Scholars@Duke
Staci Reynolds

Staci Reynolds

Clinical Professor in the School of Nursing
School of Nursing
staci.reynolds@duke.edu
3151 Pearson Building, Durham, NC 27710
307 Trent Drive, Durham, NC 27710

Selected Publications

Letter to the Editor: EBPQI Is Not Research.

Journal Article Journal of doctoral nursing practice · August 2024 Full text Cite

Reducing Clostridioides difficile Infections in a Medical Intensive Care Unit: A Multimodal Quality Improvement Initiative.

Journal Article Dimens Crit Care Nurs · July 2024 BACKGROUND: Clostridioides difficile (C. diff) infection causes significant morbidity for hospitalized patients. A large medical intensive care unit had an increase in C. diff infection rates. OBJECTIVES: The aim of this project was to reduce the C. diff p ... Full text Open Access Link to item Cite

Evaluation of a Seizure Action Plan in an Adult Epilepsy Center.

Journal Article Neurology. Clinical practice · June 2024 BackgroundSeizure action plans (SAPs) provide valuable information for patients to manage seizure emergencies, but are underutilized in adult epilepsy centers. The purpose of this project was to implement a structured SAP for adult patients with e ... Full text Open Access Cite

Impact of Nursing Clinical Elective Courses on New Graduate Nurses' Clinical Practice: A Mixed-Methods Descriptive Study.

Journal Article Nurse educator · May 2024 BackgroundClinical elective courses provide additional specialty knowledge for prelicensure nursing students; however, it is unknown how these courses impact nurses' clinical practice after graduation.PurposeTo describe how clinical nursi ... Full text Open Access Cite

Misuse of the P Value: Using Quality Improvement Analyses to Identify Clinically Significant Improvements.

Journal Article Dimensions of critical care nursing : DCCN · March 2024 IntroductionQuantitative research and quality improvement (QI) both seek to improve care provided to patients. However, clinicians often blur the lines between how to appropriately analyze data from these methodologies. Clinicians may inappropriat ... Full text Open Access Cite

Why write a letter to the editor?

Journal Article Nurse Author & Editor · March 2024 Full text Open Access Cite

Evidence-Based Practice Quality Improvement Critical Appraisal Tool

Journal Article Journal of Nursing Care Quality · January 1, 2024 Background: Optimal quality improvement in health care is based on research and other types of evidence. Critical appraisal of evidence is a fundamental component of evidence-based practice (EBP) and is also needed to evaluate the quality of quality improv ... Full text Open Access Cite

Letter to the Editor.

Journal Article Nurs Outlook · 2024 Full text Link to item Cite

Using clinical decision support to improve urine testing and antibiotic utilization.

Journal Article Infect Control Hosp Epidemiol · October 2023 OBJECTIVE: Urine cultures collected from catheterized patients have a high likelihood of false-positive results due to colonization. We examined the impact of a clinical decision support (CDS) tool that includes catheter information on test utilization and ... Full text Open Access Link to item Cite

Reduction in patient refusal of CHG bathing.

Journal Article American journal of infection control · September 2023 BackgroundDaily chlorhexidine gluconate (CHG) bathing is a well-supported intervention to reduce patient's risk of central line associated bloodstream infection (CLABSI); however, compliance with this practice is suboptimal. One major barrier is p ... Full text Open Access Cite

A Quality Improvement Project to Decrease CLABSIs in Non-ICU Settings.

Journal Article Quality management in health care · July 2023 Background and objectivesCentral line-associated bloodstream infections (CLABSIs) are a common, preventable healthcare-associated infection. In our 3-hospital health system, CLABSI rates in non-intensive care unit (ICU) settings were above the int ... Full text Open Access Cite

Evaluation of DNP program essentials of doctoral nursing education: A scoping review.

Journal Article Journal of professional nursing : official journal of the American Association of Colleges of Nursing · May 2023 BackgroundIn 2021, the American Association of Colleges of Nurses revised the core competencies for professional nursing education. The revision includes a call for a transformation from a traditional approach to a competency-based approach for te ... Full text Open Access Cite

The Role of Doctor of Nursing Practice-Prepared Nurses to Improve Quality of Patient Care.

Journal Article Creative nursing · May 2023 Translating evidence-based practices (EBPs) and quality improvement (QI) initiatives to the bedside is a significant need among hospitals and outpatient settings to improve the provision of quality nursing care. However, health-care systems continue to str ... Full text Open Access Cite

Using PDSA cycles to improve oral care compliance.

Journal Article American journal of infection control · January 2023 Oral care has been shown to reduce healthcare-associated pneumonia (HAP) rates, however, compliance with this practice is suboptimal. Using quality improvement PDSA cycles over an 8-week period, we saw improvements in oral care documentation compliance thr ... Full text Open Access Cite

Implementation Science Toolkit for Clinicians: Improving Adoption of Evidence in Practice.

Journal Article Dimensions of critical care nursing : DCCN · January 2023 BackgroundClinicians are often familiar with quality improvement (QI) and evidence-based practice (EBP) processes, which provides guidance into what evidence should be implemented; however, these processes do not address how to successfully implem ... Full text Open Access Cite

Febrile Neutropenia: Improving Care Through an Oncology Acute Care Clinic.

