This is What Democracy Looks Like, Nurses Included

Photos by Karen Roush.

“Nursing leaders have called upon all nurses to be heard, from bedside to boardroom and beyond. Not all of us share the same political views, and that is how it should be.”

By Karen Roush, PhD, RN, assistant professor of nursing at Lehman College in the Bronx, New York, and founder of the Scholar’s Voice, which works to strengthen the voice of nursing through writing mentorship for nurses.

On Saturday, I marched with over a million others in Washington, D.C., to protest the policies and rhetoric of the incoming Trump administration, along with millions more who marched in sister protests throughout the world. It was a day marked by exhilarating solidarity, determination, and hopefulness.

People of every age, race, ethnicity, religion, sexual orientation—all the ways you can try to divide people—stood together. Many carried signs and banners: some funny or clever plays on words, many serious messages of inclusiveness or demands for rights and action. Throughout the day strangers exchanged smiles and nods, silently […]

2017-01-24T11:15:20-05:00January 24th, 2017|Nursing|1 Comment

Top Nursing, Policy, Clinical Stories of 2016

Crowd members hold candles during a vigil for the victims of a mass shooting at the Pulse nightclub in Orlando, Florida. Photo © Associated Press

Late last year, we asked our editorial board members and contributing editors to tell us what they thought were the most important health news stories of 2016. In our January article “The Year in Review 2016,” we take a closer look at three of their most-mentioned topics: the Affordable Care Act (ACA), opioid misuse, and Zika virus.

What other issues stood out last year in specific areas of health care? We compiled top news story roundups for several categories—here’s an overview (click the links below to read the full articles):

Health Care Policy

  • Gun violence
  • Access to care: LGBT health, migrants, mental health care, medication costs, rural health care

Nursing

  • Workplace stress: 12-hour shifts, EHRs, evidence-based practice, staffing
  • Nursing education: increased access, faculty shortage, expanded simulation, improved employment prospects
  • Care delivery barriers: care for veterans, nurses’ practice authority

Clinical News

  • Sepsis awareness
  • Maternal mortality
  • Patient engagement
  • Population health trends

Finally, see “Stories to Watch in 2017” for a discussion of a few health topics, aside from the fate of the ACA, that we expect to hear more about this year.

2017-01-23T13:27:37-05:00January 23rd, 2017|Nursing, Public health|0 Comments

As ACA Under Threat, Dawning Awareness of a Law’s Many Provisions

by matsuyuki/via Flickr

Nurses reflect the American population’s variety, and this means that many nurses support the Affordable Care Act (ACA) and many would like it repealed, whatever the replacement might be.

Like many Americans, nurses may have a broad ideological or analytical perspective on the pros and cons of the ACA or other health policy issues. Or they may choose for or against complex legislation on the basis of a single issue—like abortion funding, or insurance access for a husband or daughter with a preexisting condition, or whether they believe staffing issues can be blamed on their hospital administration or an ACA provision.

But it’s been my experience as an editor at AJN and a citizen that many people don’t really know that the ACA has multiple provisions that address quality and access issues at every level of health care.

The futures of these provisions are all in question as the Trump administration and a Republican-led Congress prepare to hack away at the ACA without a clear replacement plan.

With a kind of pre-obituary fervor, the media is beginning to pay attention to the changes the ACA brought about now that many may soon disappear—so, for seemingly the first time, are many Democratic politicians, who it’s now clear did very little to sell the ACA to their constituents. […]

Reluctant Heroes: When Men in Nursing Cry

Reluctant Hero / graphite, charcoal, and pastel on paper / by Julianna Paradisi 2017

I first learned the effect a man’s tears have on my emotions from the parents of my young patients when I was a pediatric intensive care nurse.

I am not unaffected by the tears of a woman, but in the PICU the tears of the mothers differed in nature from the tears of the fathers.

A mother with a hospitalized child will cry, and when overwhelmed, she will break down. But in the PICU, more often than not, she took a tissue from the box I handed her, wiped her eyes, breathed deeply, and then put on a brave face to protect her child from knowing her fear and concern over his welfare.

When the father cried, it was an admission of helplessness. His problem-solving toolbox was empty. The tears represented feelings of personal failure, powerlessness to protect his child and family from disease or trauma. His criteria for being a father, or a man, was eroded.

These displays of total soul-brokenness undid me every time. […]

2017-01-18T10:32:08-05:00January 17th, 2017|career, men in nursing, Nursing|6 Comments

Health Care Terms and Words To Retire and Replace?

This week, two bloggers posted lists of words or terms they felt should no longer be used when referring to health professionals or patients.

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