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Tracy Kleiner, Adrianna Torres, and Grace de Leon

Nurse-driven hospital evidence-based practice and research projects disseminated in 2024

Nurses at the Vallejo Medical Center shared many evidence-based practice and research projects in 2024, including:

  • Linda Park, BSN, RN Interim Manager KFRC & Michelle Camicia PhD, RN, Director KFRC. RN. Smart-home Technologies for Patient and Caregiver Use at Home After Discharge from Inpatient Rehabilitation. Guzman J, Garcia EM, Park L, Camicia M, Ray C, Theodore BR. American Congress of Rehabilitation Medicine, Dallas, TX. Oct 31st – Nov 3rd, 2024.
  • Nurse Sam AvecillaSamantha Avecilla, MSN, RN Clinical Nurse KFRC COC (pictured at right). Nurturing Confidence in HAPI Prevention: A Mentorship Program for New Rehab Nurses. Avecilla SP. Association of Rehabilitation Nurses (ARN) 2024 Rehabilitation Nursing Conference, San Antonio, TX. Aug 5th – Aug 13th, 2024.
  • Samantha Avecilla, MSN, RN Clinical Nurse KFRC COC. Virtual Presentation: Why Rehab? Avecilla SP. Association of Rehabilitation Nurses (ARN) 2024 Rehabilitation Nursing Conference, San Antonio, TX. Aug 5th – Aug 13th, 2024.
  • Samantha Avecilla, MSN, RN Clinical Nurse KFRC COC. General Session: Connections are Critical. Avecilla SP. Association of Rehabilitation Nurses (ARN) 2024 Rehabilitation Nursing Conference, San Antonio, TX. Aug 5th – Aug 13th, 2024.
  • Yasmin Proctor, DNP, RN, Interim Director KFRC. Impact of the Calm Smartphone Application on Depression for Patients Following Stroke. Proctor Y. Kaiser Permanente Napa-Solano Area 2024 National Nursing Conference. Sep 19th – Sep 20th, 2024.
  • Samantha Avecilla, MSN, RN Clinical Nurse KFRC COC. Strengthening Relationship Mutuality and Lowering Stress in the Caregiver and Care Recipient who has a Disabling Injury or Illness through Gardening: A Mixed Method Research Avecilla SP. Kaiser Permanente Napa-Solano Area 2024 National Nursing Conference. Sep 19th – Sep 20th, 2024.
  • Samantha Avecilla, MSN, RN Clinical Nurse KFRC COC. Nurturing Confidence in HAPI Prevention: A Mentorship Program for New Rehab Nurses. Avecilla SP. Kaiser Permanente Napa-Solano Area 2024 National Nursing Conference. Sep 19th – Sep 20th, 2024.
  • Samantha Avecilla, MSN, RN Clinical Nurse KFRC COC. Nurturing Confidence in HAPI Prevention: A Mentorship Program for New Rehab Nurses. Avecilla SP. Kaiser Permanente Research and Innovation Week, 2024.
  • Lizzy Chat, MSN, RN, Clinical Nurse PACU; Tracy Kleiner, BSN, RN, Clinical Nurse PACU; Grace Prado-De Leon, BSN, RN, Clinical Nurse PACU; and Adriana Torres MSN, RN Nurse ANM PACU. “Applying ERAS concepts for patients undergoing same day laparoscopic cholecystectomy,” ASPAN’s 43rd National Conference in Orlando, FL April 14-19, 2024.
  • Raisa Pangilinan, BSN, RN, CWON, Lindsay Fletcher BSN, RN, CWON, Dawn Davis Clinical Wound Associate, and Charity Shelton DNP, RN, NE-BC. Nasogastric tube and BIPAP mask-related pressure injury in adult care services,” 2024 National Nurses Conference, September 19, 2024.
Nurse playing the saxophone while a ballerina dances in front of a Christmas tree.

A symphony of care and compassion 

Amid the ebb and flow of hospital operations, the lobby was transformed into a sanctuary of joy and inspiration as local nurse talent and musician Tunde Lasode BSN, RN of 4 West (pictured), performed alongside graceful ballerinas. Their music and cultured performance brought smiles to patients and staff alike, lifting spirits throughout the day. 

The magic extended into patient care services, where soulful saxophone melodies filled the air, a volunteer’s heartfelt singing resonated with joy, and children of nurses and staff shared snacks, spreading warmth and cheer.

