Journal of nursing care quality最新文献_第10页

Assessing Nurse Competency in the Veterans Health Administration Registered Nurse Transition-to-Practice Residency Program: Item Pool Content Validation. 评估退伍军人健康管理局注册护士转实习住院计划中的护士能力：项目库内容验证。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-01-01 Epub Date: 2023-09-22 DOI: 10.1097/NCQ.0000000000000740

Blake Barrett, Peter Toyinbo, Mary Pat Couig, Margeaux Chavez, Deborah Rugs, Christine Melillo, Linda Cowan, Kim DeMasi, Sheila Cox Sullivan, Gail Powell-Cope

{"title":"Assessing Nurse Competency in the Veterans Health Administration Registered Nurse Transition-to-Practice Residency Program: Item Pool Content Validation.","authors":"Blake Barrett, Peter Toyinbo, Mary Pat Couig, Margeaux Chavez, Deborah Rugs, Christine Melillo, Linda Cowan, Kim DeMasi, Sheila Cox Sullivan, Gail Powell-Cope","doi":"10.1097/NCQ.0000000000000740","DOIUrl":"10.1097/NCQ.0000000000000740","url":null,"abstract":"Background: New graduate registered nurse (RN) competencies are complex and difficult to measure. Psychometrically sound tools are needed to evaluate competencies for nurses participating in nurse residencies.Purpose: Project aims were to develop an item pool for a tool to measure new graduate RN competencies for the Veterans Health Administration RN Transition-to-Practice Residency Program; validate item pool content; and use consensus methods to improve item pool content validity.Methods: A sequential, mixed-methods design was used. Item pool creation, content validation, and revisions included a collaborative process with the evaluation team, operational stakeholders, and subject matter experts (SMEs).Results: Inclusion of SMEs in item development enhanced item pool content validity to measure nurse competency. Stakeholder feedback ensured programmatic logistical and evaluation concerns were met.Conclusions: Engaging SMEs in conceptualization, item development, and aligning existing standards enhanced item pool content validity to measure nurse competencies for new graduate RNs.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10655908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41130939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of Care Coordination: A Qualitative Study of Care Coordinator Perceptions. 护理协调的角色:护理协调员知觉的质性研究。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-01-01 Epub Date: 2023-05-09 DOI: 10.1097/NCQ.0000000000000719

Meghan M JaKa, Mary Sue Beran, Julia A Andersen, Robin R Whitebird, Anna R Bergdall, Joan M Kindt, Steven P Dehmer, Melissa Winger, Leif I Solberg

{"title":"The Role of Care Coordination: A Qualitative Study of Care Coordinator Perceptions.","authors":"Meghan M JaKa, Mary Sue Beran, Julia A Andersen, Robin R Whitebird, Anna R Bergdall, Joan M Kindt, Steven P Dehmer, Melissa Winger, Leif I Solberg","doi":"10.1097/NCQ.0000000000000719","DOIUrl":"10.1097/NCQ.0000000000000719","url":null,"abstract":"Background: Care coordination is important for patients with complex needs; yet, little is known about the factors impacting implementation from the care coordinator perspective.Purpose: To understand how care coordination implementation differs across clinics and what care coordinators perceive as barriers and facilitators of effective coordination.Methods: Nineteen care coordinators from primary care clinics in Minnesota participated in interviews about their perceptions of care coordination. A team of analysts coded interviews using inductive thematic analysis.Results: Four major themes emerged: variety in care coordination implementation; importance of social needs; necessity for leader buy-in; and importance of communication skills.Conclusions: Described differences in care coordination implementation were often logistical, but the implications of these differences were foundational to care coordinator perceived effectiveness.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9796475","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

Use of Elastomeric Half-Mask Respirator in the Clinical Care Environment: Health Care Worker Perceptions. 弹性半面罩呼吸器在临床护理环境中的使用：医护人员的看法。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-01-01 Epub Date: 2023-05-23 DOI: 10.1097/NCQ.0000000000000718

Ruth A Bryant, Justin M Smith, Ned K Tervola, Claire Smith, Cecely Hoyt, Barite Dawud, Siobhán Dugan, Catherine A St Hill

