ハイパフォーマンスな看護師長は登録看護師との連携を通じて転倒を減らす
Teresa D Welch1, Angela Pascale, Todd B Smith
1Author Affiliations: Associate Professor (Dr. Welch), Division of Leadership, Capstone College of Nursing, The University of Alabama, Tuscaloosa, AL; Research Analyst (Dr. Pascale), Clinical Research Department, Press Ganey Associates, LLC, South Bend, IN; Associate Professor (Dr. Smith), Division of Leadership, Capstone College of Nursing, The University of Alabama, Tuscaloosa, AL; Nurse Scientist (Dr. Warshawsky), Clinical Research Department, Press Ganey Associates, LLC, South Bend, IN.
The Journal of nursing administration
|January 22, 2026
まとめ
看護師長のリーダーシップは看護師の連携を促進し、患者の転倒を有意に減少させます。登録看護師間の強力なチームワークは、患者の安全と転帰の改善に不可欠です。
科学分野:
- 看護リーダーシップ
- 患者安全
- ヘルスケア管理
背景:
- 看護師長（NM）は、信頼と尊敬を促進する健全な労働環境にとって重要です。
- NMは看護師の連携を促進し、チームの力学と患者の安全を高めます。
- 看護師間の強力な関係は、患者の転帰の改善と関連しています。
主な方法:
- 2023年の全国看護品質指標データベース（NDNQI）のデータを利用しました。
- RNの連携の役割を評価するために媒介分析を採用しました。
- NMリーダーシップ、RN連携、および患者の転倒率の関係を調査しました。
結論:
- NMリーダーシップは、看護師の連携文化を創造するために不可欠です。
- RN間の協調関係は、患者の転倒率を有意に減少させます。
- 医療組織は、病棟の文化と患者の安全を改善するために、NMリーダーシップを優先する必要があります。
関連する概念動画
01:20Angina V: Nursing Management
312
Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
312
01:29Cardiomyopathy VI: Nursing Management
321
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
321
01:23Hypertension V: Nursing Management
378
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
378
01:30Pneumonia V: Nursing management and Prevention
3.5K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
3.5K
01:17Endotracheal Intubation II: Nursing Management
2.5K
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
2.5K
01:23Atherosclerosis IV: Nursing Management
394
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
394