Obstetric float nurse role redesign in a small rural community hospital.

PURPOSE: The purpose of this process improvement project in a rural community hospital with a small volume perinatal service was to foster a cooperative working environment between the obstetric and medical-surgical nursing teams and promote quality nursing care by evaluating, revising, and clearly defining the obstetric float nurse role. SCOPE OF THE PROBLEM: Members of the obstetric and medical-surgical nursing team were convened to evaluate the obstetric float nurse role and develop plans for improvement. Nurses from both units participated in a written survey before and after the project was completed. Based on issues identified from review of the surveys and group discussion, a guideline was developed that defined the expectations and responsibilities of the obstetric float nurse on the medical-surgical unit. RESULT: The redesigned obstetric float nurse role helped nurses of both units understand the expectations and responsibilities of the obstetric float nurse and promoted better working relationships. An additional benefit was improved communication regarding care and needs of the medical-surgical patients. CLINICAL IMPLICATIONS: Clearly defined obstetric float nurse guidelines were successful in our small rural community hospital and may be of benefit to other similar volume perinatal units.

Preliminary exploration of the use of a medical malpractice self-study module.

This study was conducted to determine the effectiveness of an educational module on medical malpractice litigation and the use of evidence-based practice guidelines. Data regarding knowledge acquisition, ease of use, and the perceived value of the educational module were collected. A pretest-posttest design was used. There was a statistically significant difference in the proportion of participants who responded correctly to the posttest items after viewing the educational program (p < .05). Data from this study indicated that this self-study module was a valuable tool for education on the specified content. This study also provides evidence of the effectiveness of integrating theory, clinical inquiry, and evidence-based practice into a self-paced educational program about medical malpractice litigation. Evaluation of a self-paced educational program contributes to the body of knowledge on the use of educational strategies to promote patient safety and reduce liability.