Rotating Night Shifts Erode Long-Term Health of Nurses

Ten years or more of such shift work decreased the odds of healthy aging by 20%.

Shift work is a staple of hospital nursing, and several large studies have found that rotating night shifts, in particular, are associated with increased mortality. Now, an international group of researchers has found evidence of significant harm to nurses’ overall health from rotating night shifts.

Detrimental effects on healthy aging.

Published in the May issue of JAMA Network Open, the study by Shi and colleagues found that 10 or more years of night shift work—defined as at least three nights per month in addition to day and evening shifts—conferred 20% decreased odds of healthy aging. The study’s end point for healthy aging was reaching age 70 without major chronic disease, physical limitations, memory impairment, and mental health issues. The association between a history of night shift work and deteriorated health was unchanged when age, body mass index, or lifestyle factors were considered. Although the mechanisms underlying these effects are unknown, the authors pointed to several possibilities, including altered circadian rhythms since they are important to metabolic regulation and disruptions may impair physical health.

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2022-08-04T09:23:34-04:00August 4th, 2022|Nursing|0 Comments

Monkeypox Update: As Knowledge Increases, More to Be Learned

Colorized transmission electron micrograph of monkeypox particles (red) found within an infected cell (blue), cultured in the laboratory. Credit: NIAID. (Wikimedia Commons)

It seems impossible that we have to confront the rapid spread of a new virus when we’re still dealing with the effects of COVID-19. But for monkeypox, we didn’t have to respond “from scratch.” After decades of research and clinical work on smallpox, a related but considerably more lethal virus, testing protocols and vaccines were already available for use in monkeypox.

Nearly 20,000 cases of monkeypox have been reported around the world since May, with more than 5,000 infections reported in the U.S. There are probably many more undiagnosed and unreported cases.

Variations in presentation.

In New York City, where more than 1,000 cases of monkeypox have been reported, clinicians are seeing variations from “classic” presentations of monkeypox. The NYC Department of Health and Mental Hygiene reports that many people with monkeypox are not experiencing prodromal symptoms […]

Not to Save the World, But to Care, One Life at a Time

A nurse ponders the question of what makes her work matter.

Illustration by Janet Hamlin for AJN.

The Reflections column in AJN‘s August issue, “To Care When There Isn’t Enough,” is by Alison Stoltzfus, an obstetrics nurse at Evangelical Community Hospital in Lewisburg, PA. Stoltzfus describes her experience volunteering as a nurse at a medical clinic in the world’s largest refugee camp, the Rohingya refugee camp in Ukhiya, Bangladesh.

The work could be overwhelming at times. The camp she describes is a place where human illness and suffering often far exceed the capacities of available medical resources. She writes:

Some days the people would throng me in triage, pulling on my clothes and begging to be seen, desperation and longing in their eyes. A longing that at times I had to refuse.

Every day I would ask myself—“How can one care in a setting like this, and make a difference?” What good was it to make a difference to a few when there were so many lives I could not touch and so many problems we could not heal?

One life at a time.

The story centers around the author’s efforts to use the minimal medical equipment available to help […]

August Issue: CBT for Treatment-Resistant Schizophrenia, RNs’ Role in Transforming Primary Care, More

“It is not to save the world we are called—it is to care.”—Alison Stoltzfus in her August Reflections essay, “To Care When There Isn’t Enough”

The August issue of AJN is now live. Here’s what’s new. Some articles may be free only to subscribers.

Original Research: Cognitive Behavioral Therapy for Symptom Management in Treatment-Resistant Schizophrenia

This integrative review examines the efficacy of CBT as an adjunct to antipsychotics—notably clozapine—in alleviating symptoms of treatment-resistant schizophrenia in various study populations.

A Tai Chi for Arthritis and Fall Prevention Program for Older Adults During COVID-19

The authors describe their experience converting an in-person tai chi fall prevention program to a virtual program during the pandemic, as well as participants’ responses to the virtual program.

The Role of RNs in Transforming Primary Care

A discussion of the need to improve primary care delivery in the United States, and how preparing RNs to practice at the top of their license can play an important role in this effort.

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2022-07-25T10:36:55-04:00July 25th, 2022|Nursing|0 Comments

What Is Long COVID?

There are still many unknowns, but the need for comprehensive care is clear.

“There are days I don’t have any issues. Then I have terrible palpitations, or I’m short of breath when I walk. I think there’ll be long-term effects, I’m just not 100% sure what they’ll be.”

This is how one nurse with long COVID describes her symptoms—more than two years after initially contracting the virus—and the uncertainty that goes along with it. Her experience is highlighted in the July AJN Reports,Long COVID: What We Know Now.”

Few definitive answers.

Photo by engin akyurt on Unsplash

Each wave of COVID infections results in more people not fully recovering from the acute illness. Instead, they experience a range of ongoing and new symptoms that vary in severity and duration.

Whether their symptoms are called long COVID, postacute sequelae of SARS-CoV-2, or post-COVID conditions, the reality is the same: there are few definitive answers about long COVID’s risk factors, causes, and effects.

Multidisciplinary care.

What is known, as the article discusses, is that it’s beneficial for patients to access a post-COVID care program in which a multidisciplinary team provides ongoing clinical evaluation, individualized treatment, and support services.

“The best thing you can do for a patient is get them involved […]

2022-07-20T10:11:25-04:00July 20th, 2022|Nursing|0 Comments
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