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Journal of nursing care quality最新文献

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Nursing and Policy. 护理与政策。
IF 1.7 4区 医学
Journal of nursing care quality Pub Date : 2026-05-07 DOI: 10.1097/NCQ.0000000000000950
Robert Carl Coghlan
{"title":"Nursing and Policy.","authors":"Robert Carl Coghlan","doi":"10.1097/NCQ.0000000000000950","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000950","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Normalization of Deviance: A Nursing Concept Analysis. 越轨行为正常化：护理观念分析。
IF 1.7 4区 医学
Journal of nursing care quality Pub Date : 2026-05-07 DOI: 10.1097/NCQ.0000000000000978
Lin Ward Boyes, Samereh Abdoli
{"title":"Normalization of Deviance: A Nursing Concept Analysis.","authors":"Lin Ward Boyes, Samereh Abdoli","doi":"10.1097/NCQ.0000000000000978","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000978","url":null,"abstract":"<p><strong>Background: </strong>The concept of normalization of deviance is an emerging concern in health care. Nurses may rationalize deviations for efficiency, often driven by production pressure. This silent drift away from standards increases the risk of serious adverse events and weakens safety culture.</p><p><strong>Purpose: </strong>The purpose of this analysis was to clarify the concept of normalization of deviance.</p><p><strong>Methods: </strong>Walker and Avant's method of concept analysis guided a literature review on normalization of deviance to identify attributes, antecedents, consequences, and empirical referents.</p><p><strong>Results: </strong>Three key attributes of normalization of deviance were identified: production pressure, desensitization and drift, and the culture of safety.</p><p><strong>Conclusions: </strong>This concept analysis provides an understanding of normalization of deviance in nursing, which may inform the development of nursing theory, improve nursing care quality, and provide clarity and consistency for a phenomenon central to the nursing profession.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strategies to Address Communication Vulnerability in Adult Intensive Care Units Through Practice, Environment, and Policy Modifications. 通过实践、环境和政策修改来解决成人重症监护病房沟通脆弱性的策略。
IF 1.7 4区 医学
Journal of nursing care quality Pub Date : 2026-04-27 DOI: 10.1097/NCQ.0000000000000961
Praisy Rampogu, Laura Istanboulian, Amy Freeman-Sanderson, Kelly M Smith, Karen Soldatić
{"title":"Strategies to Address Communication Vulnerability in Adult Intensive Care Units Through Practice, Environment, and Policy Modifications.","authors":"Praisy Rampogu, Laura Istanboulian, Amy Freeman-Sanderson, Kelly M Smith, Karen Soldatić","doi":"10.1097/NCQ.0000000000000961","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000961","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Data-Driven Approach to Decrease Nonactionable Alarms in Critical Care. 减少重症监护中不可操作警报的数据驱动方法。
IF 1.7 4区 医学
Journal of nursing care quality Pub Date : 2026-04-27 DOI: 10.1097/NCQ.0000000000000976
Mary Lindsay, Carley Parker
{"title":"A Data-Driven Approach to Decrease Nonactionable Alarms in Critical Care.","authors":"Mary Lindsay, Carley Parker","doi":"10.1097/NCQ.0000000000000976","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000976","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Barriers to Reporting Workplace Violence Among Emergency Nursing Staff: A Systematic Review and Meta-Analysis. 急救护理人员报告工作场所暴力的障碍：系统回顾和荟萃分析。
IF 1.7 4区 医学
Journal of nursing care quality Pub Date : 2026-04-21 DOI: 10.1097/NCQ.0000000000000972
Eladio Martin Sanchez Gumabay, Fatma Magdi Ibrahim, Mohamed Abd El-Rahman Elsaied Elhoty, Fatma Abdelhalim Moustafa Ahmed, Inas Ibrahim Badr, Nora H Elneblawi, Eman Elsayed Mohamed Elsabagh, Maha Salah Abdullah Ismail, D S Veerabhadra Swamy, Doaa El Sayed Fadila, Hammad Ali Fadlalmola
