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Utilizing Data and Alarm Champions to Enhance Alarm Management: A Pediatric Quality Improvement Initiative. 利用数据和警报冠军加强警报管理：儿科质量改进计划。
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.0000000000000787
Joellan Mullen, Sulimon Sattari, Melissa Rauch, Fernando Stein, Kevin Roy, Darlene E Acorda
{"title":"Utilizing Data and Alarm Champions to Enhance Alarm Management: A Pediatric Quality Improvement Initiative.","authors":"Joellan Mullen, Sulimon Sattari, Melissa Rauch, Fernando Stein, Kevin Roy, Darlene E Acorda","doi":"10.1097/NCQ.0000000000000787","DOIUrl":"10.1097/NCQ.0000000000000787","url":null,"abstract":"<p><strong>Background: </strong>Nuisance and false alarms distract clinicians from urgent alerts, raising patient safety risks.</p><p><strong>Local problem: </strong>High alarm rates in a pediatric progressive care unit resulted in experiencing 180-250 alarms per day or 1 alarm every 3 to 4 minutes per clinician.</p><p><strong>Methods: </strong>Through Plan-Do-Study-Act cycles, environmental, policy, and technology changes were implemented to decrease the average alarms/day/bed and percentage of time in alarm.</p><p><strong>Interventions: </strong>Alarm settings tailored to patient needs using features embedded within the patient monitoring system were implemented and monitored with the assistance of alarm champions.</p><p><strong>Results: </strong>The average number of alarms/day/bed decreased from 177.69 to 96.94 over the course of 10 years, a 45.45% reduction. The percentage of time in alarm decreased from 7.52% to 2.83%, a 62.37% reduction.</p><p><strong>Conclusions: </strong>Arming clinicians with technology to analyze real-time clinical data made alarms meaningful and actionable, decreasing false alarms without compromising patient safety.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"369-375"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141468958","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
JNCQ1024-Glycemic outcomes and nurse perceptions of continuous glucose monitoring for hospitalized patients. JNCQ1024-住院患者的血糖结果和护士对持续葡萄糖监测的看法。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-08-23 DOI: 10.1097/NCQ.0000000000000800
{"title":"JNCQ1024-Glycemic outcomes and nurse perceptions of continuous glucose monitoring for hospitalized patients.","authors":"","doi":"10.1097/NCQ.0000000000000800","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000800","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"39 4","pages":"E68"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142036127","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
Integrating Nurse-Led Interventions in Ophthalmology Care: A Systematic Review. 在眼科护理中整合护士主导的干预措施：系统回顾。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-06-17 DOI: 10.1097/NCQ.0000000000000788
Yufen Zhang, Naiyue Cao
{"title":"Integrating Nurse-Led Interventions in Ophthalmology Care: A Systematic Review.","authors":"Yufen Zhang, Naiyue Cao","doi":"10.1097/NCQ.0000000000000788","DOIUrl":"10.1097/NCQ.0000000000000788","url":null,"abstract":"<p><strong>Background: </strong>Nurse-led interventions in ophthalmology care can enhance the overall patient experience while optimizing health care system efficiency.</p><p><strong>Purpose: </strong>The purpose of this study was to investigate the impact of nurse-led interventions in ophthalmology care.</p><p><strong>Methods: </strong>A comprehensive search was conducted across multiple databases for articles published from 2000 to 2023. Randomized controlled trials, quasi-experimental, and observational studies were included. Quality assessments were performed using the Cochrane Risk of Bias tool or Newcastle-Ottawa Scale, based on study design.</p><p><strong>Results: </strong>Nineteen studies were included. Nurse-led interventions positively impacted patient outcomes, improved efficiency and resource utilization, enhanced patient satisfaction and adherence, maintained safety and efficacy, and demonstrated notable diagnostic accuracy. Included studies originated from different countries and employed diverse methodologies, offering a global perspective on nurse-led interventions in ophthalmology care.</p><p><strong>Conclusion: </strong>The findings advocate for the integration of nurse-led strategies in routine practice to realize equitable, efficient, and patient-centered eye care.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"E61-E67"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141468957","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
