Danielle Tabor - Academia.edu (original) (raw)
Papers by Danielle Tabor
Journal of Nursing Management, Aug 17, 2012
Evolution of an innovative role: the clinical nurse leader Aims This study describes the evolutio... more Evolution of an innovative role: the clinical nurse leader Aims This study describes the evolution of the clinical nurse leader (CNL ®) role and its utility in a tertiary care and community hospital. Background In the US, quality and safety metrics are being publically reported and healthcare organizations are just beginning to experience pay-forperformance and its impact. The American Association of the Colleges of Nursing (AACN) developed the role of the CNL to address the complexities and challenges of providing high-quality care in the current environment. Evaluation Since 2007, a cohort of CNLs in practice has evaluated the effectiveness of the role with measures of clinical outcomes, financial savings and case studies. Key issues Having CNLs with a strategic perspective acting as facilitators and integrators of care has proven invaluable. Leadership support has been critical and commitment to maintaining the integrity of the role has ensured its success and sustainability. Conclusions This role has established its value in risk assessment, strategic quality improvement, interdisciplinary collaboration and the implementation of evidence-based solutions. Implications for nursing management The flexibility and broad scope of this role allows for its use across practice settings and represents an exciting opportunity for nursing to drive quality of care to new levels while managing costs.
Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses, 2008
Patients at risk for postoperative anemia may benefit from blood salvage and retransfusion. This ... more Patients at risk for postoperative anemia may benefit from blood salvage and retransfusion. This study is a retrospective chart review of 148 total knee arthroplasty patients to determine the impact of the procedure on hematocrit and hemoglobin.
Journal of Nursing Management, 2012
Orthopaedic Nursing, 2013
The American Academy of Orthopedic Surgeons (2011) reports that more than 600,000 knee replacemen... more The American Academy of Orthopedic Surgeons (2011) reports that more than 600,000 knee replacements are performed annually in the United States. A tool often used to aid in therapy after total knee replacement (TKR) is the continuous passive motion (CPM) machine (O'Driscoll & Giori , 2000). Current literature now disputes the necessity of the CPM machine and is demonstrating that the effects are too small to justify its use. It was once thought that CPM helped decrease the need for manipulation, which is a major postoperative concern, but current literature now questions the relationship between its use and the decreased need for manipulation (Harvey, Brosseau, & Herbert, 2010). Many practitioners have grown comfortable with the use of the CPM machine despite the growing evidence that questions the practice. Some of the notable disadvantages include an increase in extensor lag and fl exor
Journal of Nursing Management, 2008
Pioneering a new role: the beginning, current practice and future of the clinical nurse leader Ai... more Pioneering a new role: the beginning, current practice and future of the clinical nurse leader Aim To discuss the development of a new nursing role in response to the health care crisis in the United States. Background The nursing shortage and fragmentation of care has contributed to the need for nurses who are prepared to laterally integrate care, bring evidencebased practice to the bedside and provide continuity of care to patients and families. Evaluation The CNLs review the literature, share their experiences, and discuss outcomes related to improved quality of care. Key issues Having clinical nurses with a global perspective acting as facilitators and integrators of care is essential to maintaining a high standard of care. Organizational and management support is critical. The more CNLs that can be embedded in an institution, the more successful the role can be. Conclusions The varied utilization of the CNLs in this practice setting has proven its value in a short period of time and facilitated better communication and collaboration among patients and their health care team. Implications for nursing management The flexibility and broad scope of this role allows for its use in any practice setting to realize gains in quality outcomes, cost savings, improved patient flow, increased safety, nurse satisfaction and increasing organizational capacity.
Journal of Nursing Management, Aug 17, 2012
Evolution of an innovative role: the clinical nurse leader Aims This study describes the evolutio... more Evolution of an innovative role: the clinical nurse leader Aims This study describes the evolution of the clinical nurse leader (CNL ®) role and its utility in a tertiary care and community hospital. Background In the US, quality and safety metrics are being publically reported and healthcare organizations are just beginning to experience pay-forperformance and its impact. The American Association of the Colleges of Nursing (AACN) developed the role of the CNL to address the complexities and challenges of providing high-quality care in the current environment. Evaluation Since 2007, a cohort of CNLs in practice has evaluated the effectiveness of the role with measures of clinical outcomes, financial savings and case studies. Key issues Having CNLs with a strategic perspective acting as facilitators and integrators of care has proven invaluable. Leadership support has been critical and commitment to maintaining the integrity of the role has ensured its success and sustainability. Conclusions This role has established its value in risk assessment, strategic quality improvement, interdisciplinary collaboration and the implementation of evidence-based solutions. Implications for nursing management The flexibility and broad scope of this role allows for its use across practice settings and represents an exciting opportunity for nursing to drive quality of care to new levels while managing costs.
Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses, 2008
Patients at risk for postoperative anemia may benefit from blood salvage and retransfusion. This ... more Patients at risk for postoperative anemia may benefit from blood salvage and retransfusion. This study is a retrospective chart review of 148 total knee arthroplasty patients to determine the impact of the procedure on hematocrit and hemoglobin.
Journal of Nursing Management, 2012
Orthopaedic Nursing, 2013
The American Academy of Orthopedic Surgeons (2011) reports that more than 600,000 knee replacemen... more The American Academy of Orthopedic Surgeons (2011) reports that more than 600,000 knee replacements are performed annually in the United States. A tool often used to aid in therapy after total knee replacement (TKR) is the continuous passive motion (CPM) machine (O'Driscoll & Giori , 2000). Current literature now disputes the necessity of the CPM machine and is demonstrating that the effects are too small to justify its use. It was once thought that CPM helped decrease the need for manipulation, which is a major postoperative concern, but current literature now questions the relationship between its use and the decreased need for manipulation (Harvey, Brosseau, & Herbert, 2010). Many practitioners have grown comfortable with the use of the CPM machine despite the growing evidence that questions the practice. Some of the notable disadvantages include an increase in extensor lag and fl exor
Journal of Nursing Management, 2008
Pioneering a new role: the beginning, current practice and future of the clinical nurse leader Ai... more Pioneering a new role: the beginning, current practice and future of the clinical nurse leader Aim To discuss the development of a new nursing role in response to the health care crisis in the United States. Background The nursing shortage and fragmentation of care has contributed to the need for nurses who are prepared to laterally integrate care, bring evidencebased practice to the bedside and provide continuity of care to patients and families. Evaluation The CNLs review the literature, share their experiences, and discuss outcomes related to improved quality of care. Key issues Having clinical nurses with a global perspective acting as facilitators and integrators of care is essential to maintaining a high standard of care. Organizational and management support is critical. The more CNLs that can be embedded in an institution, the more successful the role can be. Conclusions The varied utilization of the CNLs in this practice setting has proven its value in a short period of time and facilitated better communication and collaboration among patients and their health care team. Implications for nursing management The flexibility and broad scope of this role allows for its use in any practice setting to realize gains in quality outcomes, cost savings, improved patient flow, increased safety, nurse satisfaction and increasing organizational capacity.