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Emotional Intelligence in Executive Nurse Leader Programs: Setting the Tone for a Successful Trajectory of Leadership 执行护士长项目中的情商:为成功的领导轨迹奠定基调
Q3 Nursing Pub Date : 2026-01-31 DOI: 10.1016/j.jradnu.2025.101361
DeMonica L. Junious PhD, RN
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引用次数: 0
Geriatric Polypharmacy in Radiology Nursing: A Call to Action 放射学护理中的老年综合药学:行动呼吁
Q3 Nursing Pub Date : 2026-01-29 DOI: 10.1016/j.jradnu.2025.101363
Rachel Okah DNP, RN, CNS, PHN, PCCN, CPPS, CCM
Geriatric polypharmacy, the concurrent use of multiple medications in older adults poses significant risks in radiologic settings, where contrast agents, sedation protocols, and procedural preparation intersect with complex pharmacologic profiles. This manuscript explores the clinical implications of polypharmacy in radiology nursing, emphasizing the role of nurses in identifying potentially inappropriate medications, preventing adverse drug events, and promoting a safer imaging experience for geriatric patients. Drawing on recent literature and clinical practice guidelines, the paper highlights evidence-based tools such as the American Geriatrics Society Beers Criteria, the Screening Tool of Older Persons' Prescriptions (STOPP), and the Screening Tool to Alert to Right Treatment (START) protocols and presents a Clinical Nurse Specialist-led deprescribing model tailored for acute care environments. Case examples illustrate how radiology nurses can intervene during preprocedure screening, medication reconciliation, and interdisciplinary communication. The manuscript also outlines practical recommendations for radiology departments, including staff education, policy development, and patient-centered strategies to reduce medication-related harm. Unique radiology-specific considerations such as contrast media interactions, sedation risks, and nuclear medicine procedures are highlighted to underscore the specialty's distinct challenges. As the aging population grows and imaging demands increase, radiology nurses must be equipped to navigate the complexities of geriatric pharmacology. This paper calls for expanded nursing leadership in medication safety and advocates for scalable interventions that embed polypharmacy awareness into radiologic workflows. By elevating the role of radiology nurses in geriatric care, we can improve outcomes, reduce risks, and advance the quality of imaging services for older adults.
老年人多重用药,同时使用多种药物在放射学环境中具有重大风险,其中造影剂,镇静方案和程序准备与复杂的药理学资料交叉。本文探讨了多种药物在放射学护理中的临床意义,强调护士在识别潜在的不适当药物,预防药物不良事件以及促进老年患者更安全的影像学体验方面的作用。根据最近的文献和临床实践指南,本文强调了基于证据的工具,如美国老年医学会比尔斯标准、老年人处方筛查工具(STOPP)和正确治疗筛查工具(START)协议,并提出了一个临床护士专家主导的针对急性护理环境量身定制的处方描述模型。案例说明放射科护士如何在术前筛查、药物调解和跨学科沟通中进行干预。该手稿还概述了对放射科的实用建议,包括员工教育、政策制定和以患者为中心的战略,以减少与药物相关的伤害。独特的放射学特定考虑因素,如造影剂相互作用,镇静风险和核医学程序被强调,以强调该专业的独特挑战。随着老龄化人口的增长和成像需求的增加,放射科护士必须配备导航老年药理学的复杂性。本文呼吁扩大护理在药物安全方面的领导作用,并倡导可扩展的干预措施,将多药意识融入放射学工作流程。通过提高放射学护士在老年护理中的作用,我们可以改善结果,降低风险,并提高老年人成像服务的质量。
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引用次数: 0
Technology and Information Sharing as a Contributor to Patient Experience 技术和信息共享对患者体验的贡献
Q3 Nursing Pub Date : 2026-01-22 DOI: 10.1016/j.jradnu.2025.101360
Shanne Y. Keeny MISM, CPXP
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引用次数: 0
