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Journal articles on the topic 'Nursing care measures'

Author: Grafiati

Published: 30 June 2021

Last updated: 17 February 2022

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1

Smith, David P., and Harmon S. Jordan. "Piloting Nursing-Sensitive Hospital Care Measures in Massachusetts." Journal of Nursing Care Quality 23, no. 1 (January 2008): 23–33. http://dx.doi.org/10.1097/01.ncq.0000303802.30327.7f.

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Urzainqui-Laborda, Pilar. "Venous catheters: problems and measures in nursing care." Diálisis y Trasplante 33, no. 4 (October 2012): 134–41. http://dx.doi.org/10.1016/j.dialis.2012.06.011.

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3

Winston, Elaine R., Alexander Pelaez, and B. Dawn Medlin. "Will Quality Measures Debunk Quality Care in the Nursing Home Industry?" International Journal of Public and Private Perspectives on Healthcare, Culture, and the Environment 5, no. 1 (January 2021): 18–28. http://dx.doi.org/10.4018/ijppphce.2021010102.

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This research analyzes publicly available information on the quality of services delivered by healthcare organizations. The accessibility and transparency of healthcare data is exponentially growing. Due to the complexity of different provider groups in healthcare, the focus is on the nursing home industry. A key objective of this research is to explore any association among the government-defined quality ratings, cost-effectiveness, and quality care provided by a nursing home. Quality and performance metrics for all nursing homes that receive reimbursements from CMS is in the public domain. The CMS purports that nursing homes with high overall star ratings provide excellent healthcare to their residents. A surprising result from this study found high-quality-rated nursing homes with more nurse hours per resident provided lower quality care than nursing homes, which had lower nursing hours per resident. The research also suggests that healthcare organizations, such as nursing homes, acquire business analytics (BA) capabilities for specific government metrics.

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Kearney, Nora, Ruth Brown, and Margaret Rothman. "Utility measures in cancer care." European Journal of Oncology Nursing 3, no. 3 (September 1999): 192–96. http://dx.doi.org/10.1016/s1462-3889(99)80897-7.

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5

Kroll, Christine, and Thomas Fisher. "The congressional mandate: standardised post-acute care quality measures." International Journal of Therapy and Rehabilitation 26, no. 8 (August 2, 2019): 1–10. http://dx.doi.org/10.12968/ijtr.2019.0028.

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Background/Aims This study describes the relationships between rehabilitation services intensity, post-acute care measures of Functional Performance Change, and length of stay for episodes of care provided in 93 skilled nursing facilities in the US. Methods The study used a secondary analysis of existing data on Medicare beneficiaries admitted to skilled nursing facilities from acute hospitals (n=518) who subsequently returned to the community. Data were selected from Minimum Data Set Section GG items reported by therapists. Results Statistically significant correlations were identified between rehabilitation services intensity and functional outcomes (P<0.001); and between rehabilitation intensity, medical condition, and length of stay (P<0.001) for rehabilitation patients in skilled nursing facilities. Conclusions The intensity of occupational and physical rehabilitation therapy services correlate with patients achieving higher functional outcomes, specifically improvement in self-care and mobility.

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Keenan, Gail M., Vi Barkauskas, Jan Lee, Julia Stocker, Marcy Treder, and Evelyn Clingerman. "Evaluation of NOC Measures in Home Care Nursing Practice." International Journal of Nursing Terminologies and Classifications 14, s4 (October 2003): 50. http://dx.doi.org/10.1111/j.1744-618x.2003.050_1.x.

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Mahon, Pamela Young. "Review of Measures of Patient Satisfaction with Nursing Care." Image: the Journal of Nursing Scholarship 29, no. 2 (June 1997): 196–97. http://dx.doi.org/10.1111/j.1547-5069.1997.tb01557.x.

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Simpson, Kathleen Rice. "Quality Measures for Perinatal Care." MCN, The American Journal of Maternal/Child Nursing 35, no. 1 (January 2010): 64. http://dx.doi.org/10.1097/01.nmc.0000366816.90326.6b.

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Hartmann, Paul. "Bedsore — «heavy cross» of nursing care." Medsestra (Nurse), no. 7 (July 1, 2020): 26–34. http://dx.doi.org/10.33920/med-05-2007-05.

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Bedsores are still among the risks that most seriously impair the health of patients who need help and nursing care. Taking into account the existing knowledge about the possibilities of bedsore prevention, we can say that the goal of nursing care is to limit the development of bedsores as much as possible. At the same time, it is of great importance to ensure the continuity of preventive measures by specialized nursing staff. This includes, among other things, systematic risk assessment, training of patients and their relatives, encouraging them to exercise as much as possible, and, most importantly, taking measures to eliminate tissue compression. due to the increasing number of elderly people with multiple diseases considered to be the main risk group, the prevention and treatment of bedsores remains a priority among nursing care activities and requires effective management.

