Ann Burgess and Forensic Nursing: AJN Special Issue Highlights

The April issue of AJN is now live.

Here are some highlights. Some articles are open access or temporarily free; others will require log-in for access.

A SPECIAL ISSUE DEVOTED TO FORENSIC NURSING

In this month’s guest editorial, “The Sherlock Holmes of Nursing,” Angela Frederick Amar, PhD, RN, FAAN, dean at the NYU Rory Meyers College of Nursing, gives a compelling overview of the career of forensic nursing pioneer Ann Burgess. She begins this way:

Ann Wolbert Burgess is often described as the “Sherlock Holmes of Nursing,” but that title only captures half of her legacy. While Holmes deduced what had already happened, Burgess’s greatest gift has been her uncanny ability to “see around the corner”—to identify societal crises and clinical needs years, sometimes decades, before the rest of the health care and legal systems recognized them. Throughout her storied career, Burgess has operated at the vanguard of forensic nursing, victimology, and behavioral profiling. Her foresight is characterized by three distinct “turns” around the corner, where she anticipated the future of nursing and justice.

The rest of the editorial is free to read, and is both inspiring (in the best sense) and informative.

The April […]

Ketamine as a Therapeutic Option, AI and Nurse Staffing, Naloxone Training, and Other March Issue Highlights

The March issue of AJN is now live.

Here are some highlights. Some articles are open access or temporarily free; others will require log-in for access.

In this month’s editorial,A Turning Point in Psychiatry,” AJN‘s editor-in-chief Carl Kirton discusses key aspects of the current mental health crisis and explores whether a paradigm shift to more rapid treatment with drugs like ketamine and MDMA may be in sight for at least some percentage of those in need (the editorial is always free). Writes Kirton:

“The promise of ketamine therapy is not that it will ‘replace’ everything else, but that it may signal a broader turning point: psychiatry moving beyond slow-onset, monoamine-focused treatments toward interventions that target rapid symptom relief.”

In addition, the CE article (CE articles are free) in the March issue reviews current evidence on ketamine as a mental health treatment. Discussing the use of ketamine for treatment-resistant depression, the authors write:

This article provides “a foundation of clinical information that nurses should understand as they advise patients who are receiving or curious about ketamine” and discusses “the regulatory, ethical, and nursing implications of using ketamine in the treatment of mental health disorders.”

The Viewpoint in this issue, “AI Won’t […]

Clarifying the DNP Role, Assessing Discharge Readiness: Highlights in our February Issue

The February issue of AJN is now live. Here are some highlights.

In this issue, a review article (CE credit available), “Nurses in the Fight to End Food Insecurity: An Integrative Review,” synthesizes and analyzes findings of nurse-involved studies that address food insecurity, identifying key interventions and outcomes across diverse health care and community settings.

Notably, there are a number of open access articles in this issue:

Assessing Discharge Readiness and Influencing Factors Among Patients with Aortic Dissection: A Cross-Sectional Study” is an original research (and open access) article. The authors note that this study “revealed that patients with aortic dissection generally had discharge readiness scores at the lower end of the moderate range, indicating the need for improvement. It’s imperative that health care providers emphasize patient education prior to discharge and develop and implement personalized discharge plans.”

The second open access original research article in our February issue is “An Examination of Factors Affecting Bowel Preparation for Colonoscopy: A Meta-Analysis.” According to the authors, “Health care providers, including nurses, should consider these determinants of bowel preparation effectiveness and implement appropriate interventions in a timely manner to enhance patient education and care.”

Our professional […]

How Two ‘Sister Hospitals’ Achieved a Zero Vacancy Rate in the Emergency Departments

The Mount Sinai Morningside (MSM) and Mount Sinai West (MSW) hospitals are sister hospitals in a seven hospital enterprise in New York City. As with many hospitals and emergency departments (EDs), staffing levels have been a significant concern since the COVID-19 pandemic. In 2021 the national registered nurse (RN) turnover rate was 27.1%. This rate remains elevated, despite a decrease on a national level to 18.4% in 2023.

A story of progress and stability.

In 2021, the MSM ED had a turnover rate of 27% and MSW ED a turnover rate of 21%. These rates have since trended down, ending 2024 at MSM ED with a 12% turnover rate and MSW ED 7.25%. Today, in 2025, both sites are boasting zero vacancies. This is credited to strategic planning, talent development commitment, and strong partnerships.

A different approach to utilizing travel RNs.

MSM and MSW strategically utilized travel RNs to bridge staffing gaps. However, instead of viewing them as temporary fixes, leadership integrated them into the department culture, ensuring collaboration with permanent staff. A certain percentage of travel nurses ultimately converted to full-time roles, drawn by MSM and MSW ED’s supportive environment and strong team cohesion.

To help strengthen workplace loyalty, we […]

2025-03-17T10:00:25-04:00March 17th, 2025|nurse staffing, Nursing, Quality improvement|1 Comment

Why Nurses Assist Falling Patients Despite the Risk

A too-common scenario.

Joe opens his eyes and looks through the window of his hospital room. He has always been early to rise. Even at age 82, he can’t shake the habits he learned when he was young.

“I’m woozy again,” Joe thinks as he sits up in bed. His medication sometimes makes him feel that way. Joe presses the call light so a nurse can help him to the bathroom. The nurses have been reminding him to do that so he won’t fall.

Then he reconsiders. “I can make it on my own. I don’t want to bother the nurses. They need to help the patients who really need it.” Joe moves to the edge of his bed. His walker isn’t nearby, but he urgently needs to reach the bathroom. Still dizzy, Joe holds onto the bed for a moment to keep from falling forward. After a moment, he manages to stand up and walk to the bathroom. As he enters the room, his dizziness returns, and his legs suddenly feel weak.  A feeling of dread washes over Joe as he begins to fall…

Nurse Smith starts her rounds and is looking forward to seeing Joe. He is always up early to greet her with a smile and a joke. As she opens the door to his room, she sees him entering his bathroom without his walker. She moves quickly toward him, but he suddenly sways forward. She knows he is going to fall. Reacting immediately, she grabs him by the torso […]

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