Papers by Jennifer Bellot
Nursing Forum, 2011
This Article is brought to you for free and open access by the Jefferson Digital Commons. The Jef... more This Article is brought to you for free and open access by the Jefferson Digital Commons. The Jefferson Digital Commons is a service of Thomas Jefferson University's Center for Teaching and Learning (CTL). The Commons is a showcase for Jefferson books and journals, peer-reviewed scholarly publications, unique historical collections from the University archives, and teaching tools. The Jefferson Digital Commons allows researchers and interested readers anywhere in the world to learn about and keep up to date with Jefferson scholarship. This article has been accepted for inclusion in School of Nursing Faculty Papers & Presentations by an authorized administrator of the Jefferson Digital Commons.
Nursing Home Culture Change: What Does It Mean to Nurses?
Research in Gerontological Nursing, Oct 1, 2012
The purpose of this study was to explore, from the perspectives of licensed nurses, the organizat... more The purpose of this study was to explore, from the perspectives of licensed nurses, the organizational culture, work environment, and factors influencing culture change in two nursing homes participating in the Wellspring Program. All licensed nurses ⩾0.25 full-time equivalent from two nursing homes were invited to complete the Organizational Culture Inventory and the Work Environment Scale. A subset of respondents was invited to participate in subsequent interviews. Data indicated unresolved conflict, low employee satisfaction, high work demands, and managerial control in the workplace. Qualitatively, three categories emerged: Confusion over culture change, role, and documentation; Conflict over the integration of traditional care with a resident-centered model; and Commitment to providing quality nursing care to the resident. To ensure the successful implementation of culture change, consideration must be given to clarity of communication, anticipation of role conflict, and building on the underlying strength of job commitment.
Patient Safety Symposium: Teamwork to Promote a Culture of Safety
Background/Rationale: Evidence suggests that working in a culture of collaborative teams can prev... more Background/Rationale: Evidence suggests that working in a culture of collaborative teams can prevent errors and improve patient outcomes. Introducing innovative interprofessional medical error educational sessions to students has the potential to heighten their awareness, knowledge and perspectives of patient safety and the importance of the team approach in their future practices. An interprofessional team of faculty planned and implemented a pilot four-hour symposium for students from family therapy, medicine, nursing, occupational therapy, pharmacy, physical therapy and population health atThomasJeffersonUniversity. The symposium included four modules: Culture of Team-Communication/Conflict Management, Root Cause Analysis, Error Disclosure and Support for Health Providers (the Second Victim.). The format of the session comprised a medical error case presentation, short didactic presentations, an interactive discussion with root cause analysis of the error, video demonstration of an error disclosure, and video testimonials of providers involved in medical errors and a director of a support program. Student interprofessional groups were assigned a standardized patient actor to whom they were to disclose a medical error and receive feedback. Evaluation data were collected that included knowledge, perceptions, and satisfaction with the session. Based on the feedback from faculty and students, this workshop has been integrated into the fourth year medical school curriculum and has been presented monthly with student representation from the participating disciplines. This session will simulate the symposium and will provide a forum to develop ideas for similar interprofessional projects in the future. Learning Objectives: Participants will be able to: 1. Describe issues of patient safety and medical error management in health care. 2. Demonstrate curricular methodologies through participation in a simulated symposium. 3. Design a similar symposium on patient safety or other appropriate topics at their home institutions
Licensed nurses are often identified as a major barrier to the successful implementation of nursi... more Licensed nurses are often identified as a major barrier to the successful implementation of nursing home culture change initiatives, but there is little knowledge of their perceptions of the culture change experience. This study was designed to explore licensed nurses' perceptions of organizational culture and work environment, as well as perceptions of factors that influence the adoption of a specific culture change initiative, the Wellspring Program. All licensed nurses ≥.25 FTE from two nursing homes were invited to complete surveys. Overall response rate was 57% (N=47): 55% from Facility One (n=27) and 61% from Facility Two (n=20). A subset of 13 respondents, targeted for their increased length of tenure in their nursing home, was invited to participate in an interview. Data were triangulated to determine complementarity. Three themes emerged from the data: Confusion over culture change and the role of the licensed nurse, Conflict over the integration of traditional care models with a resident-centered model and Commitment to the resident as an individual and to providing quality nursing care. What is perceived by administrators as nurses' "resistance to change" may, in fact, be a struggle by licensed nurses to make sense of the motivation and reasoning for changes or to understand the actual changes and their roles in the change process. Degree Name
Patient Safety Symposium: Issues, Analyses, Prevention
MedEdPORTAL, Dec 19, 2013
Abstract Introduction While learning the basics of patient safety, students can also learn about ... more Abstract Introduction While learning the basics of patient safety, students can also learn about the contribution members of the various health professions can make to patient safety, which is why ...
