American Journal of Nursing最新文献

{"title":"Assessing and Promoting Sleep Health: A Brief Guide for Nurses.","authors":"Youngran Cha, Suzanne S Dickerson","doi":"10.1097/AJN.0000000000000102","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000102","url":null,"abstract":"<p><strong>Abstract: </strong>Despite the importance of sleep for maintaining health and well-being, there is a notable lack of educational curricula and training on sleep health in nursing schools and clinical settings. To ensure holistic care, it is essential for nurses to be well-prepared to assess and address sleep-related issues. This article outlines foundational information on sleep; general sleep health assessment; symptoms, risk factors, and screening measures related to obstructive sleep apnea, insomnia, and circadian rhythm sleep disorders; and practical strategies to promote healthy sleep.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"32-37"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493423","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":"Coping with Political Stress.","authors":"Carl A Kirton","doi":"10.1097/AJN.0000000000000107","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000107","url":null,"abstract":"<p><p>Taking brief respites while remaining engaged.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"5"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493427","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":"Improving Hospital Delirium Screening and Documentation.","authors":"Stephanie Chambers, Renu Bhargavi Boyapati, Rachel Gagliasso, Linda Griebenow, Shant Ayanian, Christopher Kohler, Sandeep Pagali","doi":"10.1097/AJN.0000000000000103","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000103","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Appropriate delirium screening and documentation are important for hospitalized patients to ensure positive patient outcomes and patient safety. A preliminary process review at Mayo Clinic in Rochester, Minnesota, identified low adherence (25.9%) to delirium screening and documentation requirements.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The aim of this quality improvement (QI) project was to identify gaps in delirium screening and documentation, determine possible causes of these gaps, and design interventions to help improve the completion of required delirium screening and documentation over one year without adversely affecting other required nursing assessments. The target of the project was an improvement in the rate of screening documentation of at least 50%.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;After Mayo Clinic's preliminary process review identified low adherence to delirium screening and documentation requirements, a multidisciplinary workgroup was convened, and a QI project following Six Sigma methods was implemented between May 2022 and April 2023 (the study period). Review of electronic health records (EHRs) and an informal survey of nurses and personal care assistants (enhanced by interviews and shadowing) facilitated fishbone analysis and creation of an impact-effort grid showing the relative difficulty and impact of possible interventions. An automated data-monitoring dashboard for the EHR was developed, and the Brief Confusion Assessment Method (bCAM) documentation in the EHR was restructured and introduced (first intervention). Nurse educational modules were amended to be consistent across practice areas, and a best-practice advisory (BPA) was created to bridge communication between nurses (RNs) and clinicians (physicians, NPs, and physician assistants). Delirium screening was added to the reminder list of required shift documentation in February 2023 (second intervention). A counterbalance measure, pressure injury risk, was chosen as a proxy for other required nursing assessments to show any unintentional downturn in other staff performance.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;After the bCAM redesign was introduced on June 1, 2022, delirium screening documentation decreased to 17.4% by June 30, but increased to 19.4% by July 31. After the RN educational module was implemented on July 1, delirium screening documentation increased further, to 20.7% by August, but dipped again to 13.7% by January 2023. After delirium screening was included in the required shift documentation reminder list in February 2023, delirium screening documentation significantly increased, from the baseline rate of 25.9% in May 2022 to 42.8% in March 2023 (P &lt; 0.001) and to 47.7% in April 2023 (P &lt; 0.001). The BPA was also associated with an increase in clinician capture of delirium diagnoses in the EHR of 47%. The rates of pressure injury risk assessment remained the same throughout the study period with only minor fluctuations.&lt;/p&gt;&lt;p&gt;&lt;stro","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"50-55"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493430","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":"Intellectual and Developmental Disabilities Nursing.","authors":"Chris Helfrich","doi":"10.1097/AJN.0000000000000098","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000098","url":null,"abstract":"<p><p>These nurses provide training and care for individuals in residential settings.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"31"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493431","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":"Cannabis use increases risk of CV events.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000108f","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000108f","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"16"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493425","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":"An Integrative Health Educational Intervention for RNs Working at Night: A Pilot Study.","authors":"Jennifer Withall, Laura Gabbe, Lauren Link, Vincenza Coughlin, Debbie Grice Swenson, Sarah Kaplan, Victoria Marner, Diane Maydick-Youngberg, Alice Nash, Kathleen Evanovich Zavotsky","doi":"10.1097/AJN.0000000000000071","DOIUrl":"10.1097/AJN.0000000000000071","url":null,"abstract":"<p><strong>Background: </strong>Supporting nurses' well-being has become a top priority for nurse leaders, organizations, and nurses themselves. It's important that RNs have effective ways to access and use various integrative health programs and resources that are available to them. But this can be especially difficult for nurses who work at night, who often cannot easily participate in health and wellness activities provided during the day.</p><p><strong>Purpose: </strong>To assess whether a 13-week electronic, asynchronous integrative health educational intervention, tailored to the unique needs of clinical RNs working at night, was useful, applicable, and accessible to them.</p><p><strong>Methods: </strong>This cross-sectional observational pilot study was conducted in a sample of clinical nurses who work at night at four hospitals within an academic health system. The study was guided by the Quadruple Aim framework, which considers clinician wellness to be a prerequisite to safe patient care. The study intervention was an educational curriculum consisting of 13 modules delivering instructive integrative health content. Weekly modules were focused on topics in the categories of healthful eating, purposeful movement, sleep hygiene, and stress reduction. Topic information was sent to participants via an electronic data capture system every Monday at midnight for 13 consecutive weeks. Participants completed pre- and postintervention surveys, as well as short weekly surveys assessing their engagement and interest in that week's content.</p><p><strong>Results: </strong>The initial sample consisted of 108 participants who completed the preintervention survey. Of these, 76 completed the pre- and postintervention surveys, and 58 completed the entire program, including all 13 modules. Descriptive statistics, a proxy metric for engagement (time per page view), and results from an optional usability survey were analyzed. Stress management content had the highest engagement and was ranked the highest priority of the four topic categories. Sleep hygiene content was ranked the second highest priority. Statistically significant differences were found for participants' pre- and postintervention use of stress management and sleep hygiene resources.</p><p><strong>Conclusions: </strong>Providing electronic and asynchronous means to access integrative health programs and resources programs can be an effective way to engage the cohort of RNs who work at night. In developing or expanding such programs and resources, it's paramount to consider their usefulness, applicability, and accessibility to the intended audience.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"24-30"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493421","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":"Reduced mortality with probiotics in preterm infants.","authors":"Karen Rosenberg","doi":"10.1097/AJN.0000000000000096c","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000096c","url":null,"abstract":"<p><p>ACCORDING TO THIS STUDY.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"57"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493439","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 Crucial Role of Health Equity Leaders in Nursing Academia.","authors":"Yvette Conyers, Ashley Graham-Perel","doi":"10.1097/AJN.0000000000000100","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000100","url":null,"abstract":"<p><p>Amid censorship and uncertainty, finding a way forward.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"8-10"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493442","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. health care safety and quality are improving.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000108e","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000108e","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"16"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493443","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":"Maternal Health: \"A Crisis Within a Crisis\".","authors":"Corinne McSpedon","doi":"10.1097/AJN.0000000000000111","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000111","url":null,"abstract":"<p><p>Federal funding cuts threaten efforts to improve care and disparities.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 7","pages":"18-20"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493432","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}