nursing research Archives - Page 21 of 39

Measuring Dyspnea Upon Unit Admission: Is It Feasible?

Do You Ask Your Patients about Dyspnea?

Photo by Thomas Northcut.

As a CE article this month, we feature a report of a pilot study on routine assessment of dyspnea on admission to a patient unit. It’s routine to take vital signs on all patients on admission, but really, how many nurses actually stand there and count respirations for all patients? And even if you are the exceptional nurse who does, that doesn’t necessarily tell you if the patient actually feels any shortness of breath. And then, of course, there’s the issue of whether it’s a good idea to add to the burden of documentation that many nurses are already concerned about.

This article reports on one group’s experience piloting a short dyspnea assessment tool for all admissions on several units. Here’s the abstract:

The assessment of dyspnea, like that of pain, depends on patient self-report. Expert consensus panels have called for dyspnea to be measured quantitatively and documented on a routine basis, as is the practice with pain. But little information is available on how to measure and record dyspnea ratings systematically. Consequently, the prevalence of dyspnea in hospital settings may be greater than is generally recognized, and dyspnea may be insufficiently managed. This article describes a pilot study that sought to test the feasibility of measuring dyspnea as part of the initial patient assessment performed by […]

Jacob Molyneux, senior editor/blog editor2016-11-21T13:06:08-05:00November 4th, 2013|nursing perspective, nursing research, Patients|0 Comments

AJN’s November Issue: Voices of New RNs, Intraosseous Vascular Access, Measuring Dyspnea, Coccidiodomycosis, More

AJN’s November issue is now available on our Web site. Here’s a selection of what not to miss.

New RNs. Hospitals invest in orientation or residency programs for newly licensed nurses, but turnover rates for first-year nurses remain relatively high. This month’s original research article, “Hearing the Voices of Newly Licensed RNs: The Transition to Practice,” looks at the orientation experience of new nurses in order to explore how institutions can best transition new nurses from an academic to a clinical setting. If you’re reading AJN on your iPad, you can listen to a podcast interview with the author by clicking on the podcast icon on the first page of the article. The podcast is also available on our Web site.

Starting an IV. Nurses are often faced with the challenge of starting an IV line in a patient who is dehydrated, has suffered trauma, or is in shock. This month’s Emergency CE feature, “Intraosseous Vascular Access for Alert Patients,” describes how nurses can use this fast, safe, and effective route for delivering fluids and medications when IV access fails. Earn 2.1 CE credits by reading this article and taking the test that follows. Don’t miss the video demonstration of the placement of an intraosseous (IO) needle in the proximal tibia using an IO access power driver (click on the video icon on the […]

Amy M. Collins, managing editor2016-11-21T13:06:12-05:00October 25th, 2013|nursing perspective, nursing research|0 Comments

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

By Maureen Shawn Kennedy, AJN editor-in-chief

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. Another […]

Jacob Molyneux, senior editor/blog editor2016-11-21T13:06:13-05:00October 24th, 2013|nursing perspective, nursing research|1 Comment

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, 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 on […]

Jacob Molyneux, senior editor/blog editor2016-11-21T13:06:16-05:00October 16th, 2013|nursing perspective, nursing research|2 Comments

The 10 Most Popular Articles on AJN Right Now

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 importance […]