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

Operation STICK Improves Vascular Access Outcomes in a Specialty Team: A Quasi-Experimental Study. STICK 行动改善了专科团队的血管通路结果：准实验研究

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-01-01 Epub Date: 2024-08-12 DOI: 10.1097/NCQ.0000000000000801

Steven Matthew Gibson, Jessica Sarlabous, Lauren Adair, Amit Bahl

{"title":"Operation STICK Improves Vascular Access Outcomes in a Specialty Team: A Quasi-Experimental Study.","authors":"Steven Matthew Gibson, Jessica Sarlabous, Lauren Adair, Amit Bahl","doi":"10.1097/NCQ.0000000000000801","DOIUrl":"10.1097/NCQ.0000000000000801","url":null,"abstract":"Background: Education and training may improve outcomes within an experienced vascular access team.Purpose: The purpose of this study was to measure the impact of a standardized peripheral intravenous catheter insertion educational program (Operation STICK) on vascular access outcomes.Methods: A quasi-experimental study design was used. Adult inpatients with difficult intravenous access (DIVA) requiring ultrasound-guided insertion by a vascular access specialty team were eligible. Data were collected before and 7 months after the educational training program.Results: A total of 54 subjects were included (24 pre- and 30 post-implementation). Significant improvements were found for mean peripheral intravenous catheter dwell time (3.62 to 14.97 days, P < .001), completion of therapy (58.3% to 96.7%, P = .001), and first-stick success rate (79.2% to 100%, P = .013). Catheter-to-vein ratio significantly decreased ( P = .007).Conclusions: Standardized education/training in vascular access focusing on best practices yields favorable outcomes for DIVA patients within an established specialty team.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"56-61"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141992310","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

Evidence-Based Practice Quality Improvement Critical Appraisal Tool. 循证实践质量改进批判性评估工具。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-01-01 Epub Date: 2024-07-22 DOI: 10.1097/NCQ.0000000000000789

Julee Briscoe Waldrop, Jayne Jennings Dunlap, Staci S Reynolds

引用次数: 0

Understanding the Concept of Patient Safety Culture: Constitutive and Operational Definitions for Health Care Organizations. 理解病人安全文化的概念：卫生保健组织的构成和操作定义。

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.0000000000000809

Rhanna Emanuela Fontenele Lima de Carvalho, David W Bates

{"title":"Understanding the Concept of Patient Safety Culture: Constitutive and Operational Definitions for Health Care Organizations.","authors":"Rhanna Emanuela Fontenele Lima de Carvalho, David W Bates","doi":"10.1097/NCQ.0000000000000809","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000809","url":null,"abstract":"Background: Patient safety culture is crucial for improving health care quality, however, there is no consensus on its definition.Purpose: This study aimed to clarify and update the concept of patient safety culture.Methods: We employed Norris' 6-step concept clarification method. The content was organized through a scoping review of 4 databases. Twelve health professionals participated in focus groups and 10 experts participated in content validation. The content validity coefficient (CVC) was calculated for agreement between experts.Results: Three patient safety culture domains were identified: organizational, professional, and patient and family participation. The experts rated the definitions favorably, with high CVC scores (>0.87), indicating good agreement. The operational definitions were reduced from 76 to 54 items after expert evaluation.Conclusion: An updated definition of patient safety culture is provided, which can inform development of assessment instruments by managers and health care professionals.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"40 1","pages":"E8-E14"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143007253","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

Using Brainstorming and Affinity Diagramming for Recommending a Care-Based Nursing Workforce Model. 使用头脑风暴法和亲和图法推荐基于护理的护理人员队伍模式。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2025-01-01 Epub Date: 2024-08-15 DOI: 10.1097/NCQ.0000000000000803

Shea Polancich, Tracey Dick, Jennifer Ledlow, Amanda Chambers, Rebecca Miltner

引用次数: 0

Reducing Diarrhea in Critically Ill Patients Receiving Enteral Nutrition Support: An Evidence-Based Quality Improvement Project. 减少接受肠内营养支持的重症患者腹泻：以证据为基础的质量改进项目。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-08-20 DOI: 10.1097/NCQ.0000000000000795

Mei He, Ying Wang, Hui Wang, Mei Wang, Mei J Du, Jie Xiong, Chun L Li, Shu Huang, Xin Y Zhang

{"title":"Reducing Diarrhea in Critically Ill Patients Receiving Enteral Nutrition Support: An Evidence-Based Quality Improvement Project.","authors":"Mei He, Ying Wang, Hui Wang, Mei Wang, Mei J Du, Jie Xiong, Chun L Li, Shu Huang, Xin Y Zhang","doi":"10.1097/NCQ.0000000000000795","DOIUrl":"10.1097/NCQ.0000000000000795","url":null,"abstract":"Background: Diarrhea during enteral nutrition may induce various complications and increase the nursing workload.Local problem: The diarrhea rate in our intensive care units (ICUs) was 37.14% from May to July 2021. Nurses reported a moderate to heavy burden regarding care for those with diarrhea.Methods: A pre-post implementation design was used to evaluate the impact of evidence-based interventions for diarrhea screening and prevention.Interventions: A diarrhea risk screening tool and countermeasures were developed through an extensive literature review. Tools were integrated into the electronic health record system.Results: The rate of diarrhea decreased from 37.14% to 17.33% ( P = .000). Nurse's compliance with practice standards increased for diarrhea assessment, risk factor screening, agent choice, and countermeasures provision ( P < .05).Conclusions: The evidence-based tools developed for this project helped decrease the diarrhea rate in our ICUs.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"39 4","pages":"E47-E53"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142017863","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

