16,912 results match your criteria American Journal Of Nursing[Journal]


Assessing EHR Data for Use in Clinical Improvement and Research.

Am J Nurs 2022 May 12;Published Ahead of Print. Epub 2022 May 12.

Ann M. Lyons is a medical informaticist at the University of Utah, Salt Lake City. Jonathan Dimas is the global medical affairs scientist at bioMérieux in Salt Lake City. Stephanie J. Richardson is retired from faculty and administrative positions at both the University of Utah College of Nursing and the Rocky Mountain University of Health Professions, Provo, UT. Katherine Sward is a professor of nursing in the University of Utah College of Nursing as well as an adjunct professor of biomedical informatics in the School of Medicine. Contact author: Ann M. Lyons, The authors have disclosed no potential conflicts of interest, financial or otherwise.

Abstract: Data from electronic health records (EHRs) are becoming accessible for use in clinical improvement projects and nursing research. But the data quality may not meet clinicians' and researchers' needs. EHR data, which are primarily collected to document clinical care, invariably contain errors and omissions. Read More

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Guideline-Directed Cardiac Devices for Patients with Heart Failure.

Authors:
Mary Ann Leavitt

Am J Nurs 2022 May 12;Published Ahead of Print. Epub 2022 May 12.

Mary Ann Leavitt is an assistant professor at the Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton. Contact author: The author and planners have disclosed no potential conflicts of interest, financial or otherwise. A podcast with the author is available at www.ajnonline.com.

Abstract: Heart failure affects over 6.2 million adults in the United States and is expected to affect over 8 million by 2030. The U. Read More

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Maintaining the Watch.

Authors:
Kristine Morris

Am J Nurs 2022 05;122(5):64

Kristine Morris is an associate clinical professor at Texas Woman's University College of Nursing, Denton. Contact author: Reflections is coordinated by Madeleine Mysko, MA, RN: Illustration by Janet Hamlin. A podcast of this essay is available at www.ajnonline.com.

One nurse's struggle to care for an aging parent. Read More

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Teaching Elementary School Students to Be Emergency Responders.

Am J Nurs 2022 05;122(5):59-62

Elizabeth Goedde, Brandy Bowlen, and Bonnie Kerry are school nurses in the health services department of the Klein Independent School District in Spring, TX. Laurie G. Combe is the former coordinator of the health services department of the Klein Independent School District, the immediate past president of the National Association of School Nurses, and a school nursing and school health consultant. The authors wish to acknowledge Leigh Ann Downey, BSN, RN, a former school nurse in the Klein Independent School District, for her assistance with data curation. Contact author: Elizabeth Goedde, The authors have disclosed no potential conflicts of interest, financial or otherwise.

Abstract: School nurses from the Klein Independent School District in Harris County, Texas, have educated students, some as young as kindergarteners, on cardiopulmonary resuscitation (CPR) and how to recognize and use automatic external defibrillators and provide basic first aid. Through a collaboration with community partners and CPR-certified high school students, these school nurses are empowering the next generation with lifesaving skills. Read More

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Assessing Chest Pain.

Am J Nurs 2022 05;122(5):56-58

Christine Cutugno is a clinical professor in the graduate program at the Hunter-Bellevue School of Nursing, New York City. Contact author: The author has disclosed no potential conflicts of interest, financial or otherwise.

Abstract: Revised guidelines by a joint committee of the American College of Cardiology and the American Heart Association have been released to improve early identification and management of chest pain. Clinical goals of the guidelines are to identify life-threatening causes of chest pain, determine a patient's clinical stability, and assess whether the patient needs to be hospitalized or can safely be treated on an outpatient basis. For patients who don't require immediate intervention, risk stratification assessment and following clinical decision pathways are recommended. Read More

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Recognizing and Acting on Mentation Concerns.

Am J Nurs 2022 05;122(5):50-55

Laurin Mack is an assistant professor and Erin E. Emery-Tiburcio is an associate professor in the Department of Psychiatry and Behavioral Sciences at Rush University Medical Center in Chicago, where Mary C. Zonsius is an associate professor in the College of Nursing and Michelle Newman is a program manager in the Department of Social Work and Community Health. Contact author: Erin E. Emery-Tiburcio, The authors have disclosed no potential conflicts of interest, financial or otherwise.

This article is the fourth in a series, Supporting Family Caregivers in the 4Ms of an Age-Friendly Health System, published in collaboration with the AARP Public Policy Institute as part of the ongoing Supporting Family Caregivers: No Longer Home Alone series. The 4Ms of an Age-Friendly Health System (What Matters, Medication, Mentation, and Mobility) is an evidence-based framework for assessing and acting on critical issues in the care of older adults across settings and transitions of care. Engaging the health care team, including older adults and their family caregivers, with the 4Ms framework can help to ensure that every older adult gets the best care possible, is not harmed by health care, and is satisfied with the care they receive. Read More

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Du ration of Anticoagulant Therapy for Pediatric Venous Thromboembolism.

