Abstract:
:This article describes the development and implementation of the Nursing Quality Indicators Scale and a quality control system for hospital nursing care, which allows universal access to all external and internal audit results, thus ensuring complete data transparency. Standardized indicators make departments' performance comparable. Key to the new system is nurses' self-audit and responsibility for making quality improvements at the ward level.
journal_name
J Nurs Care Qualjournal_title
Journal of nursing care qualityauthors
Kagan I,Cohen R,Fish M,Mezare HPdoi
10.1097/NCQ.0b013e31829dbb5esubject
Has Abstractpub_date
2014-01-01 00:00:00pages
83-90issue
1eissn
1057-3631issn
1550-5065journal_volume
29pub_type
杂志文章abstract::Continuous quality improvement (CQI), staff education, and patient education are essential, interrelated components of nursing practice that share the common goal of improved patient outcomes. The nurses of the Nashville Veterans' Administration Medical Center dialysis unit effectively combined these activities to imp...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199410000-00007
更新日期:1994-10-01 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::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::Building a knowledgebase regarding multicultural beliefs and practices will help health care providers meet the challenge of caring for persons of diverse cultures. It is evident that developing greater multicultural awareness will also help health care workers improve patient care. For this reason, an Interdisciplina...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199708000-00008
更新日期:1997-08-01 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
pub_type: 杂志文章
doi:10.1097/00001786-200001000-00007
更新日期:2000-01-01 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:The importance of staff working life for staff well-being has been demonstrated in several studies; less research has focused on staff working life and older persons' satisfaction with care. PURPOSE:The study aim was to study relationships between 1) staff assessments of their structural conditions/empowerm...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000463
更新日期:2021-01-01 00:00:00
abstract::The "Observable Indicators of Nursing Home Care Quality" instrument was developed as a new measure of nursing home care quality. The instrument is based on a theoretical model of quality nursing home care grounded in data from provider and consumer focus groups. The instrument was piloted in 10 Missouri nursing homes....
journal_title:Journal of nursing care quality
pub_type: 杂志文章,评审
doi:10.1097/00001786-200004000-00002
更新日期:2000-04-01 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:BACKGROUND:The paradigm shift that has occurred for patients with total hip (THA) and knee (TKA) arthroplasty through enhanced recovery programs underscores the need for redesigning care provision. LOCAL PROBLEM:In this hospital, the patient outcomes and experience anticipated from the implementation of enhanced recov...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000420
更新日期:2020-04-01 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
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000236
更新日期:2017-07-01 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
pub_type: 杂志文章
doi:10.1097/00001786-199802000-00006
更新日期:1998-02-01 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
pub_type: 杂志文章,多中心研究
doi:10.1097/00001786-200007000-00009
更新日期:2000-07-01 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
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000513
更新日期:2020-08-18 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::Falls prevention is a complex problem. Following in the footsteps of an earlier fall prevention team, the Safe Landings Fall Prevention Team used many strategies for implementing a fall prevention/reduction program. The tactics we used to prevent falls combined with the adoption of a fall assessment risk model are sha...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/01.NCQ.0000263103.13934.9b
更新日期:2007-04-01 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::Postpartum urinary retention is a common condition in obstetric units. A Clinical Practice Guideline was implemented in a high-risk obstetrical unit to decrease variance of clinical practice, rate of postpartum urinary retention, and number of urinary catheterizations and increase awareness of this common condition. G...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000087
更新日期:2015-04-01 00:00:00
abstract::Evidence links the amount of registered nurse care to improved patient outcomes in large hospitals, but little is known about registered nurse staffing in small critical access hospitals, which comprise 30% of all US hospitals. Our study findings show that the unique work environment of critical access hospitals means...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e318210d30a
更新日期:2011-10-01 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
pub_type: 杂志文章
doi:10.1097/00001786-200607000-00014
更新日期:2006-07-01 00:00:00
abstract::This study explored 150 critical care nurses' perceptions of patient safety standards in a selection of private, public, and university hospitals in Turkey. Quality management and patient safety programs were more prevalent in private hospitals. Private hospitals were also more likely to encourage reporting, have erro...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/01.NCQ.0000336677.56089.24
更新日期:2008-10-01 00:00:00
abstract::The type of dressing selected for intravascular catheters may influence costs and complications. We carried out a clinical trial to compare the safety and costs of transparent and gauze dressings. We did not find differences in complication rates between transparent (34.1%) and gauze (26.5%) dressings (P = .62). The t...
journal_title:Journal of nursing care quality
pub_type: 杂志文章,随机对照试验
doi:10.1097/NCQ.0b013e318210741b
更新日期:2011-10-01 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::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
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000231
更新日期:2017-07-01 00:00:00
abstract::Physical restraints have been the standard of practice to manage certain types of patient behavior, such as unstable mobility, wandering, agitation, and interference with medical treatment. However, this intervention is not without serious negative consequences. Patients with neurological disorders or injuries are oft...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199906000-00007
更新日期:1999-06-01 00:00:00
abstract:BACKGROUND:Health care organizations are designing comprehensive care programs to reduce hospital utilization by high-risk patients with multiple chronic illnesses. LOCAL PROBLEM:A community hospital recognized patients with multiple chronic conditions had higher rates of inpatient stays and emergency department (ED) ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000482
更新日期:2021-01-01 00:00:00
abstract::Implementation of clinical paths has resulted in a successful multidisciplinary approach for monitoring quality improvement outcomes in a select group of cardiovascular patients. This article defines clinical paths and explains their development, implementation, and evaluation. It also discusses how variances (which a...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199404000-00006
更新日期:1994-04-01 00:00:00
abstract::The incident report read. "His arm was tightly locked around my neck. His free arm was touching me while he said terrible, obscene things he intended to do. My heart was pounding. My mind was racing, unable to think rationally. I needed to focus on an escape plan. I was too terrified to think. I just aimlessly struggl...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-200210000-00009
更新日期:2002-10-01 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 nursing and pharmacology literature of 1988 to 1992 generally encouraged a change in nursing practice with regard to maintenance of peripheral intravenous access devices in adults. Although recommendations were based on data, methodological limitations in many studies prevented enthusiastic change from heparinized...
journal_title:Journal of nursing care quality
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00001786-199607000-00003
更新日期:1996-07-01 00:00:00