Hospital Visiting Policies in the Days of COVID-19

Last month, I watched a YouTube video with two physicians, ZdoggMD (Zubin Damania) and Vinay Prasad, both active on social media, discussing Prasad’s perspective that allowing patients “to die alone is a human rights violation.” He argued that clinicians should not accept blanket rules from administrators and believes there are ways around what seems to have been standard practice in hospitals during the COVID-19 pandemic.

So when we asked on AJN’s Facebook page (December 13), “Should hospitals allow patients with Covid-19 to have visitors?”, I was surprised that the comments were split. Many respondents supported the need for patients to be able to have loved ones with them, but many others felt visitors shouldn’t be allowed because PPE was scarce or because visitors didn’t follow rules and, as one commenter noted, “We don’t have time to be the PPE police.”

No one should die alone.

Nurses have been assisting patients to connect with family members by tablets or mobile phones, or in many cases filling in as surrogate family at the time of death. A colleague told me that in her ICU, nurses decided no one would die alone and made sure that one member of the staff was there with the patient. And while this was comforting to many families, I know from a […]

AJN’s Top 10 Articles of 2020

What captured the interest of AJN‘s readers in 2020? More than just COVID-19, suprisingly! Though the pandemic dominated our collective attention, other topics in nursing continued to resonate. We’ve compiled a list of the past year’s most-read (new) articles below—all are currently free to access.

1. “COVID-19 Brings Changes to NP Scope of Practice”

2. “Staffing Ratios and Burnout”

3. “Perceived Barriers to Rapid Response Team Activation Among Nurses”

4. “CE: Acute Care for Patients with Dementia”

5. “Urinary Incontinence in Older Adults”

6. “Original Research: How Magnet Hospital Status Affects Nurses, Patients, and Organizations: A Systematic Review”

7. “CE: Opioid Use Disorder: Pathophysiology, Assessment, and Effective Interventions”

8. “CE: Mitigating the Dangers of Polypharmacy in Community-Dwelling Older Adults”

9. “Mirror Therapy in the Management of Phantom Limb Pain”

10. “CE: PANDAS: Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infection”

2021-01-06T08:16:31-05:00January 6th, 2021|Nursing|0 Comments

January Issue Highlights: Understanding the CBC, COVID-19 Timeline, Book of the Year Awards, More

“As we move into 2021, my wish for this new year is that we resolve to approach it with a renewed sense of purpose . . .”editor-in-chief Shawn Kennedy in her editorial, “2020: A Year of Let Down and Loss”

The January issue of AJN is now live. Here’s what’s new:

Original Research: Nurses’ Perspectives on Caring for Patients with Do-Not-Resuscitate Orders

This study explored direct care nurses’ understanding and interpretation of do-not-resuscitate orders in relation to caring for hospitalized adults with such orders, and examined the misconceptions many nurses have about the meaning of DNR orders.

2020: The Year of COVID-19

A timeline of key events and milestones illustrates how the pandemic has unfolded over the past year.

CE: Back to Basics: The Complete Blood Count

The author discusses the meaning and function of complete blood count components, highlighting the important pathophysiological evidence they provide.

[…]

2020-12-29T09:28:31-05:00December 29th, 2020|Nursing|0 Comments

Levels of Weariness Among Nurses

I imagine that nurses throughout the world are constantly being asked “How are things at work these days?”—with the implied question being “How are you holding up with your work situation?” While my colleagues and I in our pediatric hospital have not seen an overwhelming surge of COVID+ patients come through our doors, we have certainly seen some, with an uptick in our COVID+ census as the numbers throughout the country have increased.

When I pause at this point in the conversation, the usual response I get is, “Oh, that’s so good to hear. You’re lucky.” And I agree and reflect this back to whoever I’m speaking with. My heart hurts for my fellow nurses in other parts of the nation who have been utterly overwhelmed by COVID and its cruelty. I recognize that I am indescribably lucky.

At the same time, though it’s hard to articulate why, even nurses who haven’t been hit by the surges seen in other hospitals bear layers of deep weariness by this point in the pandemic. […]

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