Journal of nursing care quality最新文献_第8页

Nurse-Led Transition Program to Improve Transition Readiness in Adolescents With Congenital Heart Disease. 护士主导的过渡方案，提高过渡准备青少年先天性心脏病。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-05-29 DOI: 10.1097/NCQ.0000000000000987

Colleen Gordon

引用次数: 0

Adoption and Early Implementation Evaluation of a Heart Failure Nursing Protocol in Veterans Health Clinics. 退伍军人健康诊所心力衰竭护理方案的采用及早期实施评估。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-05-22 DOI: 10.1097/NCQ.0000000000000977

Christina L Wyles, Alaina K Preddie, Margeaux A Chavez, Courtney Monterusso, Teresa Damush

{"title":"Adoption and Early Implementation Evaluation of a Heart Failure Nursing Protocol in Veterans Health Clinics.","authors":"Christina L Wyles, Alaina K Preddie, Margeaux A Chavez, Courtney Monterusso, Teresa Damush","doi":"10.1097/NCQ.0000000000000977","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000977","url":null,"abstract":"Background: The Veterans Health Administration Office of Nursing Services developed an ambulatory care heart failure nursing protocol to standardize outpatient nursing practice and piloted it at 4 medical centers.Methods: We conducted a cross-sectional evaluation using semi-structured interviews with Likert-scale items to assess early adoption and contextual influences. Interviews were conducted with 39 nursing staff across 4 pilot sites. Data were analyzed using rapid qualitative methods informed by Reach, Effectiveness, Adoption, Implementation, Maintenance and Consolidated Framework for Implementation Research frameworks.Results: Staff described improvements in documentation standardization and communication, and increased confidence in protocol use. Time constraints, workflow integration challenges, and electronic health record barriers limited consistent implementation. Nurse educators were key facilitators.Conclusions: Early findings suggest the protocol may support standardized outpatient nursing practice. Attention to workflow integration, role clarity, and contextual variation may strengthen broader adoption.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147987909","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

Barriers to Completion of Suicide Risk Screening by Nurses in Acute and Intensive Care: A Qualitative Focus Group Study. 急症和重症护理护士完成自杀风险筛查的障碍：一项定性焦点小组研究。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-05-11 DOI: 10.1097/NCQ.0000000000000981

Michaela McGonigle, Koumudi Thanda, Amy Bosch, JoAnne D Whitney, Susan Collins, Edwin D Boudreaux, Doyanne Darnell

{"title":"Barriers to Completion of Suicide Risk Screening by Nurses in Acute and Intensive Care: A Qualitative Focus Group Study.","authors":"Michaela McGonigle, Koumudi Thanda, Amy Bosch, JoAnne D Whitney, Susan Collins, Edwin D Boudreaux, Doyanne Darnell","doi":"10.1097/NCQ.0000000000000981","DOIUrl":"10.1097/NCQ.0000000000000981","url":null,"abstract":"Background: Suicide risk screening is recommended for patients hospitalized for medical, surgical, or traumatic injury reasons.Purpose: To identify barriers nurses face to effectively implementing a suicide risk screening protocol in patients admitted to acute or intensive care units.Methods: A qualitative descriptive approach using focus group methodology was used. Participants were nurses working in acute and intensive care units at a level 1 trauma center. Transcripts of focus groups were thematically coded for barriers using the Capability, Opportunity, Motivation, and Behavior Model, an implementation science determinants framework.Results: Twenty-two registered nurses participated. Nurses mentioned barriers impacting nurses' and patients' capability and motivation to engage in the risk screening protocol as well as practical barriers that limit the opportunity to do so.Conclusions: Strategies to overcome barriers to screening for complex patients in the busy acute and intensive care settings are needed.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147874612","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

Normalization of Deviance: A Nursing Concept Analysis. 越轨行为正常化：护理观念分析。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-05-07 DOI: 10.1097/NCQ.0000000000000978

Lin Ward Boyes, Samereh Abdoli

引用次数: 0

Barriers to Reporting Workplace Violence Among Emergency Nursing Staff: A Systematic Review and Meta-Analysis. 急救护理人员报告工作场所暴力的障碍：系统回顾和荟萃分析。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-04-21 DOI: 10.1097/NCQ.0000000000000972

Eladio Martin Sanchez Gumabay, Fatma Magdi Ibrahim, Mohamed Abd El-Rahman Elsaied Elhoty, Fatma Abdelhalim Moustafa Ahmed, Inas Ibrahim Badr, Nora H Elneblawi, Eman Elsayed Mohamed Elsabagh, Maha Salah Abdullah Ismail, D S Veerabhadra Swamy, Doaa El Sayed Fadila, Hammad Ali Fadlalmola