{"title":"Barriers to Reporting Workplace Violence Among Emergency Nursing Staff: A Systematic Review and Meta-Analysis.","authors":"Eladio Martin Sanchez Gumabay, Fatma Magdi Ibrahim, Mohamed Abd El-Rahman Elsaied Elhoty, Fatma Abdelhalim Moustafa Ahmed, Inas Ibrahim Badr, Nora H Elneblawi, Eman Elsayed Mohamed Elsabagh, Maha Salah Abdullah Ismail, D S Veerabhadra Swamy, Doaa El Sayed Fadila, Hammad Ali Fadlalmola","doi":"10.1097/NCQ.0000000000000972","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000972","url":null,"abstract":"<p><strong>Background: </strong>Workplace violence (WPV) is highly prevalent in emergency departments and frequently remains unreported, compromising nurse safety and institutional accountability.</p><p><strong>Purpose: </strong>The purpose of this study was to identify barriers to emergency departments nurses reporting WPV incidents and the frequency of unreported WPV incidents.</p><p><strong>Methods: </strong>A systematic review and meta-analysis was conducted, with 4 databases searched through April 2025. Cross-sectional and cohort studies examining reporting behaviors among emergency nurses were included. Random-effects models were applied to estimate pooled prevalence and odds ratios.</p><p><strong>Results: </strong>Ten studies comprising 5812 emergency nurses met inclusion criteria. The pooled prevalence of unreported WPV was 64% (95% CI: 0.57-0.72). Verbal violence was significantly more likely to remain unreported than physical violence (OR 2.51, 95% CI: 1.40-4.49, P =.0019). Major barriers included perceptions of reporting futility, peer pressure, inadequate institutional support, and absence of clear reporting procedures.</p><p><strong>Conclusion: </strong>Underreporting of WPV among emergency nurses is substantial and driven by systemic and perceptual barriers, warranting structured institutional reforms to promote safer reporting environments.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mediating Pathways of Critical Thinking and Intuition on Triage Competency in Emergency Nurses: A Structural Equation Modeling Approach. 批判性思维和直觉对急诊护士分诊能力的中介作用：结构方程建模方法。
IF 1.7 4区 医学
Journal of nursing care quality Pub Date : 2026-04-21 DOI: 10.1097/NCQ.0000000000000971
Jeongmin Eom, Susie Yoon
{"title":"Mediating Pathways of Critical Thinking and Intuition on Triage Competency in Emergency Nurses: A Structural Equation Modeling Approach.","authors":"Jeongmin Eom, Susie Yoon","doi":"10.1097/NCQ.0000000000000971","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000971","url":null,"abstract":"<p><strong>Background: </strong>Triage competency requires sophisticated cognitive processing. The mechanisms through which critical thinking and intuition influence specific competency dimensions remain unclear.</p><p><strong>Objective: </strong>The objective of this study is to examine mediating pathways through which critical thinking disposition and intuitive expertise influence triage competency in emergency nurses.</p><p><strong>Methods: </strong>A cross-sectional study with 145 Korean emergency nurses used structural equation modeling with bootstrap resampling (5000 iterations) to examine mediation pathways.</p><p><strong>Results: </strong>Critical thinking exerted strong indirect effects through all 3 mediators. Clinical judgment served as the primary pathway, accounting for 94% of total effect (β =.478, 95% CI [0.337, 0.624]). Significant indirect effects occurred through timely decision (β =.324) and expert assessment (β =.265). Intuitive expertise showed positive but nonsignificant relationships.</p><p><strong>Conclusions: </strong>Critical thinking enhances triage competency primarily through clinical judgment. Educational interventions should prioritize critical thinking development and clinical judgment training.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation Methods for Evidence-Based Practice Quality Improvement, Program Evaluation, and Policy Analysis Initiatives. 基于证据的实践质量改进、项目评估和政策分析举措的评估方法。
IF 1.7 4区 医学
Journal of nursing care quality Pub Date : 2026-04-21 DOI: 10.1097/NCQ.0000000000000970
Staci S Reynolds, Julee B Waldrop, Jayne Jennings Dunlap
{"title":"Evaluation Methods for Evidence-Based Practice Quality Improvement, Program Evaluation, and Policy Analysis Initiatives.","authors":"Staci S Reynolds, Julee B Waldrop, Jayne Jennings Dunlap","doi":"10.1097/NCQ.0000000000000970","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000970","url":null,"abstract":"<p><strong>Background: </strong>The Mountain Model is an umbrella framework that can be used to guide evidence-based practice quality improvement (EBPQI), program evaluation (EBPPE), and policy analysis (EBPPA) initiatives. While steps of the Mountain Model for each type of initiative are similar, they diverge at the fifth step (methods) wherein clinicians and students must choose an appropriate framework and corresponding evaluation method that differs from research evaluation methods.</p><p><strong>Purpose: </strong>The purpose of this article is to describe appropriate evaluation methods for EBPQI, EBPPE, and EBPPA initiatives.</p><p><strong>Approach: </strong>For EBPQI initiatives, graphical displays (eg, run charts, statistical process control charts) should be used to evaluate data over time. For EBPPE and EBPPA initiatives, data are often descriptively summarized and described. Examples of evaluation methods for each type are provided.</p><p><strong>Conclusions: </strong>This article provides practical guidance for clinicians and students completing EBPQI, EBPPE, or EBPPA initiatives and how to appropriately evaluate data.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hospital-Acquired Pressure Injury Prevention: A Quality Improvement Project Utilizing a Bundled Intervention Approach. 医院获得性压力伤害预防：利用捆绑干预方法的质量改进项目。
