States Seek to Limit Health Officials’ Powers to Act

Since the COVID-19 pandemic began, public health measures to control the spread of the virus have provoked fierce debate. In recent months, at least 15 state legislatures have passed or are considering bills to limit the legal authority of public health agencies, according to the Network for Public Health Law, which has partnered with the National Association of County and City Health Officials to document the situation. In addition, lawmakers in at least 46 states have introduced bills to rein in the power of governors to take action in public health and other emergencies.

The anger fueling these actions stems from the perceived overreach by health officials, resulting in a backlash of legislative attempts to limit their authority. These include measures to prevent the closure of businesses or allow lawmakers to rescind mask mandates.

In addition, some state courts have limited the emergency and regulatory powers that governors used to respond to the pandemic. Demands for “individual freedom” spurred some of these state actions, though their consequences are likely to be more far reaching. […]

2021-11-18T10:25:06-05:00November 18th, 2021|infection control, infectious diseases, Nursing, Public health|0 Comments
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Helping Older Adults Get the Care That Matters to Them

Family caregivers should be partners in caring when family members are hospitalized.

“An estimated 41.8 million Americans were caregivers of an older adult relative or friend in 2020.” (From “The Four Ms of an Age-Friendly Health System” in AJN‘s November issue.)

That’s an impressive number, especially when one considers that any of the caregivers themselves may be older adults with chronic illness.

Are we preparing caregivers?

We ask a lot of these individuals, especially given the many complex tasks they are asked to perform, often with little or no training. And that’s nursing’s role—ensuring our patients are discharged to family members prepared to provide the care needed.

As a nurse, I felt prepared to be a caregiver for a family member who was discharged after complex cancer surgery. I was astonished at the brief discharge instructions for managing the Foley catheter, drains, and eight different medications; then I was handed a manila folder of papers about each medication. It took me a few hours to sort out schedules for medications and flushing drains.

But what about caregivers with no health care training, or who may not have manual dexterity or see clearly, or perhaps lack literacy at the level needed? Unfortunately, many hospitals are under resourced—in […]

2021-11-15T10:49:14-05:00November 15th, 2021|Nursing, Patients|0 Comments
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A Day to Honor Our Veterans Who Have Served

Today, on Veteran’s Day, AJN would like to honor all of those who have served in the U.S. military, including the 19 million who served during at least one war. This of course includes all those nurses who have served in the armed forces.

Veterans’ health care.

Nurses in every care setting, from hospital to primary care clinic, may encounter veterans, and it’s important to be aware of particular health concerns that may affect them. Please visit our collection of articles on the military and veterans’ health care, which will be free for the next week.

Topics in the collection include, among others:

  • caring for families with deployment stress
  • screening for posttraumatic stress disorder
  • enhancing veteran-centered care
  • traumatic brain injury.

While some of the articles are older, they are still pertinent today. We honor and thank all those who have served.

(Photo credit: Photo by sydney Rae on Unsplash.)

2021-11-11T10:50:27-05:00November 11th, 2021|Nursing|0 Comments
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Who Cares for the Nurses Who Care for You?

‘An epidemic of nonstop.’

According to Provision 5 of the American Nurses Association (ANA) Code of Ethics, “the nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth.” Yet all too often, nurses are viewed as heroes, and this heroization, while perhaps well-intentioned, may exacerbate a reality in which nurses put caring for others ahead of caring for themselves.

Amid the COVID-19 pandemic, we saw a worsening of an issue that has long plagued the nursing profession: “an epidemic of nonstop” in which the lack of basic self-care such as bathroom and meal breaks has become the norm and nurses literally “work until they drop.” The many stressors associated with the COVID-19 pandemic further heightened the need for nurses to care for themselves.

Workplace benefits and financial protections vary widely for nurses.

Approximately three-quarters of all health care workers, including nearly 90% of nurses, are women. COVID-19 brought to light the gaps in benefits among these workers.

In order to support nurses whose ability to work had been affected by the pandemic by providing them with direct financial assistance through emergency grants, the American Nurses Foundation partnered with

2021-11-10T10:41:13-05:00November 10th, 2021|COVID-19, Nursing, nursing career, women's health|0 Comments
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Nurses Don’t Seek Help When They Need It Most

Nurses with suicidal ideation are less likely to seek help. We need to change that.

The original research article in AJN‘s November issue should prompt concern among the nursing and broader health care community. The article, “Suicidal Ideation and Attitudes Toward Help Seeking in US Nurses Relative to the General Population,” describes the results of a survey sent to nearly 87,000 members of the American Nurses Association (ANA) in late 2017. It provides essential pre-pandemic data which can serve as a post-pandemic baseline going forward.

Higher prevalence of suicidal ideation in nurses.

Of the 7,378 nurses who responded (over 47% were hospital based), 5.5% reported suicidal thoughts over the prior year. Over 43% “screened positive for depression symptoms.” When researchers compared nurses with almost 5,200 age-matched other types of workers, the prevalence of suicidal ideation was 5.8% for nurses, compared to 4.3% for other U.S. workers.

Perhaps of greatest concern is that while most nurses (85%) indicated they would seek help for emotional problems, of those reporting having had suicidal ideation, 72.6% said that they would “probably or definitely” seek help. According to the authors, this is similar to results from studies of physicians and medical students.

As caregivers, we often ignore our own needs and focus on those of others. […]

2021-11-04T09:35:44-04:00November 4th, 2021|Nursing|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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