Beverly Dabney - Academia.edu (original) (raw)

Papers by Beverly Dabney

Journal of Advanced Nursing, May 11, 2023

ProblemMissed Nursing Care (MNC) is an error of omission which occurs when a necessary nursing in... more ProblemMissed Nursing Care (MNC) is an error of omission which occurs when a necessary nursing intervention is not initiated, is not completed, or when it is delayed. The MNC model explains this problem and describes four antecedents that can lead to MNC: (1) demand for patient care, (2) available human resources, (3) material resources, and (4) and relationship and communication factors.AimsThis study aims to test the relationship between the theoretical antecedents of MNC and their impact on MNC.DesignA quantitative cross‐sectional study.MethodsThe Austrian version of the revised MISSCARE Survey was completed by nurses working in general hospital units between May and July 2021. Recruitment followed a respondent‐driven sample via Austrian nursing education institutions and social media. One thousand six nurses fulfilled inclusion criteria. The structure of the theoretical constructs of the MNC model was tested using a confirmatory factor analysis approach. The relationships between the four antecedents and MNC were explored using structural equation modelling with 427 complete cases.ResultsThe results support the structural validity of the revised MISSCARE Austria concerning the defined theoretical constructs, although discriminant validity and measurement error should be further investigated. The antecedent “resource allocation: labor” had a statistically significant impact on MNC: The lack of adequate nursing staff played the most important role to explain missed care in our model.ConclusionIn our study in Austria, MNC was mostly influenced by a lack of appropriate labor resources. Further studies exploring mediation effects and non‐linear relationships may contribute to better understanding of reasons for MNC.Patient or Public ContributionNo patient or public contribution.

Joint Commission journal on quality and patient safety, Apr 1, 2012

Nursing Outlook, Jul 1, 2023

Journal of Health Organisation and Management, Jun 23, 2020

Purpose-Providing care that is patient-centered is an important objective in the modern healthcar... more Purpose-Providing care that is patient-centered is an important objective in the modern healthcare industry. Despite this objective, hospital inpatient case managers and the services they provide are evaluated routinely without including patients' perspectives. Therefore, the purpose of this study is to fill this research gap by using patient expectations and perceptions to assess the overall quality of and patient satisfaction with hospital case management services. Design/methodology/approach-This paper investigates five dimensions of case management servicesreliability, responsiveness, assurance, empathy and tangiblesand how they affect overall quality and patient satisfaction. Study surveys are based on the SERVQUAL instrument. Survey data from a cross-sectional sample of 67 inpatients are analyzed using principal component analysis, confirmatory factor analysis, GAP analysis and a predictive model. Findings-The preliminary part of the study identifies "tangibles" and "nontangibles"reliability, responsiveness, assurance and empathyas the main components. Among these two components, only nontangibles have a positive and significant effect on both quality and patient satisfaction according to patient perspectives. GAP analysis indicates that gaps between patient expectations and perceptions of reliability and assurance are significant. Finally, the proposed predictive model reveals that gaps in assurance have a significant impact on both overall quality and satisfaction, while gaps in empathy have a significant impact on satisfaction, but not overall quality. Originality/value-Studies on service quality at the case manager level are limited. This study is the first in this domain to evaluate quality and satisfaction from the patient perspective.

PubMed, Nov 1, 2020

Background: Screening patients for obstructive sleep apnea (OSA) risk factors is an effective met... more Background: Screening patients for obstructive sleep apnea (OSA) risk factors is an effective method for helping reduce adverse outcomes in conscious sedation. Patients receiving conscious sedation for endoscopy were not being screened for OSA at a rural hospital. Objective: The purpose of this quality improvement project was to implement a nurse education program to improve OSA screening of endoscopy patients, using an evidence-based screening tool, and to increase nurse OSA knowledge and patient education. Methods: This study was conducted in the outpatient perioperative section of a small rural hospital in northern Michigan. Data were obtained from pre/post chart review and nurse knowledge assessment. Twenty-eight nurses participated in an educational session that included OSA education and instructions on using the STOP-Bang questionnaire for OSA screening. Results: Nurse OSA knowledge increased from 75% preeducation program to 89% posteducation program. Use of the STOP-Bang Questionnaire for patients presenting for outpatient endoscopy procedures requiring conscious sedation and patient OSA education increased from 43.5% to 81.2% pre- to posteducation program. Conclusions: This study's educational session was successful in promoting use of the STOP-Bang questionnaire among perioperative nurses and increasing education for patients screened positive for OSA. Implications for nursing: Training nurses to use a brief OSA screening tool effectively improved the OSA screening of patients presenting for outpatient conscious sedation involving endoscopy.

