American Journal of Nursing最新文献

{"title":"Integrating Music Therapy and Nursing for Neonatal Procedural Support Using a Pacifier Activated Lullaby Device.","authors":"Cassi Crouse, Margaret Gettis, Regena Spratling","doi":"10.1097/AJN.0000000000000342","DOIUrl":"10.1097/AJN.0000000000000342","url":null,"abstract":"<p><strong>Background: </strong>Premature neonates may require hospitalization in the neonatal intensive care unit (NICU), where they receive life-sustaining medical treatment. Care often involves the need for painful, invasive medical procedures. Music therapists working with nurses in pediatric health care settings can provide procedural support to patients via therapeutic music interventions.</p><p><strong>Purpose: </strong>The purpose of this evidence-based practice pilot initiative was to examine the impact of a pacifier activated lullaby (PAL) device intervention, facilitated by a NICU music therapist (NICU-MT) in collaboration with bedside nurses, on neonates undergoing retinopathy of prematurity (ROP) exams in the NICU.</p><p><strong>Methods: </strong>The NICU-MT facilitated the PAL device intervention for neonates (N = 25) following ROP exams. Data were collected before the procedure; at the end of the procedure; and at one, three, and five minutes of PAL device use. Measurements to assess infant pain and stress before, during, and after the procedure included vital signs and pain scores.</p><p><strong>Results: </strong>Findings reflected improvements in vital signs and pain scores following the five-minute PAL intervention, with measurements nearing preprocedure baseline averages, despite noteworthy end-of-procedure averages (including increased heart rate, decreased arterial oxygen saturation, and elevated pain scores). Outcomes from the pilot suggest that the PAL device may encourage a return to preprocedure baseline levels following ROP exams.</p><p><strong>Conclusion: </strong>NICU-MTs and nurses can collaboratively provide procedural support using a therapeutic music intervention such as the PAL device to comfort neonates during painful, invasive procedures.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 8","pages":"42-47"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial Microaggressions in Nursing: A Scoping Review.","authors":"Heather Walsh","doi":"10.1097/AJN.0000000000000350","DOIUrl":"10.1097/AJN.0000000000000350","url":null,"abstract":"<p><strong>Background: </strong>According to a recent national survey, most RNs in the United States have personally experienced workplace racism from patients, colleagues, and leaders, with half witnessing racism against their colleagues. Subtle forms of racism called microaggressions can be difficult to recognize and address, but repeated exposure can negatively affect nurses' physical and mental health, job performance, and patient safety.</p><p><strong>Purpose: </strong>The aim of this review was to explore the literature on nurses' workplace experiences with racial microaggressions in the United States and to identify the impact of racial microaggressions on nurses and patients.</p><p><strong>Methods: </strong>This scoping review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. PubMed and CINAHL were searched from database inception to November 2024. Studies on nurses' workplace experiences with bias and discrimination in the United States were included because racial microaggressions were often mentioned in these studies. No limit on year of publication was included. Studies from countries other than the United States and studies on nursing students were excluded.</p><p><strong>Results: </strong>The search yielded 11 studies meeting the inclusion criteria; seven were qualitative, three were quantitative, and one used mixed methods. Nurses' workplace experiences with racial microaggressions were categorized into five themes: (1) experiencing racial microaggressions, (2) impact on nurses, (3) responding to racial microaggressions, (4) impact on patient care, and (5) recommendations for nursing practice. Nurses of color experienced racial microaggressions ranging from jokes or comments about their race to overt exclusion to patients refusing their care. Nurses were affected by microaggressions in numerous ways, including threats to their well-being. Nurses responded to microaggressions by avoiding conflict, providing education, and disconnecting from patients and peers. Patient safety can be negatively affected as well because bias can deplete nurses' emotional resources and decrease morale. Recommendations for nursing practice include education and systemic approaches to addressing microaggressions.</p><p><strong>Conclusions: </strong>Most nurses experienced racial microaggressions committed by patients and their families, peers, and leaders. Experiences of microaggression in the workplace were shown to have harmful effects on nurses' well-being, job satisfaction, interpersonal relationships, and patient care. To ensure a diverse nursing workforce amid a critical nursing shortage, systemic approaches to address this phenomenon must be developed and employed.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":" ","pages":"28-35"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148275715","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":"Clinical Trials Undermined by Federal Funding Cuts.","authors":"Karen Roush","doi":"10.1097/AJN.0000000000000353c","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000353c","url":null,"abstract":"<p><p>The government is said to have made little effort to mitigate harm.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 8","pages":"17"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560593","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":"Similar mortality with high-flow vs. standard oxygen for acute hypoxemic respiratory failure.","authors":"Karen Rosenberg","doi":"10.1097/AJN.0000000000000338a","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000338a","url":null,"abstract":"<p><p>ACCORDING TO THIS STUDY.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 8","pages":"60"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560692","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":"Posttraumatic Stress in Caregivers of Burn-Injured Children: A Cross-Sectional Study.","authors":"Manman Sun, Yuhong Ji, Jing Zhao, Yinming Wang","doi":"10.1097/AJN.0000000000000351","DOIUrl":"10.1097/AJN.0000000000000351","url":null,"abstract":"<p><strong>Background: </strong>Burn injuries have far-reaching physical, psychological, and social consequences for children and their families. The posttraumatic stress experienced by primary caregivers of burn-injured children can significantly influence the child's recovery process and overall prognosis while imposing a psychological toll on the caregiver. Exploring the posttraumatic stress of caregivers is therefore of critical clinical and practical importance.