1,421 results match your criteria Journal of Nursing Care Quality [Journal]


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
1.094 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

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

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
2 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

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
1 Read
1.094 Impact Factor

Critical Care Nurse-Led Quality Improvement Hyperglycemia Reduction Initiative.

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

Northeast Ohio VA Healthcare System, Cleveland.

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http://dx.doi.org/10.1097/NCQ.0000000000000380DOI Listing
December 2018
1 Read

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
1 Read

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
2 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

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
16 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
2 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
11 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
10 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
18 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

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
12 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
1 Read

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
1 Read

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

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
2 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
5 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
2 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
9 Reads

Impact of Nurse Peer Review on a Culture of Safety.

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

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
September 2018
7 Reads
1.094 Impact Factor

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

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

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
September 2018
1 Read

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
35 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
1 Read

Individualized Fall Prevention Program in an Acute Care Setting: An Evidence-Based Practice Improvement.

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

Northern Westchester Hospital, Mount Kisco, New York (Dr Spano-Szekely and Mss Winkler, Waters, Dealmeida, Brandt, Williamson, Blum, and Gasper); and New York University Rory Meyers College of Nursing, New York (Dr Wright).

Background: A 245-bed community hospital established patient fall prevention as its patient safety priority.

Problem: The hospital's fall prevention program was not consistently effective. The baseline fall rate was 3. Read More

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http://Insights.ovid.com/crossref?an=00001786-900000000-9949
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http://dx.doi.org/10.1097/NCQ.0000000000000344DOI Listing
September 2018
54 Reads

A Systematic Review of Criteria-Led Patient Discharge.

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

University Hospitals Birmingham, NHS Foundation Trust, Heartlands Hospital, West Midlands, United Kingdom (Ms Lees-Deutsch); The University of Birmingham, Birmingham, West Midlands, United Kingdom (Ms Lees-Deutsch); Society for Acute Medicine, Edinburgh, United Kingdom (Ms Lees-Deutsch); National Health Service Improvement, London, United Kingdom (Ms Robinson); and Royal College of Nursing, London, United Kingdom (Ms Robinson).

Background: This article reports on a systematic review conducted to critique safety, quality, length of stay, and implementation factors regarding criteria-led discharge.

Purpose: Improving patient flow and timely bed capacity is a global issue. Criteria-led discharge enables accelerated patient discharge in accordance with patient selection. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000356DOI Listing
September 2018
35 Reads
1.094 Impact Factor

Video Monitoring for Fall Prevention and Patient Safety: Process Evaluation and Improvement.

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

School of Nursing, West Virginia University, Morgantown (Dr Sand-Jecklin); and Division of nursing, WVU Medicine, Morgantown (Mss Johnson, Tringhese, Daniels, and White).

Background: Although video monitoring has been shown to reduce falls among at-risk hospitalized patients, there are no identified best practices for the monitoring process.

Purpose: The purpose of this study was to evaluate the monitoring process at a large teaching hospital, with the goal of making improvements and standardizing monitoring practices.

Methods: Patients and nursing staff perceptions about the video monitoring process were elicited via survey, and perceptions of monitor technicians were obtained through structured interview. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000355DOI Listing
September 2018
34 Reads

Fall Risk Program for Oncology Inpatients: Addition of the "Traffic Light" Fall Risk Assessment Tool.

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

Departments of Nursing and Oncology (Ms Chang), and Division of Physical Therapy (Mss Teng, Yeh, and Yen), Department of Physical Medicine and Rehabilitation (Dr Chen), National Taiwan University Hospital, Taiwan, ROC.

Background: The incidence of falls on inpatient oncology units indicated the need for quality improvement. This project aimed to reduce falls by implementing a fall reduction plan including the "Traffic Light" Fall Risk Assessment Tool (TL-FRAT).

Local Problem: We retrospectively reviewed the oncology unit fall data from January 2013 to September 2014 and found that the average fall incidence was high. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000353DOI Listing
September 2018
7 Reads

Developing an Intervention to Reduce Harm in Hospitalized Patients: Patients and Families in Research.

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

Providence St. Patrick Hospital, Missoula, Montana (Dr Schenk); College of Nursing, Washington State University, Spokane (Drs Schenk and Odom-Maryon); Abbott Northwestern Hospital, Minneapolis, Minnesota (Dr Bryant); and College of Nursing, Washington State University, Vancouver (Dr Van Son).

Background: Patient safety-focused research may be strengthened by the inclusion of patients and family members in research design; yet, published methodologies for doing so are scarce.

Purpose: This study engaged patients and families in research design of an intervention to increase patient/family engagement, with reduction of harm in hospitalized patients.

