首页 > 最新文献

American Journal of Nursing最新文献

英文 中文
Observations from the Bedside. 床边观察
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2024-08-01 Epub Date: 2024-07-25 DOI: 10.1097/01.NAJ.0001027628.77575.56
Carl A Kirton

When the nurse becomes the patient.

当护士成为病人
{"title":"Observations from the Bedside.","authors":"Carl A Kirton","doi":"10.1097/01.NAJ.0001027628.77575.56","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001027628.77575.56","url":null,"abstract":"<p><p>When the nurse becomes the patient.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Opening a Donor Management Center. 开设捐助者管理中心。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2024-08-01 Epub Date: 2024-07-25 DOI: 10.1097/01.NAJ.0001027740.13428.b3
Emma Max, Meredith MacKenzie-Greenle, Jamie Ann Acero-Webb, Leah Lambe, Niels D Martin, Emily Vail

Abstract: In the United States alone, more than 100,000 people are waiting for a lifesaving organ transplant. In response to the growing need for viable organs to transplant, donor management centers have opened to provide care to brain-dead organ donors prior to the organ procurement operation. This article describes donor management center operations, details the opening of one such unit, and describes the results and lessons learned. More research is needed on the impact of nursing care on the specialized organ donor population.

摘要:仅在美国,就有 10 多万人在等待救命的器官移植。为了满足人们对可移植器官日益增长的需求,器官捐献者管理中心应运而生,以便在器官获取手术之前为脑死亡器官捐献者提供护理。本文介绍了捐献者管理中心的运作情况,详细介绍了其中一个单位的开业情况,并介绍了其成果和经验教训。关于护理对特殊器官捐献者人群的影响,还需要更多的研究。
{"title":"Opening a Donor Management Center.","authors":"Emma Max, Meredith MacKenzie-Greenle, Jamie Ann Acero-Webb, Leah Lambe, Niels D Martin, Emily Vail","doi":"10.1097/01.NAJ.0001027740.13428.b3","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001027740.13428.b3","url":null,"abstract":"<p><strong>Abstract: </strong>In the United States alone, more than 100,000 people are waiting for a lifesaving organ transplant. In response to the growing need for viable organs to transplant, donor management centers have opened to provide care to brain-dead organ donors prior to the organ procurement operation. This article describes donor management center operations, details the opening of one such unit, and describes the results and lessons learned. More research is needed on the impact of nursing care on the specialized organ donor population.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Overdose Deaths Drop in the United States. 美国吸毒过量死亡人数下降。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2024-08-01 Epub Date: 2024-07-25 DOI: 10.1097/01.NAJ.0001027652.85838.8f
Karen Roush

It is the first annual decrease in five years.

这是五年来首次出现年度下降。
{"title":"Overdose Deaths Drop in the United States.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001027652.85838.8f","DOIUrl":"10.1097/01.NAJ.0001027652.85838.8f","url":null,"abstract":"<p><p>It is the first annual decrease in five years.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Decreasing Premedication for Blood Transfusions: A Quality Improvement Project. 减少输血前用药:质量改进项目。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2024-08-01 Epub Date: 2024-07-25 DOI: 10.1097/01.NAJ.0001027116.67274.e3
Ashley Hole, Alexandra Budhai, Kerry King, P Dayand Borge

Background: Premedication administration to patients who are to receive blood transfusions continues despite evidence of a lack of benefit when given to prevent febrile nonhemolytic or mild allergic transfusion reactions. Reviews of ordering practices and staff surveys on an adult inpatient hematology-oncology unit in our multisite oncology medical center indicated a lack of standardization and overuse of premedication in blood transfusions and a lack of knowledge of when it was appropriate to use premedication.

Methods: A literature search was performed, and the evidence led to a proposal for a quality improvement (QI) project focused on development of an evidence-based algorithm to guide clinicians in when to administer which premedication, development of clear documentation for premedication plans, integration of the documented premedication plans into electronic orders for blood products, and staff education. Interventions included a hospital-wide algorithm and an electronic order to be integrated with a premedication plan for each patient on the adult hematology-oncology unit.

Results: Seven months after implementation of the intervention, premedication use among patients decreased by 57.6%, and the transfusion reaction rate decreased from 1% to 0.8%. Staff knowledge as measured by responses to pre- and postintervention surveys on the appropriate use of premedication also improved.

