{"title":"Construction of a Questionnaire on Knowledge, Attitude, and Practices in Nursing Care of Adults With External Ventricular Drainage: Reliability and Validity Assessment.","authors":"Xiaohan Chen, Yunbo Chi, Yangyang Tian, Yuange Bi, Hongyuan Yu, Jing Zhang, Jing Zhou","doi":"10.1097/NCQ.0000000000000873","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000873","url":null,"abstract":"<p><strong>Background: </strong>Nurses' knowledge, attitudes, and practices (KAP) regarding external ventricular drainage (EVD) significantly impact patient care quality.</p><p><strong>Purpose: </strong>The study aimed to develop and validate a suitable questionnaire for assessing neurosurgical nurses' KAP regarding EVD care.</p><p><strong>Methods: </strong>This study developed a questionnaire from a literature review, semi-structured interviews, team discussions, and 2 Delphi rounds, then administered it to 841 neurosurgical nurses to assess its psychometric properties, including content validity, structural validity, and reliability.</p><p><strong>Results: </strong>The final 40-item questionnaire had a Cronbach's α of 0.871, split-half reliability of 0.820, test-retest reliability of 0.853, with the content validity index ranging from 0.861 to 1.000. Exploratory factor analysis revealed 11 factors, collectively accounting for 64.17% of the total variance.</p><p><strong>Conclusions: </strong>The developed questionnaire can serve as a useful tool for assessing neurosurgical nurses' knowledge, attitudes, and practices regarding EVD care.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022889","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}
Rachel McPherson, Barbara Resnick, Sarah Holmes, Anju Paudel, Sorah Levy, Elizabeth Galik
{"title":"Differences in Quality of Care Interactions Across Care Tasks in Assisted Living.","authors":"Rachel McPherson, Barbara Resnick, Sarah Holmes, Anju Paudel, Sorah Levy, Elizabeth Galik","doi":"10.1097/NCQ.0000000000000880","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000880","url":null,"abstract":"<p><strong>Background: </strong>The quality of care interactions is crucial for the quality of life of assisted living residents. However, limited research has explored how interaction quality varies across different care tasks.</p><p><strong>Purpose: </strong>This study aimed to assess whether the quality of care interactions differs by care task type in assisted living communities.</p><p><strong>Methods: </strong>This was a descriptive study done in 4 assisted living communities in Maryland. A total of 152 staff-resident care interactions were observed across various care tasks (eg, clinical care and dietary care) using an observation tool that categorizes the quality of the interaction as positive social, positive care, neutral, negative protective, or negative restrictive.</p><p><strong>Results: </strong>Most interactions were positive care (36%) and occurred during supportive/ambulatory care (34%). Care interactions during supportive/ambulatory care were significantly more negative than interactions during intimate personal care (P = .022).</p><p><strong>Conclusion: </strong>Future research should focus on interventions aimed at improving the quality of care interactions during supportive/ambulatory care tasks.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970985","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":"Assessment of Surgical Site Infection Prevention Strategies in Obstetric Nursing Practice: A Retrospective Analysis.","authors":"Qianwen Guo, Ling Lan, Ruoshi Wu","doi":"10.1097/NCQ.0000000000000881","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000881","url":null,"abstract":"<p><strong>Background: </strong>Surgical site infections (SSIs) pose significant challenges in obstetric nursing, affecting maternal and neonatal safety.</p><p><strong>Purpose: </strong>This study aimed to evaluate the effectiveness of comprehensive strategies for preventing SSIs in obstetric nursing.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 200 obstetric surgical patients from January 2018 to December 2022. The observation group received comprehensive SSI prevention strategies and the control group received routine nursing care.</p><p><strong>Results: </strong>The observation group had a significantly lower SSIs rate (3.0% vs 10.0%, P = .045), fewer complications (1.0% vs 7.0%, P = .028), better incision healing (98.0% vs 91.0%, P = .028), fewer adverse events (4.0% vs 13.0%, P = .022), and lower pain scores on postoperative days 1 and 2.</p><p><strong>Conclusion: </strong>Implementing comprehensive SSI prevention strategies in obstetric nursing significantly reduces SSIs, complications, and pain, while enhancing wound healing and recovery.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973240","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}
Joel Stanton, Carol Stiles, Paula Anderson, Rachel M Taylor, Cecilia Vindrola-Padros, Elena Ivany
