Compas Carol, Hopkins Kimberly A, Townsley Elaine
Arkansas Foundation for Medical Care Quality, and University of Arkansas for Medical Sciences, 4301 West Markham, Little Rock, AR 72205, USA.
Res Gerontol Nurs. 2008 Jul;1(3):209-16. doi: 10.3928/19404921-20080701-07.
A literature review was undertaken to explore both published and unpublished quality improvement studies, projects, and initiatives that strove to develop more efficient systems to support an infrastructure for nursing home quality of care. The review included a search of all available, full-text published literature from 1997 to 2007 available from PubMed, CINAHL, and MEDLINE. The methods used by the researchers were varied, and this article identified several primary findings: the use of a specific, measurable mission or goal statement; the use of multidepartmental and multidisciplinary involvement; the need for further education and resource materials; the use of a reward/incentive program; the need for internal and external stakeholders to be identified along with a project champion; and the process of feedback and outcome measurement. This article summarizes the findings from the review and offers key recommendations that are supported for improving quality of care and sustaining quality gains.
开展了一项文献综述，以探索已发表和未发表的质量改进研究、项目及倡议，这些研究、项目及倡议致力于开发更高效的系统，以支持养老院护理质量的基础设施建设。该综述包括检索1997年至2007年可从PubMed、CINAHL和MEDLINE获取的所有全文发表文献。研究人员使用的方法各不相同，本文确定了几个主要发现：使用具体、可衡量的使命或目标声明；多部门和多学科的参与；对进一步教育和资源材料的需求；奖励/激励计划的使用；识别内部和外部利益相关者以及项目负责人的必要性；以及反馈和结果测量的过程。本文总结了综述的结果，并提供了有助于提高护理质量和维持质量提升的关键建议。
