1,442 results match your criteria Journal of Nursing Care Quality [Journal]


Recommendations for Fall-Related Injury Prevention: A 1-Year Review of Fall-Related Root Cause Analyses in the Veterans Health Administration.

J Nurs Care Qual 2019 Apr 16. Epub 2019 Apr 16.

Veterans Health Administration, National Center for Patient Safety, White River Junction, Vermont (Mss Soncrant and Neily and Dr Mills); Veterans Health Administration, VISN 8 Patient Safety Center of Inquiry, Veterans Affairs Medical Center, Tampa, Florida (Dr Bulat); University of South Florida Morsani College of Medicine, Tampa (Dr Bulat); and The Geisel School of Medicine at Dartmouth, Hanover, New Hampshire (Dr Mills).

Background: Injurious falls continue to challenge health care. Causes of serious falls from the largest health care system in the United States can direct future prevention efforts.

Purpose: This article analyzes injurious falls in the Veterans Health Administration and provides generalizable recommended actions to prevent future events. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000408DOI Listing

Impact of Kamishibai Card Process on Compliance With the Central Venous Line Maintenance Bundle.

J Nurs Care Qual 2019 Apr 16. Epub 2019 Apr 16.

Norton Healthcare, Louisville, Kentucky (Drs Frith and Pendleton and Ms Isaacs); University of Kentucky College of Nursing, Lexington (Dr Hampton); and Pediatric Critical Care Medicine, University of Louisville, and Division of CARE Innovation at Norton Children's Hospital, Louisville, Kentucky (Dr Montgomery).

Background: The Kamishibai Card (K-Card) process is a storytelling methodology designed to help identify barriers and remove or redesign them.

Purpose: The purpose of this study was to evaluate the effectiveness of the K-Card process for central venous line (CVL) maintenance bundle compliance in a pediatric intensive care unit.

Methods: A retrospective evaluation of the implementation of the K-Card process was performed using a pretest and posttest design. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000405DOI Listing
April 2019
1 Read

Measurement and Validation of Primary Care Nursing Indicators Based on a Wound Care Tracer Condition.

J Nurs Care Qual 2019 Apr 8. Epub 2019 Apr 8.

Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada (Ms Dufour and Dr Duhoux); CR-CSIS (Centre de Recherche-Charles-Le Moyne-Saguenay-Lac-Saint-Jean sur les innovations en santé), Université de Sherbrooke, Longueuil, Quebec, Canada (Dr Duhoux); and School of Nursing, University of Victoria, Victoria, British Columbia, Canada (Dr Contandriopoulos).

Background: Access to both valid and reliable nursing-sensitive indicators is currently limited in primary care.

Purpose: The objectives were to (1) measure primary care nursing indicators using a wound care tracer condition and (2) study the associations between process and outcome indicators.

Methods: We conducted a longitudinal study in an ambulatory care clinic in Quebec, Canada. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000403DOI Listing

Incivility and Clinical Performance, Teamwork, and Emotions: A Randomized Controlled Trial.

J Nurs Care Qual 2019 Apr 8. Epub 2019 Apr 8.

Nursing and Healthcare Leadership, University of Washington Tacoma.

Background: Incivility has been identified as a common occurrence in health care settings. While anecdotal evidence exists that these behaviors negatively impact patient care, more robust evidence is lacking.

Purpose: This randomized controlled trial investigated the effects of exposure to incivility on clinical performance, teamwork, and emotions. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000407DOI Listing
April 2019
2 Reads

Nurse-Led Mobility Program: Driving a Culture of Early Mobilization in Medical-Surgical Nursing.

J Nurs Care Qual 2019 Mar 18. Epub 2019 Mar 18.

Department of Quality and Performance Excellence, PIH Health Hospital, Whittier, California.

Background: Hospitalized medical-surgical patients are at risk for adverse health outcomes due to immobility. Despite well-documented consequences, low mobility is prevalent.

Local Problem: In a 547-bed hospital, medical-surgical patients were mobilized less frequently than expected. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000404DOI Listing
March 2019
18 Reads

Examining the Capacity of Registered Nurses to Deliver Culturally Competent Health Care to Veterans and Their Families.

J Nurs Care Qual 2019 Mar 18. Epub 2019 Mar 18.

Office of Accountability and Whistleblower Protection, Washington, District of Columbia (Dr Bonzanto); Jefferson College of Nursing, Thomas Jefferson University, Philadelphia, Pennsylvania (Dr Swan); and Cooper Medical School of Rowan University, Camden, New Jersey (Dr Gaughan).

Background: Although more than 75% of veterans and their families are accessing care in non-Veterans Affairs (VA) settings, there is little information about health care workers, specifically registered nurses (RNs)' ability to provide culturally competent and appropriate care to military veterans and their families.

