Journal of nursing care quality最新文献_第3页

An Integrative Review of Quality Improvement Competence and Engagement Among Frontline Nurses.

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2025-02-13 DOI: 10.1097/NCQ.0000000000000833

Jung-Hsin Chang, Dana Tschannen

引用次数: 0

Improving Timely Evaluation of Newborns at Risk for Hemolytic Disease From a Positive Maternal Antibody.

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI: 10.1097/NCQ.0000000000000831

Athena T Samaras, Alison E Sweeney, Emilee C Lewis, Julie A Thompson, Julee Waldrop

{"title":"Improving Timely Evaluation of Newborns at Risk for Hemolytic Disease From a Positive Maternal Antibody.","authors":"Athena T Samaras, Alison E Sweeney, Emilee C Lewis, Julie A Thompson, Julee Waldrop","doi":"10.1097/NCQ.0000000000000831","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000831","url":null,"abstract":"Background: Hemolytic disease of the newborn (HDN) is a rare condition with the potential for high morbidity.Local problem: Practice at a large maternity care center did not align with the American Academy of Pediatrics (AAP) revised hyperbilirubinemia guidelines.Methods: A pre/post-implementation design with Plan-Do-Study-Act cycles was used.Interventions: A clinical pathway was implemented to improve timely evaluation of newborns at risk for HDN due to a positive maternal antibody using cord blood.Results: Cord blood testing increased among the subset of newborns who did not meet collection criteria prior to the practice change (pre: 0% n = 7, post: 39% n = 23). Missed opportunities to test cord blood occurred less frequently post (35 versus 26 days between missed opportunities). Feasibility data identified the need for educational and clinical tools.Conclusions: A clinical pathway and tailored tools support the AAP recommendation. Electronic health record supports could bolster future efforts.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"40 2","pages":"165-172"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468565","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

Reducing Unnecessary Penicillin Allergy Labels in the Pediatric Surgical Population.

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2024-10-02 DOI: 10.1097/NCQ.0000000000000813

Ann M Hefel, Laura A Wang, Maureen Bauer, Suhong Tong, Gee Mei Tan

{"title":"Reducing Unnecessary Penicillin Allergy Labels in the Pediatric Surgical Population.","authors":"Ann M Hefel, Laura A Wang, Maureen Bauer, Suhong Tong, Gee Mei Tan","doi":"10.1097/NCQ.0000000000000813","DOIUrl":"10.1097/NCQ.0000000000000813","url":null,"abstract":"Background: Up to 10% of children report having a penicillin allergy; however many of these are misdiagnoses or the allergy resolves over time. Having an unnecessary penicillin allergy label increases risk of adverse clinical outcomes and increased health care costs.Local problem: At our local pediatric surgical center, the percentage of patients with a penicillin allergy label was 7%.Methods: A pre/postimplementation design was used.Interventions: Pediatric surgical patients with a penicillin allergy label were identified and risk-stratified to undergo a single-dose oral provocation test (OPT) to amoxicillin.Results: Forty-two patients underwent an OPT. The percentage of patients with a penicillin allergy label decreased to 6.4% after 6 months ( P = .045). Median wait time for an allergy evaluation decreased from 102 to 42 days ( P < .0001).Conclusions: This quality improvement project decreased penicillin allergy labeling rates in pediatric surgical patients, improved access to penicillin allergy evaluation, and had no adverse outcomes.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"125-130"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364471","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 Pain Assessment Among Post-Surgery Patients at a Tertiary Hospital in China: A Best Practice Implementation Project.

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-02-25 DOI: 10.1097/NCQ.0000000000000852

Chengxiang Liu, Sainan Li, Juan Zhou, Huihui Zhao, Ruhuan Zhou, Chen Zhu, Shan Chen, Hong Chen, Miao Zhang

{"title":"Enhancing Pain Assessment Among Post-Surgery Patients at a Tertiary Hospital in China: A Best Practice Implementation Project.","authors":"Chengxiang Liu, Sainan Li, Juan Zhou, Huihui Zhao, Ruhuan Zhou, Chen Zhu, Shan Chen, Hong Chen, Miao Zhang","doi":"10.1097/NCQ.0000000000000852","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000852","url":null,"abstract":"Background: Postoperative pain is a common complication that can delay recovery and increase hospital stays and costs. Accurate pain assessments are essential for effective management.Local problem: Compliance with evidence-based pain assessment protocols in the Anesthesia Intensive Care Unit (AICU) at a teaching hospital in Hefei, China, was suboptimal.Methods: This evidence-based implementation project, conducted from December 2023 to August 2024, utilized the Joanna Briggs Institute (JBI) Implementation Framework and Model of Evidence-Based Health Care. A baseline audit of 23 nurses and 50 patients was followed by a post-implementation audit. Data were analyzed using JBI's PACES software.Interventions: Educational programs and stakeholder focus groups were introduced to enhance compliance with pain assessment protocols.Results: Compliance with 3 audit criteria increased by 66% to 92% following the intervention.Conclusions: The project successfully enhanced compliance with evidence-based pain assessment, improving postoperative pain management in the AICU.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143502082","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

