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

Agreement in Fall Risk Perception Among Oncohematology Patients, Caregivers, and Nurses: A Cross-Sectional Study Using STRATIFY. 血液肿瘤患者、护理人员和护士对跌倒风险认知的一致性：一项使用分层的横断面研究。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-10-01 Epub Date: 2026-06-11 DOI: 10.1097/NCQ.0000000000000986

Sandra Cabrera-Jaime, Nuria Salvadó-Viella, Elena Da Silva-Bohigas, Mirta Sola-Mas, Ester Garrido-Bueno, Cristina Fernández-Rodriguez, Juan Acacio-Chaos, Nuria Zarza-Arnau

{"title":"Agreement in Fall Risk Perception Among Oncohematology Patients, Caregivers, and Nurses: A Cross-Sectional Study Using STRATIFY.","authors":"Sandra Cabrera-Jaime, Nuria Salvadó-Viella, Elena Da Silva-Bohigas, Mirta Sola-Mas, Ester Garrido-Bueno, Cristina Fernández-Rodriguez, Juan Acacio-Chaos, Nuria Zarza-Arnau","doi":"10.1097/NCQ.0000000000000986","DOIUrl":"10.1097/NCQ.0000000000000986","url":null,"abstract":"Background: Falls are preventable adverse events in hospitalized oncology populations.Purpose: To determine agreement in perceived fall risk among oncohematologic patients, caregivers, and nurses within 72 hours of admission.Methods: A prospective cross-sectional study was conducted in 2 university hospitals involving patient-caregiver-nurse triads. The primary outcome was perceived fall risk assessed with the St. Thomas Risk Assessment Tool in Falling Elderly Inpatients.Results: A total of 126 triads (378 assessments) were analyzed. Overall agreement was moderate (72.2%; k = 0.573). \"History of falls\" showed almost perfect agreement (93.7%; k = 0.824). \"Patient agitation\" showed fair agreement (k = 0.280), whereas \"visual impairment\" and \"frequent toileting/toilet assistance\" showed no significant agreement. Pairwise concordance ranged from 79.4%-83.3% (k = 0.536-0.607), with the highest agreement between caregiver and nurse.Conclusions: Overall agreement was moderate, with the highest agreement for history of falls. Standardizing interpretation and incorporating multidimensional assessments may improve fall risk identification.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"E54-E61"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148218247","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

Charting and Predicting Risk: Artificial Intelligence/Machine Learning Pilot Model for Hospital-Acquired Pressure Injuries. 绘制和预测风险：医院获得性压力伤害的人工智能/机器学习试点模型。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-10-01 Epub Date: 2026-06-22 DOI: 10.1097/NCQ.0000000000000988

Shea Polancich, Chris Hickman, Tracey Dick, Allyson Hall, Curry Bordelon, Ria Hearld

{"title":"Charting and Predicting Risk: Artificial Intelligence/Machine Learning Pilot Model for Hospital-Acquired Pressure Injuries.","authors":"Shea Polancich, Chris Hickman, Tracey Dick, Allyson Hall, Curry Bordelon, Ria Hearld","doi":"10.1097/NCQ.0000000000000988","DOIUrl":"10.1097/NCQ.0000000000000988","url":null,"abstract":"Background: Hospital-acquired pressure injuries (HAPIs) are a significant and global adverse event impacting an estimated 2.5 million patients per year, costing from $20 900 to $151 700 per pressure injury.Purpose: The purpose of this pilot study was 2-fold: (1) to evaluate the effectiveness of artificial intelligence and machine learning (AI/ML) models in predicting HAPIs, and (2) to compare that effectiveness with the predictive accuracy of traditional analytic methods.Methods: Secondary data analysis was performed for this pilot study. A training dataset was created and used for our exploratory evaluation and comparisons between AI/ML models and traditional analytic methods for pressure injury predictive accuracy.Results: While logistic regression provided a reasonable fit and interpretable coefficients, tree-based AI models performed notably better in predicting HAPIs.Conclusions: The use of AI/ML models appears to offer an increase in precision for the identification of patients at risk for developing HAPIs.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"305-313"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277734","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

Predictive Relationships Among Nurses' Perceptions of Shared Governance, Psychological Empowerment, and Turnover Intentions. 护士共享治理感知、心理赋权和离职意向的预测关系。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-10-01 Epub Date: 2026-03-23 DOI: 10.1097/NCQ.0000000000000949

Emma Aquino-Maneja, Linda Searle Leach, Hong Li, Juli McGinnis

{"title":"Predictive Relationships Among Nurses' Perceptions of Shared Governance, Psychological Empowerment, and Turnover Intentions.","authors":"Emma Aquino-Maneja, Linda Searle Leach, Hong Li, Juli McGinnis","doi":"10.1097/NCQ.0000000000000949","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000949","url":null,"abstract":"Background: A significant shortage of experienced nurses poses a major challenge in health care. Although evidence indicates that shared governance, a hallmark of Magnet organizations, supports nurse retention, gaps remain in understanding how psychological empowerment influences this relationship.Objective: The purpose of this study was to investigate predictive pathways among nurses' perceptions of shared governance, psychological empowerment, and turnover intention, with psychological empowerment examined as a mediating mechanism.Methods: A total of 313 nurses from an integrated care system participated in a cross-sectional survey study. Data were analyzed using descriptive and inferential statistics.Results: Nurses' perceptions of shared governance predicted turnover intention, with psychological empowerment partially mediating this relationship. The combined effects accounted for 24% of the variance in nurses' turnover intention.Conclusions: Nurse leaders should invest in shared governance principles that foster psychological empowerment as an intentional leadership strategy to effectively reduce turnover intention.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"41 4","pages":"370-378"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880916","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

