American Journal of NursingPub Date : 2024-10-01Epub Date: 2024-09-26DOI: 10.1097/01.NAJ.0001069536.21330.49
Marija J Bulatovic, Sarah Sallen, Virginia Reising
{"title":"Development of a Referral Pathway to Address Health-Harming Legal Needs at a Federally Qualified Health Center.","authors":"Marija J Bulatovic, Sarah Sallen, Virginia Reising","doi":"10.1097/01.NAJ.0001069536.21330.49","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001069536.21330.49","url":null,"abstract":"<p><strong>Background: </strong>Health-harming legal needs are legal burdens that negatively affect a person's overall health. Medical-legal partnerships (MLPs) are a cost-effective way for health care systems to improve overall health and access to health care and empower health care providers to become more active in addressing health-harming legal needs and social determinants of health. This article describes the implementation of a referral pathway to an MLP in a nurse-managed community health center. This pathway was used by the health center's clinical team to help connect patients who had burdensome legal needs with legal professionals who could further help evaluate those needs.</p><p><strong>Methods: </strong>An MLP team developed a referral pathway in which all adult patients were asked to complete a legal screening tool to assess whether they had legal needs that could be addressed by an MLP's intervention. If a legal need was identified, the patient would meet with the community health worker for further assessment. The community health worker would then present these cases for further review to the MLP team. The Plan-Do-Study-Act approach was used to make improvements to the pathway throughout the initiative.</p><p><strong>Results: </strong>The referral pathway was used in 70.8% of patient visits in the first seven weeks of implementation, with 209 legal screenings completed. Of those, 38 patients (18.2%) reported a legal need, 12 of whom (31.6%) were referred to the MLP.</p><p><strong>Conclusions: </strong>The referral pathway is a useful means of determining legal needs while also screening for social determinants of health. This process allows health care teams to address both health-harming legal needs and social determinants of health in a community health center.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 10","pages":"54-60"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142339374","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}
American Journal of NursingPub Date : 2024-10-01Epub Date: 2024-09-26DOI: 10.1097/01.NAJ.0001069476.91192.96
Karen Roush
{"title":"U.S. Children Die at Higher Rates Overall Than Children in Other Wealthy Countries.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001069476.91192.96","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001069476.91192.96","url":null,"abstract":"<p><p>Infant mortality and teen deaths from firearms drive the disparity.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 10","pages":"16"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142339392","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}
American Journal of NursingPub Date : 2024-10-01Epub Date: 2024-09-26DOI: 10.1097/01.NAJ.0001069548.98706.ec
Karen Rosenberg
{"title":"Collaborative Dementia Care Has Long-Term Benefits for Patients and Caregivers.","authors":"Karen Rosenberg","doi":"10.1097/01.NAJ.0001069548.98706.ec","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001069548.98706.ec","url":null,"abstract":"<p><p>According to this study.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 10","pages":"62"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142339372","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}
American Journal of NursingPub Date : 2024-10-01Epub Date: 2024-09-26DOI: 10.1097/01.NAJ.0001069508.77706.26
Greta Marek
{"title":"Nurses as Patients.","authors":"Greta Marek","doi":"10.1097/01.NAJ.0001069508.77706.26","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001069508.77706.26","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 10","pages":"20"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142339385","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: Alarm Fatigue: Exploring the Adaptive and Maladaptive Coping Strategies of Nurses.","authors":"Olawunmi Obisesan,Ericka Barber,Patricia Martin,Nicole Brougham,Heidi Tymkew","doi":"10.1097/01.naj.0001063808.07614.8d","DOIUrl":"https://doi.org/10.1097/01.naj.0001063808.07614.8d","url":null,"abstract":"BACKGROUNDTo improve patient safety, hospitals use alarm notification systems to increase nurses' real-time situational awareness of a patient's condition. Such alarms are critical to nurses' clinical decision-making and prioritization, thus helping to improve patient care and care efficiency. But the frequent and often simultaneous ringing of alarms, including many that are false, nonemergent, or nonactionable, has led to overwhelm, alarm distrust, and desensitization, resulting in alarm fatigue.PURPOSEThis study aimed to explore oncology nurses' lived experiences with alarms and the adaptive and maladaptive strategies they use to cope with alarm fatigue.METHODSThis qualitative, phenomenological study was guided by the theoretical framework of the Roy Adaptation Model. A purposive sample of nine nurses was recruited from two oncology units at a large midwestern Magnet hospital in the United States. Qualitative data were collected using a six-question, semistructured interview guide. Interviews were conducted either face-to-face in a private conference room on the unit or via the online videoconferencing platform Zoom.RESULTSData analysis yielded five themes, the most prominent being the high volume and frequency of alarms. Nurse participants