American Journal of Nursing最新文献

{"title":"Biomedical Publishing Under Threat.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000123a","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000123a","url":null,"abstract":"<p><p>Letters from a former U.S. Justice Department prosecutor raise concern.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 8","pages":"14"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697394","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}

{"title":"Health Care and Politics.","authors":"Tracey Siegel","doi":"10.1097/AJN.0000000000000113b","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000113b","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 8","pages":"21"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697398","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}

{"title":"Perceived Stress, Residential Indoor PM2.5 Concentration, and Motor Vehicle Traffic Exposure Among Adults with Asthma: A Secondary Analysis.","authors":"Grant Colvin, Barbara J Polivka, Emily Cramer, Sharmilee Nyenhuis, Luz Huntington-Moskos, Kathryn Krueger, Olivia Bimbi, Kamal Eldeirawi","doi":"10.1097/AJN.0000000000000119","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000119","url":null,"abstract":"<p><strong>Background: </strong>Poorly controlled asthma creates a multitude of health, financial, and quality of life difficulties. The potential influences of environmental factors on the stress levels of people living with asthma-including exposure to fine particulate matter and motor vehicle traffic-are often overlooked.</p><p><strong>Purpose: </strong>Among a sample of U.S. adults living with poorly controlled asthma, we aimed to determine (1) differences in perceived stress based on self-reported motor vehicle traffic exposure (MVTE), (2) differences in levels of residential indoor fine particulate matter 2.5 microns or less in diameter (PM2.5) based on self-reported MVTE, and (3) associations between residential indoor PM2.5 and perceived stress.</p><p><strong>Methods: </strong>The National Institutes of Health (NIH) Symptom Science Model for Environmental Health served as the theoretical basis for this study, which is a secondary analysis of data from an NIH-funded feasibility study that examined the effects of residential indoor air quality on asthma symptoms and lung function in adults with uncontrolled asthma. This secondary analysis included data from the feasibility study's baseline survey of 40 participants and indoor PM2.5 data collected continuously over 14 days. Baseline survey data included demographic data, responses to the modified four-item version of the Perceived Stress Scale (PSS-4), and self-reported data on MVTE (dichotomized as low versus medium/high).</p><p><strong>Results: </strong>Participants were primarily female (90%), White (82.5%), college educated (four-year degree or higher, 77.5%), residents of single-family homes (72.5%) in low-MVTE areas (70%), and 26 to 77 years of age. PSS-4 scores ranged from 0 to 14. Participants reporting medium/high MVTE had higher mean PSS-4 scores than those reporting low MVTE, although the difference was not statistically significant (6.5 versus 5.3, respectively; P = 0.305). The median level of indoor PM2.5 concentration (μg/m3) did not differ significantly regardless of whether the MVTE was medium/high or low (3.2 versus 3.6, respectively; P = 0.836). Higher PSS-4 scores were significantly correlated with higher average indoor PM2.5 levels (r = 0.38, P = 0.017).</p><p><strong>Conclusions: </strong>Indoor PM2.5 reduction has important implications for stress management among adults with asthma. Further research is needed to clarify associations between MVTE and indoor pollution.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 8","pages":"38-42"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697413","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}

{"title":"The Lived Experiences of Fathers with Postpartum Depression: A Qualitative Study.","authors":"Rachael Elizabeth Schmitz","doi":"10.1097/AJN.0000000000000121","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000121","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Although parents may joyfully anticipate the birth of a child, it's impossible for them to know ahead of time just how profoundly their lives will change. Postpartum depression (PPD) can result. While there is a substantial body of research regarding maternal PPD, paternal PPD has received far less attention and is neither adequately understood nor diagnosed. This is exacerbated by outdated but persistent sociocultural masculinity norms and the stigmas around mental health issues.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;This study sought to explore the lived experiences of new fathers with PPD in order to provide greater insight into their experiences.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This qualitative study used an interpretive phenomenological design. The theoretical framework was provided by Hill's family stress theory. The study was conducted among 10 new fathers with self-reported or clinically diagnosed PPD, recruited through social media and residing in the United States. Data were gathered through online surveys and via individual interviews conducted over Zoom or by phone. Questions were designed to elicit information on how participants experienced the transition to fatherhood and how their PPD manifested, as well as on their coping skills and resources, partner and family support, and meaningful social relationships that affected their PPD outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The study findings led to the identification of three major themes: trauma, depression, and societal role conflict. The theme of trauma included the subthemes birth experience; demanding roles; self-care limitations; and isolation, confusion, and identity loss. Nearly all of the new fathers reported feeling helpless, useless, and unprepared, with many also reporting self-doubt and a sense of failure. The theme of depression highlighted the subtheme impact of depressive symptoms. Most of the new fathers reported isolating, rather than asking for help. The theme of societal role conflict included the subthemes relationship strains, stigma and associated guilt, lack of or ineffective health care education, and coping and resources. All of the participants reported having difficulty finding resources, underscoring the need for increased mental health awareness and support.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The study findings provide strong evidence that new fathers with paternal PPD experience significant trauma, depression, and societal role conflicts. Current clinical practices and education regarding paternal PPD are generally inadequate, reflecting outdated obstetric models that fail to consider the needs of new fathers. It's vital that clinicians recognize and address paternal PPD, including assessment for negative coping behaviors (such as unhealthful eating, overworking, and excessive substance use). The lack of adequate education and resources for new fathers, as well as the sociocultural stigmas that surround mental health issues,","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 8","pages":"e1-e10"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697418","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}