Evidence-Based Nursing, Jun 5, 2018

Clinical Journal of Oncology Nursing, Feb 1, 2022

BACKGROUND Cancer prevalence and the incidence of cancer pain are increasing. Although individual... more BACKGROUND Cancer prevalence and the incidence of cancer pain are increasing. Although individualized care plans have been proposed to help manage cancer pain, minimal research has evaluated their effectiveness. OBJECTIVES This quality improvement project assessed whether an education session on pain management guidelines from the Centers for Medicare and Medicaid Services Oncology Care Model (OCM) increased provider use of care plans and pain management options and patient satisfaction. METHODS A pre-/postintervention analysis was performed in an outpatient oncology clinic with patients reporting cancer pain. Staff received an education session on the OCM. Quizzes documented staff knowledge, and chart reviews documented use of care plans and pain management options. Patients' pain management satisfaction was assessed via survey. FINDINGS There was no significant increase in provider use of pain management care plans, and patients' pain scores increased in the postintervention period. These findings likely were affected by the COVID-19 pandemic. However, patients' pain management satisfaction scores and provider use of nonpharmacologic treatment options increased postintervention.

Journal of Nursing Care Quality, Apr 1, 2013

This is a systematic review that meets the criteria for inclusion on DARE.

Applied Nursing Research, Dec 1, 2019

Background: Missed nursing care has been recognized as a universal patient care issue that affect... more Background: Missed nursing care has been recognized as a universal patient care issue that affects outcomes for patients, nurses, and healthcare institutions. The MISSCARE Survey was developed to measure and determine the reasons for missed nursing care episodes. An extensive literature review and expert nurse opinion revealed five additional reasons for missing care that the authors utilized to revise the Survey. Methods: The revised MISSCARE Survey was pilot tested with a group of 145 nursing staff from a public, nonprofit, acute care hospital in the Midwestern U.S. Results: Analysis indicated favorable results for the revised Survey's acceptability, reliability, and construct validity. Conclusion: Based on the initial pilot study results, the authors recommend further use and study of the revised MISSCARE Survey with other nursing populations and additional psychometric testing. 2.1. Instrument In the present study, we used a revised MISSCARE Survey tool. The revisions were made based on a review of the literature and expert nurse input. Electronic databases searched included MEDLINE, CINAHL, and

Nurse Educator, Feb 6, 2023

Journal of Nursing Education, Nov 1, 2020

The environmental sustainability (ES) of food systems is a critical challenge for policy makers. ... more The environmental sustainability (ES) of food systems is a critical challenge for policy makers. This is a highly contested policy area with differing views among stakeholders. The aim of the study was to develop a better understanding of how ES considerations are addressed in Australian food and nutrition policies and the way that consultation processes affect final policy outcomes. A mixed-methods study design combined a detailed chronology of key policy developments (2009-2015), a content analysis of written submissions obtained during the NFP's consultation period (2011-2013) and a frame analysis of the sustainability perspectives-efficiency, demand restraint, and system transformation-in the NFP's Issues, Green, and White Papers. There were 555 written submissions responding to two consultation papers. Stakeholders represented all sectors of Australia's food system including government, non-government organizations, the food supply chain, research and academic institutions, and members of the general public. Around 74% of submissions referred to ES considerations and ~65% supported their inclusion into the final policy. Efficiency frames were most dominant; emphasizing a production-oriented approach that regards the environment as a natural resource base for food production but overlooks consumption and equity concerns. Despite strong support for the inclusion of ES considerations in the NFP, the influence of Australia's socio-political context, powerful, industry-dominated stakeholders, and a reliance on traditional production-oriented perspectives delivered a business-as-usual approach to food policy making. It has since been replaced by an agricultural strategy that provides only cursory attention to ES. Our findings indicate that Australia's political environment is not sufficiently mature for ES considerations to be integrated into food and nutrition policies. We propose reforms to the current consultation process in Australia to better support this integration by promoting greater transparency and participation in the development of food and nutrition policy making.