One nurse shared, “Just hearing the music made me forget about work—it was the mental recharge I needed.” Several patients were so moved that they requested private performances to experience the healing power of music in the comfort of their rooms. 

This event was a beautiful reminder that music therapy fills the soul, fostering well-being and connection within the hospital. Special thanks to our Caring Council, Val Bartolomucci BSN, RN led by Care Experience Leader Lisa Giusto, and to Juanita Jularbal-Walton DNP, MBA, RN, NEA-BC for supporting this inspiring initiative. 

Nurses at the geriatric symposium

Advancing geriatric care: Impact of the Geriatric Symposium  

With the rapidly growing population of adults aged 65 and older admitted in Kaiser Permanente Vallejo, the Geriatric Symposium emerged as a critical initiative to elevate care for older adults. This year’s event united multidisciplinary experts and nurses, who collaborated with Dianne Sorrera, MS, RN, AGCNS-BC, CMSRN, PCCN Geriatric Certified Nurse Specialist (CNS), to organize a comprehensive program that empowered clinicians with enhanced skills, knowledge, and compassion, focusing on the Age-Friendly Initiative 4Ms—What Matters Most, Mentation, Medication, and Mobility. 

The symposium offered dynamic presentations tailored to the complex needs of hospitalized older adults. Physical Therapy addressed falls and sarcopenia, equipping nurses with evidence-based strategies to prevent injuries and promote mobility. The Geriatric CNS provided insights into frailty, enabling nurses to design personalized care plans and prevent functional decline. A geriatrician’s session on memory and aging provided tools to manage challenging dementia-related behaviors, easing caregiver burden and improving outcomes. Lastly, the Alzheimer’s Association delivered effective communication strategies, empowering nurses to reduce patient anxiety and foster person-centered care. 

This event also fostered interdisciplinary collaboration and encouraged empathy, shifting nursing attitudes toward a more positive and proactive view of aging. Nurses like Angelica Ojacastro, BSN RN SNIII, Patricia Solis RN, and Maryanne Martinez BSN, RN worked alongside experts like Dr. Saad Basheer and Claire Day to make the symposium impactful. 

By investing in continuing education and fostering collaboration, the Geriatric Symposium has transformed nursing practice, ensuring compassionate, evidence-based care for the aging population. 

2 nurses at the patient communication board

Redefining patient engagement with communication boards 

In December 2023, the Adult Services unit at Kaiser Permanente Vallejo introduced the “Roadmap to Home” communication boards, spearheaded by Marisa Flores, BSN, RN PCCN, SNIII, and 4East manager Maria Martin, BSN, RN. Piloted in 4East, these boards aim to enhance patient involvement by providing a clear, visual guide to their care journey. They focus on individual goals, medication education, pain management, safety measures, and transparency with care teams, empowering patients to take an active role in their recovery. 

The initiative also integrated seamlessly into the “My Meds Matter” pilot by collaborating with multidisciplinary teams and leveraging technology, utilizing HealthConnect to enhance nurse documentation and improve medication education for patients. This program focuses on providing first-dose medication education directly at the bedside, ensuring patients fully understand their treatments and fostering a more informed approach to their care. 

Champions from each unit played a critical role, leading staff training, reinforcing education during shift huddles, and monitoring compliance through audits. Their dedication ensured the boards were effectively implemented across telemetry and medical-surgical units. 

The impact is reflected in HCAHPS data. Nurse Communication scores were 91.1 in December 2023, reflecting initial adjustments. By March 2024, scores rose to 94.4, achieving 4-star performance. Likewise, Likelihood to Recommend scores improved from 88.6 in December to 92.2 by August 2024, reaching top-tier benchmarks. 

Despite initial challenges, the communication boards have proven to be a vital tool in improving the patient experience. They address patient needs holistically, reinforcing Kaiser Permanente’s commitment to patient-centered care and fostering transparency across the Adult Services department.  

Gamification of code blue

Leveling up: Gamification in Core Councils and education 

Gamification, the integration of game elements into non-game environments, is emerging as a powerful strategy in nursing education. Research shows that using gamified approaches promotes deeper learning, reduces stress, fosters critical thinking, and motivates students in a non-threatening environment. It also enhances attitudes, values, cultural sensitivity, and caring, making it particularly effective for today’s tech-savvy nursing workforce. 

