Journal of the American Nurses Association - New York最新文献

{"title":"Overcoming Bar Code Medication Administration Scanning Challenges in the Emergency Department","authors":"Annie George, R. Jacob","doi":"10.47988/janany.23101964.2.2","DOIUrl":"https://doi.org/10.47988/janany.23101964.2.2","url":null,"abstract":"Background: Bar Code Medication Administration (BCMA) scanning is a globally accepted technology. However, many clinicians do not understand the requirements as a metric for nursing quality and safety behind the BCMA process. Objective: The aim of this Quality Improvement (Q.I.) project is to improve the BCMA scanning compliance, to identify the percentage of noncompliance, along with the numbers representing the percentage and to raise awareness of the challenges of using BCMA in the Emergency Department setting. Methodology: The Institute of Healthcare Improvement’s Plan-Do-Study-Act (PDSA) cycle was used to plan, test, and observe the results of this Q.I. project. This report followed the Standards for Quality Improvement Reporting Excellence (SQUIRE V.2.0) publication guidelines. Results: Following a series of PDSA cycle implementations over an 18-month period, BCMA scanning rates for patients were increased to 93%, and medication scanning was increased to 94%, with an overall increase of 33% and 34%, respectively. Timely documentation improved by 18%, which accounted for a total of 96% compliance. Conclusion and Recommendations: Leadership involvement, nursing workflow monitoring of BCMA safety, as well as staff accountability and recognition, were crucial factors in improving the overall compliance rate. Suggestions to improve scanning safety include modifying the dashboard and highlighting the noncompliance scanning percentage along with actual numbers to raise awareness among clinicians. Organizations need to implement ongoing monitoring, continued training, and education, along with improvements and modifications.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122068025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critical Appraisal of Clinical Practice Guidelines (CPG) Training for Graduate Student Nurses: Exemplar of a CPG for the Management of Post-Traumatic Stress Disorder (PTSD)","authors":"Peter Torcivia, Ifeoma Nkemakolam, M. D. Lapiz-Bluhm","doi":"10.47988/janany.33648481.2.2","DOIUrl":"https://doi.org/10.47988/janany.33648481.2.2","url":null,"abstract":"Background: Clinical practice guidelines serve as a framework for clinical decisions supporting best practices to optimize patient care. Critical appraisal of a clinical practice guideline is an important clinical skill for advanced practice nurses and other advanced healthcare professionals. Hence, advanced practice nursing students should receive appraisal training of clinical practice guidelines to develop their critical skills in determining their quality and potential incorporation into evidence-based clinical practice. Objective: This paper describes the incorporation of a critical appraisal of a clinical practice guideline in a graduate nursing program for advanced nursing practice. As an exemplar of the appraisal process, the clinical practice guideline from the United States (US) Department of Veterans Affairs and the Department of Defense (VA/DoD) on the management of post-traumatic stress disorder and acute stress disorder was critically appraised. Methodology: Students enrolled in a graduate nursing course were formed into groups of 3-4, and selected a clinical practice guideline according to their specialty. A group of four students enrolled in the Psychiatric and Mental Health Nurse Practitioner program critically appraised the VA/DoD clinical practice related to the management of posttraumatic stress disorder and acute stress disorder using the Appraisal of Guidelines for Research and Evaluation (AGREE) II Instrument. Students’ performance and feedback were evaluated. Results: The students viewed the course activity positively and appreciated learning the CPG appraisal process and its use in practice. The VA/DoD clinical practice guideline was deemed of high quality and user-friendly for practitioners’ use in clinical decision-making despite minor limitations. Conclusion and recommendations: Incorporation of clinical practice guideline assessment using the AGREE II Instrument in the advanced practice nursing curriculum should be considered. Participating graduate students considered the skill needed for their future advanced practice. Regular updates of clinical practice guidelines and their appraisals are also recommended.