Journal of nursing care quality最新文献

Using Scripting to Reduce Patient Refusals of Chlorhexidine Gluconate Treatments. 使用脚本减少患者对葡萄糖酸氯己定治疗的拒绝。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2025-10-07 DOI: 10.1097/NCQ.0000000000000917

Kizzie J Charles

引用次数: 0

Discharge Planning Process for the Caring for Older People in Their Environment (COPE) Program. 在他们的环境中照顾老年人（COPE）计划的出院计划程序。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-06-12 DOI: 10.1097/NCQ.0000000000000885

Michelle Hanson, Monika Lukasiewicz, Clair Lunt, Nicole Webb

引用次数: 0

Implementing Early Mobility Practices in a Respiratory Care Unit: A Quality Improvement Project. 在呼吸护理病房实施早期活动实践：质量改进项目。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-04-09 DOI: 10.1097/NCQ.0000000000000864

So Yang Cho, Karin Smith, Geraldine Hider

{"title":"Implementing Early Mobility Practices in a Respiratory Care Unit: A Quality Improvement Project.","authors":"So Yang Cho, Karin Smith, Geraldine Hider","doi":"10.1097/NCQ.0000000000000864","DOIUrl":"10.1097/NCQ.0000000000000864","url":null,"abstract":"Background: Early mobility (EM) is beneficial for critically ill patients, but adoption in intermediate care units remains limited.Local problem: At the project site, fewer than 10% of patients admitted to the respiratory care unit (RCU) engaged in EM due to clinical severity, lack of staff confidence, and limited collaboration with physical therapy.Methods: A pre- postimplementation quality improvement design was used to assess mobility outcomes.Interventions: A nurse-driven EM program was implemented in a 10-bed RCU at a tertiary center. A multidisciplinary team delivered staff education, introduced an evidence-based protocol, and addressed barriers.Results: Forty-eight patients were included in the project (22 preimplementation and 26 postimplementation). The number of physical therapy consultations increased from 36% to 73% ( P = .01), with 69% of patients achieving higher discharge mobility postimplementation versus 59% preimplementation. Length of stay and mortality were unchanged.Conclusions: EM practices improve mobility in intermediate care through education and collaboration.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"338-344"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021003","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

Addressing Mental Health Needs in Patients With Cancer: A Recent Systematic Review and Meta-Analysis of the Effectiveness of Nurse-Led Interventions. 解决癌症患者的心理健康需求：近期护士主导干预有效性的系统回顾和荟萃分析。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-04-01 DOI: 10.1097/NCQ.0000000000000859

Jingjia Shi, Lingyu Zhu

{"title":"Addressing Mental Health Needs in Patients With Cancer: A Recent Systematic Review and Meta-Analysis of the Effectiveness of Nurse-Led Interventions.","authors":"Jingjia Shi, Lingyu Zhu","doi":"10.1097/NCQ.0000000000000859","DOIUrl":"10.1097/NCQ.0000000000000859","url":null,"abstract":"Background: Depression and anxiety are prevalent among patients with cancer, impacting their quality of life and treatment outcomes. Nurse-led interventions are promising but show variable effectiveness.Purpose: This review assessed the effectiveness of nurse-led interventions in reducing depression and anxiety in patients with cancer.Methods: A systematic search identified studies evaluating nurse-led approaches for depression and anxiety. Meta-analysis used Cohen's d with a random-effects model, and heterogeneity was assessed using the I 2 statistic.Results: Eighteen studies (n = 2054) showed significant reductions in depression (-1.29, 95% confidence interval [CI]: -1.52 to -1.06) and anxiety (-1.31, 95% CI: -1.55 to -1.07). Effective strategies included self-care education, cognitive-behavioral therapy, and peer support. Moderate to high heterogeneity ( I2 = 70%-75%) was partly resolved through sensitivity analyses.Conclusions: Nurse-led interventions effectively reduce depression and anxiety in patients with cancer. Integrating these strategies into oncology care and standardizing protocols can further improve outcomes.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"318-325"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764227","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

Reducing Clinic Visit Times Using Pre-Visit Video Education at a Weight Loss Center. 在减肥中心使用访问前视频教育减少诊所访问次数。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-04-16 DOI: 10.1097/NCQ.0000000000000866

Dilan Stacy, Madalene Drummond

{"title":"Reducing Clinic Visit Times Using Pre-Visit Video Education at a Weight Loss Center.","authors":"Dilan Stacy, Madalene Drummond","doi":"10.1097/NCQ.0000000000000866","DOIUrl":"10.1097/NCQ.0000000000000866","url":null,"abstract":"Background: Obesity is on the rise, increasing the demand for efficient treatment and delivery of care in the obesity medicine ambulatory care setting.Local problem: Clinicians provided redundant information during the client's initial visit, leading to longer than necessary clinic visits.Methods: Iterative plan-do-study-act cycles were used for this quality improvement project.Interventions: A 4-minute educational video was sent to clients prior to their initial appointment using automated systems through the electronic health record. Education consisted of the specialty services offered, nutrition, and frequently asked questions.Results: Visits completed in under 40 minutes increased from 73% to 84%, with average initial visit times decreasing from 44 to 37 minutes. The number of patients providers were able to see increased from 10 to 18 after implementing the educational video.Conclusions: Clinics may consider using pre-visit video-based education to reduce visit time and improve efficiency in the obesity medicine ambulatory care setting.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"345-350"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030562","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

