AJN’s April Issue: Sustainable Health Care Environments, Preventing Kidney Injury, Lateral Violence, Mental Health, More

AJN0413.Cover.2nd.inddAJN’s April issue is now available on our Web site. Here’s a selection of what not to miss.

Mechanical prophylactic devices such as intermittent pneumatic compression (IPC) devices, are applied, maintained, and monitored exclusively by nursing personnel. In this month’s original research article, “The Application of Intermittent Pneumatic Compression Devices for Thrombophylaxis,” the authors observed frequent misapplications of ordered IPC devices, and highlighted the need to study the consequences of such errors. This article is open access and can earn you 2.3 continuing education (CE) credits.

Over the past decade, the incidence of acute kidney injury requiring dialysis has risen sharply in the U.S., with associated death more than doubling. “Preventing and Responding to Acute Kidney Injury” makes the case that by identifying the signs and symptoms of acute kidney injury in its early stages, nurses may be able to help reduce the severity of injury and improve outcomes. This article is open access and can earn you 2.6 CE credits. You can also listen to a podcast interview with the author.

Lateral violence is a term used to describe what happens when a person acts in a verbally, emotionally, or physically abusive way toward someone else of a similar status or level of authority. As has been noted more than once before, RNs sometimes commit lateral violence against other staff members. “‘Crucial Conversations’ in the Workplace,” the second article in our leadership series, offers nurse managers a framework […]

2016-11-21T13:07:56-05:00April 5th, 2013|nursing perspective|0 Comments
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A Chorus of Bravo! and Huzzah! for these ‘Art of Nursing’ Contributors

By Sylvia Foley, AJN senior editor

Albuquerque Moon from Two Albuquerque Moons, (c) Charles Kaiman 2007

The digital grapevine has brought news from several Art of Nursing contributors, and it makes me happy to pass it along. If you’re not already familiar with AJN’s Art of Nursing page, it’s a regular monthly department that features poetry, “flash” fiction, and visual art. Visit our Web site and have a look! (Art of Nursing is always free; please click through to the PDFs for the best view.)

Bernadette Geyer’s first full-length collection of poetry, The Scabbard of Her Throat, was published last month by The Word Works. It was selected for publication under the Hilary Tham Capital Collection imprint by Cornelius Eady. Geyer also has a poem in the second volume of the anthology The Waiting Room Reader: Words to Keep You Company, edited by Rachel Hadas and published in February by CavanKerry Press. Geyer, whose poem “Lessons” was featured in Art of Nursing (May 2010), works as a copy editor in the Washington, DC, area.

Charles Kaiman had a one-person show of his paintings in February and March at the Blue Mountain Gallery in New York City, his 15th solo show. For a virtual peek, visit the gallery’s web site. Kaiman’s art has appeared numerous times in our pages, most recently “Candlelight Self-Portrait” (September 2011) and “Lemon and Honey” (September 2009). Kaiman works as a clinical nurse specialist […]

2016-11-21T13:07:57-05:00April 3rd, 2013|Nursing|1 Comment
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It Bears Repeating: ‘A Smart Doctor Listens to the Nurses’

AprilReflectionsIllustraionBy Jacob Molyneux, AJN senior editor

The April Reflections essay in AJN—Reflections is a monthly one-page column we’ve run for many years inside the back cover—has an unambiguous title: “A Smart Doctor Listens to the Nurses.”

Written by a pediatrician whose mother was a nurse, it gives a vision of continuity in the health care profession rather than opposition, of mothers and daughters, and seems particularly relevant as debates continue about whether or not nurses should be allowed to practice to the full scope of their abilities and knowledge. Here’s the opening paragraph, but it’s free, and we hope you’ll read the entire short essay:

I was in the hall outside a patient’s room with a new crop of interns and residents. As usual, they had all made rounds first thing in the morning, checked on new lab results, examined their patients, and were now ready to report everything to me, the attending. And, as usual, these bright, eager residents, though anxious to do a good job, hadn’t thought to talk with the nurses taking care of their patients.

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2016-11-21T13:07:58-05:00April 1st, 2013|career, nursing perspective|0 Comments
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Downsizing with Dementia

fence 2 Photo by Shawn Henning, via flickr.

By Amy M. Collins, editor

I’ve blogged before about my grandmother and her dementia, which has long since been staking a claim on her memory. A few years ago I wrote a post called “No Country for Old Women.” In it I tried to describe the feeling of helplessness that my family felt when a series of providers had failed to diagnose the cause of sudden delirium superimposed on dementia . . . a frustrating game of hot potato had ensued, with each physician passing her around to the next. It ended when a nurse finally diagnosed her with an impaction.

A similar sinking feeling strikes me as her dementia advances, and again, there seems to be no place for her to go. At her independent living center, we know she’s just barely scraping by. If it weren’t for the nurse we hired to keep an eye on her each day, her difficulty living there would be much more obvious.

Our nurse faithfully calls to let us know when my grandmother has forgotten to shower; when she’s been seen in the same clothes a few days running; when she won’t stop cleaning the break room, the distant memory of her long-standing career as a housewife stubbornly clinging to her; when she’s been found wandering the corridors at night. I think we’ve kept her there so long because everyone there loves her, she’s allowed to have […]

2016-11-21T13:07:59-05:00March 29th, 2013|Nursing|5 Comments
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Making It Safe: Skills to Promote Healthy Conversation at Work

Photo from otisarchives4, via Flickr. Photo from otisarchives4, via Flickr.

Medora McGinnis, RN, has written several previous posts for this blog. She is now a pediatric RN at St. Mary’s Hospital in the Bon Secours Health System, Richmond, Virginia, as well as a freelance writer.

What makes communication at work feel safe? We can all identify situations that “go south”—we feel instantly uncomfortable in the work environment (or anywhere, really) if we are accused, blamed, insulted, or overlooked. It’s easy to recognize when our communication is not safe, not going well, and not professional. So what makes it safe?

Effective communication can only take place when all parties feel safe; we must feel comfortable sharing our clinical insights without fear of the reaction we might get from the other party. While we can’t always know what their reaction will be, by learning to make it safe we can learn to talk with anyone about anything. New nurses in my hospital go through a six-month “RN residency” program in which we meet once a month for education, journaling exercises, and sharing. The book Crucial Conversations: Tips for Talking When Stakes Are High was used in our training to help us further develop our communication skills in the workplace. As a first-year nurse myself, I’ve found that some of the book’s ideas have played a big role in my learning curve.

Mistake #1: Watering down the content so the message doesn’t get across.

When […]

2016-11-21T13:08:00-05:00March 27th, 2013|career, nursing perspective|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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