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Journal of nursing care quality最新文献

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Delirium: A Reality of Hallway Care. 谵妄：走廊护理的现实。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-25 DOI: 10.1097/NCQ.0000000000000819
Hasina Amanzai, Laura Istanboulian
{"title":"Delirium: A Reality of Hallway Care.","authors":"Hasina Amanzai, Laura Istanboulian","doi":"10.1097/NCQ.0000000000000819","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000819","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502590","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
Effectiveness of Nurse-Driven Protocols in Reducing Catheter-Associated Urinary Tract Infections: A Systematic Review and Meta-Analysis. 护士主导的方案在减少导尿管相关尿路感染方面的效果：系统回顾与元分析》。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-17 DOI: 10.1097/NCQ.0000000000000811
Liangliang Su
{"title":"Effectiveness of Nurse-Driven Protocols in Reducing Catheter-Associated Urinary Tract Infections: A Systematic Review and Meta-Analysis.","authors":"Liangliang Su","doi":"10.1097/NCQ.0000000000000811","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000811","url":null,"abstract":"<p><strong>Background: </strong>Catheter-associated urinary tract infections (CAUTIs) are common health care-associated infections linked to indwelling urinary catheters. Nurse-driven protocols (NDPs) empower nurses to direct care without physician orders, potentially enhancing patient outcomes and reducing infection rates.</p><p><strong>Purpose: </strong>This systematic review and meta-analysis aimed to evaluate the effectiveness of NDPs for preventing CAUTIs and reducing catheter utilization rates.</p><p><strong>Methods: </strong>Databases searched included Cochrane Library, PubMed, Embase, and others. Ten studies involving 27, 965 NDP-treated patients and 30, 230 controls were reviewed, examining catheter utilization rates and CAUTI incidence.</p><p><strong>Results: </strong>Use of NDPs significantly lowered catheter utilization rates (34.84% vs 49.40%) and CAUTI incidence (2.867% vs 6.503%). Risk ratio analysis revealed a 29.48% decrease in catheter utilization and a 55.91% reduced CAUTI risk with NDP implementation.</p><p><strong>Conclusions: </strong>Using NDPs demonstrate superior efficacy in reducing catheter use and CAUTI occurrence compared to traditional methods. Further research is warranted to solidify evidence-based nursing practices in this area.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142468405","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
Student-Led Mobility Interventions for Hospitalized Adults: A Mixed-Methods Feasibility and Acceptability Study. 针对住院成年人的学生主导型行动干预：混合方法可行性和可接受性研究》。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-17 DOI: 10.1097/NCQ.0000000000000822
James P Crick, Alex Oberyszyn, Gabriel N Alain, Erin M Thomas, Carmen E Quatman, Catherine C Quatman-Yates
{"title":"Student-Led Mobility Interventions for Hospitalized Adults: A Mixed-Methods Feasibility and Acceptability Study.","authors":"James P Crick, Alex Oberyszyn, Gabriel N Alain, Erin M Thomas, Carmen E Quatman, Catherine C Quatman-Yates","doi":"10.1097/NCQ.0000000000000822","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000822","url":null,"abstract":"<p><strong>Background: </strong>Inactivity in hospitalized patients often leads to functional decline. We created an undergraduate course to promote mobilization, provide hands-on learning, and address staff shortages.</p><p><strong>Purpose: </strong>To assess the feasibility and acceptability of undergraduate students providing mobility-focused interventions for hospitalized adults.</p><p><strong>Methods: </strong>This mixed-methods study was conducted at a level 1 trauma academic center. We analyzed program feasibility and acceptability using quantitative data and thematic analysis of interviews and focus groups.</p><p><strong>Results: </strong>In total 47 individuals (n = 14 students, n = 9 patients, and n = 24 clinicians) were included. Students averaged 4.1 mobility sessions per 4-hour shift. All stakeholders agreed the program is acceptable, and 98.6% affirmed the program is feasible. The themes identified included positive impacts on patient care, enhanced student professional development, and practical implementation challenges.</p><p><strong>Conclusions: </strong>Student-led mobility interventions can be an acceptable strategy to mitigate immobility harm in hospitalized patients. The integration of students enhances patient care and provides valuable educational experiences.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142468406","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
