American Journal of Nursing最新文献

{"title":"The Impact of Restrictive Policies on Nurse Migration in Nigeria: A Cross-Sectional Study.","authors":"Japhet Haruna Jonah, John Akosile, Reuben Zirahgi Markus, Danladi Sam Samuel, Mohammed Ibn Abdullahi, Gabriel Samuel, Edwin A Akhalola Emmanuel, Cynthia Adeyeri Okafor","doi":"10.1097/AJN.0000000000000312","DOIUrl":"10.1097/AJN.0000000000000312","url":null,"abstract":"<p><strong>Background: </strong>The emigration of nurses from low- and middle-income to high-income nations is a global trend, with Nigeria experiencing a significant brain drain in recent years. In response, the Nursing and Midwifery Council of Nigeria (NMCN) implemented controversial policies, including closing the license verification portal in December 2023, to curtail nurse migration.</p><p><strong>Purpose: </strong>This study aimed to ascertain the impact of the license verification portal closure on Nigerian nurses living in the country and abroad. Our objectives were to assess the perceived consequences of this intervention on nurses' professional careers, mental health, and financial status.</p><p><strong>Methods: </strong>A quantitative, cross-sectional, and descriptive design was used to collect data via an electronic questionnaire from 1,838 Nigerian RNs worldwide. Data were analyzed using IBM SPSS Statistics, version 25.</p><p><strong>Results: </strong>The results showed that 93% of RNs had a negative perception of the portal closure. Moreover, the policy's adverse effects were widespread, with 83% of nurses experiencing career setbacks, 77% reporting mental health issues, and 57% experiencing financial strain.</p><p><strong>Conclusions: </strong>The NMCN's approach, aimed at combating nurse migration, negatively impacted Nigerian nurses, leading to potentially serious adverse outcomes for patients and public health. Nations need to avoid implementing coercive restrictive measures to curb nurse migration. Instead, improving professional advancement, remuneration, and career development are recommended as more effective retention strategies.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 6","pages":"e1-e7"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147980240","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":"Positioning DNPs to Lead.","authors":"Catherine Alexander, Brant J Oliver","doi":"10.1097/AJN.0000000000000311","DOIUrl":"10.1097/AJN.0000000000000311","url":null,"abstract":"<p><p>Knowledge and skills in applying QI tools, measurements, and analysis.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 6","pages":"45"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147980074","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":"U.S. Early Prenatal Care Rates Trend Lower.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000316b","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000316b","url":null,"abstract":"<p><p>The decrease was greatest among teen mothers.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 6","pages":"14"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147980190","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":"Psychological Safety Is Patient Safety.","authors":"Ebony D Caldwell","doi":"10.1097/AJN.0000000000000306","DOIUrl":"10.1097/AJN.0000000000000306","url":null,"abstract":"<p><p>Actions leaders can take to strengthen safety and equity.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 6","pages":"16-17"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147980077","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":"Evaluation for Clinical Practice Change.","authors":"Kerry A Milner, Mary C Zonsius, Susan Farus-Brown, Ellen Fineout-Overholt","doi":"10.1097/AJN.0000000000000309","DOIUrl":"10.1097/AJN.0000000000000309","url":null,"abstract":"<p><strong>Abstract: </strong>This is the 10th article in a new series designed to provide readers with insight into educating nurses about evidence-based decision-making (EBDM). It builds on AJN's award-winning previous series-Evidence-Based Practice, Step by Step and EBP 2.0: Implementing and Sustaining Change (to access both series, go to https://links.lww.com/AJN/A133). This follow-up series on EBDM will address how to teach and facilitate learning about the evidence-based practice (EBP) and quality improvement (QI) processes and how they impact health care quality. This series is relevant for all nurses interested in EBP and QI, especially DNP faculty and students. The brief case scenario included in each article describes one DNP student's journey. To access previous articles in this EBDM series, go to https://links.lww.com/AJN/A256.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 6","pages":"38-44"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147980111","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":"Patients' Experiences of a Virtual Nursing Model in an Acute Care Setting: A Mixed-Methods Study.","authors":"Tajudaullah Bhaloo, Catherine Calland, Patricia R DeLucia, Heidi Gilroy, Christine Petersen, Jayashri Prakash","doi":"10.1097/AJN.0000000000000314","DOIUrl":"10.1097/AJN.0000000000000314","url":null,"abstract":"<p><strong>Background: </strong>Virtual nursing--defined as patient care delivered by a remotely located experienced nurse using information and communication technologies--has expanded significantly in the aftermath of the COVID-19 pandemic. But few studies have explored patients' experiences with virtual nursing in the medical-surgical acute care setting.</p><p><strong>Purpose: </strong>This mixed-methods pilot study aimed to explore patients' experiences with a co-caring virtual nursing model as part of their care in a medical-surgical acute care unit.</p><p><strong>Methods: </strong>Data from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey were used to explore patients' perceptions of their experiences with virtual nursing. In-person, semistructured patient interviews were also conducted prior to discharge. Changes in pre-pilot versus during-pilot HCAHPS survey scores were analyzed using descriptive and inferential statistics. Interview data were analyzed using thematic analysis.</p><p><strong>Results: </strong>Thematic analysis identified three key themes: patients appreciated the virtual nurse as a member of the care team; the technology was easy to use and facilitated bidirectional communication; and patients' concerns about privacy eased with use. Although HCAHPS survey score analysis revealed improvements in patients' perceptions of overall care and medication-related explanations, only changes in their perceptions of nurses' listening, doctors' listening, and doctors' explanations were statistically significant.</p><p><strong>Conclusions: </strong>The study findings offer confirmation that the expansion of virtual nursing models into medical-surgical acute care settings is associated with improved patient experiences. Many patients reported that they appreciated the virtual nurse and were comfortable with the technology. Some patients voiced concerns about privacy, which eased over time. Others worried that virtual nurses might replace bedside nurses. These findings indicate a need for improvement in how virtual nursing models are introduced to patients. As virtual nursing models expand into more clinical settings and become more widely used, further mixed-methods studies are warranted.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 6","pages":"24-30"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147980122","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":"Kennedy inaccurately asserts benefits of keto diets.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000316d","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000316d","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 6","pages":"13"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147980078","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":"Juries find social media companies have harmed children.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000316g","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000316g","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 6","pages":"13-14"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147980106","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":"Financial Headwinds Roil the Nursing Job Market.","authors":"Felice J Freyer","doi":"10.1097/AJN.0000000000000315","DOIUrl":"10.1097/AJN.0000000000000315","url":null,"abstract":"<p><p>Nurses remain essential, but new challenges may transform their work.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 6","pages":"18-20"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147980114","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":"Certified Diabetes Care and Education Specialist.","authors":"Veronica Joyce Brady","doi":"10.1097/AJN.0000000000000307","DOIUrl":"10.1097/AJN.0000000000000307","url":null,"abstract":"<p><p>Improving health outcomes for people living with or at risk for diabetes.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 6","pages":"10"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147979951","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}