Fighting HIV–AIDS with Public Health Billboards: September ‘Art of Nursing’

By Sylvia Foley, AJN senior editor

On a recent trip to the capital of Guinea­-Bissau, Dawn Starin noticed numerous public health billboards urging people to get tested for HIV or to practice safer sex by wearing condoms. One of the six poorest countries in the world, according to the Central Intelligence Agency’s World Factbook, Guinea-Bissau faces an ongoing epidemic of HIV and AIDS. Prevalence is especially high in urban areas and among pregnant women and sex workers. Starin, a writer and a research associate in the department of anthropology at University College London, UK, was struck by the bright colors and larger-than-life figures in the billboards, and photographed several, including the one featured in the September Art of Nursing.

Are the billboards effective?  Starin writes, “Although the billboards are fabulous to look at, many health professionals I spoke with thought they exemplified time and money wasted, in part because of the high nationwide illiteracy rate.” One health worker emphasized the need for more culture-specific studies on sexual practices and tradition, so that appropriate education programs could be developed.

Starin has also photographed public art by Thongleum Damviengkum, a mixed-media artist whose work appeared in the April Art of Nursing. Damviengkum’s often witty pieces, intended to raise public awareness about HIV and AIDS and address the stigma associated with having the disease, are on display at a restaurant in Bangkok, Thailand. “Humor is important if you want people to listen,” […]

2016-11-21T13:15:57-05:00August 30th, 2010|Nursing|5 Comments
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Neither Crime Nor Demeanor

By Marcy Phipps. Marcy is an RN in St. Petersburg, Florida. Her essay, “The Soul on the Head of a Pin,” appeared in the May issue of AJN, and she has contributed several thoughtful posts to this blog in recent months (here’s the previous one).

My patient’s ICU stay was short, as his injuries were fairly unremarkable. Far more striking were the circumstances of his admission; he’d been injured while committing an appalling act of grisly violence. An armed police officer stood sentry at his bedside, and the nature of his crimes gave him a sinister notoriety among the medical staff.

“Alleged” crimes, I should say.

But it was difficult to give him the benefit of the doubt. I’d read the paper and seen the crime scene photos on the news.  The media’s case against him made his innocence hard to fathom, and as a police officer’s daughter I found myself inclined to prejudice. I not only planned on, but also counted on disliking him, at least on some level. Although I would certainly provide care to this man, I exempted myself from caring about him as an individual.

I was surprised to find his demeanor dramatically different than my expectations. He was soft-spoken and retiring, exceedingly polite and appreciative.

I don’t mean to imply that we chatted. Our conversations were limited to his physical condition and general plan of care. He never acknowledged the officer at the bedside or spoke of his alleged crimes, and neither did I.

It’s possible […]

2016-11-21T13:15:59-05:00August 25th, 2010|Nursing, nursing stories|2 Comments
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On the Nurses Walk

By Shawn Kennedy, AJN interim editor-in-chief

As some of you may have seen by my tweets over the last week or so, I was in Australia attending a meeting, the International Academy of Nurse Editors gathering in Coolum (August 11 to 14). We discussed editorial and publishing matters—interesting if you’re “in the biz,” but I imagine most nurses would roll their eyes if I discussed it here.

(Side note, to those interested: there was much discussion about the use and misuse of journal rankings and impact factors and the sustainability of society and clinical practice journals if journal rankings are to be the primary factor in deciding where one should publish one’s work. As long as faculty tenure and promotion are tied to publishing in higher-ranked research and “scholarly” academic journals—and for a thought-provoking discussion on how one defines “scholarly,” see this 2006 editorial (click through to the PDF version) by AJN’s editor-in-chief emeritus, Diana Mason—researchers and scholars will seek to publish in those places, as opposed to in clinical journals that are more widely read by practicing nurses. You’ll hear more from us soon on that discussion.)

Sydney: a proving ground for nurses. So, as long as I was halfway around the world, I took some […]

2016-11-21T13:16:01-05:00August 23rd, 2010|Nursing|0 Comments
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When Timely Nurse Removal of Urinary Catheters Reduces UTI Rate

By Christine Moffa, MS, RN, AJN clinical editor

Ever since we started the Cultivating Quality column at AJN, manuscripts featuring evidence-based quality improvement projects have been pouring in. There is a lot of great work being done at the bedside by practicing nurses, and this column provides the opportunity to share their ideas with others.

This month’s Cultivating Quality installment, Reducing Rates of Catheter-Associated Urinary Tract Infection, comes from Joyce Wenger, MS, RN, the infection control performance improvement coordinator at Lancaster General Hospital, Lancaster, PA. According to the CDC, urinary tract infections (UTIs) account for more than 30% of hospital-associated infections, and almost all are “caused by instrumentation of the urinary tract.” Nursing staff were able to reduce catheter-associated urinary tract infection (CAUTI) rates using a three-pronged approach “beginning with education, progressing to tests of new and better products, and ending with the nurse-driven protocol for catheter removal.”

That last part is my favorite. In most facilities a doctor or nurse practitioner has to write an order before a Foley catheter can be removed from a patient. Patients may end up spending several days at increased risk for UTI because of an unnecessary urinary catheter in place. This hospital came up with a plan to give nurses the autonomy to remove them—which makes sense, since they’re the ones checking the patient daily. The team at Lancaster General created the following list of criteria that patients need to meet in order to maintain […]

2017-02-24T14:36:31-05:00August 19th, 2010|Nursing|1 Comment
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Dog Days of August Blog Roundup

What are nurses blogging about this August? (And why do they call these the “dog days”?) A random sampling of what crossed our desks:

The labor and delivery RN who writes the blog At Your Cervix has a nice short post this week on a team of nurses working together to avert a potential catastrophic event.

Artist, writer, nurse, JParadisiRN has a new post that takes the Steven Slater flight attendant incident as a jumping-off point to discuss what drives nurses crazy and unnecessarily slows down work flow. Her answer, in this post at least: waiting for the physician’s order.

Nursetopia writes of a few of her favorite things about being a nurse. (Preprinted physician order forms are one of them, to refer back to the previous post mentioned… So is working on Christmas Day.)

GuitarGirl RN asks why, why, why about the patients who come to the ER where she works. Why do they believe the Internet over the advice of their physicians? Why do they see a crisis when nothing is happening? And so on…

Ok, and just to balance things out, here’s one from Anonymous Doc, who asks why people in the end stages of terminal illness go on believing in long-shot treatments, and physicians go on giving them, despite the fact that he’s never seen a single one result in a miracle. In other words, when is hope justified, and when is it less […]

2016-11-21T13:16:04-05:00August 18th, 2010|nursing perspective|2 Comments
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