American Journal of Nursing最新文献

{"title":"Nurses Die by Suicide at Higher Rates Than the General Population.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000038","DOIUrl":"10.1097/AJN.0000000000000038","url":null,"abstract":"<p><p>Mental health problems and job stresses may be contributing factors.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 3","pages":"12-13"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456865","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 Relationship Between Perceived Discrimination and Blood Pressure in Black Adults: A Narrative Review.","authors":"Sandy Cayo, Alison Colbert","doi":"10.1097/AJN.0000000000000029","DOIUrl":"10.1097/AJN.0000000000000029","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular disease is the leading cause of death in the United States, with disproportionately higher morbidity and mortality rates among Black people. Experiences of discrimination and racism constitute a public health crisis. Given the significant race- and ethnicity-related disparities in cardiovascular health, it's essential to understand the mechanisms by which these disparities occur.</p><p><strong>Purpose: </strong>The purpose of this review was to identify and synthesize the current literature on the relationship between perceived discrimination and its impact on blood pressure among Black adults.</p><p><strong>Methods: </strong>A literature search was conducted to locate relevant research. To be included, articles had to report on quantitative studies that were conducted in the United States among Black adults, used discrimination as an independent variable, and used blood pressure or hypertension as an outcome variable. These articles also had to have been peer-reviewed and published in English between 2010 and 2021. Discrimination was categorized as everyday, lifetime, or both.</p><p><strong>Results: </strong>Eleven studies met all criteria and were included for analysis. Eight of these studies reported an association between increased racial discrimination and higher blood pressure; moreover, of the eight studies that reported this finding, seven specified lifetime discrimination.</p><p><strong>Conclusions: </strong>This narrative review found significant evidence supporting a positive association between perceived lifetime discrimination and blood pressure in Black adults. But the relationship isn't clearly understood, and future research should explore the underlying mechanisms and potential confounders. Priorities include more rigorous assessment of Black individuals' experiences with both lifetime and everyday discrimination and how these interact with confounders (such as stress), so that blood pressure control can be better achieved in this population. Specific areas for investigation include considering how we measure discrimination, the impact of provider bias and discrimination, and the impact of discrimination on medication adherence. This work is essential to developing the urgently needed, evidence-based interventions that will help to prevent racial and ethnic discrimination and mitigate its effects.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 3","pages":"20-29"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456879","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":"Leaving Against Medical Advice: What's a Nurse to Do?","authors":"Joan Marie Walker, Inmaculada de Melo-Martín","doi":"10.1097/AJN.0000000000000031","DOIUrl":"10.1097/AJN.0000000000000031","url":null,"abstract":"<p><strong>Abstract: </strong>Each year approximately 1% to 2% of patient acute care discharges in United States hospitals are described as against medical advice (AMA). AMA discharges are associated with higher patient morbidity, increased risk of readmission, and higher mortality. Most discussions dealing with AMA discharge tend to focus on physicians. However, nurses have a pivotal role in the care process and in ensuring the safety of patients. The aim of this paper is to increase awareness regarding nurses' ethical responsibilities when confronting AMA discharges. We highlight nurses' leadership role in discharge planning and argue that they have moral obligations to promote as safe a discharge as possible. Such obligations are consistent with nursing codes of ethics, according to which nurses have a primary moral duty to promote patients' well-being. Moreover, nurses' training, expertise, and scope of practice place them in an ideal situation to address problems related to AMA discharges. We also offer suggestions that can contribute to helping nurses to fulfill their ethical responsibilities in this context.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 3","pages":"56-59"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456856","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: NPs play key role in ensuring older adults have access to gerontology care.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001108264.62054.25","DOIUrl":"10.1097/01.NAJ.0001108264.62054.25","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 3","pages":"13"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456863","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":"Applying TRIZ in Clinical Product Design.","authors":"Xiao-Dong Zhang, Yun-Xia Zhao, Yong-Chao Huo, Yan Geng","doi":"10.1097/AJN.0000000000000027","DOIUrl":"10.1097/AJN.0000000000000027","url":null,"abstract":"<p><p>Using an inventive problem-solving theory in nurse-engineer collaborations.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 3","pages":"60-63"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456847","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 Effects of the Physical and Professional Workplace Environments on the Well-Being of Nursing Staff.","authors":"Rebecca Jennings, Ian Outhwaite, Iris Granek, Farah Haq","doi":"10.1097/AJN.0000000000000033","DOIUrl":"10.1097/AJN.0000000000000033","url":null,"abstract":"<p><strong>Background: </strong>Nursing services are often compromised by excessive stress, burnout, and low job satisfaction. These experiences can cause nurses to leave jobs or the profession entirely, exacerbating staffing deficiencies that can have deleterious consequences for patient care.