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Teaching Evidence-Based Practice Competencies to Meet Professional Practice Needs. 教授循证实践能力，满足专业实践需求。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-05-07 DOI: 10.1097/NCQ.0000000000000781
Annette M Bourgault, Daleen Penoyer, Norma E Conner
{"title":"Teaching Evidence-Based Practice Competencies to Meet Professional Practice Needs.","authors":"Annette M Bourgault, Daleen Penoyer, Norma E Conner","doi":"10.1097/NCQ.0000000000000781","DOIUrl":"10.1097/NCQ.0000000000000781","url":null,"abstract":"<p><strong>Background: </strong>Evidence-based practice (EBP) is a major concept threaded throughout nursing education, yet competencies are not clearly identified in The Essentials.</p><p><strong>Purpose: </strong>Nurse leaders'EBP competency expectations for professional practice were explored to inform competency-based education for students and practicing nurses. A secondary aim explored potential effects of misinformation on EBP.</p><p><strong>Methods: </strong>Descriptive qualitative inquiry was performed with a focus group of 6 clinical nurse leaders.</p><p><strong>Results: </strong>EBP expectations were identified, discriminating between novice entry level and advanced-level nurses. Participants emphasized asking questions, linking evidence to practice, and acknowledging that evidence changes over time. All advanced-level nurses were expected to apply, lead, and teach EBP. Post pandemic, nurses need to reclaim evidence-based practices, critically appraise evidence, and educate patients and families to address misinformation.</p><p><strong>Conclusions: </strong>Information learned will inform competency-based EBP education for students and nurses in academic and clinical settings.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916429","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
Nursing Use of Pain, Inspiration, and Cough Protocol Decreases Unplanned ICU Admissions in Patients With Traumatic Rib Fractures. 护理人员使用疼痛、吸气和咳嗽协议可减少外伤性肋骨骨折患者意外入住重症监护病房的次数。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-08-20 DOI: 10.1097/NCQ.0000000000000793
Isaac Edward Wenger, Kristin Farrugia, Elysa Margiotta, Socorro Relja, Kelli Gills, Jonathan Henglein, Paul Boland, Nicholas Martella, Yen-Hong Kuo, Alejandro Betancourt-Ramirez, Shannon F R Small
{"title":"Nursing Use of Pain, Inspiration, and Cough Protocol Decreases Unplanned ICU Admissions in Patients With Traumatic Rib Fractures.","authors":"Isaac Edward Wenger, Kristin Farrugia, Elysa Margiotta, Socorro Relja, Kelli Gills, Jonathan Henglein, Paul Boland, Nicholas Martella, Yen-Hong Kuo, Alejandro Betancourt-Ramirez, Shannon F R Small","doi":"10.1097/NCQ.0000000000000793","DOIUrl":"10.1097/NCQ.0000000000000793","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142017862","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
Pediatric Clinical Staff Perspectives on Secure Messaging. 儿科临床医护人员对安全信息的看法。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-04-29 DOI: 10.1097/NCQ.0000000000000775
Katherine E Taylor Pearson
{"title":"Pediatric Clinical Staff Perspectives on Secure Messaging.","authors":"Katherine E Taylor Pearson","doi":"10.1097/NCQ.0000000000000775","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000775","url":null,"abstract":"<p><strong>Background: </strong>Secure messaging (SM) is a communication feature within a patient portal that allows patients and clinical staff to exchange health-related information securely and confidentially.</p><p><strong>Purpose: </strong>This study aimed to explore how pediatric clinical staff use SM, identify challenges in its implementation, and suggest quality improvements.</p><p><strong>Methods: </strong>A descriptive quantitative study was administered using an online survey in a large health care system. The Task, User, Representation, and Function framework guided the research.</p><p><strong>Results: </strong>The survey participants were moderately satisfied with the SM. Opportunities to design this system to be more efficient and maximize patient safety were identified.</p><p><strong>Conclusion: </strong>Improving training and workflow can aid in incorporating SM into clinician's daily routines, focusing on enhancing user satisfaction. Future developments aimed at increasing usage and standardizing message content are crucial for encouraging adoption and ensuring patient safety.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142036058","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
Implementing a Frailty-Specific Postoperative Order Set to Improve Postoperative Outcomes in Frail Adults After Elective Thoracic Surgery. 实施虚弱特异性术后医嘱集，改善虚弱成人择期胸外科手术的术后疗效。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-06-26 DOI: 10.1097/NCQ.0000000000000784
