HCA – Mission Health Nursing Research News

Using Clinical Nurse Specialists to Take Your Outcomes to the Next Level

Studies show that advanced practice nurses (APRNs) are critical to the success of top-performing health systems. However, evidence shows in many settings, one of the key advanced practice nursing roles – the Clinical Nurse Specialist (CNS) – is underutilized and not well understood.

To help address this, in December, HCA Mission Health’s own CNSs, Andrea Slivinski (DNP, RN, ACNS-BC, CEN, CPEN) and Jean Bollinger (MSN, RN, ACCNS-AG, CCRN-K), and several other advanced practice nurses, wrote an article “Taking outcomes to the next level: The clinical nurse specialist as partner in changing practice.”

The article, which was published in the December 2020 issue of Nursing Management (available here), includes a brief history of the CNS role, and useful tips for developing the CNS role in your environment, is an important read for healthcare leaders looking for ways to optimize outcomes and maximize nurse autonomy.


Mission Health Trauma Group Takes Part in National COVID-19 Research

In an important step forward for COVID-19 research, HCA staff from across the country just published results of their study entitled: “Decreased Adult Trauma Admission Volumes and Changing Injury Patterns during the COVID-19 Pandemic at 85 Trauma Centers in a Multistate Healthcare System.” The retrospective, multi-site study (which includes Mission Health’s own Trauma CNS, Andrea Slivinski (DNP, RN, ACNS-BC, CEN, CPEN)), was published last month in the open-access journal Trauma Surgery and Acute Care Open (which you can access here).

Results of the study, which looked at data from over 12,000 trauma patients at 85 of trauma centers participating in HCA’s National Trauma Registry during the pandemic found that while the overall volume of patients went down during the pandemic, injury severity went up, as did the number of trauma patients who did not survive to discharge.

In addition to providing important insights into the impact that the pandemic had in different populations of trauma patients, findings from the study set the stage for future studies looking at ways to help trauma patients during the pandemic, as well as cost-containment and performance improvement projects to help develop leaner, more pandemic-ready trauma services.


HCA Mission Health Nurse Scientist Takes Part in NIH Panel on COVID-19, Symptom Science and Health Disparities

Recently, HCA Mission Health’s new Nurse Scientist Scholar, Dr. Noah Zanville (PhD, RN, BA), served as one of the moderators for a session on symptom science at the Symptom Science Advances in Oncology Nursing Virtual Symposium, hosted by the National Institute of Nursing Research (NINR) and Oncology Nursing Society (ONS).

Dr. Zanville, who oversees nursing research for HCA Mission Health’s North Carolina Division, is one the authors of ONS’s upcoming COVID-19 Research Agenda, and a researcher who has been heavily involved in COVID-19 research and data since the start of the pandemic.

At the Symposium, Dr. Zanville and his colleagues presented at the ‘Hot Topics in COVID-19 and Health Disparities” poster session. “Right now, the data is showing us that in some parts of the country, while patients who identify as African American, Native American, or Latino are more than twice as likely not only to contract the virus, but die from it, making this an extremely serious issue that we need to address” Dr. Zanville shared.

One of barriers facing public health departments and health systems in this area is the lack of data on COVID-19 and health disparities. Tracking for topics like race, ethnicity, sexual orientation, gender identity, socio-economic status, access to health services around COVID-19 is lacking in many places, which is where research can really help, especially from nurses, who see many of these issues every day.”

 Interested in learning more or working on health disparities research? Reach out to Dr. Zanville at Noah.Zanville@HCAHealthcare.com or HCA Mission Health’s Nursing and Evidence Research Council (NERC) NCDV.NERC@HCAHealthcare.com to get involved.

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