Population Health Management, Feb 1, 2014
This Article is brought to you for free and open access by the Jefferson Digital Commons. The Jef... more This Article is brought to you for free and open access by the Jefferson Digital Commons. The Jefferson Digital Commons is a service of Thomas Jefferson University's Center for Teaching and Learning (CTL). The Commons is a showcase for Jefferson books and journals, peer-reviewed scholarly publications, unique historical collections from the University archives, and teaching tools. The Jefferson Digital Commons allows researchers and interested readers anywhere in the world to learn about and keep up to date with Jefferson scholarship. This article has been accepted for inclusion in Department of Nursing papers and presentations by an authorized administrator of the Jefferson Digital Commons.
Jefferson Digital Commons
Use of quick response coding to create interactive patient and provider resources.
Recommended Citation Bouchaud, PhD, RN, Mary; Gerolamo, PhD, APRN, BCPS, Angela; Swan, PhD, CRNP,... more Recommended Citation Bouchaud, PhD, RN, Mary; Gerolamo, PhD, APRN, BCPS, Angela; Swan, PhD, CRNP, FAAN, Beth Ann; Black, PhD, RNC, Kathleen; Alexander, MSN, RN, CCRN, Karen; Bellot, PhD, MHSA, CNE, Jennifer L.; Brown, MSN, RNC, Denise; Egger, PhD, RN, Susan; Scherzer, MSN, RN, CCRN, Rachel; Shaffer, EdD, RN, CNE, Kathy; Levonian, PhD, RN, Catherine; and Sullivan, PhD, RN, NE-BC, CPHQ, FAAN, Dori, "Accelerating Curriculum Design: "A Love It, Don't Leave It" Approach to Creative Process and Idealized Design" (2015). College of Nursing Posters. 11. https://jdc.jefferson.edu/nursingposters/11
Enhanced Patient and Caregiver Engagement Drive Utilization and Quality Outcomes in an Advanced Practice Nurse-Led Care Transitions Intervention with Super Utilizers
The purpose of this project, Beebe CAREs, was to incorporate health coaching and a multidisciplin... more The purpose of this project, Beebe CAREs, was to incorporate health coaching and a multidisciplinary approach into traditional Advanced Practice Nurse-led transitional care. The CAREs intervention (Care coordination, Access to care, Referral to community based resources and Empowerment of patients and caregivers) aimed to achieve a sustainable impact on participants, resulting in reduced hospitalization, and improved transition skills and quality of life. APRNs possess the clinical and interpersonal skills, in-depth knowledge of systems and how to work within them to affect positive patient outcomes and keep patients well during vulnerable transitions in care. As the health care industry moves forward in pursuit of the best way to provide care for patients across the entire continuum of care, the focus should be on optimizing both utilization and quality of life for the most vulnerable populations through the provision of Advanced Practice Nurse- led transitional care emphasizing he...
Painting a portrait of utilization: Medicare and Nurse Managed Centers
Presentation: 53 minute
Patient Safety Symposium: Teamwork to Promote a Culture of Safety
Background/Rationale: Evidence suggests that working in a culture of collaborative teams can prev... more Background/Rationale: Evidence suggests that working in a culture of collaborative teams can prevent errors and improve patient outcomes. Introducing innovative interprofessional medical error educational sessions to students has the potential to heighten their awareness, knowledge and perspectives of patient safety and the importance of the team approach in their future practices. An interprofessional team of faculty planned and implemented a pilot four-hour symposium for students from family therapy, medicine, nursing, occupational therapy, pharmacy, physical therapy and population health atThomasJeffersonUniversity. The symposium included four modules: Culture of Team-Communication/Conflict Management, Root Cause Analysis, Error Disclosure and Support for Health Providers (the Second Victim.). The format of the session comprised a medical error case presentation, short didactic presentations, an interactive discussion with root cause analysis of the error, video demonstration of an error disclosure, and video testimonials of providers involved in medical errors and a director of a support program. Student interprofessional groups were assigned a standardized patient actor to whom they were to disclose a medical error and receive feedback. Evaluation data were collected that included knowledge, perceptions, and satisfaction with the session. Based on the feedback from faculty and students, this workshop has been integrated into the fourth year medical school curriculum and has been presented monthly with student representation from the participating disciplines. This session will simulate the symposium and will provide a forum to develop ideas for similar interprofessional projects in the future. Learning Objectives: Participants will be able to: 1. Describe issues of patient safety and medical error management in health care. 2. Demonstrate curricular methodologies through participation in a simulated symposium. 3. Design a similar symposium on patient safety or other appropriate topics at their home institutions
Nursing economic$, 2017
Upon implementation of the Affordable Care Act (ACA), many managed care organizations (MCOs) init... more Upon implementation of the Affordable Care Act (ACA), many managed care organizations (MCOs) initially increased their nurse practitioner (NP) contracting. This trend has not continued, potentially frustrating ACA efforts to expand primary care provider capacity. In this study, about 25% of the responding MCOs did not contract with NPs as primary care providers. only 62.5% of respondent MCOs offering Medicaid products reported contracting with NPs as primary care providers, suggesting this will place a disproportionate burden on low-income patients seeking to access care. Findings from this study also have important geographic implications, suggesting the decision to contract with NPs is made individually, not necessarily influenced by the numbers of newly insured or available primary care physicians.
