Journal of nursing care quality最新文献_第5页

Preoperative Prehabilitation is Associated With Reduced Length of Stay Among Patients Over Age 60 in a Rural Health Care Facility. 术前康复与60岁以上患者在农村卫生保健机构的住院时间缩短有关。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-07-14 DOI: 10.1097/NCQ.0000000000000896

Nancy D Georgetson, Rebekah Macfie

引用次数: 0

Perceptions of Quality, Safety, and Harm in Oncology Nursing Practice: A Qualitative Study. 肿瘤护理实践中质量、安全和危害的认知：一项定性研究。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-07-09 DOI: 10.1097/NCQ.0000000000000894

Chantelle Recsky, Michelle B Tam, Shaneice Hague, Charlene E Ronquillo, Sandra B Lauck, Leah K Lambert

{"title":"Perceptions of Quality, Safety, and Harm in Oncology Nursing Practice: A Qualitative Study.","authors":"Chantelle Recsky, Michelle B Tam, Shaneice Hague, Charlene E Ronquillo, Sandra B Lauck, Leah K Lambert","doi":"10.1097/NCQ.0000000000000894","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000894","url":null,"abstract":"Background: Oncology care is complex, increasing the risk of patient harm. Nurses play a key role in identifying and addressing safety issues. Gaps in nurses' understanding of quality, safety, and harm may impede improvement efforts, particularly in safety reporting.Purpose: We examined oncology nurses' experiences with and perceptions of quality and safety in patient care, including their understanding of harm and how they use safety reporting systems in clinical practice.Methods: We used interpretive description methodology and conducted semi-structured interviews with 28 nurses at an urban oncology center.Results: Oncology nurses' accounts of quality, safety, and harm were nuanced and closely connected. Safety reporting systems present challenges and limitations in capturing nurses' concerns.Conclusion: Expanding harm definitions, streamlining reporting, and ensuring meaningful organizational responses are essential for fostering a culture of safety and quality improvement in oncology.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637373","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 Qualitative Study of the Lived Transition in Care Experiences of Patients With COPD Over the Age of 65. 65岁以上慢性阻塞性肺病患者护理经历生活转变的定性研究。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-07-09 DOI: 10.1097/NCQ.0000000000000893

Judy Badia, Nicolette McPartland, Debbie Pierce

引用次数: 0

Proactive Workplace Violence Prevention in Health Care: A Quality Improvement Project. 在医疗保健中主动预防工作场所暴力：一个质量改进项目。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-07-09 DOI: 10.1097/NCQ.0000000000000892

Melissa M Babin, Paul R Horvath, Morgan R Weiss, Zong Vang

{"title":"Proactive Workplace Violence Prevention in Health Care: A Quality Improvement Project.","authors":"Melissa M Babin, Paul R Horvath, Morgan R Weiss, Zong Vang","doi":"10.1097/NCQ.0000000000000892","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000892","url":null,"abstract":"Background: Workplace violence negatively affects health care quality, staff health, and institutional costs.Local problem: Our nursing unit had 151 workplace violence incidents reported in 2022, which led to 59 missed workdays and financial losses. Existing policies and training programs were insufficient to address this issue effectively.Methods: To reduce workplace violence, we piloted a data-driven intervention and measured workplace violence incidence, associated costs, and hospital length of stay before, during, and after the intervention.Interventions: We improved documentation systems, updated the policy and procedures for responses to violent incidents, and created a behavioral safety management plan that was initiated when the risk of violence was identified by a registered nurse.Results: Violent incidents decreased by 37%, and assault-related injuries decreased to 0 in 2023, resulting in a cost savings of $29 891.Conclusions: Our quality improvement intervention reduced workplace violence and fostered a safer health care environment.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637376","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

Patient Profile and Perioperative Care Practices Associated With the Absence of Deep Surgical Site Infections in Patients Following Coronary Artery Bypass Graft Surgery. 冠状动脉搭桥术后患者无深部手术部位感染的患者概况和围手术期护理实践

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-07-09 DOI: 10.1097/NCQ.0000000000000891

Brittany Stone, Sarah Schaffner, Kara Cincotta, Heather Byrne, Lisa Lutz, Maria Stiffler, Olawunmi Obisesan

