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Journal of nursing care quality最新文献

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Challenges to Optimizing Quality of Care Through Doctor of Nursing Practice Projects. 通过护理实践博士项目优化护理质量的挑战。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2024-12-06 DOI: 10.1097/NCQ.0000000000000826
Sheila Pierre-Louis
{"title":"Challenges to Optimizing Quality of Care Through Doctor of Nursing Practice Projects.","authors":"Sheila Pierre-Louis","doi":"10.1097/NCQ.0000000000000826","DOIUrl":"10.1097/NCQ.0000000000000826","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"102-104"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792037","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
Caring for Each Other: An Evaluation of a Peer Support Program for Nurses and Health Care Workers. 相互关怀：对护士和卫生保健工作者同伴支持计划的评价。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI: 10.1097/NCQ.0000000000000834
Tracy Gosselin, Lisa Pickett, John Oliver, Michael Gross
{"title":"Caring for Each Other: An Evaluation of a Peer Support Program for Nurses and Health Care Workers.","authors":"Tracy Gosselin, Lisa Pickett, John Oliver, Michael Gross","doi":"10.1097/NCQ.0000000000000834","DOIUrl":"10.1097/NCQ.0000000000000834","url":null,"abstract":"<p><strong>Background: </strong>Human errors, workplace violence, and community events can impact nurses and other health care workers' (HCW) overall well-being. Peer support programs have shown a positive impact on care teams by focusing on second victim mitigation and support.</p><p><strong>Purpose: </strong>To determine the type of events and resource needs for a peer support program.</p><p><strong>Methods: </strong>This program evaluation piloted a 6-month peer support program and gathered prospective data on the volume, type, and length of debriefing events.</p><p><strong>Results: </strong>During the pilot, 192 referrals were made to the peer support program. This included 102 programmatic responses. These data supported the development of a business plan for ongoing program development.</p><p><strong>Conclusions: </strong>Peer support programs play a critical role in health care organizations by helping nurses and other HCWs manage the physical and emotional aspects of the work and the environment in which care is provided.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"40 2","pages":"181-186"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468540","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
Implementation of an Evidence-Based Nursing Protocol for Mechanical Complications of Enteral Nutrition: A Randomized Controlled Trial. 肠内营养机械性并发症循证护理方案的实施：一项随机对照试验。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI: 10.1097/NCQ.0000000000000838
Min Hu, Ping Tu, Fang-Ting Xiong, Yan Ling
{"title":"Implementation of an Evidence-Based Nursing Protocol for Mechanical Complications of Enteral Nutrition: A Randomized Controlled Trial.","authors":"Min Hu, Ping Tu, Fang-Ting Xiong, Yan Ling","doi":"10.1097/NCQ.0000000000000838","DOIUrl":"10.1097/NCQ.0000000000000838","url":null,"abstract":"<p><strong>Background: </strong>Patients admitted to the intensive care unit (ICU) are at risk for malnutrition. To provide sufficient nutritional support, enteral nutrition (EN) is the preferred method for patients admitted to the neurology ICU.</p><p><strong>Purpose: </strong>The purpose of this study was to examine the clinical effectiveness of an evidence-based nursing protocol for preventing and managing mechanical complications of EN for patients admitted to the neurology ICU.</p><p><strong>Methods: </strong>A randomized controlled trial design was used. The control group received general care, and the test group received care per the evidence-based nursing protocol.</p><p><strong>Results: </strong>A total of 118 patients participated in the study (59 each in the control and test group). The test group showed improved nutritional status measured by the Nutrition Risk Screening 2002 score, lower acute gastrointestinal injury grading, improved serum nutritional indicators, and less mechanical complications.</p><p><strong>Conclusion: </strong>Implementing an evidence-based nursing protocol was feasible and led to positive patient outcomes.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"40 2","pages":"E24-E31"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468564","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
