Heather Pena

Assessing blood culture appropriateness in solid organ transplant recipients: a diagnostic stewardship approach

Julie M. Steinbrink, Nitin Mehdiratta, Heather Pena, Ian J. Welsby et autres

OBJECTIVE: Diagnostic stewardship of blood culture utilization is important to mitigate the risks associated with unnecessary culturing. Although blood culture algorithms have been studied previously, there is a lack of data on their application among solid organ transplant (SOT) recipients. This study …

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Longitudinal Evaluation of Implementation of AACN’s Healthy Work Environment Framework in an Intensive Care Unit

Philip Parker, Heather Pena, Jason R. Stokes, Jessica Seabrooks et autres

BACKGROUND: Bedside nurse turnover in the United States is 22.5%, representing a national challenge that has been attributed to poor work environments. Poor work environments result in decreased nurse satisfaction and retention as well as poor patient outcomes. Healthy work environments have …

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A Transition to Practice Intervention to Improve Retention

Allen Cadavero, Heather Pena, Kayla Brooks, Kelly Kester et autres

A Rapid-Cycle Intervention to Enhance Patient and Family Satisfaction in the Intensive Care Unit

Heather Pena, Jason R. Stokes, Lauren Zulueta, Mavis Awuku et autres

BACKGROUND: Patient and family satisfaction with care in intensive care units is not reflected in Hospital Consumer Assessment of Healthcare Providers and Systems surveys. Gaps may be unknown. LOCAL PROBLEM: In a cardiothoracic intensive care unit, patient satisfaction scores were not assessed …

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415. Optimizing Blood Culture Utilization in Solid Organ Transplant Recipients: A Diagnostic Stewardship Approach

Julie M. Steinbrink, Nitin Mehdiratta, Heather Pena, Ian J. Welsby et autres

Abstract Background Diagnostic stewardship of blood culture utilization is paramount to mitigate the risks associated with excessive culturing, including increased contamination rates and inappropriate antimicrobial administration. Although blood culture algorithms have been studied previously, there is insufficient data on their application specifically …

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Fine-tuning blood culture practices: implementing diagnostic stewardship in cardiothoracic surgery patients

Jessica Seidelman, Heather Pena, Brittany A. Zwischenberger

Overusing blood cultures (BCxs) can lead to false positives, unnecessary antibiotics and increased healthcare costs. Despite studies on inpatient BCx algorithms, none have focused on cardiothoracic surgery (CTS) patients, with complex postoperative care and invasive devices. This study aimed to evaluate the …

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Breathing Exercises Prior to Ambulation after Heart Surgeries Impact on Patient Ambulation Goals, Anxiety, and Pain

Marcus Bolick, Heather Pena, Tara Rieger, M G Ridley et autres

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Preoperative Phone Calls to Support Patient Engagement and Digital Education in Cardiothoracic Surgery

Heather Pena, Stephanie Pennigar, Kelly Kester

Pena, Heather MSN, RN, CCRN-CSC, CPPS; Pennigar, Stephanie BSN, RN; Kester, Kelly DNP, RN, CCRN, NE-BC Author Information

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Improving Nurse Manager Decision-Making and Healthy Work Environment Through Use of a Standardized Process for Charge Nurse Selection

Adam J. Millard, Kelly Kester, Philip Parker, Heather Pena et autres

Implementation of a diagnostic stewardship intervention to improve blood-culture utilization in 2 surgical ICUs: Time for a blood-culture change

Jessica Seidelman, Rebekah W. Moehring, Erin Gettler, Jay Krishnan et autres

Abstract Objective: We compared the number of blood-culture events before and after the introduction of a blood-culture algorithm and provider feedback. Secondary objectives were the comparison of blood-culture positivity and negative safety signals before and after the intervention. Design: Prospective cohort design. …

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Perceptions of New Graduate Nurses’ Transition to Practice Post-Pandemic

Allen Cadavero, Heather Pena, Kayla Brooks, Kelly Kester

Safe Patient Handling and Pressure Injury Prevention for Patients With Delayed Sternal Closure

Jason R. Stokes, Jessica Seabrooks, Yeu-Li Yeung, Angela Richardson et autres

BACKGROUND: Pressure injuries are associated with increased morbidity, mortality, and cost. Patients with delayed sternal closure after cardiac surgery are at increased risk of developing pressure injury because of their reduced mobility and inability to undergo complete skin assessment. LOCAL PROBLEM: Safe …

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