Journal of nursing care quality最新文献

An Innovative Escape Room Intervention to Improve Medical-Surgical Nurses' Knowledge, Confidence, and Care of Patients With Sepsis. 创新逃生室干预提高内科外科护士对脓毒症患者的知识、信心和护理。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-05-15 DOI: 10.1097/NCQ.0000000000000875

Jaime Moore, Kimberly Pate, James Montegrico, Kelly Powers

{"title":"An Innovative Escape Room Intervention to Improve Medical-Surgical Nurses' Knowledge, Confidence, and Care of Patients With Sepsis.","authors":"Jaime Moore, Kimberly Pate, James Montegrico, Kelly Powers","doi":"10.1097/NCQ.0000000000000875","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000875","url":null,"abstract":"Background: Sepsis is a leading cause of transfers to intensive care units (ICUs) and hospital mortality, often due to delayed recognition in medical-surgical units.Local problem: Project site sepsis data showed that 19.4% of ICU transfers originated from medical-surgical units, accounting for 27% of sepsis mortality cases.Intervention: This quality improvement project evaluated a sepsis-themed escape room to train medical-surgical nurses.Results: After training, mean knowledge scores increased from 77.4% to 82.4% (P = .068). Significant improvements were seen in self-reported confidence in identifying patients with sepsis (P = .02), knowing how and what to monitor in patients with sepsis (P = .007), and knowing initial management of patients with sepsis (P = .008). ICU transfers for sepsis decreased by 33.3%.Conclusions: Innovative escape room education for medical-surgical nurses can improve knowledge and confidence in managing patients with sepsis, which may lead to earlier recognition of deterioration and reduce sepsis-related ICU transfers.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094133","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 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-05-12 DOI: 10.1097/NCQ.0000000000000883

Isabelle Janette Carlassare, Mary Nottingham, Jennifer K Peterson

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 1.2 4区医学

Journal of nursing care quality Pub 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":"https://doi.org/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":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-12","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

Construction of a Questionnaire on Knowledge, Attitude, and Practices in Nursing Care of Adults With External Ventricular Drainage: Reliability and Validity Assessment. 成人脑室外引流患者护理知识、态度与实践问卷的构建：信度与效度评估。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-05-08 DOI: 10.1097/NCQ.0000000000000873

Xiaohan Chen, Yunbo Chi, Yangyang Tian, Yuange Bi, Hongyuan Yu, Jing Zhang, Jing Zhou

{"title":"Construction of a Questionnaire on Knowledge, Attitude, and Practices in Nursing Care of Adults With External Ventricular Drainage: Reliability and Validity Assessment.","authors":"Xiaohan Chen, Yunbo Chi, Yangyang Tian, Yuange Bi, Hongyuan Yu, Jing Zhang, Jing Zhou","doi":"10.1097/NCQ.0000000000000873","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000873","url":null,"abstract":"Background: Nurses' knowledge, attitudes, and practices (KAP) regarding external ventricular drainage (EVD) significantly impact patient care quality.Purpose: The study aimed to develop and validate a suitable questionnaire for assessing neurosurgical nurses' KAP regarding EVD care.Methods: This study developed a questionnaire from a literature review, semi-structured interviews, team discussions, and 2 Delphi rounds, then administered it to 841 neurosurgical nurses to assess its psychometric properties, including content validity, structural validity, and reliability.Results: The final 40-item questionnaire had a Cronbach's α of 0.871, split-half reliability of 0.820, test-retest reliability of 0.853, with the content validity index ranging from 0.861 to 1.000. Exploratory factor analysis revealed 11 factors, collectively accounting for 64.17% of the total variance.Conclusions: The developed questionnaire can serve as a useful tool for assessing neurosurgical nurses' knowledge, attitudes, and practices regarding EVD care.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022889","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

Differences in Quality of Care Interactions Across Care Tasks in Assisted Living. 辅助生活中不同护理任务的护理互动质量差异。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-05-08 DOI: 10.1097/NCQ.0000000000000880

