Bair, H., Williams, M., Huber, D. L., Moorhead, S., Hanrahan, K., Butcher, H., & Chi, N. C. (2019). Health care innovations across practice and academia: A theoretical framework. Nursing Outlook, 67(5), 596-604. Joseph, M. L., Huber, D. L., Bair, H., Moorhead, S., & Hanrahan, K. (2019). A typology of innovations in nursing. Journal of Nursing Administration, 49(7-8), 389-395. LaFond, C. M., Hanrahan, K. S., Pierce, N. L., Perkhounkova, Y., Laures, E. L., & McCarthy, A. M. (2019). Pain in the pediatric intensive care unit: How and what are we doing? American Journal of Critical Care, 28(4), 265-273. Laures, E., LaFond, C., Hanrahan, K., Pierce, N., Min, H., & McCarthy, A. M. (2019). Pain assessment practices in the pediatric intensive care unit. Journal of Pediatric Nursing, 48, 55-62. Lee, S., Harland, K., Mohr, N. M., Matthews, G., Hess, E. P., Bellolio, M. F., Han, J. H., Weckmann, M., & Carnahan, R. (2019). Evaluation of emergency department derived delirium prediction models using a hospital-wide cohort. Journal of Psychosomatic Research, 127, 109850. [Epub ahead of print]


Lose, D. T. (2019, October 21). Nurse leaders decisionmaking to adopt an online innovation: A decision support tool. Nurse Leader. [Epub ahead of print] Montgomery, L., & Craft-Rosenberg, M. (2019). Coping support for brothers and sisters of very sick children. Iowa City, IA: University of Iowa Hospitals and Clinics. Rewoldt, A., Forman, J., Bowdler, N. C., Merryman, A., & Radke, S. (2019). Quantitative blood loss (QBL) at every delivery: A quality improvement initiative utilizing electronic medical record tools. Proceedings in Obstetrics and Gynecology, 9(2):Article 8 [11 p.].

Wangui-Verry, J., Farrington, M., Matthews, G., & Tucker, S. J. (2019). Are milk and molasses enemas safe for hospitalized adults? A retrospective electronic health record review. American Journal of Nursing, 119(9), 24-28. Zerwic, J., & Dawson, C. (2019, May). Nursing rewards, challenges & issues in today’s hospital setting/ Interviewer: Ron Steele. The Steele Report, KWWL.

Snethen, G., & Mitchell, J. (2019). RT: Harnessing the environment-A response to Haun’s ecological ideology in modern day healthcare environments: Case examples of Mayo Clinic and University of Iowa Hospital and Clinics/Stead Family Children’s Hospital. Therapeutic Recreation Journal, 53(4), 440-446.

Stewart, S. A. (2019). Parents’ experience when present during a child’s resuscitation: An integrative review. Western Journal of Nursing Research, 41(9), 1282-1305. Tucker, S., Abbott, L., Anderson, R., Eppen, K., Laroche, H., Paelmo, E., & Lanningham-Foster, L. (2019). Implementing follow-along physical activity videos with people living with chronic conditions: A feasibility study. Worldviews on Evidence-Based Nursing, 16(5), 352-361. Tucker, S., Sheikholeslami, D., Farrington, M., Picone, D., Johnson, J., Matthews, G., Evans, R., Gould, R., Bohlken, D., Comried, L., Petruleich, K., Perkhounkova, E., & Cullen, L. (2019). Patient, nurse, and organizational factors that influence evidence-based fall prevention for hospitalized oncology patients: An exploratory study. Worldviews on Evidence-Based Nursing, 16(2), 111-120.

publications

Stewart, S. A. (2019). Parents’ experience during a child’s resuscitation: Getting through it. Journal of Pediatric Nursing, 47, 58-67.

35


ui health care by the numbers – fiscal year 2019 35

190

Main campus clinics 53

25

52

Iowa River Landing clinics

93

845

Total inpatient beds

33

17

61

Total number of clinics/locations

UI Community Clinics

Pediatric beds at UI Stead Family Children’s Hospital

655

Adult inpatient beds at UI Hospitals & Clinics

16

Outreach locations

Clinic Visits

1.08+ Million

FY 2019 FY 2018

1,044,295 1,016,448

FY 2017

Major Surgical Operations ui health care by the numbers

FY 2019

Minor Surgical Procedures

34,736

154,669 FY 2019

FY 2018 33,111 FY 2017 31,992

147,872 FY 2018 140,856 FY 2017

4

Births 2,433 FY 2019 2,371 FY 2018, 2,256 FY 2017

36

Consecutive Magnet® designations for nursing excellence

55,956

Emergency Department visits

1,129

Patients transported by air and mobile critical care services

2004

34,113

Acute admissions 2008

5,196

Department of Nursing Services and Patient Care employees

= 100

114 Care Coordination Division 4,773 Nursing 156 Rehabilitation Therapies 153 Respiratory Care

2013

2018


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UI Hospitals & Clinics Department of Nursing Services and Patient Care CY2019 Annual Report  

University of Iowa Hospitals & Clinics Department of Nursing Services and Patient Care CY2019 Annual Report is centered around the Professio...

UI Hospitals & Clinics Department of Nursing Services and Patient Care CY2019 Annual Report  

University of Iowa Hospitals & Clinics Department of Nursing Services and Patient Care CY2019 Annual Report is centered around the Professio...