Archive for July, 2009

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Nurse Organization Supports Collins for NIH Directorship–Others Suggest His Religious Beliefs Make Him Dangerous

July 13, 2009

The American Academy of Nursing (AAN) has released a statement saying that it “applauds President Obama’s nomination of Francis S. Collins, MD, MPH, for Director of the National Institutes of Health (NIH).”

From chego101, via Flickr

From chego101, via Flickr

But now it appears there’s a controversy  brewing around Collins, a scientist who just happened to direct the Human Genome Project—how far it might progress is hard to say, but witness the distinctly unscholarly tone of an article at a Web site called Scholarly Kitchen. The author draws upon frank statements Collins has made about his religious beliefs as an evangelical Christian in order to impugn, through innuendo and inference—aided by some typically brilliant rhetorical sleight of hand from no less a celebrity scientist than Steven Pinker—Collins’s very claim to objectivity. How dangerous is Collins, you might ask? Here’s a quote from Collins used to suggest he’s not to be trusted:

Science is not particularly effective — in fact, it’s rather ineffective — in making commentary about the supernatural world. Both worlds, for me, are quite real and quite important.

Hmm. Pretty scary stuff. As I read, I hoped to learn exactly how Collins had undermined scientific objectivity (for example, by acting on behalf of the Bush administration in redacting vast portions of studies unfavorable to a political agenda), but saw not the slightest bit of concrete evidence that Collins has ever let his religious beliefs color his scientific objectivity or affect his practice. Read the rest of this entry ?

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Criminal Nurses: Who’s Looking Out for the Public’s Safety?

July 13, 2009

PropublicaScreenshotJournalists Charles Ornstein and Tracy Weber have continued their expose of the California Board of Registered Nursing‘s (CBRN) delays in investigating and acting on complaints against nurses. The role of this and other state boards is to protect the public from unsafe nurses. Ornstein and Weber show that nurses who are incompetent or engage in criminal activities are able to go from one workplace to another, sometimes harming patients, because the board fails to meet its obligation to the public in a timely fashion.

I wrote before about this issue back in March when AJN published a study by Zhong and colleagues about recidivism among nurses who are disciplined. The authors found that a prior criminal record predicted who was likely to recidivate. At the time, I noted that Ornstein and Weber’s initial reporting brought more staff positions to the CBRN. Read the rest of this entry ?

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What’s It Gonna Take to Improve Nurse Staffing?

July 10, 2009
From otisarchives4, via Flickr

From otisarchives4, via Flickr

It’s easy to forget that nurses are the ones who will continue to provide most of the care in whatever health care system we end up with in the coming years. Unfortunately, two recent announcements about how nurses rated staffing and workloads gave me a nasty sense of déjà vu.

On July 6, the American Nurses Association (ANA) announced the results of an online survey it conducted for several months last year: 70% of the 10,000 plus respondents say staffing is insufficient; 52% said they are considering leaving their job (of these, 42% say it’s because of inadequate staffing). Slightly more than 35% say they “rarely or never” are able to take full meal breaks. Over half say the quality of care has declined and almost half (49.5%) are unsure if they’d want someone they care about treated in the facility in which they work. Read the rest of this entry ?

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Flu Preparedness Summit Issues Warning–But What Should Nurses Know?

July 9, 2009

“The Obama administration warned Americans on Thursday to be ready for an aggressive return of the swine flu virus in the fall, announcing plans to begin vaccinations in October and offering states and hospitals money to help them prepare.”

(Here’s the NY Times article quoted above. And here’s the flu preparedness summit held today by major players in the U.S. government, with archived video footage. Also: guidance for nurses, provided to AJN by the CDC in late April. We’ll be checking in with them soon for an update.)
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Web Roundup: The Nursosphere, Dying Nuns, Transparency in Medical Pricing

July 9, 2009

emergiblogscreenshotJuly09We do our best to keep up with the nurse blogosphere, but it really helps to have regular help from Kim at Emergiblog, who has posted a fantastically varied and snappy roundup of recent blog posts by nurses in her latest edition of “Change of Shift.” (And thanks, Kim, as always, for the mention of Off the Charts.)

A while back, we noted a news story about parish nurses, and asked whether spirituality and nursing are a good fit—so it seems appropriate to mention two stories with some bearing on health care and its intersection with spiritual or religious matters. Daily Dose, the Washington Post blog “tracking the debate over health care reform,” writes that faith groups are increasingly engaged on the health care reform issue and are “pressing the moral urgency” for reform. And the NY Times has a thought-provoking article about nuns at one convent who are facing death “with dignity and reverence” while often eschewing aggressive treatment.

