{"title":"Effectiveness and Safety of Digital Health Services in Patients After Percutaneous Coronary Intervention: A Systematic Review and Meta-Analysis.","authors":"Ran Chen, Lei Huang, Chi Zhang","doi":"10.1097/NCQ.0000000000000862","DOIUrl":"10.1097/NCQ.0000000000000862","url":null,"abstract":"<p><strong>Background: </strong>Post-percutaneous coronary intervention (PCI) management is essential for improving patient outcomes. Digital health services (DHS) offer the potential to enhance recovery outcomes and care quality through real-time monitoring and personalized interventions.</p><p><strong>Purpose: </strong>This systematic review and meta-analysis aims to evaluate the effectiveness and safety of DHS in improving outcomes for post-PCI patients.</p><p><strong>Methods: </strong>A systematic search of databases was conducted for randomized controlled trials on DHS for post-PCI patients.</p><p><strong>Results: </strong>Eleven studies involving 2568 patients were included. DHS significantly improved quality of life, 6-minute walk test performance, medication adherence, patient satisfaction, and smoking cessation rates, while reducing complications and readmission rates. Subgroup analysis showed DHS was particularly effective for patients over 60 years.</p><p><strong>Conclusion: </strong>DHS significantly improve post-PCI management and patient outcomes, with marked benefits for older patients. Further large-scale, long-term studies are recommended to confirm these findings.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"E64-E70"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021002","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}
{"title":"Transforming Maternal Care: Quantitative Blood Loss as a Predictor for Postpartum Hemorrhage.","authors":"Jessica Elliott, Kensi Duncan, Kristen Noles","doi":"10.1097/NCQ.0000000000000874","DOIUrl":"10.1097/NCQ.0000000000000874","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"301"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021004","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}
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":"10.1097/NCQ.0000000000000870","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Problem: </strong>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.</p><p><strong>Approach: </strong>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.</p><p><strong>Outcomes: </strong>Patient experience scores related to responsiveness improved by up to 7.9% on inpatient and outpatient surveys.</p><p><strong>Conclusions: </strong>This program provided a sustainable framework for staff to consistently and proactively address patient needs, improving the overall patient experience through enhanced human connection.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"370-376"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","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}
{"title":"Optimizing the Discharge Lounge Efficiency: A Quality Improvement Initiative With Innovative Approaches.","authors":"","doi":"10.1097/NCQ.0000000000000886","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000886","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"40 4","pages":"E71-E72"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006278","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}
{"title":"Building Nurse Capacity for Implementation Science: An Introduction to the Consolidated Framework for Implementation Research.","authors":"HyunBin You, Christine Kimpel, Leanne M Boehm","doi":"10.1097/NCQ.0000000000000865","DOIUrl":"10.1097/NCQ.0000000000000865","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"287-291"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Modifying Electronic Medical Record Workflows to Improve Protein Provision to Enterally Fed ICU Patients.","authors":"Catherine Karlak, Cara Gallegos","doi":"10.1097/NCQ.0000000000000916","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000916","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244570","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}
Staci S Reynolds, Julee B Waldrop, Jayne Jennings Dunlap
{"title":"Evidence-Based Practice Quality Improvement Reporting Guidelines.","authors":"Staci S Reynolds, Julee B Waldrop, Jayne Jennings Dunlap","doi":"10.1097/NCQ.0000000000000912","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000912","url":null,"abstract":"<p><strong>Background: </strong>Clarity in the accurate reporting of evidence-based practice quality improvement (EBPQI) initiatives is essential to support sustainable, scalable change in clinical settings.</p><p><strong>Problem: </strong>While there are separate reporting guidelines for evidence-based practice (EBP) and quality improvement (QI), there is currently no available reporting guideline for EBPQI initiatives that comprehensively combines the 2 types of inquiry.</p><p><strong>Approach: </strong>This article introduces a new EBPQI reporting guideline grounded in the Mountain Model for EBPQI and aligned with a previously published EBPQI critical appraisal instrument. The 19-item guideline uses the IMRaD (Introduction, Methods, Results, Discussion) structure and includes specific, pragmatic guidance for reporting internal and external evidence, iterative tests of change, SMART aims, and QI-appropriate analysis methods.</p><p><strong>Conclusion: </strong>This new guideline provides instruction for clinicians, researchers, and students in how to report robust EBPQI initiatives.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040440","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}
{"title":"Implementing a Spanish-Language Prediabetes Prevention Program: An NP-Led Quality Improvement Initiative.","authors":"Rachell Nguyen","doi":"10.1097/NCQ.0000000000000914","DOIUrl":"10.1097/NCQ.0000000000000914","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958296","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}
{"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":"https://doi.org/10.1097/NCQ.0000000000000911","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Local problem: </strong>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.</p><p><strong>Methods: </strong>Iterative Plan-Do-Study-Act cycles were used to guide this project.</p><p><strong>Intervention: </strong>Patients completed ePRO surveys which allowed visits to be focused on self-identified severe symptoms.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-26","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}