Journal of nursing care quality最新文献_第4页

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 : 2025-08-26 DOI: 10.1097/NCQ.0000000000000910

Amanda Davidson, Rebecca Kitzmiller, Carrie Palmer, Elena Stock

引用次数: 0

A Comprehensive Strategy for Sustaining a Systemwide Safety Culture in Today's Health Care Environment. 在今天的医疗环境中维持全系统安全文化的综合策略。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2025-08-26 DOI: 10.1097/NCQ.0000000000000904

Haley Hlela, Kristin Neiswender

{"title":"A Comprehensive Strategy for Sustaining a Systemwide Safety Culture in Today's Health Care Environment.","authors":"Haley Hlela, Kristin Neiswender","doi":"10.1097/NCQ.0000000000000904","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000904","url":null,"abstract":"Background: Culture is the culmination of shared values and beliefs transformed into behaviors, which ultimately influence outcomes.Problem: This transformation is often nonlinear, warranting continual attention to organizational trends and current events in health care.Approach: Our comprehensive approach included assessing the current safety culture state, building inclusive and collaborative relationships, socializing and disseminating new shared safety language and behaviors, and engaging both formal and informal safety leaders. Interventions occurred monthly and recurred quarterly for 12 months, which provided consistent exposure.Outcomes: There was a 0.17 increase in staff's perceptions that mistakes were not held against them and a 65% increase in good catch submissions. While these outcomes cannot be causally linked to the refreshed safety culture strategy, similar measurements may be used as proxy measures of success.Conclusions: Safety culture should be consistently assessed. When improvement needs are identified, a comprehensive, evidence-based, inclusive strategy should be utilized and continually re-evaluated.","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":"144958381","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

Evidence-Based Practice Program Evaluation: Emerging Nurse Leader Program. 循证实践项目评估：新兴护士领导项目。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2025-08-25 DOI: 10.1097/NCQ.0000000000000909

Theresa Ann Russell

引用次数: 0

Safety and Cost Evaluation of Modified Medium-Length Catheters in Patients With Advanced Cancer: A Randomized Controlled Trial. 改良中长度导管在晚期癌症患者中的安全性和成本评估：一项随机对照试验。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2025-08-12 DOI: 10.1097/NCQ.0000000000000905

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":"https://doi.org/10.1097/NCQ.0000000000000905","url":null,"abstract":"Background: Deep vein catheterization is common in patients with advanced cancer, but safety and cost comparisons between catheter types are limited.Purpose: 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.Methods: 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.Results: 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.Conclusions: The modified medium-length catheter provides better safety, higher satisfaction, and reduced costs, making it a preferred option for patients with advanced cancer.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Program Infrastructure's Role on Sustainment of a Veterans Care Coordination Program: A Qualitative Study. 项目基础设施在维持退伍军人护理协调项目中的作用：一项定性研究。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2025-08-11 DOI: 10.1097/NCQ.0000000000000906

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":"https://doi.org/10.1097/NCQ.0000000000000906","url":null,"abstract":"Background: Program infrastructure is essential for sustainment of care coordination programs, yet current infrastructure models remain understudied in clinical settings.Purpose: 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.Methods: 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.Results: Four key program infrastructure factors emerged: nuances of dual nurse roles, leadership support, financial considerations, and social work integration.Conclusions: 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.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-11","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}

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 : 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":"https://doi.org/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":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-06","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

Seizing Nursing's Opportunity to Improve Health Care Through Implementation Science. 抓住护理机遇，通过实施科学提高医疗保健水平。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2025-08-06 DOI: 10.1097/NCQ.0000000000000895

Robin P Newhouse, Kathleen R Stevens, Leanne M Boehm, Mary A Dolansky, Carol J Howe

引用次数: 0

Hospital Readmissions in Patients on Home Telemetry: Subgroup Analysis of a Randomized Controlled Trial. 家庭遥测患者再入院：一项随机对照试验的亚组分析

