AJN’s March Issue: CVD Prevention in Women, Hand Hygiene, Sexuality in Nursing Homes, More

AJN0313.Cover.Online.inddAJN’s March issue is now available on our Web site. Here’s a selection of what not to miss.

Recent surveys show that women continue to underestimate their true risk of cardiovascular disease (CVD). This prompted the American Heart Association (AHA) to update its guidelines for preventing CVD in women. To make sure you’re up to date on the latest information, read “Update on Cardiovascular Disease Prevention in Women.”

This article is open access and can earn you 2.3 continuing education (CE) credits. (The cover image to the right, a lithograph from 1830, is called A Map of the Open Country of a Woman’s Heart. For more about it, read this month’s “On the Cover.”)

Although hand hygiene is considered to be the most effective way of preventing health care–associated infections, not all health care workers adhere to the guidelines. The month’s original research article presents findings from an interventional study that showed how the introduction of gel sanitizer and informational posters improved hand hygiene at two outpatient clinics. This article is open access and can earn you 2.1 CE credits. A podcast with the author is available on our Web site, and we also feature a 1932 article on hand hygiene in our department, From the AJN Archives.

Although nurses may think of sexuality as more likely to preoccupy the young, our Sexually Speaking article, “Sexuality in Nursing Care Facilities,” points out that nursing home residents have the […]

Well On His Way: A Nursing Professor’s Humbling Experience

Holding On / D'Arcy Norman, via Flickr Holding On / D’Arcy Norman, via Flickr

By Martina Harris, EdD, RN, a UC Foundation assistant professor at the University of Tennessee at Chattanooga School of Nursing

It was 6 am and I was on my way to make patient assignments for my first semester nursing students. Inside the long term-care facility, the hallways were quiet, the majority of patients still in bed. I made my way to the second floor to begin identifying and assigning patients for my fundamental nursing students. Standing at the nurse’s station, my focus was on finding patients who would provide students varied opportunities to reinforce the basic skills they’d been learning at campus lab.

The charge nurse approached me and asked if I would be willing to assign a student to Mr. Hugh, an 84-year-old who was proving to be very “complicated.” Assuming that “complicated” meant that his care required lots of psychomotor tasks, I agreed to her request. She then explained that this patient had been using his call light frequently, but that each time the staff responded, he only wanted someone to sit and visit with him. Though this didn’t seem an ideal opportunity for a student to practice basic nursing skills, I felt the gracious thing to do was to take the assignment.

In the hallway, my group of fundamental nursing students huddled together, dressed in their white uniforms and nervously awaiting the start of their first clinical […]

‘My Professor Said to Submit My Paper’ (We Hope They Also Told You This)

By Maureen Shawn Kennedy, MA, RN, AJN editor-in-chief

Niklas Bildhauer/ Wikimedia Commons Niklas Bildhauer/ Wikimedia Commons

When we get a manuscript submission, I always read the cover letter first to learn about the author and why the article was written. Often, the first sentence goes something like this: “I am a student and I’m submitting my capstone paper as required by my professor.” Or the letter may say, “My professor encouraged me to submit this paper, my capstone work.”

The paper is usually the very paper the student wrote and submitted to the professor. And that almost always means it’s not suitable for a professional journal.

The problem is not that we won’t consider manuscripts written by students—we sometimes welcome them, especially papers written by nurses who are experienced clinicians and working toward a graduate degree. The problem with the submissions I’m talking about here is inherent in the purpose of the papers themselves. Student papers are written primarily to demonstrate what the student knows about a subject; these papers tend to be expansive, cover the topic in a superficial way, and include a long list of references of books, articles, and Web sites (or, conversely, they may only have a few references, mostly Web sites, plus perhaps one much-cited textbook—thankfully, few are citing Wikipedia).

Student papers that describe themselves as “literature reviews” often have no information about the search strategy—and little synthesis. Instead, they contain a long list of various studies related to the […]

Unanticipated Codes

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. She currently has an essay appearing in The Examined Life Journal.

Code cart/courtesy of author Code cart/courtesy of author

My mentor once told me that there are almost never unanticipated cardiac arrests in the ICU. I’ve found this to be true. Certain indicators, like laboratory abnormalities or particular cardiac rhythms, can foretell a Code, and sometimes subtle signs trigger an instinctual foreboding that I’ve learned never to ignore.

The conviction that a Code Blue can be anticipated provides a sense of security; if the arrest is anticipated, then it may be preventable. And when it’s inevitable, at least anticipation allows for preparation. I strongly believe this. And yet this weekend my patient coded and I was caught completely off guard.

I had just remarked to one of my colleagues that my petite, elderly Chinese patient (some identifying details have been changed) was looking so much better than she had when I’d admitted her earlier that day from the floor—she’d been in respiratory distress, in a hypertensive crisis, and in need of immediate dialysis. All of the various specialty consultants had seen her and collaborated and I’d had the thought that Ms. M’s day would end very well, that it would be one of those nursing shifts where I’d see a metamorphosis […]

AJN’s Growing Collection of Podcasts

Look for the AJN podcast icon Look for the AJN podcast icon

A note from AJN’s editor-in-chief, Maureen Shawn Kennedy: Why not head over to our Web site and check out AJN’s podcasts and video collections? Just put your mouse over the MEDIA tab at the top and choose podcasts or one of the video series in the drop-down menu.

We’ve got a variety of podcasts to choose from:

  • monthly highlights, in which editors discuss the articles in each issue
  • “Behind the Article” podcasts are interviews with authors to discuss their work or provide additional context about the article
  • and in “Conversations,” listen to, well, conversations with nurses and other notable and interesting people (there’s even one with former president Jimmy Carter!)

We also have special collections, one of which contains music from Liyana, a group of disabled African singers who graced the cover of the August 2009 issue. (See “On the Cover” from that issue to read about them.)

The other collection contains poems written by nurses who served in the Vietnam War. They were collected by Kay Schwebke, author of “The Vietnam Nurses Memorial: Better Late Than Never” in the May 2009 issue. The short poems are heartbreaking and very much worth hearing.

One final option, if you prefer to save podcasts for listening to at a more convenient time: you can subscribe to AJN‘s podcasts in the iTunes store. Just search for […]

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