Journal of nursing care quality最新文献_第2页

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

An Integrative Review of Quality Improvement Competence and Engagement Among Frontline Nurses.

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

Improving Timely Evaluation of Newborns at Risk for Hemolytic Disease From a Positive Maternal Antibody.

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":"https://doi.org/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.

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

Enhancing Pain Assessment Among Post-Surgery Patients at a Tertiary Hospital in China: A Best Practice Implementation Project.

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-02-25 DOI: 10.1097/NCQ.0000000000000852

Chengxiang Liu, Sainan Li, Juan Zhou, Huihui Zhao, Ruhuan Zhou, Chen Zhu, Shan Chen, Hong Chen, Miao Zhang

{"title":"Enhancing Pain Assessment Among Post-Surgery Patients at a Tertiary Hospital in China: A Best Practice Implementation Project.","authors":"Chengxiang Liu, Sainan Li, Juan Zhou, Huihui Zhao, Ruhuan Zhou, Chen Zhu, Shan Chen, Hong Chen, Miao Zhang","doi":"10.1097/NCQ.0000000000000852","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000852","url":null,"abstract":"Background: Postoperative pain is a common complication that can delay recovery and increase hospital stays and costs. Accurate pain assessments are essential for effective management.Local problem: Compliance with evidence-based pain assessment protocols in the Anesthesia Intensive Care Unit (AICU) at a teaching hospital in Hefei, China, was suboptimal.Methods: This evidence-based implementation project, conducted from December 2023 to August 2024, utilized the Joanna Briggs Institute (JBI) Implementation Framework and Model of Evidence-Based Health Care. A baseline audit of 23 nurses and 50 patients was followed by a post-implementation audit. Data were analyzed using JBI's PACES software.Interventions: Educational programs and stakeholder focus groups were introduced to enhance compliance with pain assessment protocols.Results: Compliance with 3 audit criteria increased by 66% to 92% following the intervention.Conclusions: The project successfully enhanced compliance with evidence-based pain assessment, improving postoperative pain management in the AICU.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143502082","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

Addressing Patient Learning Myopia in Multiple Sclerosis Through A Thermodynamic Approach.

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-02-25 DOI: 10.1097/NCQ.0000000000000844

Jorge Cegarra-Sánchez, Juan-Gabriel Cegarra-Navarro, Aurora Martinez-Martinez

{"title":"Addressing Patient Learning Myopia in Multiple Sclerosis Through A Thermodynamic Approach.","authors":"Jorge Cegarra-Sánchez, Juan-Gabriel Cegarra-Navarro, Aurora Martinez-Martinez","doi":"10.1097/NCQ.0000000000000844","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000844","url":null,"abstract":"Background: Multiple sclerosis (MS) is a chronic and unpredictable condition requiring continuous learning and self-management. Since learning myopia involves a tendency to focus on immediate concerns at the expense of long-term goals, it can hinder disease management.Problem: Patients with MS often prioritize short-term symptom relief over proactive disease education and adherence to disease-modifying therapies. This focus on the immediate challenges complicates efforts to foster sustained learning, further compounded by widespread misinformation about MS management.Approach: This article applies a thermodynamic framework integrating rational, emotional, and spiritual capacities to overcome learning myopia.Outcomes: The article demonstrates how nurses can facilitate informed decision-making, resilience, and long-term adherence, mitigating the impacts of learning myopia.Conclusions: Addressing learning myopia through the thermodynamic approach empowers patients to manage MS effectively, improving quality of life.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143502079","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

Standardizing Nursing Handoff: Enhancing Patient Care and Staff Satisfaction.

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-02-25 DOI: 10.1097/NCQ.0000000000000845

Zariya Gonzalez, Eileen Dowdall

引用次数: 0

The Association Between Quality and Safety of Nursing Care: A Correlational Study.

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-02-25 DOI: 10.1097/NCQ.0000000000000847

Daniela Bartoníčková, Dominika Kohanová, Lenka Mazalová, Lucie Holušová, Nikola Lorencová, Anna Fišerová, P Jane Greaves

{"title":"The Association Between Quality and Safety of Nursing Care: A Correlational Study.","authors":"Daniela Bartoníčková, Dominika Kohanová, Lenka Mazalová, Lucie Holušová, Nikola Lorencová, Anna Fišerová, P Jane Greaves","doi":"10.1097/NCQ.0000000000000847","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000847","url":null,"abstract":"Background: Patient safety culture is critical for ensuring quality nursing care, yet its role is not fully understood in various health care settings.Purpose: To explore the association between patient safety culture and nurses' perceptions of the quality of nursing care provided in hospitals in the Czech Republic.Methods: A correlation study was conducted with 535 nurses from 6 hospitals using the questionnaires Hospital Survey on Patient Safety Culture 2.0 and Scale of Perception of Nursing Activities that Contribute to Nursing Care Quality.Results: Significant associations were found between nursing care quality and dimensions of patient safety culture. Supervisor, manager, or clinical leader support; reporting patient safety events; and handoffs and information exchange were important predictors for improving nursing care quality (P < .05).Conclusions: Management support, adverse events, effective communication, and teamwork are essential for improving patient safety and have a significant impact on the quality of nursing care provided and must be properly supported.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143502092","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