首页 > 最新文献

Journal of Radiology Nursing最新文献

英文 中文
Understanding the Importance of Time: A Review of the Optimistics by Richie Frieman 理解时间的重要性:里奇·弗里曼的乐观主义回顾
Q3 Nursing Pub Date : 2025-06-01 DOI: 10.1016/j.jradnu.2025.03.003
Sadie Crouch MA, RN-BSN
{"title":"Understanding the Importance of Time: A Review of the Optimistics by Richie Frieman","authors":"Sadie Crouch MA, RN-BSN","doi":"10.1016/j.jradnu.2025.03.003","DOIUrl":"10.1016/j.jradnu.2025.03.003","url":null,"abstract":"","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Page 249"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Message in the Bottle: Preserving Memories in Times of Grief 瓶中的信息:在悲伤的时刻保存记忆
Q3 Nursing Pub Date : 2025-06-01 DOI: 10.1016/j.jradnu.2025.01.004
Joseph Krivoruk BSN, RN, CCRN-CMC
{"title":"Message in the Bottle: Preserving Memories in Times of Grief","authors":"Joseph Krivoruk BSN, RN, CCRN-CMC","doi":"10.1016/j.jradnu.2025.01.004","DOIUrl":"10.1016/j.jradnu.2025.01.004","url":null,"abstract":"","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Pages 245-246"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementing Evidence-Based Strategies to Address Scanxiety in Cancer Patients 实施基于证据的策略来解决癌症患者的焦虑
Q3 Nursing Pub Date : 2025-06-01 DOI: 10.1016/j.jradnu.2024.11.007
Jaclyn Andronico MSN, CNS, OCN, AOCNS, Kelly Bonenfant MSN, RN, OCN, Mary Elizabeth Davis DNP, RN CHPN, AOCNS, Ashley Hole DNP, FNP-BC, CPON, EBP-C
Patients with cancer having radiology scans are at risk for scan-related anxiety/scanxiety. This phenomenon negatively affects their emotional well-being and quality of life. Scanxiety lacks recognition and standardized interventions for those experiencing symptoms. The purpose of this evidence-based project was to implement strategies to raise awareness and support patients at risk for experiencing scanxiety. Patient education materials and signage were created to include information about scanxiety to normalize and validate patients’ experience. Scanxiety is a phenomenon stressful to patients; nurses can assess for symptoms related to this stressor and implement interventions to lessen effect.
接受放射学扫描的癌症患者有患扫描相关焦虑/扫描焦虑的风险。这种现象对他们的情绪健康和生活质量产生负面影响。Scanxiety缺乏对出现症状者的识别和标准化干预。这个以证据为基础的项目的目的是实施策略,以提高认识并支持有经历焦虑风险的患者。患者教育材料和标识被创建,以包括有关扫描焦虑的信息,以规范和验证患者的经验。焦虑症是一种给患者带来压力的现象;护士可以评估与此压力源相关的症状,并实施干预措施以减轻影响。
{"title":"Implementing Evidence-Based Strategies to Address Scanxiety in Cancer Patients","authors":"Jaclyn Andronico MSN, CNS, OCN, AOCNS,&nbsp;Kelly Bonenfant MSN, RN, OCN,&nbsp;Mary Elizabeth Davis DNP, RN CHPN, AOCNS,&nbsp;Ashley Hole DNP, FNP-BC, CPON, EBP-C","doi":"10.1016/j.jradnu.2024.11.007","DOIUrl":"10.1016/j.jradnu.2024.11.007","url":null,"abstract":"<div><div>Patients with cancer having radiology scans are at risk for scan-related anxiety/scanxiety. This phenomenon