Pub Date : 2024-08-01Epub Date: 2024-07-25DOI: 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.
{"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":"124 8","pages":"59-62"},"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}
Pub Date : 2024-08-01Epub Date: 2024-07-25DOI: 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":"124 8","pages":"12"},"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}
Pub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NAJ.0001027728.43947.fb
Karen Rosenberg
According to this study.
根据这项研究。
{"title":"Support for Mail-Order Pharmacy Dispensing of Mifepristone for Medication Abortion.","authors":"Karen Rosenberg","doi":"10.1097/01.NAJ.0001027728.43947.fb","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001027728.43947.fb","url":null,"abstract":"<p><p>According to this study.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 8","pages":"57"},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756626","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}
Pub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NAJ.0001027632.21498.c5
Robert Longyear, Melissa Mills
A policy solution to improve staffing and patient care.
改善人员配备和病人护理的政策解决方案。
{"title":"The Case for Alternative Payment Models for Nursing Care.","authors":"Robert Longyear, Melissa Mills","doi":"10.1097/01.NAJ.0001027632.21498.c5","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001027632.21498.c5","url":null,"abstract":"<p><p>A policy solution to improve staffing and patient care.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 8","pages":"8"},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756627","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}
Pub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NAJ.0001027712.85830.44
Corinne McSpedon
How nurses are advancing gender equity and women's empowerment globally.
护士如何在全球推动性别平等和妇女赋权。
{"title":"The UN Commission on the Status of Women: Highlights from Parallel Events.","authors":"Corinne McSpedon","doi":"10.1097/01.NAJ.0001027712.85830.44","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001027712.85830.44","url":null,"abstract":"<p><p>How nurses are advancing gender equity and women's empowerment globally.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 8","pages":"47-49"},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756628","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}
Pub Date : 2024-08-01Epub Date: 2024-07-25DOI: 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.
{"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":" ","pages":"34-41"},"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}
Pub Date : 2024-08-01Epub Date: 2024-07-25DOI: 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":"124 8","pages":"11"},"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}
Pub Date : 2024-08-01Epub Date: 2024-07-25DOI: 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":"124 8","pages":"11"},"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}
Pub Date : 2024-08-01Epub Date: 2024-07-25DOI: 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.
{"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":"124 8","pages":"50-55"},"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}
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