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Healthy Lifestyle Protects Against Dementia. 健康的生活方式可以预防痴呆症。
Pub Date : 2019-10-01 DOI: 10.1097/01.NAJ.0000586200.54078.78
K. Rosenberg
According to this study.
根据这项研究。
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引用次数: 0
Special Feature: Countering Vaccine Misinformation. 专题:打击疫苗错误信息。
Pub Date : 2019-10-01 DOI: 10.1097/01.NAJ.0000586176.77841.86
L. Danielson, Blima Marcus, Lori Boyle
Evidence consistently shows that vaccines are safe, effective, and cost-efficient. Yet preventable outbreaks of infectious diseases are occurring in the United States, leading to a strong public response and intense scrutiny of the antivaccine movement and its persistent spread of misinformation. Social media has been a major platform for such misinformation, and recent examinations have found that nurses are not exempt from engaging in antivaccine discourse.By practicing evidence-based care, addressing health literacy, and becoming involved in public health policy, nurses can be excellent advocates for immunization and may help prevent additional outbreaks of preventable diseases.
证据一致表明,疫苗是安全、有效和具有成本效益的。然而,可预防的传染病爆发正在美国发生,导致公众作出强烈反应,并对反疫苗运动及其持续传播的错误信息进行严格审查。社交媒体一直是这类错误信息的主要平台,最近的检查发现,护士也不能幸免于参与反疫苗言论。通过实践循证护理,提高卫生素养,参与公共卫生政策,护士可以成为免疫接种的优秀倡导者,并可能有助于预防可预防疾病的进一步爆发。
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引用次数: 8
DACA Recipients Seeking RN Licensure: On a Road to Nowhere? DACA受助人寻求注册护士执照:在通往任何地方的道路上?
Pub Date : 2019-10-01 DOI: 10.1097/01.NAJ.0000586092.25369.ff
D. Sofer
For many who complete a nursing curriculum, the dream ends with a diploma.
对于许多完成护理课程的人来说,梦想以一张文凭结束。
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引用次数: 1
The Wald Model in Action. 瓦尔德模型的作用。
Pub Date : 2019-10-01 DOI: 10.1097/01.NAJ.0000586076.94874.2c
Joanne Sandberg-Cook, Sarah Jo Brown
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引用次数: 0
CE: Knowledge of Precision Medicine and Health Care: An Essential Nursing Competency. CE:精确医学和保健知识:一项基本的护理能力。
Pub Date : 2019-10-01 DOI: 10.1097/01.NAJ.0000586168.93088.3c
R. Lebet, Paule Valery Joseph, Edwin N. Aroke
Advances in genetic and genomic research, combined with the rapid development of new technologies, have reshaped our understanding of health and disease processes, generating what have collectively become known as "omics" sciences. These sciences are now an integral part of health care delivery, with nurses and nurse scientists at the forefront, implementing and adapting genomic technologies in the clinical setting while advancing knowledge in these areas. With the increasing focus on precision medicine and health care, integrating genetic and genomic knowledge has become an essential competency in nursing care, research, and education, as it enables nurses to collaborate effectively with patients in improving their health and well-being.
