Friday Round-Up: When ‘Natural’ Isn’t ‘Safer,’ A Student Nurse Summit, a Walking Crisis, Chronicity

Please pardon the relative quiet of this blog this week. All our in-house and far-flung occasional correspondents are otherwise engaged, it seems. Blame the nice weather, if it’s nice where you are. Our editor-in-chief, Shawn Kennedy, is in Pittsburgh at the National Student Nurses Association (NSNA) convention. She’s presenting this afternoon (I think) on the new AJN iPad app, among other things (no, we don’t yet have one for the Kindle, but that may be on the way).

Shawn should have an update on her adventures with the next generation in nursing sometime early next week. So for now, almost entirely avoiding nursing news and health care reform, here are a few items of potential interest:

The Respectful Insolence blog, in reminding us that “natural” doesn’t always mean safer, points to an AFP article that highlights research drawing a connection between a widely used herbal remedy and the unusually high incidence of urinary tract cancer in Taiwan. Says the AFP article,

A toxic ingredient in a popular herbal remedy is linked to more than half of all cases of urinary tract cancer in Taiwan where use of traditional medicine is widespread, said a US study Monday.

Aristolochic acid (AA) is a potent human carcinogen that is found naturally in Aristolochia plants, an ingredient common in botanical Asian remedies for aiding weight loss, easing joint pain and improving stomach ailments.

While the FDA issued an alert about products containing this […]

Essential Nursing Resources: A Crucial Tool for Nurses Seeking Information on the Web

This nursing resource will help you find anything you need to know

By Maureen Shawn Kennedy, AJN editor-in-chief

Back in the dark ages, before the Web, when I was in school and researching a topic, I would go to the university library (in Manhattan, this meant a subway ride to the main campus), fill out a form, and hand it to the librarian. After a couple of hours, I’d check back and the librarian would have pulled up to eight “on-reserve” books (no more were allowed until these were returned) from the stacks and have them waiting for me. This cycle would repeat itself several times, and sometimes I’d have to wait for an “ILL”—an interlibrary loan. Of course, if I procrastinated, the material I wanted might already have been taken out by other students and I’d be out of luck, facing a deadline with no source material.

Of course, it’s all different now with the Web. This week, even the venerable Encyclopedia Britannica announced it is ceasing print production after almost 250 years and will only be available in digital format.

Now, researchers and students have virtually every article published available to them via the Internet. For nurses, there’s something called Essential Nursing Resources (pdf), an annotated listing of resources for nursing published by the Interagency Council on Information Resources in Nursing (ICIRN). 

Founded in 1960 (here’s a brief history) by […]

Early Spring Web Roundup: Insomnia, Early Delivery, Persistence, Painkillers, Overtesting

We’ve been a little quiet here on the blog this week. Maybe it has to do with the opening of baseball season or signals a hangover from media coverage of the Supreme Court give-and-take about the Affordable Care Act last week and the endless guesses about how the court is likely to vote come June. Or maybe all our nurse bloggers are using spare time to clean out closets, sweep the cherry blossoms and sale inserts from the sidewalk, purge the inbox, box up the humidifier, watch Mad Men, or whatever. But here are a few things we’d like to draw your attention to:

If the windy spring nights wake you (or your patients) to the sound of a trash can lid flying away, maybe this will help: As described in the Drug Watch column in AJN‘s April issue, a sublingual form of the drug zolpidem (think Ambien) has now been approved, with the fancy name Intermezzo, for people who wake in the middle of the night and start hearing the same song over and over in their heads or thinking of the perfect comeback to that snippy waiter.

Also in the April issue, an AJN Reports looks at efforts to get people not to opt for potentially risky early delivery of their babies, and a Reflections essay called “Giving […]

April Apps and Other Good Things

By Maureen Shawn Kennedy, MA, RN, AJN editor-in-chief

April is one of those months most people like, I think—the weather becomes consistently warmer and flowers appear. And this month, we at AJN are especially delighted because we launch our very own iPad app! As a temporary introductory offer, you can download the app for free (click here, or search under American Journal of Nursing in the iTunes app store) and get the full April issue. (Eventual pricing is still being determined.)

It’s another way AJN is providing you with accurate, evidence-based information in formats that allow you to access it when and where and how you want it. Don’t forget to subscribe to our always free audio podcasts, too—there are monthly highlights and interviews with authors.

And April is a stellar issue. This month we focus on examining how we treat people with disabilities. The cover, the editorial, and two features all deal with how we need to do better in this area. In the original research article, Suzanne Smeltzer and colleagues report on their survey of people with disabilities, querying them on interactions with nurses during hospitalizations. Their findings are sobering and should serve as a wake-up call when providing care to people with disabilities when they are hospitalized.

There’s also a poignant piece, “Hard Lessons from a Long Hospital Stay,” describing the experience of one of the authors of the research article, […]

Grief: The Proposed DSM-5 Gets It Wrong

By Karen Roush, MS, RN, FNP-C, AJN clinical managing editor

Today is my son’s birthday. I remember so clearly the day of his birth, the overwhelming sense of recognition the first time I saw him, as if I had known him forever.

April 16th is the anniversary of his death. When a birth is so closely followed by a death, they are forever intertwined. I remember watching him sleep, how he turned to the music when I turned the key of his music box and “It’s a Small World” unwound its notes against the side of his warming bed. I remember his three-year-old brother holding him, sitting in the rocking chair in their father’s lap. I remember rocking in that chair three weeks later, holding him against my chest as his few last breaths faded. I remember the long walk back down the hall, the drive home, the blur of a funeral. And then the first long cold winter, visiting his grave day after day, distraught that my baby lay in frozen earth, unprotected from the cold. And the months that stretched on into a future I sometimes couldn’t bear to think about, because I couldn’t imagine my way out of the pain of grief into a day when I would feel joy again.

I was grieving. I listened for the phone, certain the hospital would call any minute to tell me it was all a […]

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