American Academy of Nursing Spotlights Veteran Health Care, Names New ‘Living Legends’

By Maureen Shawn Kennedy, AJN editor-in-chief

Have You Ever Served? For me, the annual meeting of the American Academy of Nursing (AAN) is a great venue for networking and connecting with old friends (including some from nursing school days 40 years ago). And there are always interesting sessions such as the Living Legends awards and a presentation about veterans’ health.

Few schools of nursing teach nursing history anymore, and unless you’re plugged into a professional association you won’t know about the accomplishments of those who’ve shaped the profession. That’s a shame. Nursing has been rich with women and men of action who’ve forged new ways of thinking about, practicing, and teaching nursing. At this year’s AAN meeting, four nursing movers and shakers were added as “living legends” (the Academy’s highest honor) during the event that’s always a highlight at the annual meeting. This year’s “class” includes:

(Ret.) General Clara Adams-Ender, whose army career began as a private and ended as a brigadier general (she was the first nurse to become a general!) and chief of the Army Nurse Corps.

Hattie Bessent, a staunch advocate and leader in creating opportunities in nursing for minority groups.

Margaret Miles, a pioneer in pediatric nursing whose research and work with parents of critically ill children has led to family-centered care practices in ICUs.

Jean Watson, whose ground-breaking theory development, research and practice around the science of caring is known around the world.

The health needs of veterans. […]

Why Don’t We Pay Attention to Oral Care in the ICU?

By Maureen Shawn Kennedy, MA, RN, AJN editor-in-chief

“Although meticulous oral care has been shown to reduce the risk of ventilator-associated pneumonia (VAP), oral care practices among critical care nurses remain inconsistent, with mouth care often perceived as a comfort measure rather than as a critical component of infection control.”

scanning electron micrograph of Pseudomonas aeruginosa bacteria, one several types that can cause VAP/CDC Scanning electron micrograph of Pseudomonas aeruginosa, one of several bacteria types that can cause VAP/ CDC image

So begins one of our CE feature articles in the current issue of AJN. In “Mouth Care to Reduce Ventilator-Associated Pneumonia” (which you can read for free), the authors discuss why mouth care is so important among the interventions to reduce VAP—and why it is often not given a high priority among patient care procedures.

I have to confess that in my clinical days, mouth care was done almost as an afterthought. In our critical care unit, we were always diligent in monitoring vitals signs and IV fluids, suctioning, turning and positioning the patient, but oral care usually was a perfunctory task, completed with a few quick swipes with lemon-glycerine swabs.

Booker and colleagues explain why oral care deserves the careful attention we give to other measures. They also review the research […]

The 10 Most Popular Articles on AJN Right Now

From boliston, via Flickr From boliston, via Flickr

The 10 current “most viewed” AJN articles are below. Sometimes we’re surprised by the ones that go to the top of this list. At other times, the high interest in the article makes perfect sense. Most of these articles are currently free, either because they are CE articles or because they are shorter opinion pieces or the like. We hope you’ll have a look.—Jacob Molyneux, senior editor

“The Care of Pregnant Women in the Criminal Justice System” 

CE article. Overview: Current practices in the treatment and transfer of pregnant inmates in this country may negatively affect maternal and fetal health or well-being. Some violate federal or state laws; others conflict with standards of obstetric care and are widely considered unethical or inhumane. This article discusses these practices; their legal status; and implications for nursing practice, policy, and research.

“Developing a Vital Sign Alert System”

CE. Overview: This article describes the implementation of a nurse-designed, automated system for enhancing patient monitoring on medical–surgical and step-down nursing units. The system . . . was found to substantially reduce out-of-unit codes without increasing nurses’ workload.

“Mouth Care to Reduce Ventilator-Associated Pneumonia”

CE. Overview: Despite the well-established association between good oral hygiene and the prevention of VAP, the […]

The Dangers of Loneliness: Findings from a Study among Appalachian Elders

By Sylvia Foley, AJN senior editor

Arrow and mountains by taberandrew, via Flickr Arrow and mountains by taberandrew, via Flickr

Writing for AJN in 1955, Hildegard Peplau described the complexities of loneliness, observing that “often loneliness is not felt; instead the person has a feeling of unexplained dread, of desperation, or extreme restlessness.”  Fast-forward to 2009: nurse researchers Laurie Theeke and Jennifer Mallow wanted to better understand the health implications of loneliness, and decided to conduct a study. This month’s original research CE, “Loneliness and Quality of Life in Chronically Ill Rural Older Adults,” reports on a data analysis of their findings.

One of the most striking findings was that 97% of the sample reported significant loneliness, an extremely high prevalence rate. Here’s a quick overview of the study:

Background: Loneliness is a contributing factor to various health problems in older adults, including complex chronic illness, functional decline, and increased risk of mortality.

Objectives: A pilot study was conducted to learn more about the prevalence of loneliness in rural older adults with chronic illness and how it affects their quality of life. The purposes of the data analysis reported here were twofold: to describe loneliness, chronic illness diagnoses, chronic illness control measures, prescription medication […]

2017-07-27T14:50:14-04:00September 4th, 2013|nursing research|2 Comments

Nursing Editors Talking Shop in Ireland

By Maureen Shawn Kennedy, AJN editor-in-chief

Seaside at Lehinch Seaside at Lahinch

Last week I was in Cork to attend the annual meeting of the International Academy of Nursing Editors, also known as INANE (yes, I know, and the name was created with full awareness; this is not a group that takes itself seriously—decisions happen by consensus and any work is done by volunteers; if funds are needed for something, we pass the hat).

I met editors from Ireland, the United Kingdom, Australia, New Zealand, and from as far away as Hong Kong and Israel. I’m amazed at the number and variety of nursing journals. Whatever the size of the journal, the issues and editorial priorities are similar. We all struggle with getting “good manuscripts,” that is, papers that are well written, supported by evidence, and speak to the concerns of the readers. Moody Connemara scenery Moody Connemara scenery

We heard a whirlwind 10-minute history of Ireland and a wonderful presentation on nursing in Ireland by Kathleen MacLellan, nurse advisor, Department of Health and Children, Dublin. We spent a lot of time discussing ethics as well as how to deal with submissions from students who need better guidance from faculty. (See my previous blog post on this topic.)

I always come away with new insights, helpful information, new contacts, and new ideas. And of course, there were a couple of social events to […]

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