{"title":"Interprofessional Teaching: Preparing Nursing Students for Obstetric Nursing.","authors":"Hildreth Eloi","doi":"10.1097/NCQ.0000000000000935","DOIUrl":"10.1097/NCQ.0000000000000935","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"265"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145604417","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}
{"title":"Do You Want to \"Play\"? Integrating Therapeutic Play into Care of the Older Adult.","authors":"Sarah Price, Janice Sills, Steven Keller","doi":"10.1097/NCQ.0000000000000952","DOIUrl":"10.1097/NCQ.0000000000000952","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"282"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504170","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}
{"title":"Factors Influencing Nurses' Medication Safety Competence: A Structural Equation Model.","authors":"Yao-Cheng Shi, Hui-Ren Zhuang","doi":"10.1097/NCQ.0000000000000943","DOIUrl":"10.1097/NCQ.0000000000000943","url":null,"abstract":"<p><strong>Background: </strong>Medication safety competence is critical, yet how workplace and psychological factors shape medication safety competence is unclear.</p><p><strong>Purpose: </strong>To examine links among work environment, work-related stress, professional identity, and medication safety competence.</p><p><strong>Methods: </strong>A cross-sectional survey of 641 nurses in China was conducted and structural equation modeling was used to test relationships.</p><p><strong>Results: </strong>Professional identity predicted medication safety competence (β = .276, P < .001) and partially mediated effects of work environment (indirect = 0.098; 95% CI, 0.063-0.146) and stress (indirect = 0.036; 95% CI, 0.021-0.056).</p><p><strong>Conclusions: </strong>Supportive environments and stronger professional identity are associated with higher medication safety competence, whereas stress is detrimental. Organizational strategies should enhance resources, reduce stressors, and cultivate professional identity to improve medication safety and ultimately improve patient safety outcomes.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"E36-E43"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145863345","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}
Elizabeth W Good, Florence E Turrentine, Ishan C Williams
{"title":"Early Identification of Postoperative Surgical Site Infections Through Nurse-Led Telehealth Assessments.","authors":"Elizabeth W Good, Florence E Turrentine, Ishan C Williams","doi":"10.1097/NCQ.0000000000000933","DOIUrl":"10.1097/NCQ.0000000000000933","url":null,"abstract":"<p><strong>Background: </strong>Patients undergoing hepato-pancreato-biliary (HPB) surgery are at high risk of readmissions and complications, including surgical site infections (SSI).</p><p><strong>Local problem: </strong>Our local institution had not implemented a consistent strategy for identifying HPB SSIs post-discharge.</p><p><strong>Methods: </strong>Quality improvement methods using Plan-Do-Study-Act cycles were implemented.</p><p><strong>Interventions: </strong>Nurse practitioner (NP)-led telehealth visits were incorporated for early detection of SSIs and to promote patient satisfaction. Evaluation occurred through standardized documentation and post-visit patient satisfaction surveys.</p><p><strong>Results: </strong>Thirty-six telehealth visits were conducted; 8 SSIs were identified (1 during the telehealth visit and 7 during subsequent clinic visits). Most patients (n = 7, 88%) with SSIs were re-hospitalized. Undergoing Whipple surgery (n = 5, 62.5%) and incisional drainage (n = 3, 37.5%) were the most common SSI indicators. Survey respondents (n = 28) validated usefulness and satisfaction with telehealth visits.</p><p><strong>Conclusions: </strong>SSIs were identified early in the post-discharge period through NP-led telehealth visits, positively impacting patient satisfaction.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"41 3","pages":"251-257"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148150460","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}
{"title":"Infusion Pump Interoperability and Resulting Alert Reduction: Multisystem Findings.","authors":"Jeannine W C Blake","doi":"10.1097/NCQ.0000000000000947","DOIUrl":"10.1097/NCQ.0000000000000947","url":null,"abstract":"<p><strong>Background: </strong>Intravenous (IV) medication errors pose significant patient safety risks. While most hospitals use IV smart pumps, adoption of interoperability with electronic health records remains limited. Interoperability can reduce nursing workload and programming errors, a common source of IV medication errors.</p><p><strong>Objective: </strong>This study aimed to explore the impact of interoperability on programming alerts across diverse health systems that used a similar process and IV smart pump vendor for implementation.</p><p><strong>Methods: </strong>This pre-post retrospective study analyzed data from 22 clinical sites across 5 health systems and 1 control system using Epic and Cerner electronic health records. Outcomes included programming alert rates, edits, overrides, and potentially averted underdose and overdose events.</p><p><strong>Results: </strong>Integration significantly reduced programming alerts, edits, overrides, and potentially averted overdose events. Intermittently dosed medications saw the greatest alert reduction; titrated medications remained unchanged.</p><p><strong>Conclusion: </strong>Interoperability can improve the safety of IV medication administration while reducing alert burden for nurses.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"283-292"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13189377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609311","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}
Jamie J Twyman, Christina A Lee, Christopher Goessler
{"title":"Blood Culture Contamination Reduction Using a Diversion Device in the Emergency Department.","authors":"Jamie J Twyman, Christina A Lee, Christopher Goessler","doi":"10.1097/NCQ.0000000000000994","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000994","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148339018","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}
{"title":"From Evidence Synthesis to Agile Design: Bridging the Gap Between Evidence-Based Practice and Quality Improvement.","authors":"Joshua Winowiecki","doi":"10.1097/NCQ.0000000000000991","DOIUrl":"10.1097/NCQ.0000000000000991","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277749","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}
{"title":"The Verdict: Program Evaluation and the Imperative of Sustainability.","authors":"Joshua Winowiecki","doi":"10.1097/NCQ.0000000000000992","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000992","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277811","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}
João Miguel Almeida Ventura-Silva, Carla Maria Freitas Costa Freire, Samuel Spiegelberg Zuge
{"title":"Shared Governance in the Context of Nurses' Professional Practice: A Scoping Review.","authors":"João Miguel Almeida Ventura-Silva, Carla Maria Freitas Costa Freire, Samuel Spiegelberg Zuge","doi":"10.1097/NCQ.0000000000000989","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000989","url":null,"abstract":"<p><strong>Background: </strong>Shared governance is recognized as an organizational strategy that strengthens nurses' participation in decision-making, supports professional autonomy, and sustains nursing practice in complex care settings.</p><p><strong>Objective: </strong>In this study, we aimed to identify, describe, and synthesize the available evidence on shared governance in the context of nurses' professional practice.</p><p><strong>Methods: </strong>This scoping review followed Joanna Briggs Institute methodology and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. Searches were conducted in MEDLINE, CINAHL, Scopus, and ProQuest Dissertations & Theses from database inception to January 31, 2026.</p><p><strong>Results: </strong>Twenty-nine studies published between 1994 and 2025 were included. Five categories were identified: (1) organizational structure and governance processes; (2) leadership, empowerment, and accountability; (3) organizational culture, communication, and collaboration; (4) education, training, and competency development; and (5) evaluation, outcomes, and the impact of shared governance.</p><p><strong>Conclusions: </strong>Shared governance strengthens nurses' professional practice when participatory structures, facilitative leadership, supportive culture, competency development, and evaluation align. This review shows interactions and highlights uneven implementation across settings.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148226081","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}