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Hemman, Eileen A. "Cultivating Quality: Meeting Effective Care Measures." AJN, American Journal of Nursing 111, no. 12 (December 2011): 54–60. http://dx.doi.org/10.1097/01.naj.0000408187.67511.f0.

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Skilbeck, Julie. "Outcome measures can enhance palliative care." International Journal of Palliative Nursing 22, no. 12 (December 2, 2016): 575. http://dx.doi.org/10.12968/ijpn.2016.22.12.575.

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Oliveira, Irene. "Comfort Measures: A Concept Analysis." Research and Theory for Nursing Practice 27, no. 2 (2013): 95–114. http://dx.doi.org/10.1891/1541-6577.27.2.95.

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Reference to the concept of comfort measures is growing in the nursing and medical literature; however, the concept of comfort measures is rarely defined. For the comfort work of nurses to be recognized, nurses must be able to identify and delineate the key attributes of comfort measures.A concept analysis using Rodgers’ evolutionary method (2000) was undertaken with the goal of identifying the core attributes of comfort measures and thereby clarifying this concept. Health care literature was accessed from the CINAHL and PubMed databases. No restrictions were placed on publication dates.Four main themes of attributes for comfort measures were identified during the analysis. Comfort measures involve an active, strategic process including elements of “stepping in” and “stepping back,” are both simple and complex, move from a physical to a holistic perspective and are a part of supportive care. The antecedents to comfort measures are comfort needs and the most common consequence of comfort measures is enhanced comfort.Although the concept of comfort measures is often associated with end-of-life care, this analysis suggests that comfort measures are appropriate for nursing care in all settings and should be increasingly considered in the clinical management of patients who are living with multiple, chronic comorbidities.

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Mellott, Karen G., Pamela B. Sharp, and Lynn M. Anderson. "Biobehavioral Measures in a Critical-Care Healing Environment." Journal of Holistic Nursing 26, no. 2 (June 2008): 128–35. http://dx.doi.org/10.1177/0898010107306690.

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Pollard, Katherine, Sue Horrocks, Lorna Duncan, Christina Petsoulas, Pauline Allen, Ailsa Cameron, Jane Cook, et al. "How do they measure up? Differences in stakeholder perceptions of quality measures used in English community nursing." Journal of Health Services Research & Policy 25, no. 3 (October 8, 2019): 142–50. http://dx.doi.org/10.1177/1355819619868506.

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Objectives To establish how quality indicators used in English community nursing are selected and applied, and their perceived usefulness to service users, commissioners and service providers. Methods A qualitative multi-site case study was conducted with five commissioning organizations and their service providers. Participants included commissioners, provider organization managers, nurses and service users. Results Indicator selection and application often entail complex processes influenced by wider health system and cross-organizational factors. All participants felt that current indicators, while useful for accountability and management purposes, fail to reflect the true quality of community nursing care and may sometimes indirectly compromise care. Conclusions Valuable resources may be better used for comprehensive system redesign, to ensure that patient, carer and nurse priorities are given equivalence with those of other stakeholders.

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Castellan, Cristiana, Silvia Sluga, Eleonora Spina, and Gianfranco Sanson. "Nursing diagnoses, outcomes and interventions as measures of patient complexity and nursing care requirement in Intensive Care Unit." Journal of Advanced Nursing 72, no. 6 (February 9, 2016): 1273–86. http://dx.doi.org/10.1111/jan.12913.

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Uceda Ochoa, Diana Leonor, and Monica Elisa Meneses La Riva. "Healthcare-associated infection control and biosecurity measures for nurses in the emergency department of a National Essalud Hospital [Healthcare-associated infection control and biosecurity measures for nurses in the emergency department of a National Essalud Hospital]." Journal of Global Health and Medicine 4, no. 1 (October 31, 2020): 1. http://dx.doi.org/10.32829/ghmj.v4i1.185.

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Biosecurity measures are indispensable in the work of nursing care to ensure the quality and impact of nursing care interventions in the areas of care. Objective: To determine the relationship between biosecurity measures and healthcare-associated infection control in the work of nurses in the emergency department of a National Hospital, Essalud, 2019. The methodology was a quantitative, correlational, cross-sectional, non-experimental design, whose population consisted of 152 nurses working in the emergency area, for which 3 instruments were applied: Scale of knowledge of biosecurity measures with 14 items with multiple answers, Checklist of biosecurity measures with 17 items, and Handwashing checklist with 11 items, both instruments with a dichotomous scale. Both instruments were evaluated by experts and their reliability was 0.8. The results obtained show that there is a significant positive average correlation between the variables measured of biosecurity and the control of infections associated to health care. It is concluded that nurses' knowledge of biosecurity measures and HAIs pose a high risk to health personnel and patients. Therefore, it is essential to continue training, monitoring, follow-up and control to ensure the quality and impact of nursing care in emergency services.

