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

Editor-in-chief, (emerita), AJN

On the Road Again (Sort of) with Virtual Nursing Meetings

Virtual meetings are likely here to stay, at least in part.

For the past 18 months, I’ve spent a lot of time attending virtual meetings. You name the app—Zoom, Facetime, Microsoft Teams—I’ve been on it. While I appreciate the advances that enable us to have visual as well as audio connections with colleagues, family, and friends, I do miss meeting the old-fashioned way: in person. The good news is that many people who might not have been able to attend meetings because of the travel costs are now able to “zoom-in” on meetings.

I’ve “attended” several virtual meetings this spring but messages from two of them stay with me:

The resurgence of the clinical nurse specialist (CNS).

The National Association of Clinical Nurse Specialists (NACNS) had its virtual meeting with 900 attendees from 46 states. The theme was “The Resurgence of the CNS,” focusing on how the CNS has become the “go to” professional to lead quality initiatives. I recall the 1980s, when hospitals were in a cost-cutting mode and many cut the CNS role.

A decade later, reports from the National Academies of Medicine on medical errors (To Err is Human) and later, on safety and quality (Crossing the Quality Chasm) called for change, but there was no […]

2021-04-30T08:22:25-04:00April 30th, 2021|Nursing|0 Comments
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Chemotherapy-Induced Neuropathy: More Than Just Pins and Needles

When I was in graduate school, I worked as a chemotherapy nurse. Patients would often talk about the side effects of the medications. One of the most bothersome was the peripheral neuropathy that caused numbness and tingling—the “pins and needles”—and often cramping, pain, and weakness that made walking difficult.

Assessing and managing CIPN as well as educating patients.

This month, Robert Knoerl’s article, “Chemotherapy-Induced Peripheral Neuropathy” (CIPN), provides a review of “strategies to use in assessing, managing, and educating patients who are at risk for or are experiencing CIPN.” He notes that CIPN affects 68% of patients receiving many commonly used drugs for cancer treatment and can begin as early as the first treatment and continue long after treatment ends, resulting in months of debilitating symptoms.

Although certain classes of medication may help alleviate symptoms in some patients, there are no medications approved specifically for treating CIPN. There is, however, some evidence that exercise can help mitigate the effects. […]

2021-04-22T07:29:29-04:00April 19th, 2021|Nursing|0 Comments
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Remembering the Polio Vaccine Rollout, Addressing Concerns Today

‘A Most Welcome Spring.’

That’s the title of the editorial in the recently published April issue of AJN. And if you receive the print issue or go to our Web site, www.ajnonline.com, I think you’ll see that our cover reflects an image that harkens to the end of a hard pandemic winter of isolation and—for many families—desolation. Spring has arrived, along with a feeling of hope that the vaccines will allow the world to open again, IF we can do so with caution and are successful in vaccine campaigns.

Remembering the relief at having a polio vaccine.

I was in kindergarten when Jonas Salk’s polio vaccine was rolled out. I remember my mother telling me that everyone was going to be getting a new medicine and I vividly recall my entire class lining up to get the injection from the school nurse.

I remember my mother being very happy about it because a boy in the neighborhood—a friend of my brother—had had polio and now wore leg braces and used crutches. When she saw him, she would sometimes say, “too bad the vaccine came too late for John.”

Nurses’ role in addressing vaccine concerns.

2021-04-26T11:50:12-04:00April 5th, 2021|COVID-19, infectious diseases, Nursing, patient engagement, Public health|0 Comments
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Will We Ever Know How Many Nurses and Other Health Workers Died from COVID-19?

By Unjay Markiewicz/ Unsplash

The lead article in the March issue of AJN examines the lack of accurate data on deaths from COVID-19 among nurses and other health care workers:

“More than a year after the first SARS-CoV-2 infection was identified in the United States, there is no reliable count of COVID-19 cases or deaths in nurses and other health care workers. The COVID Data Tracker maintained by the Centers for Disease Control and Prevention (CDC) reported 389,380 health care worker infections and 1,332 deaths as of February. Yet, as far back as November of last year, the Centers for Medicare and Medicaid Services (CMS) reported 1,162 staff deaths in U.S. long-term care facilities alone. Still another list, maintained by the Guardian and Kaiser Health News, has counted 3,258 health care worker deaths, 503 of them among nurses.”

So while praised and touted as “heroes,” those who died might not always have been recognized as casualties of the hazards imposed by their jobs during the pandemic. The report also notes:

“[B]ased on past epidemics and state data, health care workers would be expected to make up an estimated 5% to 15% of COVID-19 infections in the United States. With almost 20 million U.S. cases, that would […]

2021-03-25T10:41:28-04:00March 25th, 2021|COVID-19, Nursing|0 Comments
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No Country for Old People

In my editorial in the March issue, I ask, “Where do we go from here?’” in thinking about what’s next for nursing. In particular, I wonder if we’re going to make any strides in improving the quality of how we care for older adults who need long-term care.

Disasters give rise to assessments of what went wrong.

After prior disasters like hurricanes, heat waves, and flooding, there has often been a flurry of initial concern, with many committees convened to look at the deaths that occurred.

More recently, the New York Times has reported on the fate of nursing home residents during the Covid-19 pandemic in relation to the deterioration of quality in nursing homes once they are owned by for-profit entities—as 70% of nursing homes now are. So here we are once again, this time decrying the conditions revealed by Covid-19. Will things change this time?

In answer to this question, I’m especially pleased with the article in our March issue by 22 nurse gerontology experts. They issue a call (a challenge?) for the Centers for Medicare and Medicaid Services (CMS) Coronavirus Commission for Safety and Quality in Nursing Homes to rewrite standards to finally address under-resourcing and ensure residents get the care […]

2021-03-15T15:33:48-04:00March 15th, 2021|COVID-19, nursing roles, patient safety, Patients|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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