2018 Visionary Leader Lori A. Colineri.

The following manuscript is the winning 2018 Richard Hader Visionary Leader Award entry submitted to Nursing Management in recognition of Lori A. Colineri, DNP, RN, NEA-BC, CNO of the Southern Region for RWJBarnabas Health (RWJBH). Lori was formally recognized for her achievements before the Keynote Address on September 26 at Congress2018 in Lake Buena Vista, Fla., where she received the award, sponsored by Hackensack Meridian Health.

Understanding Patient Safety and Quality Outcome Data.

The need for nurses to understand patient safety and quality outcome data is pressing in the current era of data transparency. Health care outcomes data are now publicly reported and readily accessible to consumers, are necessary for performance-based reimbursement, and are required by government and regulatory agencies. In order for nurses at all levels of practice to own their outcomes and be accountable for making improvements, they must possess skills in collecting, analyzing, evaluating, and acting on outcome data. This article provides basic tools and clinical examples for nurses to use in a focused application of outcome data and a structured process for improving nursing care outcomes.

The effects of music on pain and anxiety during screening mammography.

One in four women who are diagnosed with breast cancer die annually, and the single most important way to prevent this is early detection; therefore, women older than 40 years should have an annual screening mammography. Many barriers have been reported that prevent compliance with this recommendation, including lack of insurance, fear, anxiety, pain, worry, and mistrust of the medical community. Nurses are in a position to use creative interventions, such as music therapy, to help minimize barriers. Although this study did not show that music therapy during screening mammograms decreased the amount of pain that the participants experienced, it did suggest that music therapy has the potential to decrease the amount of anxiety. Assisting patients in decreasing anxiety reduces barriers for screening mammography. The literature does suggest that music is a distraction for many populations of patients; however, when patients are faced with the possible diagnosis of breast cancer, it may be difficult to find an intervention to distract a woman's mind, which was supported by the findings of this study.

Fall safety agreement: a new twist on education in the hospitalized older adult.

OBJECTIVE: The aim of this study was to further explore falls that occur in the elderly individuals (>65 years) in an academic medical center. This was done through secondary analysis of a preexisting falls database. BACKGROUND: All hospitalized patients are at risk for falls. As fall incidents have been shown to increase with age, it is critical to closely examine the risk factors affecting this vulnerable population. METHODS: A retrospective, quantitative, exploratory descriptive study design was used to analyze data from a preexisting falls database. Data were analyzed from patients 18 years or older and were separated into 2 separate groups: 18 to 64 years and 65 years or older. RESULTS: Overall, the results showed very little statistically significant differences in falls between the 2 age groups, although there was a statistically significant relationship between the presence of a fall safety agreement and fall injury severity. CONCLUSION: This study suggests that providing appropriate structured fall education, in the form of a safety agreement, regardless of age, may reduce the degree of injury sustained.

Improving services for sex partners of chlamydia-infected patients in an HMO.

OBJECTIVE: To improve services for sex partners of chlamydia-infected patients (ie, chlamydia partner services [CPS]) at an HMO. STUDY DESIGN: Assessment of current CPS policy, practices, and opinions in Kaiser Permanente Northwest Region (KPNW) and in local health departments, and design, implementation, and evaluation of 4 CPS interventions. METHODS: We reviewed KPNW policy documents, conducted focus groups with KPNW clinicians, and did phone interviews with KPNW chlamydia-infected patients and health department disease intervention specialists. We then implemented 3 informational interventions: CPS information was added to the after-visit summary given to patients tested for chlamydia; information on how to test, treat, and counsel chlamydia-infected patients was added to KPNW's electronic clinical-decision tool; and CPS information and a direct link to KPNW's chlamydia screening and treatment guidelines were added to KPNW's Web site. We also organized training for KPNW clinicians to review the roles of CPS and disease intervention specialists. We evaluated intervention uptake and impact by reviewing electronic medical charts, Web site "hits," and posttraining evaluations. RESULTS: Clinicians and disease intervention specialists reported that KPNW's CPS policy and the roles of disease intervention specialists regarding KPNW patients were unclear. Clinicians and patients wanted more CPS information. Clinicians commonly used the after-visit summary and Web-based CPS information and reported that training improved CPS knowledge. However, none used the clinical-decision tool. CONCLUSIONS: Several simple, centralized informational interventions to improve CPS were feasible and used by KPNW clinicians. These interventions could potentially be used in other settings structured like KPNW.