Kirstin Piazza

Kirstin Piazza
U.S. Department of Veterans Affairs

PhD RN

About

50
Publications
19,302
Reads
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352
Citations
Additional affiliations
September 2011 - September 2017
University of Iowa
Position
  • PhD Student
August 2014 - August 2017
University of Iowa
Position
  • Research Assistant
Description
  • I assisted with two projects: 1) Nursing Bedside Shift Report 2) Assessing the Feasibility of a Patient Safety Simulation Experiment
August 2012 - May 2014
University of Iowa
Position
  • Research Assistant
Description
  • • Led data analysis for two qualitative studies (i.e., coded interviews, theme identification, organization of results) that covered 23 research sites.

Publications

Publications (50)
Article
Full-text available
Facilitating team development is challenging, yet critical for ongoing improvement across healthcare settings. The purpose of this exemplary case study is to examine the role of nurse leaders in facilitating the development of a high-performing Change Team in implementing a patient safety initiative (TeamSTEPPs) using the Tuckman Model of Group Dev...
Article
Full-text available
Background: Implementing Nursing Bedside Shift Report (NBSR) is challenging for nurse leaders. Before implementing or improving NBSR, nurse leaders need a clear understanding of the process and functions of nursing shift report. However, the social-cultural latent functions (unrecognized or unintended uses) of NBSR are poorly understood. Purpose:...
Article
Full-text available
Background Little is known about how team processes impact providers’ abilities to prepare patients for a safe hospital discharge. Teamwork Shared Mental Models (teamwork-SMMs) are the teams’ organised understanding of individual member’s roles, interactions and behaviours needed to perform a task like hospital discharge. Teamwork-SMMs are linked t...
Article
Full-text available
Importance There are areas of skilled nursing facility (SNF) experience of importance to the public that are not currently included in public reporting initiatives on SNF quality. Whether patients, hospitals, and payers can leverage the information available from unsolicited online reviews to reduce avoidable rehospitalizations from SNFs is unknown...
Article
Full-text available
Abstract Background Despite the increased focus on improving patient’s postacute care outcomes, best practices for reducing readmissions from skilled nursing facilities (SNFs) are unclear. The objective of this study was to observe processes used to prepare patients for postacute care in SNFs, and to explore differences between hospital-SNF pairs w...
Article
While telehealth’s presence in post-pandemic primary care appears assured, its exact role remains unknown. Value-based care’s expansion has heightened interest in telehealth’s potential to improve uptake of preventive and chronic disease care, especially among high-risk primary care populations. Despite this, the pandemic underscored patients’ dive...
Article
Full-text available
Background Unmet care needs among older adults accelerate cognitive and functional decline and increase medical harms, leading to poorer quality of life, more frequent hospitalizations, and premature nursing home admission. The Department of Veterans Affairs (VA) is invested in becoming an “Age-Friendly Health System” to better address four tenets...
Article
Background and objectives: Written discharge instructions help to bridge hospital-to-home transitions for patients and families, though substantial variation in discharge instruction quality exists. We aimed to assess the association between participation in an Institute for Healthcare Improvement Virtual Breakthrough Series collaborative and the...
Article
BACKGROUND The number of youth presenting to hospitals with suicidality and/or self-harm has increased substantially in recent years. We implemented a multihospital quality improvement (QI) collaborative from February 1, 2018 to January 31, 2019, aiming for an absolute increase in hospitals’ mean rate of caregiver lethal means counseling (LMC) of 1...
Article
Objectives (1) Present the factor structure of two psychometric instruments for self-efficacy and one for outcome expectations of medication prescribing; (2) evaluate the reliability of the scales, and (3) present preliminary evidence of validity. Methods Physician assistants (PA) and PA students completed a survey evaluating three psychometric in...
Article
Thousands of health systems are now recognized as “Age‐Friendly Health Systems,” making this model one of the most widely disseminated – and most promising‐ models to redesign care delivery for older adults. Sustaining these gains will require demonstrating the impact on care delivery and outcomes of older adults. We propose a new measurement model...
Article
Background: Children's Advocacy Centers (CACs) use a multidisciplinary team (MDT) approach to initiate, coordinate, and provide essential multisector services for children and families who experience child abuse. Despite rapid dissemination of the CAC model across the world, little is known about characteristics associated with CAC-based teamwork....
Article
Background: The Veterans Administration (VA) provides several post-acute care (PAC) options for Veterans, including VA-owned nursing homes (called Community Living Centers, CLCs). In 2016, the VA released CLC Compare star ratings to support decision-making. However, the relationship between CLC Compare star ratings and Veterans CLC post-acute outc...
Article
Outcomes 1. Describe three advantages of using web-based platforms for eliciting advance care directives for hospitalized patients 2. Describe three disadvantages of using web-based platforms for eliciting advance care directives for hospitalized patients Importance Web-based platforms such as OurCareWishes.com hold great potential to overcome com...
Article
Background: A critical task of the inpatient interprofessional team is readying patients for discharge. Assessment of shared mental model (SMM) convergence can determine how much team members agree about patient discharge readiness and how their mental models align with the patient's self-assessment. Objective: Determine the convergence of inter...
Article
Full-text available
Improving hospital discharge processes and reducing adverse outcomes post discharge has become a topic of national importance, especially for older patients transitioning to skilled nursing facilities (SNFs). The substantial variation in rehospitalization outcomes suggests contextual factors may play a role in performance. We conducted rapid ethnog...
Article
Full-text available
