Archive for the ‘Diana Mason, editor-in-chief emeritus’ Category

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What Obama Told Us (Nurses) in the West Wing Yesterday About Health Care Reform

September 11, 2009

By Diana J. Mason, RN, PhD, editor-in-chief emeritus

Fuzzy cell phone shot in the Rose Garden, Sept. 10, 2009

Fuzzy cell phone image from West Wing, 9/10/09

I was pleased to represent the American Academy of Nursing yesterday at President Obama’s speech on health care reform to an audience of nurses (including new Administrator of the Health Resources and Services Administration or HRSA, nurse Mary Wakefield) in the West Wing of the White House. His remarks summarized his powerful presentation to Congress and the nation on Wednesday evening, with one exception: he used the word “nurses” in Thursday morning’s speech. In fact, in that follow-up speech, he talked a lot about nurses, noting that nurses know too well the problems with our health care system, see the impact of its failings on the lives of their patients every day, are trusted by the public, and are key to reforming health care. 

The President’s speech was introduced by Rebecca Patton, president of the American Nurses Association (ANA). He spoke about his own family’s experiences with health care and the essential work of nurses in helping his family members come into this world, leave it gently, and cope with illness. He then summarized some of the major points of the plan he laid out on Wednesday night:

• People won’t have to worry about being dropped from their health insurance plans if they become ill.
• His plan would not force people or employers to change their coverage or choice of physician (and I hope he soon learns that this language should be “provider,” since many of us get our health care from a range of health care providers who may or may not be physicians).
• His plan would forbid insurers from dropping you or refusing to cover you because of a preexisting condition, would limit out-of-pocket expenses, and would provide the uninsured and others with access to an insurance exchange that would promote competition and lower costs. (I’m hoping that this exchange would include a public plan option to spur more competition.)

He’s right. Nurses do know the importance of these elements of health care reform. He shared the example of a posting on the New York Times blog by nurse blogger Theresa Brown, about treating an insurance salesman with cancer. He asked for nurses’ help in talking with people about the importance of health care reform. We can help by talking with patients, friends, and families about the importance of actively supporting health care reform now. As the President said, “We aren’t the first to take up this course, but we’re going to be the last.”

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Obama Follows Up Reform Speech By Addressing Nurses (including AJN’s Diana Mason) at White House

September 10, 2009

ObamaSpeakstoNurses

Said President Obama this morning, to a White House audience of nurse leaders (including Diana Mason, AJN‘s editor-in-chief emeritus): “You’re the bedrock of our medical system. . . Few people understand . . . as you do why we need reform.” Click the image above to go to a page where you can watch the full speech, and be sure to check back here for Mason’s account of her visit to the White House.

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Health Care Reform Must Target Hospitals, Physicians Who Push Expensive Treatments Over Prevention

September 10, 2009

By Diana Mason, AJN editor-in-chief emeritus

Knowing all too well the failings of our health care system, I’ve become increasingly concerned about the vocal opposition to health care reform. It’s déjà vu all over again. Fear, lies, and irrationality killed Clinton’s Health Security Act—and they’re all at work again now.

Health care reform is not just a matter of covering the uninsured. It’s also about developing a less chaotic, unfair, unsafe, misdirected health care system. Let me give you an example, one that has everything to do with the skyrocketing costs of health care.

by colros, via flickr

by colros, via flickr

Over the past two months, I’ve noticed radio and TV announcements and billboards telling the public about a local hospital’s bariatric surgery center. Two recent studies (here and here) reported that these surgeries are getting safer and the cost is coming down as complications decrease.

But the cost of the hospitalization alone for an uncomplicated bariatric surgery is now about $28,000. That goes up to over $38,000 if complications arise—and almost $70,000 if the patient has to be readmitted. Now, what if a patient decides he’d like to go to a nutritionist every week for several years to gradually lose the weight and change his eating habits permanently? Read the rest of this entry ?

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AJN Conference: It Won’t Be Your Typical Round of Lectures and Talking Heads

September 3, 2009

By Diana J. Mason, editor-in-chief emeritus

AJNConferenceWe at AJN know that there are myriad ways that nurses learn about best practices in care. While we hope you read AJN every month, we know that many nurses would like the opportunity to hear from and talk firsthand with experts in clinical care. On October 4, 5, and 6, you’ll have that opportunity in Chicago at AJN’s first conference: Advancing Excellence in Clinical Practice. This will not be the typical conference where you are lectured to endlessly. The sessions are designed for lots of interaction with participants, in the belief that building sound best practices requires critical analysis of the evidence, local adaptation of idealized approaches to care, and refining what works according to specific circumstances. Read the rest of this entry ?

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

August 27, 2009

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.

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IOM Commission on Future of Nursing: Help or Waste?

July 21, 2009

Today, Modern Healthcare published an article (free, but registration required) on the new Institute of Medicine’s Commission on the Future of Nursing, noting that some people believe that it is misguided because it doesn’t include a union representative or staff nurse, and that we already know what is needed to improve nursing and the lot of nurses. It’s clear from the composition of the Commission that the members were not intended to represent specific organizations. The fact that there is a new (2008) graduate who is a member speaks to the need for fresh insider perspectives. While we’ve emphasized acute care in the profession, health care reform is expected to shift more of the care to the community and primary care. So maybe the nurse midwife on the committee is a good selection. 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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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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Update from South Africa: Festus Mogae Speaks on Crucial Role of Nurses in Controlling HIV

July 1, 2009

AJN editor-in-chief emeritus Diana Mason has sent the following update from the International Council of Nurses (ICN) conference in Durban, South Africa:

Rosemary Bryant, chief nurse and midwifery officer of Australia and a member of the AJN international advisory board, was elected president of ICN. Her term will be four years.

Former Botswana president Mogae Speaks to International Council of Nurses

Former Botswana president Mogae

Former president of Botswana, Festus G. Mogae, delivered the keynote address today to over 5,000 nurses. His support of the role of nurses in advancing health was evident in his appointment of a nurse, Shiela Tlou, as minister of health in 2004. “Although appointed in her own right,” he said, “her appointment was nevertheless recognition of nurses as leaders . . . [who] can lead their countries in any capacity.” Read the rest of this entry ?

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Update from South Africa: Shantytowns Not So Shabby After All?

June 29, 2009
DurbanConferenceScreenshot

The second in a series of posts from AJN editor-in-chief emeritus Diana Mason, who is currently traveling in South Africa with some nursing colleagues: I’m in Durban now, a major city on the eastern coast where the International Council of Nurses (ICN) meeting is taking place. I’m staying in the Prince Edward Hotel on the Indian Ocean, but we’re admonished repeatedly never to go out at night or alone because of the high crime rate.

As I took my shower this morning after suffering through a day of food poisoning, I thought about how the woman who will clean my room may walk miles to work and come from a home that has no running water, sewage, or electricity. I wondered what she thought about the luxury of the bathroom and whether she ever took a quick shower in a vacant room. (I made it a quick shower, being mindful that water is a precious resource in this country.)

But I’ve also thought a great deal about my first post from South Africa. In it, I focused on the poverty in the shantytowns, the diminished life expectancy of poor South Africans. My initial assumptions about shantytowns may need some revision. Read the rest of this entry ?

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