American Journal of Nursing最新文献

{"title":"The New Graduate RN Speaks, Again: A Mixed-Methods Study.","authors":"Amy Zipf","doi":"10.1097/AJN.0000000000000047","DOIUrl":"10.1097/AJN.0000000000000047","url":null,"abstract":"<p><strong>Background: </strong>While the academic-practice gap in nursing is widely acknowledged, substantive research exploring it from the perspective of new graduate RNs' transition into practice is lacking. As this gap is thought to be a contributing factor to the exodus of new graduate RNs from the hospital setting and the ongoing nursing shortage, it's crucial that these nurses be given the opportunity to identify specific gaps they are experiencing as they enter practice.</p><p><strong>Purpose: </strong>This study sought to explore the specific gaps experienced by new graduate RNs working in medical-surgical hospital-based settings.</p><p><strong>Methods: </strong>A pragmatic worldview and Meleis's Transitions Theory served, respectively, as the philosophical basis and theoretical framework for this mixed-methods study. Convenience sampling was used to recruit new graduate RNs working in medical-surgical hospital-based settings. Using both the Casey-Fink Graduate Nurse Experience Survey (CFGNES) and additional open-ended questions, participants were asked to identify gaps in their academic preparation for and entry into professional practice. The CFGNES involves the constructs of support, professional satisfaction, communication/leadership, patient safety, and stress. Descriptive statistical and regression analyses were used to explore correlations between these constructs and relevant participant variables. Krippendorff's content analysis method was used to analyze qualitative responses. Mixed-methods integration was used to further illuminate findings.</p><p><strong>Results: </strong>Data from the final sample of 128 new graduate RNs revealed preparedness gaps in the areas of information, knowledge, and tools that adversely affected their transition to professional practice. A significant negative correlation was found between months in practice and the construct of support. A significant, albeit weak, positive correlation was found between months in practice and the construct of communication/leadership. No relationships were found between the five CFGNES constructs and employment at a Magnet hospital versus other hospitals, or for participation versus no participation in residency programs.</p><p><strong>Conclusions: </strong>The study findings demonstrate that the reality shock experienced by new graduate RNs remains a problem that urgently needs our attention. New graduate RNs working in medical-surgical hospital-based settings experience gaps in the areas of information, knowledge, and tools that adversely affect their transition into practice. Nursing academics and practice-based leaders must work together to better understand the new nurse's experiences, mobilize support, and respond effectively.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 4","pages":"22-34"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717882","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":"Measles Cases Surge Across the Globe.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000057","DOIUrl":"10.1097/AJN.0000000000000057","url":null,"abstract":"<p><p>Pandemic-era disruptions in immunization programs are a factor.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 4","pages":"14-15"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717867","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":"FDA recommends labeling modifications for transmucosal buprenorphine products to clarify dosage.","authors":"Diane S Aschenbrenner","doi":"10.1097/AJN.0000000000000045","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000045","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 4","pages":"20"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717861","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 Pediatric Nurse's Plea for Help with the Firearm Epidemic.","authors":"Sarah Martin","doi":"10.1097/AJN.0000000000000042","DOIUrl":"10.1097/AJN.0000000000000042","url":null,"abstract":"<p><p>Commonsensical legislative measures are still within reach.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 4","pages":"9"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717916","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: Disparities in U.S. life expectancy have worsened.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001110508.38873.5d","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001110508.38873.5d","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 4","pages":"15"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717871","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":"Reflection on Marie Manthey.","authors":"Joanne Disch, Connie White Delaney","doi":"10.1097/AJN.0000000000000050","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000050","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 4","pages":"11"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717877","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":"Midline catheters are a safe option for outpatient parenteral antimicrobial therapy.","authors":"Karen Rosenberg","doi":"10.1097/01.NAJ.0001110540.36996.6c","DOIUrl":"10.1097/01.NAJ.0001110540.36996.6c","url":null,"abstract":"<p><p>ACCORDING TO THIS STUDY.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 4","pages":"61"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717868","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 Shadowy Middlemen Shaping Drug Prices.","authors":"Felice J Freyer","doi":"10.1097/AJN.0000000000000049","DOIUrl":"10.1097/AJN.0000000000000049","url":null,"abstract":"<p><p>Pharmacy benefit managers face criticism-will proposed curbs help?</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 4","pages":"18-19"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717883","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 Sleep During Hospital Stays.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001110504.42841.4c","DOIUrl":"10.1097/01.NAJ.0001110504.42841.4c","url":null,"abstract":"<p><p>An intervention tackles noise, lighting, and timing of bedside tests.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 4","pages":"15-16"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717866","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":"Better outcomes with liberal transfusion strategy in patients with acute brain injury.","authors":"Karen Rosenberg","doi":"10.1097/01.NAJ.0001110552.53540.31","DOIUrl":"10.1097/01.NAJ.0001110552.53540.31","url":null,"abstract":"<p><p>ACCORDING TO THIS STUDY.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 4","pages":"62"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717857","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}