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

Improving Heart Failure Outcomes Through Hemodynamic Monitoring: A Retrospective Program Evaluation. 通过血流动力学监测改善心力衰竭结局：一项回顾性项目评估。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-09-22 DOI: 10.1097/NCQ.0000000000001016

Erin Kelly Godin, Margaret Bowers, Todd McVeigh, Julie Thompson, Gary Elizabeth Conly

引用次数: 0

Implementation of a Nonpharmacological Pain Management Bundle to Improve Postoperative Recovery Outcomes in the PACU: A Pre/Post Quasi-Experimental Study. 实施非药物疼痛管理捆绑改善PACU术后恢复结果：一项准实验前/后研究

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-09-16 DOI: 10.1097/NCQ.0000000000001013

Nathan A Lowe

{"title":"Implementation of a Nonpharmacological Pain Management Bundle to Improve Postoperative Recovery Outcomes in the PACU: A Pre/Post Quasi-Experimental Study.","authors":"Nathan A Lowe","doi":"10.1097/NCQ.0000000000001013","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000001013","url":null,"abstract":"Background: Postoperative pain following laparoscopic procedures can delay recovery and reduce patient satisfaction. Nonpharmacological methods (NPM) provide a low-risk adjunct to pain management.Purpose: This study examined the implementation of a standardized NPM bundle on postoperative pain, opioid utilization, and PACU length of stay among adults undergoing same-day laparoscopic procedures and evaluated bundle adherence.Methods: A pre-post quasi-experimental evaluation was conducted. The bundle included aromatherapy, music therapy, relaxation, positioning, heat/cold therapy, and early ambulation. Implementation included staff education and workflow integration.Results: Pain outcomes improved with reduced severe pain and increased low pain scores. Implementation fidelity was supported through the education of 25 PACU team members and 95% adherence to intervention implementation. Length of stay decreased from 85 to 68 minutes without increased opioid use.Conclusion: A nurse-led NPM bundle was associated with improved postoperative recovery outcomes.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148976769","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 National Cross-Sectional Survey of Artificial Intelligence Patient Safety Reporting Infrastructure Available to US Nurses. 美国护士可用的人工智能患者安全报告基础设施的全国横断面调查。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-09-10 DOI: 10.1097/NCQ.0000000000001011

Gregory A Carter

{"title":"A National Cross-Sectional Survey of Artificial Intelligence Patient Safety Reporting Infrastructure Available to US Nurses.","authors":"Gregory A Carter","doi":"10.1097/NCQ.0000000000001011","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000001011","url":null,"abstract":"Background: Federal artificial intelligence (AI) safety governance depends on clinicians reporting AI-related patient safety concerns, yet national availability of nurse-facing reporting channels and related practice guidance is unknown.Purpose: To characterize formal AI safety reporting channels available to practicing US nurses and correlates of reporting.Methods: A national cross-sectional survey of 1189 practicing US nurses was conducted in June to July 2026.Results: Among 424 nurses who encountered an AI-related patient safety concern, 83 (19.6%) reported no formal channel for reporting it. Non-hospital nurses had higher odds of no channel than hospital-based nurses (odds ratio, 2.54; 95% confidence interval, 1.54-4.19). Where a channel existed, perceived severity predicted reporting (adjusted odds ratio, 2.47; 95% confidence interval, 1.77-3.45).Conclusions: One in 5 nurses with an AI-related patient safety concern lacked reporting infrastructure. Federal AI safety governance presupposes infrastructure that remains uneven across US care settings.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148920156","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 Nighttime Noise With Targeted Room Modifications in a Pediatric Stem Cell Transplant Unit. 在儿科干细胞移植病房，通过有针对性的房间改造减少夜间噪音。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-09-09 DOI: 10.1097/NCQ.0000000000001012

Andrea L Fidler, Robyn Blacken, Rose G Mintor, Julie A Waitt, Sarah Tarquini, Leslie E Lehmann, Eric S Zhou

引用次数: 0

Using Implementation Science to Standardize Anxiety Care in Outpatient Psychiatry. 运用实施科学规范门诊精神病学焦虑护理。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-09-02 DOI: 10.1097/NCQ.0000000000001000

Linda Rowan

引用次数: 0

Partnering for Prevention: Harnessing the Power of Volunteers to Reduce Falls. 预防合作：利用志愿者的力量减少跌倒。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-09-01 DOI: 10.1097/NCQ.0000000000000983

Imraan Khan, Maria Robayo, Sana Khan, Devan Bains, Adrian Chan, Premna Alexander, Shannon Browne, Sharlene Numa, Seenum Hussain, Ann Marie McCabe, Pradel Felix

引用次数: 0

Criteria-Led Discharge-Patient Safety and Satisfaction, Length of Stay, and Facilitators for Implementation: A Systematic Review Update. 以标准为导向的出院患者安全性和满意度、住院时间和实施便利：系统回顾更新。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-08-11 DOI: 10.1097/NCQ.0000000000001007

Liz Lees-Deutsch, Emma Brangwin, Bridget O'Connell, Rosslyn Young, Agnieszka Lewko

{"title":"Criteria-Led Discharge-Patient Safety and Satisfaction, Length of Stay, and Facilitators for Implementation: A Systematic Review Update.","authors":"Liz Lees-Deutsch, Emma Brangwin, Bridget O'Connell, Rosslyn Young, Agnieszka Lewko","doi":"10.1097/NCQ.0000000000001007","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000001007","url":null,"abstract":"Background: Delayed patient discharge affects patient safety, care quality, and hospital flow. Criteria-led discharge (CLD) enables appropriately trained health care professionals to discharge selected patients against predefined clinical criteria, potentially improving timeliness.Purpose: The purpose of this updated systematic review was to assess outcomes including CLD safety, patient satisfaction, length of stay (LOS), and implementation factors.Methods: A systematic review was conducted. CINAHL and Medline were searched from 2018 to 2025.Results: Thirteen studies spanning adult and pediatric settings were included. CLD was consistently safe when supported by clear criteria, protocols, and safety-netting; readmission findings were mixed. Most studies reported reduced LOS, earlier discharge, and improved flow. Evidence on patient satisfaction was limited. Key facilitators included staff training, organizational support, and integration of CLD into routine processes.Conclusion: CLD is a safe intervention that improves discharge efficiency and LOS with growing applicability across nonelective pathways and potential scalability.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148712671","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