Regional Transformation: An Integrated System's Approach to Magnet Designation Utilizing High-Reliability Organization Implementation Strategies. 区域转型：一个综合系统利用高可靠性组织实施战略获得磁石称号的方法。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-05-08 DOI: 10.1097/NCQ.0000000000000782
Juli McGinnis, Emma Aquino-Maneja, Kristy Geloso, Carrie Zaragoza, Jerry Spicer, Lina Najib Kawar
{"title":"Regional Transformation: An Integrated System's Approach to Magnet Designation Utilizing High-Reliability Organization Implementation Strategies.","authors":"Juli McGinnis, Emma Aquino-Maneja, Kristy Geloso, Carrie Zaragoza, Jerry Spicer, Lina Najib Kawar","doi":"10.1097/NCQ.0000000000000782","DOIUrl":"10.1097/NCQ.0000000000000782","url":null,"abstract":"<p><strong>Background: </strong>Synergistic opportunity exists between Magnet-aspiring environments and High Reliability Organization (HRO) cultures to elevate safety, quality, new knowledge, continuous improvement, hierarchical flattening, and frontline empowerment.</p><p><strong>Local problem: </strong>Variation existed across a region's 15 hospitals regarding Magnet-readiness, leadership engagement, journey strategies, and resource capacity.</p><p><strong>Methods: </strong>Quality improvement (QI) methodology and a hybrid-hub-spoke-model (HHSM) were used to support region-wide Magnet designation, improve patient outcomes, and advance nursing research.</p><p><strong>Interventions: </strong>HRO strategies were used region-wide to strengthen implementation and enculturation of Magnet excellence infrastructure.</p><p><strong>Results: </strong>Nine facilities achieved Magnet recognition. Magnet sites demonstrated significantly lower falls with injury ( P = .012), lower health care-associated infections and hospital-acquired pressure injuries than non-Magnet sites. Nursing research studies increased 223%.</p><p><strong>Conclusions: </strong>Utilizing a HHSM and HRO strategies represent effective methods for supporting region-wide Magnet designation and continuous QI.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"345-353"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916357","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 Throughput and Length of Stay Using Nurse Consultation in the Acute Adult Physical Rehabilitation Unit. 在急诊成人物理康复病房中利用护士咨询改善吞吐量和住院时间。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-06-17 DOI: 10.1097/NCQ.0000000000000778
Renee L Pierce, Deborah L Erickson, Stephanie Cain
{"title":"Improving Throughput and Length of Stay Using Nurse Consultation in the Acute Adult Physical Rehabilitation Unit.","authors":"Renee L Pierce, Deborah L Erickson, Stephanie Cain","doi":"10.1097/NCQ.0000000000000778","DOIUrl":"10.1097/NCQ.0000000000000778","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"297-300"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437088","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 Communication: Semantics as a Barrier to Humanism in Critical Care. 病人沟通：语义是重症监护中人文主义的障碍。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-07-08 DOI: 10.1097/NCQ.0000000000000786
Laura Istanboulian, Kelly M Smith, Karen Soldatić
{"title":"Patient Communication: Semantics as a Barrier to Humanism in Critical Care.","authors":"Laura Istanboulian, Kelly M Smith, Karen Soldatić","doi":"10.1097/NCQ.0000000000000786","DOIUrl":"10.1097/NCQ.0000000000000786","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"304-306"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141723802","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
Clinical Nurse Leader Practice Development: An Integrative Review of the Literature. 临床护士长实践发展：文献综述。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-05-27 DOI: 10.1097/NCQ.0000000000000783
Brianna Salinas, J Michael Leger
{"title":"Clinical Nurse Leader Practice Development: An Integrative Review of the Literature.","authors":"Brianna Salinas, J Michael Leger","doi":"10.1097/NCQ.0000000000000783","DOIUrl":"10.1097/NCQ.0000000000000783","url":null,"abstract":"<p><strong>Background: </strong>The Clinical Nurse Leader (CNL) is a skilled clinician qualified in outcomes-based practice and quality improvement. Publications describe the CNL training, integration, and outcomes. However, CNL practice development and its impact has not been fully explored.</p><p><strong>Purpose: </strong>This review aimed to synthesize existing literature related to CNL practice development and identify what influences on the care environment and nursing care outcomes.</p><p><strong>Methods: </strong>An integrative literature review was conducted in 5 bibliographic databases for sources published in English from January 2012 to March 2023.</p><p><strong>Results: </strong>Fifteen publications identified 3 interrelated themes of CNL practice, outcomes, and practice development. Staff development needs were identified across various levels of expertise.</p><p><strong>Conclusion: </strong>There is a need to further explore CNL practice development and how it can impact the care environment and care outcomes.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"354-360"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141179268","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
