Quality and Safety in Nursing: Recommendations From a Systematic Review.

IF 0.9 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Journal for Healthcare Quality Pub Date : 2024-07-01 Epub Date: 2024-05-08 DOI:10.1097/JHQ.0000000000000430
Patricia A Patrician, Caitlin M Campbell, Mariyam Javed, Kathy M Williams, Lozay Foots, Wendy M Hamilton, Sherita House, Pauline A Swiger
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Abstract

Abstract: As a consistent 24-hour presence in hospitals, nurses play a pivotal role in ensuring the quality and safety (Q&S) of patient care. However, a comprehensive review of evidence-based recommendations to guide nursing interventions that enhance the Q&S of patient care is lacking. Therefore, the purpose of our systematic review was to create evidence-based recommendations for the Q&S component of a nursing professional practice model for military hospitals. To accomplish this, a triservice military nursing team used Covidence software to conduct a systematic review of the literature across five databases. Two hundred forty-nine articles met inclusion criteria. From these articles, we created 94 recommendations for practice and identified eight focus areas from the literature: (1) communication; (2) adverse events; (3) leadership; (4) patient experience; (5) quality improvement; (6) safety culture/committees; (7) staffing/workload/work environment; and (8) technology/electronic health record. These findings provide suggestions for implementing Q&S practices that could be adapted to many healthcare delivery systems.

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护理质量与安全:系统综述提出的建议。
摘要:作为医院中 24 小时不间断工作的人员,护士在确保患者护理质量和安全(Q&S)方面发挥着举足轻重的作用。然而,目前还缺乏对循证建议的全面回顾,以指导护理干预措施,提高患者护理的质量和安全。因此,我们系统性回顾的目的是为军队医院护理专业实践模式中的质量与安全部分提出循证建议。为此,三军护理团队使用 Covidence 软件对五个数据库中的文献进行了系统回顾。共有 249 篇文章符合纳入标准。从这些文章中,我们提出了 94 条实践建议,并从文献中确定了八个重点领域:(1)沟通;(2)不良事件;(3)领导力;(4)患者体验;(5)质量改进;(6)安全文化/委员会;(7)人员配备/工作量/工作环境;以及(8)技术/电子健康记录。这些研究结果为实施质量与安全实践提供了建议,可适用于许多医疗保健服务系统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal for Healthcare Quality
Journal for Healthcare Quality HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
0.00%
发文量
59
期刊介绍: The Journal for Healthcare Quality (JHQ), a peer-reviewed journal, is an official publication of the National Association for Healthcare Quality. JHQ is a professional forum that continuously advances healthcare quality practice in diverse and changing environments, and is the first choice for creative and scientific solutions in the pursuit of healthcare quality. It has been selected for coverage in Thomson Reuter’s Science Citation Index Expanded, Social Sciences Citation Index®, and Current Contents®. The Journal publishes scholarly articles that are targeted to leaders of all healthcare settings, leveraging applied research and producing practical, timely and impactful evidence in healthcare system transformation. The journal covers topics such as: Quality Improvement • Patient Safety • Performance Measurement • Best Practices in Clinical and Operational Processes • Innovation • Leadership • Information Technology • Spreading Improvement • Sustaining Improvement • Cost Reduction • Payment Reform
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