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"240 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115781540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing the Severity of Diabetic Retinopathy in Patients with Type 2 Diabetes Mellitus in Korea","authors":"Yeong-Mi Jo, Y. Boo, Susie Yoon","doi":"10.47988/janany.786428687081.2.2","DOIUrl":"https://doi.org/10.47988/janany.786428687081.2.2","url":null,"abstract":"Background: To prevent the progression of diabetic retinopathy (DR), patients with Type 2 diabetes mellitus (T2DM) should take the lead in their health behaviors by understanding physiological indicators such as blood sugar, blood pressure, lipids, smoking cessation, and regular ophthalmologic examinations. The health provider's role is important in motivating diabetic retinopathy patients to practice healthy behaviors since they provide treatment information and feedback to the patient. Therefore, it is necessary to educate diabetic patients on their knowledge of diabetic mellitus (DM) to raise awareness of desirable health behaviors and to continue self-management through motivation with the support from family and health care providers. This is a descriptive survey research to identify whether patients’ knowledge about diabetes, family support, and health care provider's support for autonomy impacted the severity of diabetic retinopathy of patients with type 2 diabetes mellitus. Objectives/Significance: The aim of this study is to determine the effects of diabetic knowledge, family support, and health care provider's support for autonomy on the severity of diabetic retinopathy among diabetic patients and use this information as primary data for developing health behavior practice programs to prevent and manage diabetic retinopathy. Methodology: Cross-sectional data were collected in South Korea in 2019. Participants were 136 patients who had T2DM who attended an outpatient endocrinology clinic. A chi-square test and analysis of variance (ANOVA) were conducted using SPSS software (version 24.0), and Cronbach's coefficient was used to measure the reliability of each test. A linear multiple regression analysis was performed to determine the predictors of diabetic retinopathy. The scale for knowledge about diabetes had 26 items, the scale for family support had 12 items, and the scale for the severity of DR was classified according to the international clinical diabetic retinopathy severity measurement standards. Results: The comparisons of the severity of diabetic retinopathy depended on general and disease-related characteristics, and there was a statistically significant difference between DR and diabetic complications (t=4.07, p<.001). Significant correlations with SBP (r=.35 and p<.001), DBP (r=.37, p<.001), HbA1c (r=.29, p=.001), LDL- cholesterol (r=.18, p=.036), and triglyceride (r=.28, p=.001) were identified. Also, health care provider's support for autonomy was significantly correlated with the severity of DR (r=-.17, p=.048). As a result of analyzing the influence of independent variables on diabetic retinopathy, DBP (ß=.281, p=.018), DM complications (ß=.188, p=.024), and health care provider's support for autonomy (ß=- .207, p=.002) were found to affect the severity of diabetic retinopathy (F=5.725, p=.018). As a result of analyzing the influence of independent variables on diabetic retinopathy, DBP (ß=.281, p=.018), DM complications ","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121398968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association between Neighborhood Factors and Bullying among Adolescents with Asthma","authors":"Ellen M. McCabe, S. Strauss","doi":"10.47988/janany.6410282831.2.2","DOIUrl":"https://doi.org/10.47988/janany.6410282831.2.2","url":null,"abstract":"Introduction: Neighborhood factors may be associated with bully victimization, a serious health concern for adolescents with asthma. Objective: The purpose of this study was to examine associations between neighborhood factors and past year bullying in adolescents with asthma as reported by adult household respondents. Methods: Using data from the adolescent 2019 National Survey of Children’s Health, we included in our analyses responses from adults of adolescents with asthma who replied to whether or not the adolescent was bullied over the past year and to the neighborhood factors of interest. These adults included 473 adult respondents of adolescent females with asthma and 551 adult respondents of adolescent males with asthma. Neighborhood variables included whether the adolescent’s neighborhood had sidewalks or walking paths, a park or playground, a recreation center or a boys’ or girls’ club, and vandalism exposure. The complex samples module in IBM SPSS 27 with equal probability sampling without replacement was used to conduct the analyses. Descriptive statistics and chi-square analyses were also used. Results: Statistically significant differences were found in the proportion of adolescent females with asthma ever bullied compared to the proportion never bullied who had access to a park or playground (70.0% vs. 83.7%, respectively; p=.038) and were exposed to neighborhood vandalism (2.8% vs. 10.8%, respectively; p=.028). A significantly smaller proportion of adolescent males with asthma ever bullied than the proportion never bullied were exposed to neighborhood vandalism (4.9% vs. 14%, respectively; p=.032). Conclusion: It is important to examine the influence of neighborhood factors further to better understand their association with bully victimization in adolescents with asthma.