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：:Within the health care community, more and more emphasis is being placed on patient satisfaction. This study was undertaken in a midwestern, nonprofit, 300-bed acute care hospital to gain a better understanding of how nonresponse rates and patient characteristics affect patient satisfaction scores. With a response rat...

journal_title：Journal of nursing care quality

authors： Spooner SH

更新日期：2003-07-01 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

authors： Horak D,Hollabaugh S,Duffy T

更新日期：2003-04-01 00:00:00

abstract：:Cancer survival has improved, and more attention is now being focused on quality of life. Quality-of-life issues include the physical, psychological, social, spiritual, and financial aspects of caring. Because patient support services can play an important role in helping patients cope with their disease, they are cri...

journal_title：Journal of nursing care quality

authors： Cartwright-Alcarese F,Sung MW,Brenner B,Zambodla A,Geduld A,Desjardins L

更新日期：2003-01-01 00:00:00

abstract：:The incident report read. "His arm was tightly locked around my neck. His free arm was touching me while he said terrible, obscene things he intended to do. My heart was pounding. My mind was racing, unable to think rationally. I needed to focus on an escape plan. I was too terrified to think. I just aimlessly struggl...

journal_title：Journal of nursing care quality

authors： Sylvester BJ,Reisener L

更新日期：2002-10-01 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

authors： Hronek C,Bleich MR

更新日期：2002-07-01 00:00:00

abstract：:Recognizing that little is known about use of quality improvement (QI) processes to enhance care of the dying, 11 large hospices exchanged information about their QI programs. These hospices reported monitoring from 3 to 50 outcomes measured by various indicators and methods. Agencies that related QI to their organiza...

journal_title：Journal of nursing care quality

authors： D'Onofrio CN,National Hospice Work Group.

更新日期：2001-07-01 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

authors： Lanza ML

更新日期：2000-10-01 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

authors： Bowers BJ,Esmond S,Jacobson N

更新日期：2000-07-01 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

authors： Rantz MJ,Mehr DR,Petroski GF,Madsen RW,Popejoy LL,Hicks LL,Conn VS,Grando VT,Wipke-Tevis DD,Bostick J,Porter R,Zwygart-Stauffacher M,Maas M

更新日期：2000-04-01 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

authors： Cole C,Bigando K,DeSutter S

更新日期：2000-01-01 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

authors： Oermann MH

更新日期：1999-10-01 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：: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

abstract：:A patient satisfaction survey at Missouri Baptist Medical Center revealed that patients experiencing a vaginal delivery needed to wait for their medications and did not consistently receive adequate information about medications. Furthermore, a chart review noted that physicians ordered a wide variety of medications f...

journal_title：Journal of nursing care quality

authors： Beger D,Messenger F,Roth S

更新日期：1999-04-01 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

authors： Schifalacqua M

更新日期：1999-02-01 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

authors： Siehoff AM

更新日期：1998-12-01 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

authors： Kozak A

更新日期：1998-10-01 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

authors： Johnson DI,Mooney K,DiStefano M,Sullivan M,Haber D,Kalriess G

更新日期：1998-08-01 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：: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

authors： Ibarra VL,Mueller T,Rossi N,Schillig K,Swearingen J

更新日期：1998-02-01 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

authors： Rantz MJ,Popejoy L,Mehr DR,Zwygart-Stauffacher M,Hicks LL,Grando V,Conn VS,Porter R,Scott J,Maas M

更新日期：1997-12-01 00:00:00

abstract：:Building a knowledgebase regarding multicultural beliefs and practices will help health care providers meet the challenge of caring for persons of diverse cultures. It is evident that developing greater multicultural awareness will also help health care workers improve patient care. For this reason, an Interdisciplina...

journal_title：Journal of nursing care quality

authors： Peterson R,Whitman H,Smith J

更新日期：1997-08-01 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

authors： Jones ME,Clark D

更新日期：1997-04-01 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

authors： Visalli H,Johnstone L,Lazzaro CA,Kasky S

更新日期：1997-02-01 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

authors： Joiner GA

更新日期：1996-10-01 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

authors： Reineck C,Reineck TC Jr

更新日期：1996-07-01 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

authors： Dugan J,Lauer E,Bouquot Z,Dutro BK,Smith M,Widmeyer G

更新日期：1996-04-01 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：: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

authors： Nardone PL,Markie JW,Tolle S

更新日期：1995-10-01 00:00:00

abstract：:Increasing reliance on physical restraint devices within hospital settings can be attributed to many reasons, perhaps including litigation. Restraint use represents a quality improvement issue; therefore, a review of all studies involving restraints in acute care settings was conducted. Results of a descriptive study ...

journal_title：Journal of nursing care quality

authors： Janelli LM

更新日期：1995-04-01 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

authors： Cramer D,Tucker SM

更新日期：1995-01-01 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

authors： Heard K

更新日期：1994-10-01 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

authors： Dietrick-Gallagher M,Polomano R,Carrick L

更新日期：1994-10-01 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

authors： Recker D,Oie M

更新日期：1994-07-01 00:00:00

abstract：:Implementation of clinical paths has resulted in a successful multidisciplinary approach for monitoring quality improvement outcomes in a select group of cardiovascular patients. This article defines clinical paths and explains their development, implementation, and evaluation. It also discusses how variances (which a...

journal_title：Journal of nursing care quality

authors： Rudisill PT,Phillips M,Payne CM

更新日期：1994-04-01 00:00:00

abstract：:Health care organizations across the country are in different phases of transition from quality assurance to quality improvement. A plan is essential to ensure quality assessment and improvement requirements are met while the organization is in transition. Based on the hospital's commitment to quality improvement, the...

journal_title：Journal of nursing care quality

authors： Johnson T

更新日期：1994-01-01 00:00:00