programs to expand nursing supply, other RN recruitment and management practices, and nursing staff satisfaction surveys.

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1 6.26 Supply documentation of all nursing research activities that are ongoing, including internal validation studies, internal and external research, and participation in surveys completed within the past twelve (12) months. As described in Force 6.23, research protocols involving human subjects are approved by the Partners Human Research Committee (PHRC), the Institutional Review Board (IRB) of Partners Research Management. Attachment 6.26.a includes nursing protocols that have been submitted to PHRC and their current status. Original research previously approved and completed was showcased during FY 2007 Nurses Week in poster presentations prominently displayed in the hospital. The original research included in the poster presentations are listed in attachment 6.26.b. MGH Nursing participates in a number of national and state benchmarking efforts (see also Force 7.6). At the national level, MGH Nursing submits data to the National Database of Nursing Quality Indicators (NDNQI), reporting quarterly on selected nursing sensitive indicators at the unit level (see also RD 4). The department also participates in annual benchmarking with other QuadraMed WinPFS System. Unit level data on acuity, workload and staffing are reported, together with general hospital data such as number of beds and case mix index. QuadraMed analyzes the data for benchmarking among all participating hospitals. In addition, MGH annually requests reports with benchmarking data from participating academic medical centers with greater than 500 beds. Similar benchmarking is done with the QuadraMed Emerge system for Emergency Departments. On the state level, MGH is one of the original 77 Massachusetts hospitals that joined together in the Patients First initiative, spearheaded by the Massachusetts Hospital Association (MHA) and the Massachusetts Organization of Nurse Executives (MONE). Patients First is a quality and safety initiative that provides information to the citizens of Massachusetts through a dedicated web site. Hospitals report staffing plans and actual staffing for inpatient care units, as well as data on selected quality indicators. MGH Nursing also responds to an annual survey from the Massachusetts Organization of Nurse Executives / Massachusetts Hospital Association Survey of Hospital Nurse Staffing Issues in Massachusetts, most recently completed in February, The survey requests aggregate data in ten categories: length of time to fill vacant positions, supplemental staffing and workload management, vacancy and turnover, reasons for voluntary RN departures, union status, severity of shortage by shift, RN recruitment and retention strategies, outreach 337

2 programs to expand nursing supply, other RN recruitment and management practices, and nursing staff satisfaction surveys. 338

3 Attachment 6.26.a Human Protocol Summary As of 9/26/2007 9:04:06 AM PI First Name PI Last Name Protocol Title Barron Anne An Exploration of Factors that Facilitate the Integration of Therapeutic Touch in Nursing Practice on an Inpatient Oncology and Bone Marrow Transplant Unit Protocol Number Sponsor Status Expiration Date 2005P Internal Funding Active - Data Analysis 9/12/2008 Blakeney Barbara Disseminating Transforming Care at the Bedside Calder Catherine The Effects of the Relaxation Response on Nurses' Level of Anxiety, Depression, Well- Being and Work-Related Stress Capasso Virginia Comparison of Three Methods for Wound Volume Measurement Carroll Diane The Antecedents to the Process of Integration in Older Cardiac Patients and Their Spouse After a Cardiac Event Coakley Amanda The Response of a Pet Therapy Visit on Patients, Volunteers and Nurses Coakley Amanda The Effect of Therapeutic Touch on Bio- Behavioral Stress Markers in Vascular Surgical Patients D'Avolio Deborah Factors Influencing Urban Community- Dwelling Elders Emergency Department Utilization Fitzmaurice Joan Transitions-in-Care: Technical and Relational Communication During Handoffs 2007P Pending IRB 2006P Internal Funding Active - Enrolling 2003P NIH Active - Enrolling 2006P Internal Funding Active - Enrolling 2004P Dept Funds Active - Enrolling (1 AM Pending) 2006P Yvonne Munn Res Grant Active - Enrolling 2005P Internal Funding Hold - Lapsed (1 CR Pending) 2004P Risk Management Foundatio Exempt (1 AM Pending) 2/20/2008 2/16/2008 1/11/2008 2/6/2008 2/6/2008 5/17/2006 Flanagan Jane The Patient Experience of Living with COPD Status Post the First Hospitalization Admission to Manage Symptoms 2007P BC Active 3/8/2008 Gervasini Alice TRACS Database 2002P Active - Ongoing 8/20/2008 Gonzalez Colleen Visiting Preferences of Patients and Nurses 2001P Active - Enrolling 11/24/

