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OJIN: The Online Journal of Issues in Nursing最新文献

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The Affordable Care Act: Considerations for Leveraging the Power of Nursing 平价医疗法案:利用护理力量的考虑
OJIN: The Online Journal of Issues in Nursing Pub Date : 2022-05-31 DOI: 10.3912/ojin.vol27no02man01
Kimberly A. Cleveland, Tracey Motter, P. Rudsill, Laurie Benson
{"title":"The Affordable Care Act: Considerations for Leveraging the Power of Nursing","authors":"Kimberly A. Cleveland, Tracey Motter, P. Rudsill, Laurie Benson","doi":"10.3912/ojin.vol27no02man01","DOIUrl":"https://doi.org/10.3912/ojin.vol27no02man01","url":null,"abstract":"The Patient Protection and Affordable Care Act (ACA) (Patient Protection Affordable Care Act, 2010) remains law in the United States despite challenges and politically charged debate about its purpose in healthcare. Most agree the top three problematic areas in US healthcare are high cost, access, and equity (Kimberlin, 2022; National Academies of Sciences, Engineering and Medicine [NASEM], 2021; Ritz, 2016; Kaiser Family Foundation [KFF], 2013). The ACA aims to address these issues in complex and varied ways. Nurses can capitalize on the purpose of the ACA to leverage their power to improve quality, create efficient delivery systems, and pioneer innovations in healthcare while advocating for equity for patients (Cleveland et al., 2019). The purpose of this article is to discuss how nurses are powerfully addressing issues of cost, quality, and equitable care, pioneering the future of patient centered care, and preparing the workforce to meet the challenges brought about by the financial, political, and structural challenges 12 years after the ACA.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116862559","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}
引用次数: 0
“Adapted” Motivational Interviewing to Engage Hospital Nurses in Fall Prevention Education “改编”动机性访谈使医院护士参与预防跌倒教育
OJIN: The Online Journal of Issues in Nursing Pub Date : 2022-04-28 DOI: 10.3912/ojin.vol27no02ppt45
Hiroko Kiyoshi-Teo, K. Northrup-Snyder
{"title":"“Adapted” Motivational Interviewing to Engage Hospital Nurses in Fall Prevention Education","authors":"Hiroko Kiyoshi-Teo, K. Northrup-Snyder","doi":"10.3912/ojin.vol27no02ppt45","DOIUrl":"https://doi.org/10.3912/ojin.vol27no02ppt45","url":null,"abstract":"Hospital nurses often experience challenges when teaching older adults about fall prevention strategies. The goal of this project was to provide evidence-based training to hospital nurses to facilitate patient engagement with fall prevention measures. Methods: An “Adapted” Motivational Interviewing (MI) for fall prevention (AMIFP) training in acute care was developed and introduced to nurses as part of a Veterans Affairs-Nursing Academic Partnership (VANAP) initiative. Pre/post surveys were completed by 61 nurses (71% response rate) at an acute care hospital in the United States. Results: After the single AMIFP training, nurses reported having increased knowledge about patient engagement related to fall prevention. Moreover, feelings of confidence related to using some MI skills for fall prevention increased after training. Conclusion: Even a brief AMIFP training for nurses can have a positive impact on improving hospital nurses’ knowledge and attitudes to engage patients in fall prevention education.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"114 21","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113935201","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}
引用次数: 0
Collaboration Among Providers to Treat COVID-19 Patients at Home Opens Beds for Those with More Serious Illness 医护人员在家中治疗COVID-19患者的合作为那些病情更严重的患者提供了床位
OJIN: The Online Journal of Issues in Nursing Pub Date : 2022-04-14 DOI: 10.3912/OJIN.Vol27No02PPT75
L. Kidd
{"title":"Collaboration Among Providers to Treat COVID-19 Patients at Home Opens Beds for Those with More Serious Illness","authors":"L. Kidd","doi":"10.3912/OJIN.Vol27No02PPT75","DOIUrl":"https://doi.org/10.3912/OJIN.Vol27No02PPT75","url":null,"abstract":"In March 2020, COVID-19 cases were beginning to emerge in North Florida and concern over hospital bed capacity started to rise. Baptist Health System in Jacksonville, Florida quickly formed a multidisciplinary team to explore how we could increase hospital bed capacity. Utilizing the resources within our affiliated home healthcare agency, an Enhanced Home Support Model (EHSM) with a COVID-19 protocol was developed. The protocol was implemented by home health nurses and included COVID-19 testing, blood tests, and the ability to start oxygen at home on admission. Patients were provided self-monitoring equipment and information about self-isolating and infection control within the home. After the initial visit, the home health nurse and the primary care physician shared collaborative oversight through virtual visits. This article discusses how we initially approached identification of severity and the methods we used to implement the protocol. The results section offers information about the number of patients utilizing this protocol between April and December 2020; patient and physician satisfaction; and considers strengths and weaknesses of the program. In conclusion, the EHSM protocol allowed patients to receive high quality emergent care at home and increased access to hospital emergency departments and inpatient hospital beds for more seriously ill patients.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131117055","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}
引用次数: 0
Mitigating an Infodemic: Can The Professions Still Regulate Themselves? 缓解信息泛滥:行业还能自律吗?
