Providing Nursing Care Amid Devastation in Gaza
A snapshot of competence and courage.
Investigating the Relationships Among Nurses' Stress, Sleep Quality, and Mental Health, and the Mediating Role of Coping Strategies and Social Support: A Cross-Sectional Study
Work-related stress significantly impacts nurses' well-being and professional performance. Coping strategies and social support play a role in managing stress. Extensive research on nurses' stress exists, but an understanding of the relationships among variables such as sleep quality and mental health, among others, is limited.
Implementing a Standardized Bundle to Prevent Nonventilator Hospital-Acquired Pneumonia in Adults
The emerging field of implementation science (IS) facilitates the sustainment of evidence-based practice in clinical care. This article, the fifth in a series on applying IS, describes how a nurse-led team at a multisite health system used IS concepts, methods, and tools to implement a standardized nursing bundle on three adult inpatient units that aimed to reduce the incidence of nonventilator hospital-acquired pneumonia.
A DNP Student's Roadmap to Project Success and Sustainability
Developing a mindset that leads to impactful and meaningful change.
Designing the Implementation Plan for Success and Sustainability
This is the eighth article in a new series designed to provide readers with insight into educating nurses about evidence-based decision-making (EBDM). It builds on AJN's award-winning previous series-Evidence-Based Practice, Step by Step and EBP 2.0: Implementing and Sustaining Change (to access both series, go to https://links.lww.com/AJN/A133). This follow-up series on EBDM will address how to teach and facilitate learning about the evidence-based practice (EBP) and quality improvement (QI) processes and how they impact health care quality. This series is relevant for all nurses interested in EBP and QI, especially DNP faculty and students. The brief case scenario included in each article describes one DNP student's journey. To access previous articles in this EBDM series, go to https://links.lww.com/AJN/A256.
Reducing Intermittent Catheterization in Cases of Postvoid Residual Urine Without Increasing Hospital-Acquired Urinary Tract Infections
Postvoid residual (PVR) urine is common in older patients. It is often managed with intermittent catheterization because of its assumed association with the risk of urinary tract infection (UTI). This association is uncertain, however, whereas the association between intermittent catheterization and increased risk of UTI is clear. Evidence further suggests that the threshold for intermittent catheterization in patients awaiting spontaneous urination after surgery can be raised without increasing the risk of UTI or voiding difficulties.
A Conversation with Sylvia Trent-Adams
The president and CEO of the Institute for Healthcare Improvement.
Best Practices for Implementing Hospital-Based Virtual Nursing: An Integrative Review
There are currently unprecedented threats to the nursing workforce, including burnout and stress, which contribute to low job satisfaction, inadequate staffing, and decreasing retention rates. Virtual nursing is a possible solution to address many of these issues. Although this is a well-established staffing model in the ICU, it is newer to other hospital-based settings, and there are no current best practices for implementing virtual nursing in the non-ICU setting.
Implementation of a Continuous Video Monitoring Program to Decrease Inpatient Falls in a Long-Term Acute Care Hospital Setting: A Prospective Observational Cohort Study
Continuous video monitoring programs have been found to reduce inpatient falls and 1:1 sitter use in the short-term acute care hospital setting. But the impact and potential benefits of such programs in the long-term acute care hospital (LTACH) setting are still unknown.
Health Care Workforce Rebounds Post-COVID-19
But shortages persist at hospitals, skilled nursing facilities.
Understanding Multiplicity Issues in Statistical Analysis
It is not uncommon for researchers to try to use the same dataset to conduct more than one inferential statistical analysis. For example, sometimes researchers want to conduct hypothesis testing with outcomes that are different from the originally planned main effect, or with a similar outcome but across different subgroups, using the same significance level for all tests. A significant finding could just be a product of an increased rate of spurious statistical significance or false-positive rate. This article introduces the topic of multiplicity, including definitions, examples, and implications for research studies, and offers potential solutions. It is intended primarily for nursing researchers and other health care professionals, students, and people conducting research based on statistical hypothesis analysis. It can also be used as an introductory guide for nurses who would like a basic understanding of multiplicity issues in studies based on inferential statistical analysis.