{"title":"Barriers to Reporting Workplace Violence Among Emergency Nursing Staff: A Systematic Review and Meta-Analysis.","authors":"Eladio Martin Sanchez Gumabay, Fatma Magdi Ibrahim, Mohamed Abd El-Rahman Elsaied Elhoty, Fatma Abdelhalim Moustafa Ahmed, Inas Ibrahim Badr, Nora H Elneblawi, Eman Elsayed Mohamed Elsabagh, Maha Salah Abdullah Ismail, D S Veerabhadra Swamy, Doaa El Sayed Fadila, Hammad Ali Fadlalmola","doi":"10.1097/NCQ.0000000000000972","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000972","url":null,"abstract":"Background: Workplace violence (WPV) is highly prevalent in emergency departments and frequently remains unreported, compromising nurse safety and institutional accountability.Purpose: The purpose of this study was to identify barriers to emergency departments nurses reporting WPV incidents and the frequency of unreported WPV incidents.Methods: A systematic review and meta-analysis was conducted, with 4 databases searched through April 2025. Cross-sectional and cohort studies examining reporting behaviors among emergency nurses were included. Random-effects models were applied to estimate pooled prevalence and odds ratios.Results: Ten studies comprising 5812 emergency nurses met inclusion criteria. The pooled prevalence of unreported WPV was 64% (95% CI: 0.57-0.72). Verbal violence was significantly more likely to remain unreported than physical violence (OR 2.51, 95% CI: 1.40-4.49, P =.0019). Major barriers included perceptions of reporting futility, peer pressure, inadequate institutional support, and absence of clear reporting procedures.Conclusion: Underreporting of WPV among emergency nurses is substantial and driven by systemic and perceptual barriers, warranting structured institutional reforms to promote safer reporting environments.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774571","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

Mediating Pathways of Critical Thinking and Intuition on Triage Competency in Emergency Nurses: A Structural Equation Modeling Approach. 批判性思维和直觉对急诊护士分诊能力的中介作用：结构方程建模方法。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-04-21 DOI: 10.1097/NCQ.0000000000000971

Jeongmin Eom, Susie Yoon

{"title":"Mediating Pathways of Critical Thinking and Intuition on Triage Competency in Emergency Nurses: A Structural Equation Modeling Approach.","authors":"Jeongmin Eom, Susie Yoon","doi":"10.1097/NCQ.0000000000000971","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000971","url":null,"abstract":"Background: Triage competency requires sophisticated cognitive processing. The mechanisms through which critical thinking and intuition influence specific competency dimensions remain unclear.Objective: The objective of this study is to examine mediating pathways through which critical thinking disposition and intuitive expertise influence triage competency in emergency nurses.Methods: A cross-sectional study with 145 Korean emergency nurses used structural equation modeling with bootstrap resampling (5000 iterations) to examine mediation pathways.Results: Critical thinking exerted strong indirect effects through all 3 mediators. Clinical judgment served as the primary pathway, accounting for 94% of total effect (β =.478, 95% CI [0.337, 0.624]). Significant indirect effects occurred through timely decision (β =.324) and expert assessment (β =.265). Intuitive expertise showed positive but nonsignificant relationships.Conclusions: Critical thinking enhances triage competency primarily through clinical judgment. Educational interventions should prioritize critical thinking development and clinical judgment training.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774553","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 Methods for Evidence-Based Practice Quality Improvement, Program Evaluation, and Policy Analysis Initiatives. 基于证据的实践质量改进、项目评估和政策分析举措的评估方法。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-04-21 DOI: 10.1097/NCQ.0000000000000970

Staci S Reynolds, Julee B Waldrop, Jayne Jennings Dunlap

{"title":"Evaluation Methods for Evidence-Based Practice Quality Improvement, Program Evaluation, and Policy Analysis Initiatives.","authors":"Staci S Reynolds, Julee B Waldrop, Jayne Jennings Dunlap","doi":"10.1097/NCQ.0000000000000970","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000970","url":null,"abstract":"Background: The Mountain Model is an umbrella framework that can be used to guide evidence-based practice quality improvement (EBPQI), program evaluation (EBPPE), and policy analysis (EBPPA) initiatives. While steps of the Mountain Model for each type of initiative are similar, they diverge at the fifth step (methods) wherein clinicians and students must choose an appropriate framework and corresponding evaluation method that differs from research evaluation methods.Purpose: The purpose of this article is to describe appropriate evaluation methods for EBPQI, EBPPE, and EBPPA initiatives.Approach: For EBPQI initiatives, graphical displays (eg, run charts, statistical process control charts) should be used to evaluate data over time. For EBPPE and EBPPA initiatives, data are often descriptively summarized and described. Examples of evaluation methods for each type are provided.Conclusions: This article provides practical guidance for clinicians and students completing EBPQI, EBPPE, or EBPPA initiatives and how to appropriately evaluate data.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774607","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