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Morey, Jim, Hoseoup Lee, and Ken Wallis. "Impact Of Asset Age/Fiscal Viability On Selected Measures Of Patient Care In Nursing Homes." Journal of Business Case Studies (JBCS) 3, no. 2 (April 1, 2007): 11–16. http://dx.doi.org/10.19030/jbcs.v3i2.4838.

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Forty-five New York nursing homes were examined to determine if a relationship between age of assets, fiscal viability and quality of nursing homes, as measured by patient care indices and survey deficiencies, existed. These factors were examined on 2004 data for the nursing homes selected. Several financial variables were used to construct a fiscal viability index; and a patient care index was created from selected procedural measures that may be used to measure specific aspects of institutional care. The premise is that age of assets and fiscal viability will influence quality of patient care/survey deficiencies. Utilizing both the financial and patient care and survey indices, the following statistical models were prepared:

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Williams, Christianna, Qing Zheng, and Alan White. "PAYROLL-BASED STAFFING MEASURES FOR NURSING HOMES." Innovation in Aging 3, Supplement_1 (November 2019): S62. http://dx.doi.org/10.1093/geroni/igz038.241.

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Abstract The Centers for Medicare & Medicaid Services (CMS) developed the Payroll-Based Journal (PBJ) system for nursing homes to electronically submit direct care staffing information based on payroll and other auditable data. In spring 2018, CMS started reporting PBJ-based staffing measures on Nursing Home Compare. The objective of this research is to examine nursing home staffing patterns using PBJ data. We created measures of staffing hours per resident day, using PBJ staffing information and resident census calculated from MDS assessments. We examined how PBJ staffing levels varied for different types of nursing homes and the relationship between staffing and performance on other parts of CMS’s Five-Star Quality Rating System. We also examined weekday/weekend variation in staffing levels. We tracked about 15,650 nursing homes from 2017 to 2018. The average staffing level was 3.85 hours per resident day, of which 0.66 hours were for RNs. Average staffing levels were higher for smaller, non-profit, and hospital-based facilities. They were also higher for facilities with higher health inspection and quality measure ratings. Staffing levels were about 17% lower on weekends than on weekdays, and RN staffing was 38% lower on weekends. About 20% of facilities had one or more weekend day without any RN staffing in the quarter, while only 8% of facilities had any weekday without RN staffing. The use of payroll-based staffing measures improves the accuracy of the staffing information reported on Nursing Home Compare, providing consumers with additional quality-related information that can help guide their nursing home placement decisions.

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Bao, Fuqin, Dapeng Wang, Hongyan Zhao, and Bo Xu. "Application and Statistical Health Analysis of Predictive Nursing in Orthopedic Nursing." Journal of Medical Imaging and Health Informatics 9, no. 8 (October 1, 2019): 1547–52. http://dx.doi.org/10.1166/jmihi.2019.2781.

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Objective: To investigate the application of predictive nursing guidelines in orthopedic care based on medical imaging and health statistics. Methods: 140 patients were divided into two groups: observation and control. The patients in the control group received routine nursing. The patients in the observation group received the guidance of predictive nursing on the basis of routine nursing. The nursing effects of the two groups were observed. Results: After the implementation of nursing interventions, the complication rate was 4.3% in the observation group and 20.0% in the control group. The difference between the groups was statistically significant (P < 0.05). The satisfaction rate was 97.1%, and the nursing satisfaction of the control group was 90.0%. The difference between the groups was statistically significant (P < 0.05). Discussion: Through observation of patient satisfaction and treatment, especially in orthopedics, patients are differentiated according to different diseases, and predictive care can effectively prevent complications. Conclusion: Predictive care provides preventive measures by comprehensively understanding and comprehensively assessing the patient's condition and developing care measures in a timely and effective manner.

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Kirkpatrick, Mary K., Jo Ann Brewer, and Barbara Stocks. "Efficacy of self-care measures for perimenstrual syndrome (PMS)." Journal of Advanced Nursing 15, no. 3 (March 1990): 281–85. http://dx.doi.org/10.1111/j.1365-2648.1990.tb01814.x.

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Plutínská, Zuzana, and Ilona Plevová. "Measures to prevent medication errors in intensive care units." Central European Journal of Nursing and Midwifery 10, no. 2 (September 30, 2019): 1059–67. http://dx.doi.org/10.15452/cejnm.2019.10.0014.

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Sai Ravi Teja Kamineni, Pandian Balu, Poonguzhali Sivagananam, Poongodi Chellapandian, Udayakumari Meesala Chelladurai, Vasantha Priya Jayasheelan, Savithri Kanganda Bopaiah, Divya Ravikumar, Sindhura Myneni, and Surapaneni Krishna Mohan. "Knowledge of COVID-19 among nursing and Allied health care professionals working in tertiary care hospital." International Journal of Research in Pharmaceutical Sciences 11, SPL1 (May 15, 2020): 103–9. http://dx.doi.org/10.26452/ijrps.v11ispl1.2233.

