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 can (1) track and control the inputs to the system in a disciplined and routine manner and (2) process information without error or bias. Outcomes then become a natural by-product of what amounts to a paradigm shift in the conceptualization and implementation of health care.
journal_name
J Nurs Care Qualjournal_title
Journal of nursing care qualityauthors
Kozak Adoi
10.1097/00001786-199810000-00004subject
Has Abstractpub_date
1998-10-01 00:00:00pages
9-13issue
1eissn
1057-3631issn
1550-5065journal_volume
13pub_type
杂志文章,评审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::This study synthesizes information contained in 27 mnemonics to identify what information should be communicated during a handoff. Clustering and content analysis resulted in 12 primary information clusters that should be communicated. Given the large amount of information identified, it would be beneficial to use a s...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000174
更新日期:2016-07-01 00:00:00
abstract::Depression affects 14% to 46% of homebound elderly and is costly and disabling. Home health agencies face significant challenges delivering effective depression care. In response, an evidence-based depression care model was developed in a home health agency. Twelve-month program evaluation data demonstrated a 2.99 mea...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e318265702a
更新日期:2013-01-01 00:00:00
abstract::The paradigm is shifting in health care. The current emphasis is on total quality management (TQM). The authors describe a model, Quality in Daily Work (QIDW), which may be used to assist in the implementation of TQM at the unit level. QIDW is patterned after Juran's Trilogy of quality planning, quality control, and q...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199407000-00005
更新日期:1994-07-01 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::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::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::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::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::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::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::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::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::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 article describes innovative educational strategies used by one organization to simultaneously develop leadership skills and evidence-based practice. The methods were theory-driven and designed to positively affect the nursing culture at the individual, unit, and organizational levels. Case studies, outcomes, and...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/01.NCQ.0000324592.76590.32
更新日期:2008-07-01 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::One of the key factors for organizational success is service excellence. Nursing service has been proved to be a pivotal factor in the overall patient satisfaction rating on hospital surveys. The article describes a service improvement implemented by one nursing service that improved patient satisfaction survey result...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199610000-00011
更新日期:1996-10-01 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: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
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000503
更新日期:2020-07-10 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::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::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::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::The 1999 Institute of Medicine (IOM) report increased the focus by health care providers, regulators, and the public on the cause and effect of medical errors. The IOM report recognizes the complexity of the problem of medical errors and advocates a systematic approach to error reduction. Medication delivery systems i...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-200207000-00004
更新日期:2002-07-01 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::This article describes a hospital unit's successful central line-associated bloodstream infection reduction project. The focus is on decreasing and sustaining a low rate of infection by targeting improvement in central line maintenance. The Consolidated Framework for Implementation Research's 5 interacting domains (th...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000076
更新日期:2015-01-01 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::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::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::Although patient satisfaction has been used traditionally as a measure of excellence, research has suggested that the perception of being well cared for is likely a more promising indicator of quality than satisfaction alone. Expectations, physical environment, communication, participation and involvement, technical c...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e3181b7050d
更新日期:2010-01-01 00:00:00