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

Understanding the Association Between Comprehensive Nursing Care Service Policy and Patient Outcomes: A Systematic Review. 理解综合护理服务政策与患者预后之间的关系：一项系统综述。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-29 DOI: 10.1097/NCQ.0000000000000879

Sung-Heui Bae

{"title":"Understanding the Association Between Comprehensive Nursing Care Service Policy and Patient Outcomes: A Systematic Review.","authors":"Sung-Heui Bae","doi":"10.1097/NCQ.0000000000000879","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000879","url":null,"abstract":"Background: To reduce the burden of care and prevent health care-associated infections, the comprehensive nursing care services (CNCSs) model was implemented in South Korea.Purpose: The purpose of this study was to review and synthesize the association between CNCS units and patient outcomes.Methods: This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement guidelines. Articles published between 2013 and March 2025 were searched.Results: Online searches yielded 9417 articles; 23 articles were included in the review. Multivariate analyses evaluating the impact of CNCS units on 7 patient outcomes were conducted in 8 studies. Approximately half the relationships between CNCS units and patient outcomes were positive and significant.Conclusion: Inconclusive relationships between CNCSs and patient outcomes were found. Future studies should investigate the consequences of CNCSs using a longitudinal study design and other covariates to draw a causal relationship.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970776","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

The Community Heart Failure Program: A Trauma-Informed Heart Failure Management Strategy. 社区心力衰竭项目：创伤知情心力衰竭管理策略。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-29 DOI: 10.1097/NCQ.0000000000000876

Megan M Streur, Raelynn Cameron, Mrinal Yadava, Kate Smith, Jaimie Pechan, Jonathan Auld

{"title":"The Community Heart Failure Program: A Trauma-Informed Heart Failure Management Strategy.","authors":"Megan M Streur, Raelynn Cameron, Mrinal Yadava, Kate Smith, Jaimie Pechan, Jonathan Auld","doi":"10.1097/NCQ.0000000000000876","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000876","url":null,"abstract":"Background: Individuals with heart failure (HF) and adverse social determinants of health (SDOH) experience significant health care disparities.Local problem: We noted high rates of acute care utilization by patients with adverse SDOH and unmet social needs.Methods: This pilot quality improvement project used a pre-post design.Intervention: A nurse-led, trauma-informed, community-based HF program (CHFP) was developed, providing care at each patient's chosen location (eg, shelter, tent). Guideline-directed medical therapy was adjusted to achieve patient goals.Results: Sixteen patients participated in the CHFP. Reductions were seen in the number of emergency department visits, mean number of hospitalizations, and days hospitalized. The number of patients with ≥1 hospitalization significantly decreased from 12 to 5 (P = .07). Cardiology outpatient encounters significantly increased from 11.19 to 19.38 (P = .02).Conclusions: CHFP reduced acute care utilization and has the potential to improve patient outcomes.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968739","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 Psychometric Analysis of the Safety Attitudes Questionnaire in Acute Care Nursing. 急症护理安全态度问卷的心理测量分析。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-29 DOI: 10.1097/NCQ.0000000000000872

Muder Alkrisat, Manal Alatrash, Sarah Alkrisat

引用次数: 0

Advancing Rounding Culture: Sustainable Strategies to Enhance Patient Experience and Nurse-Patient Relationships. 推进舍客文化：可持续战略，以提高患者体验和护患关系。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-23 DOI: 10.1097/NCQ.0000000000000870

Mark Liguori, Jessica Diemer, Mohammed Rahman, Madeline Gale, Lori Aavik, Ronald Keller

{"title":"Advancing Rounding Culture: Sustainable Strategies to Enhance Patient Experience and Nurse-Patient Relationships.","authors":"Mark Liguori, Jessica Diemer, Mohammed Rahman, Madeline Gale, Lori Aavik, Ronald Keller","doi":"10.1097/NCQ.0000000000000870","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000870","url":null,"abstract":"Background: Hourly rounding is a structured process where staff check on patients hourly to ensure their comfort and safety. Through checking on patients with purpose, we aim to enhance patient experience, strengthen nurse-patient relationships, and reduce safety risks.Problem: A cross-campus survey focusing on organizational culture of hourly rounding revealed that nursing staff perceived the process as burdensome and an additional task rather than an integrated practice.Approach: Program leaders launched a campus-wide video campaign showcasing purposeful rounding in action, followed by in-person training which equipped staff with leadership and appreciative coaching skills necessary to improve their daily rounding practices.Outcomes: Patient experience scores related to responsiveness improved by up to 7.9% on inpatient and outpatient surveys.Conclusions: This program provided a sustainable framework for staff to consistently and proactively address patient needs, improving the overall patient experience through enhanced human connection.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012861","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

