American Journal of Nursing最新文献

Children are at highest risk for unintentional exposure.

Living through an anti-intellectual movement.

Abstract: The emerging field of implementation science (IS) facilitates the sustainment of evidence-based practice in clinical care. This article, the fifth in a series on applying IS, describes how a nurse-led team at a multisite health system used IS concepts, methods, and tools to implement a standardized nursing bundle on three adult inpatient units that aimed to reduce the incidence of nonventilator hospital-acquired pneumonia.

Abstract: It is not uncommon for researchers to try to use the same dataset to conduct more than one inferential statistical analysis. For example, sometimes researchers want to conduct hypothesis testing with outcomes that are different from the originally planned main effect, or with a similar outcome but across different subgroups, using the same significance level for all tests. A significant finding could just be a product of an increased rate of spurious statistical significance or false-positive rate. This article introduces the topic of multiplicity, including definitions, examples, and implications for research studies, and offers potential solutions. It is intended primarily for nursing researchers and other health care professionals, students, and people conducting research based on statistical hypothesis analysis. It can also be used as an introductory guide for nurses who would like a basic understanding of multiplicity issues in studies based on inferential statistical analysis.

Abstract: This is the eighth 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 https://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 https://links.lww.com/AJN/A256.

Background: Work-related stress significantly impacts nurses' well-being and professional performance. Coping strategies and social support play a role in managing stress. Extensive research on nurses' stress exists, but an understanding of the relationships among variables such as sleep quality and mental health, among others, is limited.

Purpose: This study aimed to examine the relationships among stress, sleep quality, and mental health (anxiety and depressive symptoms) in nurses in a hospital in southern Taiwan and to analyze how coping strategies and social support mediate these relationships.

Methods: Convenience sampling was used to collect data on demographics, stress, sleep quality, mental health, coping strategies, and social support in 202 nurses who were at least 20 years of age and had at least three months of nursing experience. Using structural equation modeling, we explored the potential mediating impact of coping strategies and social support on the relationship between stress and mental health.

Results: Among the study participants, 85.6% reported sleep issues, 60.9% depression, and 31.2% anxiety. Our model confirmed that work stress significantly impacts sleep quality, anxiety, and depression. Coping strategies mediated stress-related anxiety and depressive symptoms; social support also mediated stress-related anxiety but not depressive symptoms.

Conclusions: This study highlights strong associations between stress, sleep quality, anxiety, and depressive symptoms, with coping strategies and social support as potential mediators. Nursing managers should integrate coping strategies and psychosocial support in workplace interventions to enhance the mental health and job performance of nurses in challenging settings, ultimately benefiting retention and patient care.

A snapshot of competence and courage.