Interventions to Promote Physical Activity in Chronically Ill Adults: What Does the Evidence Tell Us?

By Sylvia Foley, AJN senior editor

It sounds like a no-brainer: physical activity can have great health benefits for people who are chronically ill. But which interventions promote physical activity in this population most effectively? Many studies evaluating such interventions have been conducted; but “without the benefit of a statistical analysis across studies it can be difficult to detect patterns and interpret results,” say the authors of this month’s CE feature, Todd M. Rupper and Vicki S. Conn.

In 2008 Conn and colleagues did just that, performing a meta-analysis that summarized the findings of 163 reports on 213 independent tests of interventions used to promote physical activity among more than 22,000 adults with various chronic illnesses. Now, in this article, Rupper and Conn discuss the implications of  the findings from that meta-analysis, describe the strategies and practices most commonly used, and identify which ones have proven most effective. Among the take-aways: […]

Nightingale as QI Expert and Hospital Designer

By Sue Hassmiller, PhD, RN, FAAN (this is the 4th in a series of posts by Hassmiller retracing Florence Nightingale’s influential and innovative career) 

Seeing the famous St. Thomas’ Hospital today, I thought Florence Nightingale would roll over in her grave with disgust! What were they thinking, I asked the tour guide? Well, she said, it was the ‘60s. No excuse, I barked back! Prince Charles doesn’t like it either, if that makes you feel any better, she responded.

Applying best practices. The most visually prominent buildings in the hospital now consist of a couple of plain, brown, nondescript, blocklike structures—not anything like Nightingale, once the most famous hospital designer in the world, would have had it. Or, rather, did have it. Her friend, Queen Victoria, laid the first stone and Florence Nightingale contributed to the design and relocation of the St. Thomas’ Hospital of the mid-1800s, with the intention of applying best practices she had brought back from the Crimean War as well as her own research and statistics. 

Nightingale was much sought after as a master designer of hospitals; architects, physicians, and royalty from around the world asked her advice. And here was supposed to be her masterpiece . . . but her version of St. Thomas’ is just about gone.

Physical, spiritual, mental health needs. Nightingale envisioned the relocated and rebuilt St. Thomas’ as […]

2016-11-21T13:16:45-05:00July 13th, 2010|nursing history, nursing perspective|8 Comments

A Weekend With Florence In London

Editor’s note: The two entries below, written on Saturday and Sunday in London, are the latest in a series of posts by the Robert Wood Johnson Foundation’s Senior Adviser for Nursing, Susan Hassmiller, who’s spending her summer vacation retracing the footsteps of Florence Nightingale and reflecting on the implications of Nightingale’s work for nurses today.

Saturday: Westminster Abbey (London)

I arrived in London for my vacation today. They tell me it is uncharacteristically hot (nearly 90 degrees), so that gave me full license to have ice cream . . . not once, but twice! And although the “official” Florence Nightingale tour hasn’t started, I didn’t waste time getting a head start on my quest to better understand the contributions of Ms. Nightingale. […]

2017-04-29T17:29:33-04:00July 12th, 2010|nursing history, nursing research|5 Comments

The Nightingale Immersion Experience

Susan Hassmiller, the Robert Wood Johnson Foundation’s Senior Advisor for Nursing, is traveling through Europe on a tour developed in honor of the centennial of Florence Nightingale’s death. This is the second of two preliminary posts she gave us last week before taking to the skies; click here for the first. Starting later today (so check back this afternoon!) with a first post from London, Hassmiller will report on her trip, what she’s learning, and why Florence Nightingale is as relevant as ever to nurses’ work today. 


I’m still in immersion mode,
learning all I can about Florence Nightingale—the “Lady with the Lamp” (a name Wikipedia succinctly explains)—as I get ready for my trip. What have I learned so far? Well, I’m blown away. […]

2016-11-21T13:16:48-05:00July 12th, 2010|nursing history|1 Comment

Following in Florence Nightingale’s Footsteps – Literally!

On the Road with Sue Hassmiller as she traces the work of the legendary Florence Nightingale . . .

On her upcoming summer vacation, Susan Hassmiller, PhD, RN, FAAN, the Robert Wood Johnson Foundation’s Senior Advisor for Nursing, will be pursuing a dream to learn more about the life and work of the legendary Florence Nightingale. She’ll be traveling through Europe on a special tour developed in honor of the centennial of Nightingale’s death. In this and upcoming blog posts, Hassmiller reports on her trip, what she learns, and what it means to nurses’ work today. (Addendum: click here for the full series of posts.)

Eighteen years old and “hot to trot.” That’s what I thought I was. Having just been admitted into nursing school, I was set to change the world…one patient at a time. They tried to teach me about Florence Nightingale, but she was someone from the past…not likely to help me learn to start IVs, put in catheters, or run ventilators. If there were iPods back then, I would have used mine to avoid lessons about how Florence Nightingale changed the face of nursing forever. What an exaggeration, I thought! There was nothing to be learned from her…so I tuned out every last bit of it.  […]

2016-11-21T13:16:49-05:00July 9th, 2010|nursing history|23 Comments
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