American Journal of Nursing最新文献

{"title":"News Brief: Delivering palliative care to patients with advanced cancer via telehealth provides benefits equivalent to in-person visits.","authors":"","doi":"10.1097/01.NAJ.0001095196.19553.13","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001095196.19553.13","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 12","pages":"13"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942678","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":"The Giving Season.","authors":"Carl A Kirton","doi":"10.1097/01.NAJ.0001095160.90927.d4","DOIUrl":"10.1097/01.NAJ.0001095160.90927.d4","url":null,"abstract":"<p><p>Technological advances have made self-care and management accessible.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 12","pages":"5"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142941553","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":"News Brief: NP panel sizes are often smaller than those of other primary care providers.","authors":"","doi":"10.1097/01.NAJ.0001095176.91596.4b","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001095176.91596.4b","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 12","pages":"11"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942681","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":"A Case of Cardiac Resynchronization Therapy for Heart Failure with Reduced Ejection Fraction.","authors":"Nicole Kupchik, Sarah Vance","doi":"10.1097/01.NAJ.0001095236.37385.bd","DOIUrl":"10.1097/01.NAJ.0001095236.37385.bd","url":null,"abstract":"<p><p>Editor's note: This is the next installment in a series on electrocardiogram (ECG) interpretation. Nurses in all settings should know the basics, as medications and physiological changes can cause cardiac arrhythmias. Each article will start with a brief case scenario and an ECG strip and then take you step by step through analyzing the heart rhythm.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 12","pages":"50-52"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942733","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":"News Brief: Metabolic markers may identify increased SIDS risk.","authors":"","doi":"10.1097/01.NAJ.0001095192.01472.8c","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001095192.01472.8c","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 12","pages":"13"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942679","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":"Evidence-Informed Nursing Clinical Practices for Wound Debridement.","authors":"Erin M Rajhathy, Mary C Hill, David Le Tran, R Gary Sibbald, Elizabeth A Ayello","doi":"10.1097/01.NAJ.0001094536.99329.34","DOIUrl":"10.1097/01.NAJ.0001094536.99329.34","url":null,"abstract":"<p><strong>Abstract: </strong>Debridement, a mainstay of nursing clinical practice, refers to the removal of dead or unhealthy tissue from a wound to facilitate healing. Debridement is one component of the concept of wound bed preparation that has long guided the approach to wound management. The ability of a wound to heal must be determined prior to the initiation of any method of debridement. In areas where high-quality, comparative studies on the relative benefits of different debridement modalities are lacking, nurses should adopt an evidence-informed approach to care. To do this, nurses must understand the importance of following a comprehensive, holistic approach when treating chronic wounds. Nurses should have knowledge of inflammation and infection control and of the fundamentals of moisture management, recognize the need for debridement in healable wounds, and be familiar with different debridement options. This article provides nurses with a wound management framework, an overview of wound debridement options based on the potential for wound healing, and scope of practice considerations for developing a plan of care. A composite case is presented to illustrate the critical considerations in wound care.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":" ","pages":"26-34"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142602706","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":"More Intensive Monitoring Needed for Oropharyngeal Cancer Patients.","authors":"Karen Rosenberg","doi":"10.1097/01.NAJ.0001095248.21787.40","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001095248.21787.40","url":null,"abstract":"<p><p>According to this study.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 12","pages":"60"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942675","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":"Original Research: Improving Pain Assessment After Inpatient Orthopedic Surgery: A Comparison of Two Scales.","authors":"Lauryn Boggs, Jennifer Fleming, Andreea Geamanu, Rahul Vaidya","doi":"10.1097/01.NAJ.0001094532.56392.71","DOIUrl":"10.1097/01.NAJ.0001094532.56392.71","url":null,"abstract":"<p><strong>Purpose: </strong>In pain assessment, the commonly used Numeric Rating Scale (NRS) offers an incremental 0-to-10 range of response options. But this broad range often leads to discordant evaluations between nurses and their patients. This study aimed to compare the NRS to the three-category Interventional Pain Assessment (IPA) scale, validate the IPA scale in an inpatient setting, and determine RN and patient scale preferences.</p><p><strong>Methods: </strong>This prospective study enrolled 122 postoperative orthopedic patients and their designated 104 RNs at a level 1 trauma center in the midwestern United States. Patients were asked to verbally rate their pain from 0 to 10 using the NRS and from 0 to 2 on the IPA scale. Patients were also asked which scale best conveyed their pain. The RNs were asked which scale best informed them of their patient's pain situation and which scale they preferred. To establish a correlation between the two scales, we considered NRS values of 0 to 7 (signifying no pain to moderate pain) to correspond to IPA scale values of 0 to 1 (signifying no pain to tolerable pain). NRS values of 8 to 10 (signifying severe pain) were considered to correspond to IPA scale values of 2 (signifying intolerable pain). Responses in which patients reported IPA scores indicating no pain to tolerable pain but NRS scores above 7 or IPA scale scores indicating intolerable pain but NRS scores of 7 or below were defined as discordant answers.