About Jacob Molyneux, senior editor/blog editor

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

Never Ever Stop Learning: Guidance for Today from Florence Nightingale

On Florence Nightingale’s 201st birthday, coming as it does each year at the end of Nurses Week—and this year after a year of unprecedented challenges for nurses around the globe—there’s no better time to revisit her career.

If she were here today, there’s no doubt she would have much to say and many insights. She helped envision a nursing that encompassed the compassion and professionalism of a skilled bedside nursing that was grounded in ethical principles, scientific and statistical evidence, and a spirit of inquiry.

In 2011, Susan Hassmiller, PhD, RN, FAAN, the Robert Wood Johnson Foundation Senior Adviser for Nursing, spent her summer vacation traveling through Europe pursuing a dream to learn more about the life and work of Florence Nightingale. In her dispatches from the road, posted one by one and collected here, Hassmiller reported on her trip, what she learned, and what it means to nurses’ work today.

Ten lessons learned from her life.

The culminating post in the series may be a good place to start, however, and to reread and contemplate as we face old challenges in ever new guises:

Parting Thoughts: Ten Lessons Learned from Florence Nightingale’s Life

It begins, as one might expect, with “never, ever stop learning.” We couldn’t agree more.

Assessing the Post-Pandemic Future of Virtual Care

The following is a condensed version of an upcoming news article by Joan Zolot scheduled for AJN’s May edition.

Studies of safety and quality will determine the optimum use of this option.

Photo by Anna Shvets from Pexels

The use of telemedicine surged during the COVID-19 pandemic. Phone and videoconferencing limited patients’ exposure to the virus while maintaining their access to care. One estimate found that virtual care peaked at 42% of all ambulatory visits covered by commercial insurers in April 2020. The February 2 JAMA published several articles* addressing the safety, effectiveness, and quality of virtual consults and their future in health care.

Some obvious and potential benefits.

Because of its efficiency, virtual care has been shown to be particularly suitable for mental health consults, prescription refills, and straightforward evaluations. It can reduce patient inconveniences such as travel to appointments and lost work time. It can also enable patients to receive needed care sooner, especially those with limited mobility, caregiving responsibilities, or who live in remote areas. It may also have the potential to improve care coordination by enabling primary care clinicians and specialists to confer jointly with patients.

Risks, concerns, ongoing questions.

Because virtual medicine does not allow for physical examination, it’s inadequate for common clinical situations […]

‘Right Under Our Noses’: Nightmarish Nursing Home Conditions During the Pandemic

As vaccinations increase and COVID-19 infection rates in nursing homes plummet, it’s easy to forget just how bad things got in many of them and how ill-equipped many were in the the early months of the pandemic to provide humane and effective care.

The following excerpt is from our March Reflections essay, “Right Under Our Noses: Nursing Homes and COVID-19,” which was written by a California nursing professor who volunteered to join a California Medical Assistance Team. The mission of her team was to bring aid to a skilled nursing facility where the coronavirus was rapidly infecting both patients and staff, a facility with little PPE available and many staff members refusing to come to work out of fear of infection.

The conditions I saw were shocking, even to an experienced nurse. I saw soggy diapers on the floor at the heads of many beds on most mornings. One day a bedbound patient needed the bedpan. I searched every closet and drawer but there were no supplies. I filled a basin with warm water and cut up a PPE gown to make washcloths to clean the patient. On the second day of my deployment I realized that many of the […]

The Emergence of Sacred Space and Time in Hospice Care

I knew he was close. His breathing had changed, but I also knew it could be hours. It was 4:30 on a Friday afternoon and I was ready to be done with my week. The apartment was full of friends and family, full of an energy that was neither nervous nor productive. It felt like the buzz of being. The man’s wife and daughter were in the bedroom with him.

In the February issue Reflections essay, “The Car Ride Home,” author Paige Fletcher movingly evokes an episode from her experience as a hospice nurse. This one-page essay, which will be free until the end of February, is written with unusual clarity and restraint and is well worth the five or 10 minutes it takes to read it.

Fletcher writes convincingly of a sense of sacred space and time that can emerge as a life ends in a supportive home hospice setting. And she describes her […]

2021-02-16T15:30:52-05:00February 12th, 2021|Nursing|0 Comments

AJN Off the Charts: Eight Enduring Blog Posts from 2020

In a 2020 largely defined since early March in the health care field by the all-consuming COVID-19 pandemic, we published many powerful and timely posts on this blog.

Some of them were very much of the moment as writers tried to sort through the unknowns and knowns about this unfamiliar virus, address the crisis faced by nurses thrown up against it with inadequate evidence or material support, and raise their voices in favor of sane policies to bring some order out of seeming chaos and mixed messaging.

The most striking and wrenching of these may have been the first one below, a powerful post from last April by a young ICU nurse working under frightening conditions during the first bewildering surge of the virus. Reading it may remind us of just how disorienting the early days and months of this pandemic were for everyone, especially ED and ICU nurses.

Other authors share historical contexts that help us understand our current situation or timeless wisdom that nurses can apply now to staying inwardly whole and sane during the pandemic and later when the going gets tough in other ways.

There are many many other posts that could have gone on this list. If any of these resonate for you, we hope you’ll share them. If you’re not already familiar with this blog and like what you read, we hope you’ll consider subscribing (see the right-hand sidebar) to receive each new post as an email in your inbox. We publish two to three times a week.

 

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