{"title":"Use of Elastomeric Half-Mask Respirator in the Clinical Care Environment: Health Care Worker Perceptions.","authors":"Ruth A Bryant, Justin M Smith, Ned K Tervola, Claire Smith, Cecely Hoyt, Barite Dawud, Siobhán Dugan, Catherine A St Hill","doi":"10.1097/NCQ.0000000000000718","DOIUrl":"10.1097/NCQ.0000000000000718","url":null,"abstract":"Background: Elastomeric half-mask respirators (EHMR) reduce health care workers' exposure to airborne hazards including bioaerosols but have primarily been used in the industrial setting.Purpose: To assess health care workers' perceptions, attitudes, and experiences wearing EHMRs in a clinical environment.Methods: Employees within a single health care system who wore the EHMR continuously during their shift completed an investigator developed survey. Descriptive statistics and thematic analysis were used.Results: Of the 8273 EHMR \"fit-tested\" eligible employees, 1478 met inclusion criteria and participated. Respondents reported that they felt well protected with the EHMR and confident in their care and maintenance of the EHMR. Although skin changes developed, they were primarily managed by adjusting the straps. Clarity of communication was a concern across all respondents and disciplines.Conclusions: The EHMR was preferred over reusing the N95 although clarity in communication was challenging.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10655906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9600688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effectiveness of Remote Video Monitoring on Fall Prevention and Nurses' Acceptance. 远程视频监控在预防跌倒及护士接受方面的效果。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-01-01 Epub Date: 2023-04-20 DOI: 10.1097/NCQ.0000000000000716

Awatef Ergai, LeeAnna Spiva, Susan Thurman, Marianne Hatfield, Meriel McCollum, Mona Holmes

引用次数: 0

Effectiveness of a Modified Nurse-Led COUGH Bundle for Obese Patients After Bariatric Surgery. 改良护士引导咳嗽束治疗减肥手术后肥胖患者的效果。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-01-01 Epub Date: 2023-06-22 DOI: 10.1097/NCQ.0000000000000731

Jumei Yang, Barbara S Turner, Aline Hooi Ming Teh, Geoffrey Haw Chieh Liew

{"title":"Effectiveness of a Modified Nurse-Led COUGH Bundle for Obese Patients After Bariatric Surgery.","authors":"Jumei Yang, Barbara S Turner, Aline Hooi Ming Teh, Geoffrey Haw Chieh Liew","doi":"10.1097/NCQ.0000000000000731","DOIUrl":"10.1097/NCQ.0000000000000731","url":null,"abstract":"Background: Obesity commonly affects postsurgical pulmonary outcomes and is associated with increased oxygen usage, length of recovery and hospital stay, discharge to high levels of care, cost, morbidity, and mortality.Local problem: No standardized pulmonary care bundle for obese patients after bariatric surgery was available in the postanesthesia care unit (PACU) at a hospital in Singapore.Methods: This quality improvement project was a prospective, single-cohort, pre- and posttest intervention design with 151 patients recruited.Interventions: Teaching and implementation of a modified nurse-led COUGH bundle was carried out on obese patients after their bariatric surgery.Results: Postbariatric surgery patients with the nurse-led COUGH bundle had significantly less consumption of oxygen in the PACU and step-down units. The PACU and hospital length of stay were also reduced.Conclusions: The modified nurse-led COUGH bundle can reduce patients' oxygen usage and hospital stay after their bariatric surgery.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9675086","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

Implementation and Evaluation of a Pressure Injury Prevention Bundle in the Cardiothoracic Intensive Care Unit. 在心胸重症监护室实施和评估压力伤害预防捆绑。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-01-01 Epub Date: 2023-06-02 DOI: 10.1097/NCQ.0000000000000727

Heather Pena, Adam Millard, Angela Richardson

引用次数: 0

Team-Based Approach in Hypertension Management: A Quality Improvement Project. 以团队为基础的高血压管理方法:一个质量改进项目。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-01-01 Epub Date: 2023-06-02 DOI: 10.1097/NCQ.0000000000000726

Vini Anand

{"title":"Team-Based Approach in Hypertension Management: A Quality Improvement Project.","authors":"Vini Anand","doi":"10.1097/NCQ.0000000000000726","DOIUrl":"10.1097/NCQ.0000000000000726","url":null,"abstract":"Background/local problem: Hypertension is a major risk factor for heart diseases and stroke among Americans; only 25% have this under control nationwide.Methods: This quality improvement project evaluated the outcomes of team-based care in hypertension control by registered nurses and certified nurse practitioners in a primary care setting. Pre/post-data analysis of blood pressure (BP) control, and BP knowledge, was done.Intervention: The team provided education and counseling based on knowledge assessment during visits and used unattended automated blood pressure measurement (uAOBPM) techniques to measure BP.Results: There was a significant reduction in systolic and diastolic BP control ( P < .001). There was a statistically significant increase in disease knowledge score pre- and postintervention ( P < .001).Conclusion: The team-based care approach improved patients' BP control and knowledge of the disease. The uAOBPM technique could be incorporated into clinical settings for accurate BP measurements.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10655909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9920672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Accelerating Detection and Intervention for Sepsis in Skilled Nursing Facilities Using a Sepsis Pathway. 加速检测和干预败血症在熟练护理机构使用脓毒症途径。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-01-01 Epub Date: 2023-06-22 DOI: 10.1097/NCQ.0000000000000729

