American Journal of Nursing最新文献

{"title":"Moderate postconcussion screen time use associated with faster recovery for youth.","authors":"Karen Rosenberg","doi":"10.1097/AJN.0000000000000383","DOIUrl":"10.1097/AJN.0000000000000383","url":null,"abstract":"<p><p>ACCORDING TO THIS STUDY.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 10","pages":"60"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030045","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":"Homicides of Nurses in the United States, 2003-2022: An Exploratory Study.","authors":"Carolyn M Porta, Cheng Chang Wu, Mark Linzer, Brooke Palmer, William N Robiner","doi":"10.1097/AJN.0000000000000403","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000403","url":null,"abstract":"<p><strong>Background: </strong>The causes and contexts of homicide of U.S. nurses have not been well studied, although recorded numbers have risen rapidly in recent years, drawing greater attention.</p><p><strong>Purpose: </strong>This exploratory study aimed to describe nurse homicide trends and identify potentially remediable factors.</p><p><strong>Methods: </strong>Using data in the National Violent Death Reporting System (NVDRS) database, an analysis of records of reported homicides of all nurses and nursing assistants from 2003 through 2022 was conducted. Data analyses included descriptive statistics and examinations of paired characteristic variables.</p><p><strong>Results: </strong>Between 2003 and 2022, 1,577 nurses and nursing assistants were identified in the NVDRS as homicide decedents. Of these, 88% were female; the median age was 42 years; and 51% were identified as White, 43% as Black. Fifty-three percent resided in urban areas, while 28% resided in rural areas. At the time of death, 94% were in a relationship. An argument led to the homicide in 29% of cases, and in 81% of those, death occurred during the argument. While intimate partner violence was the leading attributed cause (44%), only 10% had documented prior abuse by the suspect. Among the suspects, 93% were male, and 52% were partners or ex-partners of the decedent. Twelve percent had had prior contact with law enforcement within the last year. Of the homicides, 75% occurred in private residences, and 8% took place in streets, sidewalks, or alleys. Co-occurring variables that suggested important associations in over half the cases were female decedents with incidents that took place in houses or apartments (65% of cases) and male suspects with female decedents (64% of cases).</p><p><strong>Conclusions: </strong>While assaults on nurses are serious regardless of where they occur, this analysis revealed patterns indicating that nurses most often die by homicide within private residences, often after or during arguments with partners or ex-partners, and rarely from random acts of violence. Nurse homicides in the workplace are relatively rare. Intra- and interpersonal strategies are indicated for those at risk for committing acts of violence or homicide. In keeping with the National Institute for Occupational Safety and Health's Total Worker Health program, preventive, evidence-based workplace strategies should be evaluated for their applicability in keeping nurses safe everywhere.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149103024","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":"When a Psychiatric Diagnosis Is Actually Perimenopause.","authors":"Erica Skarda Ramey","doi":"10.1097/AJN.0000000000000393","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000393","url":null,"abstract":"<p><strong>Abstract: </strong>Perimenopause, the hormonal transition preceding menopause, typically begins in the late 30s to mid-40s and lasts an average of seven years. Its neurobiological effects, including disruptions to serotonin synthesis, dopamine signaling, γ-aminobutyric acid receptor activity, and hypothalamic-pituitary-adrenal axis reactivity, produce a symptom profile nearly identical to primary psychiatric disorders. Women presenting with new or worsening anxiety, depression, insomnia, or cognitive changes during midlife are routinely diagnosed with psychiatric conditions before a hormonal etiology is considered, a pattern with measurable consequences for patients. Perimenopause does not require abnormal laboratory values or menstrual irregularity for a diagnosis to be made. Nurses across various settings encounter perimenopausal women daily. Nurses in any role can recognize the pattern and advocate for hormonal evaluation. Advanced practice RNs, including psychiatric NPs, can integrate perimenopause into the psychiatric intake, conduct structured hormonal assessments, and initiate or coordinate evidence-based treatment. This article aims to equip nurses with the tools to recognize perimenopause, challenge five pervasive clinical misconceptions, conduct a hormonally informed assessment, and support appropriate management in any practice setting.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149103047","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 Aims to Curb Use of Antidepressant Drugs.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000368c","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000368c","url":null,"abstract":"<p><p>Reaction among mental health professionals is mixed.