Characteristics of Quality Improvement Champions in Nursing Homes: A Systematic Review With Implications for Evidence-Based Practice.
Characteristics of Quality Improvement Champions in Nursing Homes: A Systematic Review With Implications for Evidence-Based Practice.
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DOI：
10.1111/wvn.12262
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发表时间：
2017-12
影响因子：
4.3
通讯作者：
Dowding D
中科院分区：
文献类型：
--
作者：
Woo K;Milworm G;Dowding D
在降低成本的同时提高护理质量一直是养老院关注的重点。注册护士助理在养老院的工作人员中所占比例最大，有可能对所提供的护理质量作出贡献。使用注册护士助理作为冠军的质量改进举措具有提高工作满意度的潜力，而工作满意度一直与护理质量有关。确定疗养院环境中冠军的角色、使用和准备，以此作为指导养老院未来质量改进策略的一种方式。系统的文献综述。检索Medline、CINAHL、Joanna Briggs Institute、Medline in-Process和其他非标引引文。在删除重复项后，总共确定了337篇潜在的文章以供进一步审查。经过全文审查，来自5个原始研究的7篇文章符合纳入标准，被纳入综合文献。与冠军一起使用了各种类型的质量改进倡议和实施战略。研究作者认为冠军是所有研究中采用的最有效的单一策略之一。大多数研究将拥护者的角色描述为领导者的角色，他促进和加强变革以求改进。尽管所有纳入的研究都表明，在质量改进计划中实施护士或援助冠军是成功的重要促进者，但审查中纳入的研究要么没有说明冠军是如何选择和培训的，要么没有对其进行任何详细描述。使用注册护士助理作为质量改进的倡导者，可以增加对质量改进项目的参与，并有可能提高工作满意度，有助于改善疗养院的护理质量和改善患者结局。
Improving care quality while reducing cost has always been a focus of nursing homes. Certified nursing assistants comprise the largest proportion of the workforce in nursing homes and have the potential to contribute to the quality of care provided. Quality improvement initiatives using certified nursing assistants as champions have the potential to improve job satisfaction, which has been associated with care quality. To identify the role, use and preparation of champions in a nursing home setting as a way of informing future quality improvement strategies in nursing homes. A systematic literature review. Medical Subject Headings and text words for “quality improvement” were combined with those for “champion*” to search Medline, CINAHL, Joanna Briggs Institute, MedLine In-Process and other Nonindexed Citations. After duplicates were removed a total of 337 potential articles were identified for further review. After full text review, seven articles from five original studies met inclusion criteria and were included in the synthesis. Various types of quality improvement initiatives and implementation strategies were used together with champions. Champions were identified by study authors as one of the single most effective strategies employed in all studies. The majority of studies described the champion role as that of a leader, who fosters and reinforces changes for improvement. Although all the included studies suggested that implementing nurse or aid champions in their quality improvement initiatives were important facilitators of success, how the champions were selected and trained in their role is either missing or not described in any detail in the studies included in the review. Utilizing certified nursing assistants as quality improvement champions can increase participation in quality improvement projects and has the potential to improve job satisfaction and contribute to improve quality of care and improved patient outcomes in nursing homes.
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DOI：
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发表时间：
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影响因子：
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