Off the Charts

Women’s Health: Paying Attention to an Invisible Group

By Karen Roush, MS, RN, FNP-C, AJN clinical managing editor

My sister Ellen is getting married in two weeks, so last Sunday I threw a surprise bridal shower. We had all the traditional trappings—flowers and favors and (much to another sister’s chagrin) a shower game and prizes. The only thing not traditional: at this shower there were two brides, my sister and her fiancée, Pat.

After years of standing by invisible while sisters and brothers married, danced with their partners at each other’s weddings, celebrated births and graduations, now it’s their turn. No longer on the periphery, no longer the ‘other,’ at least for this day, these few weeks, they are finally able to celebrate their love and commitment to each other just like the rest of us.

Why am I writing about this in a nursing blog? Because this invisibility, this sidelining of lesbians like my sister and her fiancée, doesn’t only affect their family life—it extends into their health care as well. Neither Ellen nor Pat ever got routine women’s health care—no Pap smears, no clinical breast exams or mammograms, no routine assessment for osteoporosis risk. They were never hooked into the health care system by reproductive health needs, contraception, chlamydia testing or […]

Guest Author2018-03-28T10:36:45-04:00July 5th, 2012|nursing perspective|1 Comment

A Few Quick 4th of July Safety Tips for Kids

By Tyler John, via Wikimedia Commons

By Karen Roush, MS, RN, FNP-C, AJN clinical managing editor

It’s almost the 4th of July—the unofficial beginning of summer! After paying your usual homage to the Declaration of Independence and remembering the Minutemen and women (yes, there were women!) of Lexington, here are a few ideas for all you pediatric nurses out there on how to make this holiday—and every summer day— safer for kids:

Start a bicycle helmet collection for your pediatrician office or local clinic so every time a kid says they don’t use a helmet because they don’t have one—voilà! Here you go!
Everyone thinks their kid is a star—now’s their chance to prove it! Get your kids or the neighborhood kids to ‘star’ in a homemade video on summer safety. Then showcase it on your waiting room TV screen or at summer camp.
Safety education—along with the usual on water safety, don’t forget to provide information on lawn-mowing safety to adolescents. Don’t leave out the city kids; a lot of them spend part of their summers in the country, so don’t assume they won’t need this information also.
Ditto on grilling safety. Talk to parents of kids of all ages and directly to adolescents.
And of course, a reminder about the danger of setting off fireworks, the perennial favorite way to endanger ourselves or our kids on the 4th of July, let them drive their electric cars here, look at the 10 best […]
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Jacob Molyneux, senior editor/blog editor2017-01-22T09:57:05-05:00July 3rd, 2012|Nursing|Comments Off

Forward or Back? Some Personal Notes on Why the Affordable Care Act Matters

By Jacob Molyneux, senior editor/blog editor

So today the U.S. Supreme Court did something a little surprising in upholding the individual mandate provision in the Affordable Care Act (here’s the text of the full decision). It was the right thing to do, given judicial precedent, but it still comes as a surprise that Chief Justice Roberts was the swing vote rather than Kennedy, or that they actually did this. Justice Roberts must have looked to his conscience and seen how history would judge him. Or it’s nice to think so.

This is good for many reasons: those under 26 on their parents’ plans can now stay there. A bunch of money earmarked for nurse education will not suddenly disappear. Health care exchanges holding insurance companies to minimum standards will be implemented. Accountable care organizations can continue to experiment in an effort to replace the disastrously expensive fee-for-service model with one tied more closely to outcomes. And a great deal more.

But now we should ask ourselves: Do we go forward or back? This is the real question when it comes to the American health care system. Going back isn’t an option, though many are sure to go on pretending it is (the Republicans will make repealing the Affordable Care Act a centerpiece of their […]

Jacob Molyneux, senior editor/blog editor2016-11-21T13:09:47-05:00June 28th, 2012|health care policy, nursing perspective, Patients|9 Comments

Nurse Staffing: Are the Brits on the Right Track?

By Maureen Shawn Kennedy, AJN editor-in-chief

hazard/jasleen kaur, via Flickr

According to an article at Nursing Times, hospitals in England may be required to publish “nurse-to-bed” ratios as part of an overall “dashboard” of indicators to measure performance. While some say this is a step forward, UNISON, the public service union that represents nurses, argues that the better ratio to measure is nurse-to-patient and that variables in patient acuity should also be considered.

Nurse staffing has become an issue in National Health Service hospitals and in April UNISON released results of a survey of over 1,500 nurses and other health care workers about their shifts during the 24-hour period of March 6. The vast majority of respondents (73%) felt they did not have “enough time to spend with patients to deliver dignified, safe, compassionate care.” The Royal College of Nursing also supports mandatory safe-staffing ratios that take into account the skill mix of RNs to “health care support workers” or nursing assistants.

Here in the United States, California is the only state to achieve any legislation for mandatory hospital staffing and it is a “minimum” nurse-to-patient ratio. While similar legislation has been introduced in a few other states and nationally, it hasn’t advanced.

The ANA does not support mandatory minimum ratios per se, noting in its Principles for Nurse Staffing (2nd edition), released earlier this […]

Shawn Kennedy, MA, RN, FAAN, editor-in-chief (emerita)2016-11-21T13:09:48-05:00June 26th, 2012|Nursing|54 Comments

Tortoise and Hare: Top 15 AJN Blog Posts for Past Quarter

By Jacob Molyneux, AJN senior editor/blog editor

Dance Floor, via Flickr

We haven’t done as many posts as usual for the past few months. Various contributors are on the lam, vacationing, singing arias, earning PhDs, watching “Game of Thrones” episodes over and over and the like. So be it.

But here is a list of the most popular posts over the past three months, in case you missed any of these at the time. Of necessity, since this is a blog, some are more ephemeral in their subject matter and relevance than others.

One or two, like “Do Male Nurses Face Reverse Sexism?”, are several years old but still hit the mark. Some were quick studies, grabbed all their readers in a matter of a few days and then tapered off quickly, while others came on slowly like the tortoise, steadily accumulating readers, asserting their charm via random Google searches.

Feel free to let us know what topics you’d like to see covered in the future. We can’t promise we can deliver, but it’s good to get a variety of perspectives. A greater clinical focus? More on policy? More on the nuts and bolts of nursing subspecialties? More personal narratives from nurses or patients? More posts related to recent published research? More polls? Trivial gossip about celebrities? To repeat: Let us know! And enjoy the early summer weekend.

“The Case of Amanda Trujillo”

“New Nurses Face Reality Shock in Hospital Settings – So What Else is New?”

“‘How Can You Bear to […]