Interdisciplinary quality improvement from the perspective of a clinical pathway team.

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：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

authors： McHugh JP,Shield RR,Gadbois EA,Winblad U,Mor V,Tyler DA

更新日期：2021-01-01 00:00:00

abstract：:Nurses as patients or caregivers evaluated their care differently than nonnurses. A qualitative design with content analysis was used to provide an assessment of the quality of nursing care by examining nurses' perceptions as recipients of care. The 231 participants were registered nurses recruited from 8 hospitals in...

journal_title：Journal of nursing care quality

authors： Elayan RM,Ahmad MM

更新日期：2017-10-01 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

authors： Brennan MR,Laconti D,Gilchrist R

更新日期：2014-04-01 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

authors： Crawford B,Corbett N,Zuniga A

更新日期：2014-10-01 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：: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

authors： Armstrong K,Laschinger H,Wong C

更新日期：2009-01-01 00:00:00

abstract：:Home mechanical ventilation was once a remote idea and thought to be used only in extreme cases. However, patient preference as well as limited financial resources to care for these patients in a long-term setting is forcing acute care facilities and families to make the choice of home care. This article describes how...

journal_title：Journal of nursing care quality

authors： Warren ML,Jarrett C,Senegal R,Parker A,Kraus J,Hartgraves D

更新日期：2004-01-01 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：: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

authors： Johnson M,Maas M

更新日期：1998-06-01 00:00:00

abstract：BACKGROUND:To ensure successful integration and implementation of evidence into practice, validation of measures and interventions should be performed in the population and setting in which they will be used. PURPOSE:This article provides a method for evaluating the predictive performance of a risk tool using the Hest...

journal_title：Journal of nursing care quality

authors： Kaiser J,Wills N,Reilly T,Pratt J,Tumbleson V,Niemeyer M,Mindling G

更新日期：2020-07-10 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

authors： Conner BT,Kelechi TJ,Nemeth LS,Mueller M,Edlund BJ,Krein SL

更新日期：2013-10-01 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

authors： Benson E,Rippin-Sisler C,Jabusch K,Keast S

更新日期：2007-01-01 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

authors： Johnson M,Sanchez P,Zheng C,Chapman B

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

authors： Hockenberry M,Walden M,Brown T,Barrera P

更新日期：2007-07-01 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：: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

authors： Chen CH,Ma HJ,Yen M,Li SF,Liu LC

更新日期：2007-07-01 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: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

authors： Allen A,Frederick L,Hovey SL

更新日期：2021-01-01 00:00:00

abstract：:The modified early warning system (MEWS) is a scoring rubric used to detect the earliest signs of a change in a patient's condition. This mixed-methods study used pre- and postintervention data to describe the impact of the MEWS on the frequency of rapid response system activations and cardiopulmonary arrests among pa...

journal_title：Journal of nursing care quality

authors： Stewart J,Carman M,Spegman A,Sabol VK

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:Nursing interventions in oral hygiene have been shown to be important for health promotion and illness prevention. This medical center advanced a registered nurse (RN)-led oral health initiative to introduce and standardize oral care practices. PROBLEM:To examine the impact of the oral health initiative, we...

journal_title：Journal of nursing care quality

authors： Castillo DH,Smith DJ,Rosenfeld P

更新日期：2020-04-01 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

authors： Gillespie BM,Chaboyer W,Sykes M,O'Brien J,Brandis S

更新日期：2014-01-01 00:00:00

abstract：:A systematic review of the pressure management performance of support surfaces (beds, mattresses, overlays, and the utilization of linens), using a standardized testing methodology, provided qualitative and quantitative information needed to support cost-effective purchasing decisions and resulted in the reduction of ...

journal_title：Journal of nursing care quality

authors： Milbrath CD,Linroth R,Wilhelmy J,Pate A

更新日期：2014-01-01 00:00:00

abstract：:Preliminary data developed by the Health Care Financing Administration under its pilot cooperative cardiovascular screening project indicate that 50 percent of Medicare heart attack patients arriving in emergency departments who are appropriate for thrombolytic therapy do not receive it within the time period specifie...

journal_title：Journal of nursing care quality

authors： Oetker D,Cole C

更新日期：1996-01-01 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

authors： McClain JV 4th,Chance EA

更新日期：2020-04-01 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

authors： Stanley AY,Conner BT

更新日期：2015-04-01 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：: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

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

authors： Cramer ME,Jones KJ,Hertzog M

更新日期：2011-10-01 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

authors： Gilbert M,Counsell C

更新日期：1999-06-01 00:00:00