Congress Could Learn from Global Nursing Unions

By Shawn Kennedy, AJN editor-in-chief

New South Wales Nurses and Midwives' Association rally New South Wales Nurses and Midwives’ Association rally

In this month’s issue of AJN, we report on the formation of a new international organization of nurses and health care workers in June—Global Nurses United (GNU). Under the auspices of the California-based National Nurses United, unions from 14 countries agreed to work together to “stop the harmful effects of austerity measures, privatization, and cuts in health care services.” The organization also is actively involved in advocating for other issues supported by labor unions, such as a tax on certain financial firms (called the Robin Hood tax) that would raise revenues to help provide needed services. Saving jobs and making workplaces safer unite all unions.

On September 17, the group held an international day of action. Member unions in Africa, Asia, Australia, and Europe held marches to protest cuts in health services and advocate for better working conditions for nurses, better staffing ratios and the Robin Hood tax. Unions in some countries had additional agendas—in South Korea, it was to save the Jin Ju Medical Center; in Australia, mandatory minimum nurse–patient ratios was a demand; in Costa Rica, the member union called for nurses’ right to participate in collective bargaining.

Will these marches and […]

2018-03-28T10:28:45-04:00October 7th, 2013|Nursing|0 Comments
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Finding the Calm: A Nurse-Led QI Project to Reduce Patient Agitation

By Sylvia Foley, AJN senior editor

Photo by Lanny Nagler, courtesy of Hartford Hospital Photo by Lanny Nagler, courtesy of Hartford Hospital

For many people, “going to hospital is rather like going to an alien planet,” as the British cartoonist and book illustrator Sir Quentin Blake once observed—it’s a very stressful experience taking place in an unfamiliar environment. For some, the experience of hospitalization can trigger or worsen agitation. In the October CE “Decreasing Patient Agitation Using Individualized Therapeutic Activities,” author Christine Waszynski and colleagues report on a nurse-led quality improvement project that demonstrated promising results. Here’s a short summary.

OVERVIEW: Hospitalized patients who are suffering from cognitive impairment, delirium, suicidal ideation, traumatic brain injury, or another behavior-altering condition are often placed under continuous observa­tion by designated “sitters.” These patients may become agitated, which can jeopardize their safety even when a sitter is present. This quality improvement project was based on the hypothesis that agitation can be decreased by engaging these patients in individualized therapeutic activities. The authors created a tool that allowed continuous observers to identify a patient’s abilities and interests, and then offer such activities to the patient. Data were collected using a scale that measured patient agitation before, during, and after these activities. The authors found that during the activities, 73% of patients had decreased levels of agitation compared with baseline, and 64% remained less agitated for at least one hour afterward.

The intervention appeared effective in reducing levels of […]

2017-07-27T14:49:56-04:00October 4th, 2013|Nursing|1 Comment
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The Grief Train

Then came “the Morning.” There was coffee, the newspaper, and ironed shirts. I was getting ready for a student’s dissertation defense and Paul, my husband, faced his own challenging day. As I prepared to shower, a crash sounded beyond the bedroom door. Something about the silence that followed made me grab my robe and go running.

GriefTrainIllustrationThat’s a teaser paragraph from AJN‘s October Reflections essay, “The Grief Train,”  by nurse, professor, and award-winning author Cheryl Dellasega. She writes about teaching a course called Death and Dying, and then having to try to make sense of a sudden, terrible loss in her own life. Like many profound American stories, this one ends in a long train trip.

I edit this column every month, and some of the stories go right to the heart of life, love, death, health, illness, healing, human connection and disconnection. The essay is free, so please click on the link above and read the whole thing. It’s well worth five minutes of your time.—Jacob Molyneux, senior editor

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2016-11-21T13:06:25-05:00October 3rd, 2013|nursing perspective|1 Comment
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AJN’s October Issue: Reducing VAP, Decreasing Patient Agitation, Bedbugs, Helping Transgender Kids, More

AJN1013.Cover.OnlineAJN‘s October issue is now available on our Web site. Here’s a selection of what not to miss.

Ventilator-associated pneumonia (VAP) is one of the most common hospital-acquired infections and a leading cause of death in ICUs. The authors of “Mouth Care to Reduce Ventilator-Associated Pneumonia” discuss the importance of oral care in infection control and offer an evidence-based, step-by-step guide to providing optimal mouth care for intubated patients. You can earn 2.3 CE credits with this article. 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.

The stress of hospitalization can lead to anxiety or agitation, especially in patients with psychiatric or cognitive disorders, putting them at increased risk for falls and self-harm. “Decreasing Patient Agitation Using Individualized Therapeutic Activities” describes a nurse-led quality improvement project that reduced agitation in patients suffering from cognitive impairment, delirium, and other behavior-altering conditions who were receiving continuous observation on a nonpsychiatric unit. Earn 2.4 CE credits by reading this article and taking the test that follows. Don’t miss the podcast interview with the author (click on the podcast icon on the first page of the article if you’re using your iPad, or visit our podcasts page).

Increasing patient […]

2016-11-21T13:06:27-05:00September 30th, 2013|Nursing|0 Comments
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Come Into My Parlor

Amy Getter, MS, RN, lives in Eugene, Oregon, where, in her own words, she “works with people with life-limiting illness who are enrolled in a hospice wherever they consider ‘home.’”

by Ramon Peco/via Flickr by Ramon Peco/via Flickr

I fondly remember becoming acquainted with my first “parlor,” in a 100-year-old home that my family moved into during my teen years. The walls were dressed in faded, peeling, paisley-patterned wallpaper and a tarnished brass chandelier hung from the ceiling. French doors closed it away from the rest of the living area, giving it a slightly mysterious aura. Far-off city lights blinked at me from elongated paned windows. I immediately claimed it as my bedroom.

The word parlor (derived from the verb “to speak”) may have first been used in medieval monasteries. An “outer parlor” was designated for receiving outsiders and attending to business needs and the “inner parlor” was for the monks’ private use. During the mid-19th century, formal parlors evolved and could be found in homes like the one my family lived in.

Weddings, funerals (being “laid out”), and other social events occurred in the parlor. Home businesses emerged (such as “funeral parlors”—offering an option for laying out the deceased in someone else’s home!). In recent years, care of the infirm and preparation of the […]

2016-11-21T13:06:28-05:00September 27th, 2013|narratives, nursing perspective, nursing stories, patient experience|3 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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