遗传和基因组研究的进展,加上新技术的迅速发展,重塑了我们对健康和疾病过程的理解,产生了统称为"组学"的科学。这些科学现在是医疗保健服务的一个组成部分,护士和护士科学家站在最前沿,在临床环境中实施和调整基因组技术,同时推进这些领域的知识。随着对精准医疗和卫生保健的日益关注,整合遗传和基因组知识已成为护理、研究和教育的基本能力,因为它使护士能够有效地与患者合作,改善他们的健康和福祉。
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引用次数: 8
Implementing a Fast-Track Team Triage Approach in Response to Hurricane Maria. 实施快速小组分诊方法以应对玛丽亚飓风。
Pub Date : 2019-10-01 DOI: 10.1097/01.NAJ.0000586204.31207.1f
Brittany E Parak, N. Hodge, Sarah D Eccleston
BACKGROUNDHurricane Maria struck Puerto Rico on September 20, 2017, and caused widespread damage to the island, resulting in decreased access to health care. Sixteen days later, a mobile military hospital (MMH) was deployed to Humacao, Puerto Rico, to provide medical relief. Overcrowding in EDs is a problem in disaster relief responses, as was the case here. Initial triage practices resulted in long wait times and limited access to care, and many people left before being seen by a provider.PURPOSEThis study describes the implementation of a combined fast-track and team triage process to quickly and effectively screen patients in the MMH.METHODSIn addition to maintaining a formal triage, our ED staff combined two systems, fast track and team triage, to accommodate the influx of patients. This newly combined approach consisted of a health care provider (an MD, NP, or physician assistant) and an RN to facilitate the evaluation, treatment, and discharge of lower-acuity patients.RESULTSDuring peak operations (days 13 to 26 of the total 31 days of operation), 70% of MMH patients were evaluated, treated, and discharged from the combined fast-track and team triage, while only 28% of patients were sent to formal triage; patients with critical conditions (2% of the total) were sent directly to the ED. The mean number of patients seen daily in the first 10 days of operation (n = 84) increased by an average of 48% (n = 124) in the 14 days of peak operations.CONCLUSIONThe combined fast-track and team triage approach enabled us to quickly and effectively screen patients and greatly improved clinical outcomes and patient flow in a mobile facility.
2017年9月20日,飓风“玛丽亚”袭击了波多黎各,给该岛造成了广泛的破坏,导致人们获得医疗服务的机会减少。16天后,向波多黎各胡马考部署了一个流动军事医院,以提供医疗救济。急诊室人满为患是救灾反应中的一个问题,这里的情况也是如此。最初的分诊做法导致等待时间长,获得护理的机会有限,许多人在被提供者看到之前就离开了。目的:本研究描述了一种结合快速通道和团队分诊过程的实施,以快速有效地筛查MMH中的患者。方法除了维持正式的分诊外,我们的急诊科工作人员还结合了两种系统,快速分诊和团队分诊,以适应大量涌入的患者。这种新的联合方法由一名医疗保健提供者(医学博士、NP或医师助理)和一名注册护士组成,以促进低视力患者的评估、治疗和出院。结果在手术高峰期(31天中的第13 ~ 26天),70%的MMH患者接受了快速分诊和团队分诊的评估、治疗并出院,只有28%的患者接受了正式分诊;危重患者(占总数的2%)被直接送往急诊科。手术前10天(n = 84)平均每天就诊的患者数量在手术高峰的14天平均增加48% (n = 124)。结论快速通道和团队分诊相结合的方法使我们能够快速有效地筛查患者,并大大改善了移动设施的临床结果和患者流量。
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引用次数: 2
It's the Moments That Matter. 重要的是时刻。
Pub Date : 2019-10-01 DOI: 10.1097/01.NAJ.0000586064.64380.f7
M. Kennedy
Brief encounters and events can sometimes change lives.
短暂的相遇和事件有时可以改变人生。
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引用次数: 0
When a Childhood Sexual Abuse History Influences Patient Trust. 童年性侵史影响患者信任。
Pub Date : 2019-10-01 DOI: 10.1097/01.NAJ.0000586088.17746.87
Jami Carder
It's time to acknowledge this safety issue and train nurses in compassionate care.
是时候承认这一安全问题,并对护士进行慈悲护理培训了。
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引用次数: 1
Long-Term Inhaled Antipseudomonal Antibiotics in Cystic Fibrosis. 长期吸入抗假单胞菌抗生素治疗囊性纤维化。
Pub Date : 2019-10-01 DOI: 10.1097/01.NAJ.0000586184.23583.1f
R. Greenslade
Editor's note: This is a summary of a nursing care-related systematic review from the Cochrane Library. For more information, see http://nursingcare.cochrane.org.
编者注:这是一篇来自Cochrane图书馆的护理相关系统综述的摘要。欲了解更多信息,请访问http://nursingcare.cochrane.org。
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引用次数: 0
Nursing and Aging. 护理与老龄化。
Pub Date : 2019-10-01 DOI: 10.1097/01.NAJ.0000586068.10122.43
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引用次数: 1
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