American Journal of Nursing最新文献

{"title":"Scientists sound the alarm on increasing antifungal resistance.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000353f","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000353f","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 8","pages":"15"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560694","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":"Artificial Intelligence and Health Equity.","authors":"Sally Carlisle, Kenya Beard","doi":"10.1097/AJN.0000000000000341","DOIUrl":"10.1097/AJN.0000000000000341","url":null,"abstract":"<p><p>Will AI support efforts to advance health care for all or widen existing gaps?</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 8","pages":"10-11"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560559","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":"AI-Powered Voice Documentation: A Nurse-Led Pilot Program.","authors":"Ryan Trias, Bernice Coleman, Cynthia Bowers, Scott Mondejar, Golda Morales, Peachy Hain","doi":"10.1097/AJN.0000000000000349","DOIUrl":"10.1097/AJN.0000000000000349","url":null,"abstract":"<p><strong>Background: </strong>Documentation burden consumes an average of 31% of a nurse's 12-hour shift. This challenge necessitates nurse-led innovations to streamline charting and reclaim valuable time at the bedside.</p><p><strong>Purpose: </strong>This pilot program aimed to examine a nurse-led implementation of an artificial intelligence (AI)-powered voice documentation mobile application and evaluate outcomes related to documentation timeliness, application usage, patient experience, staff satisfaction, and incidental overtime.</p><p><strong>Methods: </strong>The six-month pilot was conducted on a 48-bed adult medical-surgical unit at a large academic medical center. It included 90 RNs and 33 certified nursing assistants. The mobile application enabled nursing staff to document directly into the electronic health record using voice commands. The project was guided by Kotter's eight-step change management model.</p><p><strong>Results: </strong>Documentation timeliness improved across all targeted tasks. Patient experience improved across all six Press Ganey domains, with percentile increases ranging from 7 to 41 points. Staff satisfaction survey results showed a majority agreed that the technology helped reduce documentation time. Usage grew from 14,231 documentation entries in January 2025 to over 35,000 by June. Incidental overtime decreased from an average of 97 to 48.5 hours per month.</p><p><strong>Conclusion: </strong>This pilot demonstrated that nurse-led implementation of an AI-powered voice documentation application can improve charting efficiency, patient experience, and staff outcomes. When nurses contribute to each stage of technology design and implementation, innovation thrives.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 8","pages":"48-51"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560563","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":"Implementing an Alternative Patient Care Technician Staffing Model on a Medical Unit: A Cross-Sectional Study.","authors":"Dustin T Diggs, Shea Polancich, Connie White-Williams, Cathy Ward","doi":"10.1097/AJN.0000000000000330","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000330","url":null,"abstract":"<p><strong>Background: </strong>Many patient care tasks can be safely performed by nonlicensed personnel, allowing licensed nursing staff to focus on care that requires specific clinical expertise. A shortage of nurses and patient care technicians (PCTs) often leads to missed essential nursing care, reduced job satisfaction, poorer outcomes, and increased costs.</p><p><strong>Purpose: </strong>The purpose of this study was to evaluate whether a newly established staffing model, which paired one nurse and one PCT for every five patients, markedly increasing the number of PCTs, could enhance patient and staff outcomes while also lowering costs.</p><p><strong>Methods: </strong>A project proposal was developed and approved by leadership that included estimates of cost savings after the changes in staffing ratios. The study period was from July 1, 2024, to December 31, 2024. Data analysis took place from January 1, 2025, to February 28, 2025. After discussions with leadership, the acute care medical unit transitioned from a 1:4 RN-to-patient ratio and a 1:10 to 1:12 PCT-to-patient ratio to a 1:5 RN-to-patient ratio and 1:5 PCT-to-patient ratio. A MISSCARE Survey, which evaluates perceptions of and reasons for missed nursing care, as well as perceptions of a unit's working environment (teamwork), was distributed to all unit staff members before implementation of the staffing change and again six months after implementation. Quantitative data included MISSCARE Survey responses, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) nursing communication scores, and bathing compliance, as well as the financial calculations (contingency labor hours and unit overtime and vacancy rates). Data were analyzed using descriptive statistics and Mann-Whitney tests.</p><p><strong>Results: </strong>Of 51 eligible staff members, 26 completed the baseline survey and 32 completed the postimplementation survey. Of the 24 missed care items in the survey, statistically significant improvements were seen in six: complete documentation, meal setup, toileting, bathing and skin care, feeding patients, and patient teaching and education. Additionally, statistically significant improvements were observed in HCAHPS nursing communication scores and unit bathing compliance. All cost-related outcomes also improved significantly, including reduced contingency labor hours, decreased RN/PCT vacancy rate, and decreased overtime, resulting in a total of $453,228 in annual departmental savings.