Journal of nursing care quality最新文献

Background: Nursing-sensitive indicators (NSIs) are quantifiable tools to assess clinical nursing activities and nursing care quality. They are described as criteria that can be attributed to changes in an individual's health status due to care.

Purpose: The purpose of this study was to provide a bibliometric analysis of research hotspots and development trends in NSIs.

Methods: Data from Web of Science Core Collection were analyzed using CiteSpace and VOSviewer to explore publication trends, contributors, keywords, and co-citations.

Results: A total of 1323 relevant articles were retrieved from 1983 to 2024. The publication volume showed a general upward trend, with a significant increase in citation counts.

Conclusion: The bibliometric analysis of NSIs suggests that the research is still in a phase of stable development, with a gradual shift toward a "patient-centered" focus. The emphasis is on optimizing nursing care quality and improving specialty nursing care levels.

Background: Early mobility (EM) is beneficial for critically ill patients, but adoption in intermediate care units remains limited.

Local problem: At the project site, fewer than 10% of patients admitted to the respiratory care unit (RCU) engaged in EM due to clinical severity, lack of staff confidence, and limited collaboration with physical therapy.

Methods: A pre- postimplementation quality improvement design was used to assess mobility outcomes.

Interventions: A nurse-driven EM program was implemented in a 10-bed RCU at a tertiary center. A multidisciplinary team delivered staff education, introduced an evidence-based protocol, and addressed barriers.

Results: Forty-eight patients were included in the project (22 preimplementation and 26 postimplementation). The number of physical therapy consultations increased from 36% to 73% ( P = .01), with 69% of patients achieving higher discharge mobility postimplementation versus 59% preimplementation. Length of stay and mortality were unchanged.

Conclusions: EM practices improve mobility in intermediate care through education and collaboration.

Background: Depression and anxiety are prevalent among patients with cancer, impacting their quality of life and treatment outcomes. Nurse-led interventions are promising but show variable effectiveness.

Purpose: This review assessed the effectiveness of nurse-led interventions in reducing depression and anxiety in patients with cancer.

Methods: A systematic search identified studies evaluating nurse-led approaches for depression and anxiety. Meta-analysis used Cohen's d with a random-effects model, and heterogeneity was assessed using the I 2 statistic.

Results: Eighteen studies (n = 2054) showed significant reductions in depression (-1.29, 95% confidence interval [CI]: -1.52 to -1.06) and anxiety (-1.31, 95% CI: -1.55 to -1.07). Effective strategies included self-care education, cognitive-behavioral therapy, and peer support. Moderate to high heterogeneity ( I2  = 70%-75%) was partly resolved through sensitivity analyses.

Conclusions: Nurse-led interventions effectively reduce depression and anxiety in patients with cancer. Integrating these strategies into oncology care and standardizing protocols can further improve outcomes.

Background: Obesity is on the rise, increasing the demand for efficient treatment and delivery of care in the obesity medicine ambulatory care setting.

Local problem: Clinicians provided redundant information during the client's initial visit, leading to longer than necessary clinic visits.

Methods: Iterative plan-do-study-act cycles were used for this quality improvement project.

Interventions: A 4-minute educational video was sent to clients prior to their initial appointment using automated systems through the electronic health record. Education consisted of the specialty services offered, nutrition, and frequently asked questions.

Results: Visits completed in under 40 minutes increased from 73% to 84%, with average initial visit times decreasing from 44 to 37 minutes. The number of patients providers were able to see increased from 10 to 18 after implementing the educational video.

Conclusions: Clinics may consider using pre-visit video-based education to reduce visit time and improve efficiency in the obesity medicine ambulatory care setting.

Background: High turnover rates among nurses are a global concern. Previous studies show the negative impact on quality of care.

Purpose: The purpose of this study was to examine the relationship between nurse turnover and nurse's perceptions of patient outcomes.

Methods: A cross-sectional study design was used. Nurses working in 35 general hospitals in South Korea were invited to participate in a survey assessing their perceptions of patient outcomes, including quality of care, patient safety, and adverse events. Nurse turnover was measured for the prior 6 months.

Results: Data from 159 nurses were analyzed. There was a significant positive relationship between turnover rates and perceptions of poor quality of care, after controlling for demographic and work-related characteristics. Nurse turnover was not significantly associated with perceptions of patient safety or adverse events.

Conclusions: The negative consequence of nurse turnover on patient outcomes is partially supported in this study.