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The rapid spread of the COVID-19 pandemic has become a major cause of concern for the healthcare profession. The pandemic is on-going and actively developing and countries around the world are taking drastic measures to reduce the spread of disease by measures like initiating social distancing, closing of schools and nonessential businesses. The present study is being conducted to assess the knowledge of COVID-19 among the nursing and allied health care professionals. A cross sectional study on knowledge of COVID-19 was conducted among nursing and allied health care professionals working in tertiary care hospital. A structured questionnaire comprised of 25 questions developed by investigators was administered to 177 health care professionals that includes nursing and allied health professionals working in a tertiary care hospital. Among the 177 nursing and allied health care professionals, majority 92.1% of them has adequate knowledge regarding the present global pandemic and 7.9% had moderate knowledge. This study concludes that nursing and allied health care services professionals in tertiary centre has adequate knowledge regarding COVID-19 pandemic.

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Salazar, R. N., R. N. Vilugron, R. N. Ulloa, R. N. Villena, and R. N. Rebolledo. "Evaluation nursing care in neutropenic patients with basic measures of isolations." European Journal of Cancer 33 (September 1997): S300. http://dx.doi.org/10.1016/s0959-8049(97)86255-7.

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Mukamel, Dana B. "Risk-Adjusted Outcome Measures and Quality of Care in Nursing Homes." Medical Care 35, no. 4 (April 1997): 367–85. http://dx.doi.org/10.1097/00005650-199704000-00007.

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Moraes, Ana Paula da Silva, Silvania Moreira de Abreu Façanha, Sarah Nogueira Rabelo, Ana Valeska Siebra e. Silva, Maria Veraci Oliveira Queiroz, and Edna Maria Camelo Chaves. "Non-pharmacological measures in the pain management in newborns: nursing care." Revista da Rede de Enfermagem do Nordeste 17, no. 3 (June 29, 2016): 435. http://dx.doi.org/10.15253/2175-6783.2016000300019.

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Langlen Devi, Thangjam, and Arunjyoti Baruah. "Practice of Standard Safety Measures among Nursing Personnel at Tertiary Mental Health Institute, North-East, India." International Journal of Research and Review 8, no. 6 (June 29, 2021): 324–31. http://dx.doi.org/10.52403/ijrr.20210641.

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Background: Health care-associated infection (HAI) is a serious problem that deeply impacts patient safety and is a major cause of patient morbidity and mortality. Adherence to standard safety measures while performing procedures and related infection control measures is a part of nurses responsibility as it protects patients and health care workers from transmission of health-care associated infections. Assessing practice of standard safety measures while performing nursing procedures is immensely important so that necessary changes can be brought to enhanced quality nursing care. Methodology: The study adopted an observational descriptive research design. The setting of the study was the Tertiary Mental Health Institute, North-East, India. The sample of the study consisted of the thirty eight (38) nursing personnel who performed the total 150 procedures i.e. 30 times of each five domains (waste disposal, intramuscular injection, intravenous injection, hand-washing, aseptic wound dressing). Convenience sampling technique was used. Result: Finding showed that all the nursing personnel followed proper waste disposal practice but partially adhere to standard safety measures while administering intramuscular and intravenous injections. Whereas practice on standard safety measures while performing hand washing and aseptic wound dressing were less than average. Conclusion: The present study highlights the importance of in-service education on standard safety measures by incorporating new guidelines of nursing procedures based on evidence based practices. In-service education brought changes in the performance level as it is showed that the nursing personnel who had earlier received in-service education on Bio-medical waste management from the institute followed satisfactory waste disposal practice. Keywords: Standard safety measures, nursing personnel.

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Blegen, Mary A. "Patient Safety in Hospital Acute Care Units." Annual Review of Nursing Research 24, no. 1 (January 2006): 103–25. http://dx.doi.org/10.1891/0739-6686.24.1.103.

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The most visible threats to patient safety associated with nursing care occur on hospital inpatient units. Patient safety research is a new phenomenon, but it builds on the knowledge provided by quality-of-care research done previously. The purpose of this chapter is to describe the current state of the science in the area of nurse staffing and patient safety. The results of research studies published since the last round of reviews (1996-2005) are described by level of analysis, measures of nurse staffing and patient outcomes. Although research linking nurse staffing to the quality of patient care has increased markedly since 1996, the results of recent research projects do not yet provide a thorough and consistent foundation for producing solutions to the crisis in hospital nursing care. The inconsistencies are largely due to differing units of analysis (hospital, patient, care unit), variability in measures of nurse staffing, the variety of quality indicators chosen, the difficulty finding accurate measures of these indicators, and the difficulty creating risk-adjustment strategies for the indicators most sensitive to nursing care. Nursing administration and policy most urgently need research conducted with standardized data collected at the patient care unit level.

