July Issue Highlights: Magnet vs. Non-Magnet Hospitals, Rapid-Response Team Activation Barriers, More

“Health care workers need a break. . . . a respite from trudging from room to room or house to house, donning and doffing gowns and masks and gloves . . .”editor-in-chief Shawn Kennedy in her July editorial, “In the Aftermath”

The July issue of AJN is now live. Check out the highlights:

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

The authors analyze the current evidence comparing Magnet and non-Magnet hospitals to determine whether different outcomes exist between them—and provide new information regarding the economic impact of Magnet recognition.

The Effects of Smoking on Bone Health and Healing

A review of the effects of smoking on bone health, the importance of smoking cessation among patients scheduled for or recovering from orthopedic surgery, and the vital role nurses play in supporting patient efforts to quit.

Special Feature: Perceived Barriers to Rapid Response Team Activation Among Nurses

This literature review explores the major barriers many nurses face in calling the rapid response team—and how those barriers might be overcome.

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2020-06-29T10:05:38-04:00June 29th, 2020|Nursing|0 Comments

Reframing the Question: A Millennial’s Take On Preparing Nurse Educators of Tomorrow

A millennial novice nurse educator navigates the transition from the clinical arena to the world of nursing academia.

It was happening. I was enthusiastic and ready to start. Obtaining a position at a well-known public university as a lecturer had not only been my dream since my undergraduate years, but was a personal victory.

So many self-defeating thoughts went through my head in the weeks leading up to the notification by the university that I was hired. A member of the millennial generation nearing the end of my twenties, I knew that the outcome of hiring decisions could either boost me up or set me back. I was afraid that more established academic professionals from a senior generation would view me as “not a good fit for the position” or “lacking experience and knowledge.”

It is taboo to discuss, but age and generational bias is a concern for many professionals of the millennial generation. I had experienced this in the past while in the clinical setting.

Time to get to work.

Once I was past the hiring phase, I was faced with a new challenge that left no room to focus on self-doubt. I found myself accepted into academia with open arms from a team of well-rounded, skilled, nurse educators. They never seemed […]

2020-06-23T14:31:19-04:00June 23rd, 2020|Nursing, nursing career|2 Comments

How’s Your N95 Supply These Days?

Since the pandemic began to wreak havoc in the U.S., my first question to bedside nurses has been, “Do you have enough PPE?” To my amazement, even as hospital admissions surged, many nurses told me that yes, they had a good supply of N95s. I quickly learned to be more specific: “How often do you receive a new N95?” Sometimes, the answer was “every shift.” More often, nurses told me “every week,” sometimes adding, “but I cover it with a new surgical mask every day.”

Redefining the PPE norm.

And so, barely a month into the pandemic, nurses had quickly adapted to a new normal. These days, it seems that N95 supplies are “good” when we have any at all. Certainly, nurses continue to protest our lack of PPE. But how did we arrive at this place where we are glad to have any protection at all?

“The lack of essential personal protective equipment (PPE) has been a defining characteristic of the coronavirus pandemic. From the beginning, respiratory protection guidance was driven by shortages of N95 respirators and surgical masks rather than by the well-established standards of infection prevention and control.”

In this month’s AJN Reports, we look at why PPE supplies are still suboptimal and likely to […]

2020-06-19T15:07:18-04:00June 19th, 2020|Nursing|1 Comment

Food or Meds? The Lose-Lose Choice Facing Some Older Americans

Food insecurity was already common in older adults before the pandemic.

image by congerdesign from Pixabay

Years ago, when I worked as an ED nurse at Bellevue Hospital, one patient who became a favorite was a charming octogenarian named Sam. He would frequently present in congestive heart failure or pulmonary edema. He always responded quickly to treatment and often just needed a bit of furosemide to get rid of excess fluid.

After one of his almost monthly admissions, we found out that Sam relied on canned soup for much of his diet. The high salt content would cause him to retain too much fluid. He knew the salt wasn’t good for him, but soup was cheap and sometimes all he could afford.

What is food insecurity?

The United States is one of the world’s richest countries, yet we know that hunger is a common problem for many people. Older adults, especially those over 65 with multiple chronic conditions and who take multiple medications, are especially at risk for food insecurity—the inability to afford healthy and nutritious food.

Hard choices for elderly on a fixed income.

Many older adults live on fixed incomes and many don’t have supplemental insurance to cover medications. Some may have to choose between paying for medication or paying for other necessities like housing and food.

Many rely on programs like Meals on Wheels or food banks, but a number of these programs were suspended, at least for a time, during the early days of […]

Racism, Social Justice, and Nurses

By Karen Roush, PhD, RN, FNP-BC

The murder of George Floyd under the knee of a police officer, following so quickly on the murders of Ahmaud Arbery, shot down while jogging in February, and Breonna Tayler, an EMT with plans of becoming a nurse who was killed by police in her own home in March, coalesced years of anger, fear, and despair into an extraordinary outcry for racial justice that has not been seen since the civil rights movement.

Black Lives Matter.

Credit: National Nurses United

The chilling casualness with which Derek Chauvin ended George Floyd’s life over nearly nine agonizing minutes exposed more dramatically than anything else why we need to insist that black lives matter. The fact that it took four days for any charges to be brought against Chauvin, and over two months for the murderers of Mr. Arbery to be charged, only serves to reinforce what many have been saying for a long time, that all lives do not matter equally.

People have filled the streets of large cities and small to march in solidarity for racial justice and the end of police brutality. (Looters and rioters are not part of the protests and unwelcome by those marching for justice.) Not everyone may agree on how to […]

2020-06-12T13:22:12-04:00June 11th, 2020|Nursing, Public health|3 Comments
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