Purpose: The purpose was to examine the capacity of RNs working in non-VA hospitals to deliver culturally competent health care to military veterans and their families.

Methods: A prospective survey design was carried out with nurses from a large academic health system. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000401DOI Listing
March 2019
7 Reads

Brown Bag Medication Review: Using AHRQ's Brown Bag Medication Tool.

J Nurs Care Qual 2019 Mar 18. Epub 2019 Mar 18.

School of Nursing, Wichita State University, Kansas.

Background: Medication nonadherence has been linked to health literacy and poor patient outcomes. The Health Literacy Universal Precautions Toolkit addresses both issues.

Purpose: A brown bag medication review was implemented to identify medication nonadherence in a Midwestern clinic. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000399DOI Listing

Including and Training Family Caregivers of Older Adults in Hospital Care: Facilitators and Barriers.

J Nurs Care Qual 2019 Mar 18. Epub 2019 Mar 18.

Health Policy Institute, University of Pittsburgh, Pennsylvania (Drs Fields, Leighton, and James); VA Pittsburgh Healthcare System, Pennsylvania (Dr Fields); Department of Occupational Therapy, Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, Pennsylvania (Dr Rodakowski); and University of Pittsburgh Medical Center, Pennsylvania (Mss Feiler and Minnier).

Background: Despite the role caregivers play in the delivery of care, the interactions and training methods used with caregivers during an inpatient stay are not clear.

Purpose: The purpose was to examine interactions and training methods used with caregivers during hospital care.

Methods: A mixed-methods case study was conducted. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000400DOI Listing

Barriers and Enablers to Implementing a High-Dependency Care Model in Pediatric Care: A Preimplementation Study.

J Nurs Care Qual 2019 Mar 18. Epub 2019 Mar 18.

IWK Health Centre, Halifax, Nova Scotia, Canada (Drs Cassidy and Curran, Mss MacEachern, Best, Foley, and Rowe); and Dalhousie University School of Nursing, Halifax, Nova Scotia, Canada (Drs Cassidy and Curran and Ms Egar).

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 qualitative descriptive design, guided by the Theoretical Domains Framework and Capability, Opportunity, Motivation-Behaviour (COM-B) model, to conduct focus groups and interviews with clinicians and administrators to identify potential barriers and enablers to implementing a high-dependency care (HDC) model. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000398DOI Listing
March 2019
6 Reads

Clinical Nurse Leader Knowledge Production to Quality Improvement in a Seamless Trajectory: A Participatory Research Approach.

J Nurs Care Qual 2019 Mar 4. Epub 2019 Mar 4.

Sue & Bill Gross School of Nursing, University of California, Irvine (Dr Bender); WellStar Health System, Atlanta, Georgia (Drs Spiva and Leclerc and Ms Patrick); WellStar Windy Hill Hospital, Marietta, Georgia (Ms Meffert); WellStar Medical Group, Atlanta, Georgia (Mss Moton and Clarke); WellStar Paulding Hospital, Hiram, Georgia (Dr Mathis and Ms Knotts); and WellStar Atlanta Medical Center, Georgia (Ms Mount).

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: Participatory research is a growing alternative to traditional research frameworks, emphasizing partnership with target community members in all phases of research activities. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000386DOI Listing
March 2019
4 Reads

Patient Satisfaction With Telephone Nursing: A Call for Calm, Clarity, and Competence.

J Nurs Care Qual 2019 Feb 25. Epub 2019 Feb 25.

Division of Nursing, Department of Health Science, Luleå University of Technology, Luleå, Sweden.

Background: Studies of patient satisfaction with telephone nursing can provide a better understanding of callers' needs and inform the improvement of services.

Purpose: This study described patients' experiences and perceptions of satisfaction with telephone nursing.

Methods: The design was nonexperimental and descriptive, with an inductive approach. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000392DOI Listing
February 2019
3 Reads

Rapid Response Team-Quality Champion Registered Nurse: Observations and Perceptions.

J Nurs Care Qual 2019 Feb 25. Epub 2019 Feb 25.

Frederick Memorial Hospital, Maryland.

Background: Operationalization of the rapid response team (RRT) and its quality champion (QC) nurses at a community hospital is unique and provides benefits not entirely captured by analysis of mortality data.

Purpose: The purpose was to determine the perceived benefits of the RRT at the facility and behaviors and activities observed during actual RRT responses. Also examined was the timeliness of the RRT calls. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000393DOI Listing
February 2019

Measuring Quality of Care: A Rasch Validity Analysis of the Good Nursing Care Scale.

J Nurs Care Qual 2019 Feb 25. Epub 2019 Feb 25.

Departments of Nursing Science (Drs Stolt and Leino-Kilpi) and Mathematics and Statistics (Mr Katajisto), University of Turku, Finland; Turku University Hospital, Finland (Drs Stolt and Leino-Kilpi); and Faculty of Health and Society, Malmö University, Sweden (Dr Kottorp).

