Journal of nursing care quality最新文献_第6页

Prevention and Sustained Reduction of Health Care-Associated Infections in a Medical Intensive Care Unit. 在医疗加护病房预防和持续减少卫生保健相关感染。

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.0000000000000860

Allyson Luva, Barbara Everett

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 : 2025-07-01 Epub Date: 2025-01-21 DOI: 10.1097/NCQ.0000000000000839

Shelby Logsdon, Sara Arter

引用次数: 0

Standardizing Nursing Handoff: Enhancing Patient Care and Staff Satisfaction. 规范护理交接：提高患者护理和员工满意度。

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.0000000000000845

Zariya Gonzalez, Eileen Dowdall

引用次数: 0

Addressing Patient Learning Myopia in Multiple Sclerosis Through A Thermodynamic Approach. 通过热力学方法解决多发性硬化症患者学习性近视。

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.0000000000000844

Jorge Cegarra-Sánchez, Juan-Gabriel Cegarra-Navarro, Aurora Martinez-Martinez

{"title":"Addressing Patient Learning Myopia in Multiple Sclerosis Through A Thermodynamic Approach.","authors":"Jorge Cegarra-Sánchez, Juan-Gabriel Cegarra-Navarro, Aurora Martinez-Martinez","doi":"10.1097/NCQ.0000000000000844","DOIUrl":"10.1097/NCQ.0000000000000844","url":null,"abstract":"Background: Multiple sclerosis (MS) is a chronic and unpredictable condition requiring continuous learning and self-management. Since learning myopia involves a tendency to focus on immediate concerns at the expense of long-term goals, it can hinder disease management.Problem: Patients with MS often prioritize short-term symptom relief over proactive disease education and adherence to disease-modifying therapies. This focus on the immediate challenges complicates efforts to foster sustained learning, further compounded by widespread misinformation about MS management.Approach: This article applies a thermodynamic framework integrating rational, emotional, and spiritual capacities to overcome learning myopia.Outcomes: The article demonstrates how nurses can facilitate informed decision-making, resilience, and long-term adherence, mitigating the impacts of learning myopia.Conclusions: Addressing learning myopia through the thermodynamic approach empowers patients to manage MS effectively, improving quality of life.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"251-256"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143502079","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

Reduction of Central Line-Associated Bloodstream Infections on a Transplant Unit. 减少移植单位中央线相关血流感染。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-07-01 Epub Date: 2025-03-12 DOI: 10.1097/NCQ.0000000000000854

Renee Spinks, Welela Berhanu, Rommel Buenvenida, Samantha Henry, Denise Lo, Mylinh Yun

{"title":"Reduction of Central Line-Associated Bloodstream Infections on a Transplant Unit.","authors":"Renee Spinks, Welela Berhanu, Rommel Buenvenida, Samantha Henry, Denise Lo, Mylinh Yun","doi":"10.1097/NCQ.0000000000000854","DOIUrl":"10.1097/NCQ.0000000000000854","url":null,"abstract":"Background: Central line-associated bloodstream infection (CLABSI) is a preventable complication of central venous catheters (CVC) that can result in prolonged hospitalization, increased cost, and mortality.Local problem: CLABSI rates in a solid organ transplant unit were above the National Database of Nursing Quality Indicators target.Methods: Evidence-based CLABSI prevention interventions were implemented using the Plan-Do-Study-Act process.Interventions: A stepwise approach was used to implement CVC maintenance bundle pole cards, chlorhexidine gluconate (CHG) bathing treatments, and Kamishibai card (K-card) door tag processes for all patients with CVCs.Results: The unit achieved and sustained >90% compliance with both CHG bathing treatments and K-card door tag processes. The CLABSI rate decreased from 2.15 to 0.41, an 81% reduction.Conclusions: CLABSI reduction in a transplant unit can be achieved through the systematic implementation of evidence-based practices.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"232-237"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143615420","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 Hand Hygiene Before Meals: A Systematic Review. 病人饭前手卫生：系统回顾。