Journal of Nursing Care Quality, 2020

Background: Opioid-induced respiratory depression (OIRD) is a serious adverse reaction associated... more Background: Opioid-induced respiratory depression (OIRD) is a serious adverse reaction associated with opioid administration. Local Problem: The purpose of this quality improvement study was to evaluate the impact of implementing a clinical practice guideline for OIRD in a medical-surgical setting lacking standardized monitoring techniques and reporting criteria for patients receiving opioid analgesia. Methods: An American Society for Pain Management Nursing protocol was implemented in 4 medical/surgical units. The impact on OIRD-related nurse knowledge, documentation, and opioid-related rapid response calls was measured pre-and postimplementation. Results: Nurse OIRD-related knowledge significantly increased. The number of naloxone administrations associated with prior intravenous opioid analgesic administration did not significantly change. However, there was a significant decrease in the postimplementation number of respiratory distress-related rapid response calls. Conclusions: Implementation of the American Society for Pain Management Nursing guidelines had a positive impact on knowledge, documentation, early intervention of OIRD, and the number of opioid-related rapid response calls.

American Journal of Medical Quality, Sep 4, 2013

The aim of this study was to determine the extent and type of missed nursing care as reported by ... more The aim of this study was to determine the extent and type of missed nursing care as reported by patients and the association with patient-reported adverse outcomes. A total of 729 inpatients on 20 units in 2 acute care hospitals were surveyed. The MISSCARE Survey-Patient was used to collect patient reports of missed care. Patients reported more missed nursing care in the domain of basic care (2.29 ± 1.06) than in communication (1.69 ± 0.71) and in time to respond (1.52 ± 0.64). The 5 most frequently reported elements of missed nursing care were the following: (a) mouth care (50.3%), (b) ambulation (41.3%), (c) getting out of bed into a chair (38.8%), (d) providing information about tests/procedures (27%), and (e) bathing (26.4%). Patients who reported skin breakdown/pressure ulcers, medication errors, new infections, IVs running dry, IVs infiltrating, and other problems during the current hospitalization reported significantly more overall missed nursing care.

Creating Healthy Work Environments, Feb 20, 2019

Background: Burnout is a significant issue in the healthcare workplace (Aiken et al., 2002). Nurs... more Background: Burnout is a significant issue in the healthcare workplace (Aiken et al., 2002). Nurse burnout leads to negative effects that impact the overall health of the nurse with the potential of producing chronic physical and mental health conditions (Asuero et al., 2014). In addition to the nurse's own compromised health, nurse burnout can adversely influence the quality of patient care provided (Poghosyan et al., 2010) and the engagement of the nurse in providing empathetic and compassionate care to patients due to compassion fatigue, which facilitates a decline in motivation and helping patients achieve their healthcare goals (Mahon et al., 2017). Nurse burnout has also been found to impact job satisfaction (Aiken et al., 2002), which could negatively impact healthcare organizations due to decreased nurse retention rates. Mindfulness-Based Stress Reduction (MBSR) has been introduced as an intervention that brings about awareness and attentiveness to an experience (Halm, 2017). MSBR training enables the user to learn strategies that are aimed at decreasing anxiety and stress resulting in ultimately, a decrease in burnout rate (Halm, 2017; Smith, 2014). MSBR helps the user focus on the present moment by implementing healthier ways to respond to stressors. Within the framework of MSBR, the user becomes amenable to purposefully accepting the present moment. Attentiveness of the present moment cultivates alleviation of stress through emotional adaptation (Halm, 2017). MSBR promotes self-awareness by embracing the raw emotion and experience for its accurate significance without judgement in the moments as they occur. Objective: To evaluate the PICO question: Do healthcare workers who practice mindfulness-based stress reduction (MSBR) in the workplace report a lesser rate of burnout as compared to healthcare workers who do not employ MSBR? Methods: A review of the literature was conducted to explore current evidence on the impact of MBSR on healthcare worker burnout. The search strategy involved collecting research articles from the following databases: Cumulative Index to Nursing and Allied Heath Literature (CINHAL), SUMSearch, and PubMed. The following search terms were used: "mindfulness AND burnout", "mindfulness based stress reduction AND nurse", "healthcare worker AND burnout", "workplace" with a date limit of the past 5 years. Research studies that included nurses and MBSR or a similar mindfulness technique were included. Findings: Of the six research studies included, 1 was a randomized controlled trial (

