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


In our lead article, authors describe a QI initiative across 21 hospitals that incorporated a multidisciplinary approach, breakthrough collaborative methods, evidence-based care guidelines, front-line rapid improvement cycles, consistent process-of-care documentation, and real-time incidence data. Decreases in all-stage and stages III, IV, and unstageable hospital-acquired pressure ulcers rates have been sustained for 5 years. Chen and colleagues report on their research that found a significant link between Magnet hospitals and higher HCAHPS scores. In another study researchers found that falls were higher with temporary RN staffing levels but decreased with more LPN hours per patient day. In the hospital setting, the “chain of survival” is initiated by first responders prior to the arrival of an ACLS-trained resuscitation team. Borak et al. describe how they increased the rate of early defibrillation by nurse first responders in noncritical care areas. Their approach provides a model for other institutions to use to improve early defibrillation rates. Tracking and reporting methods for inpatient falls are inconsistent across healthcare settings. An article in this issue demonstrates how to calculate fall rates using 3 common methods, summarizes the advantages and disadvantages of each method, and recommends best practices. Other papers describe an EBP project to standardize sedation monitoring by nurses when opioids are administered for pain management, the adoption rates of 9 Assessing Care of Vulnerable Elders quality indicators in 128 US hospitals, sustaining improvements in perinatal teamwork and safety climate, bedside handoffs, and others. This issue will meet a wide range of reader interests.Marilyn H. Oermann, PhD, RN, ANEF, FAAN

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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.

Implementation of a Follow-up Telephone Call Process for Patients at High Risk for Readmission

A follow-up telephone call within 72 hours of discharge reduced the readmission rate. Learn how to do this in your own setting.

Please Release Me: Restraint Reduction Initiative in a Health Care System

Multiple interventions were used to reduce restraint use in 4 acute care hospitals within a single health system: multidisciplinary rounds on restrained patients, increased availability of restraint alternatives, development of unit-based restraint champions, and education of staff. The health care system has maintained a quarterly restraint prevalence rate of less than 2.26% with 1 variant. Read the article ahead of print.

Implementing a Unit-Based CLABSI Project

Nurses decreased the rate of CLABSI infections on their medical surgical unit from 3.2 to 0.6 infections per 1000 catheter days by targeting improvement in central line maintenance. They used the Consolidated Framework for Implementation Research’s 5 interacting domains to guide their interventions.

Improving Deep Vein Thrombosis Prophylaxis With Mechanical Modalities in Surgical Intensive Care Unit

Deep vein thrombosis (DVT) remains a source of adverse outcomes in surgical patients. Nurses created a guideline for using non-invasive mechanical modalities for prophylaxis. Read more about this project.