As Patient Handling Injury Rates Remain High, Schools Teach Outdated Methods

The old-fashioned way to reposition patients.

I haven’t seen draw sheets in hospitals for years now. “Back in my day,” those narrow sheets we placed across the middle of the bed were considered essential to patient care. Draw sheets were easier to change than the full sheet and they kept the bed neat. They always seemed to be hard to come by—probably because most nurses had stashed their own supply of them in patients’ rooms.

But more importantly, they were what we used to reposition patients. We used to work in pairs on turning rounds—one of us on each side of the bed, rolling the draw sheet tightly to get a grip, then sliding the patient up in bed or turning them on their sides. It was hard work, and no form of “good body mechanics” saved your back or shoulders and neck from strain when you needed to stretch across a bed—or, many times, climb on top of it—to move an unconscious patient. It’s no wonder that nurses and nursing assistants had such high rates of serious musculoskeletal injuries.

The institution of ‘No-Lift’ policies.

Then came electric beds, overhead lifts and transfer stretchers, and “No Lift” policies, which were based on data from the Occupational Safety and Health Administration (OSHA) on the frequency of injuries and supported by nursing organizations. Many hospitals and nursing homes implemented safe patient handling and mobility […]

Being a Nurse, or When Did You ‘Grok’ Nursing?

How does one “become” a nurse, as opposed to learning nursing skills? What is “being” a nurse as opposed to “doing” nursing?

On our Facebook page last week, we posted this query: “Professional identity is more than what you do—it’s a part of who you are. What does being a nurse mean to you?” One of the responses we received was, “Caring providers that own it, do right, work together and solve problems with innovative methods to improve care methods and optimize outcomes.

The respondent’s use of “own it” resonated with me: from the thesaurus, to own something means “to possess, preserve, maintain, hold, profess, declare, accept, have possession of…” To me, it hints at holding onto something valuable, being mindful of it and not losing sight of it.

This original post came about because I had recently attended a meeting at the University of Kansas School of Nursing, where a group of about 50 invitees were asked to brainstorm how nursing students develop a professional identity—How does one “become” a nurse, as opposed to learning nursing skills? What is “being” a nurse as opposed to “doing” nursing? Most of us say, when asked what we do, “I’m a nurse,” not “I do nursing.” And some of us […]

The End of Summer Is Nearly Here: Use Those Vacations

Every July 4th at the end of the day, a friend used to say, “Well, summer is almost over.” And summer did seem to fly by in a blink after that day. Now here we are again, putting the summer of 2018 to bed as we face Labor Day weekend. This last chance at summer always seems a little sad. It’s the marker of so many things—the end of lifeguards at the beach, the last chance to get school supplies, the beginning of another school year. (That includes nursing school. Here’s some good advice for new nursing students that we collected a while back from our readers.)

Like many others, I recently spent a week on vacation with family. It took some doing to get things organized and some working ahead to meet deadlines, but it was worth it. As a manager, there’s no one to keep certain things moving while you’re gone. So the week leading up to vacation is a frenzied time, organizing and working ahead to cover deadlines, and getting ready to leave. Then, once back, there’s another frenzied time to try to catch up. My strategy is to check email once a day while on vacation. It keeps what I have to deal with […]

Nurses Retiring from Nursing–or Not

Many of my nursing school classmates are retiring. A few said they were “done” with nursing and health care and with working, and stopped as soon as they were able to afford not working. They keep busy traveling, babysitting grandchildren, or just taking it easy. Some are trying their hand at something totally different—becoming a docent in a museum, for example, or taking courses to be a travel agent.

Keeping a connection to nursing.

Retired nurse Diane McCarthy volunteers in the neonatal ICU at OhioHealth Riverside Methodist Hospital in Columbus. Millennial nurses such as Erin Bergmann (left) say they benefit from having more experienced nurses like McCarthy on the unit. Photo by Kyle Robertson.

Most people I know, however, still want to keep a connection with nursing and have transitioned into part-time or consulting roles. After fulfilling and demanding careers, many older nurses still have a lot to offer and are not ready to completely retire from nursing. As one colleague has aptly termed it, “preferment”—doing what you prefer, when you prefer, and […]

AJN Wants You! A Call for Peer Reviewers and Authors

nurse typing on keyboardTake your career to the next step—become a peer reviewer or author.

For over 118 years, AJN has presented its readers with timely and informative content to support best nursing practice and to examine issues of the day that are relevant to nurses and the profession. While that’s still our aim today, content development is more complex—it now includes peer review; fact-checking to ensure accuracy; citing evidence from the literature; ethical guidelines that govern editor, reviewer, and author behavior; careful editing to meet standards for quality writing; transparency to avoid bias and conflicts of interest. We’re proud of our commitment to high standards, and our success is borne out by the many awards we’ve received—more than any other nursing journal.

All of this wouldn’t be possible without the help of peer reviewers and authors, who commit to making the content we publish the best that it can be: timely, accurate, readable, and useful.

Peer reviewers are essential to any scholarly journal.

Peer-reviewing is also an excellent way for fledgling writers to better understand what editors look for in manuscripts. We welcome new reviewers who have expertise in nursing, are current with the literature and practice in their area of expertise, have a master’s degree or higher (or a BSN and certification in a specialty area), and are willing to review three to six manuscripts […]

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