</p><p><strong>Purpose: </strong>This study aimed to systematically evaluate the prevalence of posttraumatic stress among primary caregivers of pediatric burn survivors and identify the key factors that contribute to it.</p><p><strong>Methods: </strong>We conducted a cross-sectional study of the primary caregivers of children who were hospitalized for burn injuries between January 2024 and June 2025. Caregivers were assessed using the Posttraumatic Stress Disorder (PTSD) Checklist-Civilian Version (PCL-C), which categorizes 17 symptoms of posttraumatic stress within three dimensions. To identify independent risk factors associated with PCL-C scores, we employed both univariate and multiple linear regression analyses.</p><p><strong>Results: </strong>A total of 240 primary caregivers were included in the study; these caregivers had a mean (SD) PCL-C score of 41.22 (5.09). Among the three PCL-C dimensions, reexperiencing symptoms was the most prevalent, followed by hyperarousal symptoms and avoidance symptoms. Multiple linear regression analysis revealed the following independent PTSD risk factors: the severity of the child's burn injury (β = 0.122, P = 0.001); the caregiver's place of residence (β = 0.116, P = 0.04), educational level (β = 0.123, P = 0.02), and marital status (β = 0.125, P = 0.02); the monthly per capita household income (β = 0.109, P = 0.02); and witnessing the burn incident (β = 0.127, P = 0.005). The final regression model explained 59.5% of the variance in scores ( F = 27.10, P < 0.001).</p><p><strong>Conclusion: </strong>Primary caregivers of children with burn injuries experience a high prevalence of posttraumatic stress, which is influenced by a combination of child-related, caregiver-related, and incident-related factors. Health care providers should develop individualized interventions addressing these specific factors to support caregiver mental health and ultimately improve outcomes for both children and their families.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":" ","pages":"20-26"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148275726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep Worry Among Clinical Nurses: A Cross-Sectional Study.","authors":"Xiaohan Zhou, Xumin Wang","doi":"10.1097/AJN.0000000000000352","DOIUrl":"10.1097/AJN.0000000000000352","url":null,"abstract":"<p><strong>Background: </strong>Sleep-related worry is recognized as a significant determinant of sleep quality. Yet the prevalence and correlates of sleep worry among clinical nurses have not been well established.</p><p><strong>Purpose: </strong>This cross-sectional study aimed to investigate the prevalence and correlates of sleep worry among clinical nurses in order to guide the development of targeted intervention strategies.</p><p><strong>Methods: </strong>Clinical nurses employed at a large urban hospital in China from June to November 2024 were recruited for this study. A rigorously developed and validated sleep worry scale was used to assess each nurse's level of sleep worry. Correlational analysis was used to identify significant associations between variables of interest and sleep worry. Multiple linear regression analysis was used to identify significant influencing factors of sleep worry.</p><p><strong>Results: </strong>A total of 285 clinical nurses were included in the study. Within this cohort, the prevalence of sleep worry was 64%; the mean sleep worry scale score was 32.14. Correlation analysis revealed significant associations between sleep worry and participants' age, work department, professional title, years of nursing experience, and number of night shifts per month. Multiple linear regression analysis identified age, work department, professional title, years of nursing experience, and number of night shifts per month as significant influencing factors of sleep worry.</p><p><strong>Conclusions: </strong>The high prevalence of sleep worry among clinical nurses underscores the need for targeted and effective intervention strategies. The identified influencing factors provide valuable guidance for the development of these strategies. Such measures are essential to effectively mitigate sleep worry among clinical nurses, thereby potentially enhancing their overall well-being and job performance.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":" ","pages":"36-40"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148359052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Limited evidence on efficacy of cannabinoids for substance use and mental disorders.","authors":"Karen Rosenberg","doi":"10.1097/AJN.0000000000000338","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000338","url":null,"abstract":"<p><p>ACCORDING TO THIS STUDY.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 8","pages":"60"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560574","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":"On the Cover.","authors":"","doi":"10.1097/AJN.0000000000000348","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000348","url":null,"abstract":"","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 8","pages":"17"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560711","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":"Health Hazards in ICE Detention Centers.","authors":"Felice J Freyer","doi":"10.1097/AJN.0000000000000356","DOIUrl":"10.1097/AJN.0000000000000356","url":null,"abstract":"<p><p>Allegations of spoiled food, medical neglect, and excessive use of force.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 8","pages":"12-13"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560530","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":"Patients, caregivers often unprepared for postsurgical challenges.","authors":"Karen Rosenberg","doi":"10.1097/AJN.0000000000000338b","DOIUrl":"https://doi.org/10.1097/AJN.0000000000000338b","url":null,"abstract":"<p><p>ACCORDING TO THIS STUDY.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"126 8","pages":"61"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560675","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}