An Educational Intervention to Promote Daily Chlorhexidine Gluconate Treatments for Pediatric Patients With Central Venous Catheters. 促进儿童中心静脉置管患者每日葡萄糖酸氯己定治疗的教育干预。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-08-19 DOI: 10.1097/NCQ.0000000000000883

Isabelle Janette Carlassare, Mary Nottingham, Jennifer K Peterson

引用次数: 0

Integration of Virtual Technology and Artificial Intelligence Improves Satisfaction, Patient Safety, and Nursing Workforce Efficiency. 虚拟技术和人工智能的集成提高了满意度、患者安全和护理人员的工作效率。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-08-19 DOI: 10.1097/NCQ.0000000000000900

Cassandra E Tyransky, Kasey Paulus, Erin Langmead, David M Miller, Carol R Smith, Fallon Hughes, Barbara L Buchko, Bruno Saconi

引用次数: 0

Association Between Nurse Turnover and Nurses' Perception of Patient Outcomes in Acute Care Hospitals in South Korea: A Cross-Sectional Study. 韩国急症护理医院护士离职与护士对患者预后感知的关系：一项横断面研究。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-02-11 DOI: 10.1097/NCQ.0000000000000843

Sung-Heui Bae

{"title":"Association Between Nurse Turnover and Nurses' Perception of Patient Outcomes in Acute Care Hospitals in South Korea: A Cross-Sectional Study.","authors":"Sung-Heui Bae","doi":"10.1097/NCQ.0000000000000843","DOIUrl":"10.1097/NCQ.0000000000000843","url":null,"abstract":"Background: High turnover rates among nurses are a global concern. Previous studies show the negative impact on quality of care.Purpose: The purpose of this study was to examine the relationship between nurse turnover and nurse's perceptions of patient outcomes.Methods: A cross-sectional study design was used. Nurses working in 35 general hospitals in South Korea were invited to participate in a survey assessing their perceptions of patient outcomes, including quality of care, patient safety, and adverse events. Nurse turnover was measured for the prior 6 months.Results: Data from 159 nurses were analyzed. There was a significant positive relationship between turnover rates and perceptions of poor quality of care, after controlling for demographic and work-related characteristics. Nurse turnover was not significantly associated with perceptions of patient safety or adverse events.Conclusions: The negative consequence of nurse turnover on patient outcomes is partially supported in this study.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"E57-E63"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408732","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

Empowering Frontline Nurses as Implementation Science Leaders: The EQUIP Model for Evidence-Based Practice Integration and Quality Improvement. 授权一线护士作为实施科学领导者：基于证据的实践整合和质量改进的EQUIP模型。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-05-12 DOI: 10.1097/NCQ.0000000000000871

Modi Al-Moteri

{"title":"Empowering Frontline Nurses as Implementation Science Leaders: The EQUIP Model for Evidence-Based Practice Integration and Quality Improvement.","authors":"Modi Al-Moteri","doi":"10.1097/NCQ.0000000000000871","DOIUrl":"10.1097/NCQ.0000000000000871","url":null,"abstract":"Background: Sustaining evidence-based practice (EBP) in nursing faces systemic and workforce barriers. Implementation science (IS) offers structured approaches to support EBP integration. Under Saudi Arabia's Vision 2030, scalable nurse-led models are critical to bridging the research-to-practice gap.Aim: To evaluate the Evidence-Based Quality Improvement Project (EQUIP), a nurse-led model grounded in IS, by assessing its implementation through frontline implementation lead (IL) nurses.Methods: A mixed-methods formative evaluation was conducted across multiple healthcare facilities. Two IL nurse-led quality improvement (QI) projects were used as illustrative examples. Data sources included QI documentation, clinical metrics, and researcher field notes.Results: EQUIP enabled IL nurses to apply EBP in routine care and proved adaptable across diverse settings. However, inconsistent engagement and competing workload demands were the most influential barriers, underscoring the need for structured support.Conclusion: EQUIP presents a scalable IS-based initiative to embed EBP in nursing. Institutional support is essential for sustained implementation.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"295-301"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977554","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

Optimizing the Discharge Lounge Efficiency: A Quality Improvement Initiative With Innovative Approaches. 优化出院休息室效率：采用创新方法的质量改进倡议。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-05-08 DOI: 10.1097/NCQ.0000000000000877

Michaele Kennedy, Lauren A Wolff, Joan Kennedy, Melanie Smith-Fortney, Laura Fennimore

{"title":"Optimizing the Discharge Lounge Efficiency: A Quality Improvement Initiative With Innovative Approaches.","authors":"Michaele Kennedy, Lauren A Wolff, Joan Kennedy, Melanie Smith-Fortney, Laura Fennimore","doi":"10.1097/NCQ.0000000000000877","DOIUrl":"10.1097/NCQ.0000000000000877","url":null,"abstract":"Background: Patient discharge lounges have been used to improve hospital throughput for more than 30 years; however, their implementation has been inconsistent due to varying levels of engagement from providers, staff, and patients.Local problem: A project team sought to reduce wait times for patients admitted from the emergency department (ED) by reducing discharge delays.Methods: This quality improvement initiative used a pre/post-implementation design.Intervention: Key strategies included selecting appropriate staff, identifying eligible patients, ensuring timely delivery of discharge medications, and interprofessional education. The discharge lounge was uniquely staffed by unlicensed patient care technicians.Results: Discharge lounge use increased by 12.5%. The time from written discharge order to the patient's departure from an inpatient unit decreased by 14 minutes, and ED wait time decreased by an average of 192 minutes.Conclusion: These innovative strategies yielded positive returns and may help other organizations to improve patient throughput.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"302-309"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988288","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