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

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

Nurse-Led Implementation of Evidence-Based Peripheral Intravenous Catheter Care in Pediatrics: A Qualitative Study. 以护士为主导的循证外周静脉导管护理在儿科的实施：一项定性研究。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-07-30 DOI: 10.1097/NCQ.0000000000001003

Maaidah M Algamdi, Modi Al-Moteri

{"title":"Nurse-Led Implementation of Evidence-Based Peripheral Intravenous Catheter Care in Pediatrics: A Qualitative Study.","authors":"Maaidah M Algamdi, Modi Al-Moteri","doi":"10.1097/NCQ.0000000000001003","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000001003","url":null,"abstract":"Background: Peripheral intravenous catheter (PIVC) complications persist in pediatric settings, creating an urgent need for systematic nurse-led practice change.Objective: This study explored how nurses facilitated the implementation of an updated evidence-based PIVC insertion protocol through the lens of the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework.Methods: A qualitative descriptive design was used. Written reflective narratives from 9 nurses were analyzed using hybrid thematic analysis, deductively mapped to i-PARIHS constructs.Results: Four themes were constructed: (1) activating facilitation: relational strategies for enabling change; (2) building recipient readiness: from resistance to engagement; (3) navigating context: organizational enablers and barriers; and (4) embedding the innovation: tools and processes for sustained adoption.Conclusion: Consistent with i-PARIHS, nurse-led facilitation functions as the active driver of implementation. Suggestions for application in practice include using relational strategies to enable change, building recipient readiness through individualized engagement, contextual navigation to address organizational barriers, and embedding the innovation through practical tools and sustained follow-up.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148620539","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

Implementation of the Deterioration Index in Acute Care: A Predictive Model to Improve Patient Safety and Outcomes. 急性护理恶化指数的实施：提高患者安全和预后的预测模型。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-07-20 DOI: 10.1097/NCQ.0000000000000999

Sandra Simmons

引用次数: 0

Psychometric Testing of the Veterans Health Administration Resident Competency Assessment Scale for New Graduate Registered Nurse Competency. 退伍军人健康管理局新毕业注册护士住院医师胜任力评估量表的心理测试。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-07-14 DOI: 10.1097/NCQ.0000000000000980

Blake Barrett, Peter Toyinbo, Mary Pat Couig, Christine Melillo, Margeaux Chavez, Kimberly S Hall, Kim DeMasi, Gail Powell-Cope, Sheila Cox Sullivan

{"title":"Psychometric Testing of the Veterans Health Administration Resident Competency Assessment Scale for New Graduate Registered Nurse Competency.","authors":"Blake Barrett, Peter Toyinbo, Mary Pat Couig, Christine Melillo, Margeaux Chavez, Kimberly S Hall, Kim DeMasi, Gail Powell-Cope, Sheila Cox Sullivan","doi":"10.1097/NCQ.0000000000000980","DOIUrl":"10.1097/NCQ.0000000000000980","url":null,"abstract":"Background: The Veterans Health Administration Resident Competency Assessment (VHA RCA) item pool (N = 100) was developed to evaluate new graduate registered nurse (NGRN) competency to support nurse residencies and facilitate dynamic competency-based education.Purpose: The purpose of this work was to develop a parsimonious item bank for the VHA RCA through psychometric testing.Methods: Classical Test Theory and Item Response Theory methods were used to analyze VHA RCA survey data from nurse residents (N = 542) at VHA medical centers (n = 81).Results: Psychometric evidence demonstrated a unidimensional construct, good model fit, negligible differential item functioning, and acceptable construct validity. Seventy items were retained. Reliability coefficient estimates were > 0.9 (Cronbach's α = .987; Lambda-2 = .987; latent class reliability coefficient = .986).Conclusions: Obtained psychometric evidence supports validity and reliability of the calibrated VHA RCA. The VHA RCA is available for public use to assess NGRN competency and may be used to inform and improve the quality of nursing education, research, and practice.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148456161","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

Nursing and Policy. 护理与政策。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-07-01 Epub Date: 2026-05-07 DOI: 10.1097/NCQ.0000000000000950

Robert Carl Coghlan

引用次数: 0

Implementing Quality Improvement in Nursing Homes: Nurse Practitioner Perspectives on Barriers, Facilitators, and Lessons Learned. 在养老院实施质量改进：护士从业人员对障碍、促进因素和经验教训的看法。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-07-01 Epub Date: 2025-11-12 DOI: 10.1097/NCQ.0000000000000930

Anna H Gallion, Isaac Schlotterbeck, Carole Bartoo, Jacy Weems, Tara B Horr, Kristina M Niehoff, Sandra F Simmons, Sunil Kripalani

{"title":"Implementing Quality Improvement in Nursing Homes: Nurse Practitioner Perspectives on Barriers, Facilitators, and Lessons Learned.","authors":"Anna H Gallion, Isaac Schlotterbeck, Carole Bartoo, Jacy Weems, Tara B Horr, Kristina M Niehoff, Sandra F Simmons, Sunil Kripalani","doi":"10.1097/NCQ.0000000000000930","DOIUrl":"10.1097/NCQ.0000000000000930","url":null,"abstract":"Background: Nursing homes (NHs) face persistent challenges implementing evidence-based quality improvement (QI). Many barriers were intensified during the COVID-19 pandemic.Purpose: To identify barriers and facilitators to nurse practitioner (NP)-led QI implementation in NHs and share lessons learned.Methods: Fifty-six NHs in middle Tennessee were each assigned an NP mentor to support QI efforts during the COVID-19 pandemic. Structured qualitative interviews with project NPs identified barriers and facilitators to QI implementation using the Consolidated Framework for Implementation Research.Results: Facilitators included leadership engagement, QI champions, a supportive culture, and evidence strength. Barriers included low prioritization, limited resources, low staff efficacy, and adaptability challenges.Conclusions: NP-led QI is feasible in NHs but requires leadership support, adequate staffing, and an organizational culture that values improvement.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"237-244"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13189380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145513135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Virtual Community of Practice to Support Health Literacy Implementation: A Multimethod Study. 支持健康素养实施的虚拟实践社区：一项多方法研究。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-07-01 Epub Date: 2026-01-06 DOI: 10.1097/NCQ.0000000000000940

