Journal of nursing care quality最新文献

Background: The use of peripheral intravenous catheters (PIVC) is a crucial nursing practice for ensuring patient safety.

Purpose: This systematic review assessed quality improvement (QI) articles focused on nursing insertion and management practices related to PIVCs.

Methods: A comprehensive search was performed. The Quality Improvement Minimum Quality Criteria Set (QI-MQCS) was used to appraise the quality of QI studies by 2 independent reviewers.

Results: A total of 27 studies were included. More than half of the studies did not meet the sustainability and spread QI-MQCS criteria. QI interventions focused on ultrasound-guided PIVC placement, PIVC dressing products or other catheter devices, and bundles for PIVC practices. The improvements in PIVC-related patient outcomes and nurses' capabilities were reported.

Conclusion: Further research is needed to identify detailed QI protocols for ensuring the sustainability and cost-effectiveness of interventions and to facilitate the application of QI in diverse types of hospitals.

Background: Patient safety culture is critical for ensuring quality nursing care, yet its role is not fully understood in various health care settings.

Purpose: To explore the association between patient safety culture and nurses' perceptions of the quality of nursing care provided in hospitals in the Czech Republic.

Methods: A correlation study was conducted with 535 nurses from 6 hospitals using the questionnaires Hospital Survey on Patient Safety Culture 2.0 and Scale of Perception of Nursing Activities that Contribute to Nursing Care Quality.

Results: Significant associations were found between nursing care quality and dimensions of patient safety culture. Supervisor, manager, or clinical leader support; reporting patient safety events; and handoffs and information exchange were important predictors for improving nursing care quality ( P < .05).

Conclusions: Management support, adverse events, effective communication, and teamwork are essential for improving patient safety and have a significant impact on the quality of nursing care provided and must be properly supported.

Background: Patient identification is a key aspect to avoid risks and maintain patient safety.

Purpose: The purpose of this study was to evaluate the impact of a multimodal intervention on patient identification.

Methods: A quasi-experimental pre-post study design was used. A multimodal intervention was implemented targeting nursing staff at 2 public Specialized Primary Care Centers. Data on the knowledge levels of nurses and nursing assistants, as well as the implementation of active patient identification, were collected.

Results: The study included 27 health care professionals and 353 direct observations of patient active identification. Knowledge was assessed via a questionnaire, and active identification observations were conducted between March 2022 and December 2023. After the intervention, the correct performance rate improved to 100%, slightly decreasing to 82.3% over 21 months post-intervention. All evaluated knowledge items showed significant improvement post-intervention.

Conclusions: The multimodal intervention significantly improved active identification knowledge and practice, enhancing patient safety.

Background: Individuals with cancer are at a heightened risk of experiencing falls and related injuries during hospitalization.

Purpose: Our aim was to systematically summarize and evaluate the literature examining the effectiveness of fall prevention interventions employed in the oncology inpatient setting.

Methods: Guided by the PRISMA statement, a health librarian conducted searches of 5 databases, which uncovered 1039 unduplicated studies that were screened by 2 independent reviewers. The Quality Improvement Minimum Quality Criteria Set was used to evaluate methodological quality.

Results: The 10 quality improvement studies all included a multifactorial intervention and most based these on an assessment with few targeting cancer-specific factors. Most interventions were staff-focused with a few incorporating the patient's input.

Conclusions: Individualized assessments and interventions enhance care effectiveness when patient care teams and patients are aligned. Nurse rounding and engaging patients improve communication, self-assessment, satisfaction, and adherence, warranting further research and technological advancements.

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.