Journal of Radiology Nursing最新文献

{"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}

{"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}

{"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}

{"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}

{"title":"Increasing PhD Prepared Nurses Takes More Than Federal Initiatives: Opportunities Exist at the Institutional Level to Improve the Application Process","authors":"Amanda Slagle MPH, MSN, RN, CPHQ","doi":"10.1016/j.jradnu.2025.03.005","DOIUrl":"10.1016/j.jradnu.2025.03.005","url":null,"abstract":"<div><div>A master's prepared nurse's experience navigating the PhD application process revealed systemic inefficiencies at the institutional level that could deter qualified nurses from pursuing doctoral education. While financial assistance programs like the Nurse Faculty Loan Program help address faculty shortages, they do not resolve barriers such as inconsistent online program definitions, lack of transparency in application and tuition costs, outdated application processes and unresponsive admission offices. Nursing schools should adopt a continuous improvement process mindset and streamline the application process from the perspective of the applicant. Modernizing the application process and improving internal communication within the academic institution could lead to an increased interest in a school's program. Identifying barriers to transitioning to an online program will also potentially expand the pipeline of doctoral-prepared nurses. Using the Lean management methodology can provide academic institutions with the tools needed to create meaningful and measured improvements.</div></div>","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 2","pages":"Pages 186-189"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196023","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}

{"title":"Appropriate Use of Digital Imaging Studies","authors":"Karin E. Warner MS, MA, DNP, RN, CGNC, FAAN, CLSSBB","doi":"10.1016/j.jradnu.2024.11.009","DOIUrl":"10.1016/j.jradnu.2024.11.009","url":null,"abstract":"","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 1","pages":"Pages 15-16"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Every Nurse Can Become an Advocate: Pathways for Meaningful Policy Change","authors":"Robyn S. Elliott MHA","doi":"10.1016/j.jradnu.2024.10.004","DOIUrl":"10.1016/j.jradnu.2024.10.004","url":null,"abstract":"<div><div>Nurses can advance public policy priorities through advocating for legislative, regulatory, and policy changes. Every nurse and nursing organization can make a meaningful policy contribution even without in-depth advocacy experience. There are pathways for nurse advocates to become involved in the public policy process at the local, state, and federal levels. Through advocacy, nurses can advance the nursing profession, improve health outcomes for their patients and communities, and enhance the efficiency and effectiveness of the health-care system.</div></div>","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 1","pages":"Pages 36-39"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resilience and Recognition: A Nurse’s Reflection on The Women by Kristin Hannah","authors":"Allyson Kornahrens DNP, FNP-C, ENP-C, AGACNP-BC, CNL","doi":"10.1016/j.jradnu.2024.12.007","DOIUrl":"10.1016/j.jradnu.2024.12.007","url":null,"abstract":"","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 1","pages":"Page 125"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Team Relationships and Wellness in Radiology: An Evidence-Based Practice Implementation","authors":"Amy E. Rettig DNP, MALM, RN, APRN-BC,&nbsp;Sandra Longworth BSRT (R)(MR)(CT)","doi":"10.1016/j.jradnu.2024.12.006","DOIUrl":"10.1016/j.jradnu.2024.12.006","url":null,"abstract":"<div><h3>Background</h3><div>Creating a caring culture can positively impact patient safety and quality of care, and healthcare leaders set the standard for culture change. Compassion satisfaction, compassion fatigue, and burnout have been present in healthcare systems for many years and can influence performance. Interventions are implemented depending on need, context, and evidence. Most research is focused on nurses and physicians. Imaging department leaders and clinicians, who provide care across the healthcare system, also benefit from these interventions. An academic health system imaging department sought implementation of an intervention that would support a culture of caring. The process objective of this evidence-based practice (EBP) project was to implement a small group program for imaging department leaders to improve compassion satisfaction, compassion fatigue, and risk for burnout in this group. The outcome objective was to establish and sustain a culture steering committee for the entire imaging department.</div></div><div><h3>Methods</h3><div>A 6-month, hourly, interactive course on caring relationship concepts took place February-July 2019. Imaging leaders engaged in facilitated, intentional conversations during each class and were assigned reflection homework for peer feedback. Framework for a culture steering committee was established. A prepost project design was used to compare compassion satisfaction, compassion fatigue, and risk for burnout at pre, post, and 3 months postproject implementation.</div></div><div><h3>Results</h3><div>Compassion satisfaction remained high and compassion fatigue low at each time point. Risk for burnout showed greater than 20% improvement from baseline to post intervention and sustained improvement at 3 months postintervention. Leaders and clinicians established a culture steering committee focusing on caring relationships.</div></div><div><h3>Discussion</h3><div>Imaging department leaders engaged in self-care and movement toward creating a culture of caring. Engaging leaders early in the process of change influences success of an EBP implementation. The culture steering committee, focusing on caring relationships, has sustained through the years of the pandemic and continues to date.</div></div>","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 1","pages":"Pages 88-94"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing Moral Distress and Moral Injury in Healthcare: Implications for Workforce Well-Being and Systemic Change","authors":"David S. Reis PhD,&nbsp;Jason D. Lesandrini PhD, FACHE, LPEC, HEC-C","doi":"10.1016/j.jradnu.2024.12.005","DOIUrl":"10.1016/j.jradnu.2024.12.005","url":null,"abstract":"<div><div>Moral distress (MD) and moral injury represent significant challenges within healthcare, affecting both individual well-being and organizational performance. MD arises when healthcare providers are constrained from acting in alignment with their ethical beliefs, whereas moral injury reflects deeper, long-lasting harm resulting from violations of core moral values. These phenomena have profound implications for workforce mental health, patient care quality, and institutional stability, particularly in high-stakes settings like intensive care units. Addressing these challenges requires systemic interventions, including robust ethics resources, leadership engagement, and targeted training programs to mitigate distress and foster resilience. Measuring MD and injury through validated tools is critical for identifying systemic contributors and tailoring interventions effectively. This article highlights evidence-based strategies, such as MD consultations, ethics education, and resilience training, to support healthcare professionals, enhance ethical climates, and improve patient care outcomes. By prioritizing the mitigation of MD and injury, healthcare organizations can cultivate a more resilient, compassionate workforce and a higher standard of ethical care.</div></div>","PeriodicalId":39798,"journal":{"name":"Journal of Radiology Nursing","volume":"44 1","pages":"Pages 52-56"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}