Pub Date : 2024-11-01Epub Date: 2024-10-24DOI: 10.1097/01.NAJ.0001081708.94934.46
Diane S Aschenbrenner
{"title":"New Resources for Primary Care Providers Treating Opioid Use Disorder.","authors":"Diane S Aschenbrenner","doi":"10.1097/01.NAJ.0001081708.94934.46","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001081708.94934.46","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 11","pages":"18"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492981","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 : 2024-11-01Epub Date: 2024-10-24DOI: 10.1097/01.NAJ.0001081680.22384.53
{"title":"News Brief: Blood biomarkers can diagnose early Alzheimer disease in symptomatic patients.","authors":"","doi":"10.1097/01.NAJ.0001081680.22384.53","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001081680.22384.53","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 11","pages":"13"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492983","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}
Abstract: Extracorporeal membrane oxygenation (ECMO) is a type of mechanical circulatory support that is increasingly utilized in the United States for severe respiratory and/or cardiac failure refractory to conventional therapies. It is an expensive and complex life support modality. Moreover, patients on ECMO are critically ill and require a strong multidisciplinary care team. A successful ECMO program involves a trained team consisting of physicians, perfusionists, nurses, and respiratory therapists. This article discusses the multiple roles of ECMO nurses, the various ECMO delivery care models, and the potential cost savings of an RN ECMO specialist staffing model-and introduces the novel role of the ECMO lead.
{"title":"Nursing Roles in Extracorporeal Membrane Oxygenation.","authors":"Michelle Parrett, Cassia Yi, Brooke Weaver, Meghan Jones, Marites B Almachar, Judy Davidson, Mazen Odish, Travis Pollema","doi":"10.1097/01.NAJ.0001081100.87718.df","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001081100.87718.df","url":null,"abstract":"<p><strong>Abstract: </strong>Extracorporeal membrane oxygenation (ECMO) is a type of mechanical circulatory support that is increasingly utilized in the United States for severe respiratory and/or cardiac failure refractory to conventional therapies. It is an expensive and complex life support modality. Moreover, patients on ECMO are critically ill and require a strong multidisciplinary care team. A successful ECMO program involves a trained team consisting of physicians, perfusionists, nurses, and respiratory therapists. This article discusses the multiple roles of ECMO nurses, the various ECMO delivery care models, and the potential cost savings of an RN ECMO specialist staffing model-and introduces the novel role of the ECMO lead.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 11","pages":"30-37"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492987","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 : 2024-11-01Epub Date: 2024-10-24DOI: 10.1097/01.NAJ.0001081760.97016.17
Karen Rosenberg
According to this study.
根据这项研究。
{"title":"Limited Value of Motivational Interviewing in Promoting Physical Activity.","authors":"Karen Rosenberg","doi":"10.1097/01.NAJ.0001081760.97016.17","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001081760.97016.17","url":null,"abstract":"<p><p>According to this study.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 11","pages":"62"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492979","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 : 2024-11-01Epub Date: 2024-10-24DOI: 10.1097/01.NAJ.0001081656.73219.ac
Carl A Kirton
Addressing supply-demand issues to meet our health system's needs.
解决供需问题，满足我们医疗系统的需求。
{"title":"Training Equity Improves Health Equity.","authors":"Carl A Kirton","doi":"10.1097/01.NAJ.0001081656.73219.ac","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001081656.73219.ac","url":null,"abstract":"<p><p>Addressing supply-demand issues to meet our health system's needs.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 11","pages":"5"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492992","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 : 2024-11-01Epub Date: 2024-10-24DOI: 10.1097/01.NAJ.0001081748.24595.eb
Carmen R Davis, Terrie Beeson, Haley M Porter, Karen K Giuliano
Background: Venous thromboembolism (VTE) is a leading preventable cause of death in hospitalized patients. Current intermittent pneumatic compression (IPC) devices used to provide external mechanical compression for VTE prevention are associated with a multitude of clinical challenges that often result in subtherapeutic use. A comparative study was conducted of the real-world clinical use of a novel mechanical compression device (MCD) and a current IPC device.
Purpose: The purpose of this quality improvement project was to compare use of the novel MCD and the standard IPC device on three clinical inpatient hospital units. Comparisons were based on the following patient outcome measures: evaluation of wear time, adherence to optimal wear time, evaluation of both patient comfort and device satisfaction, and perceived impact on mobility goals. Nurses' satisfaction with the clinical usability for mobility was also measured.
Methods: This project used a pre-post design. A convenience sample of 89 surgical patients on the three clinical study units and 63 nursing staff members were recruited for the study. Data were collected using electronic health records, MCD data records, patient surveys, and nursing staff surveys. Data were analyzed using descriptive statistics and independent sample t tests. In the preintervention period, data were collected using the current IPC device. Nursing staff were then trained on use of the MCD. In the postintervention period, the MCDs were used in place of the IPC devices.
