Abstract:
:Ever rising patient acuity, new nursing staff practitioners, and cumbersome documentation processes potentially impact quality of care. Nurse managers are challenged to utilize creative strategies to minimize risk potential and improve patient outcomes. One 36-bed medical/ surgical/telemetry unit focused on improving competence in clinical assessment and documentation associated with the determinants of STABLE. Education centered on a simple approach based on the use of an acronym to memorize concepts and trigger the recall of 6 key points of care. Evaluation of documentation after pain implementation indicated significant improvement in nursing practice.
journal_name
J Nurs Care Qualjournal_title
Journal of nursing care qualityauthors
Horak D,Hollabaugh S,Duffy Tdoi
10.1097/00001786-200304000-00007keywords:
subject
Has Abstractpub_date
2003-04-01 00:00:00pages
139-42issue
2eissn
1057-3631issn
1550-5065journal_volume
18pub_type
杂志文章abstract:BACKGROUND:Despite evidence of the positive impact of the clinical nurse leader (CNL) role, implementation of supplemental nursing roles has proven to be challenging due to unclear role explanations and organizational unfamiliarity. PROBLEM:Nurses practice in a dynamic environment and need to cope with the rapid pace ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000370
更新日期:2019-07-01 00:00:00
abstract::A literature review was conducted of 16 research articles examining the relationship between implementation of a model of care utilizing unlicensed assistive personnel (UAP) and patient satisfaction. In nine of the articles, the implementation of the UAP model was found to increase patient satisfaction. In seven artic...
journal_title:Journal of nursing care quality
pub_type: 杂志文章,评审
doi:10.1097/00001786-199812000-00002
更新日期:1998-12-01 00:00:00
abstract::There is increasing effort in promoting evidence-based practice (EBP) that supports the best possible care to patients and families. This article describes essential concepts for developing an environment of EBP and its implementation at a large pediatric hospital. Essential components for creating an EBP environment ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/01.NCQ.0000277778.43018.96
更新日期:2007-07-01 00:00:00
abstract::Within the health care community, more and more emphasis is being placed on patient satisfaction. This study was undertaken in a midwestern, nonprofit, 300-bed acute care hospital to gain a better understanding of how nonresponse rates and patient characteristics affect patient satisfaction scores. With a response rat...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-200307000-00002
更新日期:2003-07-01 00:00:00
abstract::A quality improvement initiative across 21 hospitals incorporated a multidisciplinary approach, breakthrough collaborative methods, evidence-based improvement methods and care guidelines, front-line rapid improvement cycles, consistent process-of-care documentation, and real-time incidence data. Statistically signific...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000060
更新日期:2014-10-01 00:00:00
abstract::Nurse managers are seeking ways to improve patient safety in their organizations. At the same time, they struggle to address nurse recruitment and retention concerns by focusing on the quality of nurses' work environment. This exploratory study tested a theoretical model, linking the quality of the nursing practice en...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-200604000-00007
更新日期:2006-04-01 00:00:00
abstract::We present findings of a comparative study of numeracy and graph literacy in a representative group of 60 practicing nurses. This article focuses on a fundamental concern related to the effectiveness of numeric information displayed in various features in the electronic health record during clinical workflow. Our find...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000149
更新日期:2016-04-01 00:00:00
abstract::Increasing reliance on physical restraint devices within hospital settings can be attributed to many reasons, perhaps including litigation. Restraint use represents a quality improvement issue; therefore, a review of all studies involving restraints in acute care settings was conducted. Results of a descriptive study ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章,评审
doi:10.1097/00001786-199504000-00011
更新日期:1995-04-01 00:00:00
abstract:BACKGROUND:New graduate nurses transition with limited experience, and with anxiety and stress. They present an increased risk of contributing to preventable errors or adverse events. PURPOSE:The purpose was to develop an understanding of new graduate registered nurses' (RNs) patient safety knowledge and actions withi...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000443
更新日期:2020-07-01 00:00:00
abstract::The goal to develop and implement a new model of nursing care delivery grew out of administrative and shared governance initiatives to improve the quality of nursing care. This evaluative study used both quantitative and qualitative methods. Seven principles related to quality were identified and became the driving fo...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199510010-00011
更新日期:1995-10-01 00:00:00
abstract::Partnering with the patient in the planning and delivery of care to achieve high-quality outcomes is a goal shared by health care providers. The achievement of a full partnership with the patient often varies based on the communication skills of individual nurses. To provide more consistency, Patient Standards of Care...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199501000-00010
更新日期:1995-01-01 00:00:00
abstract::The purpose of this study was to examine the associations between nurse staffing hours and 6 quality indicators: physical restraints, weight loss, incontinence, late loss activities of daily living decline, stages 1 to 4 pressure ulcers, and problem behaviors toward others. Increasing registered nurse staff hours may ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-200404000-00010
更新日期:2004-04-01 00:00:00
abstract::A patient satisfaction survey at Missouri Baptist Medical Center revealed that patients experiencing a vaginal delivery needed to wait for their medications and did not consistently receive adequate information about medications. Furthermore, a chart review noted that physicians ordered a wide variety of medications f...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199904000-00006
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:The clinical nurse leader (CNL) role was developed as a strategy for redesigning care delivery to address quality and safety gaps in health care. However, innovation competencies have never been assessed in this group. PURPOSE:The purpose of this study was to determine whether CNLs have different perception...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000394
更新日期:2019-10-01 00:00:00
abstract::The Nursing Outcomes Classification (NOC) is a comprehensive taxonomy of patient outcomes influenced by nursing care. Each outcome is stated as a variable concept measured on a five-point Likert scale and includes a definition, indicators, and references. The classification provides outcomes that can be used across th...
