HIV Update, Nurses’ Insights on Medication Safety: Recommended Reading in AJN’s December Issue

The December issue of AJN is now live.

World AIDS Day is commemorated on December 1 (see On the Cover). In this issue, you’ll find several articles related to HIV/AIDS:

Despite more than two decades of efforts to reduce medication errors, such errors remain prevalent. This month’s Original Research article, “Exploring Medication Safety Practices from the Nurse’s Perspective,” explores direct care nurses’ experiences with and perspectives on medication safety practices and errors.

Our December CE article, “Suicide Prevention: Protecting the Future of Nurses,” examines the state of nurse suicide, the latest statistics on nurse suicide rates, contributing factors, and current suicide prevention […]

2023-11-27T10:36:41-05:00November 27th, 2023|Nursing|0 Comments

Can Nursing Students Benefit from Using Artificial Intelligence?

A series of surprising developments including the release of generative chatbots like ChatGPT has rapidly increased awareness of the growing capabilities of artificial intelligence (AI), sending shock waves through the research, academic, and nursing education community. As a nurse educator, I initially became interested in the power of AI (in all its forms) to speed the research process and improve investigator workflows. Over time, it became evident that nursing students might benefit from AI in their study methods and when acquiring nursing knowledge to support their academic success.

Photo by John Schnobrich/Unsplash

To better understand this, it is helpful to consider the three fundamental stages in which nursing students acquire knowledge and explore how AI can play a pivotal role in each stage. This blog post will include an overview of AI-powered tools with example prompts to guide students’ academic efforts.

Preparation–Cognitive Stage

In this stage, nursing students are mastering knowledge foundational to nursing practice, including remembering and retaining facts and essential concepts. Students find themselves in this stage when they are learning new content. Open-access large language models (LLMs) in the form of chatbots can support students in this stage by providing concise summaries of pathophysiology, pharmacology, and disease management. AI can also serve […]

Trust Your Gut: The Profound Implications of the Microbiome for Our Health

The transformative potential of the microbiome.

I’ve always considered the saying “trust your gut” to be a directive to respond to one’s innate instincts. However, as a gastroenterology clinical nurse specialist, I now recognize there can be a literal meaning to that phrase with the recent discovery of the microbiome and its implications for our health. The microbiome has yielded significant recent research discoveries for health promotion and has the potential to radically transform our diagnosis and management of disease and health disorders.

Microbiologists have actually suggested the microbiome be considered a human organ. Our CE article in AJN’s November issue, Current and Emerging Applications of Fecal Microbiota Transplantation, highlights how a disrupted microbiome, manifesting as Clostridium difficile (C. difficile) infection that is nonresponsive to first-line antibiotic treatment, can be effectively and quickly treated with transplantation of a diverse, microbiota-rich stool from a healthy donor.

But what is the microbiome?

The microbiome consists of the trillions of microorganisms that […]

2023-10-30T10:43:42-04:00October 30th, 2023|Nursing|0 Comments

Military Environmental Exposures: Recommended Reading in AJN’s November Issue

The November issue of AJN is now live.

What should nurses know about caring for people who have been exposed to potentially harmful agents—such as air pollutants, chemicals, radiation, warfare agents, and materials containing asbestos and lead—during military service? Read “Military Environmental Exposures” to find out.

Our November CE article, “Recognizing Transfusion-Associated Circulatory Overload,” reviews the most current definitions of this adverse transfusion reaction and outlines its characteristics and management.

“What Health Care Staff Who Experienced Assisted Patient Falls Can Teach Us: Implications for Fall and Fall Injury Risk,” presents qualitative findings from a QI project aimed at improving guidance for staff on the risks of assisting falling patients.

“Nursing Research, Step by Step: Sample Size Planning in Quantitative Nursing Research,” one in a series on clinical research by nurses, describes how to determine an appropriate sample size for a quantitative research project, and introduces the concepts of error, power, and effect size.

In “Optimizing Blood Culture Collection Volumes,” the authors discuss a QI project they conducted to understand the causes of underfilled and overfilled blood cultures obtained by nurses and PCTs and to reduce their incidence.

See also the […]

2023-10-26T11:59:45-04:00October 26th, 2023|Nursing|0 Comments

Minimum Nursing Home Staffing Standards: A Good Start, But Not Quite There

Jasmine Travers

The pandemic shone a troubling spotlight on the unnecessary suffering resulting from substandard conditions in nursing homes. On Sep 6, 2023, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule for their widely anticipated minimum staffing requirements for long-term care facilities. A 2022 Nursing Home Staffing study that was convened to inform the development of these requirements followed an urgent plea from the Biden Administration and National Academies of Sciences, Engineering, and Medicine’s Committee on the Quality of Care in Nursing Homes for every nursing home to provide a sufficient number of staff so that the quality of care and safety in nursing homes might be addressed.

Tara Cortes

The proposed requirements.

An abundance of qualitative interviews, surveys, listening sessions, and comments from the public yielded the following staffing requirements:

  1. Minimum staffing hours per resident day (HPRD) for registered nurses (RNs)—0.55 HPRD—and nurse aides (NAs)—2.45 HPRD. Outside of these hours, sufficient additional nursing […]
2023-10-19T10:05:15-04:00October 19th, 2023|Nursing, Nursing homes|1 Comment
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