Hand Washing: What’s It Going to Take to Get the Job Done?

Handwashing Handwashing (Photo credit: kokopinto)

By Shawn Kennedy, AJN editor-in-chief

I took a few days off last week and caught up on some reading. Perhaps the article that struck me most was one from the New York Times on the various methods that many hospitals are using to improve rates of hand washing among nurses, physicians, and other direct care providers. Hospitals are trying everything from buttons that offer gentle reminders to camera monitors to mandating that direct caregivers wear electronic sensors that indicate whether or not they washed their hands.

Perhaps the most disturbing part of the article was the remarks made by Elaine Larson, a nursing professor at Columbia University School of Nursing who had done extensive research on hand washing. She spoke of how some health professionals go out of their way to avoid washing their hands, even ducking under scanners.

A 2009 report from the Centers for Disease Control and Prevention estimated that HAIs (hospital-acquired infections), cost U.S. hospitals between $28.4 to $33.8 billion annually in direct medical costs. Just think about what could be done with that money.

I don’t get it. We all know the importance of hand washing. From Ignaz Semmelweis, who introduced hand washing in obstetrical clinics in 1847 and as a result reduced puerpal fever, to Florence Nightingale, whose insistence on good hygiene and basic cleanliness helped to reduce death rates during the Crimean War, to the extensive body of research conducted by […]

Get the Job Done

By Marcy Phipps, RN, a regular contributor to this blog. Her essay “The Love Song of Frank” was published in the May (2012) issue of AJN.

Dietetics class for nurses, 1918/Cornell University Library/via Flickr Nursing students, 1918/Cornell University Library/via Flickr

I remember being a new nurse and having an order to place a Foley catheter in a female patient.

I was filled with dread. Urinary catheter placement was the only skill I’d failed in nursing school (I’d contaminated my sterile field), and placing a catheter in this patient was sure to be a challenge, as she was obese and unable to cooperate. It was not a one-person job, even for a far more experienced nurse.

When I asked a coworker for help, she sighed and said, “I don’t have time. This isn’t nursing school, you know. You just do the best you can and get the job done.” […]

How Military Service Affects Veterans’ Health: What All Nurses Need to Know

By Sylvia Foley, AJN senior editor

Photo (c) Associated Press Photo (c) Associated Press

“The war tried to kill us in the spring,” says John Bartle, the narrator of The Yellow Birds, Kevin Powers’s acclaimed novel about two U.S. soldiers serving in Iraq. “I know now that everything that will ever matter in my life began then.” The same might be said by many war veterans. The effects of military service, especially on veterans’ health, vary greatly and can be lasting. And with most veterans seeking care through non-VA channels, it’s imperative that civilian nurses have some knowledge of the health issues veterans face.

In this month’s CE, “Enhancing Veteran-Centered Care: A Guide for Nurses in Non-VA Settings,” authors Barbara Johnson and colleagues describe a wide range of veterans’ health concerns and provide guidance for civilian nurses caring for these patients.

Overview: There are currently 22.5 million living U.S. military veterans, and this number is expected to increase dramatically as military personnel return from Iraq and Afghanistan. Although honorably discharged veterans may qualify for health care through the U.S. Department of Veterans Affairs (VA), only about 25% of all veterans take advantage of this benefit; a majority seek services in non-VA settings. It’s imperative for nurses in all civilian care settings […]

2016-11-21T13:07:05-05:00July 3rd, 2013|Nursing|1 Comment

Realistic Expectations, Readiness, and Staff Wellness: Crucial Reminders for Potential Red Cross Nurse Volunteers

May 24, 2013. Moore, Oklahoma. One of 41 American Red Cross emergency response vehicles roams through a neighborhood affected by the storm. The Red Cross volunteers deliver food, water, and relief supplies to residents in need of resources. Photo by Talia Frenkel/American Red Cross May 24, 2013. Moore, Oklahoma. One of 41 American Red Cross emergency response vehicles roams through a neighborhood affected by the storm. The Red Cross volunteers deliver food, water, and relief supplies to […]

2016-11-21T13:07:06-05:00July 1st, 2013|nursing perspective|0 Comments

AJN’s July Issue: Caring for Veterans, Managing IBS, Reducing Readmission Rates, More

AJN0713.Cover.OnlineAJN’s July issue is now available on our Web site. Here’s a selection of what not to miss.

On our cover this month, U.S. Air Force first lieutenant Georganne Hassell is photographed during a presence patrol in Qalat City in southern Afghanistan. According to a 2011 U.S. Department of Veterans Affairs report, America’s Women Veterans: Military Service History and VA Benefit Utilization Statistics, by 2035, women will make up 15% of all living U.S. veterans. For more on the health issues of women troops and women veterans, see this month’s editorial.

And for an overview of how to recognize and assess veterans’ unique health care issues, such as posttraumatic stress disorder (PTSD), military sexual trauma, chronic pain, and traumatic brain injury, see our continuing education (CE) feature “Enhancing Veteran-Centered Care: A Guide for Nurses in Non-VA Settings.” This article, which also lists useful resources offering tools, educational materials, and veteran services, can earn you 3.1 CE credits. If you’re reading AJN on your iPad, you can listen to a podcast interview with the authors by clicking on the podcast icon on the first page of the article. The podcast is also available on our Web site.

The prevalence of irritable bowel syndrome (IBS) is estimated to be around 5% to 10% in North American, and it is diagnosed more often in people under the age of 50. No single drug effectively relieves all IBS symptoms. “Managing […]

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