negatively affects their emotional well-being and quality of life. Scanxiety lacks recognition and standardized interventions for those experiencing symptoms. The purpose of this evidence-based project was to implement strategies to raise awareness and support patients at risk for experiencing scanxiety. Patient education materials and signage were created to include information about scanxiety to normalize and validate patients’ experience. Scanxiety is a phenomenon stressful to patients; nurses can assess for symptoms related to this stressor and implement interventions to lessen effect.</div></div>","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Pages 161-178"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to Nurse-Led Novel Stroke Response Unit Improves Door-To-Needle Metrics and Patient Outcomes, Journal of Radiology Nursing, Volume 43, Issue 4, 2024 更正护士领导的新型卒中反应单元改善门到针的指标和患者的结果,放射学护理杂志,第43卷,第4期,2024年
Q3 Nursing Pub Date : 2025-06-01 DOI: 10.1016/j.jradnu.2025.05.001
Ariel Woodward BSN, RN, SCRN , Sarah Keesler BSN, RN, CNRN , Kenny Barajas DNP, RN, ACCNS-AG, CEN , Paul Singh MD, MPH, FAHA
{"title":"Corrigendum to Nurse-Led Novel Stroke Response Unit Improves Door-To-Needle Metrics and Patient Outcomes, Journal of Radiology Nursing, Volume 43, Issue 4, 2024","authors":"Ariel Woodward BSN, RN, SCRN ,&nbsp;Sarah Keesler BSN, RN, CNRN ,&nbsp;Kenny Barajas DNP, RN, ACCNS-AG, CEN ,&nbsp;Paul Singh MD, MPH, FAHA","doi":"10.1016/j.jradnu.2025.05.001","DOIUrl":"10.1016/j.jradnu.2025.05.001","url":null,"abstract":"","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Page 247"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Ethics of Percutaneous Endoscopic Gastrostomy Tube Placement in a Patient Who Refuses to Eat 拒绝进食病人经皮内镜胃造口管置入的伦理学
Q3 Nursing Pub Date : 2025-06-01 DOI: 10.1016/j.jradnu.2025.03.001
Brigitte Swartwood PhD, Jason Lesandrini PhD, FACHE, LPEC, HEC-C
{"title":"The Ethics of Percutaneous Endoscopic Gastrostomy Tube Placement in a Patient Who Refuses to Eat","authors":"Brigitte Swartwood PhD,&nbsp;Jason Lesandrini PhD, FACHE, LPEC, HEC-C","doi":"10.1016/j.jradnu.2025.03.001","DOIUrl":"10.1016/j.jradnu.2025.03.001","url":null,"abstract":"","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Pages 135-136"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ultrasound-Guided Peripherally Inserted Central Catheter Insertion: A Nurse Training Initiative 超声引导下周围置管中心置管:一项护士培训倡议
Q3 Nursing Pub Date : 2025-06-01 DOI: 10.1016/j.jradnu.2024.12.003
Fernanda Raphael Escobar Gimenes PhD, RN , Mayra Gonçalves Menegueti PhD, RN , Emanuel Nunes PhD, RN , Roberta Paula Silva MSc, RN , Amanda Rossi Marques MSc, RN , Vinicius Batista Santos PhD, RN , Bryan Boling DNP, AGACNP-BC, FCCM , Renata Pinheiro Lopes BN , Mónica Francisca Santana Apablaza MSc student, RN

