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Upper Arm Versus Forearm Placement of Long Peripheral Catheters for Blood Sampling: A Randomized Controlled Trial. 上臂与前臂置入长外周导管采血：随机对照试验
IF 1.7 4区 医学
Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-03-12 DOI: 10.1097/NCQ.0000000000000857
Amit Bahl, Matthew Drogowski, Akhil Gutta, Christopher Lehman, Edmond Younes, Emily DiLoreto, Chen Shen
{"title":"Upper Arm Versus Forearm Placement of Long Peripheral Catheters for Blood Sampling: A Randomized Controlled Trial.","authors":"Amit Bahl, Matthew Drogowski, Akhil Gutta, Christopher Lehman, Edmond Younes, Emily DiLoreto, Chen Shen","doi":"10.1097/NCQ.0000000000000857","DOIUrl":"10.1097/NCQ.0000000000000857","url":null,"abstract":"<p><strong>Background: </strong>The impact of site selection on blood sampling and catheter functionality for long peripheral catheters (LPCs) is unclear.</p><p><strong>Purpose: </strong>To compare outcomes of LPCs placed in the upper arm vs the forearm.</p><p><strong>Methods: </strong>A single-site, randomized trial was conducted among adult patients requiring an LPC for difficult venous access or prolonged therapy. Participants were randomized to receive an 8 cm, 20-gauge LPC in either the forearm or upper arm. Outcomes included blood sampling success, catheter survival, and catheter-associated thrombosis.</p><p><strong>Results: </strong>Among 88 patients, blood sampling failure was common, with no significant difference between forearm (83.3%) and upper arm (78.1%) groups (P = .769). Mean dwell time (74.27 vs 115.52 hours, P = .394) and time to first blood sampling failure (70.19 vs 112.90 hours, P = .359) were similar. While overall blood sampling success and thrombosis rates did not differ, trends favored upper arm placement over time.</p><p><strong>Conclusions: </strong>This study found no statistically significant differences in blood sampling capability or functionality between placement sites.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"310-317"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639545","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 Medication Errors in an Ambulatory Medical Center. 减少流动医疗中心的用药错误。
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.0000000000000856
Stacy Bentil, Tuba Sengül, Holly Kirkland-Kyhn
{"title":"Reducing Medication Errors in an Ambulatory Medical Center.","authors":"Stacy Bentil, Tuba Sengül, Holly Kirkland-Kyhn","doi":"10.1097/NCQ.0000000000000856","DOIUrl":"10.1097/NCQ.0000000000000856","url":null,"abstract":"<p><strong>Background: </strong>Medication errors are a significant problem in ambulatory care, occurring at any stage, from prescribing to administration.</p><p><strong>Local problem: </strong>Medication error rates due to interruptions were high on an ambulatory medical unit.</p><p><strong>Methods: </strong>A quality improvement design was used for the project.</p><p><strong>Interventions: </strong>A Safe Zone protocol was developed by nurses, certified nursing assistants, and unit secretaries. Implementation included clear medication preparation areas, administration checklists, and staff and patient education.</p><p><strong>Results: </strong>The number of distractions decreased by 20% over a 90-day period. Medication errors decreased from a rate of 0.97 events per 1000 doses administered to a rate of 0.20 after implementing the Safe Zone protocol.</p><p><strong>Conclusions: </strong>Due to its flexibility and adaptability, the Safe Zone protocol offers a template that can be replicated in environments needing to address similar issues.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"332-337"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764252","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
A Psychometric Analysis of the Safety Attitudes Questionnaire in Acute Care Nursing. 急症护理安全态度问卷的心理测量分析。
IF 1.7 4区 医学
Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-04-29 DOI: 10.1097/NCQ.0000000000000872
Muder Alkrisat, Manal Alatrash, Sarah Alkrisat