Sepsis Recognition by Electronic Health Record Screening in the Pediatric ICU. 儿科ICU电子健康记录筛查对败血症的识别

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-22 DOI: 10.1097/NCQ.0000000000000868

Molly Zimmerman, Eryn Brown, Myra Schmaderer, Leeza Struwe

{"title":"Sepsis Recognition by Electronic Health Record Screening in the Pediatric ICU.","authors":"Molly Zimmerman, Eryn Brown, Myra Schmaderer, Leeza Struwe","doi":"10.1097/NCQ.0000000000000868","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000868","url":null,"abstract":"Background: Early recognition and intervention of sepsis in the pediatric population have been shown to decrease hospital length of stay and mortality rates. Stakeholders within a pediatric intensive care unit (PICU) identified a need to improve sepsis recognition in compliance with the Improving Pediatric Sepsis Outcomes Collaborative recommendations.Purpose: The purpose of this study was to identify appropriate screening variables in an electronic health record (EHR)-embedded sepsis screening tool to improve sepsis recognition in the PICU setting.Methods: A retrospective data analysis was conducted to test 3 versions of an EHR sepsis screen including triggers based on vital signs and/or laboratory results.Results: Of the 3 tested versions, the sepsis screen version that triggered based on both vital signs and laboratory findings showed the most promising results with a sensitivity of 83.3% and a specificity of 76%.Conclusions: EHR-embedded sepsis screens that monitor documented variables can identify potential sepsis while avoiding over-triggers.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970773","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 Emergency Obstetric Care Through Implementation of a Triage Acuity Score: A Quality Improvement Initiative. 通过实施分诊敏锐度评分来加强产科急诊：一项质量改进倡议。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-22 DOI: 10.1097/NCQ.0000000000000867

Sara Price, Jessica Anderson, Cynthia Aubol, Laura Thomas, Scott B Harpin

{"title":"Enhancing Emergency Obstetric Care Through Implementation of a Triage Acuity Score: A Quality Improvement Initiative.","authors":"Sara Price, Jessica Anderson, Cynthia Aubol, Laura Thomas, Scott B Harpin","doi":"10.1097/NCQ.0000000000000867","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000867","url":null,"abstract":"Background: Maternal morbidity and mortality in the U.S. remain a significant concern, particularly in obstetric emergency settings where inefficient triage delays care and contributes to adverse outcomes.Local problem: The obstetric emergency department (OBED) faced challenges in aligning triage processes with acuity-based care, leading to delays in provider response times.Methods: A quality improvement initiative was conducted. Pre/post-implementation data were collected to evaluate the alignment of maternal-fetal triage index (MFTI) scores with provider-at-bedside (PAB) times.Interventions: The MFTI system was implemented to prioritize patients based on acuity, aligning provider response times with MFTI-advised targets.Results: Alignment between MFTI scores and PAB times improved from 40% to 90%. Documentation of MFTI scores and PAB times increased, while total visit times remained stable. Overall, survey data suggested providers were satisfied with the MFTI system.Conclusions: The MFTI system enhanced triage efficiency and care quality in the OBED without extending total visit times, supporting acuity-based triage in obstetric emergencies.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008650","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

The Crani Bundle: Chlorhexidine Gluconate Bathing, Patient Hand Hygiene, and Surgical Site Dressing Care in Preventing Surgical Site Infections. Crani束：葡萄糖酸氯己定沐浴，患者手部卫生和手术部位敷料护理预防手术部位感染。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-22 DOI: 10.1097/NCQ.0000000000000869