Background

Peripherally inserted central catheters (PICCs) are widely used, and ultrasound guidance enhances their insertion safety. This necessitates specialized training for nurses to improve patient safety.

Purpose

In this article, we describe the implementation of a specialized nursing education program, "Advanced Training in Ultrasound-Guided PICC for Nurses," aiming to enhance patient safety and elevate the standard of care.

Method

A hybrid training program was conducted, including asynchronous and synchronous theoretical sessions, hands-on practical training using virtual simulators and ultra-portable ultrasound devices, and pre- and postcourse assessments.

Findings

Course evaluations revealed unanimous satisfaction with instructors, technological resources, and overall effectiveness. Participants demonstrated significant improvement in theoretical knowledge and practical skills related to ultrasound-guided PICC insertion.

Discussion

This training enhanced nurses' proficiency in ultrasound-guided PICC insertion, improving patient safety. The program's success highlights the importance of specialized training for nurses in advanced procedures.
外周植入中心导管(PICCs)应用广泛,超声引导可提高其植入安全性。这就需要对护士进行专门培训,以提高病人的安全。目的在本文中,我们描述了一个专门的护理教育计划的实施,“超声引导下护士PICC高级培训”,旨在加强患者的安全,提高护理水平。方法采用非同步和同步的理论课程、虚拟模拟器和超便携超声设备的实际操作训练以及课前和课后评估相结合的混合培训方案。课程评估显示了对讲师、技术资源和整体有效性的一致满意。参与者在超声引导下PICC置入的理论知识和实践技能方面均有显著提高。该培训提高了护士超声引导下PICC置入的熟练程度,提高了患者的安全性。该项目的成功突出了在高级手术中对护士进行专业培训的重要性。
{"title":"Ultrasound-Guided Peripherally Inserted Central Catheter Insertion: A Nurse Training Initiative","authors":"Fernanda Raphael Escobar Gimenes PhD, RN ,&nbsp;Mayra Gonçalves Menegueti PhD, RN ,&nbsp;Emanuel Nunes PhD, RN ,&nbsp;Roberta Paula Silva MSc, RN ,&nbsp;Amanda Rossi Marques MSc, RN ,&nbsp;Vinicius Batista Santos PhD, RN ,&nbsp;Bryan Boling DNP, AGACNP-BC, FCCM ,&nbsp;Renata Pinheiro Lopes BN ,&nbsp;Mónica Francisca Santana Apablaza MSc student, RN","doi":"10.1016/j.jradnu.2024.12.003","DOIUrl":"10.1016/j.jradnu.2024.12.003","url":null,"abstract":"<div><h3>Background</h3><div>Peripherally inserted central catheters (PICCs) are widely used, and ultrasound guidance enhances their insertion safety. This necessitates specialized training for nurses to improve patient safety.</div></div><div><h3>Purpose</h3><div>In this article, we describe the implementation of a specialized nursing education program, \"Advanced Training in Ultrasound-Guided PICC for Nurses,\" aiming to enhance patient safety and elevate the standard of care.</div></div><div><h3>Method</h3><div>A hybrid training program was conducted, including asynchronous and synchronous theoretical sessions, hands-on practical training using virtual simulators and ultra-portable ultrasound devices, and pre- and postcourse assessments.</div></div><div><h3>Findings</h3><div>Course evaluations revealed unanimous satisfaction with instructors, technological resources, and overall effectiveness. Participants demonstrated significant improvement in theoretical knowledge and practical skills related to ultrasound-guided PICC insertion.</div></div><div><h3>Discussion</h3><div>This training enhanced nurses' proficiency in ultrasound-guided PICC insertion, improving patient safety. The program's success highlights the importance of specialized training for nurses in advanced procedures.</div></div>","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Pages 210-214"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
“Optimizing Peripheral Intravenous Catheter Outcomes: A Systematic Meta-Analysis of Educational Innovations, Technological Advancements, and Protocol-Based Strategies” 优化外周静脉导管效果:教育创新、技术进步和基于协议的策略的系统荟萃分析
Q3 Nursing Pub Date : 2025-06-01 DOI: 10.1016/j.jradnu.2024.12.012
Jyoti Mannari MD , Prachi A. Soni PhD, RN

Aims

This meta-analysis evaluates the effectiveness of interventions, educational strategies, and technological advancements in managing peripheral intravenous catheters (PIVCs), focusing on PIVC-related complications, insertion success, and patient outcomes.

Design

A systematic review and meta-analysis were conducted on studies published between 2014 and 2024, assessing educational interventions, training programs, technological innovations, and best practices.

Data Sources

Peer-reviewed articles, systematic reviews, and clinical trials from PubMed, Cochrane Library, and Scopus were included, with key studies by Elasyed et al. (2020), Yilmaz et al. (2023), Arslan & Takman (2022), and Overton (2021).

Review Methods

Studies were selected based on relevance, evidence quality, and methodological rigor. Data focused on intervention types, success rates, complications, and patient safety.

Results

The meta-analysis synthesized data from 38 studies (12 randomized controlled trials, 15 cohort studies, 7 systematic reviews, 4 observational studies). Simulation-based training (15 studies) improved insertion success by 22% (95% confidence interval [CI]: 15–30%) and reduced complications by 18% (95% CI: 10–25%). Structured educational programs (10 studies) as Ahlin (2013) increased knowledge by 20% (95% CI: 13–27%) and reduced complications by 15% (95% CI: 8–22%). Technological innovations, such as intelligent infusion devices (5 studies), increased accuracy by 25% (95% CI: 18–32%) and reduced errors by 20% (95% CI: 12–28%). Advanced securement devices (5 studies) reduced dislodgement by 30% (95% CI: 22–37%) and complications by 25% (95% CI: 18–32%). Bundle care approaches (8 studies) reduced infections by 30% (95% CI: 22–38%) and complications by 20% (95% CI: 15–26%). Standardized protocols (12 studies) improved catheter patency by 22% (95% CI: 16–28%) and reduced infections by 17% (95% CI: 11–23%). Assessment tools (7 studies, eg, Angles et al., 2021) improved care quality by 25% (95% CI: 18–32%) and procedural checklists (3 studies eg, Buckley, Gilbert, 2019) increased adherence to aseptic techniques by 20% (95% CI: 12–28%) and reduced contamination by 15% (95% CI: 8–22%).

