Editor-in-Chief: Marilyn H. Oermann, PhD, RN, FAAN
ISSN: 1057-3631
Online ISSN: 1550-5065
Frequency: 4 issues / year
Impact Factor: 1.117
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.

Consider publishing your work in JNCQ and benefitting from:
• Fast turnaround time for reviews: Average 4 weeks from submission.
• Fast publication time: Average 4 weeks from acceptance to online publication.
• Read by nurses, QI professionals, and others worldwide.
• JNCQ has a 2014 impact factor of 1.389.   

About This Issue

Our first issue of 2017 contains many must-read articles, beginning with a report on the development and implementation process used to integrate a pressure ulcer care bundle in intensive care. As units move to bedside handoff, we need more information about patients’ and families’ perceptions. A study in this issue provides important evidence to answer that question. Zimbro and colleagues report on their study to determine if the Sepsis “Sniffer” Algorithm (SSA), designed as a digital sepsis alert, was a viable alternative to a manual sepsis alert. The SSA reduced the risk of incorrectly categorizing patients at low risk for sepsis, detected sepsis high risk in half the time, and reduced redundant nurse screens and manual screening hours. Other articles present initiatives to reduce alarm fatigue, prepare support staff to participate in falls prevention, and improve shift-change handoff communication. Don’t miss the scoping review on methods for developing nursing process health care indicators, an integrative review on the consequences of the CMS nonpayment policy on QI initiatives and other outcomes, and the rest of the articles in this issue. ​

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

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Featured Videos

Recent changes in the Surgical Care Improvement Project guideline require blood glucose values be less than 180 mg/dL 18 to 24 hours after anesthesia end time after cardiac surgery. The authors studied 2 groups of patients: the first group of patients was transitioned off IV insulin on postoperative day 1, 24 hours after anesthesia end time, whereas the second group was transitioned off IV insulin on the second day, 48 hours after anesthesia end time. The results showed no statistical differences in outcomes between groups. Watch this video and read the article to learn about the study and evidence they gathered from it.​​
​​​​​The purpose of this QI project was to determine the feasibility of using provider-led participatory visual methods to scrutinize 4 hospital units' infection prevention and control practices. Methods included provider-led photo walkabouts, photo elicitation sessions, and postimprovement photo walkabouts. Nurses readily engaged in using the methods to examine and improve their units' practices and reorganize their work environment. Watch the video and read​ ​​the article here.​​​

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Among hospitalized patients, malnutrition is prevalent yet often overlooked and undertreated. The author implemented a QI program that integrated early nutritional care into the nursing workflow. Nurses screened for malnutrition risk at patient admission and then immediately ordered oral nutritional supplements for those at risk. Supplements were given as regular medications. Pressure ulcer incidence, length of stay, 30-day readmissions, and costs of care were reduced. Watch this video and read the entire article for free: the article is open access so readers can learn about this ​​important QI initiative. ​​
A multicomponent intervention was attempted in a pediatric emergency department to increase reporting of workplace aggression committed by patients and visitors. Overall reporting decreased from 53% to 47% (p = .06). Reasons for reporting were severity of incident and being asked to report. However, many incidents were not reported. Watch the video and be sure to read the article.
Patient falls continue to be a significant problem in hospitals. In this video and article​, the authors describe the feasibility and impact of implementing centralized video monitoring of patients identified as high risk for falls. They also discuss the implications of video monitoring in the acute care setting.

Official Journal of the Clinical Nurse Leader Association