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2025-07-31 DOI: 10.1097/NCQ.0000000000000898

Nancy L Dawson, Shannon S Coombs, Claire B Haga, Cara C Prier, Ashley L Walker, Colleen Thomas, Mingyuan Yin, Melinda S McManus, Leila M Tolaymat, Ebone Hill, Aneesah Garrett, Leah Schecter, Mary S Hedges

{"title":"Hospital Readmissions in Patients on Home Telemetry: Subgroup Analysis of a Randomized Controlled Trial.","authors":"Nancy L Dawson, Shannon S Coombs, Claire B Haga, Cara C Prier, Ashley L Walker, Colleen Thomas, Mingyuan Yin, Melinda S McManus, Leila M Tolaymat, Ebone Hill, Aneesah Garrett, Leah Schecter, Mary S Hedges","doi":"10.1097/NCQ.0000000000000898","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000898","url":null,"abstract":"Background: Home telemetry has been shown to reduce 30-day readmissions in patients at high risk for readmission. It remains unclear whether this finding is due to the telemetry itself or the nurse contact that follows detection of an abnormal parameter.Purpose: This study was a subgroup analysis from a prior trial comparing patients on home telemetry for 30 days to usual care after discharge to determine if nurse contact affected readmission rates.Methods: Patients randomized to telemetry who had at least 1 nurse contact were compared to those who had none to see if the contact reduced the rate of readmissions.Results: Of 449 home telemetry patients, 292 (65.0%) received 1 or more nurse contacts. Single and multivariable logistic regression models exploring the association of contact with 30-day readmission did not find any statistically significant associations of nurse contact with readmission (all unadjusted P ≥ .13, all adjusted P ≥ .18).Conclusion: Our subset analysis did not show that the nurse contact was the factor that reduced readmission in patients on home telemetry.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821624","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

Developing a Medication Administration Observation Checklist: Key Insights for Standardized Reporting Methodology. 制定药物管理观察清单：标准化报告方法的关键见解。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-07-23 DOI: 10.1097/NCQ.0000000000000887

Madison Hickey, Brittany V Barber, Chloe Flynn, Sarah Keeping, Amy Doig, Rebecca Bercovici, Doug Sinclair, Janet Curran

{"title":"Developing a Medication Administration Observation Checklist: Key Insights for Standardized Reporting Methodology.","authors":"Madison Hickey, Brittany V Barber, Chloe Flynn, Sarah Keeping, Amy Doig, Rebecca Bercovici, Doug Sinclair, Janet Curran","doi":"10.1097/NCQ.0000000000000887","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000887","url":null,"abstract":"Background: Medication administration incidents are a significant patient safety concern in health care, often driven by human and work system factors which contribute to errors.Purpose: The purpose of this study was to develop a medication administration observation checklist tool tailored for a pediatric tertiary care center in Atlantic Canada.Methods: We synthesized existing evidence on methodologies for observational tools in medication administration by nurses. Next, we engaged nursing knowledge users in Think Aloud sessions to iteratively refine the checklist's items.Results: We share the development of a medication administration observation checklist tool. This process incorporated valuable feedback from frontline nurses and nurse managers, ensuring the checklist's relevance and usability in clinical practice.Conclusions: Our findings underscore the importance of co-developing data collection tools with interdisciplinary teams, leveraging theoretical frameworks to capture complexities in workflow, and enhancing transparency in reporting methodologies to support replicability across diverse clinical contexts.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707893","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

Prediction Models for Health Care Workers' Exposure to Type II Workplace Violence: A Systematic Review and Meta-Analysis. 医护人员II型职场暴力暴露的预测模型：系统回顾与元分析。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-07-14 DOI: 10.1097/NCQ.0000000000000897

Jingxian Shang, Kexin Xue, Chaochao Yang, Huijing Shi, Liping Pan, Yanli Zeng

引用次数: 0