About Jacob Molyneux, senior editor/blog editor

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

The Affordable Care Act Survives, At Least for Now

Shawn Kennedy, AJN editor-in-chief

Senate roll call, Affordable Care Act/by Kurykh, via Wikimedia Commons

It’s been a couple of weeks now since the Supreme Court upheld the constitutionality of the Affordable Care Act (ACA), and there have been too many articles and analyses to count. The bottom line is that its fate won’t be settled until after the November elections. If the Republicans win the election, the ACA will become the first battleground, as its repeal has been promised by candidate Mitt Romney.

What is concerning is that a great many people pay attention to the rhetoric rather than finding out the facts (remember “death panels”?). This point was well made by political cartoonist Stuart Carlson in this cartoon. It’s hard not to be in favor of many of the provisions—like extending coverage under a parent’s plan for children up to 26 years of age, or barring insurance companies from denying coverage for preexisting conditions.

As nurses, we need to know the facts and go beyond the political rhetoric. We need to be informed for ourselves (anything that has an impact on health care delivery and funding will affect nursing) and for our patients, who will have questions. Get the facts—read the law at the link above, a summary of the law, or the articles we published summarizing how it will affect nursing (our original article, and a 2011 update, both open access until […]

A Few Quick 4th of July Safety Tips for Kids

 

By Tyler John, via Wikimedia Commons

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

It’s almost the 4th of July—the unofficial beginning of summer! After paying your usual homage to the Declaration of Independence and remembering the Minutemen and women (yes, there were women!) of Lexington, here are a few ideas for all you pediatric nurses out there on how to make this holiday—and every summer day— safer for kids:

2017-01-22T09:57:05-05:00July 3rd, 2012|Nursing|Comments Off on A Few Quick 4th of July Safety Tips for Kids

Forward or Back? Some Personal Notes on Why the Affordable Care Act Matters

By Jacob Molyneux, senior editor/blog editor

So today the U.S. Supreme Court did something a little surprising in upholding the individual mandate provision in the Affordable Care Act (here’s the text of the full decision). It was the right thing to do, given judicial precedent, but it still comes as a surprise that Chief Justice Roberts was the swing vote rather than Kennedy, or that they actually did this. Justice Roberts must have looked to his conscience and seen how history would judge him. Or it’s nice to think so.

This is good for many reasons: those under 26 on their parents’ plans can now stay there. A bunch of money earmarked for nurse education will not suddenly disappear. Health care exchanges holding insurance companies to minimum standards will be implemented. Accountable care organizations can continue to experiment in an effort to replace the disastrously expensive fee-for-service model with one tied more closely to outcomes. And a great deal more.

But now we should ask ourselves: Do we go forward or back? This is the real question when it comes to the American health care system. Going back isn’t an option, though many are sure to go on pretending it is (the Republicans will make repealing the Affordable Care […]

Tortoise and Hare: Top 15 AJN Blog Posts for Past Quarter

By Jacob Molyneux, AJN senior editor/blog editor

Dance Floor, via Flickr

We haven’t done as many posts as usual for the past few months. Various contributors are on the lam, vacationing, singing arias, earning PhDs, watching “Game of Thrones” episodes over and over and the like. So be it. 

But here is a list of the most popular posts over the past three months, in case you missed any of these at the time. Of necessity, since this is a blog, some are more ephemeral in their subject matter and relevance than others.

One or two, like “Do Male Nurses Face Reverse Sexism?”, are several years old but still hit the mark. Some were quick studies, grabbed all their readers in a matter of a few days and then tapered off quickly, while others came on slowly like the tortoise, steadily accumulating readers, asserting their charm via random Google searches.

Feel free to let us know what topics you’d like to see covered in the future. We can’t promise we can deliver, but it’s good to get a variety of perspectives. A greater clinical focus? More on policy? More on the nuts and bolts of nursing subspecialties? More personal narratives from nurses or patients? More posts related to recent published research? More polls? Trivial gossip about celebrities? To repeat: Let us know! And enjoy the early summer weekend.

“The Case of Amanda Trujillo”

“New Nurses Face Reality Shock in Hospital Settings – So What Else is New?

“‘How Can You Bear to […]

Nurse Blog Notes: Generation Gaps, Hypothermia, Informatics, Nurses Writing

By Jacob Molyneux, AJN senior editor/blog editor

via Wikimedia Commons

Let’s skip the latest research findings, policy disputes, the unpleasant wait for the Supreme Court to decide the fate of health care reform. Here’s what we’re finding on the nursing blogs these days, a sample of recent posts you might find of interest:

The Nerdy Nurse offers “7 Tips to Be a Successful Clinical Informatics Nurse.” The post isn’t terribly technical; instead, it’s for nurses who might be thinking of going into this line of nursing, and to that end it highlights some strengths to emphasize in an interview.

At madness: tales of an emergency room nurse, a recent post called “There’s a Human Being Under There” sketches out a bit of what’s involved in inducing “therapeutic hypothermia” (for more detail, preview the July AJN CE “Therapeutic Hypothermia After Cardiac Arrest”), but then steps back far enough to remember that all of these processes involve an actual person.

Those Emergency Blues takes an undogmatic look at so-called “generation gaps” among nurses. Instead of throwing stones, dividing the world into ‘us’ and ‘them,’ this post takes a more sensible, fair-minded, probing approach:

Ultimately what I am trying to get at is while I am sure generation gaps exist on units, I do not believe it is entirely as a result of degree vs diploma more than it might be just personality related. Differing maturity levels, different interests, and people at different […]

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