{"title":"A Psychometric Analysis of the Safety Attitudes Questionnaire in Acute Care Nursing.","authors":"Muder Alkrisat, Manal Alatrash, Sarah Alkrisat","doi":"10.1097/NCQ.0000000000000872","DOIUrl":"10.1097/NCQ.0000000000000872","url":null,"abstract":"<p><strong>Background: </strong>Evaluating patient safety culture is vital for improving health care quality. The safety attitudes questionnaire (SAQ) is a well-established tool to measure attitudes toward safety in health care personnel, but its psychometric properties have not been extensively studied in the acute care nursing population.</p><p><strong>Purpose: </strong>This study examines the psychometric properties of the SAQ specifically within an acute care nursing sample.</p><p><strong>Methods: </strong>Reliability and validity of the SAQ were evaluated using correlation and confirmatory factor analysis (CFA) with a sample of nurses from acute care settings in California.</p><p><strong>Results: </strong>Cronbach's alpha was 0.78, with subscales ranging from 0.70 to 0.90, indicating moderate reliability. CFA revealed a 2-factor model demonstrating excellent fit.</p><p><strong>Conclusion: </strong>The SAQ subscales reliably measure their constructs. Strong factor loadings validate the 2-factor structure, affirming the tool's effectiveness in assessing patient safety attitudes in acute care nursing.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"377-383"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968735","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 Crani Bundle: Chlorhexidine Gluconate Bathing, Patient Hand Hygiene, and Surgical Site Dressing Care in Preventing Surgical Site Infections. Crani束：葡萄糖酸氯己定沐浴，患者手部卫生和手术部位敷料护理预防手术部位感染。
IF 1.7 4区 医学
Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-04-22 DOI: 10.1097/NCQ.0000000000000869
Lauren M Franker, Molly Pretet, Kristin Simmons, Barbara Douglas, Lisa Young
{"title":"The Crani Bundle: Chlorhexidine Gluconate Bathing, Patient Hand Hygiene, and Surgical Site Dressing Care in Preventing Surgical Site Infections.","authors":"Lauren M Franker, Molly Pretet, Kristin Simmons, Barbara Douglas, Lisa Young","doi":"10.1097/NCQ.0000000000000869","DOIUrl":"10.1097/NCQ.0000000000000869","url":null,"abstract":"<p><strong>Background: </strong>Surgical site infections (SSIs) are preventable complications. The Joint Commission (TJC) National Patient Safety Goal® (NPSG) 7 focuses on decreasing health care-associated infections (HAIs), such as SSIs.</p><p><strong>Local problem: </strong>The neurosurgery service line encountered 4 SSIs from craniotomy procedures over a 27-month period with 2 occurring in 1 month requiring immediate attention.</p><p><strong>Methods: </strong>A pre- (January 2018 to March 2020)/post-implementation (April 2020 to July 2022) design, using rapid Plan-Do-Study-Act cycles, guided this evidenced-based practice quality improvement project.</p><p><strong>Interventions: </strong>The Crani Bundle, a nurse-led SSI prevention initiative focusing on patient hand hygiene and postoperative chlorhexidine gluconate bathing, was developed and implemented to reduce SSI after craniotomy (SSI-CRAN).</p><p><strong>Results: </strong>Implementation of the Crani Bundle decreased SSI-CRAN from 3.38% ( n = 4/118) to 0.0% ( n = 0/87).</p><p><strong>Conclusions: </strong>The Crani Bundle was effective in reducing SSI-CRAN, meeting TJC NPSG® of preventing HAIs and improving patient safety.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"363-369"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016579","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危重患者腹泻：循证质量改进项目。
IF 1.7 4区 医学
Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-08-19 DOI: 10.1097/NCQ.0000000000000901
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.0000000000000901","DOIUrl":"10.1097/NCQ.0000000000000901","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"383"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958433","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
Advancing Rounding Culture: Sustainable Strategies to Enhance Patient Experience and Nurse-Patient Relationships. 推进舍客文化：可持续战略，以提高患者体验和护患关系。
IF 1.7 4区 医学
Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-04-23 DOI: 10.1097/NCQ.0000000000000870
Mark Liguori, Jessica Diemer, Mohammed Rahman, Madeline Gale, Lori Aavik, Ronald Keller
{"title":"Advancing Rounding Culture: Sustainable Strategies to Enhance Patient Experience and Nurse-Patient Relationships.","authors":"Mark Liguori, Jessica Diemer, Mohammed Rahman, Madeline Gale, Lori Aavik, Ronald Keller","doi":"10.1097/NCQ.0000000000000870","DOIUrl":"10.1097/NCQ.0000000000000870","url":null,"abstract":"<p><strong>Background: </strong>Hourly rounding is a structured process where staff check on patients hourly to ensure their comfort and safety. Through checking on patients with purpose, we aim to enhance patient experience, strengthen nurse-patient relationships, and reduce safety risks.</p><p><strong>Problem: </strong>A cross-campus survey focusing on organizational culture of hourly rounding revealed that nursing staff perceived the process as burdensome and an additional task rather than an integrated practice.