journal
MENU ▼
Read by QxMD icon Read
search

Journal of Nursing Care Quality

journal
https://www.readbyqxmd.com/read/28505060/the-aprn-role-in-changing-nursing-home-quality-the-missouri-quality-improvement-initiative
#1
Lori Popejoy, Amy Vogelsmeier, Colleen Galambos, Marcia Flesner, Greg Alexander, Annette Lueckenotte, Vanessa Lyons, Marilyn Rantz
No abstract text is available yet for this article.
May 12, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28505059/creation-of-an-adult-observation-unit-improving-outcomes
#2
Joy M Plamann, Judith Zedreck-Gonzalez, Laura Fennimore
A growing segment of patients in hospitals are considered outpatients, classified as observation. These patients neither have the severity of illness nor the intensity of service to qualify as inpatients, yet are not well enough to be discharged. Hospitals have created observation units to address the clinical needs of this growing patient type to provide care in the right setting by managing emergency department throughput and utilizing the most efficient staffing resources. This article describes the change processes and improvements in quality, length of stay, and patient satisfaction, which occurred following the implementation of an adult observation unit...
May 12, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28505058/organizational-regional-and-community-factors-determining-protocol-compliance-for-patients-with-acute-myocardial-infarction
#3
Teresa W Tai, Sherry I Bame, Nitish Patidar
This study examined factors determining hospital compliance to Hospital Quality Alliance's protocol for patients with myocardial infarction. Using a spatially matched sample of 132 Magnet and 264 non-Magnet hospitals, multivariate regressions determined significant hospital characteristics associated with compliance per Hospital Quality Alliance protocol. Adherence to the Hospital Quality Alliance protocols varied widely by hospital characteristics. Registered nurse staffing/bed was a key factor determining patient care quality variation...
May 12, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28505057/automated-medication-error-risk-assessment-system-auto-meras
#4
Min-Jeoung Kang, Yinji Jin, Taixian Jin, Sun-Mi Lee
This study developed the Automated Medical Error Risk Assessment System (Auto-MERAS), which was incorporated into the electronic health record system. The system itself maintained high predictive validity for medication errors at the area under the receiver operating characteristic curves of above 0.80 at the time of development and validation. This study has found possibilities to predict the risk of medication errors that are sensitive to situational and environmental risks without additional data entry from nurses...
May 12, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28505056/relationship-between-psychological-safety-and-reporting-nonadherence-to-a-safety-checklist
#5
Heather M Gilmartin, Paula Langner, Madhura Gokhale, Katerine Osatuke, Rachael Hasselbeck, Thomas M Maddox, Catherine Battaglia
Patient safety checklists are ubiquitous in health care. Nurses bear significant responsibility for ensuring checklist adherence. To report nonadherence to a checklist and stop an unsafe procedure, a workplace climate of psychological safety is needed. Thus, an analysis of organizational data was conducted to examine the relationship between psychological safety and reports of nonadherence to the central line bundle checklist. Results showed varied perceptions of psychological safety but no relationship with nonadherence...
May 12, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28448303/predictability-of-interruptions-during-medication-administration-with-related-behavioral-management-strategies
#6
Maree Johnson, Gabrielle Weidemann, Rebecca Adams, Elizabeth Manias, Tracy Levett-Jones, Vicki Aguilar, Bronwyn Everett
The aim of this qualitative study was to examine the nature of interruptions during medication administration. Focus groups were conducted with medical/surgical nurses (n = 15), critical care nurses (n = 13), and nurse managers/educators/specialists (n = 6). Most interruptions (78%) were predictable. Nurse-adopted strategies included blocking, engaging, mediating, multitasking, and preventing. Educational content was developed that relates behavioral strategies to respond to predictable and unpredictable interruptions...
April 26, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28448302/qsen-institute-rn-bsn-task-force-white-paper-on-recommendation-for-systems-based-practice-competency
#7
Ann M Stalter, Janet M Phillips, Mary A Dolansky
The Quality and Safety Education for Nurses (QSEN) Institute RN-BSN Task Force presents a white paper on Recommendation for a Systems-based Practice Competency. The task force proposes a seventh QSEN competency, systems-based practice, to improve patient quality and safety. Recommendations to integrate systems-based practice into both education and practice settings, consistent with job descriptions and promotion criteria, involve a comprehensive continuing education program for nurses upon interview, orientation, residency programming, performance evaluation, and license renewal...
April 26, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28448301/patients-experience-after-a-fall-and-their-perceptions-of-fall-prevention-a-qualitative-study
#8
Mei Ling Lim, Seng Giap Marcus Ang, Kai Yunn Teo, Yan Hui Celestine Wee, Shu Ping Yee, Shu Hui Lim, Shin Yuh Ang
An exploratory descriptive study was conducted to explore the perspectives of patients who had fallen in the hospital; 100 patients were interviewed. An inductive content analysis approach was adopted. Six themes emerged: Apathetic toward falls, self-blame behavior, reluctance to impose on busy nurses, negative feelings toward nurses, overestimating own ability, and poor retention of information. Patients often downplayed the risks of falls and were reluctant to call for help.
April 26, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28448300/assessment-of-the-quality-of-nursing-care-from-perspectives-of-nurses-who-experienced-hospitalization-as-patients
#9
Rana M Elayan, Muayyad M Ahmad
Nurses as patients or caregivers evaluated their care differently than nonnurses. A qualitative design with content analysis was used to provide an assessment of the quality of nursing care by examining nurses' perceptions as recipients of care. The 231 participants were registered nurses recruited from 8 hospitals in Amman, Jordan. Participants evaluated the quality of nursing care as either high (29.5%) or low (70.5%). Four improvement themes emerged: improving competency, serve with caring, professionalism, and administrative factors...