Background: Patient-centeredness is emphasized in both health policies and practice, calling for reliable instruments for the evaluation of the quality of nursing care.

Purpose: The purpose was to analyze the psychometric properties of the Good Nursing Care Scale (GNCS) in a sample of surgical patients and nurses.

Methods: An explorative cross-sectional study design was used. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000391DOI Listing
February 2019
3 Reads

Increasing Competence in Pressure Injury Prevention Using Competency-Based Education in Adult Intensive Care Unit.

J Nurs Care Qual 2019 Feb 25. Epub 2019 Feb 25.

Departments of Nursing Administration (Dr Aquino) and Medical Nursing Administration (Ms Owen) and Medical Intensive Care Unit (Ms Predicce), The Johns Hopkins Hospital, Baltimore, Maryland; Department of Nursing Administration, The Johns Hopkins Hospital, The Johns Hopkins Health System, Baltimore, Maryland (Dr Poe); and The Johns Hopkins School of Nursing, Baltimore, Maryland (Dr Kozachik).

Background: There is a significant focus on pressure injury prevention to promote better patient outcomes and control health care cost.

Local Problem: In 2016, the institution's pressure injury quarterly prevalence survey showed that two-thirds of the patients surveyed who developed unit-acquired pressure injury stage 2 and greater were in the adult intensive care units.

Methods: The quality improvement project used a pre- and postintervention design. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000388DOI Listing
February 2019

Relationship Between Control Over Nursing Practice and Job Satisfaction and Quality of Patient Care.

J Nurs Care Qual 2019 Feb 25. Epub 2019 Feb 25.

Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan (Dr Al-Hamdan and Ms Smadi); King Husain Hospital, Amman, Jordan (Ms Smadi); Clinical Nursing Department (Dr Ahmad) and Maternal and Child Health Nursing Department (Dr Bawadi), School of Nursing, The University of Jordan, Amman, Jordan; and School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania (Dr Mitchell).

Background: Control over nursing practice (CONP) in the work setting is associated with several positive consequences such as increased job satisfaction, support of teamwork, decreased patient mortality, and improved quality of care.

Purpose: The purpose of this study was to examine the level of perceived CONP among Jordanian registered nurses (RNs) and determine its relationship with their job satisfaction and quality of patient care.

Method: A descriptive, cross-sectional correlational design was used. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000390DOI Listing
February 2019
9 Reads

Shared Governance Approach to Implementing Change of Shift Huddle.

J Nurs Care Qual 2019 Feb 25. Epub 2019 Feb 25.

Department of Medicine, Johns Hopkins Hospital, Baltimore, Maryland.

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http://dx.doi.org/10.1097/NCQ.0000000000000389DOI Listing
February 2019

Driving Innovation in Health Care: Clinical Nurse Leader Role.

J Nurs Care Qual 2019 Feb 25. Epub 2019 Feb 25.

University of Alabama at Birmingham Hospital (Drs Noles and Barber); and School of Nursing, University of Alabama at Birmingham (Drs James and Wingo).

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 perceptions of innovation and their own competence to lead it, compared with other nurse leaders. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000394DOI Listing
February 2019
2 Reads

Associations Between Hospital-Level Patient Satisfaction Scores and Hospital-Acquired Pressure Ulcer Occurrences Among Medicare Stroke Patients.

J Nurs Care Qual 2019 Feb 25. Epub 2019 Feb 25.

Washington State University College of Nursing, Spokane (Dr Odom-Maryon); Department of Surgery, University of Michigan Medical School, Ann Arbor (Dr Hu); and College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada (Dr Tzeng).

Background: Limited research has explored the associations between the US Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) ratings data and hospital-acquired pressure ulcer (HAPU) occurrences.

Purpose: We examined the associations between the hospital-level patient satisfaction HCAHPS scores with hospital care experience reported by Medicare patients 65 years or older and the occurrence of HAPUs among Medicare patients with stroke.

Methods: A matched case-control design was used. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000396DOI Listing
February 2019
15 Reads

Relationship Between Nurse Certification and Clinical Patient Outcomes: A Systematic Literature Review.

Authors:
Paulo Coelho

J Nurs Care Qual 2019 Feb 25. Epub 2019 Feb 25.

Department of Nursing, Security Forces Hospital Program, Riyadh, Saudi Arabia.

Background: Certification of nurses has been identified as a strategy to improve health care quality. However, the impact nursing certification has on clinical patient outcomes remains unclear.

Purpose: The purpose was to examine the relationship between nursing certification and clinical outcomes. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000397DOI Listing
February 2019

Systemwide Practice Change Program to Combat Hospital-Acquired Pressure Injuries: Translating Knowledge Into Practice.

J Nurs Care Qual 2019 Feb 25. Epub 2019 Feb 25.