Recover From Chronic Workplace Stress to Reclaim Your Purpose and Your Passion: A Review of The Burnout Solution by Sharon Grossman, PhD 从长期的工作压力中恢复过来,重拾你的目标和激情:回顾莎伦·格罗斯曼博士的《倦怠解决方案》
Q3 Nursing Pub Date : 2026-01-22 DOI: 10.1016/j.jradnu.2025.12.002
Michele Mekel JD, MHA, MBA
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引用次数: 0
Pharmacotherapeutic Uses of Diphenhydramine in Hospital Settings 苯海拉明在医院的药物治疗应用
Q3 Nursing Pub Date : 2026-01-21 DOI: 10.1016/j.jradnu.2025.101356
Donna Fiaschetti DNAP, CRNA, Michael Martin-Long DNP, CRNA
Diphenhydramine, a first-generation antihistamine with sedative and anticholinergic effects, is a commonly used pharmacotherapeutic in hospitals. It is currently used for the treatment of hypersensitivity reactions, sedation, and even as a local anesthetic. However, several recent publications have highlighted its limitations as a first-line agent for anaphylaxis and even call for its removal. Current practice recommendations advise against using diphenhydramine as a first-line agent for anaphylaxis and acute allergic reactions. It should be reserved as an adjunct after stabilization, and even then, second-generation antihistamines like cetirizine are preferred. Due to mechanisms of action similar to amide local anesthetics, it can be safely used as an alternative in patients with known sensitivity reactions to lidocaine. Overall, diphenhydramine's hospital utility is now targeted and situation-specific. This requires careful clinical judgment and observance of safety-focused guidelines. The following report provides a review of diphenhydramine's pharmacotherapeutic uses in the hospital setting.
苯海拉明是第一代具有镇静和抗胆碱能作用的抗组胺药,是医院常用的药物治疗药物。它目前用于治疗过敏反应,镇静,甚至作为局部麻醉剂。然而,最近的一些出版物强调了其作为过敏反应一线药物的局限性,甚至呼吁将其去除。目前的实践建议不建议使用苯海拉明作为过敏反应和急性过敏反应的一线药物。稳定后应保留作为辅助用药,即使如此,首选第二代抗组胺药,如西替利嗪。由于作用机制类似于酰胺局麻药,它可以安全地用于对利多卡因已知敏感反应的患者。总的来说,苯海拉明的医院效用现在是有针对性和具体情况的。这需要仔细的临床判断和遵守以安全为重点的指南。下面的报告提供了苯海拉明在医院的药物治疗用途的回顾。
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引用次数: 0
Policy and Practice Recommendations for Radiology Safety: Applying the C.A.R.E.S. Framework to Cybersecurity and Artificial Intelligence Integration 放射安全的政策和实践建议:将C.A.R.E.S.框架应用于网络安全和人工智能集成
Q3 Nursing Pub Date : 2026-01-14 DOI: 10.1016/j.jradnu.2025.101357
Kumhee Ro DNP, APRN, FAANP, FAAN
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引用次数: 0
Pulmonary Nodule Needle Biopsy: What's New? 肺结节穿刺活检:有什么新进展?
Q3 Nursing Pub Date : 2026-01-09 DOI: 10.1016/j.jradnu.2025.12.001
Katherine Gruzalski MSN, RN, CRN, LNCC, CPHRM
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引用次数: 0
Intracavitary MRI: From the Operating Room to the MRI Scanner 腔内MRI:从手术室到MRI扫描仪
Q3 Nursing Pub Date : 2026-01-06 DOI: 10.1016/j.jradnu.2025.12.003
Lorie Reilly MSN, CRNP, CPNP-AC, FAARIN
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引用次数: 0
Have a Nice Flight! 祝你旅途愉快!
Q3 Nursing Pub Date : 2025-12-01 DOI: 10.1016/j.jradnu.2025.08.006
Tali Fudim MSN, NP-C
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引用次数: 0
A Nurse-Led, BEFAST-Based Training for Police Officers to Improve Prehospital Stroke Versus Stroke Mimic Identification: A Pilot Feasibility Study 以护士为主导,以befast为基础的警察培训,以提高院前卒中与卒中模拟识别:一项试点可行性研究
Q3 Nursing Pub Date : 2025-12-01 DOI: 10.1016/j.jradnu.2025.08.004
Nicole C. Goff MSN, RN, Kimberly Schwenk MSN, RN, NEA-BC, Holly Sims PhD, RN, Paul Singh MD, MPH, FAHA, Ariel Woodward MBA, BSN, RN, SCRN

