AJN in January: Triglycerides, HPV–Related Oral Cancers, Year in Review, More

The January issue of AJN is now live. Here are some articles we’d like to bring to your attention.

CE Feature: “Triglycerides: Do They Matter?”

In light of the increasing incidences of obesity, insulin resistance, and type 2 diabetes, lowering triglyceride levels has been getting renewed interest. In addition to the focus on lowering low-density lipoprotein cholesterol levels in cardiovascular disease (CVD) prevention, clinicians need to be aware of the role of triglycerides—their contribution to CVD, and the causes and treatment of hypertriglyceridemia. In this article, the authors discuss the importance of lowering triglyceride levels and review the lifestyle changes and pharmacologic treatments that can help achieve this goal.

CE Feature: “Human Papillomavirus-Related Oral Cancers: The Nurse’s Role in Mitigating Stigma and Dispelling Myths”

The prevalence of human papillomavirus (HPV)–related oral cancers has been rising, with the cancers occurring in adults at a younger age than HPV-negative oral cancers typically do and in men more often than women. Because HPV is sexually transmitted, diagnosis with an HPV-related oral cancer may prompt feelings of shame and guilt. It’s essential for nurses to educate patients on HPV transmission and HPV-related oral cancer, thus helping to mitigate the stigma and dispel myths, and to promote vaccination in at-risk populations, including children and young adults.

In the News: “

2016-12-30T10:46:54-05:00December 30th, 2016|Nursing|0 Comments
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AJN: Holding the Line on Quality in 2016

In the midst of the day-to-day demands of our lives and the constant multitasking, it’s often hard to step back and think about where the time went. Days and events seem to blur together. During the last week of the year, I like to review my calendar. I find that this exercise helps me put the year in perspective and revisit what I’ve done and who I’ve done it with.

My December editorial, “Taking Care of Business,” addresses how we can sometimes overlook colleagues who go about doing their jobs with little drama or complaint: the volunteers who give their time to free clinics, those who serve in the military or public service, the quietly competent colleagues we work with every day. They can easily become part of the blur of passing days because they show up, do their work, and move on to the next thing that needs to be done.

In the editorial, I briefly mentioned my colleagues here at AJN in that category. The staff works diligently to ensure that all manuscripts are fact-checked for accuracy and are edited to present the content in the best light and form. After a first round of editing, the articles are then copyedited. They’re laid out in page proofs and go through additional proofreading by a copy editor, nurse editors, and the article’s author(s). The process can be painstaking and repetitive, but accuracy and quality don’t happen without careful attention.

While AJN has […]

2017-01-03T10:04:03-05:00December 27th, 2016|Nursing|0 Comments
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Home for Christmas: Flight Nursing and the Symbols of Hope

The Helm of Awe /courtesy of the author

As nurses, we all have patients who stick with us. I’ve thought of Henry many times since we transferred him six months ago from Dublin to an American hospital to undergo groundbreaking treatment or acute lymphocytic leukemia.

His prognosis was poor—a fact he was well aware of. He’d told his father he wanted to “be done.” He’d had enough of hospitals and the medicine that didn’t cure him and only made him feel worse. He was ambulatory and stable from a medical standpoint, but had the drawn and haggard look of the chronically ill. Most disturbing was his reticence. There was none of the enthusiasm I’d expect from a 12-year-old riding across the Atlantic in a Learjet—he couldn’t even be coaxed to lean into the cockpit.

The only time he perked up was when we landed for fuel in Keflavik, Iceland. He sat up and gazed out the window on our approach, looking interested in his surroundings for the first time.  I found out from his dad that he’d missed a school trip to the island due to his cancer, and I started telling him all I knew of Iceland, which wasn’t much. At that time, I had never left […]

2017-07-27T11:49:54-04:00December 20th, 2016|Nursing, nursing stories|0 Comments
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Speaking Publicly ‘As a Nurse’: Case in Canada Highlights Risks, Responsibilities

Douglas P. Olsen, PhD, RN, associate professor, College of Nursing, Michigan State University, writes about ethical issues for AJN.

Recently, a disciplinary committee in Canada found a nurse in breach of the Canadian Nurses Association’s Code of Ethics for Registered Nurses for posting negative comments on Facebook and Twitter about the care given to her grandfather in a long-term care facility before his death. The nurse was accused of violating her grandfather’s confidentiality, not using proper processes for noting complaints about his care, and potentially harming the institution’s reputation. She was found guilty of professional misconduct but not guilty of violating his privacy. The ethical breach was based on her public declarations about the nursing care.

Key to the Saskatchewan Registered Nurses’ Association decision to find the nurse guilty appears to have been the fact that the nurse prefaced remarks with the phrase, “As a nurse . . . ” Adding this phrase to one’s communications confers the authority of scientific and experiential expertise. It further implies that one is versed in the proper procedure and standards for evaluating accuracy and relevance of clinical information and that one’s conclusions are communicated honestly for constructive purposes. The credibility added by identifying the nursing credential is deserved—and therefore carries responsibilities.

What are the conditions for an ethical response when speaking publicly ‘as a […]

2016-12-20T15:09:59-05:00December 16th, 2016|Ethics, healthcare social media, Nursing|2 Comments
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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