Sydney Local Health District, Camperdown, Sydney, Australia (Ms Barakat-Johnson and Drs Wand and White); Faculty of Medicine and Health, Susan Wakil School of Nursing, University of Sydney, Camperdown, Sydney, Australia (Mss Barakat-Johnson and Lai and Drs Wand and White); Emergency Department, Royal Prince Alfred Hospital, Sydney Local Health District, Camperdown, Australia (Dr Wand); and School of Nursing, Queensland University of Technology and Intensive Care Services, Royal Brisbane and Women's Hospital, Kelvin Grove, Queensland, Australia, and Institute for Skin Integrity and Infection Prevention, University of Huddersfield, UK (Dr Coyer).

Background: Considerable evidence exists on how to prevent hospital-acquired pressure injuries (HAPIs). However, processes employed to implement evidence play a significant role in influencing outcomes.

Problem: One Australian health district experienced a substantial increase in HAPIs over a 5-year period (by almost 60%) that required a systemwide practice change. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000395DOI Listing
February 2019
4 Reads

Staff's Perception of the Intensive Care Outreach Nurse Role: A Multisite Cross-sectional Study.

J Nurs Care Qual 2019 Jan 29. Epub 2019 Jan 29.

Nursing & Allied Health Consultant, Abu Dhabi Health Service (SEHA) and School of Nursing and Midwifery Griffith University (Ms Williams), Intensive Care Unit, Tawam Hospital (Ms Rotering), Intensive Care Unit, Sheikh Khalifa Medical City (Ms Samuel), Al Mafraq Hospital (Ms Du Plessis), and Intensive Care Unit, Al Ain Hospital (Mr Abdel Khaleq), Abu Dhabi, UAE; and Department of Emergency Medicine, Gold Coast Health and School of Nursing and Midwifery Griffith University, Australia (Dr Crilly).

Background: Rapid Response Systems are emerging internationally to provide a patient-focused approach to prevent potentially avoidable deaths and serious adverse events.

Local Problem: This study focused on ward nurses in the United Arab Emirates (UAE) government hospitals who were perceived to lack the confidence and knowledge to detect and/or respond to deteriorating patients.

Method: A cross-sectional study design was used to evaluate the Intensive Care Outreach Nurse (ICON) role from the perspectives of the ICONs, their managers/educators, and ward-based physicians and nurses. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000387DOI Listing
January 2019
1 Read
1.094 Impact Factor

Interdisciplinary Rounds on a Hospitalist Service: Impact on Palliative Care Measures, Quality, and Utilization Outcomes.

J Nurs Care Qual 2019 Jan 17. Epub 2019 Jan 17.

Nursing Administration, Sentara Williamsburg Regional Medical Center, Williamsburg, Virginia (Dr Smith); Quality Research Institute, Sentara Healthcare, Virginia Beach, Virginia (Drs Maduro, Morgan, and Zimbro and Ms Schneider); and School of Nursing, Old Dominion University, Norfolk, Virginia (Dr Rutledge).

Background: Despite growth in service availability, palliative care (PC) referrals are often underutilized or delayed, which may compromise patient outcomes.

Local Problem: Underutilized or delayed PC referrals among hospitalized adults prompted this project aimed at improving PC measures, quality, and utilization outcomes.

Methods: Data extracted from the electronic medical record were used to identify needed improvements in PC. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000385DOI Listing
January 2019
1 Read

Augmenting Atrial Fibrillation Care After an Emergency Department Visit: Implementing Telephone Practice.

J Nurs Care Qual 2018 Dec 21. Epub 2018 Dec 21.

Heart Rhythm Service, Queen's University, Kingston, Ontario, Canada (Mss Hart and Hammond and Dr Redfearn); and Kingston General Health Research Institute (KGHRI), Kingston Health Sciences Centre, Kingston, Ontario, Canada (Ms Hopman).

Background: Between 2010 and 2012, the Heart Rhythm team in a tertiary care hospital completed a retrospective study that found that atrial fibrillation (AF) care can be episodic and heavily reliant on hospital resources, particularly the emergency department (ED).

Problem: Patients who attend the ED with AF are at high risk of hospital admission.

Approach: A nurse practitioner (NP) was added to the Heart Rhythm team to create a program to improve AF care after an ED visit. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000381DOI Listing
December 2018
3 Reads

Implementation of a Vital Sign Alert System to Improve Outcomes.

J Nurs Care Qual 2018 Dec 21. Epub 2018 Dec 21.

Wooster Community Hospital, Wooster, Ohio (Dr Huff and Ms Mori); Waynesburg University, Waynesburg, Pennsylvania (Drs Stephens and Whiteman); and Department of Physician Assistant Studies, John G. Rangos Sr School of Health Sciences, Duquesne University, Pittsburgh, Pennsylvania (Dr Swanson-Biearman).

