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

Association Between Nurse Turnover and Nurses' Perception of Patient Outcomes in Acute Care Hospitals in South Korea: A Cross-Sectional Study.

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-02-11 DOI: 10.1097/NCQ.0000000000000843

Sung-Heui Bae

{"title":"Association Between Nurse Turnover and Nurses' Perception of Patient Outcomes in Acute Care Hospitals in South Korea: A Cross-Sectional Study.","authors":"Sung-Heui Bae","doi":"10.1097/NCQ.0000000000000843","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000843","url":null,"abstract":"Background: High turnover rates among nurses are a global concern. Previous studies show the negative impact on quality of care.Purpose: The purpose of this study was to examine the relationship between nurse turnover and nurse's perceptions of patient outcomes.Methods: A cross-sectional study design was used. Nurses working in 35 general hospitals in South Korea were invited to participate in a survey assessing their perceptions of patient outcomes, including quality of care, patient safety, and adverse events. Nurse turnover was measured for the prior 6 months.Results: Data from 159 nurses were analyzed. There was a significant positive relationship between turnover rates and perceptions of poor quality of care, after controlling for demographic and work-related characteristics. Nurse turnover was not significantly associated with perceptions of patient safety or adverse events.Conclusions: The negative consequence of nurse turnover on patient outcomes is partially supported in this study.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408732","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

Impact of a Multimodal Intervention to Improve Patient Identification in Health Care: A Quasi-Experimental Study.

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-02-11 DOI: 10.1097/NCQ.0000000000000846

Eva Janeiro-Ochoa, Ariadna Huertas-Zurriaga, Marina Perpiñan-Grogues, Yolanda Mota-Rodríguez, Miguel Ángel Martínez-Gómez, Mònica Castellà-Creus

{"title":"Impact of a Multimodal Intervention to Improve Patient Identification in Health Care: A Quasi-Experimental Study.","authors":"Eva Janeiro-Ochoa, Ariadna Huertas-Zurriaga, Marina Perpiñan-Grogues, Yolanda Mota-Rodríguez, Miguel Ángel Martínez-Gómez, Mònica Castellà-Creus","doi":"10.1097/NCQ.0000000000000846","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000846","url":null,"abstract":"Background: Patient identification is a key aspect to avoid risks and maintain patient safety.Purpose: The purpose of this study was to evaluate the impact of a multimodal intervention on patient identification.Methods: A quasi-experimental pre-post study design was used. A multimodal intervention was implemented targeting nursing staff at 2 public Specialized Primary Care Centers. Data on the knowledge levels of nurses and nursing assistants, as well as the implementation of active patient identification, were collected.Results: The study included 27 health care professionals and 353 direct observations of patient active identification. Knowledge was assessed via a questionnaire, and active identification observations were conducted between March 2022 and December 2023. After the intervention, the correct performance rate improved to 100%, slightly decreasing to 82.3% over 21 months post-intervention. All evaluated knowledge items showed significant improvement post-intervention.Conclusions: The multimodal intervention significantly improved active identification knowledge and practice, enhancing patient safety.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408756","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 Comprehensive Examination of Just Culture Principles in Nurses' Transition to Practice.

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-02-10 DOI: 10.1097/NCQ.0000000000000837

Manisa Baker, Rebecca Toothaker, Danielle Walker, Randi Sue Flexner, Linda S McQuiston, Lora Hromadik

引用次数: 0

Barriers to Developmental Care in the NICU: An Integrative Review. 新生儿重症监护室发展护理的障碍：一项综合综述。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-01-21 DOI: 10.1097/NCQ.0000000000000839

Shelby Logsdon, Sara Arter

引用次数: 0

Nurse-Driven Process for the Successful Removal of Urinary Catheters Among Elderly Patients After Hip Fracture Surgery: A Quality Improvement Project. 髋部骨折术后老年患者成功拔除导尿管的护士驱动流程：质量改进项目。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-01-01 Epub Date: 2024-08-01 DOI: 10.1097/NCQ.0000000000000799

Lissa Vazhayil Joseph, Joyce Sb Koh, Juriyah Yatim, Dr Mamun Kaysar, Cristina C Hendrix

