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  • Implementation of the Lace Tool to Predict and Prevent Hospital Readmissions

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    Description:
    Hospital readmissions have contributed to the increasing costs of healthcare. the reasons for readmissions are often varied and complex. Identifying high-risk patients upon their arrival to the emergency room should be a part of a hospital's readmission reduction strategy. This study will investigate whether the implementation of a risk stratification tool to identify high-risk patients admitted through the emergency department of a medical center in Northern New jersey will reduce the occurrence of hospital readmissions within thirty days of discharge. This project uses the LACE Tool to identify patients over age 65 with a diagnosis of congestive heart failure who are admitted through the emergency department and are at high risk for readmission. the LACE tool scores patients based on their risk level and enables hospital staff to allocate appropriate resources to improving patient outcomes and reducing readmissions. the utilization of this tool at the study location will potentially improve the institution's financial standing and improve Quality and Safety Report outcomes, which are made public by the Centers for Medicare and Medicaid Services.
    Keyword:
    Risk, Health and environmental sciences, Nursing, Readmissions, LACE tool, Case management, and Congestive heart failure
    Subject:
    Nursing
    Creator:
    Pizarro, Patricia A.
    Owner:
    skushner@saintpeters.edu
    Publisher:
    Saint Peter's University
    Date Uploaded:
    12/23/2021
    Date Modified:
    01/07/2022
    Date Created:
    2018
    Rights Statement:
    In Copyright - Educational Use Permitted
    Resource Type:
    Dissertation

  • A Qualitative Study of ICU Nurse Attitudes towards Their Mental Health while Caring for COVID-19 Patients

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    Description:
    Background: The COVID-19 pandemic reached the United States in March of 2020. America quickly led the world in the number of confirmed coronavirus cases, which contributed to hospital overflow and healthcare worker burnout. Many units that were not typically equipped for such critical cases were converted into COVID units, and there was a high demand for nursing support as the virus peaked. Objective: Since this study focuses on the self perceived mental health of the participants, the objective was to gather information pertaining to the lived experiences of these ICU nurses and how they feel/felt during the course of this pandemic. Materials and method: Using snowball technique, Intensive Care Unit (ICU) nurses who worked through the entirety of the COVID-19 pandemic will be interviewed through a Zoom call. They will be asked to describe their emotions while working on the front lines of the pandemic, and how those experiences have affected their mental health and their daily lives. Results: All nine nurses agreed that working through the COVID-19 pandemic was a stressful and confusing experience. All nurses felt like they weren’t able to provide proper care to their patients at the beginning of the pandemic and they felt lost. Now, all of the nurses feel more knowledgeable and more comfortable working with COVID positive patients. Four nurses sought out psychological support for their mental health, and one nurse considered it. Coping mechanisms varied from positive and negative habits, including cooking/baking, reading, sleeping, eating, smoking, drinking, talking to family, and talking to other nurses. Conclusion: ICU nurses face a great deal of pressure on a regular basis, and the outbreak of COVID-19 contributed to that stress leading many nurses to feel burnt out. The nine nurses that were interviewed had varying degrees of coping and psychological trauma.
    Keyword:
    coronavirus, Nursing, nurse burnout, mental health, COVID-19, and intensive care unit (ICU)
    Subject:
    Nursing
    Creator:
    Almontaser, Hannah
    Contributor:
    Prof. Sandra Horvat, Thesis Advisor
    Owner:
    lsquillante@saintpeters.edu
    Publisher:
    Saint Peter's University
    Date Uploaded:
    06/09/2021
    Date Modified:
    06/09/2021
    Date Created:
    Spring 2021
    Rights Statement:
    In Copyright
    Resource Type:
    Research Paper