Asma M Ahmed, Efy Macapili, Michael J Brenner, Vinciya Pandian

{"title":"Accelerating Detection and Intervention for Sepsis in Skilled Nursing Facilities Using a Sepsis Pathway.","authors":"Asma M Ahmed, Efy Macapili, Michael J Brenner, Vinciya Pandian","doi":"10.1097/NCQ.0000000000000729","DOIUrl":"10.1097/NCQ.0000000000000729","url":null,"abstract":"Background: Early detection of sepsis decreases mortality in hospitals, but recognition of sepsis is often delayed in skilled nursing facilities (SNFs).Local problem: A local SNF in the northeastern United States sought to use a standardized sepsis pathway to prevent hospital readmissions due to sepsis.Methods: A pre-/postimplementation design was used for this project. Outcome measures included sepsis detection and treatment, length of stay in the SNF, sepsis-related hospital transfer rate, mortality rate, and predictors of clinical outcomes.Interventions: A SNF sepsis pathway was developed based on current sepsis detection tools. The pathway incorporated a sepsis screening tool and a sepsis bundle. Implementation of the pathway involved education of nurses and certified nursing assistants on the pathway.Results: A total of 178 patients were included in data analysis (81 preimplementation and 97 implementation). Sepsis recognition increased from 56% to 86% ( P < .001), and sepsis-related hospital transfers decreased from 68% to 44% ( P = .07). Laboratory testing for lactate, white blood cell count, and blood cultures increased, and sepsis intervention rates significantly improved ( P < .001).Conclusions: Implementing a modified SNF sepsis pathway accelerated identification of sepsis and improved clinical outcomes.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9680884","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

Use of Complementary Pain Management Strategies in Postoperative Cardiac Surgical Patients. 心脏外科手术患者术后补充疼痛管理策略的应用。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2023-10-01 Epub Date: 2023-04-07 DOI: 10.1097/NCQ.0000000000000712

Kimberly Grady, Cidalia Vital, Cheryl Crisafi

{"title":"Use of Complementary Pain Management Strategies in Postoperative Cardiac Surgical Patients.","authors":"Kimberly Grady, Cidalia Vital, Cheryl Crisafi","doi":"10.1097/NCQ.0000000000000712","DOIUrl":"10.1097/NCQ.0000000000000712","url":null,"abstract":"Background: Complementary pain management strategies are effective at reducing pain in postsurgical patients.Local problem: Cardiac nurses at a large academic hospital reported inconsistent awareness of patient opioid utilization and poor implementation of complementary pain management strategies.Methods: A pre/post-quality improvement project was conducted on 2 inpatient cardiac units. Outcomes included nursing staff's perceived knowledge, confidence, and use of complementary pain management strategies and knowledge of patient postsurgical opioid utilization through calculation of morphine milligram equivalence (MME).Interventions: A comprehensive education program was implemented that included increased patient access to pain management resources, nurse education about complementary pain management strategies, and nurse education and access to MME calculations using a custom electronic health record application.Results: Nursing staff's perceived knowledge, confidence, and use of complementary pain techniques increased. Patient opioid utilization findings were inconclusive.Conclusions: Educational programs about complementary pain management offer promise to improve cardiac postsurgical patient care.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10052073","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

Fall Prevention Care Management: Implementation and Outcomes of a Project to Reduce Fall Risks of Older Adults in Assisted Living Facilities. 跌倒预防护理管理：降低辅助生活设施中老年人跌倒风险项目的实施和结果。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2023-10-01 Epub Date: 2023-05-02 DOI: 10.1097/NCQ.0000000000000715

Claire L McKinley Yoder, Hiroko Kyoshi-Teo, Olivia Ochoa-Cosler

{"title":"Fall Prevention Care Management: Implementation and Outcomes of a Project to Reduce Fall Risks of Older Adults in Assisted Living Facilities.","authors":"Claire L McKinley Yoder, Hiroko Kyoshi-Teo, Olivia Ochoa-Cosler","doi":"10.1097/NCQ.0000000000000715","DOIUrl":"10.1097/NCQ.0000000000000715","url":null,"abstract":"Background: Accidental falls are common among older adults and may lead to devastating consequences. One promising approach to reduce falls is to engage older adults in fall risk reduction through care management.Purpose: This article describes the implementation by undergraduate nursing students of a 6-week interdisciplinary Fall Prevention Care Management (FPCM) intervention to improve the safety of older adults living in assisted living facilities.Methods: A secondary qualitative descriptive analysis of narrative visit notes was conducted using the Meyer et al taxonomy to characterize fall prevention interventions with older adults.Results: Individualized fall prevention interventions including motivational interviewing and care management supported clients' engagement with fall prevention by facilitating behavior change related to fall prevention, helping clients identify and reflect on meaning and/or perceptions related to fall prevention.Conclusion: The FPCM project was acceptable, facilitated high fall risk older adults' engagement with fall prevention, and yielded many positive outcomes.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10057728","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