Rachel McPherson, Barbara Resnick, Sarah Holmes, Anju Paudel, Sorah Levy, Elizabeth Galik

{"title":"Differences in Quality of Care Interactions Across Care Tasks in Assisted Living.","authors":"Rachel McPherson, Barbara Resnick, Sarah Holmes, Anju Paudel, Sorah Levy, Elizabeth Galik","doi":"10.1097/NCQ.0000000000000880","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000880","url":null,"abstract":"Background: The quality of care interactions is crucial for the quality of life of assisted living residents. However, limited research has explored how interaction quality varies across different care tasks.Purpose: This study aimed to assess whether the quality of care interactions differs by care task type in assisted living communities.Methods: This was a descriptive study done in 4 assisted living communities in Maryland. A total of 152 staff-resident care interactions were observed across various care tasks (eg, clinical care and dietary care) using an observation tool that categorizes the quality of the interaction as positive social, positive care, neutral, negative protective, or negative restrictive.Results: Most interactions were positive care (36%) and occurred during supportive/ambulatory care (34%). Care interactions during supportive/ambulatory care were significantly more negative than interactions during intimate personal care (P = .022).Conclusion: Future research should focus on interventions aimed at improving the quality of care interactions during supportive/ambulatory care tasks.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970985","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 1.2 4区医学

Journal of nursing care quality Pub 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":"https://doi.org/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":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-08","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

Making Protocols Click: The Power of Short-Form Videos in Educating Nurses. 使协议点击：短视频在教育护士中的力量。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-05-08 DOI: 10.1097/NCQ.0000000000000882

Rachel Lumbus, Amanda Foster, Haley Johnson, Heather Carter-Templeton

引用次数: 0

Assessment of Surgical Site Infection Prevention Strategies in Obstetric Nursing Practice: A Retrospective Analysis. 产科护理实践中手术部位感染预防策略的评估：回顾性分析。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-05-08 DOI: 10.1097/NCQ.0000000000000881

Qianwen Guo, Ling Lan, Ruoshi Wu

引用次数: 0

What Decision-Making Processes Are Used by Nurses in Initiating, Monitoring, and Ending One-to-One Observations? A Systematic Review. 护士在开始、监测和结束一对一观察时使用什么决策过程？系统评价。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-05-08 DOI: 10.1097/NCQ.0000000000000878

Joel Stanton, Carol Stiles, Paula Anderson, Rachel M Taylor, Cecilia Vindrola-Padros, Elena Ivany

{"title":"What Decision-Making Processes Are Used by Nurses in Initiating, Monitoring, and Ending One-to-One Observations? A Systematic Review.","authors":"Joel Stanton, Carol Stiles, Paula Anderson, Rachel M Taylor, Cecilia Vindrola-Padros, Elena Ivany","doi":"10.1097/NCQ.0000000000000878","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000878","url":null,"abstract":"Background: There is a lack of evidence-based processes to support nurses in appropriately utilizing one-to-one observations for patients at risk of avoidable harm in acute hospitals.Purpose: The purpose of this systematic review was to identify the decision-making processes surrounding one-to-one observations.Methods: Five databases were searched in July 2020 and July 2024. Papers were included if they discussed decision-making processes for one-to-one observations for acute adult inpatients. Data were extracted to a review database and analyzed thematically.Results: Sixteen publications were included. The decision-making tools described were assessment tools, local processes, and clinical judgement. The most common tool was an institutional decision-making process, which often was a combination of clinical assessment and clinical action guidance.Conclusion: Various tools and processes are used to facilitate decision-making on the use of one-to-one observations but few of the tools are evidence-based.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968805","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

Transforming Maternal Care: Quantitative Blood Loss as a Predictor for Postpartum Hemorrhage. 转变产妇护理：定量失血作为产后出血的预测因子。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-05-08 DOI: 10.1097/NCQ.0000000000000874

Jessica Elliott, Kensi Duncan, Kristen Noles

引用次数: 0