About Amy M. Collins, managing editor

Managing editor, American Journal of Nursing

How Do You Define Nursing?

Virginia Henderson Virginia Henderson

By Maureen Shawn Kennedy, AJN editor-in-chief

Fifty years ago this month, in the August issue of AJN, Virginia A. Henderson, one of nursing’s giants, explained how she came to her definition of nursing: “The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge.” (We’ve made the article, “The Nature of Nursing,” free until September 30. Click through to the PDF under “Article Tools.”)

Many (older) nurses may remember Henderson as one of the authors of Harmer and Henderson’s The Principles and Practices of Nursing, a mainstay textbook for nursing schools, or for her internationally published book, Basic Principles of Nursing Care, which was translated widely. She also taught nursing at Teacher’s College, Columbia University, and then later at Yale University, where she developed a comprehensive index of nursing research. But her accomplishments went far beyond that. Her writings helped change how nursing was being regarded—from an occupation that existed only to provide physicians with helpmates to a scholarly, independent profession.

I had the good fortune to meet Henderson in the early 1990s, when she came to AJN’s offices to meet with Fred Pattison, AJN’s librarian at the time, who was also the editor of the International Nursing Index. She was warm, engaging, down-to-earth, and had […]

2016-11-21T13:04:01-05:00August 27th, 2014|career, Nursing|2 Comments

Much Ado About a Fist Bump Study

hands touching illustrates post about fist bump study and germsBy Karen Roush, clinical managing editor

In this world of evidence-based care, is there anything to be said for common sense? Last week a study was published in the American Journal of Infection Control that found that a fist bump transmitted fewer organisms than a handshake.

Really? We know that hands carry untold numbers of organisms. We know that skin-to-skin contact transmits organisms. We know that duration of contact plays a role in how many organisms are transmitted. Did we need a study to tell us that hand-to-hand contact with less surface area for a shorter duration of time would transmit fewer organisms?

With the attention being paid to this study, you might think it was a major discovery. Why? Because it’s fun to talk about fist bumps versus handshakes? (David Letterman seems to think so; he recently opened his monologue with a joke about the study results.) Because we kind of like the visual of everyone, from the staid to the cool, walking around giving fist bumps?

Or perhaps, on a serious note, because we’re still struggling unsuccessfully to get people to simply wash their hands and are ready to jump on anything that mitigates the risk of transmission when they don’t? (Adherence to hand hygiene guidelines among health care workers remains low. Read our March 2013 CE–Original Research feature, in which […]

AJN’s August Issue: Preventing Pressure Ulcers, Strengths-Based Nursing, Medical Marijuana, More

AJN0814.Cover.OnlineAJN’s August issue is now available on our Web site. Here’s a selection of what not to miss.

Toward a new model of nursing. Despite the focus on patient-centered care, medicine continues to rely on a model that emphasizes a patient’s deficits rather than strengths. “Strengths-Based Nursing” describes a holistic approach to care in which eight core nursing values guide action, promoting empowerment, self-efficacy, and hope. This CE feature offers 2.5 CE credits to those who take the test that follows the article.

Decreasing pressure ulcer incidence. Hospital-acquired pressure ulcers take a high toll on patients, clinicians, and health care facilities. “Sustaining Pressure Ulcer Best Practices in a High-Volume Cardiac Care Environment” describes how one of the world’s largest and busiest cardiac hospitals implemented several quality improvement strategies that eventually reduced the percentage of patients with pressure ulcers from 6% to zero. This CE feature offers 2.8 CE credits to those who take the test that follows the article. And don’t miss a podcast interview with the authors (this and other podcasts are accessible via the Behind the Article page on our Web site or, if you’re in our iPad app, by tapping the icon on the first page of the article).

Read our Cultivating Quality column this month for another article on using evidence-based nursing practice to reduce the incidence of […]

How a Nurse Helped My Health Anxiety

IF Photo by Sheila Steele, via Flickr.

By Amy M. Collins, editor

As a person who suffers from health anxiety, going to the doctor is always an ordeal. While some hypochondriacs tend to seek medical care with fervor, I am of the variety that avoids it at all costs. Unless it’s necessary.

Recently I had a necessary diagnostic test that involved a contrast agent. Several things about the test worried me. I was told it might hurt; I’d never had a contrast agent before (and on House—a show I should never watch—patients are always allergic to it!); and I was afraid that during the exam I would panic, faint, or cry.

Some people might be thinking: “suck it up!”—and I wouldn’t blame them. But I promise you, this isn’t something I’m proud of. I’d love to be more stoic when it comes to medical procedures/visits. Unfortunately, anxiety is a real thing. It is illogical and it can sometimes take over one’s senses. I spent the days preceding the test sleepless and tense. […]

2016-11-21T13:04:21-05:00July 1st, 2014|Nursing|1 Comment

AJN’s July Issue: Diabetes and Puberty, Getting Patient Input, Quality Measures, Professional Boundaries, More

AJN0714.Cover.OnlineAJN’s July issue is now available on our Web site. Here’s a selection of what not to miss.

Diabetes and puberty. On our cover this month, 17-year-old Trenton Jantzi tests his blood sugar before football practice. Trenton has type 1 diabetes and is one of a growing number of children and adolescents in the United States who have  been diagnosed with either type 1 or type 2 diabetes. The physical and psychological changes of puberty can add to the challenges of diabetes management. Nurses are well positioned to help patients and their families understand and meet these challenges.

To learn more more about the physical and behavioral changes experienced by adolescents with diabetes, see this month’s CE feature, “Diabetes and Puberty: A Glycemic Challenge,” and earn 2.6 CE credits by taking the test that follows the article. And don’t miss a podcast interview with the author, one of […]

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