Nurses and Patient Safety: Parallel Histories

Photo from AJN archives.

I’m especially pleased that one of the CE articles in the February issue focuses on nursing’s role in creating a safe environment for patients: “Nursing’s Evolving Role in Patient Safety.” And in full disclosure, I was excited to see that the authors used the AJN archives to chronicle how nursing addressed (or didn’t address) safety issues around patient care.

From the earliest days of nursing through to the current complex systems in which we practice, nurses have been the health professionals responsible for ensuring safe passage of patients through the health care system. From Nightingale’s criteria for creating a healing environment to the “5 rights of medication administration,” patients rely on nurses to act as sentinels.

The authors reviewed 1,086 AJN articles from 1900 to 2015 and conducted a content analysis to identify patient safety themes. Aside from uncovering many fascinating (and sometimes alarming!) details of former health care practices, the authors drew this general conclusion:

“Emphasis on patient safety increased as patient care became more complex. As nurses developed a professional identity, they often put a spotlight on safety concerns and solutions.”

Here’s a quote from a nurse who wrote in 1908 about nurses’ duties: […]

Black History in AJN: From Booker T. Washington To Today’s Influential Voices

Black nurses at Camp Sherman, Chillicothe, Ohio, in 1918.

Acknowledging Black History Month

February is the month designated for remembering the contributions of black people to our nation and our culture. It’s a good reminder that in nursing, too, we have benefited from many strong black women (and at least a few men), who often persevered in the face of discrimination in obtaining education and jobs.

The AJN archives have several articles worth revisiting.

This article from 1976, “Black Nurses : Their Service and Their Struggle” (to read, click on the pdf), describes the struggles of several of our profession’s notable black nurses, including Mary Mahoney (the first black nurse to be licensed).

In a 2010 editorial, Alicia Georges, professor and chairperson of the department of nursing at Lehman College of the City University of New York, writes, “We all stand to benefit from the active participation of black nurses in our communities and our lives.”

A 2013 commentary by Kenya Beard (an AJN editorial board member) and Kellie Voicy speaks to the need for increasing minority representation in nursing.

And a jewel: an article by Booker T. Washington, published in 1910, on nurses’ training at Tuskegee.

The above articles will be free until March 1. Please read them and become informed and inspired.

10 Lessons Learned from Clara Barton’s Life and Work

By Jean Johnson, PhD, RN, FAAN, professor and founding dean (retired) at the George Washington University School of Nursing, member of the Red Cross National Nursing Committee, and Linda MacIntyre, PhD, RN, chief nurse of the American Red Cross

Clara Barton at desk in Red Cross headquarters Clara Barton at desk in Red Cross headquarters

This is the final post in the Clara Barton Study Tour series. There have been many lessons learned during the tour. All of the participants have agreed to take what we learned and reflect on how our lives have been changed by this trip and what we are going to do to use what we learned to further the humanitarian work of Clara and the Red Cross.

For reasons mentioned in previous posts, this tour was very emotional, as well as informative. Here are ten lessons we learned from our investigation into Clara Barton’s career and its continuing implications for ongoing efforts in the U.S. and internationally.

  1. Clara Barton was resilient and a renegade, transforming some of her biggest fears and bouts of depression into constructive humanitarian action.
  2. Clara was a superb logistician, gathering goods and transporting them during the Civil War and during disasters in the U.S. and internationally, such as her relief work in the Franco-Prussian War.
  3. Clara was tenacious. If she did not get what she wanted, she kept at it. When trying to meet with President Lincoln about establishing the Missing Soldiers […]

In Geneva, a Wider Perspective on Clara Barton’s Humanitarian Vision

By Jean Johnson, PhD, RN, FAAN, professor and founding dean (retired) at the George Washington University School of Nursing, member of the Red Cross National Nursing Committee, and Linda MacIntyre, PhD, RN, chief nurse American Red Cross

To Geneva, Oct. 2-3: The Red Cross Mission Is International

Red Cross and Red Crescent Symbols Outside ICRC Museum, Geneva Red Cross and Red Crescent Symbols outside ICRC Museum, Geneva

The Clara Barton Study Tour was the idea and passion of Sue Hassmiller. As you may know from the most recent post in this series, Sue and her husband Bob were prevented from coming on this trip due to Bob’s tragic bicycle accident. Sue had insisted that Geneva needed to be part of the tour because it’s where she learned of Henri Dunant’s work to create the international Red Cross in Geneva. With Bob’s steady support in the planning phase, Sue had somehow made the trip a reality, with the second leg of the tour taking place here in Geneva.

The study tour in Geneva and the organizations we visited on our first two days there were in complete harmony with Bob’s commitment to […]

The Call to Service Is Personal: From Vietnam to Red Cross Volunteer

Sue and Bob Hassmiller. Photo courtesy of the American Red Cross. Photo courtesy of American Red Cross

This post was written by Bob Hassmiller the day before a serious bicycle accident, when he was looking forward to beginning the Clara Barton Tour. He did not make it to Geneva, and died two days after we published this post. The post shows the type of man Bob was—creative, thoughtful, caring, and committed to the Red Cross. We are publishing this post to honor Bob and Sue Hassmiller (pictured at right) and give voice to his commitment to the Red Cross.

Henri Dunant’s Awakening

Geneva is perhaps as beautiful and tranquil a spot as any on earth. We’ve looked forward to going there to explore how this unique city became the nexus between overwhelming disaster and the hope (and action) that alleviates that disaster.

Just as in the first part of the Clara Barton Tour, we learned that the ideals and actions of determined, caring, dedicated, and sometimes flawed individual like Clara Barton could result in the founding of a great humanitarian organization, the American Red Cross, so too do we review the efforts of her European contemporary Henri Dunant.

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