</p><p><strong>Purpose: </strong>The aim of this study was to determine which aspects of the physical and social hospital environments might be related to nurses' well-being. Identifying factors and intervening in areas that could reduce staff stress and burnout or improve job satisfaction could help combat nursing staff turnover and improve patient outcomes.</p><p><strong>Methods: </strong>A total of 2,115 nurses at one tertiary health care campus were anonymously surveyed using Qualtrics. Of these, 393 returned their surveys and provided informed consent. Outcome measures included overall psychological stress, burnout, job satisfaction, and job stress. Data were analyzed using SPSS Statistics software.</p><p><strong>Results: </strong>Nurses' appreciation of the physical workplace environment was strongly associated with a positive perception of outcome measures, notably job satisfaction. There was a strong correlation between all outcome measures and nurses' perception of control over their practice, independent of their perception of their physical environment.</p><p><strong>Conclusion: </strong>This study supports the idea that improvements in nurses' physical working environment can improve nursing staff well-being and job satisfaction. Notably, interventions that are designed to make it easier for nurses to perform their duties may have a positive impact on their well-being. In workplace environments, these include improving orientation, reducing excessive noise, and facilitating increased control over nursing practice by and for nursing staff.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 3","pages":"30-39"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456869","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 a Serious Game to Teach Central Line Care in Pediatric Critical Care Nursing.","authors":"Mouhammad Yabrodi, Kamal Abulebda, Kellie J Pearson, Tracy Spitzer, Mara E Nitu, Colin M Rogerson, Nathanael Thomas Tavares, Riad Lutfi","doi":"10.1097/AJN.0000000000000008","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000008","url":null,"abstract":"<p><strong>Background: </strong>Central venous catheters (CVCs) are used in pediatric patients to deliver IV fluids, blood products, medications, and nutrients. Potential complications include central line infection, which carries a high risk of morbidity and mortality in this population. Pediatric critical care nurses play a crucial role in helping to reduce the risk of infection.</p><p><strong>Purpose: </strong>The aim of this study was to develop, implement, and evaluate the effectiveness of a serious, simulated, gaming-based intervention to improve the skills and knowledge of RNs in the early stages of their career regarding central line insertion, care, and infection prevention.</p><p><strong>Methods: </strong>A single-arm, pre- and postinterventional pilot study was conducted at the Riley Hospital for Children at Indiana University Health, from July 2021 to July 2022. The study participants were bedside pediatric critical care nurses who were provided with education and skills training regarding CVC placement and maintenance through a so-called serious game-essentially, a video game with a purpose. A simulation session and multiple-choice knowledge test were used to assess skills and knowledge retention both before and after the intervention.</p><p><strong>Results: </strong>A total of 32 pediatric critical care nurses participated in the study; however, 1 nurse did not complete the follow-up assessment. The study revealed a statistically significant increase in the overall mean (SD) global performance score from 4.06 (2.11) before the intervention to 5.97 (1.80) afterward. Specific areas of performance also showed significant improvement: handwashing prior to the procedure (P = 0.04), covering the procedure site (P = 0.01), cleaning the site properly (P < 0.01), and ensuring central line placement before use (P < 0.01). However, there was no statistically significant difference in the nurses' performance on the multiple-choice knowledge test before and after the intervention.</p><p><strong>Conclusion: </strong>This study suggests that serious games have the potential to improve nursing education, particularly in complex procedures like central line insertion and maintenance. Our findings indicate that serious gaming is effective in engaging learners and enhancing their skills. More research is needed to evaluate the long-term impact of serious games on learning outcomes and patient care.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 2","pages":"36-42"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021752","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: Adverse pregnancy outcomes linked to elevated stroke risk.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001098216.30051.15","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001098216.30051.15","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 2","pages":"11"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021798","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: Alaska nurses fight virtual nurse care model as staff shortage solution.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001098212.96767.fe","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001098212.96767.fe","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 2","pages":"11"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021800","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":"First anticholinergic drug to treat schizophrenia approved.","authors":"Diane S Aschenbrenner","doi":"10.1097/AJN.0000000000000013","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000013","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 2","pages":"19"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021786","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}