</p><p><strong>Results: </strong>Data analysis revealed a strong significant correlation between the NRS and IPA scale (τ = 0.597), with an 82.7% concordance rate. Once an NRS score rose above 7, more discordance between the two scales became increasingly prevalent, as evidenced by the 45% of patients who also reported tolerable pain on the IPA scale. Significantly more patients (89.3%) preferred the IPA scale to communicate their pain level than the NRS (10.7%). Significantly more RNs (76%) felt the IPA scale best informed them of their patient's pain and was a better guide for treatment than felt the NRS did so (24%).</p><p><strong>Conclusions: </strong>The IPA scale asks about pain tolerability and thus has a direct role in the management of pain medications. Both patients and nurses felt they were better able to convey and understand pain when using the IPA scale than when using the NRS. There was consensus regarding pain scale preference among patients and their RNs, with both groups preferring the IPA scale due to its simplicity and, among the RNs, its usefulness in guiding treatment. The IPA scale may be a much better tool for accurately assessing a patient's pain experience and needs, with the potential to change practice and improve pain management.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":" ","pages":"18-25"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142602710","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":"Using Tap Water for Enteral Tube Flushes.","authors":"Marie-Eline Blondin","doi":"10.1097/01.NAJ.0001095232.43682.18","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001095232.43682.18","url":null,"abstract":"<p><strong>Background: </strong>Enteral feeding tubes, used in patients who require enteral nutrition or medication, require flushing between medications and feedings to maintain patency. Various types of water can be used to flush enteral feeding tubes, which raises the question of which type of water is best supported by evidence.</p><p><strong>Purpose: </strong>The aims of this quality improvement project were to examine the evidence on the use of tap water instead of sterile water for enteral tube flushes and to implement the use of tap water as a safe, cost-effective alternative to sterile water at a multisite oncology institution.</p><p><strong>Methods: </strong>A systematic literature search of electronic databases including Scopus, PubMed, CINAHL, Google Scholar, Embase, and JBI was conducted to review current evidence and professional organization recommendations on the use of sterile water versus tap water in enteral feeding tubes. The oncology institution's policies were reviewed, and nurses were surveyed on the type of water they used for enteral tube flushes.</p><p><strong>Results: </strong>After the literature search and nurse survey results concurred that tap water was as effective as sterile water, the institution's nursing practice policy was updated to state that tap water should be used for enteral tube flushes, and that the use of sterile water for this purpose should be reserved for cases when there are concerns about tap water safety. This policy change was projected to incur annual sterile water cost savings of $15,930 to $19,872.</p><p><strong>Conclusion: </strong>The implementation of a policy recommending the use of tap water for enteral tube flushes standardized clinical practice and decreased institutional costs while maintaining patient safety.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 12","pages":"46-49"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942635","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":"Changes in Sleep Quality After Total Knee Arthroplasty: A Systematic Review.","authors":"Sevim Akbal, Meltem Yildirim","doi":"10.1097/01.NAJ.0001095228.26541.d0","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001095228.26541.d0","url":null,"abstract":"<p><strong>Background: </strong>Total knee arthroplasty (TKA) is a surgical procedure to improve the quality of life of patients with osteoarthritis. However, postoperative recovery can be difficult due to sleep disturbance, such as poor sleep quality, and postsurgical pain.</p><p><strong>Purpose: </strong>The aim of this systematic review was to examine recent evidence regarding changes in sleep quality after TKA and to explore factors affecting the postoperative recovery process.</p><p><strong>Methods: </strong>This systematic review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. We screened the PubMed, Google Scholar, ScopeMed, and Science Direct databases in December 2022 using the keywords sleep, total knee replacement surgery, knee arthroplasty, and sleep disruptions for relevant articles published between 2011 and 2022. Seven studies met all inclusion criteria and were included in the final sample for analysis.</p><p><strong>Results: </strong>Findings revealed that sleep disturbance was common during the early stages of the TKA recovery period and may be related to pain. After three months, sleep quality improved and pain intensity decreased. Three studies found a correlation between sleep and pain; however, another three studies did not.</p><p><strong>Conclusion: </strong>Health professionals, including surgical nurses, should be aware of the potential impact of TKA on sleep quality and understand, assess, and manage sleep disturbance and pain to provide comprehensive care for their patients and enhance recovery.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 12","pages":"38-45"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942666","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}