SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence)

Ogrinc, Greg; Davies, Louise; Goodman, Daisy; Batalden, Paul B.; Davidoff, Frank; Stevens, David P.

doi:10.1097/ncq.0000000000000153

Cited by 103 publications

(32 citation statements)

References 18 publications

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“…Seven studies met eligibility for inclusion and reported interventional studies related to teamwork, delegation and communication. Both reviewers utilized the Mixed Methods Appraisal Tool (MMAT) to evaluate the quality of the empirical studies and the SQUIRE 2.0 (Ogrinc et al, 2016) to evaluate quality improvement studies. The MMAT is designed for the appraisal stage of systematic mixed‐studies review to determine the value of the article (Hong, Gonzalez‐Reyes, & Pluye, 2018).…”

Section: Methodsmentioning

confidence: 99%

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Interventions to promote teamwork, delegation and communication among registered nurses and nursing assistants: An integrative review

et al. 2020

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Aims: To understand the strategies to influence patient outcomes by synthesizing existing evidence on effective interventions for teamwork, delegation and communication between registered nurses and nursing assistants. Background: Three-quarters of deaths in hospitals are related to breakdowns in teamwork and communication. Acute care systems utilize teams of registered nurses and nursing assistants for primary delivery of nursing care. Research has been conducted to improve the partnership between the dyad. Literature reviews are needed to synthesize the effectiveness of delegation and communication interventions between registered nurses and nursing assistants on patient outcomes. Methods: The authors applied Whittemore and Knafl's integrative review methodology to conduct an integrative review of the literature. Databases searched included Cumulative Index to Nursing and Allied Health Literature, MEDLINE and PubMed along with reference searches. Included articles were intervention studies related to teamwork, delegation or communication between registered nurses and nursing assistants, and published from 2000 to 2019. Methodological quality was assessed utilizing the Mixed Methods Appraisal Tool. The Systems Engineering Initiative for Patient Safety model 2.0 was applied as a guiding framework to analyse the findings. Results: Seven articles met the inclusion criteria. The interventions in these articles focused on building a foundation of trust and respect through simulation, education and mindful communication. Four of the seven articles measured patient outcomes including patient falls, hospital-acquired pressure injuries and patient satisfaction. Three articles reported decreased patient falls, two articles reported increased patient satisfaction, while one article reported a reduction in pressure injury. Five of the studies reported improved teamwork and/or communication, and two studies reported improved job satisfaction. Conclusions: There has been limited research on the impact of the registered nursenursing assistant relationship on patient safety and care outcomes. The existing research demonstrates a need for interventions to foster a dynamic and effective relationship between registered nurses and nursing assistants.

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Section: Methodsmentioning

confidence: 99%

“…The MMAT is designed for the appraisal stage of systematic mixed‐studies review to determine the value of the article (Hong, Gonzalez‐Reyes, & Pluye, 2018). The SQUIRE 2.0 tool is used to evaluate quality improvement articles (Ogrinc et al, 2016).…”

Section: Methodsmentioning

confidence: 99%

Interventions to promote teamwork, delegation and communication among registered nurses and nursing assistants: An integrative review

et al. 2020

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“…A systematic review of Laguna et al [ 37 ] concludes that the leading causes of falls are related, in addition to age, to preoperative and postoperative status, neurological diseases, and medication. It is known that surgical patients have a higher risk of falling [ 7 , 37 , 38 ]. In the studied sample, the number of patients with the risk factor of surgical intervention was five times higher in the intervention group; despite this, there was only one fall in surgical patients in the intervention group, which reinforces the benefit of the educational program.…”

Section: Discussionmentioning

confidence: 99%

Impact of Nurses’ Intervention in the Prevention of Falls in Hospitalized Patients

Montejano-Lozoya

Miguel-Montoya

Gea-Caballero

et al. 2020

IJERPH

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Background: Clinical safety is a crucial component of healthcare quality, focused on identifying and avoiding the risks to which patients are exposed. Among the adverse events that occur in a hospital environment, falls have a large impact (1.9–10% of annual income in acute care hospitals); they can cause pain, damage, costs, and mistrust in the health system. Our objective was to assess the effect of an educational intervention aimed at hospital nurses (systematic assessment of the risk of falls) in reducing the incidence of falls. Methods: this was a quasi-experimental study based on a sample of 581 patients in a third level hospital (Comunitat Valenciana, Spain). An educational program was given to the intervention group (n = 303), and a control group was included for comparison (n = 278). In the intervention group, the nurses participated in a training activity on the systematized assessment of the risk of falls. Analysis was undertaken using the Bayesian logistic regression model. Results: a total of 581 patients were studied (50.6% male, 49.4% female), with an average age of 68.3 (DT = 9) years. The overall incidence of falls was 1.2% (0.3% in the intervention group and 2.2% in the control group). Most of the falls occurred in people ≥65 years old (85.7%). The intervention group had a lower probability of falling than the control group (OR: 0.127; IC95%: 0.013–0.821). Neither the length of hospital stay, nor the age of the participants, had any relevant effect. Conclusions: the systematic assessment of the risk of a patient falling during hospital processes is an effective intervention to reduce the incidence of falls.

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“…An evaluation study of a health quality improvement strategy whose description met the standards of the Standards for Quality Improvement Reporting Excellence (SQUIRE Guidelines). 12 In relation to the methodological design, this is a mixed method research anchored in the sequential exploratory design. This study design is carried out by a first qualitative stage: data connection -between the qualitative data analysis end and the quantitative data collection -and subsequent quantitative stage, besides the final joint analysis.…”

Section: Methodsmentioning

confidence: 99%

Ferramentas da qualidade aplicadas à conferência do carro de emergência: pesquisa de métodos mistos

Lima¹,

Oliveira

Silva

et al. 2021

Esc. Anna Nery

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RESUMO Objetivo verificar as causas da não conferência do carro de emergência e o efeito sobre a taxa de adesão, por meio do emprego de ferramentas da qualidade em uma Unidade de Terapia Intensiva Neonatal. Método pesquisa mista do desenho exploratório sequencial, desenvolvida com enfermeiros e fonte documental na Unidade de Terapia Intensiva Neonatal de hospital universitário, em três etapas: 1) Brainstorming para levantamento das causas de não conferência/construção de Lista de Verificação; 2) Coleta/análise de dados pela aplicação da Lista de Verificação e Diagrama de Pareto; 3) Análise documental. Utilizou-se o teste qui-quadrado para verificar o efeito do emprego das ferramentas de qualidade na adesão à conferência. Resultados 13 causas de não conferência do carro de emergência foram identificadas, sendo oito evitáveis e cinco não evitáveis. As causas evitáveis (n=63) representaram 87,5%, sendo as principais: falta de hábito (n=17; 27%), priorizar atividades assistenciais (n=17; 27%) e realizar divisão do cuidado dos pacientes/priorizar atividades administrativas (n=9; 14,3%). A aplicação das ferramentas da qualidade teve efeito significativo (p-valor<0,001) na adesão à conferência. Conclusão e implicações para a prática o emprego das ferramentas da qualidade foi factível para a identificação causal da não conferência do carro de emergência e melhoria na sua adesão.

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SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence)

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 103 publications

References 18 publications

Interventions to promote teamwork, delegation and communication among registered nurses and nursing assistants: An integrative review

Interventions to promote teamwork, delegation and communication among registered nurses and nursing assistants: An integrative review

Impact of Nurses’ Intervention in the Prevention of Falls in Hospitalized Patients

Ferramentas da qualidade aplicadas à conferência do carro de emergência: pesquisa de métodos mistos

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