Conclusion

The meta-analysis highlights the effectiveness of educational interventions, technological innovations, and best practices in improving PIVC management and patient outcomes, underscoring the need for further research to refine training methods and integrate new technologies.
目的:本荟萃分析评估了外周静脉导管(pivc)管理的干预措施、教育策略和技术进步的有效性,重点关注pivc相关并发症、插入成功率和患者预后。DesignA对2014年至2024年间发表的研究进行了系统回顾和荟萃分析,评估了教育干预、培训计划、技术创新和最佳实践。数据来源包括来自PubMed、Cochrane Library和Scopus的同行评议文章、系统评价和临床试验,主要研究来自Elasyed et al.(2020)、Yilmaz et al.(2023)、Arslan &;塔克曼(2022)和奥弗顿(2021)。综述方法根据相关性、证据质量和方法严谨性选择研究。数据集中于干预类型、成功率、并发症和患者安全性。结果meta分析综合了38项研究的数据(12项随机对照试验,15项队列研究,7项系统评价,4项观察性研究)。基于模拟的训练(15项研究)将插入成功率提高了22%(95%置信区间[CI]: 15 - 30%),将并发症减少了18% (95% CI: 10-25%)。结构化的教育项目(10项研究),如Ahlin(2013)增加了20%的知识(95% CI: 13-27%),减少了15%的并发症(95% CI: 8-22%)。技术创新,如智能输液器(5项研究),将准确率提高了25% (95% CI: 18-32%),将错误率降低了20% (95% CI: 12-28%)。先进的固定装置(5项研究)减少了30%的脱位(95% CI: 22-37%)和25%的并发症(95% CI: 18-32%)。一揽子护理方法(8项研究)减少了30%的感染(95% CI: 22-38%)和20%的并发症(95% CI: 15-26%)。标准化方案(12项研究)使导管通畅率提高了22% (95% CI: 16-28%),感染率降低了17% (95% CI: 11-23%)。评估工具(7项研究,如Angles等,2021)将护理质量提高了25% (95% CI: 18-32%),程序检查清单(3项研究,如Buckley, Gilbert, 2019)将无菌技术的依从性提高了20% (95% CI: 12-28%),并将污染降低了15% (95% CI: 8-22%)。结论荟萃分析强调了教育干预、技术创新和最佳实践在改善PIVC管理和患者预后方面的有效性,强调了进一步研究完善培训方法和整合新技术的必要性。
{"title":"“Optimizing Peripheral Intravenous Catheter Outcomes: A Systematic Meta-Analysis of Educational Innovations, Technological Advancements, and Protocol-Based Strategies”","authors":"Jyoti Mannari MD ,&nbsp;Prachi A. Soni PhD, RN","doi":"10.1016/j.jradnu.2024.12.012","DOIUrl":"10.1016/j.jradnu.2024.12.012","url":null,"abstract":"<div><h3>Aims</h3><div>This meta-analysis evaluates the effectiveness of interventions, educational strategies, and technological advancements in managing peripheral intravenous catheters (PIVCs), focusing on PIVC-related complications, insertion success, and patient outcomes.</div></div><div><h3>Design</h3><div>A systematic review and meta-analysis were conducted on studies published between 2014 and 2024, assessing educational interventions, training programs, technological innovations, and best practices.</div></div><div><h3>Data Sources</h3><div>Peer-reviewed articles, systematic reviews, and clinical trials from PubMed, Cochrane Library, and Scopus were included, with key studies by Elasyed et al. (2020), Yilmaz et al. (2023), Arslan &amp; Takman (2022), and Overton (2021).</div></div><div><h3>Review Methods</h3><div>Studies were selected based on relevance, evidence quality, and methodological rigor. Data focused on intervention types, success rates, complications, and patient safety.</div></div><div><h3>Results</h3><div>The meta-analysis synthesized data from 38 studies (12 randomized controlled trials, 15 cohort studies, 7 systematic reviews, 4 observational studies). Simulation-based training (15 studies) improved insertion success by 22% (95% confidence interval [CI]: 15–30%) and reduced complications by 18% (95% CI: 10–25%). Structured educational programs (10 studies) as Ahlin (2013) increased knowledge by 20% (95% CI: 13–27%) and reduced complications by 15% (95% CI: 8–22%). Technological innovations, such as intelligent infusion devices (5 studies), increased accuracy by 25% (95% CI: 18–32%) and reduced errors by 20% (95% CI: 12–28%). Advanced securement devices (5 studies) reduced dislodgement by 30% (95% CI: 22–37%) and complications by 25% (95% CI: 18–32%). Bundle care approaches (8 studies) reduced infections by 30% (95% CI: 22–38%) and complications by 20% (95% CI: 15–26%). Standardized protocols (12 studies) improved catheter patency by 22% (95% CI: 16–28%) and reduced infections by 17% (95% CI: 11–23%). Assessment tools (7 studies, eg, Angles et al., 2021) improved care quality by 25% (95% CI: 18–32%) and procedural checklists (3 studies eg, Buckley, Gilbert, 2019) increased adherence to aseptic techniques by 20% (95% CI: 12–28%) and reduced contamination by 15% (95% CI: 8–22%).</div></div><div><h3>Conclusion</h3><div>The meta-analysis highlights the effectiveness of educational interventions, technological innovations, and best practices in improving PIVC management and patient outcomes, underscoring the need for further research to refine training methods and integrate new technologies.</div></div>","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Pages 215-223"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preventing and Managing Tracheostomy-Related Emergencies in the Radiology Suite: Best Practices for Safety and Preparedness 在放射科病房预防和管理气管切开术相关紧急情况:安全和准备的最佳做法
Q3 Nursing Pub Date : 2025-06-01 DOI: 10.1016/j.jradnu.2025.03.004
Linda L. Morris PhD, APN, CCNS, FCCM , Michael J. Brenner MD, FACS , Ricky L. Williams MHCM, RRT , Vinciya Pandian PhD, MBA, MSN, RN, ACNP-BC, FCCM, FAANP, FAAN, FFNMRCSI