Nurses training with a game of operation.Before initiating the core councils, we assessed nurses’ confidence levels in data interpretation. Results showed that 31% perceived themselves as novices, 50% as beginners, and 19% as intermediate, with 0% identifying as advanced or expert. Recognizing this gap, during the second session, we conducted an interactive class focusing on terms related to the core councils—Professional Development, EBP/Research, Quality and Patient Safety, and Care Experience. The session covered a glossary of terms, chart types, chart elements, and basic graph interpretation, coupled with hands-on training and personalized feedback.  

To solidify learning, we used gamification as an active teaching strategy. In a general assembly during the Voice of Nursing (VON), a knowledge competition was held between frontline staff and leaders, who regularly interpret data. Predictably, the leaders outperformed the staff; however, the competitive yet fun environment motivated all participants to engage and learn. This monthly activity is designed to track progress in nurses’ confidence levels and skills over time. 

By incorporating gamification, we are fostering a culture of continuous improvement, with both leaders and nurses upping their game—keeping each other on their toes while making learning enjoyable and impactful. 

Nurses at a disaster drill

Preparedness in action: nurse-driven disaster readiness for Mass Casualty Incidents  

In a proactive effort to enhance disaster preparedness, a collaborative team from Kaiser Vallejo’s Emergency Department (ED) identified critical gaps in readiness for mass casualty incidents (MCIs). The group, including Joey Driscoll, RN, Assistant Nurse Manager; Marly Luna, BSN, RN, Staff Nurse III; Krishna Chandra, ER Tech; and Leslee Curtola, Equipment Tech, initiated a project to build specialized disaster carts to ensure efficient triage and treatment during emergencies. 

Nurses at the Mass Casualty TrainingThe project involved creating three zone-specific carts—Green (minor injuries), Yellow (stable but requiring timely care), and Red (critical patients needing immediate intervention)—alongside a triage disaster cart for immediate deployment. Each cart was designed to address the unique needs of patients based on acuity, streamlining care and optimizing the use of resources. The team collaborated with the disaster committee to finalize designs, secure approval, and determine optimal storage locations near the ED for quick accessibility. 

Building the carts was a hands-on, meticulous process. Leslee procured the necessary components, and the team measured and organized shelves to accommodate specific supplies for each zone. The anteroom chosen for storage required significant decluttering, a task undertaken by the team to ensure readiness. Assembly of each cart took an average of eight hours, with careful attention to detail in stocking and organizing supplies. 

The disaster carts are now fully assembled and ready for use, providing a robust system for MCI response. This nurse-led initiative highlights the critical role of collaboration in addressing gaps and improving emergency preparedness. The team’s efforts ensure that the ED is well-equipped to respond efficiently and effectively to crises, safeguarding the community and enhancing patient outcomes during MCIs. 

Nurse handing a newborn to mom as dad looks on.

Creating safe spaces in maternity care 

Lawonda Brown-Lucas, DNP, RN spearheaded the Equity, Inclusion, and Diversity (EID) Committee while serving as a frontline nurse in the Family Birthing Center (FBC). Her commitment to fostering a compassionate and inclusive environment led to meaningful discussions on unconscious bias and its impact on maternity care.“

The most impactful thing we’ve done is create a safe space for people to acknowledge their racial biases and ask questions,” Brown-Lucas reflected.  

These discussions, enriched with teach-ins, book readings, and terminology examples, empowered clinicians to confront stereotypes and gain cultural understanding. Topics like mental health trauma’s influence on pregnancy care showcased the committee’s forward-thinking approach. 

After her promotion to FBC Manager, Brown-Lucas entrusted the leadership to Roseanna Ainsley, BSN, RN, SN III in January 2024. Under Ainsley’s guidance, the committee continues to create judgment-free spaces where participants can share experiences, reflect, and challenge biases collaboratively. The group remains focused on advancing professional growth and ensuring more inclusive and compassionate care. 

The EID Committee’s work is transformational by fostering empathy, improving patient-provider connections, and addressing disparities. Its impact reaches beyond individual clinicians, reshaping maternity care delivery with equity and understanding.  

Read more: https://lookinside.kaiserpermanente.org/fighting-bias-in-pregnancy-care/  

Group of nurses at a fair

Safe patient handling fair – lifting safety to new heights 

The air buzzed with energy on October 16, 2024, as the Safe Patient Handling (SPH) Fair unfolded in alongside Rachel Grigg and Crystal Goff, showcased the perfect blend of innovation, collaboration, and education, all in the name of patient and staff safety. 