Barriers and Facilitators to Evidence-Based Oral Care in Head and Neck Cancer: A Mixed-Methods Study. 头颈癌循证口腔护理的障碍和促进因素：一项混合方法研究。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-08-11 DOI: 10.1097/NCQ.0000000000001005

Yiqing Wang, Jia Ma, Xin Zhang

{"title":"Barriers and Facilitators to Evidence-Based Oral Care in Head and Neck Cancer: A Mixed-Methods Study.","authors":"Yiqing Wang, Jia Ma, Xin Zhang","doi":"10.1097/NCQ.0000000000001005","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000001005","url":null,"abstract":"Background: Oral complications significantly burden patients with head and neck cancer undergoing treatment. Despite the proven efficacy of evidence-based oral care protocols, clinical implementation remains inconsistent. This study employed the behavior change wheel framework to systematically analyze implementation barriers and facilitators from health care providers' perspectives.Methods: A convergent mixed-methods design was used. Health care providers (n = 118) completed validated capability, opportunity, motivation-behavior surveys, and a subset (n = 28) participated in semi-structured interviews analyzed using theoretical domains framework (TDF)-informed thematic analysis. Self-reported adherence to the oral care bundle was measured using a visual analog scale.Results: Physical opportunity barriers scored highest (M = 3.36, SD = 0.72), whereas reflective motivation showed the lowest barrier scores (M = 2.11, SD = 0.59). Environmental Context and Resources was the predominant TDF barrier domain (86%). Multiple regression showed that barrier scores significantly predicted self-reported adherence (β = -0.124, P < .001, R2 = 0.821).Conclusions: Physical opportunity barriers represent the primary implementation challenge. Multicomponent interventions targeting environmental restructuring, training, and enablement are recommended.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706882","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 Pediatric Medication Safety Risks Through Improved Dosing Weight Accuracy: A Hospital-Based Quality Improvement Initiative. 通过提高剂量重量准确性降低儿科用药安全风险：一项基于医院的质量改进倡议。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-08-04 DOI: 10.1097/NCQ.0000000000001006

Katelyn Brant, Judith Ascenzi, Meghan Rowcliffe, Scott Burkett, Ann Kane

{"title":"Reducing Pediatric Medication Safety Risks Through Improved Dosing Weight Accuracy: A Hospital-Based Quality Improvement Initiative.","authors":"Katelyn Brant, Judith Ascenzi, Meghan Rowcliffe, Scott Burkett, Ann Kane","doi":"10.1097/NCQ.0000000000001006","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000001006","url":null,"abstract":"Background: Avoidable medication errors involving inaccurate weight-based dosing in pediatric patients are a well-documented patient safety concern.Local problem: Select patients receiving medications and fluids based on nonmeasured weights contributed to medication errors.Methods: Using several Plan-Do-Study-Act (PDSA) intervention cycles, we aimed to increase the percentage of patients with a measured dosing weight within 12 hours of admission from a baseline of 18.5 % to greater than 75% within 6 months.Interventions: PDSA cycles included awareness campaigns, education, and electronic health record enhancements to improve documentation and visualization of weight methods.Results: Patients with documented measured weights used for dosing improved from 18.5% to 66.2%, demonstrating statistically significant improvements.Conclusions: Interventions are adaptable to other pediatric institutions and potentially to adult populations as well.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669649","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

Cognitive Profile, Social Determinants, and Advance Care Planning: Evidence From the Health and Retirement Study. 认知概况、社会决定因素和提前护理计划：来自健康和退休研究的证据。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-07-31 DOI: 10.1097/NCQ.0000000000001002

Zahra Rahemi, Juanita-Dawne R Bacsu, Delaram Sirizi, Katelyn Hummel, Meisam Omidi, Preeti Pushpalata Zanwar, Matthew Lee Smith, Swann Arp Adams

{"title":"Cognitive Profile, Social Determinants, and Advance Care Planning: Evidence From the Health and Retirement Study.","authors":"Zahra Rahemi, Juanita-Dawne R Bacsu, Delaram Sirizi, Katelyn Hummel, Meisam Omidi, Preeti Pushpalata Zanwar, Matthew Lee Smith, Swann Arp Adams","doi":"10.1097/NCQ.0000000000001002","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000001002","url":null,"abstract":"Background: Advance care planning (ACP) is important for older adults experiencing cognitive decline, and social determinants of health (SDoH) may shape engagement.Purpose: To evaluate cognitive and social-contextual differences in ACP among older adults.Methods: Using 2018 Health and Retirement Study data, we evaluated ACP completion, defined as a living will (LW), durable power of attorney for health care, or both, across cognitive status groups and tested SDoH moderation.Results: Individuals with dementia or impaired cognition had lower ACP completion than those with normal cognition. Education and neighborhood support moderated cognition-ACP associations. Among less educated individuals, dementia was associated with lower odds of LW completion. Lower neighborhood support was associated with lower odds of LW completion, whereas higher support was associated with greater odds of reporting at least one ACP measure.Conclusion: SDoH shape ACP during cognitive decline. Nurses should prioritize early, equitable ACP discussions to improve end-of-life care quality.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148630719","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