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Connor, Jean, Lauren Hartwell, Jennifer Baird, Benjamin Cerrato, Araz Chiloyan, Courtney Porter, and Patricia Hickey. "Nurse-Sensitive Quality Metrics to Benchmark in Pediatric Cardiovascular Care." American Journal of Critical Care 29, no. 6 (November 1, 2020): 468–78. http://dx.doi.org/10.4037/ajcc2020884.

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Background Associations between the quality of nursing care and patient outcomes have been demonstrated globally. However, translation and application of this evidence to robust measurement in pediatric specialty nursing care has been limited. Objectives To test the feasibility and performance of nurse-sensitive measures in pediatric cardiovascular programs. Methods Ten nurse-sensitive measures targeting nursing workforce, care process, and patient outcomes were implemented, and measurement data were collected for 6 months across 9 children’s hospitals in the Consortium of Congenital Cardiac Care–Measurement of Nursing Practice (C4-MNP). Participating sites evaluated the feasibility of collecting data and the usability of the data. Results Variations in nursing workforce characteristics were reported across sites, including proportion of registered nurses with 0 to 2 years of experience, nursing education, and nursing certification. Clinical measurement data on weight gain in infants who have undergone cardiac surgery, unplanned transfer to the cardiac intensive care unit, and pain management highlighted opportunities for improvement in care processes. Overall, each measure received a score of 75% or greater in feasibility and usability. Conclusions Collaborative evaluation of measurement performance, feasibility, and usability provided important information for continued refinement of the measures, development of systems to support data collection, and selection of benchmarks across C4-MNP. Results supported the development of target benchmarks for C4-MNP sites to compare performance, share best practices for improving the quality of pediatric cardiovascular nursing care, and inform nurse staffing models.

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Charters, Kathleen, and Margaret Class. "Disseminating Clinical Measures Data to Health Care Providers." CIN: Computers, Informatics, Nursing 31, no. 9 (September 2013): 409–10. http://dx.doi.org/10.1097/01.ncn.0000435222.22136.86.

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Khanade, Kunal, and Farzan Sasangohar. "Stress, Fatigue, and Workload in Intensive Care Nursing: A Scoping Literature Review." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 61, no. 1 (September 2017): 686–90. http://dx.doi.org/10.1177/1541931213601658.

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Stress and fatigue are being interchangeably used in the nursing literature resulting in operationalization and measurement issues. A scoping review was conducted to identify different definitions and operationalization of these constructs. Findings can be used to develop tools to measure stress and fatigue as different constructs to aid nursing administrators to gain a new perspective into nursing schedule, workload, morale and well-being of nurses. The findings show that there is a research gap in measurement of acute stress in nursing, physiological measures are currently not used for continuous assessment of stress or fatigue for nurses, and lack of stress and fatigue definitions in terms of physiological measures for assessment purposes. Continuous monitoring and physiological measures such as heart rate can be used to measure and differentiate between the constructs of stress and fatigue

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Schenck, Anna P., Franziska S. Rokoske, Danielle Durham, John G. Cagle, and Laura C. Hanson. "Quality Measures for Hospice and Palliative Care: Piloting the PEACE Measures." Journal of Palliative Medicine 17, no. 7 (July 2014): 769–75. http://dx.doi.org/10.1089/jpm.2013.0652.

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Kline, Nancy E. "Editorial: Update on Supportive Care Measures in Pediatric Oncology." Journal of Pediatric Oncology Nursing 24, no. 1 (January 2007): 7. http://dx.doi.org/10.1177/1043454206296875.

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Coughlin, Mary, Sharyn Gibbins, and Steven Hoath. "Core measures for developmentally supportive care in neonatal intensive care units: theory, precedence and practice." Journal of Advanced Nursing 65, no. 10 (October 2009): 2239–48. http://dx.doi.org/10.1111/j.1365-2648.2009.05052.x.

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Akinci, Fevzi, Joseph Coyne, Bernard Healey, and Joni Minear. "National Performance Measures for Diabetes Mellitus Care." Disease Management & Health Outcomes 12, no. 5 (2004): 285–98. http://dx.doi.org/10.2165/00115677-200412050-00002.

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Alspach, JG. "Reader survey report: effects of cost-cutting measures on critical care nursing." Critical Care Nurse 6, no. 3 (May 1, 1986): 1–10. http://dx.doi.org/10.4037/ccn1986.6.3.1.

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Rantz, Marilyn J., Marcia K. Flesner, and Mary Zwygart-Stauffacher. "Improving Care in Nursing Homes Using Quality Measures/Indicators and Complexity Science." Journal of Nursing Care Quality 25, no. 1 (January 2010): 5–12. http://dx.doi.org/10.1097/ncq.0b013e3181c12b0f.