Despite the increasing national focus on improving post-acute care outcomes, best practices for reducing readmissions from skilled nursing facilities (SNFs) are unclear. The objective of this rapid ethnographic study was to observe processes used to prepare older patients for post-acute care in SNFs, and to explore differences between hospital-SNF...
Article
Introduction: Improving hospital discharge processes and reducing adverse outcomes after hospital discharge to skilled nursing facilities (SNFs) are gaining national recognition. However, little is known about how the social-contextual factors of hospitals and their affiliated SNFs may influence the discharge process and drive variations in patien...
Article
Full-text available
Background: Physician review websites are now commonly used by patients. However, in facial plastic surgery, the trends and content in these websites are not well studied. We examined online reviews for U.S. facial plastic surgeons, and compared comment content with the most commonly used patient experience survey, the Consumer Assessment of Health...
Article
Full-text available
BACKGROUND/OBJECTIVES Prognostic tools are needed to identify patients at high risk for adverse outcomes receiving post‐acute care in skilled nursing facilities (SNFs) and provide high‐value care. The SNF Prognosis Score was developed in a Medicare sample to predict a composite of long‐term SNF stay, hospital readmission, or death during the SNF st...
Article
Nurses face workplace stressors that contribute to job dissatisfaction, burnout, and turnover, impacting not only patient safety but the nurses' physical and emotional well-being. At the 2018 American Academy of Nursing conference, a policy dialogue "Creating Healthy Work Environments to Address the Quadruple Aim" was convened focusing on creating...
Article
Studies show sleep deprivation impacts patients' ability to perform physical activities and can lead to delirium, depression, and other psychiatric impairments. One of the Choosing Wisely® recommendations is "Do not wake the patient for routine care unless the patient's condition requires it." The authors discuss the development of an evidence-base...
Article
The three components of the Triple Aim enhancing the patient experience, improving population health, and reducing costs have become the guide for opti- mizing healthcare system performance in the U.S. (Berwick, Nolan, & Whittington, 2008; Sikka, Morath, & Leape, 2015). The three aims are intrinsically inter- twined and therefore need to be address...
Poster
Full-text available
Background • Nurses constitute the largest and most trusted healthcare profession, yet are identified as having limited influence. • There is a critical need to optimize the influence of each nurse-and nursing-as a collective. Purpose • Explore a common influence agenda to identify target areas for nursing influence across PREP-TMI. Approach • A on...
Poster
Full-text available
Purpose: To examine teamwork Shared Mental Models [SMMs] among the interprofessional inpatient team members discharging patients from the hospital to home. Research Question: What are the defining characteristics of discharge teams with high and low teamwork SMMs? Theory: Failures in coordination among the inpatient healthcare team at discharge...
Poster
Full-text available
Shared Mental Models of Interprofessional Discharge Teams: Implications for Research and Quality Improvement
Chapter
Every nurse is a leader. Whether you are a staff nurse just learning how to understand your role as a leader or a seasoned nurse executive, you’ll find great value in the words of experienced nurse leaders. There is no single right way to lead. Leadership styles vary from person to person and team to team. The challenges that nurse leaders face are...
Article
Objective: To evaluate an interactive tool designed to help patients communicate their social resources supportive of home recovery to health care providers. Methods: Seventy medical and surgical inpatients completed the D-CEGRM social resource interview, demographic queries, and discharge readiness surveys (RHDS) at discharge. Two weeks later,...
Poster
Full-text available
Purpose: To pilot a novel measurement approach assessing Shared Mental Models (SMMs) of inpatient multidisciplinary discharge teams Research questions: 1) On the day of hospital discharge, what is the inpatient teams' level of agreement on patient's level of readiness to go home (Task SMM), and quality of teamwork to prepare the patient to go home...
Data
If you are having a hard time reading the poster, here are the figures!
Article
Understanding how safety culture mechanisms affect nursing safety-oriented behavior and thus patient outcomes is critical to developing hospital safety programs. Safety priming refers to communicating safety values intended to activate patient safety goals. Safety priming through nursing handoff communication was tested as a means by which cultural...
Article
Objective: to systemically review the literature to identify utilization and outcomes of asynchronous teleneurology. Background: Telemedicine has rapidly made significant inroads into clinical neurology. However, most applications and studies of teleneurology involve synchronous (“real-time”) forms of communication. An underutilized modality of tel...
Article
Full-text available
The study purpose was to describe how bedside nurses can use nursing bedside shift report (NBSR) to keep patients safe. NBSR has been recommended as a means of increasing patient safety, but little is known about how or whether it does so. Grounded theory methods were used. Data were collected from 2014 to 2015 with bedside nurses in a pediatric un...
Article
Full-text available
Implementation of TeamSTEPPS for improving patient safety is examined via descriptive qualitative analysis of semistructured interviews with 21 informants at 12 hospitals. Implementation approaches fit 3 strategies: top-down, bottom-up, and combination. The top-down approach failed to develop enough commitment to spread implementation. The bottom-u...
Conference Paper
In 2009, a novel H1N1 influenza virus emerged causing the first influenza pandemic in more than 40 years. Colleges bring students from many communities together in a crowded environment conducive to rapid contagion. Vaccinations have been shown to effectively prevent the spread of influenza. This study estimated the prevalence of influenza vaccinat...
Conference Paper
Throughout the spring and summer of 2008, the state of Iowa encountered extreme weather events, which have since been recognized as the worst natural disasters in Iowa's history. Heavy rains resulted in historic levels of flooding in the largely rural Winneshiek County, a largely rural county in northeastern Iowa, presented major challenges to the...

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