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.

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

To use the findings from QI, articles need to describe the problem that led to the study, context, intervention (with sufficient detail so others could reproduce it), measures used for studying processes and outcomes, results, and implications. Accurate and complete reporting of QI is essential to convey this information to readers. The Standards for QUality Improvement Reporting Excellence (SQUIRE) were developed as guidelines for reporting QI studies. The SQUIRE guidelines were just revised, and we are providing them for readers as an open access article. Don’t stop reading yet:  we have other important articles in this issue. AHRQ shares findings from the recent National Healthcare Quality and Disparities Report with implications for nursing. Many settings continue to have issues with discharge delays:  the article by Holland et al. describes how they studied their discharge delays as the first step in improving their processes. Lake and colleagues examined the NICU work environment, quality of care, safety, and patient outcomes. Their sample included 1247 NICU staff nurses in 171 hospitals. The results provided strong evidence that environments supportive of professional nursing practice were linked to the well-being of critically ill infants. In another article authors describe how they implemented just-in-time training to keep nurses competent in high risk but low volume therapies. You will like that article because the process they used is transferable to other settings and areas of practice. We also have 2 articles describing innovations for fall prevention:  a video that nurses developed for patients and an automated fall risk questionnaire that patients complete themselves when admitted to the hospital. In this issue you also will find good articles on pressure ulcer prevention and studies about missed nursing care and handoff. Make sure you read our online only papers on interrupted time series analysis versus statistical process control for evaluation of QI, and a study on the risk of developing pressure ulcers in long term care.

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

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Featured Videos

Are you worried about discharge delays in your institution? If so watch this video to learn how the authors developed and evaluated a mechanism for real-time tracking of discharge delays by bedside clinicians. They also developed a process for reporting delays so actions could be taken. Discharge delay times totaled 23.6 days for 114 patients affected by a delay. More than one-half of the delays (61.4%) were for patients whose discharge disposition was home. Read the Holland et al. article here.
Understanding hospital culture is important to effectively manage patient flow. Dr. McClelland describes a survey he developed to assess a hospital's culture related to in-hospital transitions in care. Eight transition themes were identified using a multidisciplinary team of experts from 3 health care systems. Learn more about this study and the instrument from Dr. McClelland. Read the McClelland et al. article here.

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.



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.