Authors:
Karen Rosenberg

Am J Nurs 2022 05;122(5):49

According to this study: Among patients younger than 21 years of age who have provoked venous thromboembolism, anticoagulant therapy for six weeks compared with three months met noninferiority criteria based on the trade-off between recurrent venous thromboembolism risk and bleeding risk. Read More

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Increase in Type 1 Diabetes Incidence in Children During COVID-19.

Authors:
Karen Rosenberg

Am J Nurs 2022 05;122(5):49

According to this study: There was an increase in the incidence of new-onset type 1 diabetes in children during the COVID-19 pandemic.More children had diabetic ketoacidosis at the time of diagnosis. Read More

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Fewer Postsurgical ICU Admissions in Hospitals with Better Nurse Work Environments.

Authors:
Karen Rosenberg

Am J Nurs 2022 05;122(5):48

According to this study: Patients in hospitals that have better nurse work environments are less likely to be admitted to an ICU after surgery and to die compared with patients in hospitals that have poorer nurse work environments. Read More

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Psychological Problems Common in Children After PICU Admission.

Authors:
Karen Rosenberg

Am J Nurs 2022 05;122(5):48

According to this study: Children previously admitted to a pediatric intensive care unit have a high burden of psychological sequelae.Risk stratification and early intervention are needed for high-risk groups. Read More

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Effective Holistic Approaches to Reducing Nurse Stress and Burnout During COVID-19.

Am J Nurs 2022 05;122(5):40-47

Florida Pagador is an assistant nurse manager, Melanie Barone is an associate nursing director, Mana Manoukian is a clinical nurse specialist, Wenrui Xu is a clinical research specialist, and Linda Kim is a research scientist, all at Cedars-Sinai Medical Center in Los Angeles. Contact author: Linda Kim, The authors have disclosed no potential conflicts of interest, financial or otherwise. A podcast with the authors is available at www.ajnonline.com.

Background: Prolonged exposure to work-related stress can lead to nurse burnout, potentiating clinical and medication errors and low-quality patient care. Holistic approaches (such as mindfulness training, "zen rooms," and massage chairs, among others) have been shown to reduce nurses' anxiety, stress, and burnout.

Purpose: To evaluate the use of "serenity lounges" (dedicated rooms where nurses can take workday breaks for the purposes of relaxation and rejuvenation) and massage chairs on nurses' anxiety, stress, and burnout. Read More

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The Cancer Hospital.

Authors:
Gene Grabiner

Am J Nurs 2022 05;122(5):33

Gene Grabiner's poems have appeared in various journals, including The Cafe Review, Blue Collar Review, The Comstock Review, Connecticut River Review, J Journal, Jewish Currents, Naugatuck River Review, Passager, Rosebud, SandhillReview, Slant, Steel Bellow, Snake Nation Review, and Sojourners. His chapbook, There Must Be More Than Trigonometry, was published in 2017 by Foothills Publishing. "The Cancer Hospital" © 2022 by Gene Grabiner. Contact author:

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Tezspire Approved for Severe Asthma.

Am J Nurs 2022 05;122(5):19

Diane S. Aschenbrenner is a former member of the faculty at Notre Dame of Maryland University and the Johns Hopkins University School of Nursing. She coordinates Drug Watch:

Tezepelumab-ekko (Tezspire) has been approved by the Food and Drug Administration as an add-on maintenance therapy for people ages 12 years and older with severe asthma symptoms not controlled by current medication.The drug must be given subcutaneously by a health care provider. Read More

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New Drug for Atopic Dermatitis.

Am J Nurs 2022 05;122(5):18-19

Diane S. Aschenbrenner is a former member of the faculty at Notre Dame of Maryland University and the Johns Hopkins University School of Nursing. She coordinates Drug Watch:

Tralokinumab-ldrm (Adbry) is now approved for the treatment of moderate to severe atopic dermatitis in adults whose disease has not been controlled by topical therapies.Nurses and NPs should teach patients how to administer the drug subcutaneously and that more than one injection is needed to fulfill the prescribed dose. Read More

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New Dental Warning for Buprenorphine.

Am J Nurs 2022 05;122(5):18

Diane S. Aschenbrenner is a former member of the faculty at Notre Dame of Maryland University and the Johns Hopkins University School of Nursing. She coordinates Drug Watch:

The labeling for transmucosal buprenorphine products will now include a warning that the drug may cause serious dental problems such as tooth decay, cavities, oral infections, and tooth loss.Nurses and NPs should complete an oral history and assessment prior to patients beginning treatment. Patients should be informed of these potential adverse effects and encouraged to receive regular dental care. Read More

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Overcoming Mental Health Stigma.