{"title":"What Decision-Making Processes Are Used by Nurses in Initiating, Monitoring, and Ending One-to-One Observations? A Systematic Review.","authors":"Joel Stanton, Carol Stiles, Paula Anderson, Rachel M Taylor, Cecilia Vindrola-Padros, Elena Ivany","doi":"10.1097/NCQ.0000000000000878","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000878","url":null,"abstract":"<p><strong>Background: </strong>There is a lack of evidence-based processes to support nurses in appropriately utilizing one-to-one observations for patients at risk of avoidable harm in acute hospitals.</p><p><strong>Purpose: </strong>The purpose of this systematic review was to identify the decision-making processes surrounding one-to-one observations.</p><p><strong>Methods: </strong>Five databases were searched in July 2020 and July 2024. Papers were included if they discussed decision-making processes for one-to-one observations for acute adult inpatients. Data were extracted to a review database and analyzed thematically.</p><p><strong>Results: </strong>Sixteen publications were included. The decision-making tools described were assessment tools, local processes, and clinical judgement. The most common tool was an institutional decision-making process, which often was a combination of clinical assessment and clinical action guidance.</p><p><strong>Conclusion: </strong>Various tools and processes are used to facilitate decision-making on the use of one-to-one observations but few of the tools are evidence-based.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968805","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":"Understanding the Association Between Comprehensive Nursing Care Service Policy and Patient Outcomes: A Systematic Review.","authors":"Sung-Heui Bae","doi":"10.1097/NCQ.0000000000000879","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000879","url":null,"abstract":"<p><strong>Background: </strong>To reduce the burden of care and prevent health care-associated infections, the comprehensive nursing care services (CNCSs) model was implemented in South Korea.</p><p><strong>Purpose: </strong>The purpose of this study was to review and synthesize the association between CNCS units and patient outcomes.</p><p><strong>Methods: </strong>This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement guidelines. Articles published between 2013 and March 2025 were searched.</p><p><strong>Results: </strong>Online searches yielded 9417 articles; 23 articles were included in the review. Multivariate analyses evaluating the impact of CNCS units on 7 patient outcomes were conducted in 8 studies. Approximately half the relationships between CNCS units and patient outcomes were positive and significant.</p><p><strong>Conclusion: </strong>Inconclusive relationships between CNCSs and patient outcomes were found. Future studies should investigate the consequences of CNCSs using a longitudinal study design and other covariates to draw a causal relationship.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970776","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":"Impact of Personalized Nursing Care on Bowel Preparation for Colonoscopy.","authors":"Lijuan Lu, Hua Huang","doi":"10.1097/NCQ.0000000000000836","DOIUrl":"10.1097/NCQ.0000000000000836","url":null,"abstract":"<p><strong>Background: </strong>Effective bowel preparation is critical for successful colonoscopy, yet inadequate preparation frequently impairs outcomes.</p><p><strong>Purpose: </strong>This study evaluated personalized nursing care (PNC) against standard care in improving bowel preparation quality for colonoscopy.</p><p><strong>Methods: </strong>A prospective, 2-phase, single-center trial was conducted from July 2023 to July 2024. In phase 1, patients received standard care; in phase 2, personalized preparations were used.</p><p><strong>Results: </strong>Among 1057 patients, PNC significantly improved bowel preparation quality ( P < .001). Adequate preparation was achieved by 79% of the PNC group vs 64.3% of the control group. Adherence to bowel preparation was higher in the PNC group (84.0% vs 70.4%, P < .001), as were polyp detection rates (38.2% vs 28.1%, P = .003). Patient satisfaction increased with PNC interventions.</p><p><strong>Conclusion: </strong>PNC enhances colonoscopy preparation, boosting clinical effectiveness and patient satisfaction and advocating for its integration into routine protocols.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"E17-E23"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364469","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 Centers for Disease Control and Prevention's Hospital Antibiotic Stewardship and Hospital Sepsis Program Core Elements: Nurse Engagement to Advance Care Quality.","authors":"Mary Lou Manning, Cindy Hou","doi":"10.1097/NCQ.0000000000000821","DOIUrl":"10.1097/NCQ.0000000000000821","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"114-116"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400571","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":"Nursing Use of Electronic Health Record Discharge Tools Improves Discharge Times and Patient Satisfaction.","authors":"Nicole Giffels, Lauren McCaulley","doi":"10.1097/NCQ.0000000000000828","DOIUrl":"10.1097/NCQ.0000000000000828","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"121-124"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739846","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}
Benita M Brown, Denise H Tola, Deborah H Allen, Tammi Hicks, Virginia C Simmons
{"title":"Assessment of Clinical Nurse Well-being During a Time of Crisis.","authors":"Benita M Brown, Denise H Tola, Deborah H Allen, Tammi Hicks, Virginia C Simmons","doi":"10.1097/NCQ.0000000000000825","DOIUrl":"10.1097/NCQ.0000000000000825","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"117-120"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792036","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":"Adapting a Game Guide for HIV Care to Facilitate Interactive Learning in Quality Improvement.","authors":"Jamie M Young","doi":"10.1097/NCQ.0000000000000820","DOIUrl":"10.1097/NCQ.0000000000000820","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"164"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142895565","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}