Background

Stroke is a leading cause of disability and death worldwide, with rapid recognition and intervention being critical to improving patient outcomes. However, stroke diagnosis is often complicated by the presence of stroke to mimic conditions such as seizures, hypoglycemia, migraines, and intoxication that can present similar symptoms. These diagnostic challenges can result in delayed treatment, mismanagement, and increased morbidity and mortality.

Purpose

This educational initiative aimed to evaluate the effectiveness of a nurse-led initiative designed to train police officers, often the first responders in emergency situations, to accurately identify strokes promptly. The goal was to improve early stroke symptom identification, reduce misdiagnosis, and expedite medical intervention. This educational initiative employed theoretical frameworks, including the Health Belief Model to examine behavioral changes in stroke symptom recognition and the Exploration, Preparation, Implementation, and Sustainment model to evaluate the training program’s effectiveness and long-term feasibility.

Method

The training program incorporated an evidence-based tool, including the BEFAST (Balance, Eyes, Face, Arm, Speech, Time) mnemonic, which highlights key stroke symptoms, and reference magnets as visual aids for reinforcement. Police officers participated in interactive workshops led by trained nurses, focusing on symptom recognition and the importance of a rapid emergency response.

Findings

Post-training evaluations showed significant improvements in stroke recognition accuracy among police officers, particularly in identifying stroke signs and symptoms outlined in the BEFAST mnemonic. Officers reported increased confidence in their ability to assess potential stroke victims and initiate appropriate emergency protocols. The findings suggest that targeted education programs for law enforcement personnel can play a crucial role in improving prehospital stroke detection, leading to faster medical intervention and potentially better patient outcomes.

Discussion

This educational initiative underscores the need for interdisciplinary collaboration between health-care professionals and first responders to optimize emergency medical care. Future research should explore the scalability of such training programs across larger populations and assess their impact on long-term patient outcomes.
脑卒中是世界范围内致残和死亡的主要原因,快速识别和干预对改善患者预后至关重要。然而,中风的诊断常常因为中风的出现而变得复杂,比如癫痫发作、低血糖、偏头痛和中毒,这些症状都可以表现出来。这些诊断挑战可能导致治疗延误、管理不善以及发病率和死亡率增加。目的:这项教育倡议旨在评估护士主导的倡议的有效性,该倡议旨在培训警察(通常是紧急情况下的第一响应者),以迅速准确识别中风。目的是提高早期中风症状的识别,减少误诊,加快医疗干预。这项教育计划采用了理论框架,包括健康信念模型来检查中风症状识别中的行为改变,探索、准备、实施和维持模型来评估培训计划的有效性和长期可行性。方法训练计划采用了基于证据的工具,包括BEFAST(平衡、眼睛、面部、手臂、言语、时间)助记器,该助记器突出了关键的中风症状,并将参考磁铁作为视觉辅助工具进行强化。警官参加了由训练有素的护士主持的互动式讲习班,重点是症状识别和快速应急反应的重要性。发现培训后评估显示,警察在中风识别准确性方面有显著提高,特别是在识别BEFAST助记器中概述的中风体征和症状方面。官员们报告说,他们对评估潜在中风患者和启动适当紧急方案的能力信心增强。研究结果表明,针对执法人员的有针对性的教育项目可以在提高院前卒中检测方面发挥关键作用,从而更快地进行医疗干预,并可能改善患者的预后。这一教育倡议强调了卫生保健专业人员和急救人员之间跨学科合作的必要性,以优化紧急医疗护理。未来的研究应该探索这种培训计划在更大人群中的可扩展性,并评估其对患者长期预后的影响。
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引用次数: 0
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Journal of Radiology Nursing
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