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

Editor-in-chief, (emerita), AJN

Getting It Right: Putting the ‘QI’ in Quality Improvement Reports

Towards a Safer Health System

Photo of AJN editor-in-chief Shawn KennedyEver since the famous report To Err is Human: Building a Safer Health System was issued by the Institute of Medicine (now the National Academies of Sciences, Engineering, and Medicine) in 1999, health care institutions have been pushed towards reducing errors and increasing safety.

Changes have been spurred by accrediting and government organizations like the Joint Commission and the Centers for Medicare and Medicaid Services, by independent and professional initiatives like the Institute for Healthcare Improvement and the Magnet Recognition Program, and by consumer advocacy groups like the The Leapfrog Group and the National Patient Safety Foundation.

Nursing Education and Quality Improvement

Nursing, as the largest department in hospitals and the one tasked with shepherding patients through the system, is a key player in any system redesign and many nursing departments are playing an active role in improving the safety and quality of care.

Nursing education has also embraced the QI movement, adopting the Quality and Safety in Nursing (QSEN) program in many curriculums and also making it a hallmark of its doctor of nursing practice (DNP) programs. Developing and implementing QI projects is frequently a requirement for completing these programs. […]

2016-11-21T13:00:57-05:00September 29th, 2016|Nursing, nursing perspective, nursing research, patient safety|0 Comments
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Following in the Footsteps of Clara Barton

clara-barton-photographed-by-matthew-bradyAt Antietam: From government clerk to “Angel of the Battlefield”

This Saturday marks the 154th anniversary of the Civil War Battle of Antietam—what has been called “the single bloodiest day in American military history.” Confederate army and Union troops faced off in Sharpsburg, Maryland. They fought for almost two days and when the battle ended, there were over 22,000 casualties among both sides. In the middle of it all, Clara Barton, a former teacher and government clerk, drove wagons of supplies around battle lines and tended to wounded soldiers.

Antietam marked the beginning of the legacy of Clara Barton, who on that day earned the title “Angel of the Battlefield.” Today, a monument to her stands at one end of the battlefield.

Bringing the Red Cross to America

arc-logoWhen the war ended, Barton continued to work for the soldiers, founding the Bureau of Records of Missing Men of the Armies of the United States to identify the millions of missing and dead soldiers. After a visit to Geneva with the International Red Cross in 1880, she returned and established the American Red Cross and […]

2016-11-21T13:00:57-05:00September 16th, 2016|Clara Barton 2016, Nursing, nursing history|0 Comments
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On the 15th Anniversary of 9/11, Lingering Pain

Skywards by aussiegall / Louise Docker, via Flickr. Skywards by aussiegall / Louise Docker, via Flickr.

Yesterday was the 15th anniversary of the September 11 attacks.  On my way to work in Manhattan on Friday, I listened to a radio program about the lives of some of those who were involved one way or another in the tragedy of that day.

I heard the shaky voice of a Boston airport ticket agent who had assisted one of the hijackers to get on one of the flights that struck the World Trade Center. He’s met some of the victims’ family members and say that he still feels tremendous guilt and suffers from bouts of depression, especially on anniversary dates. He now works for Homeland Security. […]

2016-11-21T13:00:58-05:00September 12th, 2016|nursing perspective, Public health|0 Comments
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Information for Nurses Who Help in Disasters

Nurses are often at the front lines of disaster response. How prepared are nurses—and the hospitals and other facilities where they may work?

Louisiana National Guard at Baton Rouge River Center, Aug 15, 2016, after major flooding pushed residents from homes. (U.S. Army National Guard photo by Spc. Garrett L. Dipuma/RELEASED) Louisiana National Guard, Baton Rouge River Center, Aug 15, 2016, after flooding pushed residents from homes. (U.S. Army National Guard photo by Spc. Garrett L. Dipuma/RELEASED)

The television news reports have recently been full of the devastating flooding in Louisiana. Especially heart-wrenching are the images of people, especially […]

2016-11-21T13:01:01-05:00August 22nd, 2016|Nursing, Public health|0 Comments
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Nurses Take Action on Moral Distress

Nurses gather at the Johns Hopkins School of Nursing to address this growing problem.

A nurse struggles to reconcile repeated surgeries and transfusions for a premature infant with the child’s slight chance of survival. An oncology nurse knows a patient wants to refuse treatment but doesn’t do so because his physician and family want him to “fight on.” A nurse on a geriatric unit knows she is not giving needed care to patients because of inadequate staffing.

From left, Katherine Brown-Saltzman, Kathryn Trotochaud, Lisa Lehmann, Heidi Holtz From left, Katherine Brown-Saltzman,
Paula Goodman-Crews, Lisa Lehmann, Heidi Holtz

Situations like these are not rare for nurses and often give rise to moral distress—that is, when nurses recognize their responsibility to respond to care situations but are unable to translate their moral choices into action.

Moral distress in nursing has risen to unprecedented levels, contributing to burnout and staff shortages and imperiling safe, quality health care.

Seeking solutions.

Nursing researchers, clinicians, organization representatives, and other stakeholders convened in Baltimore on August 11-12 for an intense invitational workshop called State of the Science Symposium: Transforming Moral Distress to Moral Resiliency in Nursing. The meeting focused on how to best address moral distress.

The 46 participants heard from […]

2017-02-03T14:50:26-05:00August 16th, 2016|Nursing, nursing perspective|0 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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