International journal of nursing practice
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The aim of this study was to evaluate whether implementation of a new nursing handover model led to improved completion of nursing care activities and documentation. A pre- and post-implementation study, using a survey and document audit, was conducted in a hospital ED in Melbourne. A convenience sample of nurses completed the survey at baseline (n = 67) and post-intervention (n = 59), and the audit was completed at both time points. ⋯ Three hundred sixty-eight medical records were audited in the two study periods: 173 (pre-intervention) and 195 (post-intervention). Statistically significant improvements in the completion of two nursing care tasks and three documentation items were identified. The findings suggest that implementation of a new handover model improved completion of nursing care activities and documentation, and transfer of important information to nurses on oncoming shifts.
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Randomized Controlled Trial
A novel approach to fit testing the N95 respirator in real time in a clinical setting.
The instant measurements provided by the Portacount fit-test instrument have been used as the gold standard in predicting the protection of an N95 respirator in a laboratory environment. The conventional Portacount fit-test method, however, cannot deliver real-time measurements of face-seal leakage when the N95 respirator is in use in clinical settings. This research was divided into two stages. ⋯ Results of Stage 2 showed that the new PRST method could detect different concentrations and different particle sizes inside the respirator while the wearer performed different nursing activities. This new fit-test method, PRST, can detect face seal leakage of an N95 respirator being worn while the wearer performs clinical activities. Thus, PRST can help ensure that the N95 respirator actually fulfils its function of protecting health-care workers from airborne pathogens.