Nursing Blogs Roundup: Some Veteran Voices and Some Lively New Ones

By Jacob Molyneux, senior editor/blog editor

Blogging - What Jolly Fun/Mike Licht, NotionsCapital.com, via Flickr Creative Commons Blogging – What Jolly Fun!/Mike Licht, NotionsCapital.com, via Flickr Creative Commons

Here are some new or newish posts of note on various nursing blogs:

At Nursetopia: “You Get What You Put In To Your Nursing Association.”

At Nursing Stories: “Memories of MICU,” a post about visiting a new state-of-the-art medical intensive care unit (MICU) and comparing it to one the author worked on in the 1970s.

At the American Nurses Association (ANA) blog called One Strong Voice: “Working With a New Graduate or Novice RN? If So, Be Mindful of Workplace Bullying.”

Episode six is now up at The Adventures of Nurse Niki, a newish blog written by Julianna Paradisi (her other blog is JParadisi RN). This blog is made up entirely of first-person episodes told by a fictional nurse named Niki. Each episode is short, detailed, and engaging, and it’s easy to keep up with it on a regular basis, or quickly catch up if you haven’t yet read any episodes.

At Digital Doorway: “Evolving as a Nurse: The Work of the Soul.” Here’s a brief excerpt:

“The evolution of a nurse and his […]

Trailblazing: The Value of Positive Deviance in Nursing

Illustration by Janet Hamlin. Illustration by Janet Hamlin.

By Sylvia Foley, AJN senior editor

The word deviant tends to have a negative connotation, suggesting something aberrant or harmful. But deviance simply means a departure from the expected or usual way of doing things—and there are times when being able and willing to do so is crucial. Indeed, some have called this trailblazing.

In “Exploring the Concept and Use of Positive Deviance in Nursing,” an August CE, author Jodie Gary points out that “the clinical setting contains an infinite assortment of situations” in which applicable pro­fessional standards might be unavailable or unrealistic; at such times, “nurses might have to react creatively” in order to provide optimal patient care. This article provides an in-depth, evidence-based look at positive deviance in nursing.

Overview: Positive deviance involves an intentional act of breaking the rules in order to serve the greater good. For nurses, the rightness or wrongness of such actions will be judged by other people who are in charge of rules enforcement; but the decision to engage in positive deviance lies solely with the nurse. There is no uniform or consistent definition of positive deviance. This article uses the Walker and Avant method of concept analysis to explore and identify the essence of the term positive deviance in the nursing practice environment, provide a better understanding of the concept, and clarify its meaning for the nursing pro­fession. In turn this led to an operational definition: positive […]

2017-07-27T14:50:36-04:00August 1st, 2013|nursing perspective|6 Comments

AJN’s August Issue: Positive Deviance, Vital Sign Alert Systems, Using Focus Groups, Teaching Nursing Abroad, More

AJN0813.Cover.OnlineAJN‘s August issue is now available on our Web site. Here’s a selection of what not to miss.

Sometimes rules are meant to be broken in order to serve the greater good. This month’s CE feature “Exploring the Concept and Use of Positive Deviance in Nursingaims to increase our understanding of positive deviance (“an intentional act of breaking the rules in order to serve the greater good”) within the context of nursing practice. You can earn 2.5 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 early warning signs of deterioration that patients often exhibit several hours before cardiopulmonary arrest often go unrecognized by nurses. “Developing a Vital Sign Alert System describes an automated vital sign alert system that was designed to enhance patient monitoring without increasing the nurse’s workload. Earn 2.4 CE credits by reading this article and taking the test that follows it.

“Using Focus Groups to Inform Innovative Approaches to Care,” an article in our Professional Development department, uses case studies to describe how nurses can use patient focus groups for gathering qualitative data that can advance patient advocacy.

And if you are interested in what’s going on in the nursing world in other countries, read this month’s […]

A Hurricane Sandy Bed Bath

Amanda Anderson, BSN, RN, CCRN, works as an intensive care nurse in New York City and is pursuing a master’s in administration from Hunter-Bellevue School of Nursing at Hunter College.

Hurricane Sandy/NASA Goddard photo Hurricane Sandy/NASA Goddard photo

When Hurricane Sandy hit, the bloated feeling from snack and rom-com binging proved my deepest suffering. Safe, dry, and bored on Manhattan’s Upper West Side, I was little harmed by the storm. My commute across the park proved adventuresome, but I slept in my own bed; I had a bed.

As the city calmed in the weeks following, I watched my fellow New Yorkers erupt in volunteer revolutions. Feeling guilty about my idle skills, I signed up with New York City Department of Health’s Medical Reserve Corps, the organization staffing emergency shelters.

On my scheduled morning, I arrived to find the clinic behind an old door marked with a handwritten sign that said “Medical.” Inside, a crowded group of older professionals—MDs, NPs, social workers—listened as a frazzled and tired pediatrician gave shift report.

Few medical needs plagued the shelter, but one reported client stuck out—a feisty octogenarian evacuee, Ms. E. Her lengthy medication list suggested cardiac problems, and her arthritic frame limited her mobility. Stairs were out of the question.

Report dragged on. I left to find some work to […]

2016-11-21T13:06:56-05:00July 24th, 2013|Nursing|3 Comments

Something Like Grace

By Marcy Phipps, RN, a regular contributor to this blog. Her essay “The Love Song of Frank” was published in the May (2012) issue of AJN.

ViewFromPlaneWindowMark was in town to be the best man in an old friend’s wedding—on a vacation, of sorts—when the unthinkable happened and he was involved in a horrendous traffic accident. He was ejected from his rental car. His injuries were severe and life threatening.

Mark’s family was halfway across the country. Getting to Mark quickly seemed impossible. But this is where the story takes a turn:

Mark’s family found a flight leaving that morning from their local airport, with the exact number of available seats that they needed. As they bought the tickets, they explained the nature of their emergency. They got to the airport in the nick of time. While checking in, they were approached by an airline employee who asked if they’d already arranged a rental car. They told him that they hadn’t—they hadn’t even stopped to get their clothes.

They didn’t know it at the time, but the employee who’d approached them was the pilot of the plane. He’d learned of the family emergency and held the plane for them. He knew how serious Mark’s accident had been, as he’d happened to drive right past the accident scene on his way to the airport before the first leg of the flight.

When the plane landed, the pilot requested that Mark’s family […]

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