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Original Research: Alarm Fatigue: Exploring the Adaptive and Maladaptive Coping Strategies of Nurses. 原创研究：警报疲劳：探索护士的适应性和不适应性应对策略。
IF 2.7 4区 医学
American Journal of Nursing Pub Date : 2024-09-11 DOI: 10.1097/01.naj.0001063808.07614.8d
Olawunmi Obisesan,Ericka Barber,Patricia Martin,Nicole Brougham,Heidi Tymkew
{"title":"Original Research: Alarm Fatigue: Exploring the Adaptive and Maladaptive Coping Strategies of Nurses.","authors":"Olawunmi Obisesan,Ericka Barber,Patricia Martin,Nicole Brougham,Heidi Tymkew","doi":"10.1097/01.naj.0001063808.07614.8d","DOIUrl":"https://doi.org/10.1097/01.naj.0001063808.07614.8d","url":null,"abstract":"BACKGROUNDTo improve patient safety, hospitals use alarm notification systems to increase nurses' real-time situational awareness of a patient's condition. Such alarms are critical to nurses' clinical decision-making and prioritization, thus helping to improve patient care and care efficiency. But the frequent and often simultaneous ringing of alarms, including many that are false, nonemergent, or nonactionable, has led to overwhelm, alarm distrust, and desensitization, resulting in alarm fatigue.PURPOSEThis study aimed to explore oncology nurses' lived experiences with alarms and the adaptive and maladaptive strategies they use to cope with alarm fatigue.METHODSThis qualitative, phenomenological study was guided by the theoretical framework of the Roy Adaptation Model. A purposive sample of nine nurses was recruited from two oncology units at a large midwestern Magnet hospital in the United States. Qualitative data were collected using a six-question, semistructured interview guide. Interviews were conducted either face-to-face in a private conference room on the unit or via the online videoconferencing platform Zoom.RESULTSData analysis yielded five themes, the most prominent being the high volume and frequency of alarms. Nurse participants reported adopting more maladaptive than adaptive coping strategies. Overall, they felt that the high frequency of false, nonemergent, and nonactionable alarms disrupted their workflow and contributed to a general desensitization to alarms.CONCLUSIONSThis study's findings offer valuable insight into the problem of alarm fatigue among nurses. Practical measures are urgently needed to reduce nurses' cognitive overload; shift nonnursing responsibilities to other staff; and implement efficiency-focused process changes, such as reengineering workflows to minimize interruptions. Every effort should be made to redesign protocols to reduce alarm fatigue, including by decreasing the number of false, nonemergent, and nonactionable calls and alarms.","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142195004","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
Original Research: Exploring Nurses' Use of Humor in the Workplace: A Thematic Analysis. 原创研究：探索护士在工作场所使用幽默的情况：专题分析。
IF 2.5 4区 医学
American Journal of Nursing Pub Date : 2024-09-01 Epub Date: 2024-08-22 DOI: 10.1097/01.NAJ.0001028312.41339.c1
Edessa Cadiz, Karyn Buxman, Magda Angel, Carin Resseguie, Carolyn Wilder, Lilian Chan, Jessica Bejar, Jaclyn Russe, Judy Davidson
{"title":"Original Research: Exploring Nurses' Use of Humor in the Workplace: A Thematic Analysis.","authors":"Edessa Cadiz, Karyn Buxman, Magda Angel, Carin Resseguie, Carolyn Wilder, Lilian Chan, Jessica Bejar, Jaclyn Russe, Judy Davidson","doi":"10.1097/01.NAJ.0001028312.41339.c1","DOIUrl":"10.1097/01.NAJ.0001028312.41339.c1","url":null,"abstract":"<p><strong>Background: </strong>The nursing work environment is often stressful and can lead to burnout. The use of humor may help nurses adapt and cope. Although most would agree that, in general, humor can help build camaraderie and ease tense situations, little is known about how nurses use humor in their professional lives.</p><p><strong>Purpose: </strong>The study's main purpose was to explore how humor is used and perceived by nurses in the workplace.