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117285117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Language Proficiency and Academic Success of Bilingual Hispanic Nursing Students along the US-Mexico Border","authors":"Cristina a Dominguez De Quezada, D. Alfred, Melinda Hermanns, Danice Brown Greer, Shellye A. Vardaman, Maria Amaya","doi":"10.47988/janany.4491588158643655.2.2","DOIUrl":"https://doi.org/10.47988/janany.4491588158643655.2.2","url":null,"abstract":"Background: The Texas Department of State Health Services reported an enrollment of 29.7% Hispanic heritage students in nursing schools in 2020. Hispanics comprise of 18.5% of the total US population. Hispanic communities are less likely to speak proficient English than non-Hispanic Whites due to lack of language concordance. A diverse nursing workforce is necessary to accommodate the changing community. English as an additional language is frequently identified as a barrier to a nursing degree. This study examined how English proficiency affects nursing academic success of non-BSN and BSN nursing students. Methodology: Non-experimental descriptive quantitative research with two open-ended questions were employed. Students from 27 non-BSN and BSN programs along the U.S.-Mexico border were surveyed. Participants (N = 158) self-reported Grade Point Average (GPAs) on a 4.0 scale and completed two language proficiency instruments, the Language Experience and Proficiency Questionnaire (LEAP-Q) and the English Language Acculturation Scale (ELAS). Participants responded to questions related to strategies that were either beneficial or barriers to their learning and success. Results: Regression of GPA on predictors of English proficiency yielded non-significant models. Convergent validity between the two language proficiency instruments was supported, and reliability was similarly high. MANOVA analysis revealed students on a BSN versus non-BSN program hold higher GPAs. Non-BSN students showed higher Spanish language proficiency than those on a BSN program. Seven themes emerged from the question data, three themes showed that English as an Additional Language (EAL) benefits students (support, communication, and academic resources) and four were barriers to learning (finances, time management, language, and self-perception). Conclusion: A diverse bilingual nursing workforce is essential to meet the future needs of the US. Even though language proficiency did not predict academic success, students enrolled in non-BSN and BSN students who utilized both languages were academically successful.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128782628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Becoming a Mother During the Covid-19 Pandemic: A Time of Resilience and Reflection","authors":"K. Mancini","doi":"10.47988/janany.89232823.2.2","DOIUrl":"https://doi.org/10.47988/janany.89232823.2.2","url":null,"abstract":"Background: Giving birth during a pandemic has not been experienced in the last 100 years. The psychological effects on new mothers related to the COVID-19 pandemic are not yet well-known. Objective: This research explored the lived experiences of mothers who were pregnant and gave birth during the pandemic. Methodology: The design of the study was a qualitative phenomenological analysis. Data were collected through one-on-one, semi-structured interviews conducted on a secure Zoom platform until thematic redundancy occurred. Colaizzi’s method was used to analyze the narratives of a sample of ten mothers who gave birth during the pandemic. Results: Participants’ poignantly described the joys and challenges of giving birth during the pandemic. Five theme clusters emerged from the data: Expecting with fear and uncertainty while living in isolation; Giving birth in a changed environment; Breastfeeding, it’s different every time; Not what I expected from life after giving birth, and A year of mixed emotions. Limitations: The sample was limited to women living in the Northeast part of the U.S. Subsequently, the experience described may have been different from women in other regions and demographics. Clinical Implications: The findings of this study illustrate the need for health education, notably breastfeeding education for first-time and experienced mothers. Since the coming months and years will continue to be unprecedented times, nurses in obstetrics, pediatrics and primary care should be attentive to any long-term psychosocial problems during routine visits.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124325832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Support of LGBTQ+ People with Intellectual and Developmental Disabilities in Group Homes","authors":"Chinazo Echezona-Johnson","doi":"10.47988/janany.444764667081.2.2","DOIUrl":"https://doi.org/10.47988/janany.444764667081.2.2","url":null,"abstract":"Background: Researchers indicate that the staff of group homes do not support LGBTQ+ individuals with intellectual and developmental disabilities (ID/DD) in expressing their sexuality or acknowledging their sexual orientation. Objective: The project’s purpose is to develop staff education about support strategies for ID/DD individuals who identify as LGBTQ+ in group homes to reduce adverse behavioral issues. Methods: This is a quality improvement initiative. Data were collected from a convenience sample of the target population via post-workshop surveys adapted from the Knowledge about Homosexuality Questionnaire, pre-and-post community inclusion forms, review of agency’s