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Nurse educators are key to a best practices implementation program.

Beryl Goldman1, Sabita Balgobin, Ruth Bish

  • 1Kendal Outreach, LLC.

Geriatric Nursing (New York, N.Y.)
|June 16, 2004
PubMed
Summary
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Nurse educators significantly improved resident care quality in long-term care facilities by implementing best practice protocols for daily living, pain, and depression. This success led to a second phase of the project.

Area of Science:

  • Gerontology
  • Nursing Education
  • Healthcare Quality Improvement

Background:

  • Long-term care facilities face challenges in maintaining high-quality resident care.
  • Implementing evidence-based best practices is crucial for improving resident outcomes.
  • The role of specialized training and support in successful protocol implementation is often underestimated.

Purpose of the Study:

  • To evaluate the impact of nurse educator involvement on the successful implementation of best practice protocols in long-term care.
  • To assess the effectiveness of specific protocols in improving resident quality of care.
  • To determine the feasibility of a statewide project for disseminating best practices.

Main Methods:

  • A statewide Best Practices Project involved nurse educators providing consultation and training to nursing facility staff.

Related Experiment Videos

  • Three best practice protocols were implemented: prevention of decline in activities of daily living (eating, dressing), pain management, and depression management.
  • Documentation forms were utilized to track resident appropriateness, involvement, and staff progress.
  • Main Results:

    • The involvement of nurse educators significantly enhanced the success rate of protocol implementation.
    • Participating facilities demonstrated measurable improvements in resident quality of care across the targeted best practice areas.
    • The project's initial 2-year phase showed significant positive outcomes, warranting expansion.

    Conclusions:

    • Nurse educator-led implementation is a key factor in improving the quality of resident care in long-term care settings.
    • Best practice protocols for daily living, pain, and depression can be effectively implemented with appropriate support.
    • The project's success supports the scalability and continuation of quality improvement initiatives in long-term care.