Integration of Virtual Technology and Artificial Intelligence Improves Satisfaction, Patient Safety, and Nursing Workforce Efficiency.

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-02-25 DOI: 10.1097/NCQ.0000000000000842

Cassandra E Tyransky, Kasey Paulus, Erin Langmead, David M Miller, Carol R Smith, Fallon Hughes, Barbara L Buchko, Bruno Saconi

{"title":"Integration of Virtual Technology and Artificial Intelligence Improves Satisfaction, Patient Safety, and Nursing Workforce Efficiency.","authors":"Cassandra E Tyransky, Kasey Paulus, Erin Langmead, David M Miller, Carol R Smith, Fallon Hughes, Barbara L Buchko, Bruno Saconi","doi":"10.1097/NCQ.0000000000000842","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000842","url":null,"abstract":"Background: Virtual care technology including artificial intelligence (AI) may augment nursing functions creating flexibility in staffing that reduces workforce shortages and enhances patient safety.Local problem: A health system experienced nursing workforce shortages and patient safety concerns.Methods: Quality improvement methodology was used to evaluate the impact of implementing virtual care technology with AI.Interventions: Virtual patient observation (VPO) with AI and virtual nurse (VN) technology were implemented. Nursing assistants served as virtual observers, while registered nurses functioned as VNs, managing patient admissions, discharges, and education.Results: Unwitnessed in-room patient fall rates decreased 59% and median sitter hours were reduced by 91%. Patient experience and nurse perceptions of patient safety, workforce flexibility, and well-being improved. The program saved 63 hours per month of bedside nurse time.Conclusions: Nurse leader sponsorship of VPO with AI and VN to augment nursing functions offers a solution to improve patient safety and workforce flexibility.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143502084","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

Addressing Patient Learning Myopia in Multiple Sclerosis Through A Thermodynamic Approach.

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-02-25 DOI: 10.1097/NCQ.0000000000000844

Jorge Cegarra-Sánchez, Juan-Gabriel Cegarra-Navarro, Aurora Martinez-Martinez

{"title":"Addressing Patient Learning Myopia in Multiple Sclerosis Through A Thermodynamic Approach.","authors":"Jorge Cegarra-Sánchez, Juan-Gabriel Cegarra-Navarro, Aurora Martinez-Martinez","doi":"10.1097/NCQ.0000000000000844","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000844","url":null,"abstract":"Background: Multiple sclerosis (MS) is a chronic and unpredictable condition requiring continuous learning and self-management. Since learning myopia involves a tendency to focus on immediate concerns at the expense of long-term goals, it can hinder disease management.Problem: Patients with MS often prioritize short-term symptom relief over proactive disease education and adherence to disease-modifying therapies. This focus on the immediate challenges complicates efforts to foster sustained learning, further compounded by widespread misinformation about MS management.Approach: This article applies a thermodynamic framework integrating rational, emotional, and spiritual capacities to overcome learning myopia.Outcomes: The article demonstrates how nurses can facilitate informed decision-making, resilience, and long-term adherence, mitigating the impacts of learning myopia.Conclusions: Addressing learning myopia through the thermodynamic approach empowers patients to manage MS effectively, improving quality of life.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143502079","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

Standardizing Nursing Handoff: Enhancing Patient Care and Staff Satisfaction.

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-02-25 DOI: 10.1097/NCQ.0000000000000845

Zariya Gonzalez, Eileen Dowdall

引用次数: 0

Quality Improvement Interventions for Peripheral Intravenous Catheter Nursing Practices: A Systematic Review.

