Clinical Nurse Specialist最新文献_第3页

A Possible New Licensed Practitioner: The Autonomous Artificial Intelligence (AI) Prescriber. Implications of Healthy Technology Act of 2025. 一种可能的新执业医师：自主人工智能（AI）处方医师。2025年健康技术法案的影响。

IF 0.9 4区医学

Clinical Nurse Specialist Pub Date : 2026-01-01 Epub Date: 2025-11-21 DOI: 10.1097/NUR.0000000000000940

Patricia O'Malley

引用次数: 0

Reducing the Severity of Pressure Injuries and Identifying Opportunities for Prevention in a Diverse Patient Population. 降低压力损伤的严重程度，并在不同的患者群体中确定预防的机会。

IF 0.9 4区医学

Clinical Nurse Specialist Pub Date : 2026-01-01 Epub Date: 2025-11-21 DOI: 10.1097/NUR.0000000000000939

Kristen Hill

{"title":"Reducing the Severity of Pressure Injuries and Identifying Opportunities for Prevention in a Diverse Patient Population.","authors":"Kristen Hill","doi":"10.1097/NUR.0000000000000939","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000939","url":null,"abstract":"Purpose/objectives: Pressure injuries (PIs) are localized skin and tissue damage caused by prolonged pressure and shear. Hospital-acquired pressure injuries (HAPIs) remain a significant concern in acute care, with disparities in early detection among patients with darker skin tones. This project aimed to enhance early PI detection and reduce severity by integrating infrared thermography (IRT) into nursing skin assessments on a transplant unit.Description: Nurses received education on the influence of skin tone variation and how to utilize IRT imaging as an added tool to identify early physiologic changes not always visible in traditional assessments. Data were collected over 3 months, including HAPI incidence, staging, and nurse-reported confidence levels.Outcomes: A total of 303 thermal images were obtained from 86 patients using IRT. Of these, deep tissue injuries were seen in 33.6% of images, hypoperfusion in 39%, and signs of inflammation in 17%. Following implementation, early recognition of pressure injuries improved, leading to timely interventions. Nurses reported increased confidence in detecting PI with the device.Conclusions: Combining IRT with education on skin tone variation and multimodal assessment improved equity in PI detection, reduced severity, and enhanced nurse confidence. Technology, paired with culturally sensitive practice, supports safety, quality, and equitable outcomes in pressure injury prevention.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"40 1","pages":"29-33"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716939","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}

引用次数: 0

Factors That Influence the Quality of Life of Breast Cancer Survivors. 影响乳腺癌幸存者生活质量的因素。

IF 0.9 4区医学

Clinical Nurse Specialist Pub Date : 2026-01-01 Epub Date: 2025-11-21 DOI: 10.1097/NUR.0000000000000938

Janine Overcash, Haiying Li, Taylor Mullin, Diane Von Ah

{"title":"Factors That Influence the Quality of Life of Breast Cancer Survivors.","authors":"Janine Overcash, Haiying Li, Taylor Mullin, Diane Von Ah","doi":"10.1097/NUR.0000000000000938","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000938","url":null,"abstract":"Purpose: To examine the association of demographic characteristics, depression, anxiety, fatigue, sleep, and cancer treatment options with quality of life (QOL) in BCS.Design: This cross-sectional study included BCS aged 21 years or older who completed adjuvant therapy. The research variables were sleep, fatigue, anxiety, cancer treatment, stage, marital status, race, and the relationship to QOL in BCS.Methods: The Patient Health Questionnaire-9 (PHQ-9), Pittsburgh Sleep Quality Scale (PSQS), PROMIS-Anxiety Short Form, PROMIS-Fatigue Short Form, and Quality of Life-Cancer Survivors were used. Data were analyzed using measures of central tendency, correlations, and linear regression.Results: The mean age (N=51) was 57 (SD=8.1) years. Tamoxifen (r = -0.36, P=0.02), aromatase inhibitors (r = -0.48, P=0.00), depression (r = -0.50, P < 0.00), anxiety (r = -0.45, P < 0.00), fatigue (r= -50 <0.00), and race (r = -0.31, P =0.04) were related to QOL. Anxiety (β=-0.51, P<0.001) was predictive of QOL. Age, marriage, cancer stage, surgery, chemotherapy, and radiation were not related to QOL.Conclusions: Significant associations were found among depression, sleep, race, fatigue, anxiety, and cancer treatment with tamoxifen and aromatase inhibitors and QOL. Anxiety is a predictor of QOL in BCS and must be addressed in ongoing survivorship care.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"40 1","pages":"22-28"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716913","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}

