To Promote Healing, Quiet the Din: What Nurses Can Do

Hospital Quiet by striatic  / hobvias sudoneighm, via Flickr

By Sylvia Foley, senior editor

Like many city dwellers, I often find myself battling excessive noise. My apartment is across the street from a large city park, and although I’m grateful for the greenery, in the summer my neighbors and I have to contend with the outsize noise from bandshell concerts, impromptu sidewalk parties, and ramped-up car stereos.  Frequent construction projects and an unrepentantly loud neighbor often add to this racket.  It’s caused me to lose sleep, jacked up my blood pressure, and messed with my concentration.  Indeed, when I was hospitalized with pneumonia briefly a while back, I actually found the quiet of the hospital a balm. Turns out I was lucky in that regard.

Hospitals are often noisy places.  In this month’s Patients First column, authors Kimberly N. Montague and colleagues examine the “near-constant din created by equipment, hallway traffic, and conversation” that’s common in many hospitals. They point out that […]

2016-11-21T13:22:51-05:00August 31st, 2009|nursing perspective|2 Comments

Soccer Brain: Teaching Families about the Dangers of Head Injuries in Youth Sports

By Diana Mason, AJN editor-in-chief-emeritus

soccerI’ve been disturbed by a relative’s seeming lack of concern about his teenage son’s repeated head injuries from playing soccer. I think he doesn’t believe what I tell him about the long-term consequences of head injuries sustained in sports such as football and soccer. So brava to Jane E. Brody, the New York Times Personal Health columnist, for writing about it. She included a symptom guide that sets out what’s of concern and the importance of monitoring those with head injuries for at least 72 hours.

Every emergency room nurse and any nurse who attends youth sporting events should share this article with the parents of children who play contact or collision sports. I’m sending it to my relatives. See AJN’s article on combat-zone traumatic brain injuries for more on the topic.

2016-11-21T13:22:57-05:00August 27th, 2009|nursing perspective|0 Comments

Is It Ethical for a Nurse to Decline the H1N1 Vaccine?

By Douglas Olsen, PhD, RN. Olsen is an AJN contributing editor who co-coordinates the journal’s Ethical Issues department and a nurse ethicist with the National Center for Ethics in Health Care at the Veterans Health Administration in Washington, DC. The views he expresses here are meant to stimulate discussion of this topic and not to serve as pronouncements guiding what nurses should or shound not do. The views are his alone and should not be construed as representing those of AJN or of the National Center for Ethics in Health Care or the Veterans Health Administration.

MailOnlineFluJabScreenshotPublic health experts advocate widespread flu vaccination for people who give direct care to patients. However, in the past less than 40% of health care workers have been vaccinated for flu, and in a recent Nursing Times survey from the UK 30% of nurses said they would decline H1N1 vaccine and only 37% said “Yes” they would take the vaccine. Here are some thoughts on how to sort out the question from an ethical perspective.

Nurses, as patients, should be accorded the same respect for their decisions about health care, including the right to refuse a treatment, that is due to all patients. In ethics this is called respect for patient autonomy.

Professional obligation. However, nurses have a professional obligation to do as […]

Nurse Organizations Oppose Move to Allow Non-Licensed Personnel to Give Insulin to Students (Despite ADA Testimony Supporting the Practice)

A scenario is playing out in California that may have far-reaching consequences for nursing and for school children with diabetes. At issue is a move by the California Department of Education to allow non-nurse, unlicensed school personnel—so, teachers, aides, administrators, and others—to administer insulin to children while at school or at school functions if licensed personnel are unavailable.

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