Lauren M Franker, Molly Pretet, Kristin Simmons, Barbara Douglas, Lisa Young

{"title":"The Crani Bundle: Chlorhexidine Gluconate Bathing, Patient Hand Hygiene, and Surgical Site Dressing Care in Preventing Surgical Site Infections.","authors":"Lauren M Franker, Molly Pretet, Kristin Simmons, Barbara Douglas, Lisa Young","doi":"10.1097/NCQ.0000000000000869","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000869","url":null,"abstract":"Background: Surgical site infections (SSIs) are preventable complications. The Joint Commission (TJC) National Patient Safety Goal® (NPSG) 7 focuses on decreasing health care-associated infections (HAIs), such as SSIs.Local problem: The neurosurgery service line encountered 4 SSIs from craniotomy procedures over a 27-month period with 2 occurring in 1 month requiring immediate attention.Methods: A pre- (January 2018 to March 2020)/post-implementation (April 2020 to July 2022) design, using rapid Plan-Do-Study-Act cycles, guided this evidenced-based practice quality improvement project.Interventions: The Crani Bundle, a nurse-led SSI prevention initiative focusing on patient hand hygiene and postoperative chlorhexidine gluconate bathing, was developed and implemented to reduce SSI after craniotomy (SSI-CRAN).Results: Implementation of the Crani Bundle decreased SSI-CRAN from 3.38% (n = 4/118) to 0.0% (n = 0/87).Conclusions: The Crani Bundle was effective in reducing SSI-CRAN, meeting TJC NPSG® of preventing HAIs and improving patient safety.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016579","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

Building Nurse Capacity for Implementation Science: An Introduction to the Consolidated Framework for Implementation Research. 实施科学护士能力建设：实施研究综合框架介绍。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-22 DOI: 10.1097/NCQ.0000000000000865

HyunBin You, Christine Kimpel, Leanne M Boehm

引用次数: 0

Reducing Clinic Visit Times Using Pre-Visit Video Education at a Weight Loss Center. 在减肥中心使用访问前视频教育减少诊所访问次数。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-16 DOI: 10.1097/NCQ.0000000000000866

Dilan Stacy, Madalene Drummond

{"title":"Reducing Clinic Visit Times Using Pre-Visit Video Education at a Weight Loss Center.","authors":"Dilan Stacy, Madalene Drummond","doi":"10.1097/NCQ.0000000000000866","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000866","url":null,"abstract":"Background: Obesity is on the rise, increasing the demand for efficient treatment and delivery of care in the obesity medicine ambulatory care setting.Local problem: Clinicians provided redundant information during the client's initial visit, leading to longer than necessary clinic visits.Methods: Iterative plan-do-study-act cycles were used for this quality improvement project.Interventions: A 4-minute educational video was sent to clients prior to their initial appointment using automated systems through the electronic health record. Education consisted of the specialty services offered, nutrition, and frequently asked questions.Results: Visits completed in under 40 minutes increased from 73% to 84%, with average initial visit times decreasing from 44 to 37 minutes. The number of patients providers were able to see increased from 10 to 18 after implementing the educational video.Conclusions: Clinics may consider using pre-visit video-based education to reduce visit time and improve efficiency in the obesity medicine ambulatory care setting.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030562","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 Early Mobility Practices in a Respiratory Care Unit: A Quality Improvement Project. 在呼吸护理病房实施早期活动实践：质量改进项目。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-09 DOI: 10.1097/NCQ.0000000000000864

So Yang Cho, Karin Smith, Geraldine Hider

{"title":"Implementing Early Mobility Practices in a Respiratory Care Unit: A Quality Improvement Project.","authors":"So Yang Cho, Karin Smith, Geraldine Hider","doi":"10.1097/NCQ.0000000000000864","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000864","url":null,"abstract":"Background: Early mobility (EM) is beneficial for critically ill patients, but adoption in intermediate care units remains limited.Local problem: At the project site, fewer than 10% of patients admitted to the respiratory care unit (RCU) engaged in EM due to clinical severity, lack of staff confidence, and limited collaboration with physical therapy.Methods: A pre- postimplementation quality improvement design was used to assess mobility outcomes.Interventions: A nurse-driven EM program was implemented in a 10-bed RCU at a tertiary center. A multidisciplinary team delivered staff education, introduced an evidence-based protocol, and addressed barriers.Results: Forty-eight patients were included in the project (22 preimplementation and 26 postimplementation). The number of physical therapy consultations increased from 36% to 73% (P= .01), with 69% of patients achieving higher discharge mobility postimplementation versus 59% preimplementation. Length of stay and mortality were unchanged.Conclusions: EM practices improve mobility in intermediate care through education and collaboration.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021003","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