The fair featured hands-on demonstrations and practical skills training. Joanna Nielson, RN, a dedicated safety officer, worked tirelessly to ensure the event’s success, while Raul Valderrama, BSN, RN, led engaging sessions on mobile lift usage. Attendees explored advanced equipment, including patient transfer aids, and practiced ergonomic techniques to prevent injuries. Engineering demonstrated evacuation chair functionality, while Bio-Med educated staff on equipment tagging. Security introduced safety initiatives and their new teams, promoting a secure workplace environment. 

This year, Chief Nurse Executive Juanita Jularbal-Walton DNP, MBA, RN, NEA-BC elevated the event by introducing a strategic initiative aimed at reinforcing safety in the workplace. Her commitment created a unified sense of purpose that transcended the day’s activities. 

With interactive learning, staff were empowered to improve their safe patient handling practices. The SPH Fair 2024 was more than an event; it was a collective movement toward safer, smarter patient care. 

Nurses volunteering at the Food Bank

VON nurses support community wellness at the Food Bank  

On October 29, 2024, Kaiser Permanente nurses Poonam Singh BSN, RN PHN and Jica Naval BSN, RN SNIV participated in the Food Bank of Contra Costa and Solano’s Second Annual Staff Health and Wellness Fair in Fairfield. This event brought together diverse vendors and resources aimed at promoting holistic well-being for Food Bank employees, emphasizing physical, mental, emotional, and social health. 

Food BankThe involvement of clinical nurses reflected Kaiser Permanente’s deep commitment to community health. Representing the Voice of Nursing (VON), their participation extended beyond a simple outreach effort—it fostered meaningful connections with shared values and initiatives central to both organizations. Their dedicated table served as a hub for engagement, where attendees gained insights into health resources and received answers to health-related questions. Poonam noted, “This opportunity allowed me to better understand the community’s needs and how nurses can provide essential resources. It also deepened my understanding of the positive experiences KP members have with our services.” 

For Jica, the fair was equally impactful. “I was inspired by the thoughtful initiatives the Food Bank showcased, such as their Workplace Safety and Equity Committees, which closely align with our own programs at Kaiser Permanente Vallejo. Seeing these shared commitments to care and compassion was truly energizing.” 

As a member of the Food Bank’s Board of Directors, our Chief Nurse Executive Juanita Jularbal-Walton DNP, MBA, RN, NEA-BC exemplifies the shared mission of advancing health equity and wellness. Together, Kaiser Permanente and the Food Bank continue to build bridges between healthcare and the community it serves. 

Nurses celebrating Victory Award

Campus support nurses win the Victory Award 

Behind every successful hospital lies a team of dedicated professionals whose tireless work ensures smooth operations and exceptional patient care. Recently, the Campus Support Nurses (CSNs) were honored with the prestigious Victory Award for their contributions to the hospital’s 5 Star Discharge Information composite in Patient Experience, recognizing their remarkable contributions to teamwork, safety, and outcomes. This accolade shines a spotlight on the pivotal role CSNs play in facilitating seamless patient transitions and hospital efficiency. 

3 nurses smiling with flowersCSNs are the backbone of throughput, supporting discharges, admissions, and transfers. They do not carry assigned patient loads, allowing them to focus on creating admittable beds, assisting with clinical procedures, and addressing critical needs. They are collaborators, problem-solvers, and patient safety advocates. 

Their impact is deeply personal. Angelica Ojascastro, BSN, RN, SNIII, flagged a prescription for ibuprofen for a patient on blood thinners, recognizing the risk of bleeding and coordinating with pharmacy staff to ensure a safer alternative. Jica Naval, BSN, RN, SNIV, stepped in during a discharge to provide more detailed dietary guidance. By collaborating with a dietitian and social worker, Jica ensured the patient and caregiver felt fully prepared for recovery at home. 

Patricia Solis, ADN, RN, considers CSNs as the last set of eyes on patients before discharge, they take extra moments to address concerns, collaborate with multidisciplinary teams, and reassure patients with the information that matters most. 

For the CSNs, the Victory Award is more than recognition. “This award reminds us that the work we do matters,” Angelica shared. Patricia added, “Knowing I’ve made a difference gives me immense pride in the quality of care I provide.” 

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