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

Clinical Nurses' Perceptions of a "Brain-Friendly" Peer Feedback Program. 临床护士对 "用脑友好型 "同行反馈计划的看法。

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.0000000000000780

Kirsten Wisner, Megan Lopez

{"title":"Clinical Nurses' Perceptions of a \"Brain-Friendly\" Peer Feedback Program.","authors":"Kirsten Wisner, Megan Lopez","doi":"10.1097/NCQ.0000000000000780","DOIUrl":"10.1097/NCQ.0000000000000780","url":null,"abstract":"Background: While clinicians routinely observe issues with safety and quality, they may not always speak up and intervene. Peer feedback supports nurses to speak up about errors or near misses and actively improve nursing care quality. Effective peer feedback requires addressing barriers to speaking up.Purpose: The purpose of this mixed methods study was to evaluate a'brain-friendly'peer feedback program´s effect on clinical nurses´ perceptions of peer review.Methods: Nurses were surveyed before and after the implementation of a peer feedback program that integrated social cognitive neuroscience principles. Open comments were analyzed using thematic analysis.Results: Responses to nearly half of survey questions improved. Thematic analysis identified institutional and personal barriers to peer feedback use, revealing the personal and social complexity of speaking up.Conclusions: Social cognitive neuroscience may enhance peer feedback programs. Research using immersive qualitative methods is needed to better understand factors supporting or impeding peer feedback.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"330-336"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141723800","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

Glycemic Outcomes and Nurse Perceptions of Continuous Glucose Monitoring for Hospitalized Patients. 住院患者的血糖监测结果和护士对连续血糖监测的看法。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-08-20 DOI: 10.1097/NCQ.0000000000000791

Alexandra Thullen, Rebecca Gerber, Alyson Keen

{"title":"Glycemic Outcomes and Nurse Perceptions of Continuous Glucose Monitoring for Hospitalized Patients.","authors":"Alexandra Thullen, Rebecca Gerber, Alyson Keen","doi":"10.1097/NCQ.0000000000000791","DOIUrl":"10.1097/NCQ.0000000000000791","url":null,"abstract":"Background: Continuous glucose monitoring (CGM) can decrease hypoglycemic events and health care costs; however, barriers and facilitators that influence CGM use are unknown.Purpose: The purpose of this study was to evaluate hypoglycemic events and cost outcomes after CGM implementation and describe associated barriers and facilitators.Methods: A mixed-methods study design was used to evaluate CGM implementation on 2 pulmonary units within an academic health center. Hypoglycemic events were evaluated before and after CGM implementation, and nurses were interviewed about facilitators and barriers that influence CGM use.Results: Hypoglycemic events decreased from a rate of 0.0906 per 1000 patient days to 0.0503 postimplementation, P < .0001. A $105 766 cost avoidance was recognized. Barriers and facilitators to CGM use are described.Conclusions: Findings support CGM implementation, while uniquely contributing financial impact and device use barriers and facilitators. Hospitals may consider CGM use to improve timely identification and treatment of hypoglycemia.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"39 4","pages":"310-316"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142017861","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

Supervised Group-Based Exercise for Preventing Falls Among Older Adults in the Community: A Systematic Review and Meta-Analysis. 预防社区老年人跌倒的有监督集体运动：系统回顾与元分析》。

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.0000000000000792

Jianhong Zhou, Ming Yu, Yali Zheng, Xiaoyue Zhou

{"title":"Supervised Group-Based Exercise for Preventing Falls Among Older Adults in the Community: A Systematic Review and Meta-Analysis.","authors":"Jianhong Zhou, Ming Yu, Yali Zheng, Xiaoyue Zhou","doi":"10.1097/NCQ.0000000000000792","DOIUrl":"10.1097/NCQ.0000000000000792","url":null,"abstract":"Background: Supervised group exercise may have greater health benefits than no exercise or exercise alone.Purpose: The purpose of this systematic review and meta-analysis was to investigate the effectiveness of supervised group-based exercise on the risk of falls among community-dwelling older adults compared to no exercise or exercise alone.Methods: Four databases were searched up to March 1, 2024 for eligible randomized controlled trials.Results: Seventeen randomized controlled trials were eligible for this meta-analysis. Meta-analyses showed that compared with no exercise, supervised group-based exercise had a significant effect on preventing falls, injurious falls, and fall-related fractures. Compared with exercise alone, supervised group-based exercise significantly reduced falls and injurious falls.Conclusions: Moderate-quality evidence suggests that compared with no exercise or exercise alone, supervised group-based exercise is more effective at preventing falls among community-dwelling older adults.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"39 4","pages":"E54-E60"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142017864","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 Early Detection of Clostridioides difficile Infections Through Electronic Reports. 通过电子报告改进艰难梭菌感染的早期检测。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-05-16 DOI: 10.1097/NCQ.0000000000000779

