Off the Charts

Continuous Glucose Monitoring and Time in Range: Improving Data for Diabetes Management

Nursing roles in diabetes management.

A continuous glucose monitor reader (or a smartphone app) scans the sensor attached to the patient’s body for interstitial fluid glucose level and can provide data such as average blood glucose level or percentage of time spent in a target range over a given period of time.

Knowledge is power. When a person with diabetes knows their blood glucose levels, they can better self-manage lifestyle choices and medications and be an active participant in preventing complications. Glucose information can be obtained through a variety of methods. The majority of people with known diabetes receive reports on their glucose from the health care provider who is able to do lab work to obtain fasting or random blood glucose level, hemoglobin A1c (HbA1c, or just A1c) level, and urine glucose.

Nurses play an integral role to partner with the patient about their diabetes and provide education on the meaning of glucose measurement. In the outpatient setting, nurses can help the patient adjust insulin dosages and work on glucose monitoring skills and interpretation. Inpatient, nurses oversee and utilize glucose results and help with self-management skills in anticipation of care […]

Guest Author2024-06-19T10:57:17-04:00June 19th, 2024|Diabetes, digital health, Nursing, patient engagement, Technology|1 Comment

To Address the Nursing Faculty Shortage, Start with the Pay Gap

The salary gap between clinical and faculty roles.

Photo by AXP Photography on Unsplash

There is a national shortage of nursing faculty to educate the future nurse workforce. The biggest barrier to recruiting and retaining nursing faculty is the salary gap between the faculty and clinical nursing roles. Nurses routinely take pay cuts of as much as $40,000 when leaving clinical practice to teach full-time. The faculty role is vital to the health of the profession, and it is particularly important to recruit excellent educators with relevant clinical experience.

The salary gap raises a clear question: why would one choose to leave clinical practice and take a pay cut? Unfortunately, many nursing advocacy organizations have been silent on this issue, a silence that has contributed to the worsening of the nurse faculty workforce shortage. In 2023, there were 1,977 full-time faculty vacancies that were unfilled, or 7.8% of the faculty workforce. Faculty shortages are projected to worsen over the next decade as an aging faculty workforce approaches retirement.

Guest Author2024-07-23T11:30:48-04:00June 14th, 2024|Nursing, Nursing education|3 Comments

10 Lessons from Clara Barton’s Life for Living and Making an Impact

Oil painting of Clara Barton by Mathilde Leisenring, 1937.

Clara Barton lived an amazing life with extraordinary accomplishments, as a group of us recently learned on a tour retracing her steps (this will be the final post in the series). But it was an unlikely, even improbable, journey. She was painfully shy, suffered from anxiety and depression, and had to endure discrimination due to her gender, marital status, and age.

Out of these challenges, she became a teacher and started the first public school in New Jersey; was among the first women appointed to government work, serving in the U.S. Patent Office; served as a Civil War nurse; opened an Office for Missing Soldiers after the war; and remained an avid suffragette and abolitionist throughout her life.

She then started the American Red Cross at the age of 59 and convinced the International Red Cross to expand their services to disaster work. Resigning at age 82, […]

Guest Author2024-06-12T15:40:21-04:00June 12th, 2024|Clara Barton Tour 2024, Nursing, nursing history, Public health, volunteering|0 Comments

Clara Barton and the Missing Soldiers Office: Meeting a Desperate Need for Information

“I was fascinated to learn the site was discovered in 1996, saved by a government worker who was preparing the site for demolition when he discovered historical documents in the attic!”

Recognizing a need for information and meeting it.

Photo credit: Cynthia Leaver

In the course of our tour following the footsteps of Clara Barton, my admiration for her courage, confidence, and strength in character—yes, fortitude is the word that comes to mind—continues to grow. A trip to the Missing Soldiers Office Museum in Washington, D.C., has only added further confirmation of Barton’s character.

Early in 1865, as the American Civil War drew to a close, over 3 million men had fought, half a million died, with almost as many wounded. From a small boarding house on 7th Street in Washington, D.C., Clara Barton had been responding to those in need. In the course of her visits to military camps and hospitals to provide nursing care and other types of material support for the wounded, she had noticed bags of unread letters, many of them asking for any bit of information on the injury or death of a […]

Guest Author2024-06-11T15:32:11-04:00June 11th, 2024|Clara Barton Tour 2024, Nursing|0 Comments

‘Follow the Cannons!’: Clara Barton’s Pioneering Battlefield Nursing at Antietam

Antietam battlefield, seen from the observation tower. Photo credit: Lewis Sandy.

As it happens, this summer’s #1 best-selling book is Kristin Hannah’s The Women, which tells the story of Frankie, a young idealist nurse who volunteers to serve in Vietnam. This harrowing tale takes her fresh out of Army basic training to the Thirty Sixth Evac Hospital, where she and her fellow nurses triage the wounded, provide care for the dying, and stabilize soldiers for further treatment at other hospitals, while coming under attack.

Women at the front? The concept of battlefield triage? The idea of a “field hospital”?

All come from the Civil War, where Clara Barton became known as “the angel of the battlefield.”

Today our tour exploring the career and legacy of American Red Cross founder Clara Barton visited the Pry House Field Hospital Museum, the Antietam battlefields, and the National Museum of Civil War Medicine. As a physician, I can only marvel at the advances medicine and nursing have made since then—and note (with mixed feelings) that war often brings on great innovation […]

Guest Author2024-06-07T11:31:53-04:00June 7th, 2024|Clara Barton Tour 2024, Nursing, nursing history|0 Comments

Continuous Glucose Monitoring and Time in Range: Improving Data for Diabetes Management

Nursing roles in diabetes management.

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To Address the Nursing Faculty Shortage, Start with the Pay Gap

The salary gap between clinical and faculty roles.

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10 Lessons from Clara Barton’s Life for Living and Making an Impact

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Clara Barton and the Missing Soldiers Office: Meeting a Desperate Need for Information

Recognizing a need for information and meeting it.

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‘Follow the Cannons!’: Clara Barton’s Pioneering Battlefield Nursing at Antietam

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