Results: MCD patients had significantly longer (P ≤ 0.001) wear time (mean, 19.3 hours/day) compared with IPC patients (mean, 12.9 hours/day). MCD patients also reported significantly better sleep (P = 0.04), fewer problems with sweaty legs (P ≤ 0.001), and improved assistance with mobility goals (P ≤ 0.001) than IPC patients. Nursing staff reported significantly improved accuracy of mobility documentation (P ≤ 0.001) with the MCD, but no differences in their perception of patient satisfaction with meeting mobility goals.
Conclusions: Use of the MCD device for VTE prophylaxis resulted in actual and perceived improvements from the perspective of both patients and nurses. While these results provide initial data in support of a potentially promising system, more research is needed.
{"title":"Evaluation of a Novel Mechanical Compression Device.","authors":"Carmen R Davis, Terrie Beeson, Haley M Porter, Karen K Giuliano","doi":"10.1097/01.NAJ.0001081748.24595.eb","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001081748.24595.eb","url":null,"abstract":"<p><strong>Background: </strong>Venous thromboembolism (VTE) is a leading preventable cause of death in hospitalized patients. Current intermittent pneumatic compression (IPC) devices used to provide external mechanical compression for VTE prevention are associated with a multitude of clinical challenges that often result in subtherapeutic use. A comparative study was conducted of the real-world clinical use of a novel mechanical compression device (MCD) and a current IPC device.</p><p><strong>Purpose: </strong>The purpose of this quality improvement project was to compare use of the novel MCD and the standard IPC device on three clinical inpatient hospital units. Comparisons were based on the following patient outcome measures: evaluation of wear time, adherence to optimal wear time, evaluation of both patient comfort and device satisfaction, and perceived impact on mobility goals. Nurses' satisfaction with the clinical usability for mobility was also measured.</p><p><strong>Methods: </strong>This project used a pre-post design. A convenience sample of 89 surgical patients on the three clinical study units and 63 nursing staff members were recruited for the study. Data were collected using electronic health records, MCD data records, patient surveys, and nursing staff surveys. Data were analyzed using descriptive statistics and independent sample t tests. In the preintervention period, data were collected using the current IPC device. Nursing staff were then trained on use of the MCD. In the postintervention period, the MCDs were used in place of the IPC devices.</p><p><strong>Results: </strong>MCD patients had significantly longer (P ≤ 0.001) wear time (mean, 19.3 hours/day) compared with IPC patients (mean, 12.9 hours/day). MCD patients also reported significantly better sleep (P = 0.04), fewer problems with sweaty legs (P ≤ 0.001), and improved assistance with mobility goals (P ≤ 0.001) than IPC patients. Nursing staff reported significantly improved accuracy of mobility documentation (P ≤ 0.001) with the MCD, but no differences in their perception of patient satisfaction with meeting mobility goals.</p><p><strong>Conclusions: </strong>Use of the MCD device for VTE prophylaxis resulted in actual and perceived improvements from the perspective of both patients and nurses. While these results provide initial data in support of a potentially promising system, more research is needed.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 11","pages":"54-60"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492870","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 : 2024-11-01Epub Date: 2024-10-24DOI: 10.1097/01.NAJ.0001081684.80872.ce
Karen Roush
The agency cited potential dangers and flaws in research methodology.
该机构指出了潜在的危险和研究方法上的缺陷。
{"title":"FDA Denies Approval of MDMA-Assisted Therapy for PTSD.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001081684.80872.ce","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001081684.80872.ce","url":null,"abstract":"<p><p>The agency cited potential dangers and flaws in research methodology.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 11","pages":"14"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492871","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 : 2024-11-01Epub Date: 2024-10-24DOI: 10.1097/01.NAJ.0001081668.79276.7a
Karen Roush
Vaccination is the cornerstone of the global response.
疫苗接种是全球防治工作的基石。
{"title":"A Deadly Mpox Strain Is Spreading in Africa.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001081668.79276.7a","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001081668.79276.7a","url":null,"abstract":"<p><p>Vaccination is the cornerstone of the global response.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 11","pages":"12"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492966","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 : 2024-10-01Epub Date: 2024-09-26DOI: 10.1097/01.NAJ.0001069492.62067.64
{"title":"News Brief: CDC makes fall COVID-19 vaccine recommendations.","authors":"","doi":"10.1097/01.NAJ.0001069492.62067.64","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001069492.62067.64","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 10","pages":"17"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142339379","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 : 2024-10-01Epub Date: 2024-09-26DOI: 10.1097/01.NAJ.0001069512.01673.38
Stephan Davis
How nurses can support equitable professional advancement opportunities.
护士如何支持公平的职业晋升机会。
{"title":"Making Nursing Excellence Inclusive.","authors":"Stephan Davis","doi":"10.1097/01.NAJ.0001069512.01673.38","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001069512.01673.38","url":null,"abstract":"<p><p>How nurses can support equitable professional advancement opportunities.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 10","pages":"22-23"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142339376","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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