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：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：BACKGROUND:The importance of staff working life for staff well-being has been demonstrated in several studies; less research has focused on staff working life and older persons' satisfaction with care. PURPOSE:The study aim was to study relationships between 1) staff assessments of their structural conditions/empowerm...

journal_title：Journal of nursing care quality

authors： Engström M,Högberg H,Strömberg A,Hagerman H,Skytt B

更新日期：2021-01-01 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

authors： Francisco MA,Pierce NL,Ely E,Cerasale MT,Anderson D,Pavkovich D,Puello F,Tummala S,Tyker A,DʼSouza FR

更新日期：2020-11-23 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：BACKGROUND:Frontline nurse engagement in quality improvement (QI) improves nurse-sensitive outcomes; yet research suggests frontline nurses are not engaging in QI. PURPOSE:The purpose of this study was to develop, refine, and psychometrically evaluate the Nursing Quality Improvement in Practice (N-QuIP) tool to measur...

journal_title：Journal of nursing care quality

authors： Tschannen D,Alexander C,Tovar EG,Ghosh B,Zellefrow C,Milner KA

更新日期：2020-10-01 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

authors： Cooke M,Valentine NM

更新日期：2020-08-18 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：BACKGROUND:New graduate nurses transition with limited experience, and with anxiety and stress. They present an increased risk of contributing to preventable errors or adverse events. PURPOSE:The purpose was to develop an understanding of new graduate registered nurses' (RNs) patient safety knowledge and actions withi...

journal_title：Journal of nursing care quality

authors： Murray M,Sundin D,Cope V

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:The paradigm shift that has occurred for patients with total hip (THA) and knee (TKA) arthroplasty through enhanced recovery programs underscores the need for redesigning care provision. LOCAL PROBLEM:In this hospital, the patient outcomes and experience anticipated from the implementation of enhanced recov...

journal_title：Journal of nursing care quality

authors： Burley G,Torres L,Heligman J

更新日期：2020-04-01 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：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：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

authors： Cassidy C,MacEachern L,Egar J,Best S,Foley L,Rowe ME,Curran J

更新日期：2019-10-01 00:00:00

abstract：BACKGROUND:The clinical nurse leader (CNL) role was developed as a strategy for redesigning care delivery to address quality and safety gaps in health care. However, innovation competencies have never been assessed in this group. PURPOSE:The purpose of this study was to determine whether CNLs have different perception...

journal_title：Journal of nursing care quality

authors： Noles K,Barber R,James D,Wingo N

更新日期：2019-10-01 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

authors： Bender M,Spiva L,Patrick S,Meffert S,Moton L,Clarke S,Mathis K,Leclerc L,Knotts K,Mount A

更新日期：2019-10-01 00:00:00

abstract：BACKGROUND:Hospital-acquired pneumonia is now the number one hospital-acquired infection. Hospitals have addressed ventilator-associated pneumonia; however, patients not on a ventilator acquire more pneumonia with significant associated mortality rates. LOCAL PROBLEM:In our hospital, non-ventilator-associated pneumoni...

journal_title：Journal of nursing care quality

authors： Baker D,Quinn B,Ewan V,Giuliano KK

更新日期：2019-07-01 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

authors： Manges KA,Groves PS

更新日期：2019-07-01 00:00:00

abstract：BACKGROUND:Despite evidence of the positive impact of the clinical nurse leader (CNL) role, implementation of supplemental nursing roles has proven to be challenging due to unclear role explanations and organizational unfamiliarity. PROBLEM:Nurses practice in a dynamic environment and need to cope with the rapid pace ...

journal_title：Journal of nursing care quality

authors： Hatley A,Ralyea T,Buttriss GO,Rankin VL

更新日期：2019-07-01 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

authors： Tzeng HM,Pierson JM,Kang Y,Barker A,Yin CY

更新日期：2019-04-01 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

authors： Godley M,Jenkins JB

更新日期：2019-01-01 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

authors： OʼMalley MB,Trotta RL,Rohrbach J,Ahya V,Bradway C

更新日期：2018-04-01 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

authors： Strudwick G,Reisdorfer E,Warnock C,Kalia K,Sulkers H,Clark C,Booth R

更新日期：2018-01-01 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：: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：: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

authors： Young E,Paulk J,Beck J,Anderson M,Burck M,Jobman L,Stickrath C

更新日期：2017-07-01 00:00:00

abstract：:This quality improvement project evaluates the effectiveness of implementing an evidence-based alcohol withdrawal protocol in an acute care setting. Patient outcomes, length of stay, and nurses' knowledge and satisfaction with care are compared pre- and postimplementation. Implementation resulted in significant reduct...

journal_title：Journal of nursing care quality

authors： Holt C,Dearmon V,Lawrence SM,Lewis CL,Skotzko CE

更新日期：2017-07-01 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

authors： Zhang X,Lee SY,Chen J,Liu H

更新日期：2017-07-01 00:00:00

abstract：:Workplace bullying is strongly associated with negative nursing outcomes, such as work dissatisfaction, turnover, and intent to leave; however, results of studies examining associations with specific patient safety outcomes are limited or nonspecific. This integrative review explores and synthesizes the published arti...

journal_title：Journal of nursing care quality

authors： Houck NM,Colbert AM

更新日期：2017-04-01 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：: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

authors： Nasarwanji MF,Badir A,Gurses AP

更新日期：2016-07-01 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：: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

authors： Crickman R,Finnell D

更新日期：2016-04-01 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

authors： Lake ET,Hallowell SG,Kutney-Lee A,Hatfield LA,Del Guidice M,Boxer BA,Ellis LN,Verica L,Aiken LH

更新日期：2016-01-01 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

authors： Jeffs L,Nincic V,White P,Hayes L,Lo J

更新日期：2015-07-01 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

authors： Bathish M,McLaughlin M,Talsma A

更新日期：2015-04-01 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：:Deep vein thrombosis remains a source of adverse outcomes in surgical patients. Deep vein thrombosis is preventable with prophylactic intervention. The success of noninvasive mechanical modalities for prophylaxis relies on compliance with correct application. The goals of this project were to create a guideline that r...

journal_title：Journal of nursing care quality

authors： Restrepo P,Jameson DL,Carroll DL

更新日期：2015-01-01 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

authors： Jones CM,Stewart C,Roszell SS

更新日期：2015-01-01 00:00:00

abstract：:The health care team identified the causes of health care-associated infections (HAI) and developed interventions in a pediatric intensive care unit in Gaza. A quasi-experimental pretest-posttest design was used. All 26 full-time staff members in the pediatric intensive care unit participated. The HAI rate decreased s...

journal_title：Journal of nursing care quality

authors： Aljeesh YI,Alkariri N,Abusalem S,Myers JA,Alaloul F

更新日期：2015-01-01 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