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

Editor-in-chief, (emerita), AJN

Why I Like Nurses Week

Safety Plan Safety Plan/Plougmann/via Flickr

By Shawn Kennedy, AJN editor-in-chief

Here’s why I like Nurses Week. I’m sure some folks groan over the idea that for only one week out of the year, health care administrators actually think about all that nurses do and show their appreciation. My perspective is that at least we have one solid week with the spotlight on nursing, when we can toot our horns and make sure that people know the critical role of nursing in health care.

Sure, there are some people who will never “get” what nurses do beyond the old stereotype that nurses are doctors’ helpers. I’m always flabbergasted, though, when physicians—after so much time working alongside nurses as medical students, interns, and residents—still don’t have a more nuanced view of nursing.

In this month’s editorial, I address the American Nurses Association Nurses Week theme, “Culture of Safety: It Starts with You.” How many times, in the dead of night, have nurses called physicians to alert them to a critical change—or questioned an inappropriately ordered medication that, if given as ordered, could have had dire consequences? I also addressed this issue in a 2014 blog post about Arnold Relman, now deceased […]

A Nurses’ Week Visit with Theresa Brown

Nurse and author Theresa Brown Nurse and author Theresa Brown

By Shawn Kennedy, AJN editor-in-chief

Last week, I had the pleasure of chatting with nurse Theresa Brown (you can listen to our conversation here). Brown writes AJN’s quarterly What I’m Reading column. (This month, she writes about Lean In: Women, Work, and the Will to Lead, by Sheryl Sandberg, the chief operating officer of Facebook.)

Theresa Brown also blogs for the New York Times and is the author of The Shift: One Nurse, Twelve Hours, Four Patients’ Lives, which I first wrote about when it was released last July. As I noted then, it’s probably the first book I’ve read that really captures certain elements of nurses’ work:

Anyone who wants to know what it’s like to be a nurse in a hospital today should read this book. Patients, families, and non-nurse colleagues tend to see nurses as ever-present yet often in the background, quietly moving from room to room, attending to patients, and distributing medications or charting at computers.

But what they don’t understand about what nurses do is what Brown so deftly describes—the cognitive multitasking and constant reordering of priorities that occur in the course of one shift as Brown manages the needs of four very different patients (she was working in a stem cell transplant unit at the time); completes admissions and discharges; and […]

Nurses, Exercise, Time: Hitting a Nerve

Flickr creative commons/ Richard Masoner Flickr creative commons/ Richard Masoner

Hitting a Nerve. I received several recent emails about an editorial I wrote in the April issue of AJN, in which I discussed nurses’ health practices, including exercise, in conjunction with one of our feature articles, Original Research: An Investigation into the Health-Promoting Lifestyle Practices of RNs.”

The authors found that, for study participants,

physical activity and stress management scores were low for the entire group of RNs.”

Drawing a connection between these findings and recent research by Letvak and colleagues suggesting an association between nurses’ health and job performance, I wrote, “If the nurse caring for you or your loved one is suffering from fatigue and stress, she or he may be more apt to make an error or to sustain a workplace injury.”

Judging from the emails I received, I hit a chord. The writers stressed the difficulty of working full time and, in many cases, caring for a family as well. Often, they said, they had little energy left over for themselves. One writer, though, did say that my editorial was the ‘kick’ she needed to get back to walking! […]

Drawing Attention to Lax Oversight of Problem Nurses, Plus One Caution

ProPublica storyBy Shawn Kennedy, AJN editor-in-chief

New York does not require applicants for nursing licenses to undergo simple background checks or submit fingerprints, tools that can identify those with criminal histories and flag subsequent legal problems. And it often takes years for New York to discipline nurses who provide inept care, steal drugs or physically abuse patients.

That’s from a recent ProPublica story on lax oversight of New York State nurses. Back in 2008, the same independent investigative journalism organization, in partnership with the Los Angeles Times, investigated lax policies of the California Board of Nursing that allowed nurses (both RNs and LPNs) with serious criminal convictions to continue to be licensed. (See our report on this and the editorial by then-editor-in-chief Diana Mason in the March 2009 issue.)

In this month’s story, ProPublica reporters Daniela Porat and colleagues turn their sights on New York State’s nurses. They detail the policy issues and systemic gaps that lead to poor oversight by the state education department’s Office of Health Professions, such as lack of background checks, relying on self-report of infractions, and no requirement for fingerprinting. Many other states have adopted more rigorous approaches. The report offers several compelling cases to drive home the point that investigations are often inadequate and disciplinary action often not taken, allowing many nurses who should not be practicing […]

The National Student Nurses Association: Always a Kick

By Shawn Kennedy, MA, RN, AJN editor-in-chief

IMG_2262Once again, the annual National Student Nurses Association (NSNA, www.nsna.org) convention was packed—full of high-energy, engaged nurses-to-be.  Approximately 3,000 attended this year’s meeting in Orlando from March 31 to April 3.

The NSNA meeting easily rivals those of other associations, with seemingly round-the-clock House of Delegates and state chapter caucuses (one could observe LOTS of pizza cartons moving between hotel and meeting rooms), a guidebook app, a daily convention newspaper, an impressive exhibit hall, professional motivational speakers (though motivation does not seem to be an issue with this group), award presentations, and a full slate of educational and career information sessions.

Nursing leaders and representatives from most major nursing organizations, including the ANA, National League for Nursing, American Red Cross, and the National Council of State Boards of Nursing, were there to meet students and talk about initiatives to get these future nurses ready for the real world. They received lots of practical advice, including sessions on interprofessional collaboration, disaster nursing, how they can get involved on boards, legal aspects of licensure, tips and practice for taking the licensing exam . . . even one session on how to get started writing, led by yours truly! […]

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