Emotional intelligence (EI) has not been studied extensively within the Veterans' Health Administration (VHA). The VHA is the largest healthcare organization in America with over 360,000 employees and the organization invests heavily in competency development. The Tampa VA is a level 1 facility with over 5,000 employees in the Tampa Bay area. The…

Adults living with intellectual and developmental disabilities are often prescribed psychotropic medication on an "as needed" basis (PRN) in response to behavioural challenges. In the present study we conducted a retrospective analysis of medication administration records in the 6-months preceding and following discharge of 11 adults…

A survey of residents and residency supervisors at three Veterans' Administration hospitals affiliated with one school of optometry investigated attitudes toward core optometry curriculum activities. Activities were generally rated well for content and effectiveness of presentation, and the study also provided information for program improvement.…

Bar Code Medication Administration (BCMA) is a technology-supported nursing tool that has become the standard of practice for medication administration. When used effectively and efficiently, this tool has the potential to reduce medication errors in acute care settings. In a pediatric unit at a major urban hospital in the northeast region of the…

Adverse drug events, resulting in preventable patient harm or death, are of great concern. To keep patients safe, hospitals have implemented barcode medication administration (BCMA) technology for RNs who have accepted this technology with varying levels of satisfaction. When nurses are dissatisfied with a BCMA system, they may find alternative…

The process of change at the academic Sepulveda (California) Veterans' Administration hospital during implementation of a new ambulatory primary care program was examined through individual or focus group interviews with 63 managers, house officers, and patients. Major problems included administrative integration of in- and outpatient services;…

This study aims to emergency medical services(EMS) and their efficacy within the purview of Local Administrative Organizations (LAOs) in Thailand. As the responsibility for EMS has transitioned from public hospitals to LAOs, it has prompted inquiries into their efficiency. This research endeavors to scrutinize the determinants influencing the…

This study focused on the clinical workflow evolutions when implementing the health information technology (HIT). The study especially emphasized on administrating medication when the electronic health record (EHR) systems were adopted at rural healthcare facilities. Mixed-mode research methods, such as survey, observation, and focus group, were…

An Indianapolis (Indiana) project gave disadvantaged junior high and high school students summer jobs in various departments of a Veterans' Administration hospital. The project combined work with at least 1 hour per day of computerized instruction in basic mathematics and language, work maturity, and specific job competencies. Rules were strict,…

The study was designed to explore how nurses at a non-union pediatric hospital make meaning of the feedback they receive during their career from their annual appraisals. The qualitative study design used a survey, and from the survey participants, 21 interviewees were selected. Based on the survey responses and categorizing those responses by…

This account of practice outlines how action learning was used as the key component of a leadership development initiative for managers in an acute hospital setting. It explains how the initiative was conceived, why action learning was chosen and how action learning principles were incorporated. Insights into the outcomes and considerations for…

Background: Previous studies, both in hospitals and in institutions for clients with an intellectual disability (ID), have shown that medication errors at the administration stage are frequent, especially when medication has to be administered through an enteral feeding tube. In hospitals a specially designed intervention programme has proven to…

The quasi-experimental research study developed and tested an education process to reduce and trap medication errors. The study was framed by Endsley's (1995a) model of situation awareness in dynamic decision making. Situation awareness improvement strategies were practiced during high-fidelity clinical simulations. Harmful medication errors occur…

The Veterans Health Administration (VA) provides a case study for linking performance measurement, information technology, and aligned research efforts to facilitate quality improvement in a large, complex health system. Dialogue between clinical researchers and VA leaders occurs through structured activities (e.g., the Quality Enhancement…

The author states that a hospital inservice education department must function as a management tool in delivering quality care to patients and that the nursing inservice educator should provide input into administration decisions that have educational implications. She describes an ineffective packaged program used in one hospital without…