Back to the Future of Nursing

A new hashtag: #FutureofNursing2030

In 2010, a committee of the Institute of Medicine (now the National Academy of Medicine), released a report to lay out a vision for nursing for the coming decade. That decade is now almost over. The Future of Nursing: Leading Change, Advancing Health is the most viewed and most downloaded report of the National Academies. On March 20 in Washington, D.C., Victor Dzau, president of the National Academy of Medicine, announced an impending follow-up report for the next ten years: The Future of Nursing: 2020-2030.

Outcomes, not page views, are what matters.

Noting that “success is measured by outcomes and impact, and not by downloads and page views,” Dzau cited a few of the accomplishments that arose from the 2010 report:

  • removing barriers that limited NP practice (21 states and the District of Columbia allow for full practice authority)
  • doubling the number of nurses with doctoral degrees
  • increasing the diversity of nursing students

But Dzau also noted that more needs to be done in these areas, and he emphasized the need for better data about the nursing workforce. The new report will be a consensus study that seeks to chart a new path for nursing “to help our nation create a culture of health, reduce health disparities, and improve the health and […]

2019-03-27T07:35:17-04:00March 27th, 2019|health care policy, Nursing|0 Comments
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Hidden in Plain Sight: What Nurses Need to Know About Food Insecurity

Are any of the people you see in your office or clinic “food insecure?” How about the college friends of your children? Or perhaps your own coworker?

Food insecurity is all around us.

The United States Department of Agriculture describes food insecurity as the lack of “consistent, dependable access to adequate food for active, healthy living.” Recent data indicate that food insecurity affects about 13% of U.S. households. In some states, the rate approaches 20%. Certain populations are particularly vulnerable: 27% of veterans who served in Iraq or Afghanistan and as many as 37% of college students are food insecure.

Twice monthly, the Muslim Food Pantry in Flint, MI, distributes free food to anyone who needs it. The pantry is run by volunteers and offers food, bottled water, and hygiene products to those with limited or no food or clean water—the latter a result of the […]

2019-01-14T11:45:33-05:00January 14th, 2019|Nursing, Public health|0 Comments
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How Can Nurses Identify and Assist Human Trafficking Victims?

Wikimedia Commons/ AlvaroGzP

What do sex workers have in common with nannies, housekeepers, farmworkers, janitorial and restaurant staff, and factory and construction workers? They all work in settings where victims of human trafficking are commonly found.

Human trafficking is big business in the United States.

Our country is reported to be the second-largest market globally for women and children trafficked into sex work. Sex trafficking is the main form of trafficking among U.S. citizens, while forced labor trafficking is more common among foreign nationals living here.

Globally, human trafficking is second only to drug trafficking among criminal industries. Because nurses are “everywhere,” we are very likely to come into contact with human trafficking victims at some point. Would you know how to recognize one?

Possible indicators of human trafficking.

In a 2011 AJN article, Donna Sabella shares several possible indicators of human trafficking that warrant further investigation, including:

2018-12-13T08:10:08-05:00December 13th, 2018|Nursing, Public health|0 Comments
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Mental Health Nursing: Transcending the Limitations of Words

When I met Dorothy, she was always counting. Her chapped lips moved nonstop as she chanted random numbers. She’d increase the speed, as if that would help her to reach the end quickly—but since the numbers didn’t appear to be in any sensible order, this loomed before her like an impossible task…

The challenge of mental health nursing.

Illustration by Pat Kinsella. All rights reserved.

This month’s Reflections column, “Dimensions of Dorothy,” begins with this harrowing look at a woman in the grip of a mental health crisis. Author Maureen Bonatch goes on to poignantly describe how this illness can “steal someone’s identity and overwhelm their self-control.”

As a new nurse at the state psychiatric hospital, Bonatch definitely had a “new normal” to adjust to at work. As she observed the manifestations of severe mental illness, she also developed insight into why some had so few visitors: “It had to be difficult,” she writes, “to helplessly observe as an illness crept in to hold the person you knew and loved hostage.”

An inadequately valued area of […]

2018-11-20T10:07:55-05:00November 20th, 2018|mental illness, narratives, Nursing|0 Comments
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Acute Flaccid Myelitis: The Investigation Continues

The headlines of the past several weeks about kids with a polio-like illness have been pretty scary. The idea that a healthy child could suddenly be sidelined with extreme muscle weakness is a nightmare scenario for the parents of young children. While frustratingly little is known about acute flaccid myelitis (AFM), the good news is that it remains quite rare, affecting less than one in a million people in the U.S. each year.

According to the CDC, there have been a total of 404 confirmed cases of AFM in the U.S. since 2014, with a median age of eight years. The epidemiologic curve of cases indicates that the illness is seasonal, peaking in late summer and early fall. Oddly, the number of cases spiked in 2014, 2016, and 2018, while there were fewer cases during 2015 and 2017.

Signs and symptoms of AFM.

AFM often follows a respiratory illness or fever. Limb weakness (often unilateral) then occurs suddenly, progressing rapidly within hours or a few days. There may be facial muscle weakness, problems with eye movement, or speech or swallowing difficulties, but mental status generally is not affected. One death has been reported.

No clear cause.

Poliovirus, non-polio enteroviruses, adenoviruses, and West Nile virus are known to (rarely) […]

2018-11-12T08:25:04-05:00November 12th, 2018|infectious diseases, Public health|0 Comments
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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