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Anticipating a Banner Year for Nursing. 期待护理事业的丰收年。
Pub Date : 2019-12-01 DOI: 10.1097/01.NAJ.0000615692.63150.fa
M. Kennedy
What do you want to accomplish?
你想完成什么?
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引用次数: 0
1.5 CE Test Hours: Hematologic Childhood Cancers: An Evidence-Based Review. 1.5 CE测试时间:血液学儿童癌症:基于证据的回顾。
Pub Date : 2019-12-01 DOI: 10.1097/01.NAJ.0000615788.94537.ad
E. Contrada
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引用次数: 0
Is It Time to Revise HCAHPS? 是时候修改HCAHPS了吗?
Pub Date : 2019-11-01 DOI: 10.1097/01.NAJ.0000605292.00285.d5
G. Pfeifer
Five hospital groups say yes.
五家医院表示同意。
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引用次数: 2
The Effects of Private Rooms on Hospital-Associated Infections. 私人病房对医院相关感染的影响
Pub Date : 2019-11-01 DOI: 10.1097/01.NAJ.0000605376.45065.6b
K. Rosenberg, B. Todd
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引用次数: 1
Beholding the Returning Light. 看到返回的光。
Pub Date : 2019-11-01 DOI: 10.1097/01.NAJ.0000605400.60312.c0
Hui‐wen Sato
An unknown patient becomes known.
一个不知名的病人变得为人所知。
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引用次数: 0
CE: Implementing Guidelines for Treating Chronic Pain with Prescription Opioids. CE:处方阿片类药物治疗慢性疼痛的实施指南。
Pub Date : 2019-11-01 DOI: 10.1097/01.NAJ.0000605344.99391.78
Patricia E. Maloy, Megan O Iacocca, B. Morasco
Chronic pain, stemming primarily from musculoskeletal conditions and severe headaches, is a growing problem in the United States, affecting as many as 43% of adults. Opioids are frequently prescribed to manage chronic pain despite limited data on their long-term efficacy and the potential risks of long-term use. In 2017, more than 47,000 people died as a result of an opioid overdose involving illicit opioids (such as heroin), illicitly manufactured opioids, diverted opioids, prescription opioids, or some combination thereof. Although it's been more than three years since the nationwide opioid crisis prompted the Centers for Disease Control and Prevention (CDC) to release a guideline outlining safe practices for prescribing opioids to patients with chronic pain (unrelated to active cancer or palliative and end-of-life care), opioid misuse remains a significant concern. Historically, physicians have been tasked with the primary responsibility for implementing opioid safety measures, but nurses in the primary care setting are being increasingly relied on to incorporate these measures as part of their practice. In this article, we discuss the use of five tools outlined in the CDC guideline: prescription opioid treatment agreements, urine drug screening, prescription drug monitoring program databases, calculation of morphine milligram equivalents, and naloxone kits. Primary care nurses can use these tools to promote opioid safety among patients receiving opioid therapy for chronic pain.
慢性疼痛主要由肌肉骨骼疾病和严重头痛引起,在美国是一个日益严重的问题,影响了多达43%的成年人。阿片类药物经常用于治疗慢性疼痛,尽管关于其长期疗效和长期使用潜在风险的数据有限。2017年,有47,000多人死于阿片类药物过量,涉及非法阿片类药物(如海洛因)、非法制造的阿片类药物、转移的阿片类药物、处方阿片类药物或其某种组合。尽管全国性的阿片类药物危机促使疾病控制和预防中心(CDC)发布了一份指南,概述了为慢性疼痛患者(与活动性癌症或姑息治疗和临终关怀无关)开具阿片类药物的安全做法,但阿片类药物滥用仍然是一个重大问题。从历史上看,医生被赋予了实施阿片类药物安全措施的主要责任,但初级保健机构的护士越来越依赖于将这些措施纳入其实践的一部分。在本文中,我们讨论了CDC指南中概述的五种工具的使用:处方阿片类药物治疗协议、尿液药物筛查、处方药监测程序数据库、吗啡毫克当量计算和纳洛酮试剂盒。初级保健护士可以使用这些工具来促进接受阿片类药物治疗慢性疼痛患者的阿片类药物安全性。
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引用次数: 5
CE: Gestational Hypertension, Preeclampsia, and Peripartum Cardiomyopathy: A Clinical Review. CE:妊娠期高血压,子痫前期和围产期心肌病:临床综述。
Pub Date : 2019-11-01 DOI: 10.1097/01.NAJ.0000605352.84144.a2
Marc-André Maheu-Cadotte, Catherine Pépin, A. Lavallée, Catherine Hupé, Tanya Mailhot, C. Duchaine, G. Fontaine
Gestational hypertension, preeclampsia, and peripartum cardiomyopathy are among the most common and often severe pregnancy-specific cardiovascular diseases (CVDs) and causes of complications in pregnancy. This clinical review provides nurses with an overview of pregnancy-specific CVDs, outlines their pathophysiology, and discusses risk factors and assessment. It describes management interventions according to timing: the antepartum, intrapartum, and postpartum phases are each addressed.
