Creating an evidence-based practice environment: one hospital's journey.

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

authors： Recker D,Oie M

更新日期：1994-07-01 00:00:00

abstract：:This quality improvement project evaluates the effectiveness of implementing an evidence-based alcohol withdrawal protocol in an acute care setting. Patient outcomes, length of stay, and nurses' knowledge and satisfaction with care are compared pre- and postimplementation. Implementation resulted in significant reduct...

journal_title：Journal of nursing care quality

authors： Holt C,Dearmon V,Lawrence SM,Lewis CL,Skotzko CE

更新日期：2017-07-01 00:00:00

abstract：:Recent research has highlighted the impact of nursing care on patient outcomes. The link to staffing has also been documented for selected conditions. To date, efforts to establish nurse-sensitive measures have focused largely on adults. This article describes the project undertaken to select and pilot 2 pediatric ind...

journal_title：Journal of nursing care quality

authors： Lacey SR,Klaus SF,Smith JB,Cox KS,Dunton NE

更新日期：2006-07-01 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

authors： Janelli LM

更新日期：1995-04-01 00:00:00

abstract：:Diabetes mellitus affects approximately 16 million people in the United States. Despite the publication of multiple guidelines, the delivery of care has not substantially changed. This article describes a program at Advocate Health Care to improve the delivery of care to individuals with Type 2 diabetes mellitus in an...

journal_title：Journal of nursing care quality

authors： Ludwig-Beymer P,Arndt DM

更新日期：1999-08-01 00:00:00

abstract：BACKGROUND:Teamwork training has been identified as an intervention to promote collaboration, improve communication, and reduce conflict. While teamwork training has been implemented in the clinical setting, most schools of nursing are lacking in standardized teamwork training programs. LOCAL PROBLEM:A lack of teamwor...

journal_title：Journal of nursing care quality

authors： Cooke M,Valentine NM

更新日期：2020-08-18 00:00:00

abstract：:Research on staffing and quality of care in long-term care facilities confirms that adequate staffing levels are important to ensuring quality but few studies have examined how the two are linked. The research reported in this article used participant observation and indepth interviewing to explore how nurse aides (NA...

journal_title：Journal of nursing care quality

authors： Bowers BJ,Esmond S,Jacobson N

更新日期：2000-07-01 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

authors： Spooner SH

更新日期：2003-07-01 00:00:00

abstract：:This secondary analysis evaluated the association of operating room scrub staff expertise, based on frequency of working on a specific surgical procedure, with the development of surgical site infections. The odds of developing surgical site infections decreased by 5.7% (odds ratio = 0.943; 95% confidence interval, 0....

journal_title：Journal of nursing care quality

authors： Bathish M,McLaughlin M,Talsma A

更新日期：2015-04-01 00:00:00

abstract：:Information technology is integral to health care delivery. Nurse leaders recognize the need to build intellectual capital (knowledge, skills, and experience) in use and oversight of electronic health records despite financial constraints on indirect care time. A systematic literature review was conducted to answer th...

journal_title：Journal of nursing care quality

authors： Poe SS

更新日期：2011-01-01 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

authors： Cassidy C,MacEachern L,Egar J,Best S,Foley L,Rowe ME,Curran J

更新日期：2019-10-01 00:00:00

abstract：:The Rapid After Bypass Back Into Telemetry program is based on a simple clinical algorithm to predict same-day transfer of patients to the cardiac telemetry unit following cardiac surgery. This program proved to be an excellent predictor for decreased postoperative complications, shorter intensive care unit and hospit...

journal_title：Journal of nursing care quality

authors： Halpin LS,Gilliam P,Barnett SD,Ad N

更新日期：2006-07-01 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

authors： Noles K,Barber R,James D,Wingo N

更新日期：2019-10-01 00:00:00

abstract：:This study describes nurse perceptions about medication errors. Findings reveal that there are differences in the perceptions of nurses about the causes and reporting of medication errors. Causes include illegible physician handwriting and distracted, tired, and exhausted nurses. Only 45.6% of the 983 nurses believed ...

journal_title：Journal of nursing care quality

authors： Mayo AM,Duncan D

更新日期：2004-07-01 00:00:00

abstract：:This study analyzed risk factors for medication/near-miss errors in the neonatal intensive care unit by using Grey Relational Analysis based on self-incident reports from staff nurses. The ASSESS-ERR Medication System Worksheet was used. A total of 156 medication/near-miss errors were found across 5 stages of the medi...

journal_title：Journal of nursing care quality

authors： Zhang X,Lee SY,Chen J,Liu H

更新日期：2017-07-01 00:00:00

abstract：:Although patient satisfaction has been used traditionally as a measure of excellence, research has suggested that the perception of being well cared for is likely a more promising indicator of quality than satisfaction alone. Expectations, physical environment, communication, participation and involvement, technical c...