</p><p><strong>Methods: </strong>A sample of LPNs, RNs, and advanced practice RNs was recruited in the United States. Participants were interviewed via the videoconferencing platform Zoom. Data from the video recordings, audio transcripts, and investigators' field notes were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Sixteen nurses were interviewed about their use of humor, whether intentional or spontaneous, in the workplace. Three main themes were identified: entertainment , influencing others , and well-being . Participants reported using humor with self and others, including patients, families, and colleagues. Reported benefits include emotional regulation, relationship building, and work enjoyment. Some participants noted feeling insecure over when and whether the use of humor was \"appropriate.\"</p><p><strong>Conclusions: </strong>The results indicate that nurses' use of humor in the workplace had many benefits. Participants reported that humor could relieve tension, create bonds and strengthen relationships, and enhance both learning and work environments. Many recognized that humor can also be maladaptive and harmful, and that sensitivity and caution are part of using humor skillfully. Still, the benefits of humor appear to outweigh the risks. We conclude that humor is a useful tool nurses can and should use to optimize their nursing experience.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141900671","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
Radiology Nursing. 放射护理。
IF 2.5 4区 医学
American Journal of Nursing Pub Date : 2024-09-01 Epub Date: 2024-08-22 DOI: 10.1097/01.NAJ.0001050804.89533.d2
Ellen F Arslan
{"title":"Radiology Nursing.","authors":"Ellen F Arslan","doi":"10.1097/01.NAJ.0001050804.89533.d2","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001050804.89533.d2","url":null,"abstract":"<p><p>These nurses provide care throughout various imaging exams.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054689","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
Expanding Child Health Screenings Through School-Community Partnerships. 通过学校-社区合作扩大儿童健康检查。
IF 2.5 4区 医学
American Journal of Nursing Pub Date : 2024-09-01 Epub Date: 2024-08-22 DOI: 10.1097/01.NAJ.0001050820.21339.31
Ellen M McCabe, Nakia C Best, Sheryl Bennett, Emma Johnson, Beth E Jameson
{"title":"Expanding Child Health Screenings Through School-Community Partnerships.","authors":"Ellen M McCabe, Nakia C Best, Sheryl Bennett, Emma Johnson, Beth E Jameson","doi":"10.1097/01.NAJ.0001050820.21339.31","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001050820.21339.31","url":null,"abstract":"<p><strong>Abstract: </strong>Child health screenings are a critical, but often overlooked, aspect of children's medical care. School-community partnerships to conduct screenings and ensure that diagnostic follow-up and treatment occur can help achieve optimal child health outcomes. Such partnerships also serve to mitigate the impact of social determinants of health on children's well-being, address health disparities, and promote health equity. This article reviews four essential childhood health screenings-vision, hearing, dental, and mental health-and discusses how schools and community partners can collaborate to offer these screenings.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054673","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
Implementing a Peer Support Program for Second Victims. 为第二受害者实施同伴支持计划。
IF 2.5 4区 医学
American Journal of Nursing Pub Date : 2024-09-01 Epub Date: 2024-08-22 DOI: 10.1097/01.NAJ.0001050816.14247.78
Bernadette Johnson, Luci New, Michele Ballister, Courtney Brown, Susan Scott
{"title":"Implementing a Peer Support Program for Second Victims.","authors":"Bernadette Johnson, Luci New, Michele Ballister, Courtney Brown, Susan Scott","doi":"10.1097/01.NAJ.0001050816.14247.78","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001050816.14247.78","url":null,"abstract":"<p><strong>Abstract: </strong>The second victim phenomenon describes the distress frequently experienced by health care providers after an unintentional medical error or unexpected adverse event. However, few health care institutions have initiatives that proactively address this phenomenon. The pilot project discussed in this article aimed to create a peer support program for health care providers experiencing the second victim phenomenon. The project team validated the need for such a program among