About Corinne McSpedon, senior editor

AJN senior editor

10 Years After Fukushima Nuclear Disaster, an Actionable Preparedness Reminder

The 10th anniversary of this disaster is a reminder to review the availability, accessibility, and dosing of potassium iodide.

In the midst of a global health pandemic, it’s difficult to imagine focusing on the seemingly more nebulous threat of a nuclear accident. Yet the 10th anniversary of Japan’s Fukushima nuclear disaster on March 11, which occurred following an earthquake and tsunami, serves as an important reminder of the unexpectedness of these events and the need for greater preparedness, especially among health care providers.

Climate threats to nuclear plants raise concerns.

“More than one-third of Americans live or work within 50 miles of a nuclear power plant,” the authors of the February issue’s Environments and Health article, “Lessons from Fukushima: Potassium Iodide After a Nuclear Disaster,” point out (the article will be free until March 21).

As the frigid weather last month in Texas demonstrated, sources of power are particularly vulnerable to severe weather events. This threat is especially acute for U.S. nuclear power plants, many of which are situated in areas, such as along the East Coast, susceptible to extreme weather. Hurricanes in the Atlantic, for instance, have been occurring more frequently and intensely in recent years.

Concern that such climate change events could lead to a nuclear accident has heightened awareness of the need for preparation.

Ensuring potassium iodide availability as a public health preventive measure.

Bringing Escape Room Games to Nursing Education

The popularity of escape rooms has grown exponentially in the past decade, with these simulated group activities becoming an established part of gaming and pop culture. But the concept offers more than just a fun distraction or chance to work cooperatively with friends and family. Increasingly, these games are being incorporated into simulation-based clinical education.

An opportunity for collaboration.

In an escape room activity, a group of people work together to find clues, solve puzzles, and complete tasks within a set period of time. As they do so, they may progress through one room or several, but the goal is typically the same: for the group to “escape” from a simulated situation.

Step-by-step guide.

Educators have been exploring the use of this approach in nursing education to reinforce knowledge and engage students. As nurse educator Janice Hawkins and her colleagues at Old Dominion University School of Nursing in Virginia point out:

“By requiring a group of learners to solve a series of skills-related puzzles, educational escape rooms can help to build critical thinking, communication, and cooperative problem-solving skills.”

In “Behind the Scenes of an Educational Escape Room,” they provide a step-by-step guide to developing an effective educational escape room. Their advice stems from their yearlong […]

A Nursing Perspective on Addressing Racism and Health Inequities

Editor’s note: We’ve all witnessed the recent public outcry against instances of racist behavior and brutality. As nurses, we also witness the toll racism takes on health as well as the racial inequities in access to care and within health care institutions. In the below blog post, AJN senior editor Corinne McSpedon excerpts her recent conversation about these topics with Monica McLemore. I also encourage you to listen to the recent webinar, Nursing’s Role in Addressing Racism, in which a panel of nurses address structural racism, how it prevents health equity, and what actions one can take to change or influence change. You can earn one contact hour of CNE credit.—Maureen Shawn Kennedy, AJN editor-in-chief

Confronting racism during the pandemic.

Over the summer, I spoke with Monica McLemore, PhD, MPH, RN, FAAN, to discuss antiracism efforts amid the COVID-19 crisis and the nationwide demonstrations against police brutality. McLemore is an associate professor in the Department of Family Health Care Nursing at the University of California, San Francisco, where she is also affiliated with the Bixby Center for Global Reproductive Health. She previously worked for nearly three decades as a public health and staff nurse.

Below are highlights of this discussion. The full article, A Conversation with Monica R. McLemore, […]

2020-09-24T08:55:03-04:00September 24th, 2020|Nursing|0 Comments

Coronavirus Casting Environmental, Climate Issues Into Sharp Relief

The COVID-19 pandemic highlights the vital link between public health and the environment.

Since 1970, April 22 has been designated Earth Day. The theme of this year’s observations, held digitally due to the pandemic, is climate action, with the organizers calling climate change “the biggest challenge to the future of humanity.”

The biggest immediate challenge facing humanity is coronavirus. Yet, just as the pandemic’s economic fallout highlights the interconnectedness of health and the economy, this crisis underscores the ongoing environmental emergency and its link to public health.

Air pollution and COVID-19 deaths.

Since coronavirus first emerged, there’s been speculation about a link between air pollution and severe illness or death. Early this month, a nationwide study conducted by researchers at the Harvard T.H. Chan School of Public Health offered evidence of a connection: even a small increase in long-term exposure to fine particulate matter—dangerous inhalable solids or liquid droplets in the air—is associated with a large increase in the COVID-19 death rate.

The inhalation of fine particulate matter is known to cause inflammation and damage to the lungs, making a person more susceptible to asthma, heart conditions, and other health problems. Fuel combustion—for example, automobile and industrial emissions—is one of the main sources of these microscopic pollutants.

Communities […]

Recent Data on Physical Inactivity Points to a More Active Role for Nurses

“. . .more attention should be given to considering total daily sitting time and to understanding the individual, social, occupational, and community environments that contribute to [it]. Nurses have a pivotal role to play in increasing public awareness about the potential adverse effects of high-volume and prolonged uninterrupted sitting.” –“Too Much Sitting: A Newly Recognized Health Risk”

“Often when I ask patients about their lifestyle, they are quick to admit they need more exercise. As a nurse, I view such conversations as opportunities to discuss and encourage physical activity.” –“The Evolution of Physical Activity Promotion”

According to recently released data from the Centers for Disease Control and Prevention (CDC), more than 15% of U.S. adults say they don’t engage in any physical activity.

Health effects of being physically inactive.

Leading a sedentary lifestyle can lead to well-documented detrimental health effects, including an increased risk of developing cardiovascular disease, type 2 diabetes, and certain types of cancer. The World Health Organization estimates that insufficient physical activity results in 3.2 million deaths annually.

Sedentary behavior varies based on location and race/ethnicity.

Using data collected from 2015 to 2018 as part of the Behavioral Risk Factor Surveillance System, the CDC notes that inactivity levels range from an estimated 17.3%  to 47.7%, depending on […]

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