{"title":"Optimizing Nurses' Time: Reducing Assessment Frequency in General Care.","authors":"Stephanie P Chambers, Stephanie M Slack, Marny L Carlson, Kristina J Masching, Michael A Rysavy","doi":"10.1097/AJN.0000000000000128","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000128","url":null,"abstract":"<p><strong>Background: </strong>Nurses represent a limited resource in the hospital environment. For decades, inpatient nurses have conducted head-to-toe assessments in roughly the same manner. At Mayo Clinic in Rochester, Minnesota, the practice has been twice-daily head-to-toe assessments, without reviewing the benefit of this frequency (vis-à-vis once daily) for patients, staff, and the institution.</p><p><strong>Purpose: </strong>This quality improvement (QI) project in a general care setting explored whether decreasing comprehensive physical assessments from twice daily to once daily was associated with changes in patient safety or care quality. Staff satisfaction was also assessed.</p><p><strong>Methods: </strong>After a pilot project showed the feasibility of changing to once-daily assessments, a QI project was conducted to compare a once-daily frequency of head-to-toe assessments with a twice-daily frequency for all adult patients admitted to a general medical unit. The intervention period was between August 1 and October 31, 2023; one assessment was performed between 7 AM and 7 PM in all patients not receiving hospice care or requiring more frequent assessments because of specific disease processes. Comparison data were obtained from patients who were on the unit in the three months before the intervention, from May 1 through July 31, 2023. Outcomes were patient safety events, code blue events, and rapid response team calls; hospital length of stay; performance rates of other required assessments (as a counterbalance measure), including delirium, pressure injury, and fall risk; and compliance with the new assessment schedule.</p><p><strong>Results: </strong>At the conclusion of the intervention period, no significant increases in reported patient safety events, code blue events, rapid response team calls, or hospital length of stay were observed. There were no decreases in compliance with required assessments, except for pressure injury, which decreased enough during the first month of the intervention to result in a statistically significant difference between the pre- and postintervention periods; however, compliance returned to baseline by the conclusion of the project. Among nursing staff, compliance with the once-daily assessment practice was high (80%), and staff feedback was positive; 96% of respondents indicated they would like to see the practice continue.</p><p><strong>Conclusion: </strong>The results of this QI project suggest that head-to-toe assessment frequency in the adult general medical patient population could be reduced to once daily without adversely affecting patient outcomes or safety. Further research is warranted to examine whether these results can be extrapolated to other units and institutions.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 8","pages":"50-54"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697410","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}

{"title":"\"Hello, I Think I Know You\".","authors":"Marilyn D Harris","doi":"10.1097/AJN.0000000000000126","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000126","url":null,"abstract":"<p><p>Preserving a beloved relationship as dementia takes its toll.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 8","pages":"64"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697388","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}

{"title":"Knowing the Person in Whole-Person Care.","authors":"Michael Mosley, Felesia Bowen","doi":"10.1097/AJN.0000000000000124","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000124","url":null,"abstract":"<p><p>Doing so can have a positive impact on 30-day readmission rates.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 8","pages":"10-11"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697400","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}

{"title":"Reality Shock.","authors":"Mary Ellen Symanski","doi":"10.1097/AJN.0000000000000113","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000113","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 8","pages":"21"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697414","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}

{"title":"More Care Doesn't Always Mean Better Care.","authors":"Carl A Kirton","doi":"10.1097/AJN.0000000000000131","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000131","url":null,"abstract":"<p><p>When nursing care is efficient and effective, we minimize waste.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 8","pages":"5"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697403","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}

{"title":"More Cuts Likely Ahead to NIH and Research Funding.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000123","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000123","url":null,"abstract":"<p><p>The National Institute of Nursing Research may be eliminated.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 8","pages":"12-14"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697404","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}