The Centers for Disease Control and Prevention's Hospital Antibiotic Stewardship and Hospital Sepsis Program Core Elements: Nurse Engagement to Advance Care Quality. 美国疾病控制和预防中心的医院抗生素管理和医院败血症计划核心要素：护士参与提高护理质量。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-10 DOI: 10.1097/NCQ.0000000000000821
Mary Lou Manning, Cindy Hou
{"title":"The Centers for Disease Control and Prevention's Hospital Antibiotic Stewardship and Hospital Sepsis Program Core Elements: Nurse Engagement to Advance Care Quality.","authors":"Mary Lou Manning, Cindy Hou","doi":"10.1097/NCQ.0000000000000821","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000821","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400571","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
Implementing Code Fall: A Quality Improvement Project to Improve Patient and Staff Safety. 实施《秋季守则》：提高患者和员工安全的质量改进项目。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-09 DOI: 10.1097/NCQ.0000000000000817
Leigh Griffis, William Folk, Nicole Probst
{"title":"Implementing Code Fall: A Quality Improvement Project to Improve Patient and Staff Safety.","authors":"Leigh Griffis, William Folk, Nicole Probst","doi":"10.1097/NCQ.0000000000000817","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000817","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400570","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
Translating Evidence to Practice in Clinical Communication Safety. 将临床沟通安全的证据转化为实践。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-04 DOI: 10.1097/NCQ.0000000000000818
Laura Istanboulian, Hasina Amanzai
{"title":"Translating Evidence to Practice in Clinical Communication Safety.","authors":"Laura Istanboulian, Hasina Amanzai","doi":"10.1097/NCQ.0000000000000818","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000818","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372130","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
Mobility Loss in Hospitalized Adults Predicts Poor Clinical Outcomes. 住院成人行动不便预示着不良临床结果。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-03 DOI: 10.1097/NCQ.0000000000000816
Stephanie E Rogers, Jade Mulvey, Roniela Turingan, L Maurine Coco, Colin C Hubbard, Sasha Binford, James D Harrison
{"title":"Mobility Loss in Hospitalized Adults Predicts Poor Clinical Outcomes.","authors":"Stephanie E Rogers, Jade Mulvey, Roniela Turingan, L Maurine Coco, Colin C Hubbard, Sasha Binford, James D Harrison","doi":"10.1097/NCQ.0000000000000816","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000816","url":null,"abstract":"<p><strong>Background: </strong>The Johns Hopkins Activity and Mobility Program is a systematic approach to measure and improve patient mobility.</p><p><strong>Purpose: </strong>The purpose of this study was to evaluate the relationship between mobility loss and quality outcomes.</p><p><strong>Methods: </strong>A retrospective cohort study design was used. Patients were categorized into 3 groups (gain, loss, no change in mobility) using the Johns Hopkins Highest Level of Mobility (JH-HLM) scores. The association between mobility loss and falls risk, in-hospital mortality, delirium, discharge to a facility, length of stay, and 30 day readmissions were assessed.</p><p><strong>Results: </strong>Those who lost mobility were more at risk of being a high fall risk, in-hospital mortality, delirium, discharging to a facility, and had 48% longer lengths of stay. There was no association between mobility loss and 30-day readmissions.</p><p><strong>Conclusions: </strong>Loss of mobility assessed using JH-HLM scores is associated with worse patient outcomes.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372129","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
Implementing a Care-Based Nursing Workforce Model: Implications for Missed Care, Teamwork, and Satisfaction. 实施以护理为基础的护理人员队伍模式：对护理遗漏、团队合作和满意度的影响。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-02 DOI: 10.1097/NCQ.0000000000000815
Shea Polancich, Tracey Dick, Jennifer Ledlow, Connie White-Williams, Amanda Chambers, Keri Thomas, Terri Poe, Rebecca Miltner
