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Drug for hot flashes receives updated safety warning. 治疗潮热的药物收到最新安全警告。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/01.NAJ.0001094804.09346.98
Diane S Aschenbrenner
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引用次数: 0
COVID-19 Infection Shown to Increase the Risk of Adverse Cardiac Events. COVID-19感染可增加心脏不良事件的风险
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/01.NAJ.0001096920.86570.47
Karen Roush

Elevated risk can last for several years after infection.

感染后风险升高可持续数年。
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引用次数: 0
Original Research: Exploring the Use of Passive vs. Active Insulin Safety Pen Needle Devices in a Pediatric Population: A Feasibility Study. 原创研究:探索在儿科人群中使用被动式与主动式胰岛素安全笔针装置:可行性研究。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/AJN.0000000000000001
Brenna Frankish, Kristina Amplo, Rachael Townsend, Tonya Miller-Roberts, Akane Fujimoto Wakabayashi, Christina Calamaro

Background: Insulin pens are the mainstay of insulin delivery in the pediatric population, especially among patients unable to use an insulin pump. Safety pen needle (SPN) devices have been embraced by both nurses and patients because they limit the risks of needlestick injury and exposure to blood-borne pathogens. With the commonly used traditional passive SPN device, however, it can be difficult to observe that the dose has been accurately or fully administered.

Purpose: The purpose of this study was to determine nurses' perceptions about the feasibility of using an active SPN device (specifically the Unifine SafeControl insulin pen needle), compared with the currently used passive SPN device, in pediatric patients ages 21 years or younger who require subcutaneous insulin injections.

Methods: This feasibility study was conducted on a pediatric inpatient unit at 1 pediatric hospital in the southeastern United States. A total of 49 RNs completed both a pre-device change survey regarding the currently used passive SPN device and a post-device change survey regarding the active SPN device. The RNs also completed daily evaluations assessing the ease of teaching patients and their caregivers how to use the active SPN device. Participation consent was also obtained for 132 pediatric patients with diabetes who were admitted to the unit.

Results: The majority of the RNs (87.8%) reported overall satisfaction with the active SPN device, compared to about half (52.7%) who reported overall satisfaction with the passive SPN device. Almost all the RNs (98.6%) reported that the active SPN device was easy or very easy to use. Nearly all the nurses (93.9%) reported feeling completely or very confident that the active SPN device allowed them to deliver the full intended dose; and nearly all reported that it was easy or very easy to teach patients (98.2%) and their caregivers (96.4%) how to use the active device.

Conclusions: As frontline workers in patient care, nurses can lead the innovation and development of new treatment approaches, protocols, and equipment. This nurse-led study explored the nurses' perceptions about the feasibility of a new active SPN device versus the passive SPN device in terms of safety, ease of use, ease of and confidence in dose administration, and ease of teaching device use to pediatric patients and their caregivers. The RNs' clear preference for the active over the passive SPN device suggests that the newer, active devices warrant more widespread use in hospital settings, with further research also recommended.

背景:胰岛素笔是儿科人群中胰岛素输送的主要方式,特别是在无法使用胰岛素泵的患者中。安全笔式针头(SPN)装置已经受到护士和患者的欢迎,因为它们限制了针刺伤和暴露于血源性病原体的风险。然而,对于常用的传统被动SPN装置,很难观察到剂量是否准确或完全给予。目的:本研究的目的是确定护士对使用主动SPN装置(特别是Unifine SafeControl胰岛素笔针)的可行性的看法,与目前使用的被动SPN装置相比,21岁或以下需要皮下注射胰岛素的儿科患者。方法:本可行性研究在美国东南部1所儿科医院的儿科住院病房进行。共有49名rn完成了关于当前使用的被动SPN设备的设备更换前调查和关于主动SPN设备的设备更换后调查。注册护士还完成了每日评估,以评估教患者及其护理人员如何使用主动SPN设备的难易程度。132名儿科糖尿病患者也获得了参与同意书。结果:大多数注册护士(87.8%)对主动式SPN装置总体满意,相比之下,大约一半(52.7%)的注册护士对被动式SPN装置总体满意。几乎所有的注册护士(98.6%)报告说,主动式SPN装置容易或非常容易使用。几乎所有的护士(93.9%)报告完全或非常有信心主动SPN装置允许他们提供全部预期剂量;几乎所有人都报告说,教患者(98.2%)和他们的护理人员(96.4%)如何使用主动装置很容易或非常容易。结论:护士作为患者护理的一线工作者,可以引领新的治疗方法、方案和设备的创新和发展。这项以护士为主导的研究探讨了护士对新型主动SPN装置与被动SPN装置的可行性的看法,包括安全性、易用性、给药的便利性和信心,以及对儿科患者及其护理人员使用教学装置的便利性。注册护士对主动SPN设备的明显偏好超过被动SPN设备,这表明更新的主动SPN设备在医院环境中得到更广泛的应用,并建议进行进一步的研究。
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引用次数: 0
Drug diversion of both controlled and noncontrolled drugs. 管制和非管制药物的药物转移。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/01.NAJ.0001096932.93808.a6
Diane S Aschenbrenner
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引用次数: 0
Preventing Clostridioides difficile Infection Recurrence. 预防难辨梭菌感染复发。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/01.NAJ.0001094820.16262.70
Zeena Nackerdien

Nurses safeguard patients with proven practices.

护士用行之有效的做法保护病人。
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引用次数: 0
Time for an "Early" Journal Celebration. 是时候“提前”庆祝一下了。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/01.NAJ.0001094856.63814.55
Carl A Kirton

AJN enters its 125th year as the leading voice in nursing.

AJN作为护理领域的领先声音进入了第125个年头。
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引用次数: 0
Unapproved potassium phosphate products increase risk of aluminum toxicity in infants. 未经批准的磷酸钾产品增加了婴儿铝中毒的风险。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/01.NAJ.0001096924.70299.32
Diane S Aschenbrenner
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引用次数: 0
I Took Care of You. 我照顾过你。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/01.NAJ.0001094668.49175.78
Libby Ruth Hayes
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引用次数: 0
News Brief: Working group urges more research on necrotizing enterocolitis. 新闻简报:工作组敦促对坏死性小肠结肠炎进行更多的研究。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/01.NAJ.0001096900.22225.fd
Karen Roush
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引用次数: 0
News Brief: Pediatric poisoning deaths are on the rise. 新闻简报:儿童中毒死亡人数正在上升。
IF 2.5 4区 医学 Q1 NURSING Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/01.NAJ.0001096912.51933.96
Karen Roush
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引用次数: 0
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American Journal of Nursing
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