Editor-in-Chief: Marilyn H. Oermann, PhD, RN, FAAN
ISSN: 1057-3631
Online ISSN: 1550-5065
Frequency: 4 issues / year
Ranking: Nursing 66/103
Impact Factor: 1.293 (5-Year)
About Journal of Nursing Care Quality

JNCQ provides practicing nurses, nurses in leadership roles, and other health care professionals with new information and research on patient safety, quality care, evidence-based practice, and more. Sign up for alerts to our Published Ahead-of-Print articles.

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The Journal of Nursing Care Quality invites integrative reviews of current advances in patient safety, research on quality care, approaches to improving quality and safety in health care, and evidence-based practice in nursing. Reviews should summarize and critically evaluate the current state of knowledge. Implications for nursing practice and improving quality and safety should be included.

About This Issue

Falls remain a serious problem in hospitals. In 2012, the NDNQI expanded its falls indicator, with the goals of making the indicator suitable for a wider variety of nursing unit types and introducing additional categories of falls. In our lead article Staggs and colleagues discuss the challenges and decisions involved in expanding the NDNQI falls indicator and argue that schemes for categorizing falls by cause are not beneficial in large scale QI efforts to track and prevent inpatient falls. The authors offer recommendations for more useful measures of fall- related quality of care. Many settings have embarked on processes to improve handoffs, but few studies have been done on long-term sustainability. Collet and colleagues report on their implementation of a standardized transfer protocol from a surgical suite to pediatric ICU and its sustainability. Using rapid process improvement technique, the original mean defect rate per handover decreased from 13.2 to 0 at 1 year and 0.3 at 2 years post implementation. This study stresses the importance of long-term assessment of QI initiatives. Modest use of supplemental nurses is cost efficient, but heavy reliance on them to meet staffing needs is not. This is an important study by Xue et al. to guide decisions about use of agency employed supplemental nurses. Registered nurse “second victims” are nurses who are harmed from their involvement in medical errors. Lewis and colleagues found a relationship between RN involvement in preventable adverse events and 2 domains of burnout. Other papers in this issue describe a transitional care program, the outcomes of nurse and family-centered rounds, the relationship of OR scrub staff expertise and development of surgical site infections, and other QI studies. Make sure you also read our columns: Vogelsmeier et al. report on integrating APRNs into nursing homes and Patty shares a new approach to medical safety in a community hospital.

Marilyn H. Oermann, PhD, RN, ANEF, FAAN

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Registered nurse (RN) “second victims” are RNs who are harmed from their involvement in medical errors. This study found a relationship between RN involvement in preventable adverse events and 2 domains of burnout: emotional exhaustion (P = .009) and depersonalization (P = .030). Support to RNs involved in preventable adverse events was inversely related to RN emotional exhaustion (P < .001) and depersonalization (P = .003) and positively related to personal accomplishment (P = .002). Read the article here.

    Medication discrepancies occur in 70% of hospital patients, especially during discharge. The author initiated a bag medication reconciliation process in the hospital to decrease medication discrepancies by encouraging evaluation of medication adherence, side effects, and monitoring at posthospitalization follow-up. After implementation, a 7% decrease in reportable errors was noted. Read the article here.


  Reducing hospital readmissions is a priority for health care providers and affects Medicare reimbursement. The purpose of this study was to determine if there was a difference in readmission rates from long-term care (LTC) to hospitals with the implementation of a training program for LTC nurses. The training did not affect hospital readmissions; however, the organization saw a significant decrease in hospital readmissions after 24 months of data collection. Read the article here.


  The goal of an At Risk Care Plan is to improve safety and quality care by proactively anticipating individual needs of patients at risk and to communicate those to the health care team. This innovative intervention has dramatically reduced hospital readmissions, costs, and adverse events for high-risk adult inpatients in a small community hospital. Learn more here.
  Ten hospitals participated in a multisystem collaborative to reduce heart failure readmissions. The overall 30-day readmission rate was reduced more in the collaborating hospitals than the non-collaborating (29.32 to 27.66% vs. 27.66 to 26.03%, p=.008). Regional collaboration between health care systems within a QI project was associated with reduced 30-day readmission. Read the article here.



Implementing a Clinical Practice Guideline to Manage Postpartum Urinary Retention

Postpartum urinary retention is a common condition in obstetric units. Read how these authors implemented a Clinical Practice Guideline to decrease variance of clinical practice, rate of postpartum urinary retention, and number of urinary catheterizations.