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Resnick, Barbara, and Marjorie Simpson. "Restorative care nursing activities: pilot testing self-efficacy and outcome expectation measures." Geriatric Nursing 24, no. 2 (March 2003): 82–89. http://dx.doi.org/10.1067/mgn.2003.26.

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Bassett, Alaina M., Ka-Chun Siu, and Julie A. Honaker. "Functional Measures for Fall Risk in the Acute Care Setting: A Review." Western Journal of Nursing Research 40, no. 10 (April 30, 2017): 1469–88. http://dx.doi.org/10.1177/0193945917705321.

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This review explores the evidence pertaining to the use of functional ability measures for fall risk in the acute care setting. We included studies from six bibliographic databases that investigated fall risk functional ability measures in hospitalized older adults (≥55 years). We utilized the following search terms: acute care, subacute care, critical care, inpatient, fall, and fall prevention. Nineteen articles met the inclusion criteria. Timed “Up and Go” (TUG) was identified as a feasible fall risk functional ability measure for clinicians; it demonstrated clinical performance of fair sensitivity (56%-68%) and good specificity (74%-80%). Clinical performance of other measures (Berg Balance Scale and Functional Reach test) was not as favorable as the TUG. Functional ability measures are underutilized in the acute care setting, potentially due to limited knowledge and training on administration. Combining functional measures with subjective screening tools may optimize performance and accuracy of identifying fall risk identification.

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Agar, Meera, and Tim Luckett. "Outcome measures for palliative care research." Current Opinion in Supportive and Palliative Care 6, no. 4 (December 2012): 500–507. http://dx.doi.org/10.1097/spc.0b013e32835a66ca.

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Bassett, Alaina M., Ka-Chun Siu, and Julie A. Honaker. "Using Functional Ability Measures to Assess Fall Risk in Acute Care." Western Journal of Nursing Research 42, no. 12 (May 22, 2020): 1050–58. http://dx.doi.org/10.1177/0193945920924637.

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Currently, it is not known whether integration of functional performance measures is sensitive and feasible for use in acute care settings. This cross-sectional study explored the subjective and objective measures of the risks of falling, falls efficacy, and functional abilities for inpatients in an adult acute care unit. The Morse Fall Scale ( n = 30) and Timed Up and Go (TUG; n = 10) had excellent sensitivity (100%) for identifying participants with prior fall histories, while the St. Thomas Risk Assessment Tool in Falling Elderly Inpatients only had good sensitivity (87.5%). Study findings suggest that implementation of feasible functional ability measures in conjunction with subjective fall risk measures could enhance accuracy and performance in identifying inpatient risks of falling in acute care settings.

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Katanekwa, Situmbeko N., and Elizabeth Dahlback. "Prevention of Tuberculosis cross infection; in the process of nursing care." Asian Journal of Medical Sciences 7, no. 3 (January 6, 2016): 9–14. http://dx.doi.org/10.3126/ajms.v7i3.13499.

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Nosocomial transmission of TB to healthcare workers (HCWs) is an issue of present interest. The Center for Disease Control and Prevention and the World Health Organization have recommended infection control measures such as respiratory isolation rooms with negative pressure for patients with productive cough and use of personal respiratory protective equipment ,i.e. respirators. Different infection control measures, usually administrative and engineering simultaneously, have been implemented in industrialized countries and resulted in reduced nosocomial tuberculosis transmission, (Jensen PA et al,2005).The implementation of all these measures maybe neither feasible nor cost-effective in resource-limited nations,(Harries AD et al,1997). In particular, engineering measures such as negative pressure isolation rooms with high efficiency particulate air (HEPA) filters maybe unaffordable. However scientifically proved modifications based on Infection Prevention and Control measures can be applied, and studies have proved their efficacy in resource-limited nations, (Lowbury Lecture, 2007).The study used Scientific Articles to; (1) highlight statistics and prevalence of occupationally contracted TB, (2)Discuss the preventive measures and their efficacy from multidisciplinary perspective and in the nursing care process, in developed and developing countries and (3)Emphasize the use of safe practice in nursing practice.Asian Journal of Medical Sciences Vol. 7(3) 2016 9-14

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Silva, Adriana Maria da, Milton Jorge de Carvalho, Silvia Rita Marin da Silva Canini, Elaine Drehmer de Almeida Cruz, Carmen Lucia Antunes Pimenta Simões, and Elucir Gir. "Methicillin resistant Staphylococcus aureus: knowledge and factors related to the nursing team’s adherence to preventive measures." Revista Latino-Americana de Enfermagem 18, no. 3 (June 2010): 346–51. http://dx.doi.org/10.1590/s0104-11692010000300008.