4 Attachment 6.26.a continued PI First Name PI Last Name Protocol Title Protocol Number Sponsor Status Expiration Date Goodman Janice Women's Emotional Health Before and After 2006P Internal Funding Active - Closed 4/11/2008 Childbirth Enrollment Griffith Catherine Nursing Reserch Committee: Journal Club 2007P Internal Funding Exempt Surveys Griffith Catherine Capacity for Direct Attention and 2002P Dept Funds Active - Enrolling 1/10/2008 Psychological Distress in Patients After Cardiac Surgery Gullage Judith Patient Education on General Medical Units 2006P Internal Funding Active 1/21/2008 Heike Mary Ellen Obesity and Pregnancy: Developing and Effective Approach to Educating Women About the Risks of Obesity During Pregnancy Ives Erickson Jeannette Knowledge and Influence of the Nurse Leader Jeffries Marian Assessment of the Effectiveness of a Bedside Teaching Tool in Assisting the Staff Nurse to Educate the Inpatient with Diabetes Jeffries Marian Assessment of the Effectiveness of Preoperative Distribution of Incentive Spirometers With Instruction at Preventing Postoperative Atelectasis Requiring Bronchoscopy in Pulmonary Resection Patients Kelly-Sammon Sharon Pre-Operative Eduction of PCA (Patient Controlled Analgesia) Larrivee Kathleen What Levels of Moral Distress do Staff Nurses Experience Practicing on a General Medical Unit Lee Susan An Evaluation of Quality Nursing Care Among Outpatient Oncology Patients Mann Caitlin Parental Perceptions of Longitudinal Outcomes Research McCarthy Nancy National Database of Nursing Quality Indicators (NDNQI) Myers Jacqueline Safety Concerns of Hospital Based, New-to- Practice RNs and Their Preceptors 2007P Partners Commun Benefits 2007P Dept Funds Exempt Active 4/3/ P None Active 8/2/ P Dept Funds Pending IRB 2006P Internal Funding Not Human Research 2007P Internal Funding Exempt 2006P Internal Funding Active - Data Analysis 8/8/ P Internal Funding Active 6/22/ P Internal Funding Exempt 2007P Dept Funds Active 5/1/

5 Attachment 6.26.a continued PI First Name PI Last Name Protocol Title Perry Donna Nonviolent Action for Peace and Justice: Israeli and Palestinian Combatants for Peace Phipps Marion Music as a Therapeutic Intervention in Care of Neuromedical and Neurosurgical Patients Rossi Laura Recovery From a Coronary Event: Understanding the Nature of the Patient's Journey Simmonds Katherine Assessing the Reproductive Health Content of Nursing Education in the United States Simonelli Mary Preventing Relapse to Smoking: Cluster Analysis of Postpartum Women Somerville Jacqueline Patient's Perceptions of Feeling Known by Their Nurses Stengrevics Susan Enteral Feeding Tube Management RN Survey Tyer-Viola Lynda Incidence and Treatment Patterns for Women with Psychiatric Disorders During Pregnancy Tyer-Viola Lynda Incidence and Treatment Patterns for HIV Positive Women with Psychiatric Disorders During Pregnancy Tyer-Viola Lynda The Relationship Between Fatigue and Depression in HIV Positive Pregnant and Postpartum Women Washington Deborah CurriculumEvaluation: Building Relationships in the Diverse Hospital Community Protocol Sponsor Status Expiration Date Number 2007P Internal Funding Active 4/18/ P Yvonne Munn Res Grant Active - Enrolling 5/24/ P Internal Funding Active 9/12/ P Internal Funding Exempt 2005P Sigma Theta Tau Active - Survival F/U 7/3/ P Internal Funding Active 8/20/ P Internal Funding Active - Data Analysis 7/3/ P Internal Funding Active - Ongoing 11/27/ P Internal Funding Active - Ongoing 1/10/ P Yvonne Munn Res Grant 2006P Internal Funding Exempt Active - Enrolling 7/3/

6 Attachment 6.26.b 342

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