Background

Airway emergencies in patients with tracheostomies are life-threatening and may arise from tube dislodgment, obstruction, bleeding, or improper handling during patient transfers. While these incidents are rare in radiology suites, the limited experience of staff with tracheostomy care heightens the risk of adverse outcomes. Prompt and well-coordinated responses are essential to ensure patient survival.

Objective

This review identifies risk factors for tracheostomy-related emergencies in radiology and offers evidence-based recommendations to improve patient safety, staff preparedness, and emergency response.

Methods

A comprehensive review of peer-reviewed literature, malpractice claims, clinical guidelines, and expert consensus statements was conducted. Databases including PubMed, Nexis Uni, and legal case repositories were searched for studies, reports, and expert recommendations related to tracheostomy emergencies. Findings were synthesized on complications, risk factors, and prevention strategies.

Results

Key risk factors for tracheostomy emergencies include improper tube securement prior to transfer, inadequate staff training, and failure to recognize and manage early signs of airway compromise. The first postoperative week following tracheostomy placement has elevated risk due to immaturity of the stoma. Evidence suggests that structured interventions, such as preprocedure checklists, standardized emergency kits, and targeted staff education, significantly reduce the incidence of complications.

Conclusion

Implementing best practices, including preprocedure preparedness and emergency management protocols, is crucial for minimizing tracheostomy-related complications in radiology settings. Increasing staff awareness and training on tracheostomy care and emergencies can improve patient outcomes and reduce the likelihood of litigation. To sustain competency and ensure rapid, effective responses to emergencies, institutions should implement consistent annual training programs focused on tracheostomy management. Regular simulation-based exercises and interdisciplinary training sessions can reinforce critical airway management skills, promote teamwork, and improve adherence to safety protocols. Future research should aim to assess the effectiveness of quality improvement initiatives in reducing tracheostomy-related adverse events.
背景:气管切开术患者的气道紧急情况是危及生命的,可能由气管脱出、阻塞、出血或患者转移过程中处理不当引起。虽然这些事件在放射科套房中很少见,但气管切开术护理人员的有限经验增加了不良后果的风险。迅速和协调一致的反应对于确保患者生存至关重要。目的:本综述确定放射学中气管切开术相关急诊的危险因素,并提供基于证据的建议,以提高患者安全、工作人员准备和应急响应。方法对同行评议文献、医疗事故索赔、临床指南和专家共识声明进行全面审查。检索了PubMed、Nexis Uni和法律案例库等数据库,以获取与气管切开术急诊相关的研究、报告和专家建议。研究结果综合了并发症、危险因素和预防策略。结果气管切开术急诊的主要危险因素包括转移前气管固定不当、工作人员培训不足、未能识别和处理气道损害的早期迹象。气管造口术后第一周由于造口不成熟风险增高。有证据表明,有组织的干预措施,如手术前检查清单、标准化急救包和有针对性的工作人员教育,可大大减少并发症的发生率。结论实施最佳实践,包括手术前准备和应急管理方案,对于减少放射学环境中气管切开术相关并发症至关重要。提高工作人员对气管切开术护理和紧急情况的认识和培训,可以改善患者的预后,减少诉讼的可能性。为了保持能力并确保对紧急情况做出快速、有效的反应,机构应实施以气管切开术管理为重点的持续年度培训计划。定期的模拟演习和跨学科培训课程可以加强关键的气道管理技能,促进团队合作,并提高对安全协议的遵守。未来的研究应旨在评估质量改进措施在减少气管切开术相关不良事件方面的有效性。