April 26, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28448299/impact-of-interruptions-distractions-and-cognitive-load-on-procedure-failures-and-medication-administration-errors
#10
Lily Thomas, Patricia Donohue-Porter, Joanna Stein Fishbein
Medication administration errors are difficult to intercept since they occur at the end of the process. The study describes interruptions, distractions, and cognitive load experienced by registered nurses during medication administration and explores their impact on procedure failures and medication administration errors. The focus of this study was unique as it investigated how known individual and environmental factors interacted and culminated in errors.
April 26, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28323688/challenges-of-inpatient-glycemic-control
#11
Sally O Gerard, Josephine Ritchie
Hyperglycemia occurs in more than 30% of hospitalized patients. The condition has been associated with higher mortality and poor outcomes. Systems to effectively treat dysglycemia have been put into place, although many focus on critical care areas. The purpose of this article is to provide an overview of the challenges for glycemic control in non-critical care areas. Standardized order sets, critical pathways, professional education, and collaborative systems can support improved control.
March 20, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28323687/multilevel-factors-associated-with-injurious-falls-in-acute-care-hospitals
#12
Yunchuan Lucy Zhao, Marjorie Bott, Jianghua He, Heejung Kim, Shin Hye Park, Nancy Dunton
Using National Database of Nursing Quality Indicators data from July 2013 to June 2014, this correlational study examined the associations of injurious falls among all patient falls with multilevel factors in hospitals. The sample included all falls recorded in adult medical, surgical, combined medical-surgical, and step-down units (N = 2299) in participating hospitals (N = 488). Hierarchical negative binominal regression analyses were performed. Results revealed hospital and unit organizational factors associated with inpatient injurious falls...
March 20, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28323686/applying-the-pdsa-framework-to-examine-the-use-of-the-clinical-nurse-leader-to-evaluate-pressure-ulcer-reporting
#13
Shea Polancich, Sarah Coiner, Rebekah Barber, Terri Poe, Linda Roussel, Kelley Williams, Heather Cumbest, Kristen Noles, Ashlea Herrero, Shannon Graham, Rebecca Miltner
The clinical nurse leader (CNL) role has been cited as an effective strategy for improving care at the microsystem level. The purpose of this article is to describe the use of the CNL role in an academic medical center for evaluating pressure ulcer reporting. The Plan-Do-Study-Act cycle was used as the methodological framework for the study. The CNL assessment of pressure ulcers resulted in a 21% to 50% decrease in the number of hospital-acquired pressure ulcers reported in a 3-month time period. The CNL role has potential for improving the validity and reliability of pressure ulcer reporting...
March 20, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28225532/improving-the-patient-s-experience-with-a-multimodal-quiet-at-night-initiative
#14
(no author information available yet)
No abstract text is available yet for this article.
April 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28225531/a-shared-responsibility-for-developing-a-learning-health-system
#15
Andrew B Bindman
No abstract text is available yet for this article.
April 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27607851/a-critical-qualitative-study-of-the-position-of-middle-managers-in-health-care-quality-improvement
#16
Katie N Dainty, Douglas Sinclair
To date, health care quality improvement (QI) has focused on the engagement of executive leadership and frontline staff as key factors for success. Little work has been done on understanding how mid-level unit/program managers perceive their role in QI and how capacity could be built at this level to increase success. We present ethnographic data on the experience of hospital middle managers to consider how the expectations and capacity of their current position might influence QI progress organizationally.
April 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27607848/initiation-of-a-transitions-program-two-million-melvins
#17
Beth Houlahan, Elizabeth Carlson, Amy Kind, Maria Brenny-Fitzpatrick
No abstract text is available yet for this article.
April 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27607847/effect-of-a-nurse-managed-telemetry-discontinuation-protocol-on-monitoring-duration-alarm-frequency-and-adverse-patient-events
#18
Keisha Perrin, Neysa Ernst, Terry Nelson, Melinda Sawyer, Elizabeth Pfoh, Maria Cvach
Telemetry monitoring is a limited resource. This quality improvement project describes a nurse-managed telemetry discontinuation protocol aimed at stopping telemetry monitoring when it is no longer indicated. After implementing the protocol, data were collected for 6 months and compared with a preintervention time frame. There was a mean decrease in telemetry monitor usage and a decreased likelihood of remaining on a telemetry monitor until discharge. A nurse-managed telemetry discontinuation protocol was effective in decreasing overmonitoring and ensuring telemetry availability...
April 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27500698/development-of-indicators-to-measure-health-literate-discharge-practices
#19
Jennifer Innis, Jan Barnsley, Whitney Berta, Imtiaz Daniel
Health literate discharge practices meet the health literacy needs of patients and families at the time of hospital discharge and are associated with improved patient outcomes and reduced readmission. A Delphi panel consisting of nurses, other health care providers, and researchers was used to develop a set of indicators of health literate discharge practices based on the practices of Project RED (Re-Engineered Discharge). These indicators can be used to measure and monitor the use of health literate discharge practices...
April 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27500697/improving-infusion-pump-safety-through-usability-testing
#20
Kristen E Miller, Ryan Arnold, Muge Capan, Michele Campbell, Susan Coffey Zern, Robert Dressler, Ozioma O Duru, Gwen Ebbert, Eric Jackson, John Learish, Danielle Strauss, Pan Wu, Dean A Bennett
With the recognition that the introduction of new technology causes changes in workflow and may introduce new errors to the system, usability testing was performed to provide data on nursing practice and interaction with infusion pump technology. Usability testing provides the opportunity to detect and analyze potentially dangerous problems with the design of infusion pumps that could cause or allow avoidable errors. This work will reduce preventable harm through the optimization of health care delivery.
April 2017: Journal of Nursing Care Quality
journal
journal
30920
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"