Journal of nursing care quality最新文献

Background: Effective bowel preparation is critical for successful colonoscopy, yet inadequate preparation frequently impairs outcomes.

Purpose: This study evaluated personalized nursing care (PNC) against standard care in improving bowel preparation quality for colonoscopy.

Methods: A prospective, 2-phase, single-center trial was conducted from July 2023 to July 2024. In phase 1, patients received standard care; in phase 2, personalized preparations were used.

Results: Among 1057 patients, PNC significantly improved bowel preparation quality ( P < .001). Adequate preparation was achieved by 79% of the PNC group vs 64.3% of the control group. Adherence to bowel preparation was higher in the PNC group (84.0% vs 70.4%, P < .001), as were polyp detection rates (38.2% vs 28.1%, P = .003). Patient satisfaction increased with PNC interventions.

Conclusion: PNC enhances colonoscopy preparation, boosting clinical effectiveness and patient satisfaction and advocating for its integration into routine protocols.

Background: Human errors, workplace violence, and community events can impact nurses and other health care workers' (HCW) overall well-being. Peer support programs have shown a positive impact on care teams by focusing on second victim mitigation and support.

Purpose: To determine the type of events and resource needs for a peer support program.

Methods: This program evaluation piloted a 6-month peer support program and gathered prospective data on the volume, type, and length of debriefing events.

Results: During the pilot, 192 referrals were made to the peer support program. This included 102 programmatic responses. These data supported the development of a business plan for ongoing program development.

Conclusions: Peer support programs play a critical role in health care organizations by helping nurses and other HCWs manage the physical and emotional aspects of the work and the environment in which care is provided.

Background: Patients admitted to the intensive care unit (ICU) are at risk for malnutrition. To provide sufficient nutritional support, enteral nutrition (EN) is the preferred method for patients admitted to the neurology ICU.

Purpose: The purpose of this study was to examine the clinical effectiveness of an evidence-based nursing protocol for preventing and managing mechanical complications of EN for patients admitted to the neurology ICU.

Methods: A randomized controlled trial design was used. The control group received general care, and the test group received care per the evidence-based nursing protocol.

Results: A total of 118 patients participated in the study (59 each in the control and test group). The test group showed improved nutritional status measured by the Nutrition Risk Screening 2002 score, lower acute gastrointestinal injury grading, improved serum nutritional indicators, and less mechanical complications.

Conclusion: Implementing an evidence-based nursing protocol was feasible and led to positive patient outcomes.

Background: The Johns Hopkins Activity and Mobility Program is a systematic approach to measure and improve patient mobility.

Purpose: The purpose of this study was to evaluate the relationship between mobility loss and quality outcomes.

Methods: A retrospective cohort study design was used. Patients were categorized into 3 groups (gain, loss, no change in mobility) using the Johns Hopkins Highest Level of Mobility (JH-HLM) scores. The association between mobility loss and falls risk, in-hospital mortality, delirium, discharge to a facility, length of stay, and 30 day readmissions were assessed.

Results: Those who lost mobility were more at risk of being a high fall risk, in-hospital mortality, delirium, discharging to a facility, and had 48% longer lengths of stay. There was no association between mobility loss and 30-day readmissions.

Conclusions: Loss of mobility assessed using JH-HLM scores is associated with worse patient outcomes.