Hannah Musgrove, Princetta Morales, Abigail Ruby, Yolanda Thompson, Eman Chami, Arielle Gupta

引用次数: 0

COVID-19 and the Impact on Delirium Care of Hospitalized Older Adults: A Qualitative Study. COVID-19 和对住院老年人谵妄护理的影响：定性研究。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-07-01 Epub Date: 2024-03-11 DOI: 10.1097/NCQ.0000000000000764

Tru Byrnes, Kimberly Pate, Latasia Belin, Kelley Jo A Weaver, Allyson Cochran

{"title":"COVID-19 and the Impact on Delirium Care of Hospitalized Older Adults: A Qualitative Study.","authors":"Tru Byrnes, Kimberly Pate, Latasia Belin, Kelley Jo A Weaver, Allyson Cochran","doi":"10.1097/NCQ.0000000000000764","DOIUrl":"10.1097/NCQ.0000000000000764","url":null,"abstract":"Background: Older adult patients with COVID-19 and delirium experience higher rates of adverse outcomes. Early recognition of at-risk patients and implementation of management strategies improve outcomes, though understanding barriers to acute care nurses implementing these strategies is limited.Purpose: This study's purpose was to understand the experiences of acute care nurses providing care to older adults with COVID-19 and delirium. Experiences explored included assessment, nursing management interventions, and barriers to care.Methods: Purposive sampling to recruit nurses for semistructured focus groups was performed, and thematic analysis was generated by 4 members of the research team.Results: Twenty-one nurses participated in focus groups. Thematic analysis revealed themes of increased patient social isolation, barriers to delirium assessment and prevention, increased staff demands, and stressful work environments.Conclusion: Rich findings reveal the profound impact of the pandemic on assessment for delirium and implementation of strategies for prevention and management in older adult patients.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"266-272"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140110498","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

Research and Practice in Quality Improvement and Implementation Science: The Synergy for Change Model. 质量改进和实施科学的研究与实践：变革协同模式。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-07-01 Epub Date: 2024-05-24 DOI: 10.1097/NCQ.0000000000000762

引用次数: 0

DNP-Authored Articles in Peer-Reviewed Journals 2011-2021. 2011-2021 年在同行评审期刊上发表的 DNP 作者文章。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-07-01 Epub Date: 2024-03-12 DOI: 10.1097/NCQ.0000000000000763

Susan E Cortez, Park S Balevre, Shay A Schroetter, Salena Tully, Susan Bridgers

{"title":"DNP-Authored Articles in Peer-Reviewed Journals 2011-2021.","authors":"Susan E Cortez, Park S Balevre, Shay A Schroetter, Salena Tully, Susan Bridgers","doi":"10.1097/NCQ.0000000000000763","DOIUrl":"10.1097/NCQ.0000000000000763","url":null,"abstract":"Background: With an increasing number of doctor of nursing practice (DNP) graduates, the volume of peer-reviewed journal publications among DNP-prepared nurses is rising.Purpose: The primary aim of this study was to quantify, analyze, and categorize DNP-authored peer-reviewed journal publications.Methods: A descriptive research design was used to analyze DNP-authored peer-reviewed journal publications in the WorldCat, EBSCO Discovery Service, and PubMed databases from 2011 through 2021.Results: The 3839 journal publications included at least one DNP-prepared nurse author. There were 2495 (65%) publications with a DNP first author, 921 (24%) with a DNP solo author, and 2918 (76%) included publication collaboration. The majority of publications were practice- (40%), nursing- (17%), and education-focused (15%). Science translation in evidence-based practice and quality improvement publications accounted for 24%.Conclusions: This study demonstrates the proliferation of DNP-authored peer-reviewed journal publications, which may indicate an increase in the number of nursing care quality initiatives occurring in the clinical setting.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"259-265"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140136898","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