Methods: The study design team convened a Patient Safety Advisory Panel to explore potential testable interventions to increase patient/family engagement with safety. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000354DOI Listing
September 2018
1 Read

Mealtime Assistance ... From Chaos to Calm: A Collaborative Best Practice Implementation Project.

J Nurs Care Qual 2019 Jan/Mar;34(1):80-85

Joanna Briggs Institute, Adelaide, Australia (Ms Sykes and Dr Walsh); Centre for Education & Research (Mss Sykes, Cook, and Chilcott), Food Services (Messrs Norris and Woods), and General Medicine Respiratory (Ms Boughton), Royal Hobart Hospital, Tasmania, Australia; and Tasmanian Health Service and School of Health Sciences, University of Tasmania, Australia (Dr Walsh).

Background: Providing appropriate and timely mealtime assistance to hospitalized patients should be part of a multifaceted and multidisciplinary approach to optimizing a patient's nutritional care plan.

Problem: There was anecdotal evidence at the study hospital that patients did not receive adequate and/or timely assistance at mealtimes.

Approach: A best practice implementation project, using a proven strategy of audit, feedback, and reaudit, was used to effect practice change on an acute general medical ward. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000352DOI Listing
February 2019
1 Read

Improving Patient and Caregiver New Medication Education Using an Innovative Teach-back Toolkit.

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

Winona State University, Rochester, Minnesota; and College of Nursing, Health, and Human Behavior, Viterbo University, La Crosse, Wisconsin (Dr Scheckel).

Background: Patients and caregivers are often not adequately informed about new medications. Nurses can lead innovations that improve new medication education.

Local Problem: Healthcare Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores on medication questions trailed state and national levels in one Midwestern hospital. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000342DOI Listing
September 2018
41 Reads

Brainwriting Premortem: A Novel Focus Group Method to Engage Stakeholders and Identify Preimplementation Barriers.

J Nurs Care Qual 2018 Aug 24. Epub 2018 Aug 24.

Denver/Seattle Center of Innovation for Veteran-Centered and Value Driven Care, VA Eastern Colorado Healthcare System, Denver (Drs Gilmartin and Leonard, Mss Lawrence, McCreight, Kelley, and Lippmann, and Mr Coy); Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora (Dr Gilmartin); and Center for Health Equity Research and Promotion (CHERP), Corporal Crescenz VA Medical Center Philadelphia, Pennsylvania; and Hospital Medicine Section, Division of General Internal Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (Dr Burke).

Background: Many health care interventions encounter implementation challenges because of inadequate stakeholder engagement and identification of barriers. The brainwriting premortem technique is the silent sharing of written ideas about why an intervention failed. The method can engage stakeholders and identify barriers more efficiently than traditional brainstorming focus groups. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000360DOI Listing
August 2018
2 Reads

Intersecting Evidence-Based Practice With a Lean Improvement Model.

Authors:

J Nurs Care Qual 2018 Oct/Dec;33(4):E14

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http://dx.doi.org/10.1097/NCQ.0000000000000365DOI Listing

Using Continuous Vital Sign Monitoring to Detect Early Deterioration in Adult Postoperative Inpatients.

J Nurs Care Qual 2018 Aug 7. Epub 2018 Aug 7.

Johns Hopkins Hospital, Baltimore, Maryland (Drs Verrillo and Winters); Office of Integrated Healthcare Delivery, Johns Hopkins Health System, Baltimore, Maryland (Dr Cvach); and The Johns Hopkins University School of Nursing, Baltimore, Maryland (Dr Hudson).

Background: Episodic vital sign collection (eVSC), as single data points, gives an incomplete picture of adult patients' postoperative physiologic status.

Local Problem: Late detection of patient deterioration resulted in poor patient outcomes on a postsurgical unit.

Methods: Baseline demographic and outcome data were collected through retrospective chart review of all patients admitted to the surgical unit for 12 weeks prior to this quality improvement project. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000350DOI Listing
August 2018
1 Read

Patient-Centered Care in Primary Care Scale: Pilot Development and Psychometric Assessment.

J Nurs Care Qual 2019 Jan/Mar;34(1):34-39

Center for Health Care Organization & Implementation Research, VA Boston Health Care System, Boston, Massachusetts (Dr Radwin [Formerly] and Mss Seibert and Stolzmann); Boston University School of Public Health, Massachusetts (Dr Cabral and Ms Evans); Department of Veteran Affairs, Washington, District of Columbia (Dr Meterko); and Center for Health Care Organization & Implementation Research, VA Bedford, Massachusetts (Ms Barker and Dr Bokhour).

Background: Nurse contributions to patient-centered care in primary care clinics are all but ignored in standard patient experience surveys.