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This study evaluated the knowledge of a nursing team from a public hospital in the state of São Paulo, Brazil concerning preventive measures recommended in the care delivered to patients colonized with Methicillin Resistant Staphylococcus Aureus (MRSA) and, through the Health Beliefs Model, identified the factors influencing adherence or non-adherence to preventive measures. A total of 318 professionals from different units participated in the study. According to the analysis, the nursing team’s knowledge and perception of MRSA susceptibility was limited, which indicates the need for actions to improve the understanding of preventive measures employed in the care delivered to patients colonized or infected by this microorganism.

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Castle, Nicholas G., Kathryn Hyer, John A. Harris, and John Engberg. "Nurse Aide Retention in Nursing Homes." Gerontologist 60, no. 5 (March 6, 2020): 885–95. http://dx.doi.org/10.1093/geront/gnz168.

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Abstract Background and Objectives The association of nurse aide retention with three quality indicators is examined. Retention is defined as the proportion of staff continuously employed in the same facility for a defined period of time. Research Design and Methods Data used in this investigation came from survey responses from 3,550 nursing facilities, Certification and Survey Provider Enhanced Reporting data, and the Area Resource File. Staffing characteristics, quality indicators, facility, and market information from these data sources were all measured in 2016. Nurse aide retention was measured at 1, 2, and 3 years of employment. The quality indicators examined were a count of all deficiency citations, quality of care deficiency citations, and J, K, L deficiency citations. Negative binomial regression analyses were used to study the associations between the three different retention measures and these three quality indicators. Results The 1-, 2-, and 3-year nurse aide retention measures were 53.2%, 41.4%, and 36.1%, respectively. The regression analyses show low levels of retention to be generally associated with poor performance on the three deficiency citation quality indicators examined. Discussion and Implications The research presented starts to provide information on nurse aide retention as an important workforce challenge and its potential impact on quality. Retention may be an additional staffing characteristic of nursing facilities with substantial policy and practice relevance.

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Wan, Qiuying. "Analysis and Countermeasures on 195 Cases of Adverse Events in Nursing Care." Journal of Nursing 4, no. 4 (December 29, 2015): 12. http://dx.doi.org/10.18686/jn.v4i4.4.

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<strong>Objective: </strong>To develop preventive measures, improve the quality of nursing, and ensure the safety of patients by analyzing the causes and characteristics of adverse events in nursing care. <strong>Methods:</strong> Retrospectively analyzing 195 cases of adverse events in nursing care which occurred in the hospital between January 2014 and December 2014 to study the classifications, causes and duration of adverse events in nursing care and their association with the nurses’ different work experiences and titles. <strong>Results:</strong> The Top 3 of the adverse events in nursing care are respectively: 52 cases of wrong pills, which account for 26.7%; 30 cases of missing treatment, checking and nursing, which account for 15.4%; 23 cases of hospital pressure ulcer, which account for 11.8%. The main causes was due to the enforcement of the system is not done strictly, safety management is not in place and clinical teaching is not rigorous. Day shifts mark the peak of adverse events in nursing care, and the nurses’ working experiences and titles are related to the occurrence of the adverse events in nursing care. <strong>Conclusion</strong>: All the core systems and rules should be enforced rigorously in clinical nursing, strengthen the monitoring of the key group, enforce the adverse events reporting system, and improve professional training of the young nurses to reduce the occurrence of adverse events in nursing care. Nursing managers should analyze the factors to develop preventive measures, strengthen nursing safety management, and enhance the quality as well as the level of nursing service in the process of quality management and improvement.

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Coimbra, Vanessa da Silva Antonio, Rose Mary Costa Rosa Andrade Silva, Fabiana Lopes Joaquim, and Eliane Ramos Pereira. "Gerontological contributions to the care of elderly people in long-term care facilities." Revista Brasileira de Enfermagem 71, suppl 2 (2018): 912–19. http://dx.doi.org/10.1590/0034-7167-2017-0357.

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ABSTRACT Objective: To analyze Brazilian scientific productions from the last 11 years which show the contributions of nursing to elderly people in long-term care facilities. Method: This is an integrative literature review. The search took place in the Virtual Health Library (VHL) in the BDENF and LILACS databases and the SCIELO virtual library, between June and October 2016, using the keyword long-term care facility and the descriptors nursing and geriatrics. Results: Eleven studies were selected, published 2005 and 2016, with various methodological approaches that enabled discussion of the proposed objective. Conclusion: The contributions of nursing to institutionalized elderly people were linked to health promotion measures, as well as simple interventions, such as listening, interacting, offering recreation and helping in psychoaffective relationships. These activities contributed to raising the self-esteem of the individuals.

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St. Pierre, Jeanne. "Functional Decline in Hospitalized Elders: Preventive Nursing Measures." AACN Clinical Issues: Advanced Practice in Acute and Critical Care 9, no. 1 (February 1998): 109–18. http://dx.doi.org/10.1097/00044067-199802000-00011.