Journal Article Clinical journal of oncology nursing · January 2023 BackgroundPatients with cancer are at risk for oncologic emergencies, including febrile neutropenia (FN). Timely treatment of FN can prevent complications. Providing this care in the outpatient setting has been shown to be safe and effective.O ... Full text Open Access Cite

Using the COM-B model to identify barriers to and facilitators of evidence-based nurse urine-culture practices.

Journal Article Antimicrob Steward Healthc Epidemiol · 2023 Our surveys of nurses modeled after the Capability, Opportunity, and Motivation Model of Behavior (COM-B model) revealed that opportunity and motivation factors heavily influence urine-culture practices (behavior), in addition to knowledge (capability). Un ... Full text Open Access Link to item Cite

Evaluation of lay health workers on quality of care in the inpatient setting.

Journal Article PloS one · January 2023 AimsTo evaluate the impact of a lay health worker support role in the inpatient setting.BackgroundHealthcare systems are facing critical nursing and nurse assistant staffing shortages. These disciplines can be challenging to recruit and r ... Full text Open Access Cite

Using statistical process control charts to measure changes from a nurse-driven protocol to remove urinary catheters.

Journal Article American journal of infection control · December 2022 BackgroundImplementing a nurse-driven protocol (NDP) to remove indwelling urinary catheters is a strategy to reduce catheter-associated urinary tract infections (CAUTI). The purpose of this project was to implement a comprehensive NDP to reduce in ... Full text Open Access Cite

Implementation science in nursing education research: An exemplar.

Journal Article Nurse education today · December 2022 IntroductionUsing evidence-based teaching approaches can improve nursing students' learning. However, variation in how - or if - these approaches are implemented by faculty and nursing educators is prevalent. A thorough, applied understanding of h ... Full text Open Access Cite

Implementation of an Advanced Practice Registered Nurse-Led Clinic to Improve Follow-up Care for Post-Ischemic Stroke Patients.

Journal Article The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses · October 2022 AbstractBACKGROUND: Ischemic stroke continues to be a leading cause of serious disability within the United States, affecting 795 000 people annually. Approximately 12% to 21% of post-ischemic stroke patients will be readmitted to the hospital wit ... Full text Open Access Cite

Implementing venous leg ulcer education and clinical decision support: a quality improvement project.

Journal Article Wound management & prevention · September 2022 BackgroundVenous leg ulcers (VLU) require early identification and treatment to prevent further harm. Health care providers often fail to initiate evidenced-based VLU treatment promptly because of a lack of knowledge of VLU guidelines.Purpose< ... Open Access Cite

Sustained reduction in catheter-associated urinary tract infections using multi-faceted strategies led by champions: A quality improvement initiative.

Journal Article Infect Control Hosp Epidemiol · July 2022 We reviewed the sustainability of a multifaceted intervention on catheter-associated urinary tract infection (CAUTI) in 3 intensive care units. During the 4-year postintervention period, we observed reductions in urine culture rates (from 80.9 to 47.5 per ... Full text Open Access Link to item Cite

Program Evaluation of Implementation Science Outcomes From an Intervention to Improve Compliance With Chlorhexidine Gluconate Bathing: A Qualitative Study.

Journal Article Dimensions of critical care nursing : DCCN · July 2022 Background and objectivesEvaluation of implementation science research is warranted to better understand and determine the success of translating evidence-based infection prevention practices at the bedside. The purpose of this program evaluation ... Full text Open Access Cite

Enhancement of infection prevention case review process to optimize learning from defects.

Journal Article J Infect Prev · May 2022 Hospitals continue to struggle with preventable healthcare-associated infections. Whereas the focus is generally on proactive prevention processes, performing retrospective case reviews of infections can identify opportunities for quality improvement and m ... Full text Open Access Link to item Cite

The impact of nurse staffing on falls performance within a health care system: A descriptive study.

Journal Article Journal of nursing management · April 2022 AimThe purpose of this study was to examine the impact of nurse staffing on inpatient falls performance across a multi-hospital system.BackgroundEvidence to support which staffing variables influence fall performance so that health care o ... Full text Open Access Cite

Using an implementation science framework to advance the science of nursing education.

Journal Article Journal of professional nursing : official journal of the American Association of Colleges of Nursing · March 2022 BackgroundThe process of adopting evidence-based educational practices and teaching methods has not been examined in nursing education.PurposeThis article provides a framework for adopting educational evidence and designing studies in nur ... Full text Open Access Cite

Program Evaluation of an Early Nurse Intervention Team.

Journal Article AACN advanced critical care · March 2022 BackgroundMany hospitals have implemented early rapid response teams to improve detection of patients at risk for decline. However, formal evaluation of these programs is rare.ObjectiveTo evaluate the Early Nurse Intervention Team program ... Full text Open Access Cite

Impact of an Implementation Science Study on Nursing Leader's Competencies: A Qualitative Study

Journal Article Nurse Leader · February 1, 2022 Nursing leaders must engage with evidence-based practice (EBP) to advance quality patient care. The purpose of this study was to understand the impact of an implementation science study on nurse manager competencies. Qualitative focus group interviews were ... Full text Open Access Cite

Letter to the editor.

