Nursing publications, presentations, and posters (MU)
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Item Improving nursing staff perspective of purposeful rounding to reduce fall rates(University of Missouri--Columbia. Sinclair School of Nursing., 2025) Giri, PinkeyBackground Falls, especially among older adults, cause significant injury and mortality. Purposeful Rounding (PR) entails routine patient checks every one or two hours to address needs proactively. PR's inconsistencies in execution limit its effectiveness. This Quality Improvement (QI) project aimed to improve the nursing staff’s perspective of PR and to reduce fall rates. Methods This pre-post intervention study involved education on PR and scheduled reminders to complete the task. The Nurses’ Perception of Patient Rounding Scale evaluated the staff's perception of PR. Fall rates were collected in December 2024 and February 2025. PR logs were reviewed biweekly for four weeks post-education. Paired t-tests and descriptive statistics were used for data analysis. Results There was no statistically significant reduction in fall rates [95% CI, 0–0.154], but a clinically noteworthy decrease from 22% to 17%. Overall, the nursing staff’s perspective of PR improved significantly (p = 0.002) with a notable increase in patient benefits (p < 0.001), nurse benefits (p = 0.006), and communication (p = 0.021). Documentation adherence improved from 50% to 73% over four weeks. Conclusions This QI project enhanced the nursing staff’s understanding of PR through education, implementation, and documentation, indicating the need for further research on its long-term effects on fall rates in larger, diverse populations. IRB Approval IRB approval through exempt review Co-Authors Kari Lane PhD, RN; Kimberly Powell PhD, RN, FAMIA; Molly Skidmore, MSW-Gerontology, CSW, CDP; Lada Micheas (Statistician) Learning Objective The purpose of this QI project was to improve the nursing staff's perspective of PR to reduce fall rates. After reading this abstract, the learner will be able to discuss the impact of Purposeful Rounding education on the nursing staff perspective to reduce fall rates.Item Perceptions of stigma in family caregivers of autistic adults [reference list](University of Missouri--Columbia. Sinclair School of Nursing., 2025)Item Utilizing the care coordination atlas as a framework : an integrative review of transitional care models(2021-03) Chakurian, Daphne; Popejoy, LoriIntroduction: Care coordination reduces care fragmentation and costs while improving health care quality. Transitional care programs, guided by tested models are an important component of effective care coordination, and have been found to reduce adverse events and prevent hospital readmissions. Using the Care Coordination Atlas as a framework, this article reports an integrative review of two transitional care models including analysis of model components, implementation factors, and associated 30-day all-cause hospital readmission rates. Methods: Integrative review methodology. PubMed and Scopus databases were searched from January 2015-July 2020. Fourteen studies set in 18 skilled nursing facilities and 50 hospitals were selected for data extraction and analysis. Results: The ReEngineered Discharge model had 5 components and the Better Outcomes by Optimizing Safe Transitions model had 8 components in the 9 Care Coordination Atlas domains. Communication dominated activities in both models while neither addressed accountability/responsibility. Implementation was influenced by leadership commitment to understanding complexity of the models, culture change, integration of models into workflows, and associated labor costs. Model implementation studies consistently reported improvements in facilities’ 30-day all-cause hospital readmission rates. Discussion: The Care Coordination Atlas was a useful framework to guide analysis of transitional care models. Leadership commitment to and participation in model implementation is vital. The models do not focus beyond the immediate post-discharge period limiting the impact on chronic disease management. Frameworks such as the Care Coordination Atlas are useful to help guide development of care coordination activities and associations with readmission rates.Item A systematic review of resilience in family caregivers of autistic adults : implications for research, practice, and policy : [poster](University of Missouri. Sinclair School of Nursing, 2024) Chakurian, Daphne; Popejoy, L. L.Item OT’s Role in a Technology-Enhanced Care Coordination Service(University of Missouri. School of Nursing, 2024) Roberts Dulany, Ashley; Proffitt, Rachel; Curtis, Elizabeth Heaton; Bacon, Suzette Mizutani; Conrow, Elizabeth; Reeder, Blaine; Vogelsmeier, Amy; Robinson, Erin; Lee, Knoo; Popejoy, Lori"Age-Friendly, Smart, Sustainable, and Equitable Technologies for Aging in Place (ASSETs for AIP), is an ongoing, grant-funded demonstration project involving an occupational therapist as part of an interdisciplinary team with a registered nurse and a licensed clinical social worker. Working with a population of community-dwelling older adults and adults with disabilities, the team uses passive motion sensors and smartwatches to remotely monitor clients’ activity and provide guidance for clients to manage their own care needs. In this model, OT plays a crucial role in self-advocacy training, activity analysis, and environmental modification. In this poster, we examine the model of ASSETs for AIP to shed light on the distinct value OT brings to the interdisciplinary care model of technology-enhanced health coaching."--Introduction