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

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":" ","pages":"67-75"},"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":"38 4","pages":"348-353"},"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":"38 4","pages":"374-380"},"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

The Effect of Video-Assisted Training and Visual Feedback With UV Germ Technology on Nursing Students' Hand Hygiene Beliefs, Practices, and Compliance: A Randomized Controlled Study. 视频辅助训练和紫外线杀菌技术视觉反馈对护生手卫生信念、实践和依从性的影响：一项随机对照研究。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2023-10-01 Epub Date: 2023-03-22 DOI: 10.1097/NCQ.0000000000000710

Gülten Karahan Okuroğlu, Aynur Kaynar Şimşek, Nazlı Pazar, Şule Ecevit Alpar

{"title":"The Effect of Video-Assisted Training and Visual Feedback With UV Germ Technology on Nursing Students' Hand Hygiene Beliefs, Practices, and Compliance: A Randomized Controlled Study.","authors":"Gülten Karahan Okuroğlu, Aynur Kaynar Şimşek, Nazlı Pazar, Şule Ecevit Alpar","doi":"10.1097/NCQ.0000000000000710","DOIUrl":"10.1097/NCQ.0000000000000710","url":null,"abstract":"Background: Hand hygiene (HH) is the most effective way to prevent health care-associated infections; however, HH compliance rates continue to be suboptimal.Purpose: To determine the effectiveness of video-assisted training and visual feedback with ultraviolet (UV) germ technology on nursing students' HH beliefs, practices, and compliance.Methods: This study used a double-blind, posttest randomized controlled design. The experimental group received training, visual feedback with UV germ technology, and instructional videos.Results: A total of 46 students were included in the study (experimental 21 and control 25). The mean score of the HH skills checklist of the experimental group was significantly higher than that of the control group ( P = .0001). The HH compliance rate was also higher in the experimental group (52.62%) compared with the control group (39.1%).Conclusions: The training, visual feedback with UV germ technology, and instructional videos increased HH compliance rates in nursing students.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"38 4","pages":"335-340"},"PeriodicalIF":1.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10430108","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 Effect of 2 Different Distraction Methods on Pain, Fear, and Anxiety Levels During Venous Blood Draw in Children in a Pediatric Emergency Unit: A Randomized Controlled Study. 两种不同的分心方法对儿科急诊室儿童静脉抽血过程中疼痛、恐惧和焦虑水平的影响：一项随机对照研究。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2023-10-01 Epub Date: 2023-03-14 DOI: 10.1097/NCQ.0000000000000709

Özlem Akarsu, Remziye Semerci, Derya Kılınç

{"title":"The Effect of 2 Different Distraction Methods on Pain, Fear, and Anxiety Levels During Venous Blood Draw in Children in a Pediatric Emergency Unit: A Randomized Controlled Study.","authors":"Özlem Akarsu, Remziye Semerci, Derya Kılınç","doi":"10.1097/NCQ.0000000000000709","DOIUrl":"10.1097/NCQ.0000000000000709","url":null,"abstract":"Background: Blood draw procedures can cause pain, fear, and anxiety in the pediatric population.Purpose: To compare the effects of watching cartoons either with virtual reality (VR) or via a tablet on pain, fear, and anxiety during venous blood draw procedures in children.Methods: A randomized controlled study was conducted with 159 children aged 5 to 12 years in the pediatric emergency unit. The 3 groups included cartoons with VR (n = 53) or a tablet (n = 53), and a control group (n = 53).Results: Children in the 2 intervention groups had lower perceptions of pain, fear, and anxiety, with those watching cartoons via VR having the lowest perceptions.Conclusions: Findings from this study showed a reduction in the perception of pain, fear, and anxiety in children who watched cartoons with VR or tablets during blood draw procedures. Nurses should consider using these nonpharmacological methods to reduce pain, fear, and anxiety, among pediatric patients.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"38 4","pages":"E51-E58"},"PeriodicalIF":1.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10054579","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: 1

Development and Validation of a Questionnaire to Measure ICU Nurses' Knowledge, Attitudes, and Practices Related to Central Line Bloodstream Infection Practices. 测量ICU护士与中心线血流感染实践相关的知识、态度和实践的问卷的开发和验证。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2023-10-01 Epub Date: 2023-03-14 DOI: 10.1097/NCQ.0000000000000708

Fangping Dang, Tiantian Zhai, Nannan Ding, Jing Gao, Rao Li, Huiju Li, Xingwu Ran

{"title":"Development and Validation of a Questionnaire to Measure ICU Nurses' Knowledge, Attitudes, and Practices Related to Central Line Bloodstream Infection Practices.","authors":"Fangping Dang, Tiantian Zhai, Nannan Ding, Jing Gao, Rao Li, Huiju Li, Xingwu Ran","doi":"10.1097/NCQ.0000000000000708","DOIUrl":"10.1097/NCQ.0000000000000708","url":null,"abstract":"BACKGROUND Currently, there is no instrument available to assess intensive care unit (ICU) nurses' knowledge, attitudes, and practices (KAP) of central line-associated bloodstream infection (CLABSI) prevention practices. PURPOSE To develop and validate a CLABSI questionnaire to measure ICU nurses' KAP (CLABSI-KAP-Q). METHODS Data were collected from 255 nurses at 4 hospitals in Gansu Province, China. Questions on the CLABSI-KAP-Q were generated through a review of the literature, interviews with nurses, and multiple rounds of content validity evaluation by experts. The validity and reliability of the CLABSI-KAP-Q were assessed with exploratory factor analysis, confirmatory factor analysis, internal consistency, and correlation coefficients. RESULTS The final version of the CLABSI-KAP-Q consisted of 32 items. The reliability was represented by a Cronbach α of 0.946, while the test-retest reliability was 0.945. The overall content validity was 0.95. CONCLUSIONS The CLABSI-KAP-Q is shown to be valid and reliable and recommended for use in clinical practice.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"38 4","pages":"E59-E65"},"PeriodicalIF":1.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/41/44/jncqu-38-e59.PMC10442122.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10052057","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

