Publications by authors named "Daphne Stannard"

38 Publications

Learning From Lessons for Change.

Authors:
Daphne Stannard

AORN J 2020 11;112(5):502-504

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http://dx.doi.org/10.1002/aorn.13239DOI Listing
November 2020

Early Enteral Nutrition Within 24 Hours of Lower Gastrointestinal Surgery Versus Later Commencement for Length of Hospital Stay and Postoperative Complications.

Authors:
Daphne Stannard

J Perianesth Nurs 2020 Oct;35(5):541-542

San Francisco State University School of Nursing, San Francisco, CA. Electronic address:

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http://dx.doi.org/10.1016/j.jopan.2020.07.003DOI Listing
October 2020

Nursing in the best and worst of the time of COVID.

Int J Nurs Pract 2020 06;26(3):e12871

International Journal of Nursing Practice.

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http://dx.doi.org/10.1111/ijn.12871DOI Listing
June 2020

COVID-19: Impact on Perianesthesia Nursing Areas.

Authors:
Daphne Stannard

J Perianesth Nurs 2020 06 9;35(3):237-238. Epub 2020 Apr 9.

San Francisco State University, San Francisco, CA. Electronic address:

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http://dx.doi.org/10.1016/j.jopan.2020.03.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144610PMC
June 2020

The Joanna Briggs Institute clinical fellowship program: a gateway opportunity for evidence-based quality improvement and organizational culture change.

Int J Evid Based Healthc 2020 Mar;18(1):1-4

Joanna Briggs Institute, University of Adelaide, Adelaide, South Australia, Australia.

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http://dx.doi.org/10.1097/XEB.0000000000000221DOI Listing
March 2020

Single-Dose Oral Ibuprofen Plus Caffeine for Acute Postoperative Pain in Adults.

J Perianesth Nurs 2020 02;35(1):85-86

School of Nursing, San Francisco State University, San Francisco, CA. Electronic address:

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http://dx.doi.org/10.1016/j.jopan.2019.10.006DOI Listing
February 2020

Epidural Local Anesthetics Versus Opioid-Based Analgesic Regimens for Postoperative Gastrointestinal Paralysis, Vomiting, and Pain After Abdominal Surgery.

J Perianesth Nurs 2020 Jun 14;35(3):331-332. Epub 2019 Nov 14.

Institute for Nursing Excellence, University of California - San Francisco Medical Center, San Francisco, CA.

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http://dx.doi.org/10.1016/j.jopan.2019.07.003DOI Listing
June 2020

A Practical Definition of Evidence-Based Practice for Nursing.

Authors:
Daphne Stannard

J Perianesth Nurs 2019 Oct;34(5):1080-1084

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http://dx.doi.org/10.1016/j.jopan.2019.07.002DOI Listing
October 2019

Glasgow Coma Scale: Generating Clinical Standards.

J Neurosci Nurs 2019 Jun;51(3):142-146

Questions or comments about this article may be directed to Lori Kennedy Madden, PhD RN ACNP-BC CCRN-K CNRN, at She is a Clinical Nurse Scientist and Director, Center for Nursing Science, University of California Davis Health, Sacramento, CA. Catherine M. Enriquez, BSN RN CNRN, Clinical Nurse II, University of California San Francisco Medical Center, San Francisco, CA. Karen H. Chisholm, BSc(Hons) RN RNG, Clinical Nurse II, University of California San Francisco Medical Center, San Francisco, CA. Amy D. Larsen, MS RN CCRN SCRN, is Clinical Nurse Specialist, Institute for Nursing Excellence, University of California San Francisco Medical Center, San Francisco, CA. Tuesday de Longpré, MSN, RN, CRNA, is Certified Registered Nurse Anesthetist, University of California San Francisco, San Francisco, CA. Daphne Stannard, PhD RN-BC CNS, is Professor, San Francisco State University, San Francisco, CA.

Background: The Glasgow Coma Scale (GCS) is a tool used to aid in objectively measuring the neurological status of a patient. This study aimed to evaluate the limitations and discrepancies in GCS use among nurses in an academic medical center neurological intensive care unit and compile evidence for development of a standardized GCS educational program.

Methods: Twenty nurse participants completed a survey before attending an educational intervention. Participants then attended a 90-minute educational intervention. In follow-up, participants were asked to complete a postsurvey.

Results: The standardized GCS educational program significantly improved nurse knowledge of the GCS as measured by presurvey and postsurvey general GCS question scores. Educational programming improved application of the GCS as measured by presurvey and postsurvey GCS verbal component, motor component, and sum scores. GCS motor score performance was the least accurate component.