Background: Patients at risk for clinical deterioration often show changes in vital signs up to 24 hours before a critical event. Use of modified early warning scores has demonstrated effectiveness in identifying patients at risk for clinical deterioration and improving outcomes.

Local Problem: Documentation of vital signs, timely recognition of clinical deterioration, and compliance with the sepsis bundles remained a challenge. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000384DOI Listing
December 2018
4 Reads

Sepsis Education Initiative Targeting qSOFA Screening for Non-ICU Patients to Improve Sepsis Recognition and Time to Treatment.

J Nurs Care Qual 2018 Dec 21. Epub 2018 Dec 21.

Department of Critical Care Medicine, UPMC Hamot, Erie, Pennsylvania (Drs Raines and Sevilla Berrios); and Department of Acute/Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania (Drs Raines and Guttendorf).

Background: The quick-Sequential Organ Failure Assessment (qSOFA) criteria are recommended for identifying non-intensive care unit (ICU) patients at risk for sepsis but are underutilized.

Local Problem: We hypothesized that education on recognizing sepsis using qSOFA criteria and empowering nurses to trigger rapid response team (RRT) calls based on positive qSOFA scores would reduce time to recognition and time to intervention and improve treatment compliance in non-ICU patients.

Methods: The methods involved a descriptive retrospective review of 60 sepsis patients (30 pre- and 30 posteducation) to determine sepsis recognition time (qSOFA-to-RRT); time-to-sepsis interventions (reported as median [interquartile range] hours); and percent compliance with interventions. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000379DOI Listing
December 2018
2 Reads

Randomized Controlled Trial of Symptom Management Patient Education for People With Acute Coronary Syndrome.

J Nurs Care Qual 2018 Dec 12. Epub 2018 Dec 12.

Southern Cross University and Griffith University, Gold Coast, Australia (Dr Stolic); Menzies Health Institute Queensland and Griffith University, Gold Coast, Australia (Dr Lin); and Intensive Care Unit, Princess Alexandra Hospital, Griffith University and Menzies Health Institute, Brisbane, Australia (Dr Mitchell).

Background: Poorly managed acute coronary syndrome symptoms increase the risk of subsequent cardiovascular events.

Purpose: The aim of this study was to evaluate the effectiveness of symptom management patient education on the knowledge of sublingual nitroglycerin for people with acute coronary syndrome.

Methods: A randomized controlled trial was used to evaluate the 3-resource intervention. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000383DOI Listing
December 2018
2 Reads
1.094 Impact Factor

Critical Care Nurse-Led Quality Improvement Hyperglycemia Reduction Initiative.

J Nurs Care Qual 2019 Apr/Jun;34(2):91-93

Northeast Ohio VA Healthcare System, Cleveland.

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http://dx.doi.org/10.1097/NCQ.0000000000000380DOI Listing
December 2018
6 Reads

Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events.

J Nurs Care Qual 2018 Dec 12. Epub 2018 Dec 12.

Columbia University, School of Nursing, New York, New York (Dr Hessels); Ann May Center for Nursing and Allied Health, Hackensack Meridian Health, Neptune, New Jersey (Drs Hessels, Weaver, and Wurmser); Institute of Evidence-Based Care, Hackensack Meridian Health, Neptune, New Jersey (Ms Paliwal); and Medical Services Division, United Nations, New York, New York (Dr Siddiqui).

Background: A strong patient safety culture (PSC) may be associated with improved patient outcomes in hospitals. The mechanism that explains this relationship is underexplored; missed nursing care may be an important link.

Purpose: The purpose of this study was to describe relationships among PSC, missed nursing care, and 4 types of adverse patient events. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000378DOI Listing
December 2018
3 Reads

Improving Patient Experience and Treatment Adherence in the Adult, Outpatient Hemodialysis Population.

J Nurs Care Qual 2018 Dec 12. Epub 2018 Dec 12.

Valley Nephrology Associates, Roanoke, Virginia (Drs Saunders and Ahmadzadeh and Ms Wright); Duke University School of Nursing, Durham, North Carolina (Drs Bush and Granger); and Duke Heart Center Nursing Research Program, Durham, North Carolina (Dr Granger).

Background: The commonly employed medication reconciliation process leaves room for mismanagement of medications in the complex end-stage renal disease patient population.

Purpose: The purpose of this quality improvement project was to implement and evaluate a multidisciplinary education and feedback intervention designed to improve self-management for adults with end-stage renal disease.

Methods: A pre-post, same subject repeated measures design was used to evaluate the intervention. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000373DOI Listing
December 2018
3 Reads

Relationship Between Work Environments, Nurse Outcomes, and Quality of Care in ICUs: Mediating Role of Nursing Care Left Undone.

J Nurs Care Qual 2018 Dec 12. Epub 2018 Dec 12.