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-02-25 DOI: 10.1097/NCQ.0000000000000853

Sumi Cho, Eun Man Kim

{"title":"Quality Improvement Interventions for Peripheral Intravenous Catheter Nursing Practices: A Systematic Review.","authors":"Sumi Cho, Eun Man Kim","doi":"10.1097/NCQ.0000000000000853","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000853","url":null,"abstract":"Background: The use of peripheral intravenous catheters (PIVC) is a crucial nursing practice for ensuring patient safety.Purpose: This systematic review assessed quality improvement (QI) articles focused on nursing insertion and management practices related to PIVCs.Methods: A comprehensive search was performed. The Quality Improvement Minimum Quality Criteria Set (QI-MQCS) was used to appraise the quality of QI studies by 2 independent reviewers.Results: A total of 27 studies were included. More than half of the studies did not meet the sustainability and spread QI-MQCS criteria. QI interventions focused on ultrasound-guided PIVC placement, PIVC dressing products or other catheter devices, and bundles for PIVC practices. The improvements in PIVC-related patient outcomes and nurses' capabilities were reported.Conclusion: Further research is needed to identify detailed QI protocols for ensuring the sustainability and cost-effectiveness of interventions and to facilitate the application of QI in diverse types of hospitals.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143502088","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 Association Between Quality and Safety of Nursing Care: A Correlational Study.

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-02-25 DOI: 10.1097/NCQ.0000000000000847

Daniela Bartoníčková, Dominika Kohanová, Lenka Mazalová, Lucie Holušová, Nikola Lorencová, Anna Fišerová, P Jane Greaves

{"title":"The Association Between Quality and Safety of Nursing Care: A Correlational Study.","authors":"Daniela Bartoníčková, Dominika Kohanová, Lenka Mazalová, Lucie Holušová, Nikola Lorencová, Anna Fišerová, P Jane Greaves","doi":"10.1097/NCQ.0000000000000847","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000847","url":null,"abstract":"Background: Patient safety culture is critical for ensuring quality nursing care, yet its role is not fully understood in various health care settings.Purpose: To explore the association between patient safety culture and nurses' perceptions of the quality of nursing care provided in hospitals in the Czech Republic.Methods: A correlation study was conducted with 535 nurses from 6 hospitals using the questionnaires Hospital Survey on Patient Safety Culture 2.0 and Scale of Perception of Nursing Activities that Contribute to Nursing Care Quality.Results: Significant associations were found between nursing care quality and dimensions of patient safety culture. Supervisor, manager, or clinical leader support; reporting patient safety events; and handoffs and information exchange were important predictors for improving nursing care quality (P < .05).Conclusions: Management support, adverse events, effective communication, and teamwork are essential for improving patient safety and have a significant impact on the quality of nursing care provided and must be properly supported.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143502092","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

Safety of Transesophageal Echocardiography With the Assistance of a Nurse Practitioner.

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-02-14 DOI: 10.1097/NCQ.0000000000000841

Yuki Harashima, Taishi Okuno, Yukio Sato, Tatsuro Shoji, Kazuko Osabe, Rie Ito, Aoi Kato, Akiko Kamiyama, Noriko Motodate, Risako Murata, Ryutaro Oda, Daisuke Miyahara, Shingo Kuwata, Yuki Ishibashi, Keisuke Kida, Yasuhiro Tanabe, Masaki Izumo, Shigeki Fujitani, Yoshihiro J Akashi

{"title":"Safety of Transesophageal Echocardiography With the Assistance of a Nurse Practitioner.","authors":"Yuki Harashima, Taishi Okuno, Yukio Sato, Tatsuro Shoji, Kazuko Osabe, Rie Ito, Aoi Kato, Akiko Kamiyama, Noriko Motodate, Risako Murata, Ryutaro Oda, Daisuke Miyahara, Shingo Kuwata, Yuki Ishibashi, Keisuke Kida, Yasuhiro Tanabe, Masaki Izumo, Shigeki Fujitani, Yoshihiro J Akashi","doi":"10.1097/NCQ.0000000000000841","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000841","url":null,"abstract":"Background: Due to advancements in cardiovascular intervention technologies, transesophageal echocardiography (TEE) is increasingly used. In Japan, nurse practitioners are being integrated into specialized procedures, including TEE, under physician supervision to address physician shortages and improve patient safety.Methods: Consecutive patients undergoing TEE at our outpatient clinic from July 2022 to June 2023 were included, with baseline characteristics, procedural details, and outcomes retrospectively collected.Results: A total of 186 patients were included in the study. A significant decrease in blood pressure was observed in 124 patients (68.5%), with 19 patients requiring treatment through infusion loading. Desaturation (SpO2 < 90%) was observed in 105 patients (57.7%). No significant differences in hypotension or hypoxia incidence were found between elderly and younger patients or among TEE indications.Conclusions: TEE procedures were safely performed under the assistance of nurse practitioners, demonstrating effective management of the procedural risks associated with this diagnostic technique.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441191","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