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.0000000000000858

Ariel Kamen, Rebecca Clark, Michelle B Bass, Claudette Fonshell, Sara Holland, Judith O'Donnell, Nikhil K Mull, Matthew D Mitchell

{"title":"Patient Hand Hygiene Before Meals: A Systematic Review.","authors":"Ariel Kamen, Rebecca Clark, Michelle B Bass, Claudette Fonshell, Sara Holland, Judith O'Donnell, Nikhil K Mull, Matthew D Mitchell","doi":"10.1097/NCQ.0000000000000858","DOIUrl":"10.1097/NCQ.0000000000000858","url":null,"abstract":"Background: Hand hygiene is recognized as an effective way to prevent health care-associated infections (HAIs). However, there is limited attention to patient hand hygiene (PHH).Purpose: The purpose of this systematic review was to summarize evidence, interventions, and outcomes of PHH before meals.Methods: Literature was searched from 1999 to 2024 in 4 databases. The Grading of Recommendations, Assessment, Development, and Evaluation was used to appraise the strength of evidence.Results: Ten reports were included in the review. Five categories of PHH interventions were identified: direct observation, reminders, education, policy change, and bundles of more than one intervention. There is insufficient evidence to establish a direct causal link between PHH before meals and a reduction in HAIs.Conclusions: The limited and moderate level of evidence highlights a significant gap in understanding PHH. Hand hygiene is a fundamental infection prevention strategy that warrants additional research in hospitalized patient populations to determine the clinical efficacy and causal effects on HAIs.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"217-224"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764231","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

Safety of Transesophageal Echocardiography With the Assistance of a Nurse Practitioner. 在执业护士的协助下经食管超声心动图的安全性。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-07-01 Epub Date: 2025-02-14 DOI: 10.1097/NCQ.0000000000000841

Yuki Harashima, Taishi Okuno, Yukio Sato, Tatsuro Shoji, Kazuko Osabe, Rie Ito, Aoi Kato, Akiko Kamiyama, Noriko Motodate, Risako Murata, Ryutaro Oda, Daisuke Miyahara, Shingo Kuwata, Yuki Ishibashi, Keisuke Kida, Yasuhiro Tanabe, Masaki Izumo, Shigeki Fujitani, Yoshihiro J Akashi

{"title":"Safety of Transesophageal Echocardiography With the Assistance of a Nurse Practitioner.","authors":"Yuki Harashima, Taishi Okuno, Yukio Sato, Tatsuro Shoji, Kazuko Osabe, Rie Ito, Aoi Kato, Akiko Kamiyama, Noriko Motodate, Risako Murata, Ryutaro Oda, Daisuke Miyahara, Shingo Kuwata, Yuki Ishibashi, Keisuke Kida, Yasuhiro Tanabe, Masaki Izumo, Shigeki Fujitani, Yoshihiro J Akashi","doi":"10.1097/NCQ.0000000000000841","DOIUrl":"10.1097/NCQ.0000000000000841","url":null,"abstract":"Background: Due to advancements in cardiovascular intervention technologies, transesophageal echocardiography (TEE) is increasingly used. In Japan, nurse practitioners are being integrated into specialized procedures, including TEE, under physician supervision to address physician shortages and improve patient safety.Methods: Consecutive patients undergoing TEE at our outpatient clinic from July 2022 to June 2023 were included, with baseline characteristics, procedural details, and outcomes retrospectively collected.Results: A total of 186 patients were included in the study. A significant decrease in blood pressure was observed in 124 patients (68.5%), with 19 patients requiring treatment through infusion loading. Desaturation (SpO 2 < 90%) was observed in 105 patients (57.7%). No significant differences in hypotension or hypoxia incidence were found between elderly and younger patients or among TEE indications.Conclusions: TEE procedures were safely performed under the assistance of nurse practitioners, demonstrating effective management of the procedural risks associated with this diagnostic technique.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"E34-E39"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441191","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

