American Journal of Nursing最新文献

{"title":"Kennedy Aims to Curb Use of Antidepressant Drugs.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000368c","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000368c","url":null,"abstract":"<p><p>Reaction among mental health professionals is mixed.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 9","pages":"16-17"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787081","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":"First treatment approved for chronic hepatitis delta virus infection.","authors":"Diane S Aschenbrenner","doi":"10.1097/AJN.0000000000000363b","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000363b","url":null,"abstract":"<p><p></p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 9","pages":"19"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787036","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":"Rethinking Transradial Compression Band Practice.","authors":"Kristin Ann Tuozzo, Esther L Munitz-Pinson, Nicole A Moskowitz, Loretta Gioiella, Sunil V Rao, Louai Razzouk, Homam Ibrahim","doi":"10.1097/AJN.0000000000000367","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000367","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Transradial access (TRA) is a standard approach to cardiac catheterization. Following the procedure, air-filled compression bands are often used to achieve hemostasis at the access site. Despite research supporting early, gradual deflation to minimize complications, there is no established best practice for band deflation. At our urban academic medical center, the lack of a standardized compression band deflation protocol resulted in varied start times and amounts of air removed with each attempt, as well as inconsistent documentation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The aim of this quality improvement project was to develop and implement an evidence-based practice (EBP) initiative to standardize TR compression band deflation and documentation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Nurses, who were primarily responsible for the TRA procedure, organized a multidisciplinary team to critically evaluate the literature, identify gaps in clinical practice, and develop and implement a practice change. EBP interventions centered on a TR compression band deflation algorithm that included specified wait times based on the procedure type and anticoagulation received and the criteria for reinserting air based on bleeding status. A standardized documentation process was also instituted. Deflation was initiated at 30 minutes for patients undergoing diagnostic procedures or receiving up to 5,000 units of heparin and at 60 minutes for patients undergoing advanced diagnostic procedures or percutaneous coronary intervention (PCI) and receiving more than 5,000 units of heparin or IV bivalirudin. Demographics, documentation, complications, time to remove the compression band, length of stay (LOS), patient satisfaction, and opportunity benefit were analyzed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The preintervention (n = 214) and postintervention (n = 255) groups were comparable in age, gender distribution, procedure type, and anticoagulant use. Following the rollout of the EBP initiative, there was a statistically significant reduction in the time required for successful compression band removal for both diagnostic procedures (P &lt; 0.001) and PCIs (P &lt; 0.001). LOS decreased across all procedure types. Specifically, diagnostic procedures had a statistically significant postintervention reduction in LOS (P &lt; 0.001). In addition, clinical documentation (encompassing air removed, air reinserted, and complications) showed significant postintervention improvement (P &lt; 0.001). Regarding safety outcomes, over 85% of patients in the postintervention group experienced no recorded complications during band removal, while 100% had no major bleeds or hematomas.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This EBP initiative confirms that an early band deflation algorithm reduces time for band removal and LOS across diagnostic, advanced diagnostic, and PCI procedures without compromising patient safety. Furthermore, the initiative improved documentation, ensuring consis","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 9","pages":"40-48"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787044","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":"Beyond the Spiral: Identifying Abuse-Related Pediatric Fractures.","authors":"Sandra D Shapiro, Rachel McMahan Thomas, Michelle U Trotter","doi":"10.1097/AJN.0000000000000358","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000358","url":null,"abstract":"<p><strong>Abstract: </strong>Pediatric fractures are a common reason for ED visits, yet distinguishing accidental injuries from those caused by child physical abuse (CPA) remains an important and complex clinical challenge. This article clarifies common misconceptions, such as that all spiral fractures are inherently suspicious, by situating them within the broader evidence base related to pediatric orthopedic injury. Delineating fracture types and circumstances with high, moderate, and low specificity for CPA can help the nurse to evaluate each injury within the context of the child's developmental stage, reported cause, and associated findings. Key nursing responsibilities include comprehensive history taking, thorough physical assessment, meticulous documentation, and adherence to mandated reporting laws when CPA is suspected. By deepening nurses' understanding of orthopedic injury patterns and red flags for CPA, this article aims to avoid misassignment of child abuse in cases of accidental spiral fractures and to enhance accurate assignment of child abuse.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 9","pages":"28-33"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787058","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":"First interchangeable biosimilar product approved for rheumatoid arthritis and ulcerative colitis.","authors":"Diane S Aschenbrenner","doi":"10.1097/AJN.0000000000000363a","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000363a","url":null,"abstract":"<p><p></p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 9","pages":"18-19"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787069","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":"New restrictions on foreign coauthors of research publications.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000368d","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000368d","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 9","pages":"15"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787043","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":"Miscarriage Management After Dobbs.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000368","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000368","url":null,"abstract":"<p><p>Women in states with abortion bans face barriers to timely care.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 9","pages":"14-15"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787105","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":"Balanced fluid no better than saline for children with septic shock.","authors":"Karen Rosenberg","doi":"10.1097/AJN.0000000000000370d","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000370d","url":null,"abstract":"<p><p>ACCORDING TO THIS STUDY.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 9","pages":"62-63"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787074","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":"Use of Reporting Guidelines Promotes Accurate Dissemination.","authors":"Jayne Jennings Dunlap, Staci Reynolds, Julee Waldrop","doi":"10.1097/AJN.0000000000000362","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000362","url":null,"abstract":"<p><p>Nursing editors' point of view.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 9","pages":"59-60"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787188","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":"When Joy Met Serenity.","authors":"Lauren Catlett","doi":"10.1097/AJN.0000000000000357","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000357","url":null,"abstract":"<p><p>A new nurse cares for their grandmother at the end of life.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 9","pages":"64"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787177","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}