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

A Formalized Venous Assessment Process for Vascular Access Reduces Inequities Related to Race and Sex: A Propensity-Matched Analysis. 血管通路的形式化静脉评估过程减少了与种族和性别相关的不平等：倾向匹配分析。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-04-08 DOI: 10.1097/NCQ.0000000000000954

Amit Bahl, Yuying Xing, Arshaan Bastani, Nicholas Mielke

{"title":"A Formalized Venous Assessment Process for Vascular Access Reduces Inequities Related to Race and Sex: A Propensity-Matched Analysis.","authors":"Amit Bahl, Yuying Xing, Arshaan Bastani, Nicholas Mielke","doi":"10.1097/NCQ.0000000000000954","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000954","url":null,"abstract":"Background: Individuals identifying as Black and/or female experience disparities in peripheral intravenous catheter (PIVC) outcomes. Improving preinsertion venous assessment may help mitigate these inequities.Purpose: The purpose of this study was to evaluate the effect of a standardized venous assessment approach on PIVC functionality and equity.Methods: We performed a propensity-matched pre-post analysis of hospitalized adult emergency department patients before and after implementation of standardized venous assessment within a venous access training program (Operation STICK). The primary outcome was PIVC functionality.Results: A total of 1796 encounters were analyzed (898 per cohort). Mean age was 64.8 years; 59.4% were female and 40.7% were Black. Preintervention, traditionally placed PIVCs in White males demonstrated 19.5% longer functionality than those in Black females (P = .03); this disparity was eliminated postintervention (P = .85).Conclusions: Standardized venous assessment with objective escalation to ultrasound improves PIVC outcomes and eliminates observed racial- and sex-based disparities.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147633707","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

Infusion Pump Interoperability and Resulting Alert Reduction: Multisystem Findings. 输液泵互操作性和由此产生的警报减少：多系统的发现。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-04-03 DOI: 10.1097/NCQ.0000000000000947

Jeannine W C Blake

{"title":"Infusion Pump Interoperability and Resulting Alert Reduction: Multisystem Findings.","authors":"Jeannine W C Blake","doi":"10.1097/NCQ.0000000000000947","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000947","url":null,"abstract":"Background: Intravenous (IV) medication errors pose significant patient safety risks. While most hospitals use IV smart pumps, adoption of interoperability with electronic health records remains limited. Interoperability can reduce nursing workload and programming errors, a common source of IV medication errors.Objective: This study aimed to explore the impact of interoperability on programming alerts across diverse health systems that used a similar process and IV smart pump vendor for implementation.Methods: This pre-post retrospective study analyzed data from 22 clinical sites across 5 health systems and 1 control system using Epic and Cerner electronic health records. Outcomes included programming alert rates, edits, overrides, and potentially averted underdose and overdose events.Results: Integration significantly reduced programming alerts, edits, overrides, and potentially averted overdose events. Intermittently dosed medications saw the greatest alert reduction; titrated medications remained unchanged.Conclusion: Interoperability can improve the safety of IV medication administration while reducing alert burden for nurses.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609311","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

An Implementation Science Perspective on the Gaps in a Quality Improvement Project for Workplace Violence Prevention in Health Care Settings. 从实施科学的角度看卫生保健机构预防工作场所暴力质量改进项目的差距。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-04-02 DOI: 10.1097/NCQ.0000000000000959

Daren Zhao

引用次数: 0

Impact of an Automated STAT Order Alert System on the Timely Administration of Antibiotics in an Acute Tertiary Hospital in Singapore. 自动STAT命令警报系统对新加坡一家急性三级医院抗生素及时管理的影响。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-04-01 Epub Date: 2025-12-05 DOI: 10.1097/NCQ.0000000000000899

Kai Yunn Teo, Huey Peng Loh

{"title":"Impact of an Automated STAT Order Alert System on the Timely Administration of Antibiotics in an Acute Tertiary Hospital in Singapore.","authors":"Kai Yunn Teo, Huey Peng Loh","doi":"10.1097/NCQ.0000000000000899","DOIUrl":"10.1097/NCQ.0000000000000899","url":null,"abstract":"Background: Timely administration of STAT antibiotics is critical in emergencies like sepsis yet delays often result from communication gaps between physicians and nurses.Purpose: This study evaluated the effectiveness of the Automated Stat-Order Alert System (ASOS), which delivers real-time alerts to nurses to reduce delays in antibiotic administration in a tertiary hospital in Singapore.Methods: A quasi-experimental design was used to analyse 4,003 STAT antibiotic orders. The Mann-Whitney U-test compared administration times before and after ASOS implementation.Results: Automated Stat-Order Alert System implementation significantly reduced mean administration time from 75.1 min (SD 53.3) to 67.6 min (SD 44.5) ( P = .005), with significantly fewer delays beyond 120 min (χ 2 = 25.387, P < .001).Conclusion: The ASOS improved Stat-Order Alert System improved the timeliness, consistency, and distribution of STAT antibiotic administration. Further system and workflow optimization is needed to meet the 60-min target consistently.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"E22-E26"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145678119","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

Factors Associated With Triage Clinical Decision-Making Among Emergency Nurses: A Scoping Review. 与急诊护士分诊临床决策相关的因素：一项范围回顾。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-04-01 Epub Date: 2025-08-06 DOI: 10.1097/NCQ.0000000000000903