引用次数: 0

Weekly Comprehensive Assessments for Optimizing Care of Patients With a Discharge Delay. 优化延迟出院患者护理的每周综合评估。

IF 0.9 4区医学

Clinical Nurse Specialist Pub Date : 2026-01-01 Epub Date: 2025-11-21 DOI: 10.1097/NUR.0000000000000935

Kassandra J Goodman, Stephanie P Chambers

{"title":"Weekly Comprehensive Assessments for Optimizing Care of Patients With a Discharge Delay.","authors":"Kassandra J Goodman, Stephanie P Chambers","doi":"10.1097/NUR.0000000000000935","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000935","url":null,"abstract":"Purpose/objectives: The purpose of this project was to explore patient safety, quality outcomes, and staff satisfaction related to decreasing comprehensive patient assessments to once weekly for patients with a discharge delay.Description: The project involved piloting once-weekly comprehensive assessments for medically stable patients on a general medical-surgical unit and a long-stay unit. The pilots aimed to reduce the frequency of comprehensive assessments while maintaining patient safety, reducing patient interruptions, and improving staff satisfaction.Outcome: The pilot for the general medical-surgical unit had low compliance and was discontinued. However, the pilot in the long-stay unit was successful, saving nurses an estimated 3534 minutes per week. Several measured quality indicators improved, although there were small increases in hospital-acquired pressure injuries and Clostridioides difficile infections. Staff satisfaction was high, with 87.5% of nurses supporting the continuation of weekly assessments.Conclusions: The project demonstrated that weekly comprehensive assessments are effective for patients with delayed discharge who are medically stable. This intervention has the potential to be implemented in other units and organizations as long as appropriate patient identifiers are in place.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"40 1","pages":"18-21"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716921","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}

引用次数: 0

A Possible New Licensed Practitioner: The Autonomous Artificial Intelligence (AI) Prescriber. 一种可能的新执业医师：自主人工智能（AI）处方医师。

IF 0.9 4区医学

Clinical Nurse Specialist Pub Date : 2026-01-01 Epub Date: 2025-11-21 DOI: 10.1097/NUR.0000000000000942

引用次数: 0

HyFlex Education Delivering Flexibility for CNS Learners. HyFlex教育为中枢神经系统学习者提供灵活性。

IF 0.9 4区医学

Clinical Nurse Specialist Pub Date : 2026-01-01 Epub Date: 2025-11-21 DOI: 10.1097/NUR.0000000000000934

Sheree Scott, Kate Todaro, Ruth Ayanful-Torgby

引用次数: 0

Effects of Nurse-Implemented Early Mobilization on Mechanically Ventilated Patient Outcomes. 护士实施的早期活动对机械通气患者预后的影响。

IF 0.9 4区医学

Clinical Nurse Specialist Pub Date : 2026-01-01 Epub Date: 2025-11-21 DOI: 10.1097/NUR.0000000000000936

Yu-Chun Diao, Meei-Fang Lou, Jih-Shuin Jerng, Guey-Shiun Huang

{"title":"Effects of Nurse-Implemented Early Mobilization on Mechanically Ventilated Patient Outcomes.","authors":"Yu-Chun Diao, Meei-Fang Lou, Jih-Shuin Jerng, Guey-Shiun Huang","doi":"10.1097/NUR.0000000000000936","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000936","url":null,"abstract":"Purpose/aims: To evaluate the effect of a 10-day nurse-implemented early mobilization protocol on muscle strength and activities of daily living performance in mechanically ventilated patients.Design: Quasi-experimental study with repeated measures examining the effectiveness of nurse-led mobilization interventions compared with standard care.Methods: Fifty-three mechanically ventilated patients were recruited between January and December 2017. The control group (n=25) received standard physical therapy evaluation within 72 hours. The intervention group (n=28) received physical therapy evaluation within 24 hours and nurse-implemented early mobilization exercises within 48 hours for 10 consecutive days. Muscle strength and activities of daily living performance were assessed at baseline, immediately postintervention, and 1 week postintervention using validated instruments.Results: The intervention group demonstrated significantly greater improvements in muscle strength across all measured muscle groups and activities of daily living performance at both measurement points compared with controls (P< 0.05). A significantly higher proportion of intervention group patients achieved out-of-bed mobility.Conclusions: Nurse-implemented early mobilization exercises significantly improve muscle strength and functional outcomes in mechanically ventilated patients. Integration of structured mobilization protocols into routine nursing care represents an effective strategy for enhancing recovery in this vulnerable population.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"40 1","pages":"9-17"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716773","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}

