AJN’s December Issue: Working During a Pandemic, HIV Foot Care, Healing Pet Visits, a Focus on Narrative

AJN1213.Cover.OnlineAJN’s December issue is now available on our Web site, just in time for some holiday reading. Here’s a selection of what not to miss.

Working during a pandemic. Flu season is in swing, but how do nurses feel about working during a flu pandemic? Researchers investigating terrorism and catastrophic events found that up to 96% of health care workers reported being unable or unwilling to work during some emergencies, with some infectious diseases associated with the highest rates of unwillingness. “Predictors of Nurses’ Intentions to Work During the 2009 Influenza A (H1N1) Pandemic,” December’s original research CE, suggests that providing adequate resources during an emergency (such as personal protective equipment) will not only ensure the safety of patients, nurses, and nurses’ families, but may also increase nurses’ willingness to work in times of crisis. Earn 2.5 CE credits by reading this article and taking the test that follows. If you’re reading AJN on your iPad, you can listen to a podcast interview with the author by clicking on the podcast icon on the first page of the article. The podcast is also available on our Web site.

HIV foot care. Peripheral neuropathy, which causes debilitating symptoms such as burning pain and sensation loss in the foot, continues to be prevalent in people with HIV, but is often overlooked. “HIV Peripheral Neuropathy and Foot […]

Giving Noise a Red Light

By Marcy Phipps, RN, whose essay, “The Soul on the Head of a Pin,” was published in the May 2010 issue of AJN. She’s a frequent writer  for this blog.

This stoplight noise meter showed up at the nurse’s station last week.

I have to admit—we didn’t take it too seriously, at first.

It looks like something you could buy in a novelty shop, shelved next to lava lamps and strobe lights. And it’s modifiable; buttons and dials on the back of the gadget allow not only for sensitivity adjustments, but also give the option of changing the type of alarm that sounds when a noise infraction is detected. The default alarm warning is a soft-spoken, female “quiet, please!” that can be translated into Spanish, French, or German—but there’s also an option for a shrill siren, which seems ridiculous, considering that much of the cacophony of critical care is owed to noisy alarms and ringing phones.

We even discovered how to record our own admonishments (which opened the door to countless mischievous possibilities . . . not that we’d indulge in that sort of thing, of course).

In seriousness, noise reduction is vital to promoting a healing environment. In a recent article in Critical Care Nurse, the links between sleep deprivation and altered physiologic processes specific to the critical care population are reviewed. Noise reduction guidelines and recommendations from […]

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