OJIN: The Online Journal of Issues in Nursing Pub Date : 2022-03-21 DOI: 10.3912/OJIN.Vol27No02InfoCol01
R. Nelson
{"title":"Mitigating an Infodemic: Can The Professions Still Regulate Themselves?","authors":"R. Nelson","doi":"10.3912/OJIN.Vol27No02InfoCol01","DOIUrl":"https://doi.org/10.3912/OJIN.Vol27No02InfoCol01","url":null,"abstract":"In the article, the author discusses issues in healthcare, particularly the proliferation of infodemic or bad information/misinformation and the need to address it. Topics include the claim by the World Health Organization (WHO) that infodemic causes confusion and risk-taking behaviours that could be harmful to health and the proliferation of infodemic during the COVID-19 health crisis.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"135 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131551527","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}
引用次数: 1
Covid-19 Vaccines and mRNA Technology: Not as New as Many Believe Covid-19疫苗和mRNA技术:并不像许多人认为的那么新
OJIN: The Online Journal of Issues in Nursing Pub Date : 2022-03-17 DOI: 10.3912/OJIN.Vol27No02PPT752
C. Rittle, Lora Walter
{"title":"Covid-19 Vaccines and mRNA Technology: Not as New as Many Believe","authors":"C. Rittle, Lora Walter","doi":"10.3912/OJIN.Vol27No02PPT752","DOIUrl":"https://doi.org/10.3912/OJIN.Vol27No02PPT752","url":null,"abstract":"When the mRNA COVID-19 vaccines were announced in December 2020 the world was excited that a vaccine was available to combat the coronavirus pandemic. One of the most frequent comments was a desire to wait because the vaccine technology was “so new.” This article will concentrate on the mRNA vaccines not familiar to the public and is intended to explain the developmental timeline before and after the genome of COVID-19 was announced. We discuss Operation Warp Speed and SARS-CoV-2 and specifically the development of Messenger RNA (mRNA) vaccines and concurrent other types of vaccines. Other topics of discussion include COVID-19 variants; effectiveness of mRNA vaccines; and late news about the Pfizer-BioNTech® COVID-19 vaccine. The article conclusion discusses implications for nurses as they continue to follow future developments, become competent in communicating viral epidemiology, and educate patients and families about vaccine options.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123129151","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}
引用次数: 0
Hospital Food Waste: Reducing Waste and Cost to our Health Care System and Environment 医院食物浪费:减少医疗系统和环境的浪费和成本
OJIN: The Online Journal of Issues in Nursing Pub Date : 2022-02-25 DOI: 10.3912/ojin.vol27no02ppt33
Deborah A. Saber, Roya Aziza, Stacia J. Dreyer, Deborah Sanford, Hannah Nadeau
{"title":"Hospital Food Waste: Reducing Waste and Cost to our Health Care System and Environment","authors":"Deborah A. Saber, Roya Aziza, Stacia J. Dreyer, Deborah Sanford, Hannah Nadeau","doi":"10.3912/ojin.vol27no02ppt33","DOIUrl":"https://doi.org/10.3912/ojin.vol27no02ppt33","url":null,"abstract":"Food waste economically and environmentally impacts every industry in the U.S., including healthcare systems. The Environmental Protection Agency’s Food Recovery Hierarchy provided the framework for this study that examined how hospitals in one rural northeastern state processes food waste. Methods included semi-structured interviews with hospital nutrition service experts were conducted at seven facilities across the state. Findings indicate: (1) food is largely disposed of via in-sink disposal processes, making quantification difficult; (2) food donation is a viable humanitarian and waste prevention strategy, but is not widely used because of litigious concerns; and (3) culinary education promotes food repurposing strategies. The discussion highlights the need for nurse leaders to inform policy makers about changes that could positively impact the environment while reducing the waste stream and hospital expenditures.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126799410","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}
引用次数: 1
Recognizing and Addressing the Needs of Sex Trafficking Victims 认识和解决性贩运受害者的需求
OJIN: The Online Journal of Issues in Nursing Pub Date : 2022-02-25 DOI: 10.3912/ojin.vol27no02ppt53
D. Camak
{"title":"Recognizing and Addressing the Needs of Sex Trafficking Victims","authors":"D. Camak","doi":"10.3912/ojin.vol27no02ppt53","DOIUrl":"https://doi.org/10.3912/ojin.vol27no02ppt53","url":null,"abstract":"Sex trafficking is a global crime enslaving persons of all ages and across all borders, and providers can be challenged to locate and recognize victims. Trafficked victims present with varied and complex healthcare needs requiring unique and tailored interventions. This investigative project sought to situate the existing literature with experiences described by professionals who work with trafficking survivors. Findings from the report indicate that many survivors report seeking care and receiving treatment from nurses while trafficked yet failing to be identified by nurses or other healthcare providers as a trafficking victim. This article addresses the scope of sex trafficking, indicators used to recognize victims of sex trafficking, the critical need for nursing to be knowledgeable of sex trafficking, and concludes with a discussion of nurses’ responsibility to address victims’ diverse needs.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133003122","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}
