AJN’s Top 10 Blog Posts for the Last Quarter

At this blog we’re not always devoted practitioners of the art of the list. Used too often and too cynically (some of the more mysterious nursing blogs consist entirely of lists of articles and excerpts from other blogs), lists can be just another form of journalistic cannibalism.

But it sometimes occurs to me, as I publish a new post that takes its place at the top of the home page and pushes all those below down another notch (until, after a few such nudges, they gradually fall off the page, entering the purgatory of the blog archives), that this isn’t entirely fair.

While blogs allow for quick reaction to a news story, a public health emergency or controversy, a new bit of published research, they are also places for writing that isn’t so narrowly tied to a specific date and event. Many thoughtful posts by excellent writers have been published here in the past couple of years. With this in mind, here’s a list of the 10 most read blog posts for the past 90 days. It doesn’t mean that these are necessarily the very best posts we published in that time, or that they were even published in the last 90 days . . . but it’s one way of measuring relevance.—Jacob Molyneux, senior editor/blog editor 

1. Dispatches from the Alabama Tornado Zone
This one is actually a page with links to a series of powerful and thought-provoking posts by Susan Hassmiller, the Robert Wood Johnson Foundation Senior Adviser for Nursing, who volunteered with the Red Cross after the devastating Alabama tornadoes in late April of this year.

2. 

Drunk on Water, Drug Shortages, Understanding Health Care News, Plus Nursing Blog Posts of Note

The water myth: A physician, writing in the British Medical Journal (abstract only), has looked at the evidence for drinking eight glasses of water a day and says the oft-recommended practice is “debunked nonsense,” a myth the bottled water companies have been only too happy to exploit and that many respected health care organizations and experts continue to support. Maybe common sense reasoning is also partly to blame—after all, the idea seems to make sense. And all that water certainly conjures images of purification, which is inevitably appealing in a world of pervasive toxins, chemicals, food additives, and the like, and in a time when fewer people in any given Western country practice the same or similar religious sacraments or rituals, practices that may—among other functions—have once served a similar “purifying” psychologic purpose.

Drug shortages: The Wall Street Journal Health Blog has reported on two surveys that suggest that “unprecedented” drug shortages are being experienced by most hospitals. The reasons are multiple: shortage rumors that prompt hoarding, FDA actions that halt production, lack of a crucial ingredient, poor inventory management, and others:

All treatment categories were affected, hospitals said, with 80% or more respondents experiencing shortages of surgery/anesthesia, emergency care, cardiovascular, gastrointestinal/nutrition, pain or infectious disease drugs. And 66% of hospitals reported shortages of cancer drugs. Some 47% […]

Sexual Predators Online: Where Do They Intersect With Adolescents and Young Adults?

Here are some of the results described in “Online Social Networking Patterns Among Adolescents, Young Adults, and Sexual Offenders,” an original research article published in the July issue of AJN:

nearly two-thirds of Internet offenders said they’d initiated the topic of sex in their first chat session; more than half . . . disguised their identity when online; most . . . preferred communicating with teenage girls rather than teenage boys; high school students’ experience with “sexting” . . . differed significantly according to their sex; a small number of students are being threatened and assaulted by people they meet online; avatar sites such as Second Life were used both by students and offenders . .  . .

What’s your own experience? Have a look at the article, and pass along the link if you find it useful, as a parent or nurse. Have you heard any concerns about Internet safety from parents or adolescents you encounter in your own practice or community? What’s your own take on Facebook and privacy, or any other issue raised in this article?—JM, senior editor

Getting Nursing News (Whether You Like It Or Not)

By Gail M. Pfeifer, AJN news director

During a recent public radio interview between Anita Dunn, a Democratic strategist and former senior advisor to President Obama, and Republican strategist Frank Luntz (author of Words That Work: It’s Not What You Say, It’s What People Hear), Dunn remarked that folks “increasingly seek people they already agree with to get their news from.” (Here’s the show’s transcript.)

That is a sad commentary on the state of news journalism today. By definition, a journalist’s report should be fair and unbiased. And news reporting, above all, should be held to that high standard.

If you read AJN’s news department regularly (here’s the current issue’s table of contents; scroll down to find links to the new articles), and we hope you do, we should tell you how we try to maintain such standards. […]

Bullying Wars: Theresa Brown vs. ‘the entire physician profession’

By Maureen Shawn Kennedy, AJN editor-in-chief

On May 11, an op-ed piece written by nurse and New York Times blogger Theresa Brown on bullying by physicians caused some physicians to protest (full disclosure: Brown’s honest and moving ethical meditation on a very different topic, “Right Treatment, Right Patient?”, was just published in our June issue).

Notable among her critics was Kevin Pho of the popular blog, Kevin MD, who wrote that Brown “unfairly blames doctors for hospital bullying.” He claimed that Brown uses her writing outlet to “metaphorically bully the entire physician profession.” Another commentary (by physician Ford Vox, writing in The Atlantic Monthly) accused Brown of publicly “drawing and quartering” her colleagues.

Spare me, please. Brown used a recent personal encounter to illustrate a problem that is, unfortunately, commonplace in hospitals.  She used it as a lede and parlayed the story into an insightful piece about bullying in hospitals.  (From experiences I had and witnessed during my clinical years, I actually thought it was a fairly mild example.) Ironically, the strong language used to counter Brown’s commentary made it seem that physicians were trying to bully Brown into silence because she’d spoken out. As if to say: how dare a nurse challenge physician behavior?  […]

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