{"title":"Preventing and Managing Tracheostomy-Related Emergencies in the Radiology Suite: Best Practices for Safety and Preparedness","authors":"Linda L. Morris PhD, APN, CCNS, FCCM ,&nbsp;Michael J. Brenner MD, FACS ,&nbsp;Ricky L. Williams MHCM, RRT ,&nbsp;Vinciya Pandian PhD, MBA, MSN, RN, ACNP-BC, FCCM, FAANP, FAAN, FFNMRCSI","doi":"10.1016/j.jradnu.2025.03.004","DOIUrl":"10.1016/j.jradnu.2025.03.004","url":null,"abstract":"<div><h3>Background</h3><div>Airway emergencies in patients with tracheostomies are life-threatening and may arise from tube dislodgment, obstruction, bleeding, or improper handling during patient transfers. While these incidents are rare in radiology suites, the limited experience of staff with tracheostomy care heightens the risk of adverse outcomes. Prompt and well-coordinated responses are essential to ensure patient survival.</div></div><div><h3>Objective</h3><div>This review identifies risk factors for tracheostomy-related emergencies in radiology and offers evidence-based recommendations to improve patient safety, staff preparedness, and emergency response.</div></div><div><h3>Methods</h3><div>A comprehensive review of peer-reviewed literature, malpractice claims, clinical guidelines, and expert consensus statements was conducted. Databases including PubMed, Nexis Uni, and legal case repositories were searched for studies, reports, and expert recommendations related to tracheostomy emergencies. Findings were synthesized on complications, risk factors, and prevention strategies.</div></div><div><h3>Results</h3><div>Key risk factors for tracheostomy emergencies include improper tube securement prior to transfer, inadequate staff training, and failure to recognize and manage early signs of airway compromise. The first postoperative week following tracheostomy placement has elevated risk due to immaturity of the stoma. Evidence suggests that structured interventions, such as preprocedure checklists, standardized emergency kits, and targeted staff education, significantly reduce the incidence of complications.</div></div><div><h3>Conclusion</h3><div>Implementing best practices, including preprocedure preparedness and emergency management protocols, is crucial for minimizing tracheostomy-related complications in radiology settings. Increasing staff awareness and training on tracheostomy care and emergencies can improve patient outcomes and reduce the likelihood of litigation. To sustain competency and ensure rapid, effective responses to emergencies, institutions should implement consistent annual training programs focused on tracheostomy management. Regular simulation-based exercises and interdisciplinary training sessions can reinforce critical airway management skills, promote teamwork, and improve adherence to safety protocols. Future research should aim to assess the effectiveness of quality improvement initiatives in reducing tracheostomy-related adverse events.</div></div>","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Pages 150-160"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the Barriers to Artificial Intelligence Integration in Nursing Practice: A Survey of Nurses 探索人工智能在护理实践中的整合障碍:对护士的调查
Q3 Nursing Pub Date : 2025-06-01 DOI: 10.1016/j.jradnu.2024.12.010
Mohamed Benfatah PhD