School of Nursing, Sun Yat-sen University, Guangzhou, China.

Background: The mechanism of how work environments affect nurse outcomes and quality of care has not been studied in intensive care unit (ICU) settings.

Purpose: The purpose was to investigate the effects of work environment on nurse outcomes and quality of care in ICUs, through the mediating effects of nursing care left undone.

Methods: This study used survey data from 459 nurses from 22 ICUs in 22 hospitals in China. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000374DOI Listing
December 2018
1 Read

Impact of a Nutrition-Focused Quality Improvement Intervention on Hospital Length of Stay.

J Nurs Care Qual 2018 Dec 12. Epub 2018 Dec 12.

Clinical Nutrition, Sodexo Healthcare, Gaithersburg, Maryland (Ms Siegel and Mr Higgins); Department of Agricultural Economics, Mississippi State University, Starkville, Mississippi (Dr Fan); Catholic Heath Initiatives, Denver, Colorado (Ms Goldman); and Health Economics and Outcomes Research, Abbott Nutrition Research and Development, Columbus, Ohio (Drs Goates and Partridge).

Background: Despite its high prevalence, malnutrition in hospitalized patients often goes unrecognized and undertreated.

Local Problem: A hospital system sought to improve nutrition care by implementing a quality improvement initiative. Nurses screened patients upon admission using the Malnutrition Screening Tool and initiated oral nutrition supplements for patients at risk. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000382DOI Listing
December 2018
17 Reads

Health Optimization Program for Elders: Improving the Transition From Hospital to Skilled Nursing Facility.

J Nurs Care Qual 2018 Dec 12. Epub 2018 Dec 12.

Department of Medicine (Drs Krol, Jolly Graham, and White and Mr English), Center for Advanced Clinical Practice (Ms Allen), and Duke University School of Nursing (Ms Matters), Duke University Medical Center, Durham, North Carolina.

Background: Individuals discharged from the hospital to skilled nursing facilities (SNFs) experience high rates of unplanned hospital readmission, indicating opportunity for improvement in transitional care.

Local Problem: Local physicians providing care in SNFs were not associated with the discharging hospital health care system. As a result, substantive real-time communication between hospital and SNF physicians was not occurring. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000375DOI Listing
December 2018
4 Reads

Blended Facilitation as an Effective Implementation Strategy for Quality Improvement and Research in Nursing Homes.

J Nurs Care Qual 2018 Nov 21. Epub 2018 Nov 21.

New England Geriatric Research, Education and Clinical Center (Dr Pimentel), Hospice and Palliative Care (Dr Dillon), and Center for Healthcare Organization and Implementation Research (Drs Wewiorski and Hartmann), Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts; Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts (Dr Pimentel); Center for Innovation in Long-Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island (Dr Mills); Institute for Aging Research, Hebrew SeniorLife, Roslindale, Massachusetts (Dr Palmer); Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts (Dr Sullivan); Department of Health Law, Policy and Management, School of Public Health, Boston University, Boston, Massachusetts (Drs Sullivan and Hartmann); Tuscaloosa Veterans Affairs Medical Center, Tuscaloosa, Alabama (Dr Snow and Ms Hopkins); and Alabama Research Institute on Aging and the Department of Psychology, The University of Alabama, Tuscaloosa (Drs Snow and Allen).

Background: Blended facilitation, which leverages the complementary skills and expertise of external and internal facilitators, is a powerful strategy that nursing stakeholders and researchers may use to improve implementation of quality improvement (QI) innovations and research performed in nursing homes.

Problem: Nursing homes present myriad challenges (eg, time constraints, top-down flow of communication, high staff turnover) to QI implementation and research.

Approach: This methods article describes the theory and practical application of blended facilitation and its components (external facilitation, internal facilitation, relationship building, and skill building), using examples from a mixed QI and research intervention in Veterans Health Administration nursing homes. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000376DOI Listing
November 2018
19 Reads

Nursing Documentation of Postoperative Pain Management: A Documentary Analysis.

J Nurs Care Qual 2018 Nov 21. Epub 2018 Nov 21.

Adult Health Nursing Department (Drs Shoqirat and Mahasneh), Faculty of Nursing (Dr Khresheh), Mutah University, Karak, Jordan; Department of Community Health Nursing, School of Nursing, The University of Jordan, Amman, Jordan (Dr Dardas); and Betty Irene Moore School of Nursing, Sacramento, California (Dr Singh).

Background: Although proper documentation of pain for postoperative patients is essential to promote patient health outcomes, there is limited examination of nurses' documentation of pain management.

Purpose: The purpose of this study was to qualitatively analyze nursing documentation of pain management among postoperative patients in Jordan.

Method: A documentary analysis method was used. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000372DOI Listing
November 2018
14 Reads
1.094 Impact Factor

Barriers to Integrating Research Into Clinical Nursing Practice.

