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

Mobility Loss in Hospitalized Adults Predicts Poor Clinical Outcomes. 住院成人的活动能力丧失预示着不良的临床结果。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2025-02-19 DOI: 10.1097/NCQ.0000000000000827

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 : 2025-04-01 Epub Date: 2024-10-09 DOI: 10.1097/NCQ.0000000000000817

Leigh Griffis, William Folk, Nicole Probst

引用次数: 0

An Integrative Review of Quality Improvement Competence and Engagement Among Frontline Nurses. 一线护士质量改进、能力和敬业度的综合评价。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2025-02-13 DOI: 10.1097/NCQ.0000000000000833

Jung-Hsin Chang, Dana Tschannen

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 : 2025-04-01 Epub 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":"10.1097/NCQ.0000000000000822","url":null,"abstract":"Background: 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.Purpose: To assess the feasibility and acceptability of undergraduate students providing mobility-focused interventions for hospitalized adults.Methods: 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.Results: 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.Conclusions: 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.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"144-151"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","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

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 : 2025-04-01 Epub Date: 2025-02-19 DOI: 10.1097/NCQ.0000000000000819

Hasina Amanzai, Laura Istanboulian

引用次数: 0

The Relationship Between Point-of-Care Tool Use and Nurses' Self-Efficacy. 护理点工具使用与护士自我效能感之间的关系。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2024-11-26 DOI: 10.1097/NCQ.0000000000000830

Amy L Knowles, Penelope Neal, Christopher Pell, Lindsey Bloom, Julie Brown

引用次数: 0

Improving Timely Evaluation of Newborns at Risk for Hemolytic Disease From a Positive Maternal Antibody. 改善母体抗体阳性对新生儿溶血性疾病风险的及时评估。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI: 10.1097/NCQ.0000000000000831

Athena T Samaras, Alison E Sweeney, Emilee C Lewis, Julie A Thompson, Julee Waldrop

{"title":"Improving Timely Evaluation of Newborns at Risk for Hemolytic Disease From a Positive Maternal Antibody.","authors":"Athena T Samaras, Alison E Sweeney, Emilee C Lewis, Julie A Thompson, Julee Waldrop","doi":"10.1097/NCQ.0000000000000831","DOIUrl":"10.1097/NCQ.0000000000000831","url":null,"abstract":"Background: Hemolytic disease of the newborn (HDN) is a rare condition with the potential for high morbidity.Local problem: Practice at a large maternity care center did not align with the American Academy of Pediatrics (AAP) revised hyperbilirubinemia guidelines.Methods: A pre/post-implementation design with Plan-Do-Study-Act cycles was used.Interventions: A clinical pathway was implemented to improve timely evaluation of newborns at risk for HDN due to a positive maternal antibody using cord blood.Results: Cord blood testing increased among the subset of newborns who did not meet collection criteria prior to the practice change (pre: 0% n = 7, post: 39% n = 23). Missed opportunities to test cord blood occurred less frequently post (35 versus 26 days between missed opportunities). Feasibility data identified the need for educational and clinical tools.Conclusions: A clinical pathway and tailored tools support the AAP recommendation. Electronic health record supports could bolster future efforts.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"40 2","pages":"165-172"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468565","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 Unnecessary Penicillin Allergy Labels in the Pediatric Surgical Population. 减少儿科外科人群不必要的青霉素过敏标签。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2024-10-02 DOI: 10.1097/NCQ.0000000000000813

Ann M Hefel, Laura A Wang, Maureen Bauer, Suhong Tong, Gee Mei Tan

{"title":"Reducing Unnecessary Penicillin Allergy Labels in the Pediatric Surgical Population.","authors":"Ann M Hefel, Laura A Wang, Maureen Bauer, Suhong Tong, Gee Mei Tan","doi":"10.1097/NCQ.0000000000000813","DOIUrl":"10.1097/NCQ.0000000000000813","url":null,"abstract":"Background: Up to 10% of children report having a penicillin allergy; however many of these are misdiagnoses or the allergy resolves over time. Having an unnecessary penicillin allergy label increases risk of adverse clinical outcomes and increased health care costs.Local problem: At our local pediatric surgical center, the percentage of patients with a penicillin allergy label was 7%.Methods: A pre/postimplementation design was used.Interventions: Pediatric surgical patients with a penicillin allergy label were identified and risk-stratified to undergo a single-dose oral provocation test (OPT) to amoxicillin.Results: Forty-two patients underwent an OPT. The percentage of patients with a penicillin allergy label decreased to 6.4% after 6 months ( P = .045). Median wait time for an allergy evaluation decreased from 102 to 42 days ( P < .0001).Conclusions: This quality improvement project decreased penicillin allergy labeling rates in pediatric surgical patients, improved access to penicillin allergy evaluation, and had no adverse outcomes.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"125-130"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364471","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

Nurse-Driven Process for the Successful Removal of Urinary Catheters Among Elderly Patients After Hip Fracture Surgery: A Quality Improvement Project. 髋部骨折术后老年患者成功拔除导尿管的护士驱动流程：质量改进项目。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-01-01 Epub Date: 2024-08-01 DOI: 10.1097/NCQ.0000000000000799

Lissa Vazhayil Joseph, Joyce Sb Koh, Juriyah Yatim, Dr Mamun Kaysar, Cristina C Hendrix

{"title":"Nurse-Driven Process for the Successful Removal of Urinary Catheters Among Elderly Patients After Hip Fracture Surgery: A Quality Improvement Project.","authors":"Lissa Vazhayil Joseph, Joyce Sb Koh, Juriyah Yatim, Dr Mamun Kaysar, Cristina C Hendrix","doi":"10.1097/NCQ.0000000000000799","DOIUrl":"10.1097/NCQ.0000000000000799","url":null,"abstract":"Background: Hip fracture is a major health concern and the use of an indwelling urinary catheter (IUC) constitutes a significant burden on elderly patients undergoing hip fracture surgery.Local problem: The institution had a high rate of urinary tract infection (UTI) and IUC reinsertion after hip fracture surgery.Methods: A pre/post-implementation design was used for this quality improvement initiative.Interventions: A nurse-driven process was developed and implemented to improve the successful removal of IUC among patients after hip fracture surgery.Results: There was a significant reduction in post-operative urinary retention ( P = .042), UTI rate ( P = .047), and IUC reinsertion ( P = .042) in the post-implementation group. IUC duration decreased by 1.1 days, however this was not significant ( P = .206). Nurse compliance with following the new process was 93.3%.Conclusion: The nurse-driven process designed for elderly patients following hip fracture surgery presents a promising approach to reducing IUC reinsertion rates and UTI.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"E1-E7"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141902044","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 : 2025-01-01 Epub 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":"10.1097/NCQ.0000000000000811","url":null,"abstract":"Background: 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.Purpose: This systematic review and meta-analysis aimed to evaluate the effectiveness of NDPs for preventing CAUTIs and reducing catheter utilization rates.Methods: 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.Results: 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.Conclusions: 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.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"39-45"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","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