About Shawn Kennedy, MA, RN, FAAN, editor-in-chief (emerita)

Editor-in-chief, (emerita), AJN

Nursing Homes: A ‘Place No One Wants to Be’

I’m on my way home from Atlanta, site of the 2018 NICHE (Nurses Improving Care for Healthsystem Elders) conference. This organization, housed at New York University-Rory Meyers College of Nursing for the last 26 years, provides education and consultation to organizations to improve the delivery of health care to older adults. It now counts over 700 member organizations in five countries and has been successful in helping facilities implement best practices for providing care to older adults.

Redesigning long-term care.

One of the speakers, Migette Kaup, PhD, from Kansas State University and an expert in designing care facilities, spoke about current efforts to redesign long-term care. She noted that traditional nursing homes, which were designed to mimic hospitals, are “a product no one wants” and a place many people would rather die than go to.

Kaup spoke about the success of the newer “household” model of long-term care, which mimics a home setting rather than a hospital. Key aspects of this model are that it centers around an open kitchen space and is made up of a dedicated staff and small group of residents who live together and implement best practices. Kaup cited successes in decreasing depression and pressure ulcers in low-risk patients, among other parameters. Of course the real goal, […]

2018-04-13T11:43:57-04:00April 13th, 2018|family caregiving, Nursing, nursing perspective|3 Comments
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That Capstone Time of Year

Is that paper ready for prime time?

nurse typing on keyboardIt’s almost that time of year when graduate students (and some baccalaureate students, too) are preparing final papers. A lot of blood, sweat, and tears are involved, and understandably so—after all, these capstone projects and the resulting reports often determine whether one graduates. If done correctly, some papers might be worth submitting for publication. Faculty might even be encouraging you to do so—kudos.

I wrote a blog post a couple of years ago, suggesting some things that perhaps faculty neglect to mention along with their encouragement. As I noted in the post, we want you to be successful:

“…we need nurses at all levels to write about their work, and not enough of them do so. And the responsibility for nursing’s scholarly work cannot rest solely with academics and researchers; clinicians have the firsthand knowledge about care processes and outcomes, and they need to document their work. They need to communicate to the public about what it is that they do so that nurses’ work becomes more visible; they need to communicate to colleagues about what works and what doesn’t so that we can replicate successful quality improvement initiatives.”

Some Things You’ll Probably Need to Know to Get Published

So, before you get too far along in developing the paper, here’s that blog post, along […]

2018-03-28T09:25:47-04:00March 28th, 2018|Nursing, students, writing|0 Comments
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Patient Safety: The Basis for Nursing

Making patients safe is where nursing begins.

by Lars Plougmann/via Flickr

It doesn’t matter how or where a nurse may practice—acute care, long-term care, home health, school nursing—making sure patients are safe is where nursing begins.

In 1999, the famed Institute of Medicine (now the National Academies of Science, Engineering and Medicine) report, To Err is Human: Building a Safer Health System, woke us up to the fact that medical errors were causing thousands of deaths annually in the very places where people go to restore their health. In 2004, another report, Keeping Patients Safe: Transforming the Work Environment of Nurses, detailed nursing’s critical role in health care delivery, particularly in ensuring patient safety.

We can always do better.

While there have been significant improvements in reducing adverse events, and nurses are leading many quality improvement initiatives, we can always do better. In May 2016, I wrote the following in an editorial (“A Culture of Safety Stars With Us“):

“Nurses have always been the sentinels, the around-the-clock watchers, detecting the changes that might herald a patient’s deterioration. Nurses are the ones that the system looks to—and often blames—when there’s a failure to rescue.”

This is still true.

This week marks an emphasis on patient safety—it’s what we do every day. In honor of the week, we’ve made […]

2018-03-13T07:59:37-04:00March 13th, 2018|Nursing|0 Comments
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Avoiding the Chaos of Unit Transfers

Photo by Photographer’s Mate 2nd Class Johansen Laurel, U.S. Navy.

Patient transfers between units can be less than orderly, resulting in miscommunication and frustration. Most ICU nurses have a war story (or two) that quickly comes to mind if asked about a memorable admission to their unit from the OR or recovery unit. I recall one instance, when I was a clinical nurse specialist covering critical care, in which I received a frantic call at 11:30 am from the ICU nurse manager.

Apparently, the ICU had been told they would receive a patient from recovery at about 2 pm. With this in mind, the ICU had arranged to transfer a patient out to a med-surg unit just after noon. The ICU manager had worked out the transfer time with the med-surg nurse manager to allow the med-surg RN to return from lunch before the transfer, and also to give the ICU nurse a chance to have lunch and prepare the equipment in the ICU slot for the new patient after it was cleaned by housekeeping.

But as it happened, the recovery nurse manager called the ICU at 11:30 am to say her unit needed the bed and the […]

2018-02-20T10:06:37-05:00February 20th, 2018|Nursing, nursing research|0 Comments
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Black Nurses, Then and Now

“Despite the surgeon general’s plea for more nurses to enlist, the army set a quota of 56 black nurses. However, the NACGN helped to abolish this quota, and by the end of World War II, more than 500 black nurses had served in the army and four had served in the navy.”

Nurses gathered at Camp Sherman, Chillicothe, Ohio, 1918.

The theme for this year’s Black History Month, “African Americans in Times of War,” was chosen by the Association for the Study of African American Life and History (ASALH)* to commemorate the end of World War I in 1918.

In keeping with the theme, we offer this photo, which appeared on the cover of our February 2010 issue. The cover story, by Alison Bulman, provided context:

It was 1918 and the armistice ending World War I had just been signed when black nurses gathered at Camp Sherman in Chillicothe, Ohio, to take the photo that appears on our cover. Although the Army Nurse Corps had been established some 17 years earlier, black nurses had only just been permitted to join. Despite their honorable service in the Spanish-American War in 1898 and in World War I, it wasn’t until the desperate need for nurses during the influenza pandemic of […]

2018-02-12T09:00:39-05:00February 12th, 2018|Nursing, nursing history|1 Comment
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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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