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Meyers, Timothy W. "Literature Synthesis on Evaluative Measures in Healthcare Simulation." International Journal of Gaming and Computer-Mediated Simulations 4, no. 3 (July 2012): 38–48. http://dx.doi.org/10.4018/jgcms.2012070103.

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Whereas most educators have a good grasp on the history of simulation in healthcare, the current state and types of modalities related to simulation in healthcare education, and the future direction of healthcare simulation, many educators do not have an in-depth understanding of the metrics available to assess the use of simulation. The purpose of this literature synthesis is to build a repository of the metrics being used to evaluate nursing and healthcare provider simulation. Additionally, the level of fidelity and desired learning domains that the matrices purport to evaluate is examined. A secondary purpose of the literature synthesis is to determine if a suitable metric is available that can be used universally to evaluate nursing and healthcare related simulations. Finally, conceptual frameworks suitable for serving as the bases of instrument development related to nursing and health care simulation are explored. Primary studies, meta-analyses, and systematic reviews that discussed or evaluated metrics used to measure outcomes of simulation were analyzed. Recent articles, published within the last five years, which discussed the evaluation of nursing and or healthcare simulation, were eligible for inclusion. Additionally, descriptive, inferential, qualitative, and quantitative studies were eligible for inclusion.

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Kilonzo, Isae, Michael Lucey, and Feargal Twomey. "Implementing Outcome Measures Within an Enhanced Palliative Care Day Care Model." Journal of Pain and Symptom Management 50, no. 3 (September 2015): 419–23. http://dx.doi.org/10.1016/j.jpainsymman.2015.04.006.

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Loftin, Collette, Vicki Hartin, Marietta Branson, and Helen Reyes. "Measures of Cultural Competence in Nurses: An Integrative Review." Scientific World Journal 2013 (2013): 1–10. http://dx.doi.org/10.1155/2013/289101.

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Background.There is limited literature available identifying and describing the instruments that measure cultural competence in nursing students and nursing professionals.Design.An integrative review was undertaken to identify the characteristics common to these instruments, examine their psychometric properties, and identify the concepts these instruments are designed to measure.Method.There were eleven instruments identified that measure cultural competence in nursing. Of these eleven instruments, four had been thoroughly tested in either initial development or in subsequent testing, with developers providing extensive details of the testing.Results.The current literature identifies that the instruments to assess cultural competence in nurses and nursing students are self-administered and based on individuals' perceptions. The instruments are commonly utilized to test the effectiveness of educational programs designed to increase cultural competence.Conclusions.The reviewed instruments measure nurses’ self-perceptions or self-reported level of cultural competence but offer no objective measure of culturally competent care from a patient’s perspective which can be problematic. Comparison of instruments reveals that they are based on a variety of conceptual frameworks and that multiple factors should be considered when deciding which instrument to use.

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O'Brien, Anthony P., Julie M. Boddy, and Derrylea J. Hardy. "Culturally Specific Process Measures to Improve Mental Health Clinical Practice: Indigenous Focus." Australian & New Zealand Journal of Psychiatry 41, no. 8 (August 2007): 667–74. http://dx.doi.org/10.1080/00048670701449211.

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Objective: In New Zealand and Australia, a renewed emphasis on equity and efficiency in the provision of mental health care has seen outcomes-focused, culturally appropriate clinical practice become essential within mental health services. Ascertaining the degree to which quality improvement and monitoring systems are enhancing professional practice and patient outcomes, however, is hindered by the difficulty of measuring the process of quality care delivery. Method: This paper argues that it is the process of care delivery (i.e. what clinicians do to, and for, patients) that is critical to the effectiveness of treatment and the degree to which treatment either inhibits or promotes an improvement in mental health recovery. Identification of the underlying causes of poor achievement of process factors is likely to positively impact on things such as readmission rates, shared care initiatives, and ultimately patient recovery. Such attention could be the difference between low-quality service provision and a high-quality service provision with positive recovery outcomes for patients. Results: Ascertaining the degree to which quality improvement and monitoring systems are enhancing professional practice and patient outcomes for indigenous people, however, is hindered by the difficulty of measuring such concepts. Australia has indeed embraced ‘culturally appropriate’ practice in recent years, but this appears to be piecemeal when compared with New Zealand. Certainly, there are inconsistent and variable approaches to cultural practices with indigenous people when comparing the two countries. Conclusions: Using evidence from a bicultural mental health nursing study that developed and validated generic and Mâori-specific (indigenous) clinical indicators for mental health nursing standards of practice in New Zealand, it is argued that the process of care delivery is equally as important as outcome measures when ascertaining the effectiveness of nursing care. Second, this paper contends that accurate process measures must be culturally responsive to indigenous and other ethnic groups.

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