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 9","pages":"16-17"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787081","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 treatment approved for chronic hepatitis delta virus infection.","authors":"Diane S Aschenbrenner","doi":"10.1097/AJN.0000000000000363b","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000363b","url":null,"abstract":"<p><p></p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 9","pages":"19"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787036","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":"Rethinking Transradial Compression Band Practice.","authors":"Kristin Ann Tuozzo, Esther L Munitz-Pinson, Nicole A Moskowitz, Loretta Gioiella, Sunil V Rao, Louai Razzouk, Homam Ibrahim","doi":"10.1097/AJN.0000000000000367","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000367","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Transradial access (TRA) is a standard approach to cardiac catheterization. Following the procedure, air-filled compression bands are often used to achieve hemostasis at the access site. Despite research supporting early, gradual deflation to minimize complications, there is no established best practice for band deflation. At our urban academic medical center, the lack of a standardized compression band deflation protocol resulted in varied start times and amounts of air removed with each attempt, as well as inconsistent documentation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The aim of this quality improvement project was to develop and implement an evidence-based practice (EBP) initiative to standardize TR compression band deflation and documentation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Nurses, who were primarily responsible for the TRA procedure, organized a multidisciplinary team to critically evaluate the literature, identify gaps in clinical practice, and develop and implement a practice change. EBP interventions centered on a TR compression band deflation algorithm that included specified wait times based on the procedure type and anticoagulation received and the criteria for reinserting air based on bleeding status. A standardized documentation process was also instituted. Deflation was initiated at 30 minutes for patients undergoing diagnostic procedures or receiving up to 5,000 units of heparin and at 60 minutes for patients undergoing advanced diagnostic procedures or percutaneous coronary intervention (PCI) and receiving more than 5,000 units of heparin or IV bivalirudin. Demographics, documentation, complications, time to remove the compression band, length of stay (LOS), patient satisfaction, and opportunity benefit were analyzed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The preintervention (n = 214) and postintervention (n = 255) groups were comparable in age, gender distribution, procedure type, and anticoagulant use. Following the rollout of the EBP initiative, there was a statistically significant reduction in the time required for successful compression band removal for both diagnostic procedures (P &lt; 0.001) and PCIs (P &lt; 0.001). LOS decreased across all procedure types. Specifically, diagnostic procedures had a statistically significant postintervention reduction in LOS (P &lt; 0.001). In addition, clinical documentation (encompassing air removed, air reinserted, and complications) showed significant postintervention improvement (P &lt; 0.001). Regarding safety outcomes, over 85% of patients in the postintervention group experienced no recorded complications during band removal, while 100% had no major bleeds or hematomas.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This EBP initiative confirms that an early band deflation algorithm reduces time for band removal and LOS across diagnostic, advanced diagnostic, and PCI procedures without compromising patient safety. Furthermore, the initiative improved documentation, ensuring consis","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 9","pages":"40-48"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787044","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":"Beyond the Spiral: Identifying Abuse-Related Pediatric Fractures.","authors":"Sandra D Shapiro, Rachel McMahan Thomas, Michelle U Trotter","doi":"10.1097/AJN.0000000000000358","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000358","url":null,"abstract":"<p><strong>Abstract: </strong>Pediatric fractures are a common reason for ED visits, yet distinguishing accidental injuries from those caused by child physical abuse (CPA) remains an important and complex clinical challenge. This article clarifies common misconceptions, such as that all spiral fractures are inherently suspicious, by situating them within the broader evidence base related to pediatric orthopedic injury. Delineating fracture types and circumstances with high, moderate, and low specificity for CPA can help the nurse to evaluate each injury within the context of the child's developmental stage, reported cause, and associated findings. Key nursing responsibilities include comprehensive history taking, thorough physical assessment, meticulous documentation, and adherence to mandated reporting laws when CPA is suspected. By deepening nurses' understanding of orthopedic injury patterns and red flags for CPA, this article aims to avoid misassignment of child abuse in cases of accidental spiral fractures and to enhance accurate assignment of child abuse.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 9","pages":"28-33"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787058","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 interchangeable biosimilar product approved for rheumatoid arthritis and ulcerative colitis.","authors":"Diane S Aschenbrenner","doi":"10.1097/AJN.0000000000000363a","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000363a","url":null,"abstract":"<p><p></p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 9","pages":"18-19"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787069","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":"New restrictions on foreign coauthors of research publications.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000368d","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000368d","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 9","pages":"15"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787043","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":"Miscarriage Management After Dobbs.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000368","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000368","url":null,"abstract":"<p><p>Women in states with abortion bans face barriers to timely care.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 9","pages":"14-15"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787105","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}