Pub Date : 2024-07-01Epub Date: 2024-06-20DOI: 10.1097/01.NAJ.0001025656.82073.13
John Lawrence, Johanna Emory, Sara Sousa, Danielle Thompson, Kenya Jenkins, Amanda P Bettencourt, Maureen Kirkpatrick McLaughlin, Kathleen Russell-Babin
Abstract: The emerging field of implementation science (IS) facilitates the sustainment of evidence-based practice in clinical care. This article, the second in a series on applying IS, describes how a nurse-led IS team at a multisite health system implemented the Brøset Violence Checklist-a validated, evidence-based tool to predict a patient's potential to become violent-in the system's adult EDs, with the aim of decreasing the rate of violence against staff. The authors discuss how they leveraged IS concepts, methods, and tools to achieve this goal.
摘要：新兴的实施科学（IS）领域有助于在临床护理中持续开展循证实践。本文是应用 IS 系列的第二篇文章，介绍了一个由护士领导的 IS 团队如何在一个多地点的医疗系统中实施布罗塞特暴力检查表--一种经过验证的、以证据为基础的工具，用于预测病人在该系统的成人急诊室中发生暴力事件的可能性，从而降低针对工作人员的暴力事件发生率。作者讨论了他们如何利用信息系统的概念、方法和工具来实现这一目标。
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Pub Date : 2024-07-01Epub Date: 2024-06-20DOI: 10.1097/01.NAJ.0001025600.52198.01
Karen Roush
More than half have required hospitalization.
一半以上需要住院治疗。
{"title":"Measles Cases Surge Across the United States.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001025600.52198.01","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001025600.52198.01","url":null,"abstract":"<p><p>More than half have required hospitalization.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426098","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 : 2024-07-01Epub Date: 2024-06-20DOI: 10.1097/01.NAJ.0001025188.79366.be
Teresa Jahn, Jenelle Overgaard, Mallory Mondloch, Elizabeth Plante, Jennifer Burris, Mithun Suresh, Jodi Berndt
Abstract: Using a blind insertion technique to insert small-bore feeding tubes can result in inadvertent placement in the lungs, leading to lung perforation and even mortality. In a Magnet-designated, 500-bed, level 2 trauma center, two serious patient safety events occurred in a four-week period due to nurses blindly inserting a small-bore feeding tube. A patient safety event review team convened and conducted an assessment of reported small-bore feeding tube insertion events that occurred between March 2019 and July 2021. The review revealed six lung perforations over this two-year period. These events prompted the creation of a multidisciplinary team to evaluate alternative small-bore feeding tube insertion practices. The team reviewed the literature and evaluated several evidence-based small-bore feeding tube placement methods, including placement with fluoroscopy, a two-step X-ray, electromagnetic visualization, and capnography. After the evaluation, capnography was selected as the most effective method to mitigate the complications of blind insertion. In this article, the authors describe a quality improvement project involving the implementation of capnography-guided small-bore feeding tube placement to reduce complications and the incidence of lung perforation. Since the completion of the project, which took place from December 13, 2021, through April 18, 2022, no lung injuries or perforations have been reported. Capnography is a relatively simple, noninvasive, and cost-effective technology that provides nurses with a means to safely and effectively insert small-bore feeding tubes, decrease the incidence of adverse events, and improve patient care.
{"title":"Reducing Lung Injury from Blind Insertion of Small-Bore Feeding Tubes.","authors":"Teresa Jahn, Jenelle Overgaard, Mallory Mondloch, Elizabeth Plante, Jennifer Burris, Mithun Suresh, Jodi Berndt","doi":"10.1097/01.NAJ.0001025188.79366.be","DOIUrl":"10.1097/01.NAJ.0001025188.79366.be","url":null,"abstract":"<p><strong>Abstract: </strong>Using a blind insertion technique to insert small-bore feeding tubes can result in inadvertent placement in the lungs, leading to lung perforation and even mortality. In a Magnet-designated, 500-bed, level 2 trauma center, two serious patient safety events occurred in a four-week period due to nurses blindly inserting a small-bore feeding tube. A patient safety event review team convened and conducted an assessment of reported small-bore feeding tube insertion events that occurred between March 2019 and July 2021. The review revealed six lung perforations over this two-year period. These events prompted the creation of a multidisciplinary team to evaluate alternative small-bore feeding tube insertion practices. The team reviewed the literature and evaluated several evidence-based small-bore feeding tube placement methods, including placement with fluoroscopy, a two-step X-ray, electromagnetic visualization, and capnography. After the evaluation, capnography was selected as the most effective method to mitigate the complications of blind insertion. In this article, the authors describe a quality improvement project involving the implementation of capnography-guided small-bore feeding tube placement to reduce complications and the incidence of lung perforation. Since the completion of the project, which took place from December 13, 2021, through April 18, 2022, no lung injuries or perforations have been reported. Capnography is a relatively simple, noninvasive, and cost-effective technology that provides nurses with a means to safely and effectively insert small-bore feeding tubes, decrease the incidence of adverse events, and improve patient care.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141260894","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 : 2024-07-01Epub Date: 2024-06-20DOI: 10.1097/01.NAJ.0001025616.42092.11
{"title":"News Brief: Revised guidelines on informed consent for intimate exams.","authors":"","doi":"10.1097/01.NAJ.0001025616.42092.11","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001025616.42092.11","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426106","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 : 2024-07-01Epub Date: 2024-06-20DOI: 10.1097/01.NAJ.0001025652.47006.e9
Cyndi B Kelley
Don't let fear get in the way of greatness.