妊娠期高血压、先兆子痫和围产期心肌病是最常见和最严重的妊娠特异性心血管疾病(cvd)和妊娠并发症的原因。本临床综述为护士提供了妊娠特异性心血管疾病的概述,概述了其病理生理学,并讨论了危险因素和评估。它描述了管理干预措施,根据时间:产前,产时和产后阶段的每一个解决。
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引用次数: 4
Preventing Self-Harm in the Nonpsychiatric Health Care Setting. 预防自我伤害在非精神卫生保健设置。
Pub Date : 2019-11-01 DOI: 10.1097/01.NAJ.0000605396.83183.d2
Kim Liberatore
The Pennsylvania Patient Safety Reporting System is a confidential, statewide Internet reporting system to which all Pennsylvania hospitals, outpatient-surgery facilities, birthing centers, and abortion facilities must file information on incidents and serious events.Safety Monitor is a column from Pennsylvania's Patient Safety Authority, the authority that informs nurses on issues that can affect patient safety and presents strategies they can easily integrate into practice. For more information on the authority, visit www.patientsafety.pa.gov. For the original article discussed in this column or for other articles on patient safety, click on "Journal and Resources" and then "Advisory Archive" in the navigation menu.
宾夕法尼亚州患者安全报告系统是一个保密的、全州范围的互联网报告系统,所有宾夕法尼亚州的医院、门诊手术机构、分娩中心和堕胎机构都必须向该系统提交有关事故和严重事件的信息。安全监测是宾夕法尼亚州患者安全管理局的一个专栏,该机构向护士通报可能影响患者安全的问题,并提出可以轻松融入实践的策略。有关该机构的更多信息,请访问www.patientsafety.pa.gov。要查看本专栏中讨论的原始文章或其他有关患者安全的文章,请单击导航菜单中的“Journal and Resources”,然后单击“Advisory Archive”。
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引用次数: 0
The Value of Hospice Services. 安宁疗护服务的价值。
Pub Date : 2019-11-01 DOI: 10.1097/01.NAJ.0000605276.13747.54
Margaret Ball
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引用次数: 1
Household Air Pollution from Cooking Fires Is a Global Problem. 烹饪火造成的家庭空气污染是一个全球性问题。
Pub Date : 2019-11-01 DOI: 10.1097/01.NAJ.0000605388.37442.ec
Lisa M. Thompson
Over the past several decades, important advances have been made in the United States to ensure that our residents breathe clean air. Still, nearly 12 million homes in this country burn wood for heating. Globally, 3 billion people, or close to half of the world's population, depend on polluting solid fuels such as wood for daily cooking and heating. Unlike in the United States where stoves used for heating are vented, many homes in low-income countries use simple stoves that often lack chimneys, leading to toxic amounts of smoke inside and outside the home. Household air pollution from these fires is the 16th leading risk factor for death and disability worldwide. Childhood pneumonia, chronic obstructive pulmonary disease, and cardiovascular disease have all been associated with household air pollution globally, yet many nurses are not aware of this burden when caring for immigrants and refugees residing in the United States. Global organizations are working to provide access to clean cookstoves (those that run on electricity, solar power, or liquid fuel), and nurses can get involved. This is one step toward improving the lives of vulnerable populations in the United States and worldwide. This series is in collaboration with the Alliance of Nurses for Healthy Environments (https://envirn.org).
在过去的几十年里,美国在确保我们的居民呼吸清洁空气方面取得了重要进展。尽管如此,这个国家仍有近1200万家庭烧木头取暖。在全球范围内,有30亿人,即接近世界人口的一半,依靠木材等污染严重的固体燃料来进行日常烹饪和取暖。在美国,用于取暖的炉子是通风的,而在低收入国家,许多家庭使用的是简单的炉子,往往没有烟囱,导致室内和室外都有大量有毒的烟雾。这些火灾造成的室内空气污染是全球第16大死亡和残疾风险因素。儿童肺炎、慢性阻塞性肺病和心血管疾病都与全球家庭空气污染有关,但许多护士在照顾居住在美国的移民和难民时并未意识到这一负担。全球组织正在努力提供清洁炉灶(使用电力、太阳能或液体燃料的炉灶),护士也可以参与其中。这是改善美国和全世界弱势群体生活的一步。本系列是与健康环境护士联盟(https://envirn.org)合作编写的。
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引用次数: 6
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AJN, American Journal of Nursing
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