2020: The International Year of the Nurse and Midwife

By Barbara Stilwell, PhD, RN, FRCN, executive director, Nursing Now, a three-year global campaign seeking to raise the profile of nurses

Barbara Stilwell of Nursing Now

The World Health Organization has declared that 2020, the 200th anniversary of Florence Nightingale’s birth, will be the International Year of the Nurse and the Midwife. The year represents a once-in-a-generation opportunity to celebrate and thank nurses and midwives for all that they do, and to make clear the critical contribution that our professions can make in achieving universal health coverage. It is urgent that we make the most of 2020.

A global health care workforce crisis.

We are edging ever closer to a significant global health care workforce crisis. The WHO estimates that we are facing a shortfall of 18 million health workers to achieve and sustain universal health coverage by 2030—and approximately half of that shortfall, 9 million health workers, are nurses and midwives.

It is high time, therefore, that countries think radically differently about the way they train, deploy, and look after their health workers, particularly nurses and midwives. This will require political commitment and domestic resource mobilization. Countries will need to increase their allocation to health budgets to invest in their nursing and […]

January Issue: Spiritual Distress and Cancer, Recruitment of Foreign-Educated Clinicians, AJN Book of the Year Awards, More

“Nurses and midwives together constitute half of the global health workforce, and by declaring 2020 the ‘Year of the Nurse and Midwife,’ the World Health Organization is recognizing their critical roles in achieving global health goals.”editor-in-chief Shawn Kennedy in her editorial, “Putting 2019 Behind Us”

With the new year upon us, the January issue of AJN is now live. Here are the highlights:

CE: Original Research: The Recruitment Experience of Foreign-Educated Health Professionals to the United States

The authors discuss the current state of international recruitment and report on the findings of their study of foreign-educated health professionals and recruiters to further illuminate the recruitment experience.

CE: Assessing and Managing Spiritual Distress in Cancer Survivorship

This article describes the concept of spiritual distress and illustrates how nurses can incorporate into practice evidence-based recommendations for addressing cancer survivors’ spiritual needs. […]

2019-12-30T08:20:07-05:00December 30th, 2019|Nursing|0 Comments

AJN Off the Charts: Our Top 10 Posts of 2019

Here are the top 10 posts on AJN’s blog from the past year.

Most of the posts below are as relevant today as when published. They are from a variety of voices, on a variety of topics, from the very personal to urgent matters of clinical practice. Starting with #10:

10. Being a Bully and Being Bullied

9. Nurses Week: A Time to Reflect on the Incredible Work Nurses Do

8. Safety Starts with Self When Giving Chemo

7. Control: Ninety, and Still Haunted by a Husband’s Dying Promise

6. Morphine in Hospice Care: Why Family Members May Resist Its Use

5. If We Know How to Prevent Falls, Why Are Our Patients Still Falling?

4. Experienced Bedside Nurses: An Endangered Species?

3. What’s a Preceptor’s Duty When a New Nurse Doesn’t Fit the Unit?

2. Protocol to Reduce Hospital-Acquired Pneumonia Improves Outcomes, Lowers Costs

1. Case of Nurse Charged with Homicide for Medication Error Raises Concerns

2019-12-27T12:11:20-05:00December 27th, 2019|Nursing|0 Comments

A Matter of Public Health: Physicians Make Case for Vaccinating Immigrants in Custody

For three days last week, physicians from around the country led demonstrations and a vigil outside of Customs Patrol and Border Protection (CBP) facilities in the San Diego area. After receiving no response to their repeated offers to the departments of Health and Human Services and Homeland Security to provide free flu vaccinations to immigrants in custody, the physicians (and a few NPs) had come to the border with donated influenza vaccine to press for a pilot vaccination program. CBP officials finally said they would pass the request up their chain of command.

Preventable deaths, plus a matter of the larger public health.

Three migrant children died in CBP detention centers during last year’s flu season. The last hours of 16-year-old Carlos Gregorio Hernandez Vasquez, who died in May of influenza, were documented on a grim surveillance camera video that recently circulated widely on the Internet. But the issue of influenza vaccination for migrants is not “merely” one of such preventable deaths; it is a  public health issue. This year’s flu season has ramped up in recent weeks, and a “window of opportunity” for vaccinating this vulnerable population is closing.

The CDC recommends that everyone six months of age and older receive influenza vaccination each year. […]

The Burden of Diabetes

It’s exhausting, it is exhausting. It really is, to constantly take care of yourself and have to worry about everything you eat, everything you do, every move you make.

Flickr / Harshit Sekhon

This quote is from the original research article in AJN’s December issue, “Experiences of Diabetes Burnout: A Qualitative Study Among People with Type 1 Diabetes.” (You can read it for free and can also earn CE credits.)

Defining burnout.

The report details the results of interviews conducted by the authors to learn more about diabetes burnout, a phenomenon they define as “a state of mental, emotional, and physical exhaustion following an apathetic detachment from one’s illness identity, diabetes self-care behaviors, and support systems, which is commonly accompanied by a feeling of powerlessness.”

In the interview excerpt above, one of the study participants, a 36-year-old woman with type 1 diabetes, aptly describes the constant attention required to manage the disease. This relentless focus on time, diet, activity, and blood glucose levels are wearying in themselves. When this 24-7 effort is still not enough to control glucose levels, the resulting sense of frustration and lack of control contribute to burnout. […]

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