Time to Get Serious About ‘Handshake-Free’ Health Care?

By Shawn Kennedy, AJN editor-in-chief

Tombstone handshake, from Mel B, via Flickr. Tombstone handshake, from Mel B, via Flickr.

Last month in JAMA, Mark Sklansky and colleagues wrote a Viewpoint column, “Banning the Handshake From the Health Care Setting.” The article explored the idea and its feasibility, while acknowledging the importance of such rituals as handshakes in human interaction. In the end, the authors argued that it’s an idea we might need to start taking more seriously.

Is this an antisocial idea? That’s debatable, but it would certainly be a good step towards reducing transmission of infections—and one that’s probably long overdue.

It’s well known that pathogens are easily transmissible from health care workers’ hands, even if they practice hand hygiene in between seeing patients. But as the authors remind us, heath care workers are notoriously bad at doing so—they cite research showing that “compliance of health care personnel with hand hygiene programs averages 40%.”

And it’s no better in ambulatory care settings—an original research article we published in March 2013 that measured hand hygiene compliance by health care workers in an ambulatory care clinic found that, even after a campaign to improve adherence, compliance (as measured by direct observation) had only improved to between 32% and 51% at one-month […]

2016-11-21T13:04:36-05:00June 2nd, 2014|nursing perspective|2 Comments
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Nurses Join Fight Against Counterfeit Medicines

Hidden-in-Fake-Meds-2-1024x1809 Click infographic to enlarge

“Fight the Fakes” is a scary article in the June issue of AJN about counterfeit medicines and the role the International Council of Nurses (ICN) has taken in the Fight the Fakes campaign to inform the public about just how common the problem is and how dangerous it can be. Here’s the opening paragraph:

In February 2012, a cocktail of salt, starch, acetone, and a variety of other chemicals was delivered to 19 U.S. cancer clinics, instead of a vital chemotherapy medication they were expecting. Earlier this year, the Daily Mirror reported on black market abortion tablets that are being sold online to young teenage girls too scared to tell their parents they’re pregnant. The pills can kill if the wrong dose is taken.

The article is by David Benton, chief executive officer of the ICN, and Lindsey Williamson, the organization’s publications director and communications officer. Below is a brief blog post they sent us to give readers an idea of what’s at stake—but we hope you’ll also go ahead and read their article, which raises issues that should concern us all as patients or health care professionals.—JM, senior editor

Fake medicines are a global problem: they are reported in virtually every region of the world. Fake medicines may include products with the wrong […]

2016-11-21T13:04:37-05:00May 30th, 2014|nursing perspective|2 Comments
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AJN June Issue: Genomic Advances in CF, LGBT Care Disparities, Denying Smokers Jobs, More

AJN0614.Cover.OnlineAJN’s June issue is now available on our Web site. Here’s a selection of what not to miss.

The newborn featured on our cover this month is wrapped in a blanket decorated with a string of letters—better known as genetic code. Today, all newborns in the United States are screened for various inherited and congenital conditions, but the use of genomic sequencing at birth could provide information beyond what current screen­ing already provides—health information to go in their medical records for use in detecting and managing disease.

Cystic fibrosis (CF) is one disorder that has been affected by recent developments in the field of genetics. The discovery of the CF gene in 1989, along with advances in molecular genet­ics, made it possible to screen for CF through DNA testing. Early diagnosis and prompt treat­ment of CF has been shown to improve patients’ overall health and survival. Genetic advances have also led to the development of promising drugs to treat CF. For more on the impact of genomic advances on diagnosis and treatment, and implications for nursing practice, read, “Genomic Breakthroughs in the Diagnosis and Treatment of Cystic Fibrosis,” and  earn 2.3 CE credits by taking the test that follows the article.

LGBT health care disparities. The health care disparities that affect people who are lesbian, gay, bisexual, or transgender (LGBT) are closely tied to sexual and social stigma that […]

2016-11-21T13:04:38-05:00May 29th, 2014|nursing perspective|0 Comments
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Critical Care Nurses: Heading Home to ‘Focus the Flame’

By Shawn Kennedy, AJN editor-in-chief

AACN president-elect Teri Lynn Kiss AACN president-elect Teri Lynn Kiss

The American Association of Critical-Care Nurses (AACN) National Teaching Institute ended last Thursday, just in time to get folks home for Memorial Day weekend. Last week, my post was about the opening session and awards. Here are some more highlights from the rest of the week:

Concurrent sessions were plentiful—too many to choose from. My top two favorites were one on transfusing blood and blood products and another on managing pain, agitation, and delirium. New this year were sessions related to health care financing, a nod to the fact that all nurses need to be cognizant of the cost of care. My other “must attends” were the poster sessions—these are largely by up-and-coming researchers and teams doing innovative projects. current AACN president Vicki Good current AACN president Vicki Good

Handling conflicts with colleagues. A “super session” by Christine Cashen, a professional speaker, had everyone on their feet in a standing ovation. Extremely funny and with a clear message about handling conflict with colleagues (a very big issue in nursing, as we know), Cashen was a huge hit. […]

2016-11-21T13:04:42-05:00May 27th, 2014|career|1 Comment
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Memorial Day Weekend: Thanks to the Nurses Who Lost Their Lives While Serving

Vietnam Women’s Memorial, courtesy of Kay Schwebke

AJN wishes all of our U.S. readers (and everyone else too) a safe, restful Memorial Day weekend, whether you are driving to the shore or the hills, staying put and having a barbeque, finishing a dissertation, running a 10K, working all weekend in the emergency department, gardening, or binge-watching episodes of a TV show on Netflix (you know who you are).

But let’s not forget the meaning of this pause to express gratitude to all soldiers and nurses who lost their lives in service to this country, and to their families. I still remember the Memorial Day parade that started downtown in our small New England town and passed our house almost a mile later, the rolling sound of the drums getting nearer for a long time, the old guys in various uniforms passing by, a few nurses in uniform among them.

We’d join the kids circling behind on bicycles as the parade went along the final stretch to the cemetery across from my grandparents’ house, turned slowly in, and marched on until it came to a stop near the center. A hush would fall then in the cemetery with its tall trees. There were no cell phone cameras then. There was nothing to break the quiet. No one was sending or getting texts. No one had earbuds in.

Even as kids we knew it meant something, that silence, and we knew enough to respect it, no matter what we […]

2023-05-26T09:56:27-04:00May 23rd, 2014|career, nursing history|0 Comments
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