December Issue: TikTok’s ‘Dancing Nurses,’ HIV-Associated Kaposi Sarcoma, More

“As an ICU nurse, I have vivid impressions of the adrenaline-pumping moments of a code blue. Now, after being an ICU patient who experienced a code purple, I still more vividly remember the caring nurse who calmly made me feel like a human being . . .”—Alison Cusmano in her December Reflections essay, “Shift Change: From ICU Nurse to ICU Patient”

The December issue of AJN is now live. Here’s what’s new. Some articles may be free only to subscribers.

Guest Editorial: A Tribute to Dr. Fauci

A nurse honors her husband’s legacy as he retires from a nearly six-decade career in public health.

Original Research: TikTok’s ‘Dancing Nurses’ During the COVID-19 Pandemic: A Content Analysis

The authors examine the use of TikTok by nurses who incorporate dance into their videos—with a focus on understanding how nurses’ use of social media might be violating professional ethical standards.

CE: HIV-Associated Kaposi Sarcoma in the Combination Antiretroviral Therapy Era

This article provides an update on the incidence, characteristics, and management of Kaposi sarcoma, and outlines nursing considerations in the care of people living with HIV who have the disease.

[…]

2022-11-21T09:11:24-05:00November 21st, 2022|Nursing|2 Comments
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‘An Epidemic Transformed’: Where Are We With HIV Today?

“I wasn’t supposed to be here,” [the patient said] to the nurse as he watched the last few drops of his chemotherapy drug infuse into the port implanted in his chest… The nurse caring for him smiled while preparing to disconnect his IV tubing and flush the port….   What distinguished [this patient] from the nurse’s other patients was that he had been living with HIV for 32 years.”

At the very beginning of the HIV epidemic, a friend of mine worked on one of the first HIV units in New York City. The nursing staff followed Standard Precautions in their work with these patients, as we do today. They weren’t particularly concerned about risk to themselves, because it was already clear that this disease—as little as we knew about it then—was not easily transmitted to caregivers.

Remembering fear.

Yet many who worked in other parts of the hospital were not convinced of this. One of my friend’s stories always stayed with me: She relayed how dietary staff would take the elevator to the HIV unit, shove the meal cart out of the elevators into the elevator lobby, and quickly step back into the elevator and close the doors. Many times the nursing staff […]

2019-09-03T10:06:59-04:00September 3rd, 2019|infectious diseases, Nursing, Public health|0 Comments
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September Issue: HIV Update, RN-Performed Bone Marrow Procedures, Debriefing Methods, More

“One day—and I remember distinctly that all I was doing was setting up [my mother’s] pills and preparing a few bites of food that I hoped she’d eat—a clear small voice inside me said, ‘You could do this for other people.’”—Linda Beall, author of the September Reflections column, “A Clear Small Voice”

The September issue of AJN is now live. Here’s what’s new:

CE: HIV Update: An Epidemic Transformed

This article describes the current state of HIV treatment and prevention—including HIV risk reduction strategies such as PrEP and PEP—and highlights the common comorbidities often seen in older people living with HIV.

Cultivating Quality: Bone Marrow Aspiration and Biopsy Performed by RNs: A Review of Clinical Practice

The authors discuss the policies and practices of their program to train RNs to perform bone marrow procedures, its clinical and diagnostic outcomes, and the opportunity for nurses to work to their full scope of practice.

Teaching for Practice: Using Debriefing Methods in the Postclinical Conference

This article examines various debriefing methods and describes scenarios in which clinical instructors can use debriefing to turn daily events into teachable moments.

CE: Original Research: Are Milk and Molasses Enemas Safe for Hospitalized Adults? A Retrospective Electronic Health Record Review

The authors of this study evaluated the safety of milk […]

2019-08-26T10:09:33-04:00August 26th, 2019|Nursing|0 Comments
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A Status Update for World AIDS Day

Photo of AJN editor-in-chief Shawn KennedyIn light of the recent focus on Zika virus and the last few years’ attention to Ebola, there’s been little attention to HIV/AIDS. Today, December 1, World AIDS Day, is a good time to remember that millions still suffer from this disease and thousands contract it annually.

According to the MMWR report released last week by the Centers for Disease Control and Prevention (CDC), the statistics are still sobering:

  • Globally, over 36 million people have AIDS and 2.1 million were newly infected in 2015; 1.1 million died.
  • In the United States in 2013, approximately 1.2 million people had an AIDS diagnosis; approximately 44,000 were newly diagnosed in 2014.

There is good news, in that global access to treatment has increased greatly—in 2010, 7.5 million had access to antiretroviral treatment; by June 2016, over 18 million had access to antiretrovirals.

It’s been over 35 years since AIDS was first reported by the CDC—you can read an overview of the CDC’s response here. I recall the AIDS epidemic only too well. As I wrote in an editorial in 2010:

In 1975, while attending graduate school, I worked part time as a chemotherapy nurse for a hematologist in New York City. Because of his expertise, he was increasingly being asked to consult on cases involving seemingly healthy young men, most of them gay, […]

2016-12-01T10:24:35-05:00November 30th, 2016|infectious diseases, Nursing, Public health|1 Comment
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As with Ebola Outbreak, Social Determinants of Health Crucial in Recent Rural U.S. HIV Outbreak

Rachel Parrill, PhD, RN, APHN-BC, is an associate professor of nursing at Cedarville University in Ohio

by banditob/flickr creative commons by banditob/flickr creative commons

This past fall, with the world watching, a crisis unfolded in West Africa that challenged our understanding of sociocultural environments, epidemiology, and health. The spread of Ebola and the intercontinental transmission of the disease exposed weaknesses in our epidemiological defense system. It also drew attention to the powerful role that cultural beliefs and practices can have on disease transmission during outbreaks.

In that same time frame, and with similar cultural etiologies, another infectious crisis played out much closer to home. The setting: the rural Midwest, in and around the small town of Austin, Indiana. The disease: HIV. The crisis: an unprecedented outbreak—one with incidence rates (up to 22 new cases a day at the height of the outbreak) estimated to be higher than those in many sub-Saharan African nations and transmission rates through injection drug use higher than in New York City. Contributing to this “perfect storm” were socioeconomic factors characteristic of many rural settings, including poverty, low education levels, limited access to health care, and few recreational or employment opportunities.

In my work as a faculty member in a rural Midwest setting, I introduce undergraduate and graduate nursing students to concepts of public health nursing and try to provide […]

2016-11-21T13:02:06-05:00August 25th, 2015|infectious diseases, Nursing, nursing perspective|0 Comments
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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