Conclusion: Evidence-based interventions can reduce the incidence of premedication use in patients receiving blood transfusions.

背景:尽管有证据表明输血前用药对预防发热性非溶血性或轻度过敏性输血反应并无益处,但对即将接受输血的患者进行输血前用药的做法仍在继续。我们的多点肿瘤医疗中心对成人住院血液肿瘤科的下单实践和员工调查进行了审查,结果表明输血预处理缺乏标准化和过度使用,而且对何时适合使用预处理缺乏了解:方法: 我们进行了文献检索,并根据证据提出了一项质量改进(QI)项目提案,该项目重点在于制定循证算法以指导临床医生何时使用何种预处理药物、为预处理计划制定清晰的文件记录、将文件记录的预处理计划整合到血液制品的电子订单中以及开展员工教育。干预措施包括为成人血液肿瘤科的每位患者制定全院范围内的算法和与用药前计划相结合的电子医嘱:干预措施实施 7 个月后,患者的用药前剂量减少了 57.6%,输血反应率从 1%降至 0.8%。根据干预前和干预后调查的结果,工作人员对如何合理使用预处理药物的认识也有所提高:以证据为基础的干预措施可以降低输血患者使用预处理药物的发生率。
{"title":"Decreasing Premedication for Blood Transfusions: A Quality Improvement Project.","authors":"Ashley Hole, Alexandra Budhai, Kerry King, P Dayand Borge","doi":"10.1097/01.NAJ.0001027116.67274.e3","DOIUrl":"10.1097/01.NAJ.0001027116.67274.e3","url":null,"abstract":"<p><strong>Background: </strong>Premedication administration to patients who are to receive blood transfusions continues despite evidence of a lack of benefit when given to prevent febrile nonhemolytic or mild allergic transfusion reactions. Reviews of ordering practices and staff surveys on an adult inpatient hematology-oncology unit in our multisite oncology medical center indicated a lack of standardization and overuse of premedication in blood transfusions and a lack of knowledge of when it was appropriate to use premedication.</p><p><strong>Methods: </strong>A literature search was performed, and the evidence led to a proposal for a quality improvement (QI) project focused on development of an evidence-based algorithm to guide clinicians in when to administer which premedication, development of clear documentation for premedication plans, integration of the documented premedication plans into electronic orders for blood products, and staff education. Interventions included a hospital-wide algorithm and an electronic order to be integrated with a premedication plan for each patient on the adult hematology-oncology unit.</p><p><strong>Results: </strong>Seven months after implementation of the intervention, premedication use among patients decreased by 57.6%, and the transfusion reaction rate decreased from 1% to 0.8%. Staff knowledge as measured by responses to pre- and postintervention surveys on the appropriate use of premedication also improved.</p><p><strong>Conclusion: </strong>Evidence-based interventions can reduce the incidence of premedication use in patients receiving blood transfusions.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141562397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coalition Seeks STEM Status for Nursing. 联盟为护理学争取 STEM 地位。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2024-08-01 Epub Date: 2024-07-25 DOI: 10.1097/01.NAJ.0001027640.03611.a0
Karen Roush

The designation would open up funding for research and other initiatives.

这一指定将为研究和其他活动提供资金。
{"title":"Coalition Seeks STEM Status for Nursing.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001027640.03611.a0","DOIUrl":"10.1097/01.NAJ.0001027640.03611.a0","url":null,"abstract":"<p><p>The designation would open up funding for research and other initiatives.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Additional Safety Risks Added to Fluorouracil Labeling. 氟尿嘧啶标签中增加了额外的安全风险。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2024-08-01 Epub Date: 2024-07-25 DOI: 10.1097/01.NAJ.0001027688.31411.08
Diane Aschenbrenner
{"title":"Additional Safety Risks Added to Fluorouracil Labeling.","authors":"Diane Aschenbrenner","doi":"10.1097/01.NAJ.0001027688.31411.08","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001027688.31411.08","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
News Brief: NP care makes a difference in nursing home residents with dementia. 新闻简报:NP 护理让患有痴呆症的疗养院居民与众不同。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2024-08-01 Epub Date: 2024-07-25 DOI: 10.1097/01.NAJ.0001027644.82128.27
{"title":"News Brief: NP care makes a difference in nursing home residents with dementia.","authors":"","doi":"10.1097/01.NAJ.0001027644.82128.27","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001027644.82128.27","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Palliative Care in Rural Communities. 农村社区的姑息关怀。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2024-08-01 Epub Date: 2024-07-25 DOI: 10.1097/01.NAJ.0001027716.70431.35
Tracy Fasolino, Megan E Mayfield, Kathleen Valentine, William E Rosa, Anne Koci