journal_title:Journal of nursing care quality
pub_type: 杂志文章,评审
doi:10.1097/00001786-199806000-00005
更新日期:1998-06-01 00:00:00
abstract::This article describes a hospital unit's successful central line-associated bloodstream infection reduction project. The focus is on decreasing and sustaining a low rate of infection by targeting improvement in central line maintenance. The Consolidated Framework for Implementation Research's 5 interacting domains (th...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000076
更新日期:2015-01-01 00:00:00
abstract::The article describes a study that measured, over a 3-month period, staffing problems, including turnover rates; nurse incidents, including absenteeism, back injuries, and needle sticks; and patient incidents, including falls and medication errors. The self-reported stress of the nurses caring for these patients was r...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract::This descriptive and cross-sectional study included 561 nurses in hospitals located in Istanbul, Turkey. The Patient Safety Questionnaire was used for data collection. The type of hospital and the amount of education nurses obtained about patient safety and quality improvement were positively associated with patient s...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e31828b1a81
更新日期:2013-10-01 00:00:00
abstract::Falls are the most common cause of injury deaths and nonfatal injuries in older adults. In an effort to detect a resident's movement, many nursing homes use bed or chair alarms to alert staff that the resident may get up and possibly fall. However, there is little evidence that bed or chair alarms prevent falls, and m...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e3182aa6f86
更新日期:2014-01-01 00:00:00
abstract::The paradigm is shifting in health care. The current emphasis is on total quality management (TQM). The authors describe a model, Quality in Daily Work (QIDW), which may be used to assist in the implementation of TQM at the unit level. QIDW is patterned after Juran's Trilogy of quality planning, quality control, and q...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199407000-00005
更新日期:1994-07-01 00:00:00
abstract::This study examined hostility, spirituality, and indices of health risk among 100 young, primarily males of Hispanic background. Over half of the subjects were prehypertensive or hypertensive; one third had at least 2 objective risk factors for cardiac disease; and younger participants had lower spirituality scores an...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-200501000-00013
更新日期:2005-01-01 00:00:00
abstract::Prevention of pressure ulcers is an ongoing concern. This article reports on the evaluation and usage of a new positioning device that adapts to the contours of the body and led to a decrease in the incidence of nosocomial pressure ulcers in a cardiothoracic intensive care unit. ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e3182a79ca9
更新日期:2014-04-01 00:00:00
abstract::Because of their involvement in the transport, handling, preparation, administration, or disposal of hazardous medications, health care workers across multiple settings are at risk for adverse health consequences from exposure to these drugs. This review presents evidence-based strategies to mitigate the harmful expos...
journal_title:Journal of nursing care quality
pub_type: 杂志文章,评审
doi:10.1097/NCQ.0000000000000155
更新日期:2016-04-01 00:00:00
abstract::This study examines families' and nurses' perceptions of the functions that should be performed by families of elderly nursing home residents and whether there is congruency between nursing staff and families' perceptions. This was a quasi-experimental study and was based on questionnaires distributed among 85 nurses ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e3181a8b257
更新日期:2009-10-01 00:00:00
abstract::The modified early warning system (MEWS) is a scoring rubric used to detect the earliest signs of a change in a patient's condition. This mixed-methods study used pre- and postintervention data to describe the impact of the MEWS on the frequency of rapid response system activations and cardiopulmonary arrests among pa...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000048
更新日期:2014-07-01 00:00:00
abstract::The purpose of this quality improvement initiative was to improve oropharyngeal dysphagia screening and reduce aspiration pneumonia rates on 3 inpatient hospital medical units. Guided by a Plan-Do-Study-Act methodology, an interdisciplinary health team developed and implemented a systematic process for oropharyngeal d...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000285
更新日期:2018-04-01 00:00:00
abstract::In an effort to prevent medication errors, barcode medication administration technology has been implemented in many health care organizations. An integrative review was conducted to understand the effect of barcode medication administration technology on medication errors, and characteristics of use demonstrated by n...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000270
更新日期:2018-01-01 00:00:00
abstract::Staff response to patient call bells is a communication issue that influences patient assessment of care quality and satisfaction. An ethnographic, grounded theory approach was used to examine nurses and nursing support staff perspectives about call bell use on single- versus double-patient-room units. We used the dan...
journal_title:Journal of nursing care quality
pub_type: 杂志文章,多中心研究
doi:10.1097/NCQ.0b013e3181dde039
更新日期:2010-10-01 00:00:00
abstract::Health care organizations across the country are in different phases of transition from quality assurance to quality improvement. A plan is essential to ensure quality assessment and improvement requirements are met while the organization is in transition. Based on the hospital's commitment to quality improvement, the...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199401000-00005
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:As the level of acuity of pediatric hospital admissions continues to increase, additional pressure is being placed on hospital resources and the nursing workforce. LOCAL PROBLEM:Currently, there is no formalized approach to care for high-acuity patients on our pediatric inpatient unit. METHODS:We used a qu...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000398
更新日期:2019-10-01 00:00:00