</p><p><strong>Approach: </strong>Program leaders launched a campus-wide video campaign showcasing purposeful rounding in action, followed by in-person training which equipped staff with leadership and appreciative coaching skills necessary to improve their daily rounding practices.</p><p><strong>Outcomes: </strong>Patient experience scores related to responsiveness improved by up to 7.9% on inpatient and outpatient surveys.</p><p><strong>Conclusions: </strong>This program provided a sustainable framework for staff to consistently and proactively address patient needs, improving the overall patient experience through enhanced human connection.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"370-376"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012861","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 1.7 4区 医学
Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-08-19 DOI: 10.1097/NCQ.0000000000000874
Jessica Elliott, Kensi Duncan, Kristen Noles
{"title":"Transforming Maternal Care: Quantitative Blood Loss as a Predictor for Postpartum Hemorrhage.","authors":"Jessica Elliott, Kensi Duncan, Kristen Noles","doi":"10.1097/NCQ.0000000000000874","DOIUrl":"10.1097/NCQ.0000000000000874","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"301"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021004","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 and Safety of Digital Health Services in Patients After Percutaneous Coronary Intervention: A Systematic Review and Meta-Analysis. 经皮冠状动脉介入治疗后数字医疗服务的有效性和安全性：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: 2025-04-09 DOI: 10.1097/NCQ.0000000000000862
Ran Chen, Lei Huang, Chi Zhang
{"title":"Effectiveness and Safety of Digital Health Services in Patients After Percutaneous Coronary Intervention: A Systematic Review and Meta-Analysis.","authors":"Ran Chen, Lei Huang, Chi Zhang","doi":"10.1097/NCQ.0000000000000862","DOIUrl":"10.1097/NCQ.0000000000000862","url":null,"abstract":"<p><strong>Background: </strong>Post-percutaneous coronary intervention (PCI) management is essential for improving patient outcomes. Digital health services (DHS) offer the potential to enhance recovery outcomes and care quality through real-time monitoring and personalized interventions.</p><p><strong>Purpose: </strong>This systematic review and meta-analysis aims to evaluate the effectiveness and safety of DHS in improving outcomes for post-PCI patients.</p><p><strong>Methods: </strong>A systematic search of databases was conducted for randomized controlled trials on DHS for post-PCI patients.</p><p><strong>Results: </strong>Eleven studies involving 2568 patients were included. DHS significantly improved quality of life, 6-minute walk test performance, medication adherence, patient satisfaction, and smoking cessation rates, while reducing complications and readmission rates. Subgroup analysis showed DHS was particularly effective for patients over 60 years.</p><p><strong>Conclusion: </strong>DHS significantly improve post-PCI management and patient outcomes, with marked benefits for older patients. Further large-scale, long-term studies are recommended to confirm these findings.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"E64-E70"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021002","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: 2025-08-19 DOI: 10.1097/NCQ.0000000000000886
{"title":"Optimizing the Discharge Lounge Efficiency: A Quality Improvement Initiative With Innovative Approaches.","authors":"","doi":"10.1097/NCQ.0000000000000886","DOIUrl":"10.1097/NCQ.0000000000000886","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"40 4","pages":"E71-E72"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006278","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
Building Nurse Capacity for Implementation Science: An Introduction to the Consolidated Framework for Implementation Research. 实施科学护士能力建设：实施研究综合框架介绍。
IF 1.7 4区 医学
Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-04-22 DOI: 10.1097/NCQ.0000000000000865
HyunBin You, Christine Kimpel, Leanne M Boehm
{"title":"Building Nurse Capacity for Implementation Science: An Introduction to the Consolidated Framework for Implementation Research.","authors":"HyunBin You, Christine Kimpel, Leanne M Boehm","doi":"10.1097/NCQ.0000000000000865","DOIUrl":"10.1097/NCQ.0000000000000865","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"287-291"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015693","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
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