Journal Article Nurs Outlook · 2022 Full text Open Access Link to item Cite

Self-Reported versus observed audit: Measuring CHG bathing compliance.

Journal Article American journal of infection control · December 2021 Measuring compliance with the appropriate chlorhexidine gluconate (CHG) bathing process through direct observation audits can be helpful in sustaining this important practice; however, capturing this data may be difficult. This study reports the difference ... Full text Open Access Cite

Multi-faceted strategies improve collection compliance and sample acceptance rate for carbapenem-resistant Enterobacteriaceae (CRE) active surveillance testing.

Journal Article Am J Infect Control · August 2021 BACKGROUND: Active surveillance testing (AST) is one element of a comprehensive Carbapenem-resistant Enterobacteriaceae (CRE) prevention strategy. However, the utility of AST may be impacted by compliance with sample collection and the quality of specimens ... Full text Open Access Link to item Cite

Student nurse perceptions of an innovative role to support clinical practices during a pandemic: A qualitative study.

Journal Article Nurse education today · August 2021 IntroductionDuring the COVID-19 pandemic, healthcare systems needed to quickly identify personnel to provide symptom screening and PPE observations. Through an established academic-practice partnership, pre-licensure nursing students were able to ... Full text Open Access Cite

The Power of Two:: One Academic-Practice Partnership's Response to Coronavirus Disease 2019 (COVID-19)

Journal Article Nurse Leader · April 1, 2021 Academic–practice partnerships are necessary for strengthening nursing practice, robust and relevant academic programs, and advancing health care. The purpose of this paper is to describe how a strong academic–practice partnership shaped our response to th ... Full text Open Access Cite

Results of the CHlorhexidine Gluconate Bathing implementation intervention to improve evidence-based nursing practices for prevention of central line associated bloodstream infections Study (CHanGing BathS): a stepped wedge cluster randomized trial.

Journal Article Implementation science : IS · April 2021 BackgroundCentral line-associated bloodstream infections (CLABSIs) result in approximately 28,000 deaths and approximately $2.3 billion in added costs to the U.S. healthcare system each year, and yet, many of these infections are preventable. At t ... Full text Open Access Cite

An innovative DNP post-doctorate program to improve quality improvement and implementation science skills.

Journal Article Journal of professional nursing : official journal of the American Association of Colleges of Nursing · January 2021 BackgroundDoctor of Nursing Practice programs prepare nurse leaders for unique roles to address healthcare needs across the quality spectrum. However, additional mentoring and training in implementation science and analytical skills is needed to e ... Full text Open Access Cite

Collaboration Between Infection Prevention and Clinical Education in Response to COVID-19.

Journal Article Journal for nurses in professional development · January 2021 With the rapid escalation of COVID-19 educational needs within hospitals, it was imperative for content experts of the infection prevention departments to lean on the expertise of nursing professional development specialists. This article provides a brief ... Full text Open Access Cite

Implementation Strategies to Improve Evidence-Based Bathing Practices in a Neuro ICU.

Journal Article Journal of nursing care quality · April 2019 BackgroundEvidence supports daily bathing using chlorhexidine gluconate (CHG) cloths to decrease preventable hospital-acquired central line-associated bloodstream infections (CLABSIs). However, implementation of this practice is inconsistent. Usin ... Full text Open Access Cite

Using Health System Data for Improvement Science: Charting Progress.

Journal Article AACN advanced critical care · January 2019 Full text Open Access Cite

Implementation Strategies to Improve Knowledge and Adherence to Spinal Cord Injury Guidelines

Journal Article Rehabilitation Nursing · January 2018 AbstractPurpose:The purpose of this study was to evaluate a bundle of implementation strategies (local opinion leaders, printed educational materials, ... Full text Open Access Cite

Stroke

Chapter · 2018 Cite

Program evaluation of neuroscience competency programs to implement evidence‐based practices

Journal Article Journal of Evaluation in Clinical Practice · February 2017 AbstractRationaleProgram evaluation is essential to help determine the success of an evidence‐based practice program and assist with translating these processes across settings. Full text Open Access Cite

Implementation of a Stroke Competency Program to Improve Nurses’ Knowledge of and Adherence to Stroke Guidelines

Journal Article Journal of Neuroscience Nursing · December 2016 ABSTRACTBackground: Nurses play an integral part in providing evidence-based care to patients with stroke, yet some patients receive unnecessary or even harmful ... Full text Open Access Cite

Situation awareness and interruption handling during medication administration

Journal Article West J Nurs Res · 2014 Medication administration error remains a leading cause of preventable death. A gap exists in understanding attentional dynamics, such as nurse situation awareness (SA) while managing interruptions during medication administration. The aim was to describe ... Full text Open Access Cite

Stroke

Chapter · August 2011 Cite