About Diane Szulecki, editor

Editor, American Journal of Nursing

March Issue: Oral Intake During Labor, Malnutrition in Older Adults, RN-Performed Lumbar Puncture, More

The March issue of AJN is now live. Here are some of the articles we’re pleased to have a chance to publish this month.

CE: Original Research: An Investigation into the Safety of Oral Intake During Labor

In this study, the authors compared the maternal and neonatal outcomes among laboring women permitted ad lib oral intake with those permitted nothing by mouth except for ice chips. The findings support relaxing the restrictions on oral intake in cases of uncomplicated labor.

CE: Malnutrition in Older Adults

A review of the many cognitive, psychological, social, and economic factors that can affect the nutritional status of older adults, and how nurses can intervene to prevent and address malnutrition in these patients.

Cultivating Quality: Expanding RN Scope of Practice to Include Lumbar Puncture

A quality improvement initiative enhanced access to neurology services in an ambulatory clinic by teaching nurses to perform lumbar puncture.

Supporting Family Caregivers: No Longer Home Alone: Teaching Wound Care to Family Caregivers

Methods to promote wound healing that nurses can use to teach family caregivers, including a tear sheet of key points and links to instructional videos. This article is one in a series published in collaboration with the AARP Public Policy Institute.
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2018-02-23T09:00:42-05:00February 23rd, 2018|Nursing|0 Comments

Will Millennials Stave Off a Threatened Nursing Shortage? Hard to Say

Photo © Cultura Creative (RF) / Alamy Stock Photo.

The aging of the baby boom generation means that a large proportion of the U.S. population will soon be living with health conditions that may require complex care. At the same time, it’s estimated that a million nurses will retire by 2030, resulting in an enormous loss of experience and knowledge, not to mention the possibility of a national nursing shortage.

Millennials to the rescue? It’s complicated.

Can millennial nurses help mitigate the effects of this workforce shift? As discussed in our February AJN Reports, “Nurses Pass the Baton: Exit Baby Boomers, Enter Millennials,” millennials (born between 1982 and 2000) are becoming nurses in larger numbers than any generation before them. In fact, the nursing workforce is expected to grow by 36% between 2015 and 2030.

Why this surge of millennials? Commentators have speculated that those who reached adulthood during the recent recession may be drawn to the relative job security of the nursing profession, or that this […]

2018-02-16T08:42:08-05:00February 16th, 2018|career, Nursing, nursing career|0 Comments

February Issue: Updated Sepsis Guidelines, Chinese American Immigrants and Diabetes, Improving OR–ICU Handovers, More

The February issue of AJN is now live. Here are some of the articles we’re pleased to have a chance to publish this month.

CE: Original Research: Physical Activity Among Chinese American Immigrants with Prediabetes or Type 2 Diabetes

The benefits of exercise for patients with type 2 diabetes have been studied extensively, but not among Chinese American immigrants diagnosed with prediabetes or type 2 diabetes. The authors of this mixed-methods study analyzed this population’s levels of exercise intensity, examining the types of activity performed, as well as the barriers to such activity.

CE: Managing Sepsis and Septic Shock: Current Guidelines and Definitions

This article discusses recent updates to the Surviving Sepsis Campaign’s sepsis treatment guidelines, changes in the sepsis bundle interventions, and the new definitions and predictive tools introduced in the Third International Consensus Definitions for Sepsis and Septic Shock.

Moving Closer to the 2020 BSN-Prepared Workforce Goal

The authors report findings from the four-year Academic Progression in Nursing initiative to identify and develop the most promising strategies for creating a more highly educated nursing workforce.

Cultivating Quality: A Multidisciplinary QI Initiative to Improve OR–ICU Handovers

This QI study […]

2018-01-26T09:32:47-05:00January 26th, 2018|Nursing|0 Comments

January Issue: Managing Post-Op Pain, Head and Neck Cancer Symptom Management, Predatory Journals, More

The January issue of AJN is now live. Here are some of the articles we’re pleased to have a chance to publish this month.

CE: Oral Care for Head and Neck Cancer Symptom Management

The authors describe an evidence-based practice change at a radiation oncology center designed to reduce the severity of oral mucositis in adults receiving radiation treatment for head and neck cancer.

CE: Managing Postoperative Pain

This article reviews the recommendations of the American Pain Society’s postoperative pain management guideline and discusses its historical context and the current events that may affect its implementation in clinical practice.

Original Research: Increasing the Connectivity and Autonomy of RNs with Low-Risk Obstetric Patients

A qualitative study explores the perspectives of patients, RNs, certified nurse midwives, and other providers regarding a new prenatal connected care model aimed at reducing in-office visits and creating virtual patient–RN connections.

Predatory Journals: Alerting Nurses to Potentially Unreliable Content

Nurse authors and readers need to know about the harmful online phenomenon of predatory journals and understand how to identify and avoid the unreliable content published in these journals. […]

2017-12-29T11:18:42-05:00December 29th, 2017|Nursing|0 Comments

Emotional and Physical Health Consequences for Children of Jailed Parents

Michael Coghlan/Flickr

In the United States, more than half (54%) of all prison inmates are parents with minor children. As we discuss in the December AJN Reports, those children—an estimated 2.7 million, or one in 28—face physical and emotional health challenges that often go overlooked, including:

  • obesity, asthma, migraines, and hypertension
  • depression, anxiety, PTSD, and problems at school, including a higher likelihood of being expelled or suspended

Additionally, children with incarcerated parents are at an economic disadvantage due to lowered family income caused by the parent’s absence, and are more likely to experience racial discrimination, parental divorce or separation, a parent’s death, domestic abuse, neighborhood violence, and coresidence with a mentally ill or suicidal person or with a person who has a substance abuse problem. […]

2017-12-15T08:29:46-05:00December 15th, 2017|Patients|2 Comments
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