Mobility Loss in Hospitalized Adults Predicts Poor Clinical Outcomes. 住院成人行动不便预示着不良临床结果。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI: 10.1097/NCQ.0000000000000816
Stephanie E Rogers, Jade Mulvey, Roniela Turingan, L Maurine Coco, Colin C Hubbard, Sasha Binford, James D Harrison
{"title":"Mobility Loss in Hospitalized Adults Predicts Poor Clinical Outcomes.","authors":"Stephanie E Rogers, Jade Mulvey, Roniela Turingan, L Maurine Coco, Colin C Hubbard, Sasha Binford, James D Harrison","doi":"10.1097/NCQ.0000000000000816","DOIUrl":"10.1097/NCQ.0000000000000816","url":null,"abstract":"<p><strong>Background: </strong>The Johns Hopkins Activity and Mobility Program is a systematic approach to measure and improve patient mobility.</p><p><strong>Purpose: </strong>The purpose of this study was to evaluate the relationship between mobility loss and quality outcomes.</p><p><strong>Methods: </strong>A retrospective cohort study design was used. Patients were categorized into 3 groups (gain, loss, no change in mobility) using the Johns Hopkins Highest Level of Mobility (JH-HLM) scores. The association between mobility loss and falls risk, in-hospital mortality, delirium, discharge to a facility, length of stay, and 30 day readmissions were assessed.</p><p><strong>Results: </strong>Those who lost mobility were more at risk of being a high fall risk, in-hospital mortality, delirium, discharging to a facility, and had 48% longer lengths of stay. There was no association between mobility loss and 30-day readmissions.</p><p><strong>Conclusions: </strong>Loss of mobility assessed using JH-HLM scores is associated with worse patient outcomes.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"131-137"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372129","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
Implementing Transformational Change in Health Care Systems. 在医疗保健系统中实施转型变革。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2025-02-19 DOI: 10.1097/NCQ.0000000000000829
Renee Rassilyer-Bomers, Diem Pham, Adam Corson, Cara Gallegos
{"title":"Implementing Transformational Change in Health Care Systems.","authors":"Renee Rassilyer-Bomers, Diem Pham, Adam Corson, Cara Gallegos","doi":"10.1097/NCQ.0000000000000829","DOIUrl":"10.1097/NCQ.0000000000000829","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"E31"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739845","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
A Brief History of the Journal of Nursing Care Quality. 护理质量期刊简史》。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI: 10.1097/NCQ.0000000000000832
Staci S Reynolds, Elizabeth R Blackwood
{"title":"A Brief History of the Journal of Nursing Care Quality.","authors":"Staci S Reynolds, Elizabeth R Blackwood","doi":"10.1097/NCQ.0000000000000832","DOIUrl":"10.1097/NCQ.0000000000000832","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":"40 2","pages":"99-101"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468498","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 an Online Game Room for Fall Prevention Education in Long-Term Care Facilities. 评估在线游戏室对长期护理机构预防跌倒教育的作用。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2025-02-14 DOI: 10.1097/NCQ.0000000000000812
Susan T Lail, Dana E Brackney, Rebecca Liljestrand
{"title":"Evaluating an Online Game Room for Fall Prevention Education in Long-Term Care Facilities.","authors":"Susan T Lail, Dana E Brackney, Rebecca Liljestrand","doi":"10.1097/NCQ.0000000000000812","DOIUrl":"10.1097/NCQ.0000000000000812","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"105-108"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408736","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
Facilitators and Inhibitors to the Application of the Acuity Adaptable Model. 应用 Acuity Adaptable 模型的促进因素和阻碍因素。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2024-10-02 DOI: 10.1097/NCQ.0000000000000814
Angela Opsahl, Noah Blessing, Aaliyah Perdieu, Grace Rasche, Mary Hannah-Griebel, Amy H Wonder