{"title":"Nurse-Driven Process for the Successful Removal of Urinary Catheters Among Elderly Patients After Hip Fracture Surgery: A Quality Improvement Project.","authors":"Lissa Vazhayil Joseph, Joyce Sb Koh, Juriyah Yatim, Dr Mamun Kaysar, Cristina C Hendrix","doi":"10.1097/NCQ.0000000000000799","DOIUrl":"10.1097/NCQ.0000000000000799","url":null,"abstract":"Background: Hip fracture is a major health concern and the use of an indwelling urinary catheter (IUC) constitutes a significant burden on elderly patients undergoing hip fracture surgery.Local problem: The institution had a high rate of urinary tract infection (UTI) and IUC reinsertion after hip fracture surgery.Methods: A pre/post-implementation design was used for this quality improvement initiative.Interventions: A nurse-driven process was developed and implemented to improve the successful removal of IUC among patients after hip fracture surgery.Results: There was a significant reduction in post-operative urinary retention ( P = .042), UTI rate ( P = .047), and IUC reinsertion ( P = .042) in the post-implementation group. IUC duration decreased by 1.1 days, however this was not significant ( P = .206). Nurse compliance with following the new process was 93.3%.Conclusion: The nurse-driven process designed for elderly patients following hip fracture surgery presents a promising approach to reducing IUC reinsertion rates and UTI.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"E1-E7"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141902044","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

Effectiveness of Nurse-Driven Protocols in Reducing Catheter-Associated Urinary Tract Infections: A Systematic Review and Meta-Analysis. 护士主导的方案在减少导尿管相关尿路感染方面的效果：系统回顾与元分析》。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-01-01 Epub Date: 2024-10-17 DOI: 10.1097/NCQ.0000000000000811

Liangliang Su

{"title":"Effectiveness of Nurse-Driven Protocols in Reducing Catheter-Associated Urinary Tract Infections: A Systematic Review and Meta-Analysis.","authors":"Liangliang Su","doi":"10.1097/NCQ.0000000000000811","DOIUrl":"10.1097/NCQ.0000000000000811","url":null,"abstract":"Background: Catheter-associated urinary tract infections (CAUTIs) are common health care-associated infections linked to indwelling urinary catheters. Nurse-driven protocols (NDPs) empower nurses to direct care without physician orders, potentially enhancing patient outcomes and reducing infection rates.Purpose: This systematic review and meta-analysis aimed to evaluate the effectiveness of NDPs for preventing CAUTIs and reducing catheter utilization rates.Methods: Databases searched included Cochrane Library, PubMed, Embase, and others. Ten studies involving 27, 965 NDP-treated patients and 30, 230 controls were reviewed, examining catheter utilization rates and CAUTI incidence.Results: Use of NDPs significantly lowered catheter utilization rates (34.84% vs 49.40%) and CAUTI incidence (2.867% vs 6.503%). Risk ratio analysis revealed a 29.48% decrease in catheter utilization and a 55.91% reduced CAUTI risk with NDP implementation.Conclusions: Using NDPs demonstrate superior efficacy in reducing catheter use and CAUTI occurrence compared to traditional methods. Further research is warranted to solidify evidence-based nursing practices in this area.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"39-45"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142468405","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

Beyond the Bedside: Decoding Patient Profiles for Smarter Virtual Patient Observation. 超越床边：解码病人档案，实现更智能的虚拟病人观察。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-01-01 Epub Date: 2024-08-22 DOI: 10.1097/NCQ.0000000000000807

