Nonfamily Infant Abduction—It’s Rare, But Sometimes Violent

AbuctionTodayShowScreenshot
Every morning at 7 a.m., I get up and watch the Today Show. Yesterday morning, I heard this: “a young woman, eight months pregnant . . . found murdered on Monday. Twenty-three-year-old Darlene Haynes was discovered in the closet of her Worcester, Massachusetts apartment—her fetus had been taken from her womb.” I immediately checked to see if the channel had somehow been changed—it certainly sounded like the beginning of an episode of Law and Order: SVU.

Nonfamily infant abductions may be rare, but they do happen. And in some cases, they can turn violent. According to AJN’s September 2008 article, “Nonfamily Infant Abductions, 1983-2006,” which compared cases from 1983–1992 with those from 1993–2006, from the earlier to the later period the preferred abduction location changed: the percentage of infant abductions from health care facilities decreased, while the percentage of those from private residences nearly doubled. In 22 of the 247 cases studied, the mother was killed, and in nine of the 22 cases, a cesarean section was performed to remove the fetus from the womb, as occurred in the Darlene Haynes story. […]

How Do You Define ‘Career-Minded Nurse’?

In our discussions of how to “brand” AJN, we on staff have sometimes referred to it as “the journal for the career-minded nurse.” I’ve often wondered who those nurses are. Some might think they’re that small percentage of nurses who go on for advanced degrees (only 13% of nurses, according to one source) or those who move into management positions.

CDC: Clinicians Should Not Hesitate to Give Antivirals to Pregnant Women with Flu-like Symptoms

"The death of a pregnant woman is always heartbreaking, and unfortunately we have been hearing reports of otherwise healthy women dying from H1N1. If a pregnant woman feels like she may have influenza, she needs to call her healthcare provider right away," said CDC’s Dr. Denise Jamieson, lead author of the study. “Clinicians who treat pregnant women should have a system in place for triaging pregnant women with influenza-like symptoms and they should not delay in initiating appropriate antiviral therapy. Some clinicians hesitate treating pregnant women with antiviral medications because of concerns for the developing fetus, but this is the wrong approach. It is critical that pregnant women, in particular, be treated promptly. "

Adherence to Evidence-Based Best Practices and Health Care Reform: What’s the Link?

Paper Money, Extreme Macro, by Kevin Dooley, via Flickr.

Health care reform is the hot topic of the moment. But of all the proposals being thrown around, which one will actually address the quality of care? In a July 5 op-ed piece for the New York Times, Paul O’Neill, former U.S. Secretary of the Treasury, asked, “Which of the reform proposals will eliminate the millions of infections acquired at hospitals every year? Which of the proposals will eliminate the annual toll of 300 million medication errors?” These are excellent questions that both lawmakers and clinicians need to consider. […]

New Nurses Face Reality Shock in Hospital Settings – So What Else is New?

From Jason Pratt, via Flickr

A new report in Nursing Outlook (here’s the abstract) analyzes the experiences of new nurses. The news is not good. Actually, it’s really pretty awful when you think that much of what theses nurses complain about was documented in a book published in 1974 by nurse and researcher Marlene Kramer, Reality Shock: Why Nurses Leave Nursing.

The current report analyzes the nurses’ answers to an open-ended question that was part of a larger study of newly licensed registered nurses who’ve been employed less than 18 months. Researchers identified five themes among the 612 comments:

• Colliding expectations – The nurses expected the workplace to be more in keeping with what they were taught in nursing school; “high patient-to-nurse ratios were a particularly dominant source of stress.”
• The need for speed – The nurses felt there should have been more time for them to transition to carrying full responsibilities for patient care.
• You want too much – There were many complaints about the heavy workload, with little time to do it and little time to spend with patients.
• How dare you? – The nurses felt they were mistreated by nurse and physician colleagues and management.
• Change is on the horizon – Despite the many […]

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