records and environment, and pre-and-post adverse behaviors of the study cohort. The convenience sample size is limited to 25 direct participants and 32 indirect charts. Results: Data were analyzed by content analysis and the use of the Statistical Package for the Social Sciences (SPSS) - Spearman’s rho, paired-sample t-test, and Wilcoxon signed-rank test. Findings show that staff education and support would reduce adverse behavioral issues among the cohort. Limitations: This project is limited to a convenience sample of only one agency in New York City that provides services to Intellectual Disability and Developmental Disability (ID/DD) individuals who identify as Lesbian, Gay, Bisexual, Transgender, Queer, Questioning (LGBTQ+). Survey questions did not include specific questions about lesbians, transgender people, asexuals, pansexuals, and intersex. Only one question mentions bisexuality. Conclusion: There is a critical need to modify the agency’s protocols, forms, cultural competency training, environment, and policies to emphasize the cohort’s needs using interventions to diminish minority stress and improve positive psychology (PERMA model). Nursing education should include an in-depth curriculum on the intersection between LGBTQ+ and ID/DD populations.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123812972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovations in the lens of system thinking, research and nursing informatics: The editor’s vantage point","authors":"","doi":"10.47988/janany.98644712.2.2","DOIUrl":"https://doi.org/10.47988/janany.98644712.2.2","url":null,"abstract":"","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114954393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Nursing Primed for a Transformation Using Nursing Informatics Concepts and Tools? The Editor’s Vantage Point","authors":"","doi":"10.47988/janany.582328.2.1","DOIUrl":"https://doi.org/10.47988/janany.582328.2.1","url":null,"abstract":"The author offers his opinion of how nurses should lead in forging forward with transforming nursing using nursing informatics concepts.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125382849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moderating Effect of Country of Residence in Predicting Adherence to Treatment Among Black Adults Diagnosed with Hypertension","authors":"E. Madu, C. Nwajiuba, Chiamaka A Madu, Tina Nweze","doi":"10.47988/janany.64582823.2.1","DOIUrl":"https://doi.org/10.47988/janany.64582823.2.1","url":null,"abstract":"Background: Uncontrolled hypertension (HTN) is the major global risk factor for cardiovascular diseases (CVD). Black individuals have worse cardiovascular health outcomes than their racial counterparts. High incidences of HTN-related strokes, heart failure, and chronic kidney diseases are prevalent in Black communities. Long-term adherence to HTN treatment is efficacious in hypertension control but challenged by psychosocial factors and the asymptomatic nature of HTN. Purpose: This research aims to assess if the country of residence moderates the relationship between adherence and each of its potential predictors in Black adults with HTN residing in the United States and Nigeria. Methodology: This is a secondary data analysis of two studies conducted in New York and southeast Nigeria (n=226). Data were analyzed using SPSS Statistical software Version 27. Descriptive differences in adherence and predicting variables, bivariate analyses for significant predicting variables within each sample, and general linear model analyses with plots for country of residence interaction effects were conducted. Results: The mean ages of the US and Nigerian samples were 57.3 ± 11.9 years (70.9% female) and 46.6 ± 8.9 years (67.1% female), respectively. Significant differences (p <.05) were noted between levels of adherence, age, self–efficacy, illness perception, annual income, and herbal use. Adherence was significantly associated (p < .05) with social support, self-efficacy, provider-patient communication, depressive symptoms, herbal use, employment, and income status within the Nigerian sample. Adherence was significantly associated with depressive symptoms and income status within the US sample. The interaction of country of residence with illness perception, social support, self-efficacy, and provider-patient communication significantly predicted adherence but not for the other variables. Interestingly, there was an opposite relationship between illness perception and adherence between the two samples. Conclusions: The country of residence moderated the relationship between adherence and illness perception, social support, self-efficacy, and provider-patient communication. These findings have clinical, cultural, and policy implications. Understanding the similarities and differences between the US and Nigeria will help clinicians working with Black patients and tailor interventions to meet the unique needs of this population. Future studies and culturally relevant strategies to improve HTN treatment adherence could target factors unique to hypertensive patients’ country of residence.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115498670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}