Carol Howe, Penny Williams, Diana Montoya, Jordan Gamboa, Brittney Saldierna, Peng Pauline Chen, Emily Carsey, Lindsey Patton

{"title":"A Virtual Community of Practice to Support Health Literacy Implementation: A Multimethod Study.","authors":"Carol Howe, Penny Williams, Diana Montoya, Jordan Gamboa, Brittney Saldierna, Peng Pauline Chen, Emily Carsey, Lindsey Patton","doi":"10.1097/NCQ.0000000000000940","DOIUrl":"10.1097/NCQ.0000000000000940","url":null,"abstract":"Background: Community of Practices promotes members' collective learning, shared identity, and efforts to increase uptake of evidence-based practices.Purpose: To describe how a virtual Community of Practice facilitated and supported nurse champions to increase clinician health literacy practices in pediatric ambulatory clinics.Methods: Transcripts from meetings June 2023 to May 2024 and interviews with champions and leaders conducted in March 2024 were analyzed using directed content analysis and the integrated Promoting Action on Research Implementation in Health Services implementation framework. Clinician practices were assessed at baseline, 6, and 12 months.Results: The virtual Community of Practice increased champions' knowledge, provided resources, and supported ways to address clinic barriers. Observable impacts, such as teach-back identifying misunderstandings, boosted buy-in. Leadership support varied. Formalizing the community of practice into a formal council fostered sustainability. Clinics reported significant improvements in health literacy practices.Conclusion: A virtual Community of Practice can facilitate and support champions' facilitation of health literacy implementation in pediatric ambulatory clinics.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"266-274"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145906222","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 Mediating Effect of Missed Nursing Care on Nurse Collaboration and Perceived Care Quality Among Nurses. 护理缺失对护士协作和护理感知质量的中介作用。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-07-01 Epub Date: 2025-12-31 DOI: 10.1097/NCQ.0000000000000944

Merve Tarhan, Dilan Şahin Kaya

{"title":"The Mediating Effect of Missed Nursing Care on Nurse Collaboration and Perceived Care Quality Among Nurses.","authors":"Merve Tarhan, Dilan Şahin Kaya","doi":"10.1097/NCQ.0000000000000944","DOIUrl":"10.1097/NCQ.0000000000000944","url":null,"abstract":"Background: Ensuring high-quality and safe patient care is a core goal of health care systems, and nurses' collaboration and care delivery practices are crucial in achieving this aim.Purpose: This study examined the mediating role of missed nursing care in the effect of nurse-nurse collaboration on perceived care quality.Methods: A descriptive, correlational design was employed, involving 305 nurses from 2 city hospitals in Ankara, Türkiye, who were selected through convenience sampling. Data were collected using a demographic form, the Nurse-Nurse Collaboration Scale, the General Care Quality Question, and the MISSCARE Survey.Results: Missed nursing care was negatively associated with perceived care quality and explained 12.8% of the variance. Nurse-nurse collaboration significantly predicted perceived care quality, explaining 21.3% of the variance. Missed nursing care partially mediated this relationship.Conclusions: Nurse leaders can enhance perceived care quality and minimize missed nursing care by promoting consistent communication, a supportive team climate, and shared responsibility.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"E44-E51"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145863351","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

Evaluation of an Implementation Training Program on Advanced Practice Nurse's Self-Efficacy and Intention to Use Research Findings. 高级执业护士自我效能感培训实施方案评估及研究成果应用意向。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-07-01 Epub Date: 2025-11-13 DOI: 10.1097/NCQ.0000000000000931

Adeola Areo, Sharisse Hebert, Jerrel Moore, Chloe Gaines, Ruby Benjamin-Garner

{"title":"Evaluation of an Implementation Training Program on Advanced Practice Nurse's Self-Efficacy and Intention to Use Research Findings.","authors":"Adeola Areo, Sharisse Hebert, Jerrel Moore, Chloe Gaines, Ruby Benjamin-Garner","doi":"10.1097/NCQ.0000000000000931","DOIUrl":"10.1097/NCQ.0000000000000931","url":null,"abstract":"Background: Comparative effectiveness research (CER) provides evidence regarding which treatment may be most effective; however, there is a need to ensure CER findings are implemented in clinical practice. As such, CER implementation training was provided to advanced practice registered nurses (APRNs).Purpose: The purpose of this project was to evaluate the impact of implementation training on self-efficacy and intention to implement CER findings among APRNs.Methods: A descriptive cross-sectional study design was used.Results: A total of 18 APRNs participated between 2 training sessions. Overall, participants were satisfied with the training. Most (91%) rated their self-efficacy to implement CER findings as at least fair, and 82% intended to use CER findings in practice.Conclusion: It is imperative that nursing leaders be provided implementation training that promotes innovation in health care delivery, thereby decreasing the research-to-practice gap.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"41 3","pages":"245-250"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148150368","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 Collection Times for Urine and Stool Specimens. 改善尿液和粪便标本的收集时间。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-07-01 Epub Date: 2025-10-28 DOI: 10.1097/NCQ.0000000000000926

Shu Xu, Lorraine Wilson Batts, Hanzhang Xu

引用次数: 0