Olawunmi Obisesan, Heidi Tymkew, Radhika Gilmore, Nicole Brougham, Emily Dodd

{"title":"Beyond the Bedside: Decoding Patient Profiles for Smarter Virtual Patient Observation.","authors":"Olawunmi Obisesan, Heidi Tymkew, Radhika Gilmore, Nicole Brougham, Emily Dodd","doi":"10.1097/NCQ.0000000000000807","DOIUrl":"10.1097/NCQ.0000000000000807","url":null,"abstract":"Background: Emerging evidence suggests that virtual patient observation (VPO) may help promote patient safety.Purpose: The purpose of this study was to examine and describe the demographic and clinical characteristics of patients who incurred VPO.Methods: A retrospective analysis was conducted. Differences in total VPO hours between groups were examined, followed by a hierarchical regression to investigate the effect of predictor variables on VPO utilization variance.Results: A total of 286 patient charts were reviewed. Mean VPO hours were higher in patients with an intensive care unit admission history. Adjusted for gender and history of dementia/Alzheimer's/memory impairment, the prediction of total VPO hours increased with the patient's intensive care unit admission history and overall hospital length of stay.Conclusions: Examining the prevalence and variability in the pattern of VPO utilization by specific patient characteristics is essential for identifying what patients could best benefit from this technology.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"84-89"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142086126","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 a Care-Based Nursing Workforce Model: Implications for Missed Care, Teamwork, and Satisfaction. 实施以护理为基础的护理人员队伍模式：对护理遗漏、团队合作和满意度的影响。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-01-01 Epub Date: 2024-10-02 DOI: 10.1097/NCQ.0000000000000815

Shea Polancich, Tracey Dick, Jennifer Ledlow, Connie White-Williams, Amanda Chambers, Keri Thomas, Terri Poe, Rebecca Miltner

{"title":"Implementing a Care-Based Nursing Workforce Model: Implications for Missed Care, Teamwork, and Satisfaction.","authors":"Shea Polancich, Tracey Dick, Jennifer Ledlow, Connie White-Williams, Amanda Chambers, Keri Thomas, Terri Poe, Rebecca Miltner","doi":"10.1097/NCQ.0000000000000815","DOIUrl":"10.1097/NCQ.0000000000000815","url":null,"abstract":"Background: Nursing care delivery models may serve as a significant factor contributing to nurse satisfaction, frequency of missed care, and patient outcomes.Local problem: The nursing leadership team at our institution sought to determine if an adaptation of our primary registered nurse (RN) nursing model would enhance satisfaction of bedside nurses and care of patients.Methods: An improvement study introducing a care-based delivery model was implemented between January 2023 and January 2024 on a medical-surgical neurology/spinal unit at our organization.Interventions: Adoption of a care-based nursing model was supported with the delivery of brief education sessions utilizing in situ simulations for development of competencies in teamwork and delegation.Results: During the pilot period, overall satisfaction with job role improved 23%. Six missed nursing care elements and 7 teamwork elements significantly improved.Conclusions: A care-based nursing model may improve staff satisfaction and quality of nursing care.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"32-38"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372128","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

Improving Throughput in Maternity. 提高产妇生产能力。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-01-01 Epub Date: 2024-11-18 DOI: 10.1097/NCQ.0000000000000804

Janine Muscarnera, Leigh Griffis

引用次数: 0

Nurse Well-Being and Patient-Specific Outcomes: A Scoping Review. 护士的幸福感与特定患者的预后：范围界定综述》。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-01-01 Epub Date: 2024-08-02 DOI: 10.1097/NCQ.0000000000000776

Stacy Pryor, Ardis Hanson, Janet Chan, Hope Brunner, Rayna Letourneau, Usha Menon

{"title":"Nurse Well-Being and Patient-Specific Outcomes: A Scoping Review.","authors":"Stacy Pryor, Ardis Hanson, Janet Chan, Hope Brunner, Rayna Letourneau, Usha Menon","doi":"10.1097/NCQ.0000000000000776","DOIUrl":"10.1097/NCQ.0000000000000776","url":null,"abstract":"Background: The health and well-being of the nursing workforce has received recent attention due to nurse attrition and the critical nurse shortages projected across the country. A nurse's well-being may impact patient outcomes.Purpose: The purpose of this scoping review was to assess the association between nurse well-being factors and specific patient outcomes.Methods: The preferred reporting items for systematic reviews and meta-analyses (PRISMA) PRISMA Scoping Review protocol and 2020 reporting guidelines were utilized in this review.Results: Staffing, environment, physical health, and mental health of nurses were correlated to specific adverse patient outcomes among the 97 articles included in the final review. The majority of the articles reported significant findings.Conclusions: Patient outcomes were reviewed as discrete events in the articles examined. With mixed results found on key patient outcomes, future research requires more in-depth investigation into the role nurse well-being has on patient outcomes.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"46-55"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141902043","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