About Jacob Molyneux, senior editor/blog editor

Senior editor, American Journal of Nursing; editor of AJN Off the Charts.

Comparative Effectiveness Research–Is Health Care Reform Possible Without It?

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Improve health, reduce costs: that’s the mantra health care reform advocates keep repeating. And it’s easy to see why: this year, total health care spending in the United States is expected to reach $2.5 trillion, accounting for almost 18% of the gross domestic product. By 2018 the total could be $4.4 trillion-and because economic growth is expected to be slower over this period, that total may account for one-fifth of the gross domestic product in 2018. And even with all of this spending, the United States lags behind other industrialized nations on many measures of health and well being.

While there are many paths to achieving the twin goals of better outcomes and lower costs, a consensus has been growing among health policy experts and economists that part of the solution is to improve the way medical research is conducted and then put it into practice in both providers’ and consumers’ decision making. Comparative effectiveness research (CER)-a model by which cost-benefit analyses of different treatments for a given condition are compared-provides the means for understanding which interventions yield the best health outcomes for the least amount of money.

Read the rest of the article in the October issue of AJN here. With something so complex, life altering, and expensive as health care, how could we not expect to do a little comparative shopping about cost and quality?

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2016-11-21T13:22:02-05:00October 1st, 2009|health care policy|0 Comments
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Mandating Flu Vaccines for Nurses

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

Yesterday, nurses and other health care workers from New York State went to the state capitol in Albany to protest a regulation issued by the New York State Department of Health mandating that all health care workers get vaccinated for both the seasonal flu and for the pandemic H1N1 2009 influenza by November 30th or lose their jobs. Deborah Gerhardt, RN, who was interviewed by USA Today, says she may have to lose her job because she doesn’t have confidence in the safety of the new H1N1 vaccine: “Just because the FDA approved the H1N1 vaccine ‘doesn’t mean it’s safe in my book.'”

mandatingflushotsNew York State Commissioner of Health Richard Daines, MD, disagrees, and followed up an open letter to health care workers released on September 24th with a press conference to defend the new policy. The New York State Nurses Association, which urges nurses to get vaccinated but is against mandatory vaccinations, wrote their own open letter in response.

Citing one study of health care workers during a mild flu season that showed that 23% of the workers showed evidence of having had the flu that season but that 59% of these said they didn’t have the flu that year, Daines said that his concern is that workers are carrying the virus and exposing at-risk patients without realizing it. When challenged on whether family members and other visitors represent an equally great threat to patient […]

2016-11-21T13:22:03-05:00September 30th, 2009|nursing perspective|7 Comments
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Have ‘Mercy’! One Nurse’s Take on the Latest Nurse Drama

MercyScreenshotBy Peggy McDaniel, BSN, RN

As a long-time fan of ER and Grey’s Anatomy, I looked forward to watching the first episode of Mercy, an NBC drama that focuses on three nurses instead of using doctors as the primary characters (click the image to visit the show’s Website, where you can check out the first episode). At the same time, while I’ve often laughed aloud at the tasks doctors are seen doing on Grey’s Anatomy, such as putting patients through a CT scan, it’s the characters that make the show compelling—and as a clinician, I choose to enjoy them and ignore that you rarely see a nurse at the bedside.

ER, unlike Grey’s Anatomy, featured what I would consider “real” nurses doing “real” nursing tasks backed by intelligence, education, and intuition. Maybe it made a difference that it was originally created by Michael Crichton, a doctor who obviously knew something about what happens in a clinical setting. ER skillfully blended clinical action and personal stories of strong, engaging characters. As a clinician, I loved the accuracy and drama.

I have mixed feelings about Mercy. The first episode introduced the characters, who appeared to be at least interesting, if not scintillating. Veronica, the primary character, suffers from PTSD after her return from service in Iraq. While she […]

2016-11-21T13:22:09-05:00September 25th, 2009|career, nursing perspective|2 Comments
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Nurse, Angel, Bride: Where’s the Substance in Coverage of Nurses?

By Barbara Glickstein, MPH, MS, RN. Glickstein is an independent broadcast journalist in NYC and a member of AJN‘s editorial board.

I’m a feminist, public health nurse, and journalist. I know how powerful the mass media is, and I keep an eye on how it represents women—as well as on how it represents and reports about nurses and nursing.

Last week was Fashion Week in New York City and the top designers, after-parties, gossip, and trends were analyzed and criticized. Even so, I was pretty surprised last Saturday when I found two separate NY Times articles on Fashion Week referring to nurses. One by Cathy Horyn, “Even Walking Away, They Still Look Good,” had this line describing a dress by a designer: “One of Ms. Scott’s signature headmistress dresses, in pink wool, had a candy-striper pink collar. It didn’t exactly say ’nurse.’”

NYTimesBoomBoomScreenshotThe second article, by Guy Trebay, quoted fashion designer Cynthia Rowley, who described a waitress “moving with gymnastic ease” through the crowd while adorned in an elegant dress at a new hot spot in Manhattan: “When you come in and see her, at first she’s like a beautiful nurse in white, bringing you your cocktail.” When once she’s dispensed her curative potions, Ms. Rowley added, the nurse–waitress magically “becomes an angel.” And, after a certain amount of time on the job at the Boom Boom Room, the nurse–angel–waitress, Ms. Rowley suggested, “may well ’become a bride’ to one of the monied denizens […]

2016-11-21T13:22:14-05:00September 23rd, 2009|career|2 Comments
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Nurse’s Aide Brings Nursing Home Sexual Abuse to Light—But Why Did It Take So Long?

NursingHomeAbuseScreenshotA few weeks ago I came across an article in a Virginia newspaper in which reporter Mike Owens wrote about the arrest of James Wright, who was indicted on four counts of aggravated sexual battery against different patients in a nursing home where he worked as a nurse’s aide from 2000 until 2007. The nursing facility, NHC HealthCare – Bristol, is one of 76 facilities owned by National HealthCare Corporation. According to the story, staff members—from peers to administrators—had known about Wright’s abuse of patients for years, but nothing was done to stop it until Patty Davenport, another nurse’s aide, frustrated and appalled that no action was being taken, lodged a complaint with the Office of the Attorney General of Virginia.

To me, Davenport is a hero. But why did this take so long to come to light? A more recent article by Owens reports that several staff have accused the then director of nursing, Anne Franklin, of “trashing” their written complaints about Wright.

Through her attorney, Franklin denies this. I hope it’s not true. I’d like to think that any nurse who learned of such egregious acts would immediately take action to protect patients and blow the whistle long and hard. […]

2016-11-21T13:22:16-05:00September 22nd, 2009|career|1 Comment
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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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