May Issue: Addressing Nurse Burnout, New Chest Pain Assessment Guidelines, More

“This is the third Nurses Day celebrated since the start of the pandemic and nurses’ work has gotten more recognition than ever. But is that recognition enough?”—AJN senior clinical editor Christine Moffa in her editorial, “Honoring Nurses Where They Need It”

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

Original Research: Combating the Opioid Epidemic Through Nurse Use of Multimodal Analgesia: An Integrative Literature Review

This review presents strong evidence on the benefits of multimodal analgesia in reducing opioid use for pain management in the acute care setting.

CE: Chemicals in the Home That Can Exacerbate Asthma

The authors describe how the use of cleaning and disinfectant products may affect asthma and asthma-related symptoms and report the findings of a recent study they conducted that identified how these products could reduce asthma control in older adults.

Effective Holistic Approaches to Reducing Nurse Stress and Burnout During COVID-19

This quality improvement project evaluated the use of serenity lounges—dedicated rooms where nurses can take workday breaks to relax and rejuvenate—and massage chairs on nurses’ anxiety, stress, and burnout.

[…]

2022-04-25T09:32:36-04:00April 25th, 2022|Nursing|0 Comments
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May Issue Highlights: Pain Management in Critical Care, ECG Interpretation Basics, More

“The reality of an insufficient health care workforce and underfunded health care system is all too evident. . . . Perhaps things will change after this, and we will be ready the next time. I hope so.”—editor-in-chief Shawn Kennedy in her May Editor’s Note, “Life, Interrupted“

In case you’d like a break from COVID-19 headlines and want to keep up with some other nursing and health care topics, the May issue of AJN is now live. Here are the highlights:

Original Research: Exploring the Effects of a Nurse-Initiated Diary Intervention on Post–Critical Care Posttraumatic Stress Disorder

The authors examine how collaborative diary writing—by patients, visitors, and interdisciplinary team members—can affect the development of posttraumatic stress disorder and symptom severity in critical illness survivors.

CE: Managing Pain in Critically Ill Adults: A Holistic Approach

A review of the Society of Critical Care Medicine’s PADIS guidelines—and how they go beyond the earlier PAD guidelines—in providing specific guidance related to assessment and management of pain, use of opioids in critical illness, and use of adjunctive analgesia.

New Series: Strip Savvy: A Case of Bradycardia and Extreme Fatigue

This is the first article in a new series on the basics of electrocardiography (ECG) […]

2020-04-27T09:02:16-04:00April 27th, 2020|Nursing|0 Comments
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Caregivers Home Alone-And Needing Our Support

Family caregivers performing complex care.

When my mother needed care at home in her final days, she was fortunate in that two of her daughters were nurses who were familiar and comfortable in providing her care. We were fortunate in that she did not require complex care like tube feedings or IVs or ostomy care or wound care or dialysis. But many people do, and must rely on family members to do these complex tasks.

I remember how I felt as a nursing student when I had to administer one of these complicated interventions. I remember being anxious, my hands sweating as I desperately tried to recall the list of instructions I had looked up the night before.

And yet I had an instructor with me to walk me through it. Family caregivers have no such support and often don’t even get adequate instruction beforehand.

Family caregivers need more than recognition.

November is National Family Caregivers month and I can’t think of a group more in need of recognition. But while naming a month in their honor is nice to increase awareness of the more than 40 million family caregivers in this country, they need much more than that. Specifically, they need more in the […]

2019-11-18T11:16:45-05:00November 18th, 2019|family caregiving, family caregiving, Nursing, Patients|1 Comment
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Morphine in Hospice Care: Why Family Members May Resist Its Use

Underlying his concerns was a strong sense of moral responsibility. He was his mother’s protector. He was her voice. He had a duty to keep her safe…

Morphine’s essential place in hospice care.

When I began work in a hospice, I quickly came to see morphine as a wonder drug. It was used so much more effectively in palliative care than with the med-surg patients I had cared for in the hospital!

Morphine can be given via multiple routes, it’s easy to titrate, its side effects are well-known and therefore easy to manage, and it can bring dramatic pain relief as well as markedly improved breathing.

It was common for us to admit patients to hospice whose pain had never been controlled, and they were often dumbfounded at how easily their pain could be managed. The proper medical use of morphine was literally life changing for them.

Addressing family members’ concerns.

As a result of my hospice experience, I’ve always been a big believer in patient and family education to debunk myths and highlight the optimal uses of this drug. And yet education alone isn’t always what family members need when morphine is prescribed for their loved ones. Especially when the patient is at home and it’s a family member, not a nurse, managing […]

2019-11-12T15:36:45-05:00August 21st, 2019|family experience, patient experience|3 Comments
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When Children Hurt

As an ER nurse, I saw a lot of people in pain, either arriving at our door to have their pain relieved or enduring the pain of needed treatments, knowing that the interventions were necessary. In my experience, though, there’s nothing worse than seeing a child in pain, and the younger the child, the more awful it was.

You began the encounter with a sick or injured child who was already frightened by the circumstances that had caused their parents or guardians to bring them to the hospital. It’s hard to get past the frightened eyes and tears, the little ones trying to burrow into their mother’s shoulder and not wanting to be put down on a paper-covered table. And this was before even attempting any assessment.

Nurse uses Wong–Baker FACES Pain Rating Scale to help assess patient’s pain. Photo by Gerry Melendez/The State/MCT via Getty Images.

Factors to consider in assessing a child’s pain.

We were taught that “pain is what the patient says it is,” and that still seems to be true of children’s reports of pain. But there are many factors that need to be considered, such as […]

2019-05-23T10:18:37-04:00May 23rd, 2019|Nursing, patient experience, Patients|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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