摘要:

The "Observable Indicators of Nursing Home Care Quality" instrument was developed as a new measure of nursing home care quality. The instrument is based on a theoretical model of quality nursing home care grounded in data from provider and consumer focus groups. The instrument was piloted in 10 Missouri nursing homes. Subsequent versions were tested in 109 Missouri and 11 Icelandic nursing homes. Content validity was established using experts. Concurrent and known groups validity was evaluated using Minimum Data Set quality indicators, survey citations, and a process of care measure. Interrater and test-retest reliabilities were calculated as well as coefficient alpha. The "Observable Indicators of Nursing Home Care Quality" instrument is a new measure that can be used by researchers, and potentially by regulators, consumers, or providers, to observe and score specific indicators of quality care following a 20- to 30-minute inspection of a nursing home.

ISSN:1057-3631    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

An interdisciplinary process for the reduction of medication errors was implemented at East Jefferson General Hospital in Metairie, Louisiana, a suburb of New Orleans. The Medication Administration Review and Safety Committee expanded the error reporting system with a comprehensive concurrent chart review process. Safe administration of medications through a systems approach has led to a reduction of documentation deficiencies, a new follow-up process, and an increase in reported errors.

ISSN:1057-3631    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

In 1996, a nursing committee at an acute care facility organized the first pressure ulcer point prevalence survey for that hospital. In 1996, hospital-acquired pressure ulcers were 90 percent of the predicted prevalence rate; in 1997, the rate dropped to 59 percent of the predicted prevalence and in 1998, to 53 percent of the predicted prevalence. The severity index decreased markedly from 291 (1996) to 98 (1997) then to 62 (1998). These improvements are attributed to the purposeful addition of multidimensional interventions, including best practices and research-based protocols, to prevent and treat nosocomial pressure ulcers.

ISSN:1057-3631    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

During times of scarce resources available for providing patient care, it becomes necessary to validate the effectiveness of standard practices that consume caregivers' time and efforts. Three nurse managers of nursing units serving diverse patient populations studied the effectiveness of continuous intake and output in estimating daily fluid balance. They examined 48-hour records of daily weight and intake and output of 73 patients and correlated the two. Their findings suggest that even when caregiver charting compliance is optimal, daily intake and output recording provides unreliable results. The authors recommend daily weights alone be adopted for all patients who are not experiencing acute renal conditions.

ISSN:1057-3631    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

A retrospective review of patient falls in a 248-bed acute-care community hospital was conducted in order to quantify the number of patient falls and identify what factors resulted in these falls. The author reports these results and describes specific measures that were implemented in an attempt to reduce the number of falls in the organization.

ISSN:1057-3631    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Many patients who receive antipsychotic medications experience dystonia, akinesia, dyskinesia, and akathisia, collectively called Extrapyramidal Symptom Side Effects (EPS). The purpose of this study was to establish interrater reliability for a Nursing EPS Assessment Scale developed to focus on all four symptom areas. Twenty RNs and 12 patients participated in the instrument development studies. After several revisions, interrater reliability significance was demonstrated at the 0.01 level. It was concluded that the Nursing EPS Assessment Scale possessed good interrater reliability for nursing assessment of EPS.

ISSN:1057-3631    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Understanding the patient's experience of illness and health care requires that health care institutions understand how patients perceive their needs. Furthermore, nurses at the bedside are at the forefront for impacting the quality of care patients receive. The department of medicine/oncology nursing of an academic medical center examined a report by the American Hospital Association/Picker Institute and integrated its findings into a departmental quality plan. In this article, the dimensions of care described by the American Hospital Association/Picker Institute will be discussed as well as a creative framework for the nurse to address patient needs.

ISSN:1057-3631    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Although the effectiveness of restraints is not proven, the dangers of restraints are clear. Many advocate for the reduction of restraint use in tertiary care settings. The Joint Commission on the Accreditation of Healthcare Organizations is setting the standard by insisting that hospital administrations create a culture that emphasizes restraint reduction. Despite the importance of this task, very little is available in the literature to direct or guide this effort. The purpose of this article is to describe a unit-based Restraint Reduction Program that was successful on a neurology/neurosurgery unit.

ISSN:1057-3631    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:1057-3631    

出版商:OVID    

年代:2000

数据来源: OVID