Nursing Ethics, Jul 8, 2019

Background: Development of professional nursing values is critical within registered nurse-to-bac... more Background: Development of professional nursing values is critical within registered nurse-to-bachelor of science in nursing programs to prepare nurses for increasingly complex and diverse work environments. The results of previous studies have been inconsistent, with few studies focusing on online registered nurse-to-bachelor of science in nursing programs. In addition, little is known regarding the effectiveness of the educational methods used to support advancement of professional values and ethical practice. Objective: The object of this study was to gain an understanding of nursing students' attitudes and beliefs about professional values at entry and exit of an online registered nurse-to-bachelor of science in nursing program that includes a standalone ethics course and integrates American Nurses Association Code of Ethics provisions throughout the curriculum. Research design: For this one-group pretest-posttest, quasi-experimental design, longitudinal matchedpair data were gathered at program entry and exit using the Nurses Professional Values Scale-Revised. Participants and research context: In all, 119 students of an online registered nurse-to-bachelor of science in nursing program at a Midwest public university who completed entry and exit surveys between spring 2015 and spring 2018 were included in this study. Ethical considerations: This study was reviewed and determined to be exempt by the university's institutional review board. Findings: The results showed a significant increase in total posttest scores when considering all participants. However, students who took the ethics course after the pretest demonstrated a significant increase in posttest scores, while students who took the ethics course prior to the pretest demonstrated a small increase that was not statistically significant. Significant increases were also found in the professionalism, activism, and trust factors. Discussion: This study supports previous study findings where students scored higher on caring and lower on activism and professionalism factors. The largest gains were made after completing the ethics course. Conclusion: The results suggest that requiring a standalone ethics course in the registered nurse-tobachelor of science in nursing curriculum had a positive impact on self-reported professional values.

Journal of Clinical Nursing, Sep 13, 2013

Aims and objectives. To review current research evidence on the outcomes of mobilising hospitalis... more Aims and objectives. To review current research evidence on the outcomes of mobilising hospitalised adults. Background. Although immobility is known to cause functional decline or complications, inpatient ambulation emerged as the most often missed element of nursing care. This study is designed to review research studies that give evidence as to the consequences of mobilising or not mobilising hospitalised adult patients. Design. A literature review of published peer-reviewed empirical research was undertaken. Methods. The electronic databases of MEDLINE (Ovid), CINAHL, and PubMed were accessed to search for relevant empirical articles, supplemented by a search of reference lists contained in retrieved articles and citation tracking. Results. Thirty-six studies were identified for inclusion in the review. Four areas (study design, sample size, measurement and statistical analysis) were evaluated for methodological quality, and most studies showed strong quality. A synthesis of the findings generated four themes of the effects of inpatient mobilisation: (1) physical outcomes included pain, deep vein thrombosis, fatigue, etc.; (2) psychological outcomes included anxiety, depressive mood, distress, comfort and satisfaction; (3) social outcomes included quality of life and independence; and (4) organisational outcomes included length of stay, mortality and cost. Conclusion. Mobilising hospitalised adults brings benefits for not only physical functioning, but also their emotional and social well-being. Moreover, ambulation yields important organisational benefits. These benefits of mobilisation on four areas required viewing the patient in a holistic manner. Even though each study approached different types of patients, illnesses and procedures, this review showed that most inpatients would benefit from mobilisation and would experience optimal functions. Relevance to clinical practice. The importance of mobilisation for positive patient outcomes highlights the need to develop methods to ensure that this nursing action is completed on a systematic basis.

Journal of Advanced Nursing

SelfCare Journal, Aug 17, 2021