August Issue Highlights: TB Screening, The Baby-Friendly Hospital Initiative, Antibiotic Stewardship, More

The August issue of AJN is now live. Here are some articles we’d like to bring to your attention.

CE Feature: Tuberculosis: A New Screening Recommendation and an Expanded Approach to Elimination in the United States

The U.S. Preventive Services Task Force (USPSTF) recently issued a new recommendation statement on latent tuberculosis infection testing that expands nurses’ opportunities to identify at-risk populations for tuberculosis prevention. This article provides a general overview of tuberculosis transmission, pathogenesis, and epidemiology; presents pre­ventive care recommendations for targeted testing among high-risk groups; and discusses the USPSTF rec­ommendation’s applicability to public health and primary care practice in the United States.

CE Feature: Beyond Maternity Nursing: The Baby-Friendly Hospital Initiative

The Baby-Friendly Hospital Initiative (BFHI) is a program developed by the World Health Organization and the United Nations Children’s Fund to promote breastfeeding in hospitals and birthing facilities worldwide. Since the program was launched in 1991, breastfeeding initiation, duration, and exclusivity have increased globally, a trend largely attributed to changes in hospital policies and practices brought about by the BFHI. This article provides an overview of these practices and policies, the insti­tutional benefits of achieving BFHI certification, and the process through which health care facilities can do so.

Original Research:

2017-07-28T09:41:48-04:00July 28th, 2017|Nursing|0 Comments
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There from the Start: A Hospice Nurse Looks Back

A painting of Dianne Puzycki, RN, hangs in Connecticut Hospice in New Haven.

At age 82, Dianne Puzycki has yet to retire from nursing—she still works the night shift once a week at Connecticut Hospice in Branford, where she’s been employed since the organization’s inception in the 1970s. Founded by Florence Wald, it was the first hospice in the United States.

Puzycki started her career in 1955 at Memorial Hospital in New York City, caring for patients with cancer at a time when death and dying wasn’t openly discussed. “We weren’t allowed to talk about that. It really haunted me for years,” she told AJN in a July profile. Several years later, she encountered two influential women: Dame Cicely Saunders, who founded the first modern hospice, and Elisabeth Kübler-Ross, who introduced the concept of the five stages of grief in her groundbreaking 1969 book On Death and Dying. Seeing them speak piqued her interest in the hospice movement, and she began volunteering for Connecticut Hospice, which eventually led to a full-time job.

Throughout the decades, says Puzycki, she’s witnessed hospice care constantly change and improve. She recalls that in the past, more patients used to stay up […]

2017-07-26T09:35:44-04:00July 26th, 2017|Nursing, nursing career|1 Comment
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The Human Microbiome: A Primer for Nurses

Image courtesy of Bard Medical Division.

​The human microbiome is a collection of organisms living on the skin and in our GI and reproductive tracts. Nurses know these “germs” are there, and traditionally we have regarded them as potentially dangerous. We try to eliminate as many as possible when we disinfect skin before injections, surgery, or other procedures. Yet, as noted by the authors of a continuing education (CE) feature in the July issue of AJN, “Health and the Human Microbiome: A Primer for Nurses,” new research increasingly demonstrates that these microbes affect our health in significant and often positive ways.

​” . . . once unequivocally regarded as dangerous invaders, [microbes] often serve us as integral companions, providing critical functions in fundamental human processes.”

​In this article, Katie Gresia McElroy and colleagues share many thought-provoking research findings about the human microbiome that are relevant to nursing. Some examples: […]

2017-07-24T10:33:11-04:00July 24th, 2017|Nursing|0 Comments
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AJN’s Recent Awards: As Always, It Depends on Strong Writers and Editors

Because AJN‘s reputation depends on the conscientious work of numerous authors and editors, we’d like to note here the awards AJN has been awarded in 2017 so far, both for content published in the journal and on this blog, AJN Off the Charts. We are grateful to be recognized by the following organizations:

Winning journal articles, entire issues, and covers:

2017-07-21T08:59:42-04:00July 21st, 2017|Nursing|0 Comments
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PTSD and Falls: For the Elderly, a Lost Sense of Safety and Control

Jack lowers his head and presses his temples with his thumbs. He whispers, “Am I going crazy?”

In the weeks after his fall and trip to the emergency department, something has gone painfully awry. He’s been having episodes of anxiety when transferring from bed to chair as well as difficulty sleeping. His once unflappable optimism has been blunted by intrusive memories and ruminations about the fall and a sense of foreboding about the future.

Psychological Aftereffects of a Fall

Though he sustained no serious injury and had been quickly returned to the assisted living facility where he lives, the fall has left him with symptoms of posttraumatic stress disorder (PTSD). Most health care professionals are unaware that falls in the elderly can cause posttraumatic stress symptomatology, acute stress disorder, even PTSD. Indeed, in some settings falls occur frequently enough to insulate nurses and other medical staff from the awareness of how terrifying such an event can be or how it can undermine one’s sense of safety and control, particularly when it results in injury and/or invasive medical treatment.

Although Jack was under hospice care at the time of his fall, the facility sent him to the hospital because of its policy on ruling out head injury. Most hospices and facilities have protocols governing their response to falls. These typically include […]

2017-07-19T07:34:30-04:00July 19th, 2017|Nursing|2 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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