J Nurs Care Qual 2018 Nov 21. Epub 2018 Nov 21.

Community Health Nursing Department, Faculty of Nursing (Drs Aljezawi and ALBashtawy), Department of Adult Health Nursing, School of Nursing (Drs Al Qadire and Tawalbeh), and Faculty of Nursing (Dr Aloush), Al al-Bayt University, Mafraq, Jordan; Healthcare Information Technology Affairs-HITA, King Faisal Specialist Hospital & Research Center (General Org), Riyadh, Saudi Arabia (Mr Alhajjy); and King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia (Ms Alamery).

Background: Using research findings in clinical practice is a cornerstone in improving the quality of care, but nurses face different barriers in doing so.

Purpose: The purpose was to explore barriers to research utilization in clinical practice as perceived by nurses.

Method: A cross-sectional survey was done using a convenience sampling method in a single specialist hospital in Saudi Arabia. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000371DOI Listing
November 2018
26 Reads
1.094 Impact Factor

Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles: A Qualitative Analysis.

J Nurs Care Qual 2018 Nov 21. Epub 2018 Nov 21.

Johns Hopkins School of Nursing (Drs Mossburg and Weaver), Johns Hopkins School of Medicine (Drs Weaver and Daugherty Biddison and Ms Pillari), and Armstrong Institute for Patient Safety and Quality (Dr Weaver), Baltimore, Maryland.

Background: To prevent patient harm, health care organizations are adopting practices from other complex work environments known as high-reliability organizations (HRO).

Purpose: The purpose was to explore differences in manifestations of HRO principles on hospital units with high and low safety performance.

Methods: Focus groups were conducted on units scoring high or low on safety measures. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000368DOI Listing
November 2018
1 Read

Clarifying Role Expectations and Practice Standards Using a Clinical Nurse Leader Professional Practice Model Illustration.

J Nurs Care Qual 2018 Nov 21. Epub 2018 Nov 21.

Blair College of Health, Queens University of Charlotte, North Carolina (Drs Hatley and Buttriss); and Patient Care Services (Dr Ralyea) and Central Division (Ms Rankin), Carolinas Medical Center, Atrium Health, Charlotte, North Carolina.

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 of change in practice roles. Outside of the preparation of the CNL, many nursing professionals are not educated or prepared on the essential aspects the CNL role. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000370DOI Listing
November 2018
22 Reads

Perceptions of Missed Care Across Oncology Nursing Specialty Units.

J Nurs Care Qual 2019 Jan/Mar;34(1):47-53

University of Texas MD Anderson Cancer Center, Houston.

Background: An opportunity was identified to compare perceptions of the occurrence and types of missed care at a comprehensive cancer center.

Purpose: The purpose was to evaluate the difference in perceived occurrence and types of missed care between medical, surgical, and hematologic oncology units in the context of a newly implemented patient care delivery system, Primary Team Nursing (PTN).

Methods: A descriptive, repeated-measures design was used. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000324DOI Listing
February 2019
2 Reads

Advanced Practice Registered Nurses' Quality Improvement Efforts to Reduce Antipsychotic Use in Nursing Homes.

J Nurs Care Qual 2019 Jan/Mar;34(1):4-8

Sinclair School of Nursing, University of Missouri, Columbia (Drs Vogelsmeier, Popejoy, and Rantz); Department of Social Work, College of Human and Environmental Sciences, University of Missouri, Columbia (Dr Canada); Missouri Quality Initiative (MOQI), Sinclair School of Nursing, University of Missouri-St Louis (Dr Flesner and Mss Lueckenotte and Minner); and Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee (Dr Galambos).

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http://dx.doi.org/10.1097/NCQ.0000000000000366DOI Listing
November 2018
3 Reads

Nurses and Patients: Natural Partners to Advance Patient Safety.

J Nurs Care Qual 2019 Jan/Mar;34(1):1-3

Formerly, Center for Evidence and Practice Improvement (Dr Ricciardi) and Center for Quality Improvement and Patient Safety (Ms Shofer), Agency for Healthcare Research and Quality, Rockville, Maryland.

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http://dx.doi.org/10.1097/NCQ.0000000000000377DOI Listing
November 2018
1 Read

Use of Chlorhexidine to Prevent Ventilator-Associated Pneumonia in a Long-term Care Setting: A Retrospective Medical Record Review.

J Nurs Care Qual 2018 Oct 15. Epub 2018 Oct 15.

St Cloud VA Health Care System, St Cloud, Minnesota.

Background: The purpose of this study was to explore the use of the oral decontamination solution chlorhexidine (CHX) to reduce ventilator-associated pneumonia (VAP) in a long-term ventilator care setting over time. Most of the research in this area has been conducted in acute and intensive care settings.