Evaluating Sepsis Bundle Compliance as a Predictor for Patient Outcomes at a Community Hospital: A Retrospective Study. 评估一家社区医院的败血症捆绑治疗依从性作为患者预后的预测因素：一项回顾性研究

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-07-01 Epub Date: 2024-03-11 DOI: 10.1097/NCQ.0000000000000767

John R Lawrence, Ben Seiyon Lee, Adetokunbo I Fadahunsi, Bernice D Mowery

{"title":"Evaluating Sepsis Bundle Compliance as a Predictor for Patient Outcomes at a Community Hospital: A Retrospective Study.","authors":"John R Lawrence, Ben Seiyon Lee, Adetokunbo I Fadahunsi, Bernice D Mowery","doi":"10.1097/NCQ.0000000000000767","DOIUrl":"10.1097/NCQ.0000000000000767","url":null,"abstract":"Background: Clinicians are encouraged to use the Centers for Medicare & Medicaid Services early management bundle for severe sepsis and septic shock (SEP-1); however, it is unclear whether this process measure improves patient outcomes.Purpose: The purpose of this study was to evaluate whether compliance with the SEP-1 bundle is a predictor of hospital mortality, length of stay (LOS), and intensive care unit LOS at a suburban community hospital.Methods: A retrospective observational study was conducted.Results: A total of 577 patients were included in the analysis. Compliance with the SEP-1 bundle was not a significant predictor for patient outcomes.Conclusions: SEP-1 compliance may not equate with quality of health care. Efforts to comply with SEP-1 may help organizations develop systems and structures that improve patient outcomes. Health care leaders should evaluate strategies beyond SEP-1 compliance to ensure continuous improvement of outcomes for patients experiencing sepsis.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"252-258"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11116060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140101808","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

Exploring Hospital Transfers for Long-Stay Nursing Home Residents With End-Stage Renal Disease. 探讨患有终末期肾病的长期疗养院住院患者的转院问题。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-07-01 Epub Date: 2024-01-10 DOI: 10.1097/NCQ.0000000000000758

Kelli E Canada, Amy A Vogelsmeier, Lori L Popejoy, Kimberly Powell, Lea Brandt, Marilyn Rantz

{"title":"Exploring Hospital Transfers for Long-Stay Nursing Home Residents With End-Stage Renal Disease.","authors":"Kelli E Canada, Amy A Vogelsmeier, Lori L Popejoy, Kimberly Powell, Lea Brandt, Marilyn Rantz","doi":"10.1097/NCQ.0000000000000758","DOIUrl":"10.1097/NCQ.0000000000000758","url":null,"abstract":"Background: Nursing home residents with end-stage renal disease (ESRD) are an understudied, yet growing population within nursing homes.Purpose: To describe hospital transfers for nursing home residents diagnosed with ESRD and receiving hemodialysis.Methods: Data were analyzed for residents with ESRD transferred to the hospital between October 2016 and September 2020 (n = 219). Descriptive statistics, bivariate analyses, logistic regression, and content analysis were used for analysis.Results: Clinical factors associated with transfers included abnormal vitals, altered mental state, and pain. Other factors included lack of care planning and advance directives, provider communication, resident/family preferences, missing/refusing dialysis, and facility resources. The odds of an observation/emergency department only visit was 2.02 times larger when transferred from the dialysis clinic.Conclusions: Advance care planning and coordinated care between nursing home and dialysis clinics are needed along with proactive planning when residents miss dialysis or experience a condition change at the dialysis clinic.","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"232-238"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139417345","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

Reducing Patient's Refusal of Anticoagulant Medication to Decrease Venous Thromboembolism Risk. 减少患者拒绝抗凝药物的情况，降低静脉血栓栓塞风险。

IF 1.2 4区医学

Journal of nursing care quality Pub Date : 2024-07-01 Epub Date: 2024-05-15 DOI: 10.1097/NCQ.0000000000000772

Suzanne Barrett, Hailey Bartlett, Kiersten Brelewski, Tyler McCurdy

引用次数: 0