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Improving nurse initiated X‐ray practice through action research
INTRODUCTION: Due to increasing demands on hospital Emergency Departments (EDs), the role of registered nurses, with additional training, has been extended to include requesting X‐ray examinations. The aim of this study was to evaluate nurse practice guidelines for requesting X‐rays in the ED settin...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5167277/ https://www.ncbi.nlm.nih.gov/pubmed/27741385 http://dx.doi.org/10.1002/jmrs.197 |
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author | Thompson, Nadine Murphy, Margaret Robinson, John Buckley, Thomas |
author_facet | Thompson, Nadine Murphy, Margaret Robinson, John Buckley, Thomas |
author_sort | Thompson, Nadine |
collection | PubMed |
description | INTRODUCTION: Due to increasing demands on hospital Emergency Departments (EDs), the role of registered nurses, with additional training, has been extended to include requesting X‐ray examinations. The aim of this study was to evaluate nurse practice guidelines for requesting X‐rays in the ED setting and to utilise inter‐professional learning and change management theory to promote practice improvements. METHODS: Three hundred and one nurse initiated X‐ray (NIX) requests were randomly selected between January and March 2012, and reviewed for observance of local department guidelines and quality of clinical history. The results of this preliminary review were used to inform the investigating team in order to improve and support practice. A collaborative educational intervention utilising inter‐professional learning and change management theory was implemented with an aim of improving the clinical history provided in NIX requests and development of a new policy to support clinical practice. A second review was repeated from February to April 2014 to evaluate the success of the educational intervention. RESULTS: Observance of NIX guidelines improved from pre‐intervention to post‐intervention (48% vs. 90%, P > 0.001). Quality of clinical history also significantly improved in all four essential variable criteria: (1) mechanism of injury; (2) injury location; (3) side of injury; and (4) clinical question. CONCLUSION: This study demonstrates that utilising inter‐professional learning and change management theory can contribute to significant improvements in and support clinical practice of NIX in the emergency setting. |
format | Online Article Text |
id | pubmed-5167277 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-51672772016-12-28 Improving nurse initiated X‐ray practice through action research Thompson, Nadine Murphy, Margaret Robinson, John Buckley, Thomas J Med Radiat Sci Original Articles INTRODUCTION: Due to increasing demands on hospital Emergency Departments (EDs), the role of registered nurses, with additional training, has been extended to include requesting X‐ray examinations. The aim of this study was to evaluate nurse practice guidelines for requesting X‐rays in the ED setting and to utilise inter‐professional learning and change management theory to promote practice improvements. METHODS: Three hundred and one nurse initiated X‐ray (NIX) requests were randomly selected between January and March 2012, and reviewed for observance of local department guidelines and quality of clinical history. The results of this preliminary review were used to inform the investigating team in order to improve and support practice. A collaborative educational intervention utilising inter‐professional learning and change management theory was implemented with an aim of improving the clinical history provided in NIX requests and development of a new policy to support clinical practice. A second review was repeated from February to April 2014 to evaluate the success of the educational intervention. RESULTS: Observance of NIX guidelines improved from pre‐intervention to post‐intervention (48% vs. 90%, P > 0.001). Quality of clinical history also significantly improved in all four essential variable criteria: (1) mechanism of injury; (2) injury location; (3) side of injury; and (4) clinical question. CONCLUSION: This study demonstrates that utilising inter‐professional learning and change management theory can contribute to significant improvements in and support clinical practice of NIX in the emergency setting. John Wiley and Sons Inc. 2016-10-12 2016-12 /pmc/articles/PMC5167277/ /pubmed/27741385 http://dx.doi.org/10.1002/jmrs.197 Text en © 2016 The Authors. Journal of Medical Radiation Sciences published by John Wiley & Sons Australia, Ltd on behalf of Australian Society of Medical Imaging and Radiation Therapy and New Zealand Institute of Medical Radiation Technology This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial (http://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Articles Thompson, Nadine Murphy, Margaret Robinson, John Buckley, Thomas Improving nurse initiated X‐ray practice through action research |
title | Improving nurse initiated X‐ray practice through action research |
title_full | Improving nurse initiated X‐ray practice through action research |
title_fullStr | Improving nurse initiated X‐ray practice through action research |
title_full_unstemmed | Improving nurse initiated X‐ray practice through action research |
title_short | Improving nurse initiated X‐ray practice through action research |
title_sort | improving nurse initiated x‐ray practice through action research |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5167277/ https://www.ncbi.nlm.nih.gov/pubmed/27741385 http://dx.doi.org/10.1002/jmrs.197 |
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