{"title":"A Qualitative Study of the Lived Transition in Care Experiences of Patients With COPD Over the Age of 65.","authors":"Judy Badia, Nicolette McPartland, Debbie Pierce","doi":"10.1097/NCQ.0000000000000893","DOIUrl":"10.1097/NCQ.0000000000000893","url":null,"abstract":"<p><strong>Background: </strong>The management of chronic obstructive pulmonary disease (COPD) is complex due to comorbidities, symptom variability, and the need for long-term care, which can lead to high 30-day hospital readmission rates.</p><p><strong>Purpose: </strong>The purpose of this study was to explore the lived experiences of patients with COPD discharged from the hospital setting, focusing on the patients' perspectives on discharge planning to enhance care transitions and reduce readmissions.</p><p><strong>Methods: </strong>A semi-structured qualitative design was employed over 3 months, involving 10 patients with COPD.</p><p><strong>Results: </strong>Key areas for improving care transitions include anxiety management, enhancing nursing education, strengthening support for patients and care partners, preventing functional decline, standardizing care, and increasing patient engagement in discharge planning.</p><p><strong>Conclusions: </strong>Targeting these opportunities may enhance patient outcomes and optimize care transitions.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"178-184"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637371","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":"Bias, Poverty, and Caring: Preparing Nurses for Equitable Practice.","authors":"Angie Shilling","doi":"10.1097/NCQ.0000000000000932","DOIUrl":"10.1097/NCQ.0000000000000932","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"192"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145513119","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":"Using Scripting to Reduce Patient Refusals of Chlorhexidine Gluconate Treatments.","authors":"Kizzie J Charles","doi":"10.1097/NCQ.0000000000000917","DOIUrl":"10.1097/NCQ.0000000000000917","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"115-118"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244707","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 Competency-Based Orientation to Enhance Preparedness and Confidence in New Nurses Managing High-Risk Obstetric Emergencies.","authors":"Gina Holman","doi":"10.1097/NCQ.0000000000000937","DOIUrl":"10.1097/NCQ.0000000000000937","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"118"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145714812","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}
Lexus Ujano-De Motta, Marina McCreight, Lauren McKown, Brianne Morgan, Marguerite Daus, Heidi Sjoberg, Robert P Klocko, Chelsea Leonard, Christine D Jones
{"title":"Program Infrastructure's Role on Sustainment of a Veterans Care Coordination Program: A Qualitative Study.","authors":"Lexus Ujano-De Motta, Marina McCreight, Lauren McKown, Brianne Morgan, Marguerite Daus, Heidi Sjoberg, Robert P Klocko, Chelsea Leonard, Christine D Jones","doi":"10.1097/NCQ.0000000000000906","DOIUrl":"10.1097/NCQ.0000000000000906","url":null,"abstract":"<p><strong>Background: </strong>Program infrastructure is essential for sustainment of care coordination programs, yet current infrastructure models remain understudied in clinical settings.</p><p><strong>Purpose: </strong>To understand perspectives and experiences of frontline nurse implementors regarding plans, barriers, and facilitators to sustainment of an evidence-based care coordination program for Veterans known as the Transitions Nurse Program.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 7 nurse implementors across 2 program waves. Data were analyzed using iterative, team-based deductive and inductive content analysis.</p><p><strong>Results: </strong>Four key program infrastructure factors emerged: nuances of dual nurse roles, leadership support, financial considerations, and social work integration.</p><p><strong>Conclusions: </strong>Transitions Nurse Program sustainment is informed by the interplay of program infrastructure factors. Leadership should consider how hiring nurses with dual roles impacts program sustainment.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"164-170"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821625","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":"Patient Safety Culture, Moral Distress, and Intent to Leave Among Health Care Professionals: A Cross-Sectional Study.","authors":"Preston H Miller, Shikha Modi, Jennifer Vann","doi":"10.1097/NCQ.0000000000000924","DOIUrl":"10.1097/NCQ.0000000000000924","url":null,"abstract":"<p><strong>Background: </strong>Patient safety is an ethical priority for clinicians. Situations may arise in practice that negatively impact patient safety and contribute to moral distress.</p><p><strong>Purpose: </strong>To explore the relationship between moral distress, perceived patient safety culture, and intent to leave among health care professionals (HPs).</p><p><strong>Methods: </strong>The study used a cross-sectional design with convenience sampling. Measures included the Surveys on Patient Safety Culture® (SOPS®) Hospital Survey 2.0 and Measure of Moral Distress for Health Care Professionals (MMD-HP).</p><p><strong>Results: </strong>Ninety-eight HPs responded. The mean moral distress score was 130.58 (SD = 92.7), with those currently intending to leave having a higher mean moral distress score of 214.32 (SD = 73.87). Perceived patient safety culture was low. The SOPS composite score was related to intent to leave, both directly and indirectly through lowering MMD-HP score (P < .05).</p><p><strong>Conclusions: </strong>HPs with negative patient safety culture perceptions may experience higher moral distress and increased intent to leave.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"41 2","pages":"142-150"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147344617","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}
Kassandra J Goodman, Amanda F DeLano, Karissa L Geisthardt, Brianna L Konwinski, Lisa A Spitzer, Julee P Warren
{"title":"Supporting Staff in Tote-Tality: More Than Just Supplies.","authors":"Kassandra J Goodman, Amanda F DeLano, Karissa L Geisthardt, Brianna L Konwinski, Lisa A Spitzer, Julee P Warren","doi":"10.1097/NCQ.0000000000000934","DOIUrl":"10.1097/NCQ.0000000000000934","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"141"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145513133","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}
Yanfen Yu, Qin Zhou, Guanjun Ye, Jieqiong Yan, Yunjie Chen, Bona Wang
{"title":"Safety and Cost Evaluation of Modified Medium-Length Catheters in Patients With Advanced Cancer: A Randomized Controlled Trial.","authors":"Yanfen Yu, Qin Zhou, Guanjun Ye, Jieqiong Yan, Yunjie Chen, Bona Wang","doi":"10.1097/NCQ.0000000000000905","DOIUrl":"10.1097/NCQ.0000000000000905","url":null,"abstract":"<p><strong>Background: </strong>Deep vein catheterization is common in patients with advanced cancer, but safety and cost comparisons between catheter types are limited.</p><p><strong>Purpose: </strong>To evaluate the safety and economic impact of a modified medium-length catheter versus a standard peripherally inserted central catheter (PICC) line in patients with advanced cancer.</p><p><strong>Methods: </strong>A prospective cohort study was conducted involving 160 patients with advanced cancer receiving palliative care between January 2022 and April 2024. Patients were randomized to a study group (modified medium-length catheter) or control group (PICC line). Venous complications, satisfaction, and costs were compared.</p><p><strong>Results: </strong>The study group had lower rates of venous thrombosis, bleeding, and catheter infection. Patient satisfaction and costs were also significantly better in the study group.</p><p><strong>Conclusions: </strong>The modified medium-length catheter provides better safety, higher satisfaction, and reduced costs, making it a preferred option for patients with advanced cancer.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"E27-E33"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958467","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}