Journal of Radiology Nursing最新文献

Populations experiencing homelessness are at higher risk of morbidity and mortality from acute and chronic illness and experience extreme health inequities across a wide range of disorders. High attrition rates, concerns for the safety of research staff, and increased complexity of protocols needed to address situations unique to homelessness may preclude nurse researchers from including populations experiencing homelessness in health services and outcomes research. The purpose of this paper is to examine the barriers and challenges to research participation encountered by populations experiencing homelessness. A secondary aim is to analyze the ethical and methodological issues that nurse researchers face when studying persons experiencing homelessness and to propose best practices for addressing these barriers. Strategies to recruit and retain persons experiencing homelessness require an intensive, unique, individualized approach that includes actively engaging with marginalized populations, forging strong community partnerships, and understanding the environment, cultural, and community context in order to recruit and retain hard to reach populations.

Background

Long-term apheresis patients require totally implantable vascular access devices (TIVADs) for treatments. In practice, TIVADs are replaced within 3 to 5 years.

Purpose

This quality improvement initiative aimed to investigate the current state of practice of TIVAD access and management in apheresis units across the United States.

Methods

Utilizing an electronic survey, institutions were asked questions focused on areas that may affect the patency and lifespan of TIVADs.

Findings

Of the 20 institutions who responded, 19 (95%) perform red blood cell exchanges (RBCXs) and 9 (45%) perform low-density lipoprotein (LDL) apheresis. The double-lumen vortex port is preferred for RBCX (n = 11, 58%). For LDL apheresis, 44% (n = 4) prefer arteriovenous fistula, and 33% (n = 3) the PowerFlow Port.

Discussion

There is variability in the care and maintenance of ports and no standard of care for maintaining TIVADs. A standard of care should be established to improve patient experience and outcomes.

Long COVID is a condition where people continue to have symptoms for weeks or months after they have recovered from COVID-19. The aim of our study is to assess the knowledge, perception, awareness, and preparedness of the Long COVID among healthcare professionals (HCPs) and healthcare students (HCSs). The data were collected using a self-reported questionnaire including knowledge, awareness, perception, and preparedness-related questions. A total of 429 participants responded to the survey, 85.5% were HCS and 15.4% were HCP. The results reveal that the mean knowledge score of the HCS was higher than that of the HCP and the overall knowledge of the respondents about the Long COVID was poor. The majority of participants had the same concerns about Long COVID and thought that Long COVID affects the quality of life. Half of the respondents lacked knowledge about the Long COVID information centers and support services. However, 79% of HCP and 70.5% of HCSs responded with their preparedness against Long COVID conditions and showed eagerness to learn more about the condition and support colleagues with Long COVID. It is critical for healthcare workers, students as well as public to be aware of the effects of post-COVID symptoms and support each other to attenuate the Long COVID conditions.

Through an urgent patient case of acute limb ischemia and intervention, care transitions are examined. The importance of safe, consistent transitions of care has become even more apparent after the COVID-19 pandemic when face-to-face communication was inhibited in many areas. The impact of urgent patient needs coupled with a high number of inexperienced staff enhances the need for appraisal of current handoff communication practices in all patient care areas. The reality is this; many of the most serious medical errors are linked to miscommunication. This ischemic limb patient case highlights inconsistencies in patient care transition processes and the associated risks that need to be addressed to improve patient care.

Implementation of research studies in clinical practice may encounter institutional, cultural, or resource barriers. Lack of nursing representation during the development of research protocols and decision-making, as well as financial constraints and competing priorities can impact translating research evidence into practice. At a large Midwestern teaching hospital, these barriers are addressed using professional nursing practice and a team-based approach to patient care and innovation, which in turn improves health outcomes for patients. The institution's commitment to nursing research in the radiology department aids in the implementation of innovative imaging technologies with the potential for improved detection and diagnosis of coronary artery disease. This article will outline radiology nursing involvement in the development of a dual-purpose research and clinical exam utilizing advanced computed tomography scanner technology. This article will also show how the institution works through common barriers to nursing research and how its efforts aid in the translation of evidence-based research into clinical practice.

In practice settings, both inpatient and outpatient, it is common for health-care professionals to have had little or no contact with veterans. There is little in nursing programs that addresses the needs of veterans. The purpose of this article to is to present information that will broaden radiology nurses’ background in the care of veterans. The basis for the article is the importance of identifying patients who have served in the military. The significance of this information includes recognizing veterans for their service, identifying conditions that correlate to military service, and planning care that incorporates factors that are specific to veterans. The article is based on the work of the Connecticut Department of Veterans Affairs, championed by the American Academy of Nursing, as well as community health care organizations that have instituted measures to identify veterans.