Quality Improvement Interventions for Peripheral Intravenous Catheter Nursing Practices: A Systematic Review. 外周静脉导管护理实践的质量改进干预措施：系统回顾。

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.0000000000000853

Sumi Cho, Eun Man Kim

{"title":"Quality Improvement Interventions for Peripheral Intravenous Catheter Nursing Practices: A Systematic Review.","authors":"Sumi Cho, Eun Man Kim","doi":"10.1097/NCQ.0000000000000853","DOIUrl":"10.1097/NCQ.0000000000000853","url":null,"abstract":"Background: The use of peripheral intravenous catheters (PIVC) is a crucial nursing practice for ensuring patient safety.Purpose: This systematic review assessed quality improvement (QI) articles focused on nursing insertion and management practices related to PIVCs.Methods: A comprehensive search was performed. The Quality Improvement Minimum Quality Criteria Set (QI-MQCS) was used to appraise the quality of QI studies by 2 independent reviewers.Results: A total of 27 studies were included. More than half of the studies did not meet the sustainability and spread QI-MQCS criteria. QI interventions focused on ultrasound-guided PIVC placement, PIVC dressing products or other catheter devices, and bundles for PIVC practices. The improvements in PIVC-related patient outcomes and nurses' capabilities were reported.Conclusion: Further research is needed to identify detailed QI protocols for ensuring the sustainability and cost-effectiveness of interventions and to facilitate the application of QI in diverse types of hospitals.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"225-231"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143502088","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 Efficiencies in STEMI Care via the DMAIC Framework: Report of a Successful Quality Improvement Project. 通过DMAIC框架提高STEMI护理效率：一个成功的质量改进项目报告。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-07-01 Epub Date: 2025-04-04 DOI: 10.1097/NCQ.0000000000000840

John Porter, Erin M Larson, Courtney E Bennett, Chad P Liedl, Jason T Churchill, Kathy S Berns, Brent A Konz, Sue C Eastman, Lisa C Rentz, Michael B Juntunen, Matthew P Johnson, Dennis A Laudon

{"title":"Improving Efficiencies in STEMI Care via the DMAIC Framework: Report of a Successful Quality Improvement Project.","authors":"John Porter, Erin M Larson, Courtney E Bennett, Chad P Liedl, Jason T Churchill, Kathy S Berns, Brent A Konz, Sue C Eastman, Lisa C Rentz, Michael B Juntunen, Matthew P Johnson, Dennis A Laudon","doi":"10.1097/NCQ.0000000000000840","DOIUrl":"10.1097/NCQ.0000000000000840","url":null,"abstract":"Background: Timely recognition, diagnosis, and treatment of ST-segment elevation myocardial infarctions (STEMIs) are critical for patient survival.Local problem: Our door-to-balloon (D2B) times, a key quality metric, were increasing.Methods: The DMAIC (Define, Measure, Analyze, Improve, Control) framework was used for this quality improvement project to determine gaps in care and to improve efficiency.Interventions: We streamlined STEMI patient care models, eliminating unnecessary steps, codifying throughput pathways, and improving interdepartmental communication.Results: Median D2B times decreased from 62.5 to 57 minutes in patients initially seen at the acute care facility and from 116 to 114 minutes in patients who transferred to our facility. We observed no increase in the number of patients arriving at the cardiac catheterization laboratory before the room or team were ready.Conclusions: A nurse-led quality improvement project that includes nurses directly involved in the care of patients can achieve real improvements in quality of care.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"245-250"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803667","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 Blood Culture Contamination in the Emergency Department With Blood Culture Collection Bundle. 用血培养标本束减少急诊科血培养污染

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-07-01 Epub Date: 2025-04-04 DOI: 10.1097/NCQ.0000000000000863

引用次数: 0