Objective The purpose of this quality improvement project was to determine the utilization, satisfaction, and effect of a web‐based stress management program for nurses and nursing assistants (NAs). Methods This quality improvement project provided BREATHE, a web‐based stress management program that consisted of six modules that describe, identify, and help nurses manage stress for 31 nurses and NAs working on a subacute rehabilitation unit at a mid‐Atlantic community hospital. Measurements The number of login attempts and time spent on the program were included, as were the nurse stress scale (NSS), a 34‐item validated instrument that captures seven dimensions of stress, and a seven‐item satisfaction survey given at the end of the modules. Results Nurses utilized and were satisfied with the evidence‐based program BREATHE and reported significant improvement in NSS scores. Linking Evidence to Action Findings suggest that BREATHE was effective at reducing the NSS score among nurses and NAs. The web‐based nature of the program allowed nurses to engage in it at times most convenient for them, which added to the program’s acceptability and overall satisfaction.
Purpose of the Study: To determine the impact of integrated case management services versus treatment as usual (TAU) for patients diagnosed with diabetes and concomitant heart failure. Primary Setting: This medical chart review was conducted at a single-site facility. The retrospective study design can be implemented at other facilities with a similar landscape. Methods: A retrospective, descriptive, comparative analysis of integrated case management services compared with TAU from a medical chart review of 68 patients from September 1, 2015, through July 31, 2017. A medical chart review was conducted to generate the study sample for data collection and analysis. The data were organized, cleaned, and prepared and then analyzed. The data were analyzed using SPSS and verified with SAS and R. Applied were descriptive statistics and statistical tests—t test, χ2 test, Mann–Whitney U test, and Logistic Regression. Results: For the integrated case management group, there were 18.4% who readmitted whereas 81.6% did not. For the TAU group, there were 52.6% who readmitted and 47.4% who did not. The association between readmission and case management was χ2 (1, n = 68) = 6.372, p = .012. Nursing Implications: Integrated case management services were statistically significant in reducing readmission for the sample. Demographics tested in this study were not significant predictors for readmission. Extending length of stay for patients who are not medically ready for discharge should be considered because there is a cost difference, as there is evidence of readmission reduction. Policy and procedural amendments can be obtained from this study.
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