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 saline to saline alone. The article describes the quality journey of one community hospital toward practice change in this frequently performed patient care procedure. The success of the change is attributed to pilot outcomes work in the regional tertiary medical center, which demonstrated the credibility of the proposed change. Four organizational processes supported the scientifically based quality change: interdisciplinary efforts of the community hospital instituting the change, a test on one nursing unit, positive recognition of staff undergoing practice change, and publication and dissemination of the clinical procedure change.
journal_name
J Nurs Care Qualjournal_title
Journal of nursing care qualityauthors
Reineck C,Reineck TC Jrdoi
10.1097/00001786-199607000-00003subject
Has Abstractpub_date
1996-07-01 00:00:00pages
10-7issue
4eissn
1057-3631issn
1550-5065journal_volume
10pub_type
临床试验,杂志文章,随机对照试验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:BACKGROUND:Patient satisfaction scores in the vascular interventional radiology department were low, especially related to wait times in registration and for tests/treatments, with low scores for intentions to recommend. PURPOSE:The purpose of our quality improvement project was to decrease wait times and improve pati...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000332
更新日期:2019-01-01 00:00:00
abstract::A study was undertaken to gain insight into how nurse leaders are influencing the use of performance data to improve nursing care in hospitals. Two themes emerged: getting relevant, reliable, and timely data into the hands of nurses, and the leaders' ability to "connect the dots" in working with different stakeholders...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000095
更新日期:2015-07-01 00:00:00
abstract::This study developed and piloted a patient-centered pressure ulcer prevention care bundle for adult hospitalized patients to promote patient participation in prevention. The care bundle had 3 core messages: (1) keep moving, (2) care for your skin, and (3) ensure a good diet. A brief video, combined brochure/checklist,...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e3182a71d43
更新日期:2014-01-01 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::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: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::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::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::Application of research findings to clinical care has been advocated to improve quality of care and patient outcomes. This article discusses a method to evaluate the translation of research findings in support of evidence-based care. An exemplar of a brief intervention in primary care for high-risk drinkers is used. ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e3181ace2bc
更新日期:2010-01-01 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::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::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:BACKGROUND:Some hospitals seek integration with skilled nursing facilities (SNFs) to reduce readmissions while others focus more on patients discharged home. PURPOSE:Our objective was to understand different approaches for readmission reduction for patients discharged to SNFs based on contrasting strategies from 2 com...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000459
更新日期:2021-01-01 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::In 2002, the Winnipeg Regional Health Authority commissioned an external review for improvements to patient care. From this review arose the Achieving Benchmarks through Collaboration Project, which was composed of 32 projects and a number of subprojects. One such subproject dealt with the reconfiguration of the nursi...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-200701000-00015
更新日期:2007-01-01 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
pub_type: 杂志文章
doi:10.1097/00001786-199908000-00002
更新日期:1999-08-01 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: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 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
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000092
更新日期:2015-04-01 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: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::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::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 ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-200304000-00007
更新日期:2003-04-01 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::Nonlinear relationships are attracting much attention in nursing. Nonlinear dynamics are used abstractly as theory and also may be applied in a concrete sense to explain data. There is often confusion and misunderstanding about aspects of nonlinear dynamics. This article explores two of the more well known areas of no...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-200010000-00008
更新日期:2000-10-01 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
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::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::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