A Program of Mindfulness Practice for Nurses at a Boston Cancer Center

By Jacob Molyneux, senior editor

The Thea and James Stoneman Healing Garden at the Dana-Farber Cancer Institute is a source of tranquility and relaxation for nurses, patients, and families. Photo by Sam Ogden, Dana-Farber Cancer Institute. The Thea and James Stoneman Healing Garden at the Dana-Farber Cancer Institute is a source of tranquility and relaxation for nurses, patients, and families. Photo by Sam Ogden, Dana-Farber Cancer Institute.

Maybe you already practice some version of meditation or mindfulness in your daily life. If not, you may at least have read or watched a news story recently about mindfulness and its various uses with or by everyone from elementary school students to professional athletes to drug addicts in recovery to CEOs looking to improve their focus, as well as many of the rest of us.

Or maybe you saw the final episode of the television series Mad Men a few weeks ago, with the advertising man Don Draper sitting cross-legged at a California coastal retreat, deep in meditation.

Some critics of a […]

A Nurse Epidemiologist’s Notes on Issues Raised by a Recent Death from Lassa Fever

By Betsy Todd, MPH, RN, CIC, AJN clinical editor

Lassa fever is most often diagnosed by using enzyme-linked immunosorbent serologic assays (ELISA), which detect IgM and IgG antibodies as well as Lassa antigen. Reverse transcription-polymerase chain reaction (RT-PCR) can be used in the early stage of disease. The virus itself may be cultured in 7 to 10 days, but this procedure should only be done in a high containment laboratory with good laboratory practices. Immunohistochemistry, performed on formalin-fixed tissue specimens, can be used to make a post-mortem diagnosis.

Some aspects of last month’s case of Lassa fever in New Jersey seemed to parallel the story of Thomas Duncan, who died last October in Dallas after contracting Ebola virus disease in Liberia.

A man arrived in the U.S. from Western Africa. He was screened for Ebola at the airport and instructed to monitor his temperature […]

Nurses Aren’t Just Healers, They’re Teachers Too: A Patient’s View

Illustration by Jennifer Rodgers. All rights reserved. Illustration by Jennifer Rodgers. All rights reserved.

A teeny red bump had mysteriously appeared on my left index finger. It hurt when I pressed on it. I figured it was nothing. . . .

That’s the start of the June Reflections essay in AJN, “Ms. Lisa and Ms. MRSA,” a patient experience narrative by freelance writer Shannon Harris. As luck would have it, the bump on her finger, it turns out, is not nothing. It’s MRSA.

The diagnosis takes a while. Finally the situation worsens, and surgery is needed. The author takes it all in stride, at least in retrospect:

The third physician stood out to me most. He asked to take a picture of my green and black, staph-infected finger with his iPhone. “Sure. Look at it! I thought this only happened to pirates,” I told him as he snapped away. He glanced at the young, button-nosed nurse standing beside him. “Don’t you want a picture? For your records?” he asked.

She shook her head, squinting and gritting her teeth. “I know. Yuck,” I said. I later shared photos of my infection journey online, to the great wonder and disgust of my friends and family. Before that, though, came surgery.

The author’s tone is light, but the situation is […]

AJN in June: Gastrostomy Complications, Nursing and Mindfulness, Cultural Competence, More

01AJN0615 CoverAccording to one of the authors of “Cultivating Mindfulness to Enhance Nursing Practice,” the Cultivating Quality article now available in our June issue, mindfulness can be understood as a practice centered around “remembering to pay attention with care and discernment to what is occurring in your immediate experience.” On the cover of our June issue (left), nurses at the Dana-Farber Cancer Institute in Boston practice mindfulness in a spacious garden, as part of a multifaceted program to help nurses manage stress and make the best of opportunities to more fully connect with patients and families. The article discusses the outcome of the program and how nurses in all settings can use mindfulness-based techniques to enhance their well-being and the care of patients.

Also in the June issue, a continuing education (CE) feature article, “Early Percutaneous Endoscopic Gastrostomy Tube Dislodgment,” describes the details of a case study of early percutaneous endoscopic gastrostomy tube dislodgment, attempted replacement, and subsequent sepsis that resulted in the patient’s death. This case is used to better inform nurses about gastrostomy techniques, complications, preventive strategies, and proper tube management. […]

Five Steps to Make Writing a Research Paper Less Daunting

By Amanda Anderson, a critical care nurse and graduate student in New York City currently doing a graduate placement at AJN.

By DeclanTM, via Flickr. By DeclanTM/Flickr

It takes a certain kind of super strength to be a grad student in springtime. Some days, I’d rather sit on a bench and watch the daffodils sway in the breeze than search for citable references to back up assigned claims. But after three years of graduate study, I’ve found a method that eventually grounds me. A looming deadline helps me hunker down with all necessary objects—iPad, keyboard, headphones, dirty stares for chatty undergrads. Most of my time is spent searching, until I’m finally ready to write. Edits are fairly quick, and my adherence to APA (American Psychological Association) style comes naturally now.

My system for writing a research paper is not new or undocumented. Research papers span all disciplines, but with little structural variation—a research paper is simply that: a paper that discusses research. Once I am able to will myself to focus, my research papers can be written in five basic steps.

Write a Thesis
Writing a research paper (for a school assignment or a work evidence-based practice project) can be intimidating, but fear can be eased by starting with just one sentence. A thesis statement should say […]

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