Impact of an Automated STAT Order Alert System on the Timely Administration of Antibiotics in an Acute Tertiary Hospital in Singapore. 自动STAT命令警报系统对新加坡一家急性三级医院抗生素及时管理的影响。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-04-01 Epub Date: 2025-12-05 DOI: 10.1097/NCQ.0000000000000899

Kai Yunn Teo, Huey Peng Loh

{"title":"Impact of an Automated STAT Order Alert System on the Timely Administration of Antibiotics in an Acute Tertiary Hospital in Singapore.","authors":"Kai Yunn Teo, Huey Peng Loh","doi":"10.1097/NCQ.0000000000000899","DOIUrl":"10.1097/NCQ.0000000000000899","url":null,"abstract":"Background: Timely administration of STAT antibiotics is critical in emergencies like sepsis yet delays often result from communication gaps between physicians and nurses.Purpose: This study evaluated the effectiveness of the Automated Stat-Order Alert System (ASOS), which delivers real-time alerts to nurses to reduce delays in antibiotic administration in a tertiary hospital in Singapore.Methods: A quasi-experimental design was used to analyse 4,003 STAT antibiotic orders. The Mann-Whitney U-test compared administration times before and after ASOS implementation.Results: Automated Stat-Order Alert System implementation significantly reduced mean administration time from 75.1 min (SD 53.3) to 67.6 min (SD 44.5) ( P = .005), with significantly fewer delays beyond 120 min (χ 2 = 25.387, P < .001).Conclusion: The ASOS improved Stat-Order Alert System improved the timeliness, consistency, and distribution of STAT antibiotic administration. Further system and workflow optimization is needed to meet the 60-min target consistently.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"E22-E26"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145678119","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

Factors Associated With Triage Clinical Decision-Making Among Emergency Nurses: A Scoping Review. 与急诊护士分诊临床决策相关的因素：一项范围回顾。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-04-01 Epub Date: 2025-08-06 DOI: 10.1097/NCQ.0000000000000903

Krisada Suamchaiyaphum, Allison R Jones, Pariya L Fazeli

{"title":"Factors Associated With Triage Clinical Decision-Making Among Emergency Nurses: A Scoping Review.","authors":"Krisada Suamchaiyaphum, Allison R Jones, Pariya L Fazeli","doi":"10.1097/NCQ.0000000000000903","DOIUrl":"10.1097/NCQ.0000000000000903","url":null,"abstract":"Background: Clinical decision-making is crucial in emergency nurse triage. However, the concept of clinical decision-making among emergency nurses who perform triage has not been clearly defined.Purpose: This study aims to define clinical decision-making in emergency nurse triage using Rodgers's evolutionary concept analysis.Methods: A scoping review of CINAHL, PubMed, and Embase databases was conducted, including studies published between 2012 and 2025. Eligible studies involved emergency or triage nurses and focused on triage decision-making.Results: Twenty-two studies met the inclusion criteria. Antecedents of clinical decision-making included nurse characteristics, patient characteristics, and environment and organizational cultures. Attributes encompassed critical thinking, intuition, clinical reasoning, and decision support systems. Consequences focused on triage accuracy, timely interventions, improved patient outcomes, fewer complications, and resource optimization.Conclusions: Triage decision-making is complex and influenced by multiple factors. The findings highlight the need for standardized protocols and support systems to enhance emergency triage consistency, accuracy, and efficiency.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"134-141"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821623","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-Sensitive Indicators: A Bibliometric Analysis of Research Trends (1983-2024). 护理敏感指标：研究趋势的文献计量学分析（1983-2024）。

IF 1.7 4区医学

Journal of nursing care quality Pub Date : 2026-04-01 Epub Date: 2025-10-15 DOI: 10.1097/NCQ.0000000000000921

Qing Wang, Jun Zhang, Mengying Hu, Jiaojiao Xu, Qiongqiong Ai, Jiao Yu, Haiping Ma

引用次数: 0