Journal of Nursing Education and Practice, 2016
This Article is brought to you for free and open access by the Jefferson Digital Commons. The Jef... more This Article is brought to you for free and open access by the Jefferson Digital Commons. The Jefferson Digital Commons is a service of Thomas Jefferson University's Center for Teaching and Learning (CTL). The Commons is a showcase for Jefferson books and journals, peer-reviewed scholarly publications, unique historical collections from the University archives, and teaching tools. The Jefferson Digital Commons allows researchers and interested readers anywhere in the world to learn about and keep up to date with Jefferson scholarship. This article has been accepted for inclusion in School of Nursing Faculty Papers & Presentations by an authorized administrator of the Jefferson Digital Commons.
In 2004, the American Association of Colleges of Nursing (AACN) decided to move the level of prep... more In 2004, the American Association of Colleges of Nursing (AACN) decided to move the level of preparation for advanced practice nurse (APN) roles from the master's to the doctoral level. 1 AACN also called for educating APNs and other nurses seeking top leadership and clinical roles in Doctor of Nursing Practice (DNP) Programs. AACN envisions the DNP degree as the terminal degree for advanced nursing practice by 2015.
Using QR Coding to Create Interactive Patient and Provider Resources
Objectives: 1. List two applications of QR coding for didactic knowledge. 2. List two application... more Objectives: 1. List two applications of QR coding for didactic knowledge. 2. List two applications of QR coding in the clinical setting. 3. Discuss appropriate QR applications specific to individual disciplines and their corresponding patient populations. Presentation: 35 minute
Licensed nurses are often identified as a major barrier to the successful implementation of nursi... more Licensed nurses are often identified as a major barrier to the successful implementation of nursing home culture change initiatives, but there is little knowledge of their perceptions of the culture change experience. This study was designed to explore licensed nurses' perceptions of organizational culture and work environment, as well as perceptions of factors that influence the adoption of a specific culture change initiative, the Wellspring Program. All licensed nurses ≥.25 FTE from two nursing homes were invited to complete surveys. Overall response rate was 57% (N=47): 55% from Facility One (n=27) and 61% from Facility Two (n=20). A subset of 13 respondents, targeted for their increased length of tenure in their nursing home, was invited to participate in an interview. Data were triangulated to determine complementarity. Three themes emerged from the data: Confusion over culture change and the role of the licensed nurse, Conflict over the integration of traditional care models with a resident-centered model and Commitment to the resident as an individual and to providing quality nursing care. What is perceived by administrators as nurses' "resistance to change" may, in fact, be a struggle by licensed nurses to make sense of the motivation and reasoning for changes or to understand the actual changes and their roles in the change process. Degree Name
Journal of Professional Nursing, 2016
In 2000, the John A. Hartford Foundation established the Building Academic Geriatric Nursing Capa... more In 2000, the John A. Hartford Foundation established the Building Academic Geriatric Nursing Capacity Program initiative, acknowledging nursing's key role in the care of the growing population of older adults. This program has supported 249 nurse scientists with pre-and postdoctoral awards. As a result of the program's success, several Building Academic Geriatric Nursing Capacity Program awardees formed an alumni organization to continue to advance the quality care of older adults. This group of Building Academic Geriatric Nursing Capacity Program awardees joined others receiving support from the John A. Hartford Foundation nursing initiatives to grow a formal organization, the Hartford Gerontological Nursing Leaders (HGNL). The purpose of this article is to present the development, accomplishments, and challenges of the HGNL, informing other professional nursing organizations that are experiencing similar accomplishments and challenges. This article also demonstrates the power of a funding initiative to grow an organization dedicated to impact gerontological health and health care through research, practice, education, and policy.
The Journal of nursing education, 2015
Since their creation more than 20 years ago, the proliferation of Quick Response (QR) codes has e... more Since their creation more than 20 years ago, the proliferation of Quick Response (QR) codes has expanded tremendously. Little was found in the literature to support the innovative use of QR coding in the classroom or in health care provision. Thus, the authors created a doctoral-level practicum experience using QR coding to create interactive, individualized patient or provider resource guides. Short, descriptive surveys were used before and after implementation of the practicum experience to determine students' comfort level using QR technology, their knowledge base, ease of use, and overall satisfaction with the practicum. Students reported high levels of satisfaction with this exercise, and all agreed that use of QR coding could have important implications in the clinical environment. This practicum experience was a creative, practical, and valuable example of integrating emerging technology into individualized patient care. [J Nurs Educ. 2015;54(4):224-227.].
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Papers by Jennifer Bellot