De-Implementing Low-Value Practices: A Path to High-Quality Nursing Care. 去实施低价值实践：通往高质量护理的道路。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-08-23 DOI: 10.1097/NCQ.0000000000000794
April Morris
{"title":"De-Implementing Low-Value Practices: A Path to High-Quality Nursing Care.","authors":"April Morris","doi":"10.1097/NCQ.0000000000000794","DOIUrl":"10.1097/NCQ.0000000000000794","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"316"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141727362","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 Quality Indicators in Emergency Nursing: A Scoping Review. 急诊护理中的护理质量指标：范围审查。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-07-04 DOI: 10.1097/NCQ.0000000000000790
Meeri Mustonen, Maria Ameel, Marita Ritmala, Helena Leino-Kilpi
{"title":"Nursing Quality Indicators in Emergency Nursing: A Scoping Review.","authors":"Meeri Mustonen, Maria Ameel, Marita Ritmala, Helena Leino-Kilpi","doi":"10.1097/NCQ.0000000000000790","DOIUrl":"10.1097/NCQ.0000000000000790","url":null,"abstract":"<p><strong>Background: </strong>Nursing quality indicators (NQIs) are essential for evaluating and managing care, yet few validated NQIs exist for emergency nursing. The dynamic nature of this field demands specific, validated indicators.</p><p><strong>Purpose: </strong>The purpose of this review was to identify NQIs in adult emergency nursing using Donabedian's quality categories (structure, process, outcome) and explore their validation.</p><p><strong>Methods: </strong>A scoping review was conducted including articles from 2010 to February 2023, using the Cumulative Index to Nursing and Allied Health Literature and Medline (Ovid) databases.</p><p><strong>Results: </strong>Among 936 screened articles, 18 were included, identifying 85 NQIs across structure (n = 14), process (n = 45), and outcome (n = 26) in emergency nursing. However, the validation of these NQIs was limited.</p><p><strong>Conclusions: </strong>NQIs evaluate emergency nursing quality, primarily in process assessment. Future work should validate the NQIs identified in this review for adult emergency nursing and search for potential new ones.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"376-382"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141723801","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 Failure Mode and Effects Analysis to Decrease Risk When Developing a Home Health Nurse Residency Program. 在制定家庭保健护士实习计划时，利用故障模式和影响分析降低风险。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-05-15 DOI: 10.1097/NCQ.0000000000000777
Gwen Pennington
{"title":"Using Failure Mode and Effects Analysis to Decrease Risk When Developing a Home Health Nurse Residency Program.","authors":"Gwen Pennington","doi":"10.1097/NCQ.0000000000000777","DOIUrl":"10.1097/NCQ.0000000000000777","url":null,"abstract":"<p><strong>Background: </strong>New graduate nurses are traditionally not recruited for home health care (HHC).</p><p><strong>Local problem: </strong>Due to staffing shortages, a HHC agency was interested in hiring graduate nurses, but there was concern about associated risks.</p><p><strong>Methods: </strong>The purpose of this quality improvement project was to develop a nurse residency program to safely transition graduate nurses to the HHC setting. After initial program design, analysis using a failure mode effects analysis (FMEA) was conducted, and risk mitigation strategies were applied.</p><p><strong>Results: </strong>The overall risk of onboarding graduate nurses in HHC was reduced by 42% after applying harm reduction tactics identified from the FMEA.</p><p><strong>Conclusion: </strong>The FMEA was found to be a useful tool to prospectively identify areas of concern and apply harm reduction tactics prior to nurse residency implementation.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"324-329"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916434","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
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