American Journal of Nursing最新文献

{"title":"Anaphylaxis risk for multiple sclerosis drug prompts boxed warning.","authors":"Diane S Aschenbrenner","doi":"10.1097/AJN.0000000000000097","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000097","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"22"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493422","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":"Chlorhexidine, soap and water are equally effective for prevention of diabetic foot ulcers.","authors":"Karen Rosenberg","doi":"10.1097/AJN.0000000000000096a","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000096a","url":null,"abstract":"<p><p>ACCORDING TO THIS STUDY.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"56"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493426","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":"Effect of behavioral interventions to reduce low-value care wanes over time.","authors":"Karen Rosenberg","doi":"10.1097/AJN.0000000000000096","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000096","url":null,"abstract":"<p><p>ACCORDING TO THIS STUDY.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"56"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493428","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":"Assessing Developmentally Supportive Care in Neonatal Nursing in China.","authors":"Qian Sun, Jing Wang, Jiuqiao Xu, Longyan Wu","doi":"10.1097/AJN.0000000000000106","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000106","url":null,"abstract":"<p><strong>Background: </strong>Developmentally supportive care (DSC) is a pivotal care model for preterm infants, with significant implications for their long-term health and well-being.</p><p><strong>Purpose: </strong>This study aimed to assess the prevalence and determinants of DSC practices among neonatal nursing staff in a hospital in China, thereby informing strategies to enhance clinical nursing interventions and training.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among neonatal nurses at our institution from August 1 to August 16, 2023. Participants provided demographic data, and their DSC practices were evaluated using a validated self-rating scale. A stepwise multiple regression analysis was employed to identify factors associated with DSC behaviors.</p><p><strong>Results: </strong>During the survey period, data were collected from 128 neonatal nurses. Analysis of the data revealed DSC scale behavior scores ranging from 44 to 92, with a mean (SD) of 72.95 (15.34). The mean (SD) score for individual items was 1.56 (0.52). The most highly implemented dimension of DSC involved interventions to reduce detrimental environmental stimuli in the neonatal intensive care unit. The lowest scores were associated with observing the suggestive behavior of premature infants and implementing family-centered care. Correlational analysis demonstrated significant associations between DSC scores and several variables, including marital status (r = 0.560), childbirth experience (r = 0.422), years working on the neonatal unit (r = 0.406), and prior DSC training (r = 0.584) (all P < 0.05). Logistic regression analysis confirmed these factors as significant predictors of DSC behavior scores (all P < 0.05).</p><p><strong>Conclusions: </strong>The current level of DSC behavior among neonatal nurses appears to be suboptimal and is influenced by personal marital status, childbirth experience, tenure on the neonatal unit, and exposure to DSC training. It is imperative for hospital administrators to prioritize and foster the implementation of DSC measures by neonatal nurses in the clinical setting by developing targeted education programs and providing ongoing support.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"e1-e5"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493424","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":"Policy Watch: The Aftereffects of Dismantling USAID.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000108","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000108","url":null,"abstract":"<p><p>Uncertainty about the U.S. role in global humanitarian aid has sown chaos.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"14-16"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493437","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":"A USAID Nurse's Thoughts on the Agency's Demise.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000108a","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000108a","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"15"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493418","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":"Supporting Nurses When a Patient Dies.","authors":"Esther Otis, Kathryn B Reid, Lauren K Sink, Patricia A Scherle, Johnsa Greene-Morris","doi":"10.1097/AJN.0000000000000110","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000110","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;When a patient dies, nurses are often quickly assigned a new patient, leading to frustration due to the lack of time to complete postmortem care, care for the deceased patient's family members, or even take a short break. The trauma that nurses experience when a patient dies is underrecognized and contributes to moral distress, burnout, and thoughts of leaving the profession. To address this problem, we developed and implemented a Post-Death Care Team Protocol as a systematic approach to support nurses in the wake of a patient's death and to better support nurses' emotional well-being.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The aim of this program evaluation is to report early focus group and first-year survey data on the impact of the Post-Death Care Team Protocol. Creating and implementing systematic processes that support clinicians' well-being is a complex and iterative process, and this report highlights strategies for success.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The development and evaluation of the protocol was conducted at a medium-sized hospital in the mid-Atlantic region of the United States. The hospital's staff resilience coordinator developed and implemented the protocol using input from nursing leadership and the hospital administration beginning in March 2022, after a patient's death. The protocol was specifically designed to support the nurse who was assigned to the deceased patient, including protection from immediate additions to the nurse's work assignment, time for one additional short break, and continuing workload protections for the remainder of the shift. The protocol was evaluated using an institutional review board-approved mixed-methods approach (qualitative focus group study and descriptive survey study). Two small focus groups were conducted to learn more about nurses' experiences after a patient's death and about their experiences with the protocol. Descriptive surveys were emailed to RNs who had been assigned to deceased patients at the time of their death; the nurses were asked to complete the survey within about a week after the death. Survey responses from 69 nurses who were associated with 148 patient deaths (a 46.6% response rate) were collected in the first year of protocol implementation and were used to evaluate protocol use, perceived helpfulness, and impact.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Focus group data analysis showed that nurses desire meaningful support after a patient's death, including sufficient time to complete postmortem care and process the event, a supervisor's presence to manage assignment changes, protection from the work overload associated with rapidly arriving admissions, and a reduction in uncompassionate comments from colleagues regarding these desires. Survey results showed that the Post-Death Care Team Protocol was used in 42% of patient deaths in the first year, with rich anecdotal comments highlighting both the positive benefits of using the protocol as well as ","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"44-49"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493440","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 CDC issues health alert for dengue fever.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000108d","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000108d","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"16"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493441","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 U.S. children are living with chronic conditions.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000108g","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000108g","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"16"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493435","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":"Wrong route errors highlighted for epinephrine and sumatriptan.","authors":"Diane S Aschenbrenner","doi":"10.1097/AJN.0000000000000097a","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000097a","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"22-23"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493447","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}