Celebrating Earth Day: Connecting Health and the Environment

Photo by Fateme Alaie via Unsplash

Earth Day, celebrated on April 22, is an annual event to demonstrate support for environmental protections. First held in 1970, it now includes a wide range of events coordinated in more than 192 countries across the globe. The Earth Day celebration that stands out most for me was the 20th anniversary held in Central Park in New York. The event was estimated to have drawn more than 750,000 people—a big incentive being the free concert, which included a performance by the B-52s (who doesn’t love “Love Shack”?).

This year marks the 41st Earth Day, and amidst a global pandemic, activities will look a lot different. (Click here for more information on the virtual events taking place this year.)

Free articles from our environments and health column.

In honor of Earth Day, AJN would like to offer free access to the below selection of articles from our Environments and Health column until May 15. There’s a lot to unpack in these articles—from steps to reduce waste at the hospital level, to how nurses can get involved in fighting climate change, to how patients’ health can be affected by our environment, particularly the mental health conditions that may arise amid […]

Nurse Volunteers on the Front Lines of the Vaccination Effort

Joanne Disch, PhD, RN, FAAN, is professor ad honorem at the University of Minnesota School of Nursing, Minneapolis, and Ellen Elpern, MSN, RN, is a retired advanced practice nurse, formerly at Rush University Medical Center, Chicago.

Nurse volunteers as an essential resource.

As of April 15, 2021, there have been over 31 million cases of COVID-19 in the United States and over 561,000 deaths. Sobering numbers. But there are some heartening numbers as well: 198 million vaccination shots have been administered so far, with 3 million doses now being given per day. To reach and continue to meet the current pace has required an extraordinary ramp-up of sites—and of the number of individuals administering the vaccines. An essential resource that’s emerged is the use of nurses as volunteers to help staff these sites.

For more than a year, the public has witnessed the compassion, competence, and heroism of nurses who are on the front lines of the COVID pandemic. Those of us who are nurses and not in the clinical setting watched with pride and empathy, knowing better than most what these nurses were experiencing—and wishing there were something that we could do. Stepping forward to volunteer for service in a vaccine clinic is one way to make a difference. These volunteer opportunities are as varied as the vaccination sites themselves, but in all cases the effort is being enriched by the active engagement of nurses, retired and otherwise.

Defuniak Springs, Florida

Assessing the Post-Pandemic Future of Virtual Care

The following is a condensed version of an upcoming news article by Joan Zolot scheduled for AJN’s May edition.

Studies of safety and quality will determine the optimum use of this option.

Photo by Anna Shvets from Pexels

The use of telemedicine surged during the COVID-19 pandemic. Phone and videoconferencing limited patients’ exposure to the virus while maintaining their access to care. One estimate found that virtual care peaked at 42% of all ambulatory visits covered by commercial insurers in April 2020. The February 2 JAMA published several articles* addressing the safety, effectiveness, and quality of virtual consults and their future in health care.

Some obvious and potential benefits.

Because of its efficiency, virtual care has been shown to be particularly suitable for mental health consults, prescription refills, and straightforward evaluations. It can reduce patient inconveniences such as travel to appointments and lost work time. It can also enable patients to receive needed care sooner, especially those with limited mobility, caregiving responsibilities, or who live in remote areas. It may also have the potential to improve care coordination by enabling primary care clinicians and specialists to confer jointly with patients.

Risks, concerns, ongoing questions.

Because virtual medicine does not allow for physical examination, it’s inadequate for common clinical situations […]

Remembering the Polio Vaccine Rollout, Addressing Concerns Today

‘A Most Welcome Spring.’

That’s the title of the editorial in the recently published April issue of AJN. And if you receive the print issue or go to our Web site, www.ajnonline.com, I think you’ll see that our cover reflects an image that harkens to the end of a hard pandemic winter of isolation and—for many families—desolation. Spring has arrived, along with a feeling of hope that the vaccines will allow the world to open again, IF we can do so with caution and are successful in vaccine campaigns.

Remembering the relief at having a polio vaccine.

I was in kindergarten when Jonas Salk’s polio vaccine was rolled out. I remember my mother telling me that everyone was going to be getting a new medicine and I vividly recall my entire class lining up to get the injection from the school nurse.

I remember my mother being very happy about it because a boy in the neighborhood—a friend of my brother—had had polio and now wore leg braces and used crutches. When she saw him, she would sometimes say, “too bad the vaccine came too late for John.”

Nurses’ role in addressing vaccine concerns.

‘Right Under Our Noses’: Nightmarish Nursing Home Conditions During the Pandemic

As vaccinations increase and COVID-19 infection rates in nursing homes plummet, it’s easy to forget just how bad things got in many of them and how ill-equipped many were in the the early months of the pandemic to provide humane and effective care.

The following excerpt is from our March Reflections essay, “Right Under Our Noses: Nursing Homes and COVID-19,” which was written by a California nursing professor who volunteered to join a California Medical Assistance Team. The mission of her team was to bring aid to a skilled nursing facility where the coronavirus was rapidly infecting both patients and staff, a facility with little PPE available and many staff members refusing to come to work out of fear of infection.

The conditions I saw were shocking, even to an experienced nurse. I saw soggy diapers on the floor at the heads of many beds on most mornings. One day a bedbound patient needed the bedpan. I searched every closet and drawer but there were no supplies. I filled a basin with warm water and cut up a PPE gown to make washcloths to clean the patient. On the second day of my deployment I realized that many of the […]

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