Nurses spend more time with patients than most other types of providers and have unique insight into patient care and the the healthcare system.
The September issue of AJN is now live. Here are some articles we’d like to bring to your attention.
CE Feature: “Original Research: Predicting Injurious Falls in the Hospital Setting: Implications for Practice”
Despite years of research and increasingly evidence-based practice, falls continue to be the most commonly reported adverse events experienced by hospitalized adults. Yet most of the relevant research has focused on predicting and preventing falls in general; there has been little focus on injurious falls. In an attempt to identify which patient factors are associated with injurious falls in hospitalized adults, the authors of this retrospective study analyzed 10 variables. Their findings may help hospital clinicians to identify at-risk patients and create better fall-related injury prevention interventions.
CE Feature: “Military Sexual Trauma in Male Service Members”
The experience of military sexual trauma (MST), which can result from assault, battery, or harassment of a sexual nature, may jeopardize the mental health of service members. This article discusses the unique ways in which men may experience MST and examines how social stereotypes of masculinity, myths surrounding sexual assault, and military culture and structure often influence a man’s interpretation of an attack and his likelihood of reporting the incident or seeking treatment. It also describes current treatments for MST-related mental health conditions and addresses implications for nurses and other health care professionals.
(Editor’s note: We have updated the photo caption in this post, which contained one inaccuracy. And to our blog’s subscribers: we had a technical issue and this resulted in duplicate email notifications for some old blog posts. We are working on this today and promise not to keep filling your inboxes!)
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.
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.
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 experts on what’s known from research and what’s still being debated, potential avenues for study, and what, despite the dearth of hard data, appear to be promising practices for dealing with moral distress. (For more on the intersection of moral distress and moral resiliency, see “Moral Distress: A Catalyst for Building Moral Resilience” in the July issue of AJN.)
After identifying what seem to be the essential elements of helpful initiatives and models, participants worked in groups to brainstorm strategies for developing resilience and creating healthy work environments that will promote safe, quality care for patients and their families. […]
Susan Schnall and a group of children at Tu Du Hospital, Ho Chi Minh City, in 2008.
On August 10, 1961, the United States military first sprayed Agent Orange, a defoliant containing a particularly toxic dioxin compound, in Vietnam. Fifty-five years later, the effects of this and other chemicals linger on. And 48 years after former naval nurse Susan Schnall was court-martialed for protesting the Vietnam War, she visited Vietnam for the first time and witnessed these effects firsthand.
“In all my years in health care, I have never seen children with such severe birth defects,” Schnall said during an interview with AJN. After her court-martial, Schnall went on to have a successful 30-year career in hospital administration. After retiring and visiting Vietnam, she decided she needed to do something about what she witnessed there.
Schnall joined a group called the Vietnam Agent Orange Relief and Responsibility Campaign, made up of American Vietnam Veterans, Vietnamese Americans, social activists, and community leaders. The group aims to educate the public on the repercussions of the chemical warfare used in Southeast Asia and tries to get the U.S. government to compensate the more than 3 million Vietnamese people still suffering from the chemicals’ effects. […]
AJN’s monthly news section covers timely and important research and policy stories that are relevant to the nursing world. Here are some of the stories you’ll find in our current issue (news articles in AJN are free access):
A new analysis of calls to U.S. poison control centers found that e-cigarette exposures in children younger than six increased dramatically from 2012 to 2015. Though child-resistant packaging for e-cigarette products was federally mandated in January, advocates are also calling for regulations on eye-catching packaging, which can be attractive to children.
Recent federal actions are raising awareness about the needs of gender-nonconforming individuals, who have poor health outcomes and often face substandard care, insufficient insurance coverage, and inadequate health outreach.
Results of a large-scale survey of RNs reveal that education levels among nurses are increasing, along with gender and ethnic diversity, and that the aging of the RN population is slowing—an indicator that concerns about an impending nursing shortage due to retirements may be unwarranted.
In light of significantly elevated rates of the disease in Maine, New Hampshire, and Vermont, investigators conducted a population-based case–control study that found a connection between bladder cancer incidence and exposure to arsenic via well water. […]