{"title":"Implementing a Care-Based Nursing Workforce Model: Implications for Missed Care, Teamwork, and Satisfaction.","authors":"Shea Polancich, Tracey Dick, Jennifer Ledlow, Connie White-Williams, Amanda Chambers, Keri Thomas, Terri Poe, Rebecca Miltner","doi":"10.1097/NCQ.0000000000000815","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000815","url":null,"abstract":"<p><strong>Background: </strong>Nursing care delivery models may serve as a significant factor contributing to nurse satisfaction, frequency of missed care, and patient outcomes.</p><p><strong>Local problem: </strong>The nursing leadership team at our institution sought to determine if an adaptation of our primary registered nurse (RN) nursing model would enhance satisfaction of bedside nurses and care of patients.</p><p><strong>Methods: </strong>An improvement study introducing a care-based delivery model was implemented between January 2023 and January 2024 on a medical-surgical neurology/spinal unit at our organization.</p><p><strong>Interventions: </strong>Adoption of a care-based nursing model was supported with the delivery of brief education sessions utilizing in situ simulations for development of competencies in teamwork and delegation.</p><p><strong>Results: </strong>During the pilot period, overall satisfaction with job role improved 23%. Six missed nursing care elements and 7 teamwork elements significantly improved.</p><p><strong>Conclusions: </strong>A care-based nursing model may improve staff satisfaction and quality of nursing care.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372128","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
Facilitators and Inhibitors to the Application of the Acuity Adaptable Model. 应用 Acuity Adaptable 模型的促进因素和阻碍因素。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-02 DOI: 10.1097/NCQ.0000000000000814
Angela Opsahl, Noah Blessing, Aaliyah Perdieu, Grace Rasche, Mary Hannah-Griebel, Amy H Wonder
{"title":"Facilitators and Inhibitors to the Application of the Acuity Adaptable Model.","authors":"Angela Opsahl, Noah Blessing, Aaliyah Perdieu, Grace Rasche, Mary Hannah-Griebel, Amy H Wonder","doi":"10.1097/NCQ.0000000000000814","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000814","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372117","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 Diarrhea in Critically Ill Patients Receiving Enteral Nutrition Support: An Evidence-Based Quality Improvement Project. 减少接受肠内营养支持的重症患者腹泻：以证据为基础的质量改进项目。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-08-20 DOI: 10.1097/NCQ.0000000000000795
Mei He, Ying Wang, Hui Wang, Mei Wang, Mei J Du, Jie Xiong, Chun L Li, Shu Huang, Xin Y Zhang
{"title":"Reducing Diarrhea in Critically Ill Patients Receiving Enteral Nutrition Support: An Evidence-Based Quality Improvement Project.","authors":"Mei He, Ying Wang, Hui Wang, Mei Wang, Mei J Du, Jie Xiong, Chun L Li, Shu Huang, Xin Y Zhang","doi":"10.1097/NCQ.0000000000000795","DOIUrl":"10.1097/NCQ.0000000000000795","url":null,"abstract":"<p><strong>Background: </strong>Diarrhea during enteral nutrition may induce various complications and increase the nursing workload.</p><p><strong>Local problem: </strong>The diarrhea rate in our intensive care units (ICUs) was 37.14% from May to July 2021. Nurses reported a moderate to heavy burden regarding care for those with diarrhea.</p><p><strong>Methods: </strong>A pre-post implementation design was used to evaluate the impact of evidence-based interventions for diarrhea screening and prevention.</p><p><strong>Interventions: </strong>A diarrhea risk screening tool and countermeasures were developed through an extensive literature review. Tools were integrated into the electronic health record system.</p><p><strong>Results: </strong>The rate of diarrhea decreased from 37.14% to 17.33% ( P = .000). Nurse's compliance with practice standards increased for diarrhea assessment, risk factor screening, agent choice, and countermeasures provision ( P < .05).</p><p><strong>Conclusions: </strong>The evidence-based tools developed for this project helped decrease the diarrhea rate in our ICUs.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142017863","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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