Purpose: The purpose was to conduct a pilot study to develop and psychometrically assess a scale measuring nurses' and other providers' patient-centered care in Veteran Affairs primary care clinics.

Method: We developed a patient experience survey composed of original items and previous studies' items and scales. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000341DOI Listing
February 2019
1 Read

Exploring the Associations Between Patient Affect, Self-Care Actions, and Emergency Department Use for Community-Dwelling Adults.

J Nurs Care Qual 2018 Jul 23. Epub 2018 Jul 23.

College of Nursing, University of Saskatchewan, Saskatoon, Canada (Dr Tzeng); Cambridge Management Group, Bellingham, Washington (Dr Pierson); School of Health and Human Services, College of Public Affairs, University of Baltimore, Maryland (Dr Kang); Center for Community Health Ministry, Inc, and Whitson-Hester School of Nursing, Tennessee Technological University, Cookeville, Tennessee (Ms Barker); and Taiwan History Research Foundation, Taipei, Taiwan (Mr Yin).

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 and ability to perform them, and emergency department use in the past 3 months.

Methods: A secondary analysis from a cross-sectional survey project that surveyed 250 community-dwelling adults living in the southern United States, 2015-2016. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000348DOI Listing
July 2018
1 Read

Redesigning Hospital Diabetes Education: A Qualitative Evaluation With Nursing Teams.

J Nurs Care Qual 2018 Jul 18. Epub 2018 Jul 18.

MedStar Institute for Quality and Safety, Columbia, Maryland (Dr Smith and Ms Baker); MedStar Health Research Institute, Hyattsville, and MedStar Corporate Nursing, Columbia, Maryland (Ms Bardsley); Department of Nursing Quality, Safety, and Education, MedStar Washington Hospital Center, Washington, District of Columbia (Dr McCartney); and MedStar Diabetes Institute, MedStar Health Research Institute, and Georgetown University School of Medicine and Healthcare Sciences, Washington, District of Columbia (Dr Magee).

Background: Methods to deliver diabetes education are needed to support patient safety and glycemic control in the transition from hospital to home.

Purpose: This study examined barriers and facilitators of integrating web-based, iPad-delivered diabetes survival skills education (DSSE) into the nursing inpatient unit workflow.

Methods: Nurses, nurse managers, and patient care technicians (PCTs) from 3 medical-surgical and 2 behavioral health units participated in semistructured interviews and focus groups. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000349DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338532PMC
July 2018
9 Reads
1.094 Impact Factor

Handover of Patients From Prehospital Emergency Services to Emergency Departments: A Qualitative Analysis Based on Experiences of Nurses.

J Nurs Care Qual 2018 Jul 18. Epub 2018 Jul 18.

Health Sciences Faculty, University of Alicante, Carretera San Vicente del Raspeig, Spain (Drs Sanjuan-Quiles, Juliá-Sanchis, García-Aracil, Castejón-de la Encina, and Perpiñá-Galvañ); and Vega Baja Hospital, Orihuela, Alicante, Spain (Ms Hernández-Ramón).

Background: During the transfer of patients, both ambulance and hospital emergency service professionals need to exchange necessary, precise, and complete information for an effective handover. Some factors threaten a quality handover such as excessive caseload, patients with multiple comorbidities, limited past medical history, and frequent interruptions.

Purpose: To explore the viewpoint of nurses on their experience of patient handovers, describing the essential aspects of the process and areas for improvement, and establishing standardized elements for an effective handover. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000351DOI Listing
July 2018
1 Read

Nurses' Perception of the Impact of Electronic Documentation on the Nurse-Patient Relationship.

J Nurs Care Qual 2018 Jul 2. Epub 2018 Jul 2.

Rhode Island College, Providence (Drs Misto and Padula); The Miriam Hospital, Providence, Rhode Island (Dr Padula); Newport Hospital, Newport, Rhode Island (Ms Bryand); and Lifespan Oncology Clinical Research, The Miriam Hospital, Providence, Rhode Island (Ms Nadeau). Ms Bryand was formerly with The Miriam Hospital, Providence, Rhode Island.

Background: While there are many benefits of electronic medical record documentation, the presence of a computer may adversely affect provider-patient interaction.

Purpose: The purpose of this project was to examine staff nurses' perception of the impact of electronic documentation in the presence of the patient on the nurse-patient relationship.

Methods: A survey was administered to 276 staff nurses, and open-ended interviews were conducted with 11 novice and 20 expert nurses. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000339DOI Listing
July 2018
2 Reads

Implementation Strategies to Improve Evidence-Based Bathing Practices in a Neuro ICU.

J Nurs Care Qual 2018 Jul 2. Epub 2018 Jul 2.

