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

How Do You Define ‘Career-Minded Nurse’?

In our discussions of how to “brand” AJN, we on staff have sometimes referred to it as “the journal for the career-minded nurse.” I’ve often wondered who those nurses are. Some might think they’re that small percentage of nurses who go on for advanced degrees (only 13% of nurses, according to one source) or those who move into management positions.

Adherence to Evidence-Based Best Practices and Health Care Reform: What’s the Link?

Paper Money, Extreme Macro, by Kevin Dooley, via Flickr.

Health care reform is the hot topic of the moment. But of all the proposals being thrown around, which one will actually address the quality of care? In a July 5 op-ed piece for the New York Times, Paul O’Neill, former U.S. Secretary of the Treasury, asked, “Which of the reform proposals will eliminate the millions of infections acquired at hospitals every year? Which of the proposals will eliminate the annual toll of 300 million medication errors?” These are excellent questions that both lawmakers and clinicians need to consider. […]

Why Nurses Matter: NP’s Thorough Assessment Points to Cause of Infant’s HIV

A careful assessment by a nurse practitioner (NP) at St. Jude Children’s Research Hospital in Memphis, Tennessee, uncovered a potential reason for an infant’s HIV diagnosis. The staff at the hospital had been stymied in trying to ascertain how a nine-month-old infant developed HIV after earlier tests had shown her to be HIV-negative. The mother, who was HIV-positive, had not breastfed the child, nor was there evidence of injury or sexual transmission, and the infant had not received blood transfusions. Marion Donohoe, the NP, in taking a detailed history from the mother, asked her about feeding practices, including pre-mastication. Yes, said the mother, she had been pre-chewing food for her daughter.

Reform Watch: Insider Exposes Insurance Industry’s Practices; Obama Says Nurses Know Health Care Best

Kaiser Health News draws attention to a WSJ story about a former health insurance PR insider who’s been speaking out against insurance practices and the industry’s attack campaign against health care reform:

A former health insurance spokesman speaks out against insurance practices. The Wall Street Journal/Dow Jones reports: “Wendell Potter, former chief spokesman for health insurer Cigna Corp., describes himself in his Twitter bio as a ‘journalist who spent 20 years undercover as HMO PR flack, now writing all about it.’ While Potter chuckles about the line, he is serious about his foray into the U.S. health reform debate, where he is campaigning for a public health-plan option and, with mild delivery and tough words, targeting what he calls ‘deceptive and dishonest’ tactics of a for-profit health insurance industry that’s fighting such a plan.” 

And in an interview with NPR (full transcript here), President Obama calls nurses “the people who know health care best” and says they are among those who know why we need health care reform:

JIM LEHRER: And you’re not — you will not be satisfied by somebody or some group or somebodies that say, “Well, OK, let’s do it — but we can’t do it now; we have economic things to do. We have other things in the economy to deal with; let’s wait a year, let’s wait six months. Forget it, huh?”

PRESIDENT OBAMA: If not now, when? We have literally been waiting 50 years and we still haven’t gotten it done. And the longer we delay, the more those special […]

IOM Commission on Future of Nursing: Help or Waste?

Nursing still needs one united voice to speak on such issues. Maybe this work will help to solidify such a voice. I know that Donna Shalala, the Commission's co-chair, will continue to champion nursing and breaking down the barriers to access to nursing services. I hope organized nursing will not wait for Shalala, but will ask how it can support the IOM's work.

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