{"title":"Patient Profile and Perioperative Care Practices Associated With the Absence of Deep Surgical Site Infections in Patients Following Coronary Artery Bypass Graft Surgery.","authors":"Brittany Stone, Sarah Schaffner, Kara Cincotta, Heather Byrne, Lisa Lutz, Maria Stiffler, Olawunmi Obisesan","doi":"10.1097/NCQ.0000000000000891","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000891","url":null,"abstract":"Background: Postoperative surgical site infections (SSIs) are a significant concern in cardiac surgery.Purpose: To characterize clinical and perioperative factors associated with the absence of deep SSIs in a cohort of patients who underwent coronary artery bypass grafting (CABG) surgery.Methods: A retrospective, single-center study was conducted, analyzing data from 214 patients between August 2023 and June 2024. Perioperative care measures included adherence to an established cardiothoracic SSI prevention bundle, consisting of preoperative chlorhexidine gluconate bathing, preoperative nasal decolonization, intraoperative antibiotics, and intraoperative and postoperative glycemic control.Results: Adherence to the prevention bundle varied (82.7-98.6%). A statistically significant difference in postoperative glycemic control was observed between elective and urgent surgery cases.Conclusion: This study's findings highlight the potential effect of rigorous protocol adherence and the critical role of standardized nursing care in SSI prevention. Future research to optimize patient care and outcomes during and after CABG surgery is recommended.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637372","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. 加强三级医院术后患者疼痛评估：最佳实践实施项目

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-07-01 Epub 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":"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":"E40-E47"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","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

Enhancing Staffing Stability in Long-Term Care: Insights from Nurses and Personal Support Workers. 加强长期护理人员配备稳定性：来自护士和个人支持工作者的见解。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-07-01 Epub Date: 2025-03-07 DOI: 10.1097/NCQ.0000000000000851

Jen Calver, Farazana Rahmen, Nitha Reno, Winnie Sun

{"title":"Enhancing Staffing Stability in Long-Term Care: Insights from Nurses and Personal Support Workers.","authors":"Jen Calver, Farazana Rahmen, Nitha Reno, Winnie Sun","doi":"10.1097/NCQ.0000000000000851","DOIUrl":"10.1097/NCQ.0000000000000851","url":null,"abstract":"Background: Challenges to recruit and retain nurses and personal support workers (PSWs) within the long-term care (LTC) sector is a significant problem.Purpose: The purpose of this study was to describe elements of recruitment and retention from staff perspectives.Methods: Secondary analysis of survey data (n = 93) was conducted utilizing data collected from nurses and PSWs from 4 LTC homes. Open-ended responses were summarized, coded, and analyzed thematically.Results: Findings indicated that nearly a quarter of participants (24.7%) had no intention to stay in their current job. Three key themes emerged as organizational factors for staffing stability including resident care as a top priority, rebuilding a healthy workplace, and open communication and professional development.Conclusion: The growing focus on recruitment and retention in LTC reflects its prevalence. It is therefore important to understand staff perspectives related to organizational factors that may impact staffing stability efforts, and ultimately resident care.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"279-285"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597164","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 Preventive Care for Adults 50+ Through Pre-Visit Planning in Primary Care. 通过初级保健的就诊前规划加强50岁以上成年人的预防保健。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-07-01 Epub Date: 2025-04-01 DOI: 10.1097/NCQ.0000000000000848

Destinee Rice, Dannica Callies

{"title":"Enhancing Preventive Care for Adults 50+ Through Pre-Visit Planning in Primary Care.","authors":"Destinee Rice, Dannica Callies","doi":"10.1097/NCQ.0000000000000848","DOIUrl":"10.1097/NCQ.0000000000000848","url":null,"abstract":"Background: Preventive care is often overlooked in older adults due to the complexity of care. A pre-visit planning checklist may be effective in enhancing prevention.Local problem: A Midwest internal medicine department identified the need to increase age-appropriate vaccinations and screenings in adults 50 and older.Methods: A pre-visit planning checklist for cancer screenings, bone density scans, and immunizations, guided by the American Medical Association, was implemented. The number of ordered preventive measures was compared 3 months pre and post-implementation.Interventions: Staff members reviewed patient charts prior to appointments using the pre-visit checklist, which guided staff to look at appropriate preventive tasks and notify the provider of needed items.Results: There was a significant increase in the percentage of patients who received orders for colonoscopies (10.6% vs 16.6%) and bone density scans (2.9% vs 5.7%).Conclusion: Pre-visit planning may be an effective way to increase preventive measures in primary care.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"272-278"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764229","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. 护士转职过程中公正文化原则的综合考察。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-07-01 Epub Date: 2025-02-11 DOI: 10.1097/NCQ.0000000000000837

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

引用次数: 0

Integration of Virtual Technology and Artificial Intelligence Improves Satisfaction, Patient Safety, and Nursing Workforce Efficiency. 虚拟技术和人工智能的集成提高了满意度、患者安全和护理人员的工作效率。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-07-01 Epub 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":"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":"193-201"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","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