Nurse Staffing and Veteran Outcomes in the Veterans Health Administration's Community Living Centers. 退伍军人健康管理局社区生活中心的护士配置和退伍军人成果。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2023-10-01 Epub Date: 2023-02-24 DOI: 10.1097/NCQ.0000000000000700

Lana M Brown, C Heath Gauss, Pamela Billings, Lisa Minor, Jade T Moore, Linda M Sawyer, Diane Sparks, Sheila Cox Sullivan

{"title":"Nurse Staffing and Veteran Outcomes in the Veterans Health Administration's Community Living Centers.","authors":"Lana M Brown, C Heath Gauss, Pamela Billings, Lisa Minor, Jade T Moore, Linda M Sawyer, Diane Sparks, Sheila Cox Sullivan","doi":"10.1097/NCQ.0000000000000700","DOIUrl":"10.1097/NCQ.0000000000000700","url":null,"abstract":"Background: The demand for nursing care is rising in the long-term care setting. Nurse staffing is a crucial measure linked to health care quality measure outcomes.Purpose: To assess for associations between nursing hours per patient day (NHPPD) and outcome measures in the Veterans Health Administration Community Living Centers.Methods: A retrospective data review of NHPPD and quality measures for 134 community living centers was conducted. Linear regression was used to assess for linear associations between average total NHPPD and 6 quality measures.Results: A significant linear association was found between average total NHPPD and falls with major injury ( P = .02) and help with activities of daily living ( P = .01). No associations were found between nurse staffing and 4 other quality measures.Conclusions: This study adds to the body of literature regarding the impact of nurse staffing on quality measures.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"38 4","pages":"297-303"},"PeriodicalIF":1.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10052041","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

Increasing Nurse-Physician Family-Centered Rounds Communication: A Quality Improvement Pilot Project. 增加以家庭为中心的护士-医生轮次交流：一个质量改进试点项目。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2023-10-01 DOI: 10.1097/NCQ.0000000000000741

引用次数: 0

End-of-Life Care Planning in Diverse Individuals Across Age Groups: A Proposed Conceptual Model of Nursing. 不同年龄组不同个体的临终关怀计划：一个拟议的护理概念模型。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2023-10-01 Epub Date: 2023-03-22 DOI: 10.1097/NCQ.0000000000000705

Zahra Rahemi, Ayse Malatyali, Lisa Ann Kirk Wiese, Cheryl J Dye

{"title":"End-of-Life Care Planning in Diverse Individuals Across Age Groups: A Proposed Conceptual Model of Nursing.","authors":"Zahra Rahemi, Ayse Malatyali, Lisa Ann Kirk Wiese, Cheryl J Dye","doi":"10.1097/NCQ.0000000000000705","DOIUrl":"10.1097/NCQ.0000000000000705","url":null,"abstract":"Background: End-of-life planning helps nurses meet the needs of their patients at a crucial time of life.Purpose: This article presents a conceptual model of end-of-life care planning for nurses, especially those in palliative and hospice care, focusing on holistic nursing views.Methods: Based on a literature review, we developed a new conceptual model illustrating the concepts and dimensions of end-of-life care planning among diverse individuals across countries, life spans and age groups, ethnographies, and residential statuses.Results: This conceptual model includes 3 concepts: personal factors, stakeholders, and environmental and social factors. Each concept encompasses multiple dimensions. The concepts are interrelated and directly related to end-of-life care planning.Conclusion: This work addresses the need for a comprehensive end-of-life care planning model and can help enhance the quality of end-of-life care. This article identifies implications for nursing education, practice, and research.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"38 4","pages":"319-326"},"PeriodicalIF":1.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e2/f5/jncqu-38-319.PMC10442095.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10430112","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

Compassion Fatigue and Ethical Attitudes in Nursing Care in Intensive Care Nurses During the COVID-19 Pandemic: A Cross-sectional Study. 新冠肺炎大流行期间重症监护护士的同情疲劳与护理伦理态度：跨部门研究。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2023-10-01 Epub Date: 2023-03-14 DOI: 10.1097/NCQ.0000000000000702

Zuleyha Gurdap, Zeliha Cengiz

{"title":"Compassion Fatigue and Ethical Attitudes in Nursing Care in Intensive Care Nurses During the COVID-19 Pandemic: A Cross-sectional Study.","authors":"Zuleyha Gurdap, Zeliha Cengiz","doi":"10.1097/NCQ.0000000000000702","DOIUrl":"10.1097/NCQ.0000000000000702","url":null,"abstract":"Background: Intensive care unit (ICU) nurses faced an increased risk of compassion fatigue and ethical concerns during the COVID-19 pandemic.Purpose: To evaluate compassion fatigue of ICU nurses and their ethical attitudes in care during the COVID-19 pandemic and analyze contributing factors.Methods: An exploratory cross-sectional research design was used.Results: A total of 103 ICU nurses participated. The nurses' compassion fatigue and ethical attitude scores were high. Compassion fatigue was explained by the following variables: considering resigning, receiving support for ethical decisions, willingness to work in the ICU, duration of providing activities of daily living in a shift, and number of patients per nurse.Conclusions: Compassion fatigue was high in nurses working in the ICU during COVID-19. The high level of ethical attitudes shows commitment to professional ethics and reflects the development of the nurses' professional identity. Implementation of interventions that help improve compassion fatigue among nurses is needed.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"38 4","pages":"312-318"},"PeriodicalIF":1.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10052056","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