health care providers in the perioperative departments of two facilities within a large health care organization in the southeastern United States. To do this, they used a survey, the Second Victim Experience and Support Tool. Among survey respondents in the two departments, 80% and 87.6% indicated a strong desire to discuss their emotional challenges with a respected peer colleague after a traumatic event. The project team then developed and implemented a peer support program in three phases to 1) educate staff across the facility on second victimization, 2) recruit and train volunteer peer supporters, and 3) launch the pilot program by embedding these peer supporters in the two perioperative departments. A survey completed by participants in the pilot program showed that 80% of respondents found the peer support extremely beneficial, 20% found it very beneficial, and 100% would recommend peer support to a colleague. This successful pilot project could inform the establishment of peer support programs at other institutions to assist health care providers experiencing the second victim phenomenon.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054676","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 Conversation with the 'Comic Nurse,' MK Czerwiec. 对话 "漫画护士 "MK Czerwiec。
IF 2.5 4区 医学
American Journal of Nursing Pub Date : 2024-09-01 Epub Date: 2024-08-22 DOI: 10.1097/01.NAJ.0001050808.10287.04
{"title":"A Conversation with the 'Comic Nurse,' MK Czerwiec.","authors":"","doi":"10.1097/01.NAJ.0001050808.10287.04","DOIUrl":"10.1097/01.NAJ.0001050808.10287.04","url":null,"abstract":"<p><p>A graphic medicine pioneer advocates for the use of comics in nursing.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054668","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
Florida Becomes the First State to Allow Cesarean Deliveries Outside of Hospitals. 佛罗里达州成为第一个允许在医院外进行剖腹产的州。
IF 2.5 4区 医学
American Journal of Nursing Pub Date : 2024-09-01 Epub Date: 2024-08-22 DOI: 10.1097/01.NAJ.0001050772.67849.d3
Karen Roush
{"title":"Florida Becomes the First State to Allow Cesarean Deliveries Outside of Hospitals.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001050772.67849.d3","DOIUrl":"10.1097/01.NAJ.0001050772.67849.d3","url":null,"abstract":"<p><p>The new law has raised alarm among maternal health experts.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054674","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
Intersectionality in Nursing Practice. 护理实践中的交叉性。
IF 2.5 4区 医学
American Journal of Nursing Pub Date : 2024-09-01 Epub Date: 2024-08-22 DOI: 10.1097/01.NAJ.0001050784.82087.8e
Carl A Kirton
{"title":"Intersectionality in Nursing Practice.","authors":"Carl A Kirton","doi":"10.1097/01.NAJ.0001050784.82087.8e","DOIUrl":"10.1097/01.NAJ.0001050784.82087.8e","url":null,"abstract":"<p><p>Developing an intersectionality-informed stance.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054678","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
New Antibiotic for Three Serious Infections. 治疗三种严重感染的新抗生素
IF 2.5 4区 医学
American Journal of Nursing Pub Date : 2024-09-01 Epub Date: 2024-08-22 DOI: 10.1097/01.NAJ.0001050792.07330.00
Diane S Aschenbrenner
{"title":"New Antibiotic for Three Serious Infections.","authors":"Diane S Aschenbrenner","doi":"10.1097/01.NAJ.0001050792.07330.00","DOIUrl":"10.1097/01.NAJ.0001050792.07330.00","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054680","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
Lower Risk of Upper GI Bleeding with Pantoprazole in Adults Receiving Mechanical Ventilation. 泮托拉唑降低了接受机械通气的成人上消化道出血的风险。
IF 2.5 4区 医学
American Journal of Nursing Pub Date : 2024-09-01 Epub Date: 2024-08-22 DOI: 10.1097/01.NAJ.0001050840.25519.46
Karen Rosenberg
{"title":"Lower Risk of Upper GI Bleeding with Pantoprazole in Adults Receiving Mechanical Ventilation.","authors":"Karen Rosenberg","doi":"10.1097/01.NAJ.0001050840.25519.46","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001050840.25519.46","url":null,"abstract":"<p><p>According to this study.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054679","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
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