引用次数: 0
Women’s Reasons For Completing Cardiac Rehabilitation: A Qualitative Examination 女性完成心脏康复的原因:一项定性研究
OJIN: The Online Journal of Issues in Nursing Pub Date : 2022-02-25 DOI: 10.3912/ojin.vol27no02ppt59
L. Siegmund, C. Burchill, S. Siedlecki
{"title":"Women’s Reasons For Completing Cardiac Rehabilitation: A Qualitative Examination","authors":"L. Siegmund, C. Burchill, S. Siedlecki","doi":"10.3912/ojin.vol27no02ppt59","DOIUrl":"https://doi.org/10.3912/ojin.vol27no02ppt59","url":null,"abstract":"Cardiac rehabilitation (CR) programs mediate the physical and emotional impact of cardiac events. Women are less likely to be referred to and complete CR programs than men resulting in poorer cardiac outcomes. Methods: This qualitative descriptive study examined women’s reasons and barriers for attending and completing a CR program. Findings suggest women choose to complete CR programs based on their experiences while attending the program. Discussions of strategies for enrolling women and maximizing their experiences are identified as well as areas of future research for improving women’s experiences of cardiac rehabilitation.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125365461","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}
引用次数: 1
Race and Racism Discourse in U.S. Nursing: Challenging the Silence 美国护理中的种族和种族主义话语:挑战沉默
OJIN: The Online Journal of Issues in Nursing Pub Date : 2022-01-31 DOI: 10.3912/ojin.vol27no01man01
Kechi Iheduru-Anderson, M. Wahi
{"title":"Race and Racism Discourse in U.S. Nursing: Challenging the Silence","authors":"Kechi Iheduru-Anderson, M. Wahi","doi":"10.3912/ojin.vol27no01man01","DOIUrl":"https://doi.org/10.3912/ojin.vol27no01man01","url":null,"abstract":"Racism has historically been entrenched in both nursing and nursing education in the United States, despite deliberate efforts to raise awareness about how racism can cause health disparities in ethnic minority patients. To date, approaches to racism in nursing have followed Leininger’s Theory of Nursing, and have focused on teaching cultural competence skills. This has had the unintended consequence of discouraging discourse about racism in nursing through white silence, and whiteness and colorblindness ideology. This article considers nursing in the United States and aims to deconstruct how language to address racism in nursing has been used historically; explain why using this language has not been successful; and describe innovative approaches to racial discourse to directly address racism in healthcare and nursing education. We offer implications for practice and education, proposing instead to teach skills in norm-critical thinking and discourse to nurse faculty and nursing students, eventually empowering the entire profession of nursing with skills to identify institutionalized racism, engage in discourse about it, and dismantle it.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122072881","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}
引用次数: 1
Rhetoric, Racism, and the Reality for the Indigenous Maori Nursing Workforce in Aotearoa New Zealand 新西兰奥特罗阿土著毛利护理人员的修辞、种族主义和现实
OJIN: The Online Journal of Issues in Nursing Pub Date : 2022-01-31 DOI: 10.3912/ojin.vol27no01man02
Denise Wilson, Pipi Barton, Zoe Tipa
{"title":"Rhetoric, Racism, and the Reality for the Indigenous Maori Nursing Workforce in Aotearoa New Zealand","authors":"Denise Wilson, Pipi Barton, Zoe Tipa","doi":"10.3912/ojin.vol27no01man02","DOIUrl":"https://doi.org/10.3912/ojin.vol27no01man02","url":null,"abstract":"Indigenous Māori nurses in Aotearoa are a critical part of the health workforce. They know their communities and are trusted. But rather than being valued, they are often silenced, rendered invisible, and oppressed, driven by unfilled rhetoric in the Māori nursing workforce and endemic racism within nursing that other colonized Indigenous nurses also experience. Despite inequities within the Māori nursing workforce and Māori health outcomes in general, nursing within Aotearoa, New Zealand has yet to meaningfully increase and value the role of Māori nurses. In this article, we discuss the history and impact of the concept of Kawa Whakaruruhau, a term to describe cultural safety. We also critique the rhetoric, racism, and reality of the Indigenous Māori nurses and discuss its significance as is relevant to the international Indigenous nursing workforce and minority nursing populations.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123235496","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}
引用次数: 4
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