Abstract:
:A 320-bed surgical nursing department's pain management quality improvement initiative is presented. Clinical indicators were designed through literature review and consultation with pain management experts. Results for pain assessment compliance, patient perception of relief, and the perceived impact of pain on activity--analyzed by nursing care unit, physician service, and pain medication type--are detailed, as are selected strategies to improve pain management outcomes.
journal_name
J Nurs Care Qualjournal_title
Journal of nursing care qualityauthors
Dietrick-Gallagher M,Polomano R,Carrick Ldoi
10.1097/00001786-199410000-00006subject
Has Abstractpub_date
1994-10-01 00:00:00pages
30-42issue
1eissn
1057-3631issn
1550-5065journal_volume
9pub_type
杂志文章abstract::Pediatric nurse practitioners in school-based clinics have the potential to overcome access to care barriers for school-age children and their families by providing primary health care and linking these services with existing health and social services in the community. The article reports a study that examined health...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199704000-00008
更新日期:1997-04-01 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
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000190
更新日期:2016-10-01 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 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::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
pub_type: 杂志文章
doi:10.1097/00001786-199702000-00005
更新日期:1997-02-01 00:00:00
abstract::The purpose of this study was to explore the effectiveness of a cardiac rehabilitation program (phase II) in improving participants' quality of life (QOL). Existing data collected previously by a not-for-profit rural community hospital using the SF-36 tool were analyzed. The secondary data consisted of precardiac and ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-200601000-00012
更新日期:2006-01-01 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::Interdisciplinary rounds provide a valuable venue for delivering patient-centered care but are difficult to implement due to time constraints and coordination challenges. In this article, we describe a unique model for fostering a culture of bedside interdisciplinary rounds through adjustment of the morning medication...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000233
更新日期:2017-07-01 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
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000231
更新日期:2017-07-01 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::Coordination of patient care is the goal; the structure to promote the multidisciplinary plan of care is the unit-based outcome facilitation team. The focus of the team is the outcome achievement for the day, which could include patient education, therapies, or discharge planning. ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199902000-00008
更新日期:1999-02-01 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::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
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000061
更新日期:2014-10-01 00:00:00
abstract::Care of the resident with dementia can be both challenging and unpredictable. Activities provided for nursing home residents often have rules and may be a source of frustration for residents with advancing dementia. Snoezelen, or multisensory therapy, offers a failure-free activity in an enabling environment that can ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-200410000-00010
更新日期:2004-10-01 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::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
pub_type: 杂志文章
doi:10.1097/00001786-200501000-00002
更新日期:2005-01-01 00:00:00
abstract::Researchers, providers and government agencies have devoted time and resources to the development of a set of Quality Indicators derived from Minimum Data Set (MDS) data. Little effort has been directed toward verifying that Quality Indicators derived from MDS data accurately measure nursing home quality. Researchers ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章,多中心研究
doi:10.1097/00001786-199712000-00011
更新日期:1997-12-01 00:00:00
abstract::This article discusses techniques used at Staten Island University Hospital to help automate manual data collection for performance improvement reports and outcomes analysis. If data must be collected manually, it is time to take a look at information available in your hospital's information system. ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199808000-00008
更新日期:1998-08-01 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::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::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::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
pub_type: 杂志文章
doi:10.1097/00001786-200607000-00004
更新日期:2006-07-01 00:00:00
abstract::Hospitalized adult patients are at increased risk for adverse outcomes, particularly when undergoing invasive procedures that include indwelling urinary catheterization. This study identified factors associated with nurses' adoption of an evidence-based practice to reduce the duration of catheterization and potential ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e3182852ce7
更新日期:2013-10-01 00:00:00
abstract::The successful implementation of outcomes measurement is jeopardized by its application within systems that do not control inputs. This systemic flaw within health care can be corrected by placing critical knowledge that is now in the minds of individual practitioners into computer-based knowledge coupling tools that ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章,评审
doi:10.1097/00001786-199810000-00004
更新日期:1998-10-01 00:00:00
abstract::Deep vein thrombosis remains a source of adverse outcomes in surgical patients. Deep vein thrombosis is preventable with prophylactic intervention. The success of noninvasive mechanical modalities for prophylaxis relies on compliance with correct application. The goals of this project were to create a guideline that r...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000075
更新日期:2015-01-01 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
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::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::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