About Jacob Molyneux, senior editor/blog editor

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

AJN’s Growing Collection of Podcasts

Look for the AJN podcast icon Look for the AJN podcast icon

A note from AJN’s editor-in-chief, Maureen Shawn Kennedy: Why not head over to our Web site and check out AJN’s podcasts and video collections? Just put your mouse over the MEDIA tab at the top and choose podcasts or one of the video series in the drop-down menu.

We’ve got a variety of podcasts to choose from:

  • monthly highlights, in which editors discuss the articles in each issue
  • “Behind the Article” podcasts are interviews with authors to discuss their work or provide additional context about the article
  • and in “Conversations,” listen to, well, conversations with nurses and other notable and interesting people (there’s even one with former president Jimmy Carter!)

We also have special collections, one of which contains music from Liyana, a group of disabled African singers who graced the cover of the August 2009 issue. (See “On the Cover” from that issue to read about them.)

The other collection contains poems written by nurses who served in the Vietnam War. They were collected by Kay Schwebke, author of “The Vietnam Nurses Memorial: Better Late Than Never” in the May 2009 issue. The short poems are heartbreaking and very much worth hearing.

One final option, if you prefer to save podcasts for listening to at a more convenient time: you can subscribe to AJN‘s podcasts in the iTunes store. Just search for […]

Walkers

Peggy McDaniel, BSN, RN, an occasional contributor to this blog, works as a clinical liaison support manager of infusion, and is currently based in Brisbane, Australia.

800px-Billiards_balls By Andrzej Barabasz (Chepry)/via Wikimedia Commons

I see, crossing my path as I ride my bike along the beach, a man in his mid-20s with sandy, sun-streaked blond hair and a long sharp nose that’s a dark, angry red. His gait is deliberate, arms and legs moving in sharp angles. Occasionally I’ve seen him sitting along the path, eyes staring out across the sea, chin on fist, always alone. As my bike glides by, I glance over at his face, which lacks all expression.

It occurs to me that the reason, perhaps, that I take notice of this man is because he reminds me of a patient I once had—Charles (not his real name)—who shared that expressionless gaze and deliberate gait, one that took him nowhere in particular as he covered miles every day.

I was working as an inpatient psych nurse and attending school to finish my BSN degree. Charles was intermittently admitted to our unit. He lived on the street, for the most part, and since I lived downtown, I’d occasionally notice him walking. It’s been too long for me to remember what brought him into the hospital. I’m sure it was a variety of things. A person had to be a danger to themselves or others to stay very long in the unit, […]

Youth with T1 Diabetes Not Meeting A1c Targets: What Can Nurses Do?

By Jeniece Trast, MA, RN, CDE, clinical research nurse manager, certified diabetes educator, Children’s Hospital at Montefiore, Montefiore Medical Center, Bronx, NY

bloodglucosetestingDiabetes Care recently published an article showing that our youth with type 1 diabetes, especially those in adolescence, are not meeting glycosylated hemoglobin (HbA1c) clinical guidelines. The HbA1c is a blood test done every two to three months that shows how well controlled the glucose levels were over that time period. As much as this news is disappointing, I am not shocked by it. Type 1 diabetes is a challenging disease to live with at any age; however, the adolescent years definitely intensify the challenge.

As a nurse and certified diabetes educator (CDE), I take on many roles when caring for a teenager with type 1 diabetes: educator, team member, moderator, blood glucose assessor, advocate, cheerleader, and even role model (yes, I have type 1 diabetes also).

Challenges and responsibilities. When caring for these patients, keep in mind that type 1 diabetes is a difficult disease to live with on a day-to-day basis. People with type 1 have lots of important responsibilities just to stay alive: multiple insulin administrations each day; constant blood glucose checking; understanding the effects of exercise on glucose level both during and after exercise; balancing exercise, stress, food, and insulin; […]

The Hardest Decision: A Military Husband Returns to Tragedy at Home

FebruaryReflectionsIllustrationOur February Reflections essay, “The Hardest Decision,” is by a Amanda Richmond, a nurse based in Arkansas. It’s about a husband facing a drastically changed world upon return from deployment overseas—and a nurse who bears witness. Here’s the opening paragragh. Reflections essays can always be read without a subscription to AJN.—JM, senior editor

That she was still beautiful made her situation all the more tragic. She had little visible damage. An EVD tube snaked out from under her hair and deposited its contents into a drip chamber. Her chest rose and fell at a preselected rate of 14 breaths per minute. iv lines disappeared under her gown and terminated into a central line. On the monitor, her vital signs were flawless.

‘Patient Activation’: Real Paradigm Shift or Updated Jargon?

By Jacob Molyneux, AJN senior editor

I attended a Health Affairs briefing yesterday in Washington, DC. Based on the February issue of the journal, it was called “A New Era of Patient Engagement.” A lot of research money appears to have been flowing to this area in recent years.

Our January article on "Navigating the PSA Screening Dilemma" includes a discussion of 'shared decision making' Our January article on “Navigating the PSA Screening Dilemma” includes a discussion of ‘shared decision making’

The basic idea isn’t entirely new to anyone who’s been hearing the term “patient-centered care” for a long time: as Susan Dentzer writes in “Rx for the ‘Blockbuster Drug’ of Patient Engagement,” a useful article summarizing the main ideas raised in the Health Affairs issue: “Wherever engagement takes place, the emerging evidence is that patients who are actively involved in their health and health care achieve better health outcomes, and have lower health costs, than those who aren’t.”

One might add to these projected benefits: better experiences as patients.

Something’s got to change, so why not this? If many nurses feel they’ve heard all this before, the sense of a health care system in necessary flux […]

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