</p><p><strong>Conclusions: </strong>Meaningful improvements in care delivery, patient outcomes, staff experience, and unit costs were observed on this acute care medical unit after the creation of a more balanced staffing model through adjustments in the RN and PCT staffing ratios. These findings support expansion and scaling of the new model to gather longitudinal data on its potential impact.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 7","pages":"e1-e8"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315255","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":"On the Cover.","authors":"","doi":"10.1097/AJN.0000000000000333","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000333","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 7","pages":"15"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315362","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":"ACP position paper opposes referring to physicians as \"providers.\"","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000339f","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000339f","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 7","pages":"17"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315150","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":"American Nursing: 250 Years and Counting.","authors":"Antonia M Villarruel","doi":"10.1097/AJN.0000000000000324","DOIUrl":"10.1097/AJN.0000000000000324","url":null,"abstract":"<p><p>Amplifying nursing's past, present, and future contributions.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 7","pages":"7"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315078","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":"True generic of Flovent HFA inhaler now approved.","authors":"Diane S Aschenbrenner","doi":"10.1097/AJN.0000000000000331a","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000331a","url":null,"abstract":"<p><p></p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 7","pages":"20-21"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315309","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":"Shining a Light on the Challenges of Night Shift Nursing: A Mixed-Methods Study.","authors":"Susan Weaver, Joan Harvey, Kathryn Fleming, Theresa A Wurmser, Mani Paliwal","doi":"10.1097/AJN.0000000000000332","DOIUrl":"10.1097/AJN.0000000000000332","url":null,"abstract":"<p><strong>Background: </strong>Night shift work is known to disrupt circadian rhythms, leading to significant physical and mental health challenges, including fatigue, sleep deprivation, and long-term health risks. For nurses working the night shift, these factors compromise both their own well-being and patient safety. Addressing these challenges is critical to improving outcomes for both staff and patients.</p><p><strong>Purpose: </strong>This study aimed to explore nurses' perspectives on night shift work, identify fatigue countermeasures, and elicit nurses' recommendations for improving working conditions.</p><p><strong>Methods: </strong>This mixed-methods study was conducted in two phases. In Phase One, night shift nurses at 12 hospitals within a northeastern U.S. health care system were surveyed to assess their night shift experiences. Phase Two employed focus groups at six of those hospitals to gain insight into night shift nurses' perspectives on the challenges they face and suggestions for improvement. Descriptive statistics were used to analyze the survey data. Thematic analysis of focus group transcripts was conducted to identify themes.</p><p><strong>Results: </strong>The survey results identified gaps in night shift support, including limited access to in-person education and hot, nourishing food. Recognition of night shift nurses' unique needs was the overarching theme from the focus groups. Seven additional themes further described those needs and indicated areas for improvement: safety at night--from feeling safe to being terrified; drowsy driving; need for a break; \"we're tired\"--napping; nourishment at night; self-care; and night work is undervalued.</p><p><strong>Conclusions: </strong>The results support findings from prior research and underscore the persistent challenges night shift nurses face. While these challenges are well documented, changes to address them have been limited. Health care organizations must move beyond acknowledging the issues to implementing evidence-based interventions and structured programs. Addressing the concerns of night shift nurses is imperative and necessary to safeguard nurses' health and well-being; reduce turnover; and ensure safer, high-quality patient care.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 7","pages":"22-32"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315282","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":"In the Gray: What's a Nurse to Do?","authors":"Nathan Spears","doi":"10.1097/AJN.0000000000000326","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000326","url":null,"abstract":"<p><p>Walking with a family in their uncertainty.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 7","pages":"64"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315184","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}