IF 1.7 4区 医学
Journal of nursing care quality Pub Date : 2026-04-20 DOI: 10.1097/NCQ.0000000000000965
Izak A Godoy, Maria Wines
{"title":"Hospital-Acquired Pressure Injury Prevention: A Quality Improvement Project Utilizing a Bundled Intervention Approach.","authors":"Izak A Godoy, Maria Wines","doi":"10.1097/NCQ.0000000000000965","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000965","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Chlorhexidine Gluconate Protocol to Decrease Catheter-Associated Urinary Tract Infections: A Quality Improvement Project. 葡萄糖酸氯己定方案减少导尿管相关性尿路感染：质量改进项目。
IF 1.7 4区 医学
Journal of nursing care quality Pub Date : 2026-04-20 DOI: 10.1097/NCQ.0000000000000966
Susan K Lilly, Nicole S Ragon, Shelly R Andre, Amanda L Tran
{"title":"A Chlorhexidine Gluconate Protocol to Decrease Catheter-Associated Urinary Tract Infections: A Quality Improvement Project.","authors":"Susan K Lilly, Nicole S Ragon, Shelly R Andre, Amanda L Tran","doi":"10.1097/NCQ.0000000000000966","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000966","url":null,"abstract":"<p><strong>Background: </strong>Catheter-associated urinary tract infections (CAUTI) lead to higher health care costs and adverse patient outcomes.</p><p><strong>Local problem: </strong>A Midwestern acute care hospital saw an increase in CAUTI rates from July to December 2022.</p><p><strong>Methods: </strong>Plan-Do-Study-Act cycles guided this quality improvement project.</p><p><strong>Interventions: </strong>Staff education and coaching facilitated a change from daily bathing and urinary catheter care using soap and water to using chlorhexidine gluconate wipes for all adult patients with indwelling urinary catheters.</p><p><strong>Results: </strong>This change led to a substantial 81.1% reduction in the CAUTI rate, sustained over 24 months, decreasing from an average rate of 2.12 to 0.40.</p><p><strong>Conclusion: </strong>Implementing a standardized chlorhexidine gluconate bathing and catheter care protocol significantly reduced CAUTI rates, suggesting it is an effective strategy for minimizing CAUTI risk in acute care settings.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Code Wellness Debriefing to Enhance Nurse Wellness and Peer Support: An Evidence-Based Approach. 代码健康汇报以加强护士健康和同伴支持：基于证据的方法。
IF 1.7 4区 医学
Journal of nursing care quality Pub Date : 2026-04-14 DOI: 10.1097/NCQ.0000000000000962
Avery Lauren John, Ana-Maria Gallo
{"title":"Code Wellness Debriefing to Enhance Nurse Wellness and Peer Support: An Evidence-Based Approach.","authors":"Avery Lauren John, Ana-Maria Gallo","doi":"10.1097/NCQ.0000000000000962","DOIUrl":"10.1097/NCQ.0000000000000962","url":null,"abstract":"<p><strong>Background: </strong>Repeated exposure to high-stress clinical events negatively impacts nurse wellness in medical-surgical units.</p><p><strong>Problem: </strong>Nurses experience significant emotional strain following Code Blue, Code Green (disruptive behavior), and rapid response events, contributing to burnout and reduced team resilience.</p><p><strong>Approach: </strong>A peer-led, evidence-based Code Wellness Debriefing model was implemented on a 48-bed medical-surgical unit. After a code event, structured debriefs were conducted. To assess impact, post-intervention surveys were completed by staff.</p><p><strong>Outcomes: </strong>Routine wellness debriefing increased perceived peer support and feeling cared for, and reduced emotional stress. Qualitative findings reflected emotional relief, strengthened team cohesion, and continued requests for support.</p><p><strong>Conclusion: </strong>Structured wellness debriefing supports nurse well-being following high-stress events and demonstrates a feasible, nurse-driven approach to improving unit culture.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147674384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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