{"title":"Facilitators and Inhibitors to the Application of the Acuity Adaptable Model.","authors":"Angela Opsahl, Noah Blessing, Aaliyah Perdieu, Grace Rasche, Mary Hannah-Griebel, Amy H Wonder","doi":"10.1097/NCQ.0000000000000814","DOIUrl":"10.1097/NCQ.0000000000000814","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"109-111"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372117","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
Early Identification and Referral of Patients With Diabetic Foot Complications in the Emergency Department. 急诊科糖尿病足并发症的早期识别与转诊
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2025-01-28 DOI: 10.1097/NCQ.0000000000000806
AnChi Liu, Eleanor Stevenson, Michael Menchine, Sheila Mallett, Christina Castillo
{"title":"Early Identification and Referral of Patients With Diabetic Foot Complications in the Emergency Department.","authors":"AnChi Liu, Eleanor Stevenson, Michael Menchine, Sheila Mallett, Christina Castillo","doi":"10.1097/NCQ.0000000000000806","DOIUrl":"10.1097/NCQ.0000000000000806","url":null,"abstract":"<p><strong>Background: </strong>Prolonged length of stay (LOS) in the emergency department (ED) and lack of post-ED follow-up pose a risk of worsening infection and amputation among patients with diabetic foot complications.</p><p><strong>Local problem: </strong>Excessive ED LOS posed a risk of delayed foot care, and triage providers underutilized post-ED telehealth referrals.</p><p><strong>Interventions: </strong>A graphic icon on the ED dashboard, nurse-initiated order set, and staff education were implemented.</p><p><strong>Methods: </strong>A pre-/postimplementation design was used. Outcomes included usage of the graphic icon and order set, ED LOS, and telehealth referrals.</p><p><strong>Results: </strong>Use of the graphic icon and order sets significantly increased ( P < .001). The rate of telehealth referrals upon discharge also increased but was not significant ( P = .086). Interestingly, LOS increased after the intervention.</p><p><strong>Conclusion: </strong>Using the graphic icon and order set can streamline patient referral to telehealth care. Various factors lead to an extended LOS.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"138-143"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255983","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
Implementing a Nurse-Driven Early Ambulation Protocol to Enhance Post-Transcatheter Aortic Valve Replacement Outcomes: A Quality Improvement Initiative. 实施护士驱动的早期活动方案以提高经导管主动脉瓣置换术后的结果：一项质量改进倡议。
IF 1.2 4区 医学
Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2025-01-20 DOI: 10.1097/NCQ.0000000000000835
Katie P Worthington, Erin Giannantonio
{"title":"Implementing a Nurse-Driven Early Ambulation Protocol to Enhance Post-Transcatheter Aortic Valve Replacement Outcomes: A Quality Improvement Initiative.","authors":"Katie P Worthington, Erin Giannantonio","doi":"10.1097/NCQ.0000000000000835","DOIUrl":"10.1097/NCQ.0000000000000835","url":null,"abstract":"<p><strong>Background: </strong>Immobility in patients undergoing transcatheter aortic valve replacement (TAVR) is linked to adverse outcomes and prolonged length of stay (LOS). Advancements in TAVR procedures allow for early ambulation post-procedure.</p><p><strong>Local problem: </strong>In a large teaching hospital, ambulation occurred at an average of 16.9 hours post-TAVR procedures, higher than the goal of 6 hours.</p><p><strong>Methods: </strong>A pre/post-implementation design was used. Data on ambulation times, LOS, and discharge disposition were collected and analyzed.</p><p><strong>Results: </strong>Time to the first ambulation significantly decreased from a mean of 16.9 (SD = 13.1) to 8.9 hours (SD = 5.3), P < .001. Patients meeting the goal of ambulation 4-6 hours post-procedure had a significantly lower LOS, P < .005. Fewer patients needed a higher level of care at discharge, P = .064.</p><p><strong>Conclusions: </strong>Early ambulation reduced LOS and had a positive impact on patient discharge disposition. A nurse-driven ambulation protocol can improve outcomes after TAVR.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"187-192"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143007258","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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