journal_title：Journal of nursing care quality

authors： Dulko D,Mooney K

更新日期：2010-01-01 00:00:00

abstract：:Patient safety is a complex multifaceted issue linked with quality management. Evidence reveals that nurses are pivotal to the success of quality management and patient safety initiatives. There are many studies about patient safety in developed countries, but less is known about nursing care and patient safety in dev...

journal_title：Journal of nursing care quality

authors： Badir A

更新日期：2009-10-01 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

authors： Lopez KD,Wilkie DJ,Yao Y,Sousa V,Febretti A,Stifter J,Johnson A,Keenan GM

更新日期：2016-04-01 00:00:00

abstract：BACKGROUND:A majority of sepsis cases originate in the home and community. Home health clinicians play an important role in the early identification and timely treatment of sepsis. LOCAL PROBLEM:A home health care provider sought to prevent hospital readmissions due to sepsis by implementing a sepsis-screening protoco...

journal_title：Journal of nursing care quality

authors： Chimenti C,Sears G,McIntyre J

更新日期：2020-10-19 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

authors： Deitrick LM,Bokovoy J,Panik A

更新日期：2010-10-01 00:00:00

abstract：:Clinical pathway teams are one type of interdisciplinary team formed to improve the quality of care provided to select patient populations. As they aim to improve quality, these teams look at improving the efficiency and effectiveness of the care provided, as well as overall performance. Some clinical pathways and tea...

journal_title：Journal of nursing care quality

authors： Ibarra VL,Mueller T,Rossi N,Schillig K,Swearingen J

更新日期：1998-02-01 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

authors： Johnson T

更新日期：1994-01-01 00:00:00

abstract：:The ability to understand medication and consistently follow a prescribed medical regimen varies among the general population. The Department of Nursing at Mohawk Valley Psychiatric Center developed a medication self-administration program to help consumers gain knowledge and/or improve their ability to participate in...

journal_title：Journal of nursing care quality

authors： Visalli H,Johnstone L,Lazzaro CA,Kasky S

更新日期：1997-02-01 00:00:00

abstract：:This article presents the implementation and 1-year evaluation of a staff nurse-driven initiative addressing a Joint Commission patient safety imperative to improve the consistency of handoff communication. An interdepartmental ticket was developed and implemented through a planned process. The interdepartmental ticke...

journal_title：Journal of nursing care quality

authors： Roberts M,Putnam J,Raup GH

更新日期：2012-07-01 00:00:00

abstract：:Depression affects 14% to 46% of homebound elderly and is costly and disabling. Home health agencies face significant challenges delivering effective depression care. In response, an evidence-based depression care model was developed in a home health agency. Twelve-month program evaluation data demonstrated a 2.99 mea...

journal_title：Journal of nursing care quality

authors： Madden-Baer R,McConnell E,Rosati RJ,Rosenfeld P,Edison I

更新日期：2013-01-01 00:00:00

abstract：:Cognitive and functional impairments are leading predictors of poor outcomes in hospitalized older adults. This study reports adoption rates of 9 Assessing Care of Vulnerable Elders quality indicators in a sample of US hospitals (N = 128). Chief nursing officers were surveyed using a 6-point scale (no activity to full...

journal_title：Journal of nursing care quality

authors： Maxwell CA,Mion LC,Dietrich MS,Fallon WF,Minnick A

更新日期：2014-10-01 00:00:00

abstract：:Consumer-oriented health care report cards have emerged as a strategy to disseminate information to consumers about the quality of health plans and relative costs, with the goal of enabling them to make informed choices. While consumers have reported an interest in having access to this information, how they actually ...

journal_title：Journal of nursing care quality

authors： Oermann MH

更新日期：1999-10-01 00:00:00

abstract：:The impact of altered nutritional status is costly. Surgical patients have 2-3 times the risk of complications, length of stay is extended by 90%, and charges are 35-75% higher. Risk factors are numerous; therefore, collaboration among all members of the health care team is required to impact patient outcomes positive...

journal_title：Journal of nursing care quality

authors： Cole C,Bigando K,DeSutter S

更新日期：2000-01-01 00:00:00

abstract：:In general, the unannounced JCAHO survey is a more positive and patient-focused process than surveys in the past. Staff are able to demonstrate and explain what they actually do in their job on a day-to-day basis rather than stating policies. In the continuous survey-readiness process, there is less emphasis on docume...

journal_title：Journal of nursing care quality

authors： Comeau E,Lowry D

更新日期：2005-01-01 00:00:00

abstract：:Recent changes in the Surgical Care Improvement Project guideline require blood glucose values be less than 180 mg/dL 18 to 24 hours after anesthesia end time after cardiac surgery. Our study compares the first group of patients transitioned off IV insulin on postoperative day 1, 24 hours after anesthesia end time, wh...

journal_title：Journal of nursing care quality

authors： Westbrook A,Sherry D,McDermott M,Gobber M,Pabst M

更新日期：2016-10-01 00:00:00