Teaching Evidence-Based Practice Competencies to Meet Professional Practice Needs. 教授循证实践能力，满足专业实践需求。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-05-07 DOI: 10.1097/NCQ.0000000000000781

Annette M Bourgault, Daleen Penoyer, Norma E Conner

{"title":"Teaching Evidence-Based Practice Competencies to Meet Professional Practice Needs.","authors":"Annette M Bourgault, Daleen Penoyer, Norma E Conner","doi":"10.1097/NCQ.0000000000000781","DOIUrl":"10.1097/NCQ.0000000000000781","url":null,"abstract":"Background: Evidence-based practice (EBP) is a major concept threaded throughout nursing education, yet competencies are not clearly identified in The Essentials.Purpose: Nurse leaders'EBP competency expectations for professional practice were explored to inform competency-based education for students and practicing nurses. A secondary aim explored potential effects of misinformation on EBP.Methods: Descriptive qualitative inquiry was performed with a focus group of 6 clinical nurse leaders.Results: EBP expectations were identified, discriminating between novice entry level and advanced-level nurses. Participants emphasized asking questions, linking evidence to practice, and acknowledging that evidence changes over time. All advanced-level nurses were expected to apply, lead, and teach EBP. Post pandemic, nurses need to reclaim evidence-based practices, critically appraise evidence, and educate patients and families to address misinformation.Conclusions: Information learned will inform competency-based EBP education for students and nurses in academic and clinical settings.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"337-344"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916429","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 Use of Pain, Inspiration, and Cough Protocol Decreases Unplanned ICU Admissions in Patients With Traumatic Rib Fractures. 护理人员使用疼痛、吸气和咳嗽协议可减少外伤性肋骨骨折患者意外入住重症监护病房的次数。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-08-20 DOI: 10.1097/NCQ.0000000000000793

Isaac Edward Wenger, Kristin Farrugia, Elysa Margiotta, Socorro Relja, Kelli Gills, Jonathan Henglein, Paul Boland, Nicholas Martella, Yen-Hong Kuo, Alejandro Betancourt-Ramirez, Shannon F R Small

引用次数: 0

Pediatric Clinical Staff Perspectives on Secure Messaging. 儿科临床医护人员对安全信息的看法。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-04-29 DOI: 10.1097/NCQ.0000000000000775

Katherine E Taylor Pearson

引用次数: 0

Implementing a Frailty-Specific Postoperative Order Set to Improve Postoperative Outcomes in Frail Adults After Elective Thoracic Surgery. 实施虚弱特异性术后医嘱集，改善虚弱成人择期胸外科手术的术后疗效。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-06-26 DOI: 10.1097/NCQ.0000000000000784

Amani Allen, Mary Ann Francisco, Jessica Jatis, Yonous Turner, Rachel Nordgren, Daniel Rubin, Megan Huisingh-Scheetz, Darren S Bryan, Jessica Donington, Mark K Ferguson, Lauren J Gleason, Maria Lucia Madariaga

{"title":"Implementing a Frailty-Specific Postoperative Order Set to Improve Postoperative Outcomes in Frail Adults After Elective Thoracic Surgery.","authors":"Amani Allen, Mary Ann Francisco, Jessica Jatis, Yonous Turner, Rachel Nordgren, Daniel Rubin, Megan Huisingh-Scheetz, Darren S Bryan, Jessica Donington, Mark K Ferguson, Lauren J Gleason, Maria Lucia Madariaga","doi":"10.1097/NCQ.0000000000000784","DOIUrl":"10.1097/NCQ.0000000000000784","url":null,"abstract":"Background: Frailty is independently associated with adverse patient outcomes after surgery. The current standards of postoperative care rarely consider frailty status.Local problem: There was no standardized protocol to optimize specialized postoperative care for frail patients at an academic medical center.Methods: A quasi-experimental pre-/postimplementation study design, using the Reach, Effectiveness, Adoption, Implementation, Maintenance implementation framework, was utilized.Interventions: A frailty-specific postoperative order set (FPOS) was developed, including tailored nursing care, activity levels, and nutritional goals.Results: There were significant improvements in nurse's self-reported familiarity with frailty ( P = .003) and FPOS awareness ( P < .001). The number of orders for delirium prevention, elimination, nutrition, sleep promotion, and sensory support increased ( P < .001).Conclusions: Implementing an FPOS showed improvements in nurse frailty knowledge, awareness, and order set utilization.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"361-368"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141468956","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

Preoperative Phone Calls to Support Patient Engagement and Digital Education in Cardiothoracic Surgery. 术前电话支持心胸外科患者参与和数字教育。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-06-20 DOI: 10.1097/NCQ.0000000000000773

Heather Pena, Stephanie Pennigar, Kelly Kester

引用次数: 0