A convent is a world apart, unduplicable. But the Sisters of St. Joseph, a congregation in this Rochester suburb, animate many factors that studies say contribute to successful aging and a gentle death — none of which require this special setting. These include a large social network, intellectual stimulation, continued engagement in life and spiritual beliefs, as well as health care guided by the less-is-more principles of palliative and hospice care — trends that are moving from the fringes to the mainstream. Read the rest of this entry ?

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Useful Links for Understanding Health Care Reform

July 8, 2009

At Slate,guide of sources to help those of you who’ve got the gumption (and time) begin to navigate the overwhelming amount of information and misinformation about health care reform.
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Sexual Harassment by Doctors, and Signs of Growing Acceptance for HIPAA Privacy Laws

July 8, 2009
Photo by AnnaKika, via Flickr

Photo by AnnaKika, via Flickr

RealityRN, a site popular with nursing students and new nurses, has a couple of interesting posts lately:

Here’s an anonymous post from a new nurse graduate looking for advice about how to handle sexual harassment by a doctor. How would you advise her?

And this post is a cautionary tale for all clinicians who’ve ever been tempted by curiosity about a patient: it describes just how easy it is for hospital information systems to detect when someone has violated HIPAA (short for the Health Insurance Portability and Accountability Act) privacy laws by accessing a patient’s record when they shouldn’t. While we all know how much confusion and resentment the more arbitrary and punitive aspects of HIPAA caused after its implementation in 2003, this month’s AJN describes clinicians’ growing acceptance of the law’s benefits, an acceptance resulting from growing familiarity with the law and from continued efforts to smooth out some of the law’s rougher edges.

[The] early focus on HIPAA’s punitive aspects led health care organizations to adopt strict privacy procedures and policies that left little room for clinical staff to exercise professional judgment in communicating patients’ health information. Now, most have relaxed this approach in response to feedback from clinical staff and consumers, as well as a friendlier informational Web site from the U.S. Department of Health and Human Services (DHHS), whose Office for Civil Rights oversees compliance.

Is HIPAA getting easier for you?

Jacob Molyneux, senior editor
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Postadoption Depression: It’s Not an Aberration

July 7, 2009
By Poldavo, via Flickr

By Poldavo, via Flickr

Eight years ago, I found myself struggling with a darkness that made me feel I had lost my way and couldn’t bond with the baby girl I had desperately wanted to adopt. Unsure of where to go for help, I searched online for anything I could find on adoption and depression.

Read the Viewpoint in AJN‘s July issue.

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Proposed Vicodin, Percocet Ban: Part One of Double Whammy for U.S. Pain Control?

July 6, 2009
By wonker, via Flickr.

By wonker, via Flickr.

Some crucial context may have been left out of last week’s widely reported story that an FDA advisory panel has recommended bans on Vicodin (hydrocodone plus acetaminophen) and Percocet (oxycodone plus acetaminophen), two popular combination drugs used to treat pain. The panel’s concern is the liver toxicity of acetaminophen, an ingredient in a number of other prescription drugs that would also be banned if the FDA adopts the panel’s advice.

A number of clinicians and patients have expressed alarm at the potential loss of Vicodin and Percocet, both of which are mainstays of pain management in the U.S. In fact, says Carol Curtiss, MSN, RN, BC, a nationally recognized speaker on pain and symptom management and a past national president of the Oncology Nursing Society, the proposed ban could have even more drastic implications than most people yet understand. Read the rest of this entry ?

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Africans Using Music to Change Unsafe Sexual Practices

July 3, 2009
Bongani Tembe and Linda Bukhosini

Bongani Tembe and Linda Bukhosini

Thanks to my friend and nurse colleague, Nonceba Lubanga, a South African nurse and human rights activist who has worked in children’s health in New York City for more than two decades, AJN editorial board member Barbara Glickstein and I were honored to have dinner at the home of Bongani Tembe and Linda Bukhosini, world-renowned vocalists. Tembe is the chief executive and artistic director of the KwaZulu-Natal Philharmonic and Bukhosini is the CEO and managing director of the Playhouse Company in Durban. They told us about a project they developed to use music to change the sexual notions and practices of South African men, with the goal of preventing the spread of HIV and reducing sexual violence. Tembe worked with others to organize a march to a stadium, got musicians to write music that included healthier sexual messages, and handed out CDs of the music. This extraordinary couple understands the power of music in promoting health.

Diana Mason, AJN editor-in-chief-emeritus, sent the above post, the last one before her return this weekend, from Durban, South Africa, where she’s been attending the ICN conference
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