Conclusion: Participants reported that the education has informed the unit culture and emboldened clinical nurses to speak to their practice with more authority. Educational interventions should be aimed toward applied transfer of knowledge to the case-based scenarios in the clinical setting.
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http://dx.doi.org/10.1097/JNN.0000000000000448DOI Listing
June 2019

Development and Implementation of a Subcutaneous Insulin Pen Label Bar Code Scanning Protocol to Prevent Wrong-Patient Insulin Pen Errors.

Jt Comm J Qual Patient Saf 2019 May 26;45(5):380-386. Epub 2018 Sep 26.

is Professor, Division of Endocrinology and Metabolism, UCSF, and Medical Director, Inpatient Diabetes, UCSF Medical Center. Electronic address:

Problem Definition: Insulin, a high-alert medication, is regularly prescribed in the inpatient setting for hyperglycemia and diabetes mellitus. Although convenient, insulin pens carry a risk of blood-borne pathogens if the same pen is used on multiple patients. At the University of California, San Francisco (UCSF), a new nursing protocol for insulin pen administration was developed to ensure that insulin was quickly available and to identify and move to eliminate wrong-patient insulin pen errors. This protocol involved unit-based automated dispensing machines and an electronic health record (EHR)-integrated patient-specific bar code label work flow.

Approach: After piloting on three hospital units, this new patient-specific bar code label process was expanded hospitalwide. "Print Label For Insulin Pen" and "Scan Insulin Pen" buttons were programmed into the EHR to enable nurses to print patient-specific bar code labels. In addition, a "wrong-patient pen alert" was activated to prevent wrong-pen insulin pen administration.

Outcomes: For the 162,075 inpatient insulin pen administrations during the study period (April 2017-March 2018), monthly errors (rates) ranged from 13 (0.12%) to 36 (0.23%). In total, 296 near-miss events (0.18% of all insulin pen administrations) were observed and prevented.

Conclusion: Insulin pen work flow and EHR changes implemented at UCSF enable subcutaneous insulin to remain a time-critical medication and ensure patient safety. The wide adoption of EHRs offers an opportunity to integrate patient safety improvements directly into the electronic medication administration record systems to maximize patient safety.
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http://dx.doi.org/10.1016/j.jcjq.2018.08.006DOI Listing
May 2019

Experiences and perceptions of physical restraint policies and practices by health professionals in the acute care sector: a qualitative systematic review protocol.

JBI Database System Rev Implement Rep 2018 May;16(5):1103-1108

The Northeast Institute for Evidence Synthesis and Translation (NEST): a Joanna Briggs Institute Centre of Excellence.

Review Question: What are the experiences and perceptions of physical restraint policies and practices by health professionals, administrators and policy makers in the acute care sector?
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http://dx.doi.org/10.11124/JBISRIR-2017-003460DOI Listing
May 2018

The patient/significant other experience of physical restraint in acute care settings: a qualitative systematic review protocol.

JBI Database System Rev Implement Rep 2018 03;16(3):622-627

The Northeast Institute for Evidence Synthesis and Translation (NEST): a Joanna Briggs Institute Center of Excellence.

Review Question: The overarching question for this qualitative systematic review is: What meanings are attributed to the experience of physical restraint among adult patients or their significant others in acute care hospitals? Specifically the review will seek to answer two questions.
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http://dx.doi.org/10.11124/JBISRIR-2017-003457DOI Listing
March 2018

Understanding heart rate alarm adjustment in the intensive care units through an analytical approach.

PLoS One 2017 27;12(11):e0187855. Epub 2017 Nov 27.

University of California San Francisco, School of Nursing, San Francisco, CA, United States of America.

Background: Heart rate (HR) alarms are prevalent in ICU, and these parameters are configurable. Not much is known about nursing behavior associated with tailoring HR alarm parameters to individual patients to reduce clinical alarm fatigue.

Objectives: To understand the relationship between heart rate (HR) alarms and adjustments to reduce unnecessary heart rate alarms.

Methods: Retrospective, quantitative analysis of an adjudicated database using analytical approaches to understand behaviors surrounding parameter HR alarm adjustments. Patients were sampled from five adult ICUs (77 beds) over one month at a quaternary care university medical center. A total of 337 of 461 ICU patients had HR alarms with 53.7% male, mean age 60.3 years, and 39% non-Caucasian. Default HR alarm parameters were 50 and 130 beats per minute (bpm). The occurrence of each alarm, vital signs, and physiologic waveforms was stored in a relational database (SQL server).

Results: There were 23,624 HR alarms for analysis, with 65.4% exceeding the upper heart rate limit. Only 51% of patients with HR alarms had parameters adjusted, with a median upper limit change of +5 bpm and -1 bpm lower limit. The median time to first HR parameter adjustment was 17.9 hours, without reduction in alarms occurrence (p = 0.57).

