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Don’t Panic, Prepare: Edgy Moment for H1N1

By Shawn Kennedy, MA, RN, AJN editorial director & interim editor-in-chief

'Nuff Said by ElektraCute / Elektra Noelani Fisher, via Flickr.

While many people (including nurses) remain relatively unworried about the coming flu season, others, it seems, are on high alert. I do wonder about the millions of dollars being spent (and being made) in the name of H1N1 (swine flu). I’ve heard of several seminars touting “must-know” facts and bearing titles that might make hospital administrators feel negligent if they don’t send staff (at hefty registration fees). Many companies, including mine, are distributing bottles of hand sanitizer to employees. And I can’t even imagine how many N95 respirators have sold since the Institute of Medicine (IOM) recently recommended their use by health care workers caring for patients with pandemic (H1N1) 2009 influenza.

Take it seriously. Still, as a former emergency nurse, I’m all for being prepared for disasters. This influenza should be taken seriously. As of September 20, the World Health Organization reports there have been 3,917 deaths and more than 300,000 confirmed cases worldwide, although the actual number of cases is probably much higher.  The latest surveillance report from the Centers for Disease Control and Prevention indicates widespread flu activity throughout much of the […]

2016-11-21T13:22:05-05:00September 29th, 2009|nursing perspective|0 Comments
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Shortage of School Nurses Means Greater Student Vulnerability to H1N1

By Alison Bulman, AJN senior editorial coordinator

the school bus routine by woodley wonderworks, via Flickr.

On Friday the New York Times reported that a shortage of school nurses is making students more vulnerable to the pandemic (H1N1) 2009 virus, stating that  ” [m]any districts have few or no nurses to prevent or respond to outbreaks, leaving students more vulnerable to a virus that spreads easily in classrooms and takes a heavier toll on children and young adults.”

The article acknowledges the key role played by school nurse Mary Pappas, who we interviewed for this blog shortly after she’d helped identify the first U.S. cases of H1N1 at a school in Queens. As AJN reported in June, school nurses  have been and will continue to be on the front lines of efforts to prevent or manage outbreaks. But the school nursing shortage is acute, with just one nurse for every 1,155 students nationally, a ratio that the American Federation of Teachers has called “dangerous.” With a new school year underway, the Times reports, school districts are relying more heavily on non–health care personnel to identify and isolate sick kids and monitor absences.

For more on issues related to school nurses and nursing, see these recent posts:

Can School Nurses Help Prevent Heat Stroke Fatalities in High School Football?

Nurse Organizations Oppose Move to Allow Non-Licensed Personnel to Give Insulin to Students


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2016-11-21T13:22:07-05:00September 28th, 2009|Nursing|1 Comment
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Clearing the Mind: Charles Kaiman, Nurse and Artist

Kaiman's "Self-Portrait," September cover

Charles Kaiman, a clinical nurse specialist in psychiatric mental health nursing at the New Mexico Veterans Affairs facility in Albuquerque, is also an acclaimed artist. This month we feature his work both on our cover and in Art of Nursing. In On the Cover, Kaiman offers thoughts on his painting technique, which he calls “a form of visual meditation,” and describes how it clears the mind.  If you’re in the New York City area in early October, come check out his show at the Blue Mountain Gallery at 530 West 25 Street in Manhattan, October 6 through 31. For more information, visit the artist’s Web site.

Sylvia Foley, AJN senior editor

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2016-11-21T13:22:12-05:00September 24th, 2009|Nursing|1 Comment
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To Promote Healing, Quiet the Din: What Nurses Can Do

Hospital Quiet by striatic / hobvias sudoneighm, via Flickr

By Sylvia Foley, senior editor

Like many city dwellers, I often find myself battling excessive noise. My apartment is across the street from a large city park, and although I’m grateful for the greenery, in the summer my neighbors and I have to contend with the outsize noise from bandshell concerts, impromptu sidewalk parties, and ramped-up car stereos.  Frequent construction projects and an unrepentantly loud neighbor often add to this racket.  It’s caused me to lose sleep, jacked up my blood pressure, and messed with my concentration.  Indeed, when I was hospitalized with pneumonia briefly a while back, I actually found the quiet of the hospital a balm. Turns out I was lucky in that regard.

Hospitals are often noisy places.  In this month’s Patients First column, authors Kimberly N. Montague and colleagues examine the “near-constant din created by equipment, hallway traffic, and conversation” that’s common in many hospitals. They point out that […]

2016-11-21T13:22:51-05:00August 31st, 2009|nursing perspective|2 Comments
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Is It Ethical for a Nurse to Decline the H1N1 Vaccine?

By Douglas Olsen, PhD, RN. Olsen is an AJN contributing editor who co-coordinates the journal’s Ethical Issues department and a nurse ethicist with the National Center for Ethics in Health Care at the Veterans Health Administration in Washington, DC. The views he expresses here are meant to stimulate discussion of this topic and not to serve as pronouncements guiding what nurses should or shound not do. The views are his alone and should not be construed as representing those of AJN or of the National Center for Ethics in Health Care or the Veterans Health Administration.

MailOnlineFluJabScreenshotPublic health experts advocate widespread flu vaccination for people who give direct care to patients. However, in the past less than 40% of health care workers have been vaccinated for flu, and in a recent Nursing Times survey from the UK 30% of nurses said they would decline H1N1 vaccine and only 37% said “Yes” they would take the vaccine. Here are some thoughts on how to sort out the question from an ethical perspective.

Nurses, as patients, should be accorded the same respect for their decisions about health care, including the right to refuse a treatment, that is due to all patients. In ethics this is called respect for patient autonomy.

Professional obligation. However, nurses have a professional obligation to do as […]

2016-11-21T13:23:00-05:00August 26th, 2009|career, Ethics, infectious diseases, Nursing, Public health|28 Comments
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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