reported adopting more maladaptive than adaptive coping strategies. Overall, they felt that the high frequency of false, nonemergent, and nonactionable alarms disrupted their workflow and contributed to a general desensitization to alarms.CONCLUSIONSThis study's findings offer valuable insight into the problem of alarm fatigue among nurses. Practical measures are urgently needed to reduce nurses' cognitive overload; shift nonnursing responsibilities to other staff; and implement efficiency-focused process changes, such as reengineering workflows to minimize interruptions. Every effort should be made to redesign protocols to reduce alarm fatigue, including by decreasing the number of false, nonemergent, and nonactionable calls and alarms.","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"37 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142195004","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: Exploring Nurses' Use of Humor in the Workplace: A Thematic Analysis.","authors":"Edessa Cadiz, Karyn Buxman, Magda Angel, Carin Resseguie, Carolyn Wilder, Lilian Chan, Jessica Bejar, Jaclyn Russe, Judy Davidson","doi":"10.1097/01.NAJ.0001028312.41339.c1","DOIUrl":"10.1097/01.NAJ.0001028312.41339.c1","url":null,"abstract":"<p><strong>Background: </strong>The nursing work environment is often stressful and can lead to burnout. The use of humor may help nurses adapt and cope. Although most would agree that, in general, humor can help build camaraderie and ease tense situations, little is known about how nurses use humor in their professional lives.</p><p><strong>Purpose: </strong>The study's main purpose was to explore how humor is used and perceived by nurses in the workplace.</p><p><strong>Methods: </strong>A sample of LPNs, RNs, and advanced practice RNs was recruited in the United States. Participants were interviewed via the videoconferencing platform Zoom. Data from the video recordings, audio transcripts, and investigators' field notes were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Sixteen nurses were interviewed about their use of humor, whether intentional or spontaneous, in the workplace. Three main themes were identified: entertainment , influencing others , and well-being . Participants reported using humor with self and others, including patients, families, and colleagues. Reported benefits include emotional regulation, relationship building, and work enjoyment. Some participants noted feeling insecure over when and whether the use of humor was \"appropriate.\"</p><p><strong>Conclusions: </strong>The results indicate that nurses' use of humor in the workplace had many benefits. Participants reported that humor could relieve tension, create bonds and strengthen relationships, and enhance both learning and work environments. Many recognized that humor can also be maladaptive and harmful, and that sensitivity and caution are part of using humor skillfully. Still, the benefits of humor appear to outweigh the risks. We conclude that humor is a useful tool nurses can and should use to optimize their nursing experience.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":" ","pages":"18-26"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141900671","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}
American Journal of NursingPub Date : 2024-09-01Epub Date: 2024-08-22DOI: 10.1097/01.NAJ.0001050808.10287.04
{"title":"A Conversation with the 'Comic Nurse,' MK Czerwiec.","authors":"","doi":"10.1097/01.NAJ.0001050808.10287.04","DOIUrl":"10.1097/01.NAJ.0001050808.10287.04","url":null,"abstract":"<p><p>A graphic medicine pioneer advocates for the use of comics in nursing.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 9","pages":"38-39"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054668","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}
American Journal of NursingPub Date : 2024-09-01Epub Date: 2024-08-22DOI: 10.1097/01.NAJ.0001050820.21339.31
Ellen M McCabe, Nakia C Best, Sheryl Bennett, Emma Johnson, Beth E Jameson
{"title":"Expanding Child Health Screenings Through School-Community Partnerships.","authors":"Ellen M McCabe, Nakia C Best, Sheryl Bennett, Emma Johnson, Beth E Jameson","doi":"10.1097/01.NAJ.0001050820.21339.31","DOIUrl":"https://doi.org/10.1097/01.NAJ.0001050820.21339.31","url":null,"abstract":"<p><strong>Abstract: </strong>Child health screenings are a critical, but often overlooked, aspect of children's medical care. School-community partnerships to conduct screenings and ensure that diagnostic follow-up and treatment occur can help achieve optimal child health outcomes. Such partnerships also serve to mitigate the impact of social determinants of health on children's well-being, address health disparities, and promote health equity. This article reviews four essential childhood health screenings-vision, hearing, dental, and mental health-and discusses how schools and community partners can collaborate to offer these screenings.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 9","pages":"53-57"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054673","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}
American Journal of NursingPub Date : 2024-09-01Epub Date: 2024-08-22DOI: 10.1097/01.NAJ.0001050772.67849.d3
Karen Roush
{"title":"Florida Becomes the First State to Allow Cesarean Deliveries Outside of Hospitals.","authors":"Karen Roush","doi":"10.1097/01.NAJ.0001050772.67849.d3","DOIUrl":"10.1097/01.NAJ.0001050772.67849.d3","url":null,"abstract":"<p><p>The new law has raised alarm among maternal health experts.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"124 9","pages":"13"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054674","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}