Conclusions: HR alarms are prevalent in ICU, and half of HR alarm settings remain at default. There is a long delay between HR alarms and parameters changes, with insufficient changes to decrease HR alarms. Increasing frequency of HR alarms shortens the time to first adjustment. Best practice guidelines for HR alarm limits are needed to reduce alarm fatigue and improve monitoring precision.
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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0187855PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5703448PMC
December 2017

In bed with evidence: a hospital's experience.

JBI Database System Rev Implement Rep 2017 07;15(7):1762-1764

UCSF Centre for Evidence Synthesis and Implementation: a Joanna Briggs Institute Center of Excellence, UCSF Medical Center Institute for Nursing Excellence, San Francisco, California.

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http://dx.doi.org/10.11124/JBISRIR-2017-003529DOI Listing
July 2017

Collaboration and evidence based innovation in the Americas.

Authors:
Daphne Stannard

JBI Database System Rev Implement Rep 2016 Dec;14(12):6-7

Director and Chief Nurse Researcher, UCSF Medical Center Institute for Nursing Excellence, Director, UCSF Centre for Evidence Synthesis and Implementation: a Joanna Briggs Institute Centre of Excellence, Regional Chair, ISSNA, San Francisco, CA.

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http://dx.doi.org/10.11124/JBISRIR-2016-003259DOI Listing
December 2016

Nurse perceptions of confidence in using the Pasero Opioid-Induced Sedation Scale to assess unintended patient sedation in hospital settings: A quantitative systematic review protocol.

JBI Database System Rev Implement Rep 2015 Sep;13(9):3-10

1University of California, San Francisco (UCSF) Medical Center;2UCSF Centre for Evidence-Based Patient and Family Care: an Affiliate Center of the Joanna Briggs Institute, California, USA3School of Nursing, Widener University, Pennsylvania, USA.

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http://dx.doi.org/10.11124/jbisrir-2015-1792DOI Listing
September 2015

Professor Alan Pearson, Founder of the Joanna Briggs Institute.

Int J Nurs Pract 2014 Dec;20(6):563

UCSF JBI Centre for Evidence-Based Patient and Family Care, University of California San Francisco Medical Center, San Francisco, California, USA.

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http://dx.doi.org/10.1111/ijn.12380DOI Listing
December 2014

Evidence in perioperative care.

Nurs Clin North Am 2014 Dec 20;49(4):485-92. Epub 2014 Nov 20.

Institute for Nursing Excellence, UCSF Centre for Evidence-Based Patient and Family Care: An Affiliate Centre if the Joanna Briggs Institute, Surgical Services Node, Joanna Briggs Institute, University of California San Francisco Medical Center, 2233 Post Street, Suite 201, Box 1834, San Francisco, CA 94115, USA. Electronic address:

Perioperative care is comprised of preoperative, intraoperative, and postoperative care. Given the vulnerable status of the perioperative patient, coupled with the complex nature of these areas, evidence-based practice and clinical decision-making must be rooted in high-quality evidence for safe and effective patient and family care. Evidence-based practice is comprised of patient and family preferences, clinical expertise, and best available evidence. This article showcases systematic reviews that have focused on clinical issues within the preoperative, intraoperative, and postoperative care areas. A case study presents the importance of applying best available evidence to solve a thorny clinical problem and improve patient outcomes.
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http://dx.doi.org/10.1016/j.cnur.2014.08.004DOI Listing
December 2014

Embracing all types of clinical inquiry: guest editorial.

Authors:
Daphne Stannard

J Perianesth Nurs 2014 Aug;29(4):334-7

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http://dx.doi.org/10.1016/j.jopan.2014.05.006DOI Listing
August 2014

Summaries of nursing care-related systematic reviews from the Cochrane Library: pharmacotherapy for mild hypertension.

Authors:
Daphne Stannard

J Cardiovasc Nurs 2014 Jan-Feb;29(1):10-1

Daphne Stannard, PhD, RN, CCRN, CCNS, FCCM Director and Chief Nurse Researcher, Institute for Nursing Excellence UCSF Medical Center San Francisco, California.

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http://dx.doi.org/10.1097/JCN.0b013e31829eae67DOI Listing
August 2014

Surfactant therapy for bronchiolitis in critically ill infants.

Authors:
Daphne Stannard

Crit Care Nurse 2013 Dec;33(6):74-6

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http://dx.doi.org/10.4037/ccn2013893DOI Listing
December 2013

Pain management for tubal sterilization by hysteroscopy.

Authors:
Daphne Stannard

J Perianesth Nurs 2013 Dec;28(6):402-3

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http://dx.doi.org/10.1016/j.jopan.2013.09.005DOI Listing
December 2013