Charting and Predicting Risk: Artificial Intelligence/Machine Learning Pilot Model for Hospital-Acquired Pressure Injuries. 绘制和预测风险：医院获得性压力伤害的人工智能/机器学习试点模型。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-10-01 Epub Date: 2026-08-20 DOI: 10.1097/NCQ.0000000000000998

引用次数: 0

Assessing the Effectiveness of Multidisciplinary Interventions in Reducing Catheter-Associated Urinary Tract Infection: An Interrupted Time Series Modeling Approach. 评估多学科干预减少导尿管相关尿路感染的有效性：一种中断时间序列建模方法。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-10-01 Epub Date: 2026-05-12 DOI: 10.1097/NCQ.0000000000000956

Walter Wills, Kenneth Rosever, Andrew Bugajski, Amber Gallo, Peter Hinds, Lauren Morata

{"title":"Assessing the Effectiveness of Multidisciplinary Interventions in Reducing Catheter-Associated Urinary Tract Infection: An Interrupted Time Series Modeling Approach.","authors":"Walter Wills, Kenneth Rosever, Andrew Bugajski, Amber Gallo, Peter Hinds, Lauren Morata","doi":"10.1097/NCQ.0000000000000956","DOIUrl":"10.1097/NCQ.0000000000000956","url":null,"abstract":"Background: Recommendations support multi-interventional catheter-associated urinary tract infection (CAUTI) reduction programs; however, identifying specific interventions with significant impact may be beneficial in resource-limited settings.Purpose: To determine which intervention(s) were most effective at reducing CAUTI Standardized Infection Ratio (SIR) and urinary catheter utilization.Methods: Interventions were implemented from September 2020 to February 2023, including Clinical Quality rounds, silicone to latex urinary catheter transition, nurse-driven removal protocol revision, and updated urinalysis with reflex process. To determine effectiveness, institutional data on SIR were modeled over time using an autoregressive integrated moving average time series model, observing the change in outcome when adopting each intervention.Results: There was no clinically meaningful effect of singular interventions on the SIR. Implementing multiple interventions over time reduced SIR significantly when compared with the time before the interventions ( P = .032).Conclusions: This empirical evidence demonstrates that a combination of targeted, multidisciplinary strategies may be most effective in reducing CAUTI.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"321-329"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147930721","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

Evaluation of Physical and Mental Workload and Transfusion Time in Trauma Resuscitation. 创伤复苏中身心负荷和输血时间的评估。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-10-01 Epub Date: 2026-08-20 DOI: 10.1097/NCQ.0000000000000975

Justin L Miller, Patricia A Patrician, Michelle R Brown, Peng Li, Elizabeth A Mann-Salinas, John B Holcomb, Allison R Jones

{"title":"Evaluation of Physical and Mental Workload and Transfusion Time in Trauma Resuscitation.","authors":"Justin L Miller, Patricia A Patrician, Michelle R Brown, Peng Li, Elizabeth A Mann-Salinas, John B Holcomb, Allison R Jones","doi":"10.1097/NCQ.0000000000000975","DOIUrl":"10.1097/NCQ.0000000000000975","url":null,"abstract":"Background: Trauma resuscitation is time sensitive and complex. Whole blood (WB) and blood components are standard treatments for trauma related hemorrhage, yet their nursing workload and transfusion time have not been well evaluated.Purpose: To assess feasibility of a simulation-based crossover trial and obtain preliminary estimates comparing nursing workload and transfusion completion time between WB and blood component administration.Methods: A randomized crossover pilot study using in situ simulation was conducted with experienced trauma nurses. Time-motion analysis measured transfusion completion time, and the National Aeronautical and Space Administration Task Load Index assessed workload domains.Results: Strong feasibility was demonstrated across recruitment, retention, adherence, and completion. WB was associated with significantly shorter transfusion time, lower overall workload and mental demand, less effort, and better perceived performance.Conclusions: These findings support the feasibility and justify a fully powered trial. WB may improve resuscitation efficiency and reduce cognitive burden, with potential implications for patient outcomes and nursing workflow.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"41 4","pages":"355-362"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880837","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

Float Nurses' Association With Nurse-Sensitive Indicators: A Cross-Sectional Study. 流动护士与护士敏感指标的关联：一项横断面研究。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-10-01 Epub Date: 2026-03-25 DOI: 10.1097/NCQ.0000000000000948

Catherine P Stephens, Juanita Norton, Danielle Walker, M Terese Verklan

引用次数: 0

Developing and Implementing a Condition H Policy to Support Family-Initiated Escalation of Care. 制定和实施条件H政策，以支持家庭发起的护理升级。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-10-01 Epub Date: 2026-08-20 DOI: 10.1097/NCQ.0000000000000967

Kendall Eliasson, Sally Moyce, Maria Wines

引用次数: 0

Strategies to Address Communication Vulnerability in Adult Intensive Care Units Through Practice, Environment, and Policy Modifications. 通过实践、环境和政策修改来解决成人重症监护病房沟通脆弱性的策略。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-10-01 Epub Date: 2026-04-27 DOI: 10.1097/NCQ.0000000000000961

Praisy Rampogu, Laura Istanboulian, Amy Freeman-Sanderson, Kelly M Smith, Karen Soldatić

引用次数: 0

The Battle of Operating Room Turnover Times. 手术室周转时间之战。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-10-01 Epub Date: 2026-08-14 DOI: 10.1097/NCQ.0000000000000964

Avery Hill, Maria Wines

引用次数: 0