Background

The integration of artificial intelligence (AI) in nursing practice has great potential to enhance patient care. However, various barriers hinder its adoption, particularly among nurses. This study investigates the barriers to AI integration in nursing practice at Hassan II Hospital in Settat, Morocco, focusing on technological, organizational, ethical, and interdisciplinary challenges.

Methods

A cross-sectional survey was conducted with 78 nurses, using a 5-point Likert scale to assess sociodemographic data, technological barriers, organizational concerns, ethical issues, and interdisciplinary collaboration.

Results

Findings showed that while most nurses were familiar with digital technologies, they were less familiar with AI in healthcare. Key barriers included insufficient management support, lack of formal AI training, time constraints, data security concerns, and a preference for human interaction in patient care.

Conclusion

The study highlights significant barriers to AI integration in nursing, including training gaps, inadequate infrastructure, and ethical concerns about data privacy and decision-making.
人工智能(AI)在护理实践中的整合具有很大的潜力,可以提高患者的护理水平。然而,各种障碍阻碍了它的采用,特别是在护士中。本研究调查了人工智能整合在摩洛哥塞塔特哈桑二世医院护理实践中的障碍,重点关注技术、组织、伦理和跨学科挑战。方法对78名护士进行横断面调查,采用5分Likert量表评估社会人口统计学数据、技术障碍、组织关注点、伦理问题和跨学科合作。结果调查结果显示,虽然大多数护士熟悉数字技术,但他们对医疗保健中的人工智能不太熟悉。主要障碍包括管理支持不足、缺乏正式的人工智能培训、时间限制、数据安全问题以及在患者护理中偏好人类互动。该研究强调了人工智能在护理领域整合的重大障碍,包括培训差距、基础设施不足以及对数据隐私和决策的伦理担忧。
{"title":"Exploring the Barriers to Artificial Intelligence Integration in Nursing Practice: A Survey of Nurses","authors":"Mohamed Benfatah PhD","doi":"10.1016/j.jradnu.2024.12.010","DOIUrl":"10.1016/j.jradnu.2024.12.010","url":null,"abstract":"<div><h3>Background</h3><div>The integration of artificial intelligence (AI) in nursing practice has great potential to enhance patient care. However, various barriers hinder its adoption, particularly among nurses. This study investigates the barriers to AI integration in nursing practice at Hassan II Hospital in Settat, Morocco, focusing on technological, organizational, ethical, and interdisciplinary challenges.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted with 78 nurses, using a 5-point Likert scale to assess sociodemographic data, technological barriers, organizational concerns, ethical issues, and interdisciplinary collaboration.</div></div><div><h3>Results</h3><div>Findings showed that while most nurses were familiar with digital technologies, they were less familiar with AI in healthcare. Key barriers included insufficient management support, lack of formal AI training, time constraints, data security concerns, and a preference for human interaction in patient care.</div></div><div><h3>Conclusion</h3><div>The study highlights significant barriers to AI integration in nursing, including training gaps, inadequate infrastructure, and ethical concerns about data privacy and decision-making.</div></div>","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Pages 190-194"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiovascular Intensive Care Unit Nurses’ Experiences Regarding Radiation Safety: A Qualitative Study 心血管重症监护室护士辐射安全经验的质性研究
Q3 Nursing Pub Date : 2025-06-01 DOI: 10.1016/j.jradnu.2024.10.005
Hafize Savaş RN, PhD , Belma Ay Kılıçaslan PhD , Kamile Akarsu RN, PhD , Nihal Yıldız Emre MsN , Berrin Pazar RN, PhD

Objective

This study aimed to explore cardiovascular intensive care nurses’ experience with the radiation protection.