Krisada Suamchaiyaphum, Allison R Jones, Pariya L Fazeli

{"title":"Factors Associated With Triage Clinical Decision-Making Among Emergency Nurses: A Scoping Review.","authors":"Krisada Suamchaiyaphum, Allison R Jones, Pariya L Fazeli","doi":"10.1097/NCQ.0000000000000903","DOIUrl":"10.1097/NCQ.0000000000000903","url":null,"abstract":"Background: Clinical decision-making is crucial in emergency nurse triage. However, the concept of clinical decision-making among emergency nurses who perform triage has not been clearly defined.Purpose: This study aims to define clinical decision-making in emergency nurse triage using Rodgers's evolutionary concept analysis.Methods: A scoping review of CINAHL, PubMed, and Embase databases was conducted, including studies published between 2012 and 2025. Eligible studies involved emergency or triage nurses and focused on triage decision-making.Results: Twenty-two studies met the inclusion criteria. Antecedents of clinical decision-making included nurse characteristics, patient characteristics, and environment and organizational cultures. Attributes encompassed critical thinking, intuition, clinical reasoning, and decision support systems. Consequences focused on triage accuracy, timely interventions, improved patient outcomes, fewer complications, and resource optimization.Conclusions: Triage decision-making is complex and influenced by multiple factors. The findings highlight the need for standardized protocols and support systems to enhance emergency triage consistency, accuracy, and efficiency.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"134-141"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821623","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-Sensitive Indicators: A Bibliometric Analysis of Research Trends (1983-2024). 护理敏感指标：研究趋势的文献计量学分析（1983-2024）。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-04-01 Epub Date: 2025-10-15 DOI: 10.1097/NCQ.0000000000000921

Qing Wang, Jun Zhang, Mengying Hu, Jiaojiao Xu, Qiongqiong Ai, Jiao Yu, Haiping Ma

引用次数: 0

Increasing Symptom Recognition Using Electronic Patient-Reported Outcomes in an Oncology Research Clinic. 在肿瘤研究诊所使用电子患者报告结果增加症状识别。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-04-01 Epub Date: 2025-08-26 DOI: 10.1097/NCQ.0000000000000911

Kimberly Freitas, Chia-Lin Tsai, Shu-Yi Wang

{"title":"Increasing Symptom Recognition Using Electronic Patient-Reported Outcomes in an Oncology Research Clinic.","authors":"Kimberly Freitas, Chia-Lin Tsai, Shu-Yi Wang","doi":"10.1097/NCQ.0000000000000911","DOIUrl":"10.1097/NCQ.0000000000000911","url":null,"abstract":"Background: The subjective nature of symptoms makes them challenging for providers to effectively assess. Implementing electronic patient-reported outcome (ePRO) surveys could improve symptom recognition and decrease emergency department (ED) visits and symptom severity while increasing psychosocial discussions.Local problem: An oncology clinic's initial symptom assessment process focused on common oncological complaints, leading to unmet symptom management needs and resulting in approximately 23 monthly ED visits.Methods: Iterative Plan-Do-Study-Act cycles were used to guide this project.Intervention: Patients completed ePRO surveys which allowed visits to be focused on self-identified severe symptoms.Results: The average number of monthly ED visits declined from 23.25 to 19.5 ( P = .10), and severe adverse events decreased from 0.27 to 0.25 ( P = .95). Discussions concerning depression rose from 21% to 23.3% ( P = .78).Conclusions: Implementing ePRO surveys was associated with a reduction in ED visits and an increase in psychosocial conversations, indicating that ePROs may contribute to improved value-based care.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"171-177"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958464","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

Safe Practices in Nursing Care for Patients Undergoing Bone Marrow Transplantation: A Scoping Review. 骨髓移植患者的安全护理：范围综述。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-04-01 Epub Date: 2025-10-21 DOI: 10.1097/NCQ.0000000000000923

Isabel Maria Pereira da Rocha, Maria Manuela Martins, Luís Miguel Ferreira, Ana Paula Carvalho, Regina Pires

{"title":"Safe Practices in Nursing Care for Patients Undergoing Bone Marrow Transplantation: A Scoping Review.","authors":"Isabel Maria Pereira da Rocha, Maria Manuela Martins, Luís Miguel Ferreira, Ana Paula Carvalho, Regina Pires","doi":"10.1097/NCQ.0000000000000923","DOIUrl":"10.1097/NCQ.0000000000000923","url":null,"abstract":"Background: Bone marrow transplantation (BMT) is a high-complexity procedure requiring specialized nursing to ensure care safety and quality.Purpose: The purpose of this study is to map safe nursing practices for patients undergoing BMT.Methods: A scoping review was conducted following Joanna Briggs Institute and PRISMA-ScR guidelines. The search, based on the PCC (Population, Concept, Context) framework, was conducted across 5 databases: MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Academic Search Complete, Scopus, and Web of Science. Studies published between 2014 and 2024 in English, Portuguese, or Spanish were considered.Results: Six studies were included. Key practices identified included structured medication administration protocols, infection prevention strategies, transfusion safety, graft infusion techniques, and the importance of professional training.Conclusion: Safe nursing practices are essential for minimizing risks and ensuring quality care in BMT. The findings highlight the relevance of evidence-based protocols and continuous education to support clinical decision-making and improve patient outcomes.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"128-133"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145513089","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 Standardized Protocol for Assessing and Addressing Social Determinants of Health. 评估和处理健康问题社会决定因素的标准化规程。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-04-01 Epub Date: 2025-10-14 DOI: 10.1097/NCQ.0000000000000918

Mary D Chenge, Dianne Conrad

引用次数: 0

A Fall Prevention Program Evaluation in a Neuroscience Intensive Care Unit. 神经科学重症监护室预防跌倒项目评估。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-04-01 Epub Date: 2025-08-26 DOI: 10.1097/NCQ.0000000000000910

Amanda Davidson, Rebecca Kitzmiller, Carrie Palmer, Elena Stock

引用次数: 0