Abstract: Rural communities in the United States are frequently marginalized and misrepresented. These communities face unique challenges, such as limited access to health care, nutritious food, and clean water, that contribute to persistent health disparities. This article presents the CARE (Complex, Access, Resourceful, Extraordinary) framework, which illustrates the dichotomy of rurality-its negative and positive aspects-in order to inform the development of palliative care delivery in rural settings. Various palliative care models are described that address access gaps, bolster provider capacity, and increase the provision of specialty palliative care. However, workforce shortages and reimbursement structures restrict the expansion of these services. Nurses, the largest segment of the health care workforce and the most trusted professionals, must partner with interdisciplinary colleagues and rural communities to advocate for equitable and inclusive care.

摘要:美国的农村社区经常被边缘化和被歪曲。这些社区面临着独特的挑战,如获得医疗保健、营养食品和清洁水的机会有限,这导致了持续的健康差距。本文介绍了 "CARE"(Complex, Access, Resourceful, Extraordinary)框架,该框架说明了农村的二分法--其消极和积极的方面,从而为在农村环境中提供姑息关怀服务提供参考。该框架描述了各种姑息关怀模式,以解决获取途径的差距,提高医疗服务提供者的能力,并增加专业姑息关怀的提供。然而,劳动力短缺和报销结构限制了这些服务的扩展。护士是医疗队伍中人数最多的部分,也是最值得信赖的专业人员,他们必须与跨学科的同事和农村社区合作,倡导公平和包容性的医疗服务。
{"title":"Palliative Care in Rural Communities.","authors":"Tracy Fasolino, Megan E Mayfield, Kathleen Valentine, William E Rosa, Anne Koci","doi":"10.1097/01.NAJ.0001027716.70431.35","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001027716.70431.35","url":null,"abstract":"<p><strong>Abstract: </strong>Rural communities in the United States are frequently marginalized and misrepresented. These communities face unique challenges, such as limited access to health care, nutritious food, and clean water, that contribute to persistent health disparities. This article presents the CARE (Complex, Access, Resourceful, Extraordinary) framework, which illustrates the dichotomy of rurality-its negative and positive aspects-in order to inform the development of palliative care delivery in rural settings. Various palliative care models are described that address access gaps, bolster provider capacity, and increase the provision of specialty palliative care. However, workforce shortages and reimbursement structures restrict the expansion of these services. Nurses, the largest segment of the health care workforce and the most trusted professionals, must partner with interdisciplinary colleagues and rural communities to advocate for equitable and inclusive care.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Addressing Compassion Fatigue. 解决 "同情疲劳症"。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2024-08-01 Epub Date: 2024-07-25 DOI: 10.1097/01.NAJ.0001027736.33099.a0
Robin Harper, Tracy A Ortelli

Resources to improve nurses' well-being.

改善护士福祉的资源。
{"title":"Addressing Compassion Fatigue.","authors":"Robin Harper, Tracy A Ortelli","doi":"10.1097/01.NAJ.0001027736.33099.a0","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001027736.33099.a0","url":null,"abstract":"<p><p>Resources to improve nurses' well-being.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient Falls Again Top Annual Sentinel Events List. 患者跌倒再次成为年度哨点事件榜首。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2024-08-01 Epub Date: 2024-07-25 DOI: 10.1097/01.NAJ.0001027660.98294.27
Karen Roush

Events overall held steady after rising for several years.

活动在连续几年上升之后,总体保持稳定。
{"title":"Patient Falls Again Top Annual Sentinel Events List.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001027660.98294.27","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001027660.98294.27","url":null,"abstract":"<p><p>Events overall held steady after rising for several years.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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
American Journal of 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:481959085
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