Authors:
Nicole Fauteux

Am J Nurs 2022 05;122(5):16-17

Signs of hope, but more action is needed. Read More

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COVID-19 Roundup.

Authors:

Am J Nurs 2022 05;122(5):15

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A 'Crash Cart' for Postpartum Hemorrhage.

Authors:

Am J Nurs 2022 05;122(5):14

Having supplies and medication at the ready dramatically improved response time. Read More

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NP Use of Practice Guidelines Is Helped by Easy Access and Support from Leadership.

Authors:

Am J Nurs 2022 05;122(5):13

Barriers to implementing guidelines include patient comorbidities, time constraints. Read More

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Staffing Crisis Fueled by COVID-19 Creates Boom for Travel Nurse Industry.

Authors:

Am J Nurs 2022 05;122(5):12

As the pandemic subsides, questions remain about how quickly nurse staffing will recover. Read More

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Burnout Research at a Crossroads.

Am J Nurs 2022 05;122(5):11

Tim Cunningham is co-chief well-being officer for the Woodruff Health Sciences Center and an adjunct associate professor at Emory University, Atlanta. Sharon H. Pappas is chief nurse executive at Emory Healthcare. Contact author: Tim Cunningham, The authors have disclosed no potential conflicts of interest, financial or otherwise.

We have enough evidence that burnout exists-let's investigate solutions. Read More

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Honoring Nurses Where They Need It.

Authors:
Christine Moffa

Am J Nurs 2022 05;122(5)

AJN senior clinical editor.

System-level changes must address issues such as staffing and burnout. Read More

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Pandemic Sunday.

Am J Nurs 2021 Aug;121(8):35

Janice Lynch Schuster is a poet and essayist who writes about health care and public policy, especially aging, pain management, and palliative care. Writing her collection of poetry, The Cocktail Napkin Love Poems: Short Verses for Long Days (2020), helped her endure the pandemic. Her poetry has appeared in Poet Lore and Potomac Review and on YourDailyPoem.com. She blogs at www.janicelynchschuster.com. "Pandemic Sunday" © 2021 by Janice Lynch Schuster. Contact author:

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Original Research: Combating the Opioid Epidemic Through Nurse Use of Multimodal Analgesia: An Integrative Literature Review.

Am J Nurs 2022 05;122(5):20-32

Jennifer René Tavernier is nursing faculty in the Health Professions Division at Lane Community College, Eugene, OR. Contact author: The author has disclosed no potential conflicts of interest, financial or otherwise.

Background: Opioid misuse and addiction have become a national crisis. New pain management guidelines call for the use of multimodal analgesia to manage acute pain. In hospital settings, a clinical decision aid that emphasizes multimodal analgesia may improve nurses' use of this opioid-sparing strategy. Read More

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CE: Environments & Health: Chemicals in the Home That Can Exacerbate Asthma.

Am J Nurs 2022 05;122(5):34-39

Barbara J. Polivka is an associate dean of research and a professor at the University of Kansas, Kansas City. Luz Huntington-Moskos is an assistant professor at the University of Louisville, Louisville, KY, where Russel Barnett is a lecturer. Rodney Folz is chief, pulmonary, critical care, and sleep medicine at Houston Methodist Lung Center, Houston Methodist Hospital. Contact author: Barbara J. Polivka, This work was supported by the National Institutes of Health, National Institute on Aging (award number R01AG047297). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors acknowledge the work of Diane Endicott, MS, BSN, RN, and Carol Norton, MUP, in collecting study data. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.

Abstract: Although chemical exposures from cleaning and disinfectant products often go unnoticed or unrecognized, such exposures have been associated with asthma-related symptoms and exacerbations. The Environmental Working Group (EWG) website provides consumer information on a wide range of issues and products related to human health and the environment, including the use of cleaning and disinfectant products, 2,500 of which it has rated in terms of their effects on respiratory function and asthma. In discussing how the use of cleaning and disinfectant products and the frequency of their use may affect asthma control, the authors use the EWG ratings as well as data collected for a study they conducted on older adults with asthma. Read More

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The Suffering of Simone.

Authors:
Eileen J Glover

Am J Nurs 2022 04;122(4):64

Eileen J. Glover is a psychiatric RN in New England. Contact the author through her website: www.glovercontentservices.com. Reflections is coordinated by Madeleine Mysko, MA, RN: Illustration by Janet Hamlin. A podcast of this essay can be found at www.ajnonline.com.

Contemplating the intractable misery of certain psychiatric conditions. Read More

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