Nurses spend more time with patients than most other types of providers and have unique insight into patient care and the the healthcare system.

Ms. Nightingale as an Applied Statistician

By Sue Hassmiller, PhD, RN, FAAN (latest in a series of posts by Hassmiller, who’s spending her summer vacation retracing crucial steps in Florence Nightingale’s innovative career)
 
Here at the home of Florence Nightingale, Embley Park (for more on Embley Park, see last week’s blog post), approximately 100 people have convened to study the impact of the “Lady with the Lamp.” The lady herself was multifaceted, and so is this crowd of scholars. There are nurse leaders, of course, but also museum curators, historians, educators, and biographers. They are all interested in their own piece, but also in how their piece fits into the bigger whole of her life. Today we heard Professor Thomas from the University of Southampton School of Business discuss her contributions as an applied statistician.
   

Representing mortality. Early in her life, Ms. Nightingale identified the need for hospitals and healthcare systems to collect and use data to improve care. She asked what use are statistics “if we don’t know what to make of them?” She is credited with developing the famous “coxcomb” illustration, which was a multidimensional way of depicting mortality rates. She used statistics at Scutari Hospital (also called Selimiye Barracks) in Turkey to guide her actions and used statistics and data in the London Times to […]

2016-11-21T13:16:32-05:00July 20th, 2010|health care policy, nursing history, nursing perspective|1 Comment
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Tech, EBP Buzzwords Among Nurse Researchers

By Shawn Kennedy, AJN interim editor-in-chief

As a lover of history, especially nursing history, I’ve been following Sue Hassmiller’s posts retracing the steps of Florence Nightingale with great interest and a bit of envy.

Well I went on a trip, too—to Sigma Theta Tau International’s 21st International Nursing Research Congress in Orlando. I was astounded by the truly international aspect of the meeting—many meetings say they are international if there’s a few hardy travelers from abroad, but there were many presenters, poster presenters and attendees from outside the United States.

What AHRQ does. Carolyn Clancy, director of the Agency for Healthcare Research and Quality (AHRQ), was the good choice for keynote. She shared some interesting data—like the fact that AHRQ is the leading funder of patient safety research in hospital and ambulatory care, or that the U.S leads the world in rates of hysterectomy. (While our rates are comparable with other countries for hysterectomy for endometrial cancer, they are “all over the map” for hysterectomy for noncancer diagnoses.) She also spoke about the agency’s research priorities—patient safety and quality of care, comparative effectiveness research, and reducing disparities in access to care for minorities and women (she acknowledged that “lack of health insurance is the biggest barrier”).

If there was a catchphrase from this conference, it was “evidence-based practice”—how to do it, teach it, evaluate it, and use it to transform practice, education, leadership style, and workplaces.

Using technology—virtual technology, simulation, social media, and Web technology—was another major theme, and presenters focused on […]

2016-11-21T13:16:35-05:00July 19th, 2010|Nursing, nursing perspective, nursing research|0 Comments
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Embley Park: Where It All Began

By Sue Hassmiller, PhD, RN, FAAN (5th in a series of posts by Hassmiller, who’s spending her summer vacation retracing crucial steps in Florence Nightingale’s innovative career) 

Never in my wildest dreams did I think I would ever be at the home of Florence Nightingale. But here I am, not only visiting her family’s estate, Embley Park, but sleeping here for the next four days. […]

2016-11-21T13:16:42-05:00July 14th, 2010|career, nursing perspective|5 Comments
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Interventions to Promote Physical Activity in Chronically Ill Adults: What Does the Evidence Tell Us?

By Sylvia Foley, AJN senior editor

It sounds like a no-brainer: physical activity can have great health benefits for people who are chronically ill. But which interventions promote physical activity in this population most effectively? Many studies evaluating such interventions have been conducted; but “without the benefit of a statistical analysis across studies it can be difficult to detect patterns and interpret results,” say the authors of this month’s CE feature, Todd M. Rupper and Vicki S. Conn.

In 2008 Conn and colleagues did just that, performing a meta-analysis that summarized the findings of 163 reports on 213 independent tests of interventions used to promote physical activity among more than 22,000 adults with various chronic illnesses. Now, in this article, Rupper and Conn discuss the implications of  the findings from that meta-analysis, describe the strategies and practices most commonly used, and identify which ones have proven most effective. Among the take-aways: […]

2016-11-21T13:16:44-05:00July 14th, 2010|nursing perspective, nursing research|0 Comments
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