引用次数: 0

An Overview of California's Assembly Bill 1204 (AB 1204): Health Equity. 加州议会法案1204 （AB 1204）概述：健康公平。

IF 0.9 4区医学

Clinical Nurse Specialist Pub Date : 2026-01-01 Epub Date: 2025-11-21 DOI: 10.1097/NUR.0000000000000937

Rayne Q Soriano, Elizabeth A Scruth

引用次数: 0

A "Pivotal Moment": Revisiting COVID-19 Frontline Nurse Experiences and Implications for the Profession. “关键时刻”：重新审视COVID-19一线护士的经历及其对职业的影响。

IF 0.9 4区医学

Clinical Nurse Specialist Pub Date : 2025-11-01 DOI: 10.1097/NUR.0000000000000932

Caeli Malloy, Michelle Mravec Arthur, Jennifer S Alwine, Wendy R Trueblood Miller

{"title":"A \"Pivotal Moment\": Revisiting COVID-19 Frontline Nurse Experiences and Implications for the Profession.","authors":"Caeli Malloy, Michelle Mravec Arthur, Jennifer S Alwine, Wendy R Trueblood Miller","doi":"10.1097/NUR.0000000000000932","DOIUrl":"10.1097/NUR.0000000000000932","url":null,"abstract":"Purpose/aims: We aimed to describe the experiences of nurses working on the COVID-19 frontlines and make recommendations for change at administrative, institutional, and health policy levels.Design: We used a qualitative descriptive study design to gather a rich and data-near account of nurses' experiences in their own words.Methods: We conducted 10 semistructured interviews with nurses practicing in emergency departments or intensive care in the United States during the pandemic. Using Sandelowski's method, we independently coded data and identified emerging themes through an iterative process.Results: Most nurses worked in Indiana, were in their 20s, and had less than 5 years of experience (range, 1.5-23 years; mean, 6.2 years). Five themes about pandemic nursing challenges emerged: (1) Shortages, (2) The Public's View of Nursing, (3) Death and Moral Conflict, (4) Emotional Toll, and (5) Unrealistic Expectations. Nurses reported wide-scaling challenges, which interfered with their ability to deliver high-quality patient care and impacted their mental and emotional well-being.Conclusion: Nurses faced significant challenges, and in many cases, the pandemic exacerbated existing issues in the healthcare system. In the aftermath of the pandemic, there remains a critical need for change at administrative, institutional, and health policy levels to support nurses and invest in the sustainability of the profession.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"39 6","pages":"269-276"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12614832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effects of Laughter Yoga and Mindfulness on Nurses' Fatigue, Work Performance and Attention Levels: A Randomized Controlled Study. 笑声瑜伽和正念对护士疲劳、工作表现和注意力水平的影响：一项随机对照研究。

IF 0.9 4区医学

Clinical Nurse Specialist Pub Date : 2025-11-01 DOI: 10.1097/NUR.0000000000000927

Nagihan Koroglu Kaba, Havva Ozturk

{"title":"The Effects of Laughter Yoga and Mindfulness on Nurses' Fatigue, Work Performance and Attention Levels: A Randomized Controlled Study.","authors":"Nagihan Koroglu Kaba, Havva Ozturk","doi":"10.1097/NUR.0000000000000927","DOIUrl":"10.1097/NUR.0000000000000927","url":null,"abstract":"Purpose: This study aimed to determine the effects of laughter yoga and mindfulness on nurses' fatigue, attention levels, and work performance.Methods: This was a 3-arm, parallel-group, randomized controlled study. Data were collected using the Information Form containing questions about nurses' demographic and professional characteristics, the Chalder Fatigue Scale, the Computerized Sustained Attention Test, and the Individual Work Performance Questionnaire. Nurses completed the tools preintervention, midtest, and postintervention.Results: The study included 101 nurses. At the end of the eight-week interventions, fatigue levels among nurses in the laughter yoga and mindfulness groups were lower compared with the control group (F = 8.805, P < .001). In terms of attention levels, there was no overall difference between the groups; however, in the fourth week only, the hard-level attention scores of the laughter yoga group were higher than those of the control group (F = 5.431, P < .05). Additionally, job performance scores were higher in both intervention groups compared with the control group (F = 9.879, P < .01). Moreover, laughter yoga was more effective than the mindfulness practice in reducing nurses' fatigue and improving their attention levels (P < .05).Conclusions: Laughter yoga and mindfulness were effective in reducing nurses' fatigue and improving their attention levels and work performance.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"39 6","pages":"260-268"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350218","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}

引用次数: 0