About Jacob Molyneux, senior editor/blog editor

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

When a Fellow Nurse Abuses Drugs on the Job

. . . the nurse wasn’t anywhere on the floor. I started looking around, asking other nurses. My frustration grew when I realized that something about the entire floor felt wrong. The entire night shift had disappeared. My chest tightened and I started to worry about what had happened at the hospital last night.

That’s a short excerpt from the Reflections essay in the October issue of AJN, “A Good Nurse.” It’s by oncology nurse Theresa Brown, who happens to also have a new column out this week at the New York Times Opinionator blog. Never one to shy away from sensitive topics, in this essay she takes on the shock and betrayal in learning a fellow nurse has been abusing drugs on the job. Click the link above or the image on the right to read the whole short essay (click through to the PDF version for the best reading experience). We welcome your responses here, of course.—Jacob Molyneux, senior editor
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Web Roundup: Changing Specialties, Measuring Quality, Caring and Freeloading, More

by Ramon Peco/via Flickr

Here are a few things worth noting on the Web today. At Code Blog, “Rookie Mistake” is illuminating on the subject of switching nursing specialties. Here’s a short excerpt:

My new hospice job is going pretty well.  I really like it.  It’s been an adjustment, but worth the stress of change.

Overall, I’ve been pretty surprised at how little I know/knew about how people die naturally.

In ICU, if you are actively dying, you look terrible.  In most cases, people dying in the ICU are there because we were or are trying to save their life.  This requires some treatments that cause other problems. . . . That is what dying looked like to me for 14 years.  Turns out it’s a pretty exaggerated version of how it is when people naturally die without life-saving interventions.

Also notable: a short post that many may relate to about paperwork and burnout, at The Nurse Practitioner’s Place.

In other news, Kaiser Health News reports that the Joint Commission is releasing its annual list of hospitals that have done well in following certain crucial procedures and protocols:

The commission is recognizing 620 hospitals (download list as PDF or .xls file) – 18 percent of those it accredits — as “top performers” for following recommended protocols at least 95 percent of the time.

Congrats to those who made the list. But a caveat: The article does […]

2016-11-21T13:09:14-05:00September 19th, 2012|Nursing|1 Comment

Where Do You Get Your News?

By Shawn Kennedy, MA, RN, AJN editor-in-chief

I’ve watched the recent political conventions and have been listening to the sound bites one hears on the radio and television news shows. The speakers and newscasters all sound intelligent and righteous and in command of “facts.” However, as we’ve learned from the widespread public misunderstanding of many aspects of the Affordable Care Act, it takes some deeper digging to know what’s “spin” versus what’s fact. (Indeed, fact-checking has become its own political issue, as it seems both parties have been playing a bit loose when it suits their messaging.)

I wonder how many people actually take the time to validate what they hear on the radio or television. Do most people take what they hear at face value? Will many people vote based only on what they heard from the convention coverage or in 30-second news clips (or worse, in the barrage of advertising paid for by the PACs, many of which are quietly funded by industries or wealthy individuals with a stake in who gets elected)?

It occurred to me that I’ve never seen my youngest son or nieces and nephews read a newspaper, yet they seem well-informed about the political issues. I asked my son where he gets his information. He said, “Well, there’s something called RSS feeds . . . .” (He was surprised that I not only knew what they were, but that I use them!) (RSS stands for really […]

Michelle Obama: Health Care Reform the ‘Right Thing to Do’

The full transcript of Michelle Obama’s moving convention speech can be found here.

Here she is on making difficult decisions:

“But at the end of the day, when it comes time to make that decision, as President, all you have to guide you are your values, and your vision, and the life experiences that make you who you are.”

On health care reform:

“When it comes to the health of our families, Barack refused to listen to all those folks who told him to leave health reform for another day, another president. He didn’t care whether it was the easy thing to do politically – that’s not how he was raised – he cared that it was the right thing to do.

He did it because he believes that here in America, our grandparents should be able to afford their medicine…our kids should be able to see a doctor when they’re sick…and no one in this country should ever go broke because of an accident or illness.

And he believes that women are more than capable of making our own choices about our bodies and our health care…that’s what my husband stands for.”

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Domestic Violence Screening: Why the Rush to Dismiss It?

Karen Roush, MS, RN, FNP-C, AJN clinical managing editor

All rights reserved. Photos by author.

A recent study reported in JAMA, “The Effect of Screening for Partner Violence on Women’s Quality of Life” (abstract only), is being touted in overly simplistic headlines across the Web (the word “debunks” has been getting a lot of use) as further evidence that domestic violence screening doesn’t improve outcomes for women.

Don’t believe it.

The problem doesn’t lie with the researchers or with JAMA; they accurately reported just what they found. The problem lies with how it is being interpreted by others as further proof of the overall ineffectiveness of screening for intimate partner violence (IPV).

What the study actually found was that there was no difference in health outcomes between women who received computerized screening and a resource list and women who just received the resource list or women who received neither.

This is how it worked:

Women in primary care settings who agreed to participate and who were randomized to the screening group were seated in front of a computer and responded to the three questions in the partner violence screening (for example, “have you ever been hit, kicked, punched or otherwise hurt by someone within the […]

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