Amani Allen, Mary Ann Francisco, Jessica Jatis, Yonous Turner, Rachel Nordgren, Daniel Rubin, Megan Huisingh-Scheetz, Darren S Bryan, Jessica Donington, Mark K Ferguson, Lauren J Gleason, Maria Lucia Madariaga
{"title":"Implementing a Frailty-Specific Postoperative Order Set to Improve Postoperative Outcomes in Frail Adults After Elective Thoracic Surgery.","authors":"Amani Allen, Mary Ann Francisco, Jessica Jatis, Yonous Turner, Rachel Nordgren, Daniel Rubin, Megan Huisingh-Scheetz, Darren S Bryan, Jessica Donington, Mark K Ferguson, Lauren J Gleason, Maria Lucia Madariaga","doi":"10.1097/NCQ.0000000000000784","DOIUrl":"10.1097/NCQ.0000000000000784","url":null,"abstract":"<p><strong>Background: </strong>Frailty is independently associated with adverse patient outcomes after surgery. The current standards of postoperative care rarely consider frailty status.</p><p><strong>Local problem: </strong>There was no standardized protocol to optimize specialized postoperative care for frail patients at an academic medical center.</p><p><strong>Methods: </strong>A quasi-experimental pre-/postimplementation study design, using the Reach, Effectiveness, Adoption, Implementation, Maintenance implementation framework, was utilized.</p><p><strong>Interventions: </strong>A frailty-specific postoperative order set (FPOS) was developed, including tailored nursing care, activity levels, and nutritional goals.</p><p><strong>Results: </strong>There were significant improvements in nurse's self-reported familiarity with frailty ( P = .003) and FPOS awareness ( P < .001). The number of orders for delirium prevention, elimination, nutrition, sleep promotion, and sensory support increased ( P < .001).</p><p><strong>Conclusions: </strong>Implementing an FPOS showed improvements in nurse frailty knowledge, awareness, and order set utilization.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141468956","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
Preoperative Phone Calls to Support Patient Engagement and Digital Education in Cardiothoracic Surgery. 术前电话支持心胸外科患者参与和数字教育。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-06-20 DOI: 10.1097/NCQ.0000000000000773
Heather Pena, Stephanie Pennigar, Kelly Kester
{"title":"Preoperative Phone Calls to Support Patient Engagement and Digital Education in Cardiothoracic Surgery.","authors":"Heather Pena, Stephanie Pennigar, Kelly Kester","doi":"10.1097/NCQ.0000000000000773","DOIUrl":"10.1097/NCQ.0000000000000773","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437089","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
Utilizing Data and Alarm Champions to Enhance Alarm Management: A Pediatric Quality Improvement Initiative. 利用数据和警报冠军加强警报管理：儿科质量改进计划。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-06-26 DOI: 10.1097/NCQ.0000000000000787
Joellan Mullen, Sulimon Sattari, Melissa Rauch, Fernando Stein, Kevin Roy, Darlene E Acorda
{"title":"Utilizing Data and Alarm Champions to Enhance Alarm Management: A Pediatric Quality Improvement Initiative.","authors":"Joellan Mullen, Sulimon Sattari, Melissa Rauch, Fernando Stein, Kevin Roy, Darlene E Acorda","doi":"10.1097/NCQ.0000000000000787","DOIUrl":"10.1097/NCQ.0000000000000787","url":null,"abstract":"<p><strong>Background: </strong>Nuisance and false alarms distract clinicians from urgent alerts, raising patient safety risks.</p><p><strong>Local problem: </strong>High alarm rates in a pediatric progressive care unit resulted in experiencing 180-250 alarms per day or 1 alarm every 3 to 4 minutes per clinician.</p><p><strong>Methods: </strong>Through Plan-Do-Study-Act cycles, environmental, policy, and technology changes were implemented to decrease the average alarms/day/bed and percentage of time in alarm.</p><p><strong>Interventions: </strong>Alarm settings tailored to patient needs using features embedded within the patient monitoring system were implemented and monitored with the assistance of alarm champions.</p><p><strong>Results: </strong>The average number of alarms/day/bed decreased from 177.69 to 96.94 over the course of 10 years, a 45.45% reduction. The percentage of time in alarm decreased from 7.52% to 2.83%, a 62.37% reduction.</p><p><strong>Conclusions: </strong>Arming clinicians with technology to analyze real-time clinical data made alarms meaningful and actionable, decreasing false alarms without compromising patient safety.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141468958","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
JNCQ1024-Glycemic outcomes and nurse perceptions of continuous glucose monitoring for hospitalized patients. JNCQ1024-住院患者的血糖结果和护士对持续葡萄糖监测的看法。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-08-23 DOI: 10.1097/NCQ.0000000000000800
{"title":"JNCQ1024-Glycemic outcomes and nurse perceptions of continuous glucose monitoring for hospitalized patients.","authors":"","doi":"10.1097/NCQ.0000000000000800","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000800","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142036127","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