Methods: This study was a retrospective medical record review conducted in a long-term care facility with a dedicated ventilator unit. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000367DOI Listing
October 2018
3 Reads

Exploring the Hidden Functions of Nursing Bedside Shift Report: A Performance, Ritual, and Sensemaking Opportunity.

J Nurs Care Qual 2018 Oct 15. Epub 2018 Oct 15.

The University of Iowa College of Nursing, Iowa City.

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 poorly understood. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000357DOI Listing
October 2018
10 Reads

Organizational Factors Associated With Technical Efficiency of Nursing Care in US Intensive Care Units.

J Nurs Care Qual 2018 Sep 11. Epub 2018 Sep 11.

Yonsei University College of Nursing, Seoul, South Korea (Dr Min); School of Nursing, University of Wisconsin-Madison, Madison (Dr Scott); and University of Illinois at Chicago College of Nursing, Chicago (Drs Park, Vincent, and Ryan).

Background: Few studies have evaluated technical efficiency of nursing care, and no such studies have been conducted in intensive care units (ICUs).

Purpose: To explore relative technical efficiency of US ICUs and identify organizational factors associated with efficiency in providing quality of nursing care.

Methods: A total of 404 adult ICUs from the 2014 National Database of Nursing Quality Indicators were included. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000362DOI Listing
September 2018
3 Reads

Using Lean Six Sigma to Improve Controlled Drug Processes and Release Nursing Time.

J Nurs Care Qual 2018 Sep 6. Epub 2018 Sep 6.

Pharmacy Department (Ms Creed), Transformation Office (Ms McGuirk), and Quality and Patient Safety Department (Ms Buckley), Mater Misericordiae University Hospital, Dublin, Ireland; School of Nursing, Midwifery and Health Systems, University College Dublin, Ireland (Dr De Brún); National Leadership and Innovation Centre for Nursing and Midwifery, Office of the Nursing and Midwifery Services Director, Health Service Executive, Dublin, Ireland (Ms Kilduff).

Background: Hospital controlled drug processes are established to adhere to legislation, with little consideration of efficiency of processes.

Local Problem: A controlled drug process existed, where nurses requested a porter to collect a hand-written order; however, only 19% of drug orders were processed this way. Instead, an unscheduled, ad hoc process led to an average of 17 nurse journeys to pharmacy daily. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000364DOI Listing
September 2018
15 Reads

Impact of Nurse Peer Review on a Culture of Safety.

J Nurs Care Qual 2019 Apr/Jun;34(2):158-162

Administration, Indiana University Health Bloomington Hospital (Dr Herrington); and Department of Graduate Nursing, College of Nursing and Health Professions, University of Southern Indiana, Evansville (Dr Hand).

Background: Nursing peer review (NPR) is essential in evaluating nursing practice. A common theme throughout the literature is that NPR holds nurses accountable for their practice.

Problem: The nursing profession has struggled to conduct peer review consistently due to lack of a standardized framework. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000361DOI Listing
March 2019
8 Reads
1.094 Impact Factor

Quality Improvement Project to Manage Workplace Violence in Hospitals: Lessons Learned.

J Nurs Care Qual 2019 Apr/Jun;34(2):114-120

Department of Graduate Nursing, The College of St Scholastica, Duluth, Minnesota.

Background: The study of workplace violence has focused on quantifying the problem and profiling perpetrators and victims. Intervention studies are scarce. The diverse nature of violence risk in hospitals highlights the need for broad training in risk recognition and de-escalation. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000358DOI Listing
March 2019
2 Reads

Quiet Time Improves the Patient Experience.

J Nurs Care Qual 2018 Sep 6. Epub 2018 Sep 6.

University of North Carolina Medical Center, Chapel Hill (Dr Hedges and Ms Ball); and UNC School of Medicine and UNC Health Care, University of North Carolina Institute for Healthcare Quality Improvement, Chapel Hill (Ms Hunt).

Background: A quiet environment promotes rest and healing but is often challenging to provide in a busy acute care setting. Improving quiet in the hospital for designated hours improves patient satisfaction. Such efforts have typically been the primary responsibility of the nursing staff. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000363DOI Listing
September 2018
54 Reads

Sustaining Quality Improvement: Long-Term Reduction of Nonventilator Hospital-Acquired Pneumonia.

J Nurs Care Qual 2018 Sep 6. Epub 2018 Sep 6.

School of Nursing, California State University, Sacramento, Sacramento (Dr Baker); Sutter Medical Center, Sacramento, California (Ms Quinn); James Cook University Hospital, Middlesbrough, and Institute for Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom (Dr Ewan); and Northeastern University, and Yvonne L. Munn Center for Nursing Research, Massachusetts General Hospital, Boston (Dr Giuliano).

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 pneumonia was occurring on all types of units. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000359DOI Listing
September 2018
2 Reads