American Journal of NursingPub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NAJ.0001027628.77575.56
Carl A Kirton
{"title":"Observations from the Bedside.","authors":"Carl A Kirton","doi":"10.1097/01.NAJ.0001027628.77575.56","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001027628.77575.56","url":null,"abstract":"<p><p>When the nurse becomes the patient.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756619","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}
American Journal of NursingPub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NAJ.0001027740.13428.b3
Emma Max, Meredith MacKenzie-Greenle, Jamie Ann Acero-Webb, Leah Lambe, Niels D Martin, Emily Vail
{"title":"Opening a Donor Management Center.","authors":"Emma Max, Meredith MacKenzie-Greenle, Jamie Ann Acero-Webb, Leah Lambe, Niels D Martin, Emily Vail","doi":"10.1097/01.NAJ.0001027740.13428.b3","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001027740.13428.b3","url":null,"abstract":"<p><strong>Abstract: </strong>In the United States alone, more than 100,000 people are waiting for a lifesaving organ transplant. In response to the growing need for viable organs to transplant, donor management centers have opened to provide care to brain-dead organ donors prior to the organ procurement operation. This article describes donor management center operations, details the opening of one such unit, and describes the results and lessons learned. More research is needed on the impact of nursing care on the specialized organ donor population.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756620","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}
American Journal of NursingPub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NAJ.0001027652.85838.8f
Karen Roush
{"title":"Overdose Deaths Drop in the United States.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001027652.85838.8f","DOIUrl":"10.1097/01.NAJ.0001027652.85838.8f","url":null,"abstract":"<p><p>It is the first annual decrease in five years.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756621","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}
American Journal of NursingPub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NAJ.0001027116.67274.e3
Ashley Hole, Alexandra Budhai, Kerry King, P Dayand Borge
{"title":"Decreasing Premedication for Blood Transfusions: A Quality Improvement Project.","authors":"Ashley Hole, Alexandra Budhai, Kerry King, P Dayand Borge","doi":"10.1097/01.NAJ.0001027116.67274.e3","DOIUrl":"10.1097/01.NAJ.0001027116.67274.e3","url":null,"abstract":"<p><strong>Background: </strong>Premedication administration to patients who are to receive blood transfusions continues despite evidence of a lack of benefit when given to prevent febrile nonhemolytic or mild allergic transfusion reactions. Reviews of ordering practices and staff surveys on an adult inpatient hematology-oncology unit in our multisite oncology medical center indicated a lack of standardization and overuse of premedication in blood transfusions and a lack of knowledge of when it was appropriate to use premedication.</p><p><strong>Methods: </strong>A literature search was performed, and the evidence led to a proposal for a quality improvement (QI) project focused on development of an evidence-based algorithm to guide clinicians in when to administer which premedication, development of clear documentation for premedication plans, integration of the documented premedication plans into electronic orders for blood products, and staff education. Interventions included a hospital-wide algorithm and an electronic order to be integrated with a premedication plan for each patient on the adult hematology-oncology unit.</p><p><strong>Results: </strong>Seven months after implementation of the intervention, premedication use among patients decreased by 57.6%, and the transfusion reaction rate decreased from 1% to 0.8%. Staff knowledge as measured by responses to pre- and postintervention surveys on the appropriate use of premedication also improved.</p><p><strong>Conclusion: </strong>Evidence-based interventions can reduce the incidence of premedication use in patients receiving blood transfusions.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141562397","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}
American Journal of NursingPub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NAJ.0001027640.03611.a0
Karen Roush
{"title":"Coalition Seeks STEM Status for Nursing.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001027640.03611.a0","DOIUrl":"10.1097/01.NAJ.0001027640.03611.a0","url":null,"abstract":"<p><p>The designation would open up funding for research and other initiatives.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756610","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}
American Journal of NursingPub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NAJ.0001027644.82128.27
{"title":"News Brief: NP care makes a difference in nursing home residents with dementia.","authors":"","doi":"10.1097/01.NAJ.0001027644.82128.27","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001027644.82128.27","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756616","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}
American Journal of NursingPub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NAJ.0001027716.70431.35
Tracy Fasolino, Megan E Mayfield, Kathleen Valentine, William E Rosa, Anne Koci
{"title":"Palliative Care in Rural Communities.","authors":"Tracy Fasolino, Megan E Mayfield, Kathleen Valentine, William E Rosa, Anne Koci","doi":"10.1097/01.NAJ.0001027716.70431.35","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001027716.70431.35","url":null,"abstract":"<p><strong>Abstract: </strong>Rural communities in the United States are frequently marginalized and misrepresented. These communities face unique challenges, such as limited access to health care, nutritious food, and clean water, that contribute to persistent health disparities. This article presents the CARE (Complex, Access, Resourceful, Extraordinary) framework, which illustrates the dichotomy of rurality-its negative and positive aspects-in order to inform the development of palliative care delivery in rural settings. Various palliative care models are described that address access gaps, bolster provider capacity, and increase the provision of specialty palliative care. However, workforce shortages and reimbursement structures restrict the expansion of these services. Nurses, the largest segment of the health care workforce and the most trusted professionals, must partner with interdisciplinary colleagues and rural communities to advocate for equitable and inclusive care.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756622","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}
American Journal of NursingPub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NAJ.0001027736.33099.a0
Robin Harper, Tracy A Ortelli
{"title":"Addressing Compassion Fatigue.","authors":"Robin Harper, Tracy A Ortelli","doi":"10.1097/01.NAJ.0001027736.33099.a0","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001027736.33099.a0","url":null,"abstract":"<p><p>Resources to improve nurses' well-being.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756604","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}
American Journal of NursingPub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NAJ.0001027660.98294.27
Karen Roush
{"title":"Patient Falls Again Top Annual Sentinel Events List.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001027660.98294.27","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001027660.98294.27","url":null,"abstract":"<p><p>Events overall held steady after rising for several years.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756623","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}