Xiangya School of Nursing, Central South University, Changsha, China.
Department of Epidemiology and Biostatistics, Xiangya School of Public Health, Central South University, Changsha, China.
J Clin Nurs. 2020 Aug;29(15-16):2788-2800. doi: 10.1111/jocn.15289. Epub 2020 May 21.
Quality improvement may be a promising approach to improve the quality of care in nursing homes, and nurse training is a key step in a successful quality improvement practice. The implementation of training measures may be related to the quality of quality improvement practice. Little is known about the quality of quality improvement practice or effective nurse training measures that affect the quality of quality improvement interventions in nursing homes.
The aim of this review was to assess the quality of available quality improvement intervention designs and present effective nurse training measures that contribute to a high-quality quality improvement intervention.
We searched the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Embase and the Cochrane Library for articles published before March 2019. quality improvement intervention quality was evaluated using a standardised assessment tool. Descriptive synthesis was used for the analysis. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) Checklist was used for transparency.
We included 12 articles, 1 was rated as perfect quality and 7 good quality. Out of these 8 studies, 3 features primarily reflected differences in quality: compliance, sustainability and replication ability of the interventions. They were affected by measures included provision of advanced training, available training resources, feedback process, building quality improvement teams, setting up mentors and nursing leadership training. Other recommended measures included external cooperation and leadership empowerment.
A high-quality quality improvement intervention should consider how to improve compliance, sustainability and replication ability. Adapting measures that are compatible with nurse training may ensure a successful implementation of quality improvement programmes that are conducive to the effective improvement of service quality.
Quality improvement programmes should take into account measures that are compatible with nursing staff training. These measures should help improve the quality of interventions and promote care service of nursing homes.
质量改进可能是提高养老院护理质量的一种有前途的方法，而护士培训是成功质量改进实践的关键步骤。培训措施的实施可能与质量改进实践的质量有关。关于影响养老院质量改进干预措施质量的质量改进实践或有效护士培训措施的质量知之甚少。
本综述旨在评估现有质量改进干预设计的质量，并提出有助于高质量质量改进干预的有效护士培训措施。
我们在 CINAHL、Medline、Embase 和 Cochrane 图书馆中搜索了截至 2019 年 3 月之前发表的文章。使用标准化评估工具评估质量改进干预质量。使用描述性综合进行分析。使用系统评价和荟萃分析的首选报告项目 (PRISMA) 清单以提高透明度。
我们纳入了 12 篇文章，其中 1 篇被评为完美质量，7 篇为良好质量。在这 8 项研究中，有 3 项主要反映了干预措施的质量差异：干预措施的依从性、可持续性和可复制性。它们受到包括提供高级培训、提供可用培训资源、反馈过程、建立质量改进团队、建立导师和护理领导力培训在内的措施的影响。其他建议的措施包括外部合作和领导力授权。
高质量的质量改进干预措施应考虑如何提高依从性、可持续性和可复制性。适应与护士培训兼容的措施可以确保成功实施质量改进计划，有助于有效提高服务质量。
质量改进计划应考虑与护理人员培训兼容的措施。这些措施应有助于提高干预措施的质量，并促进养老院的护理服务。