不要让恐惧阻碍伟大的事业。
{"title":"Are You Intimidated by a Systematic Search?","authors":"Cyndi B Kelley","doi":"10.1097/01.NAJ.0001025652.47006.e9","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001025652.47006.e9","url":null,"abstract":"<p><p>Don't let fear get in the way of greatness.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426060","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 : 2024-07-01Epub Date: 2024-06-20DOI: 10.1097/01.NAJ.0001025648.00669.e7
Ellen Fineout-Overholt, Deana Hays, Susan Farus-Brown, Mary C Zonsius, Kerry A Milner
This is the third article in a new series designed to provide readers with insight into educating nurses about evidence-based decision-making (EBDM). It builds on AJN's award-winning previous series-Evidence-Based Practice, Step by Step and EBP 2.0: Implementing and Sustaining Change (to access both series, go to http://links.lww.com/AJN/A133). This follow-up series on EBDM will address how to teach and facilitate learning about the evidence-based practice (EBP) and quality improvement (QI) processes and how they impact health care quality. This series is relevant for all nurses interested in EBP and QI, especially DNP faculty and students. The brief case scenario included in each article describes one DNP student's journey. To access previous articles in this EBDM series, go to http://links.lww.com/AJN/A256.
{"title":"Removing Persistent Barriers to Systematic Searching.","authors":"Ellen Fineout-Overholt, Deana Hays, Susan Farus-Brown, Mary C Zonsius, Kerry A Milner","doi":"10.1097/01.NAJ.0001025648.00669.e7","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001025648.00669.e7","url":null,"abstract":"<p><p>This is the third article in a new series designed to provide readers with insight into educating nurses about evidence-based decision-making (EBDM). It builds on AJN's award-winning previous series-Evidence-Based Practice, Step by Step and EBP 2.0: Implementing and Sustaining Change (to access both series, go to http://links.lww.com/AJN/A133). This follow-up series on EBDM will address how to teach and facilitate learning about the evidence-based practice (EBP) and quality improvement (QI) processes and how they impact health care quality. This series is relevant for all nurses interested in EBP and QI, especially DNP faculty and students. The brief case scenario included in each article describes one DNP student's journey. To access previous articles in this EBDM series, go to http://links.lww.com/AJN/A256.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426132","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 : 2024-07-01Epub Date: 2024-06-20DOI: 10.1097/01.NAJ.0001025640.64311.50
Deltra Muoki
These nurses bridge the gap between research and clinical practice.
这些护士在研究与临床实践之间架起了一座桥梁。
{"title":"Nurse Scientists.","authors":"Deltra Muoki","doi":"10.1097/01.NAJ.0001025640.64311.50","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001025640.64311.50","url":null,"abstract":"<p><p>These nurses bridge the gap between research and clinical practice.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426129","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 : 2024-07-01Epub Date: 2024-06-20DOI: 10.1097/01.NAJ.0001025672.35963.e4
Karen Rosenberg
According to this study.
根据这项研究。
{"title":"Touch Interventions Beneficial for Physical and Mental Health.","authors":"Karen Rosenberg","doi":"10.1097/01.NAJ.0001025672.35963.e4","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001025672.35963.e4","url":null,"abstract":"<p><p>According to this study.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426135","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 : 2024-07-01Epub Date: 2024-06-20DOI: 10.1097/01.NAJ.0001025608.97820.78
Karen Roush
Government agencies are monitoring for potential threat to humans.
政府机构正在监测对人类的潜在威胁。
{"title":"Bird Flu Outbreaks Raise Concern Among Infectious Disease Experts.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001025608.97820.78","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001025608.97820.78","url":null,"abstract":"<p><p>Government agencies are monitoring for potential threat to humans.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426094","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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