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 force behind the changes. Aspects of these changes in care delivery were piloted on a neurological unit and included implementation of collaborative rounds, a modular structure, role changes, and work redesign. Frequency distribution, questionnaire, focus group, and financial data indicated that there had been improvement in the delivery of care in addition to financial benefits. A considerable amount of the data provided evidence that supported continuing the changes.
journal_name
J Nurs Care Qualjournal_title
Journal of nursing care qualityauthors
Nardone PL,Markie JW,Tolle Sdoi
10.1097/00001786-199510010-00011subject
Has Abstractpub_date
1995-10-01 00:00:00pages
70-84issue
1eissn
1057-3631issn
1550-5065journal_volume
10pub_type
杂志文章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::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::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::The purpose of this study was to evaluate the outcomes of a telephone call service (TCS) for ambulatory surgery patients. Three outcomes were evaluated: patient satisfaction, patients' perceptions of the value of a TCS intervention, and nurses' perceptions of difficulties in implementing it. The results indicated that...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/01.NCQ.0000277788.37180.a0
更新日期:2007-07-01 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::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::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 activ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199410000-00006
更新日期:1994-10-01 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::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::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:BACKGROUND:Nurses and other health care providers need to ensure that patients receive care that addresses their specific needs and wants. PURPOSE:This exploratory study examined the associations between patients' self-reported positive and negative affect, the perceived importance of 57 self-care actions, the desire ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000348
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Health systems are actively implementing Clinical Nurse Leader (CNL)-integrated care delivery across the United States. PROBLEM:However, the CNL model is a complex health care intervention, making it difficult to generate evidence of effectiveness using traditional research frameworks. APPROACH:Participato...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000386
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
pub_type: 杂志文章
doi:10.1097/00001786-200407000-00007
更新日期:2004-07-01 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::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:BACKGROUND:Proning intubated intensive care unit patients for the management of acute respiratory distress syndrome is an accepted standard of practice. We examined the nursing climate in 4 units and its impact on implementing a novel self-proning protocol to treat COVID-19 patients outside the intensive care unit. LO...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000537
更新日期:2020-11-23 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::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::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::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
pub_type: 杂志文章
doi:10.1097/00001786-199910000-00006
更新日期:1999-10-01 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: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
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000525
更新日期:2020-10-19 00:00:00
abstract:BACKGROUND:Implementing Nursing Bedside Shift Report (NBSR) is challenging for nurse leaders. Before implementing or improving NBSR, nurse leaders need a clear understanding of the process and functions of nursing shift report. However, the social-cultural latent functions (unrecognized or unintended uses) of NBSR are ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000357
更新日期:2019-07-01 00:00:00
abstract::This study tested a theoretical model derived from Kanter's theory of workplace empowerment by surveying a random sample of 300 registered nurses employed in acute care hospitals across the Canadian province of Ontario. The results of this study effectively replicated the findings of a previous exploratory study. Spec...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e31818f5506
更新日期:2009-01-01 00:00:00
abstract::We conducted a feasibility study to test an intervention to reduce medication omissions without documentation using nurse-initiated recall cards and medication chart checking at handover. No significant difference in the omission rate per 100 medications was found, although after adjusting for hospital and patient age...
journal_title:Journal of nursing care quality
pub_type: 杂志文章,随机对照试验
doi:10.1097/NCQ.0000000000000229
更新日期:2017-07-01 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::The objective of this study was to investigate the associations between the neonatal intensive care unit (NICU) work environment, quality of care, safety, and patient outcomes. A secondary analysis was conducted of responses of 1247 NICU staff nurses in 171 hospitals to a large nurse survey. Better work environments w...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000146
更新日期:2016-01-01 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:BACKGROUND:There is a paucity of evidence-based, posthospital stroke care in the United States proven to reduce preventable hospital readmissions. LOCAL PROBLEM:Follow-up with a provider after hospitalization for stroke or transient ischemic attack had low compliance rates. This may contribute to preventable readmissi...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000414
更新日期:2020-04-01 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