Duke University Hospital (Drs Reynolds and Granger, Mr Sova, and Mss McNalty and Lambert) and Duke University School of Nursing (Drs Reynolds and Granger), Durham, North Carolina.

Background: Evidence supports daily bathing using chlorhexidine gluconate (CHG) cloths to decrease preventable hospital-acquired central line-associated bloodstream infections (CLABSIs). However, implementation of this practice is inconsistent. Using multifaceted strategies to promote implementation is supported in the literature, yet there is a gap in knowing which strategies are most successful. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000347DOI Listing
July 2018
18 Reads

Quality of Pediatric Emergency Care as Assessed by Children and Their Parents.

J Nurs Care Qual 2018 Jul 2. Epub 2018 Jul 2.

Department of Nursing Science, University of Eastern Finland, Kuopio, Finland (Ms Janhunen and Drs Kankkunen and Kvist).

Background: Pediatric patients comprise a large user group for emergency services. However, few studies have concerned the views of children and parents on emergency care.

Purpose: To describe and compare assessments of the quality of pediatric emergency care by children and their parents. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000346DOI Listing
July 2018
2 Reads

Medication Administration Errors: Perceptions of Jordanian Nurses.

J Nurs Care Qual 2018 Jul 2. Epub 2018 Jul 2.

School of Nursing, The University of Jordan, Amman, Jordan (Drs Salami, Saleh, Maharmeh, and Alasad); School of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan (Dr Subih); Ministry of Health, Amman, Jordan (Dr Darwish); The University of Jordan Hospital, Amman, Jordan (Mr Al-Jbarat); and School of Nursing, Al-Israá University, Amman, Jordan (Dr Al-Amer).

Background: Medication administration errors (MAEs) have short- and long-term implications on patients' health as well as on hospitals' accreditation and financial status.

Purpose: The purpose was to explore Jordanian nurses' perceptions about MAEs.

Methods: A cross-sectional design was used with a convenience sample of 470 nurses. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000340DOI Listing
July 2018
14 Reads

Interruptions During Senior Nurse Handover in the Intensive Care Unit: A Quality Improvement Study.

J Nurs Care Qual 2019 Jan/Mar;34(1):E15-E21

Adult Intensive Care Services, The Prince Charles Hospital, Chermside, Brisbane, Queensland, Australia (Ms Spooner); School of Nursing and Midwifery, Griffith University, Queensland, Australia (Ms Spooner and Drs Chaboyer and Aitken); Menzies Health Institute Queensland, Gold Coast, Queensland, Australia (Drs Chaboyer and Aitken); and School of Health Sciences, City, University of London, London, United Kingdom (Dr Aitken).

Background: Interruptions during handover may compromise continuity of care and patient safety.

Local Problem: Interruptions occur frequently during handovers in the intensive care unit.

Methods: A quality improvement study was undertaken to improve nursing team leader handover processes. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000345DOI Listing
February 2019
2 Reads

Using Lean to Enhance Heart Failure Patient Identification Processes and Increase Core Measure Scores.

J Nurs Care Qual 2019 Jan/Mar;34(1):28-33

Department of Health Services Management & Policy, College of Public Health, East Tennessee State University, Johnson City (Ms Hunt); Intensive Care Unit, Johnson City Medical Center, Johnson City, Tennessee (Ms Ouellette); and Department of Public Health, College of Health and Human Services, Western Kentucky University, Bowling Green (Dr Reece).

Background: Heart failure (HF) is the leading cause of hospitalization among older adults in the United States. Health systems target readmission rates for quality improvement and cost reduction.

Local Problem: Heart failure core measure (CM) scores at our medical center were lower than the national average, and methods for capturing the appropriate documentation on HF patients to ensure CM compliance were not clear. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000330DOI Listing
February 2019
2 Reads

Reducing Inappropriate Antibiotics for Urinary Tract Infections in Long-Term Care: A Replication Study.

J Nurs Care Qual 2019 Jan/Mar;34(1):16-21

School of Nursing, University of Michigan-Flint (Drs Cooper and McFarland); Impact Physician Group, Pontiac, Michigan (Dr Petrilli); and Michigan Health Specialists, Flint (Dr Shells).

Background: Nursing home providers face challenges in urinary tract infection assessment and treatment, often prescribing unnecessary antibiotics for asymptomatic bacteriuria, a practice that can result in adverse drug reactions, drug resistance, and an increase in antibiotic-associated diarrhea.

Purpose: The purpose of this project was to replicate the Cooper Urinary Tract Infection Program in another facility and measure its effectiveness.

Methods: Using a pre-post design, this project was implemented at a 120-bed, long-term care and rehabilitation facility located in the Midwest United States. Read More

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http://dx.doi.org/10.1097/NCQ.0000000000000343DOI Listing
February 2019
2 Reads