Editor-in-Chief: Marilyn H. Oermann, PhD, RN, FAAN
ISSN: 1057-3631
Online ISSN: 1550-5065
Frequency: 4 issues / year
Ranking: Nursing 24/110
Impact Factor: 1.389
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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• Fast turnaround time for reviews: Average 4 weeks from submission.
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• JNCQ has a 2014 impact factor of 1.389.   

About This Issue

The Missouri Quality Initiative is a 4-year demonstration of care coordination using advanced practice registered nurses (APRNs) in 16 nursing homes. Rantz et al. describe this initiative and share the perceptions of staff in a nursing home that reduced hospital transfers, reduced polypharmacy and antipsychotic medication use, increased care discussions and completion of advance directives, and introduced electronic transfer of resident health information among health care providers, nursing homes, and hospitals. These goals were achieved as a result of APRNs becoming an integral part of the nursing home. Many articles have reported interventions to reduce heart failure (HF) readmissions, but few have involved multiple health systems across a region. Ten hospitals participated in a multisystem collaborative that led to reduced 30-day HF readmission rates in the collaborating hospitals. Other studies in this issue report on hospital-acquired conditions in rural compared to non rural hospitals, missed nursing care among 729 inpatients and relationship to staffing, a new tool for assessing a hospital’s culture related to in-hospital transitions in care, correlates of nurse staffing levels in inpatient psychiatric units, the impact of Magnet® culture during organizational change, and the National Nursing Quality Report Initiative in Canada. Some other papers that will be of interest to readers are on creating a standardized process to meet core measure compliance, using systems engineering to evaluate a hospital wide bathing intervention, improving medication safety in a community hospital, a proposal for a staff nurse sabbatical, and QI in long term care, among others. I think you will enjoy reading this issue of JNCQ. 

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

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Seasoned nurses frequently resign from their positions due to burnout. An innovative idea that could support nurse retention is nurse sabbaticals. Balanced scorecards with strategy maps can display financial benefit, positive customer experience, and operational and human capital development required to initiate and sustain a professional nurse sabbatical. A balanced scorecard with strategy map is an effective tool that demonstrates connection between the organizational mission and the outcomes of a nurse sabbatical program. Read the Embree article here.

Preventable adverse patient outcomes and hospital characteristics in rural versus non rural US hospitals under the new Centers for Medicare & Medicaid Services reimbursement policy were examined using the American Hospital Association Annual Survey and Hospital Compare data. Under the new policy, rural hospitals tended to have fewer hospital-acquired conditions than non rural hospitals except for patient falls. Case mix was consistently related to falls after controlling for hospital characteristics.  Read the Bae/Yoder article here.

This quality improvement project was designed to implement a sit-to-stand exercise program delivered by nursing assistants in an assisted living facility. The findings have implications for the role that nursing assistants can play in promoting exercise and thus preventing avoidable decline in institutionalized residents and also for implementing QI in these settings. Read the Hummer et al. article here.

The authors improved dysphagia-screening processes in a tertiary Veterans Affairs Medical Center. The dysphagia-screening tool was redesigned on the basis of frontline clinician feedback, clinical guidelines, user satisfaction, and multidisciplinary expertise. The revised tool triggered a speech-language consult for positive screens and demonstrated higher scores in user satisfaction and task efficiency. Systems redesign processes were effective for redesigning the tool and implementing practice changes with clinicians involved in dysphagia screening. Read the Daggett et al. article here.

  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 Lewis et al. article here.



Hot Topics


The new SQUIRE guidelines for writing QI manuscripts have been released. Read the article titled "SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): Revised Publication Guidelines From a Detailed Consensus Process" by Ogrinc et al. here.