Methods

This study adopted the phenomenological method, which is a qualitative research design. The data were collected through semi-structured individual interviews and content analyses were conducted.

Results

The sample consisted of eight female cardiovascular intensive care nurses. Participants had a mean age of 31 years and a mean work experience of 7.8 years. The content analysis revealed three themes: “Individual effects,” “Institutional arrangements,” and “risks.” Themes were defined with 44 codes in seven subthemes as emotions, fears, physical effects, health institution, healthcare team, procedures, and risk-increasing situations.

Conclusion

Cardiovascular intensive care nurses have gaps in their knowledge of the principles of protection from radiation. Institutions do not take adequate precautions for radiation protection in nurses. Therefore, we recommend that institutions provide nurses with regular training on radiation agents and ways of protection and take more radiation safety measures in cardiovascular intensive care nurses.

Implications for Clinical Practice

This study sheds light on the literature for the experiences of nurses working in Cardiovascular Surgery Intensive Care Unit who are frequently exposed to ionizing radiation. It is recommended to organize courses, seminars, in-service trainings, and protective measures against the harmful effects of radiation for nurses working in units that do not have a radiation unit but where specific protection methods are neglected.
目的探讨心血管重症监护护士对辐射防护的体会。方法本研究采用现象学方法,采用定性研究设计。通过半结构化的个人访谈收集数据,并进行内容分析。结果样本包括8名女性心血管重症监护护士。参与者的平均年龄为31岁,平均工作经验为7.8年。内容分析揭示了三个主题:“个人影响”、“制度安排”和“风险”。主题被定义为7个子主题中的44个代码,分别是情绪、恐惧、身体影响、医疗机构、医疗团队、程序和风险增加的情况。结论心血管重症监护护士对辐射防护原理的认识存在空白。机构没有对护士采取足够的辐射防护措施。因此,我们建议各机构定期对护士进行辐射剂和防护方法的培训,并在心血管重症监护护士中采取更多的辐射安全措施。对临床实践的启示本研究阐明了在心血管外科重症监护病房工作的护士经常暴露于电离辐射的经验。建议对在没有辐射室但忽视具体防护措施的单位工作的护士组织课程、研讨会、在职培训和针对辐射有害影响的防护措施。
{"title":"Cardiovascular Intensive Care Unit Nurses’ Experiences Regarding Radiation Safety: A Qualitative Study","authors":"Hafize Savaş RN, PhD ,&nbsp;Belma Ay Kılıçaslan PhD ,&nbsp;Kamile Akarsu RN, PhD ,&nbsp;Nihal Yıldız Emre MsN ,&nbsp;Berrin Pazar RN, PhD","doi":"10.1016/j.jradnu.2024.10.005","DOIUrl":"10.1016/j.jradnu.2024.10.005","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore cardiovascular intensive care nurses’ experience with the radiation protection.</div></div><div><h3>Methods</h3><div>This study adopted the phenomenological method, which is a qualitative research design. The data were collected through semi-structured individual interviews and content analyses were conducted.</div></div><div><h3>Results</h3><div>The sample consisted of eight female cardiovascular intensive care nurses. Participants had a mean age of 31 years and a mean work experience of 7.8 years. The content analysis revealed three themes: “Individual effects,” “Institutional arrangements,” and “risks.” Themes were defined with 44 codes in seven subthemes as emotions, fears, physical effects, health institution, healthcare team, procedures, and risk-increasing situations.</div></div><div><h3>Conclusion</h3><div>Cardiovascular intensive care nurses have gaps in their knowledge of the principles of protection from radiation. Institutions do not take adequate precautions for radiation protection in nurses. Therefore, we recommend that institutions provide nurses with regular training on radiation agents and ways of protection and take more radiation safety measures in cardiovascular intensive care nurses.</div></div><div><h3>Implications for Clinical Practice</h3><div>This study sheds light on the literature for the experiences of nurses working in Cardiovascular Surgery Intensive Care Unit who are frequently exposed to ionizing radiation. It is recommended to organize courses, seminars, in-service trainings, and protective measures against the harmful effects of radiation for nurses working in units that do not have a radiation unit but where specific protection methods are neglected.</div></div>","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Pages 224-230"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Radiology Nursing
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1