Evidence map›Paper›PMID 34953664›Full record

ArticleJournal of pediatric nursing

Quality improvement and rapid PDSA cycles to maintain routine surveillance of pulmonary pathogens during the COVID-19 pandemic in a pediatric cystic fibrosis clinic.

Jennifer L Hamilton, Anne E Snuggerud, Suzanne M Meihls, Heidi Toledo, Jennifer Stewart

Open access · bronzeAbstract read
In one paragraph

Article in Journal of pediatric nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Jennifer L HamiltonSchool of Medicine, Department of Pediatrics, University of Utah Health Sciences, 81 Mario Capecchi Dr, Salt Lake City, UT 84112, United States of America; College of Nursing, University of Utah Health Sciences, 10 2000 E, Salt Lake City, UT 84112, United States of America. Electronic address: Jennifer.Hamilton@hsc.utah.edu.
Anne E SnuggerudSchool of Medicine, Department of Pediatrics, University of Utah Health Sciences, 81 Mario Capecchi Dr, Salt Lake City, UT 84112, United States of America. Electronic address: anne.snuggerud@hsc.utah.edu.
Suzanne M MeihlsSchool of Medicine, Department of Pediatrics, University of Utah Health Sciences, 81 Mario Capecchi Dr, Salt Lake City, UT 84112, United States of America. Electronic address: Suzanne.Meihls@hsc.utah.edu.
Heidi ToledoSchool of Medicine, Department of Pediatrics, University of Utah Health Sciences, 81 Mario Capecchi Dr, Salt Lake City, UT 84112, United States of America. Electronic address: heidi.toledo@hsc.utah.edu.
Jennifer StewartSchool of Medicine, Department of Pediatrics, University of Utah Health Sciences, 81 Mario Capecchi Dr, Salt Lake City, UT 84112, United States of America. Electronic address: Jennifer.Stewart@hsc.utah.edu.
University of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic necessitated immediate transition from in person to telehealth encounters; novel nursing practices were needed to ensure that children with cystic fibrosis (CF) receive care that approximates evidence-based guidelines. LOCAL PROBLEM: The aim was to ensure that as many children as possible received routine surveillance of pulmonary pathogens by a CF culture sputum culture during a pandemic.

methodsMultiple Plan-Do-Study-Act (PDSA) cycles were utilized to implement practice change over four months.

interventionsCultures were obtained via curbside appointment with a registered nurse (RN) or at the patients' home with mailed equipment.

results133 cultures obtained: 50.37% (67) by RN collection curbside and 49.62% (66) by self/caregiver at home. 120 culture swabs or sterile cups were mailed; 55% (66) were returned. Cost of mailing equipment was $760.16.

conclusionNursing utilization of PDSA cycles developed novel processes that ensured guideline-based care during the initial months of the pandemic.

Indexed as

COVID-19Cystic FibrosisTelemedicineChildHumansPandemicsQuality ImprovementCOVID-19Cystic fibrosisNursingPandemicPDSA cyclesQuality improvement

Identifiers

PMID34953664
PMCPMC8607846
OpenAlexW3211356282

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.