Integrating Nurse-Led Interventions in Ophthalmology Care: A Systematic Review. 在眼科护理中整合护士主导的干预措施：系统回顾。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-06-17 DOI: 10.1097/NCQ.0000000000000788
Yufen Zhang, Naiyue Cao
{"title":"Integrating Nurse-Led Interventions in Ophthalmology Care: A Systematic Review.","authors":"Yufen Zhang, Naiyue Cao","doi":"10.1097/NCQ.0000000000000788","DOIUrl":"10.1097/NCQ.0000000000000788","url":null,"abstract":"<p><strong>Background: </strong>Nurse-led interventions in ophthalmology care can enhance the overall patient experience while optimizing health care system efficiency.</p><p><strong>Purpose: </strong>The purpose of this study was to investigate the impact of nurse-led interventions in ophthalmology care.</p><p><strong>Methods: </strong>A comprehensive search was conducted across multiple databases for articles published from 2000 to 2023. Randomized controlled trials, quasi-experimental, and observational studies were included. Quality assessments were performed using the Cochrane Risk of Bias tool or Newcastle-Ottawa Scale, based on study design.</p><p><strong>Results: </strong>Nineteen studies were included. Nurse-led interventions positively impacted patient outcomes, improved efficiency and resource utilization, enhanced patient satisfaction and adherence, maintained safety and efficacy, and demonstrated notable diagnostic accuracy. Included studies originated from different countries and employed diverse methodologies, offering a global perspective on nurse-led interventions in ophthalmology care.</p><p><strong>Conclusion: </strong>The findings advocate for the integration of nurse-led strategies in routine practice to realize equitable, efficient, and patient-centered eye care.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141468957","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
Regional Transformation: An Integrated System's Approach to Magnet Designation Utilizing High-Reliability Organization Implementation Strategies. 区域转型：一个综合系统利用高可靠性组织实施战略获得磁石称号的方法。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-05-08 DOI: 10.1097/NCQ.0000000000000782
Juli McGinnis, Emma Aquino-Maneja, Kristy Geloso, Carrie Zaragoza, Jerry Spicer, Lina Najib Kawar
{"title":"Regional Transformation: An Integrated System's Approach to Magnet Designation Utilizing High-Reliability Organization Implementation Strategies.","authors":"Juli McGinnis, Emma Aquino-Maneja, Kristy Geloso, Carrie Zaragoza, Jerry Spicer, Lina Najib Kawar","doi":"10.1097/NCQ.0000000000000782","DOIUrl":"10.1097/NCQ.0000000000000782","url":null,"abstract":"<p><strong>Background: </strong>Synergistic opportunity exists between Magnet-aspiring environments and High Reliability Organization (HRO) cultures to elevate safety, quality, new knowledge, continuous improvement, hierarchical flattening, and frontline empowerment.</p><p><strong>Local problem: </strong>Variation existed across a region's 15 hospitals regarding Magnet-readiness, leadership engagement, journey strategies, and resource capacity.</p><p><strong>Methods: </strong>Quality improvement (QI) methodology and a hybrid-hub-spoke-model (HHSM) were used to support region-wide Magnet designation, improve patient outcomes, and advance nursing research.</p><p><strong>Interventions: </strong>HRO strategies were used region-wide to strengthen implementation and enculturation of Magnet excellence infrastructure.</p><p><strong>Results: </strong>Nine facilities achieved Magnet recognition. Magnet sites demonstrated significantly lower falls with injury ( P = .012), lower health care-associated infections and hospital-acquired pressure injuries than non-Magnet sites. Nursing research studies increased 223%.</p><p><strong>Conclusions: </strong>Utilizing a HHSM and HRO strategies represent effective methods for supporting region-wide Magnet designation and continuous QI.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916357","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
Improving Throughput and Length of Stay Using Nurse Consultation in the Acute Adult Physical Rehabilitation Unit. 在急诊成人物理康复病房中利用护士咨询改善吞吐量和住院时间。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-06-17 DOI: 10.1097/NCQ.0000000000000778
Renee L Pierce, Deborah L Erickson, Stephanie Cain
{"title":"Improving Throughput and Length of Stay Using Nurse Consultation in the Acute Adult Physical Rehabilitation Unit.","authors":"Renee L Pierce, Deborah L Erickson, Stephanie Cain","doi":"10.1097/NCQ.0000000000000778","DOIUrl":"10.1097/NCQ.0000000000000778","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437088","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
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