Environmentally Sustainable Nursing Practices: Small Changes Make a Big Difference

“The decisions nurses make about waste and efficiency on the front lines of clinical care matter, and the potential impact on health and the environment should not be underestimated.”

These days, most nurses have little time for anything that isn’t COVID related. Either we’re inundated with patients, changing work flow and physical spaces to accommodate long-term social distancing, or trying to home-school our kids or plan the next trip to the grocery store. Inevitably, though, our attention will return to other urgent issues in health care. The impact of our everyday work practices on the health of the planet is one of these issues.

How often do you toss unused linen into a laundry hamper after a patient is discharged, or discard leftover but unopened supplies that have been in a patient’s room, or hurriedly throw away soiled “chux” in a “red-bagged waste” container because that’s the nearest receptacle? In “Reducing Waste in the Clinical Setting” in this month’s issue, Sara Wohlford and colleagues at Carilion Roanoke Memorial Hospital in Roanoke, Virginia, share how increased attention to wasteful practices and modest changes in workflow can impact the environment and save money.

Small changes in three areas can make a big difference.

The authors looked at three […]

April Issue: Career Choice Regret Among Nurses, Acute Care for Dementia Patients, More

“Nursing goes beyond measurable outcomes; it extends to the relationships between nursing staff and patients and their families that help them to adjust to their new normal.”Andrew Dwight Reed, author of the April Reflections column, “A New Normal

In case you’d like a break from 24/7 news of COVID-19 and want to keep up with some other nursing and health care topics, the April issue of AJN is now live. Here are the highlights:

Original Research: An Investigation of Career Choice Regret Among American Nurses

The authors surveyed a random sample of American Nurses Association members to find out the extent of career choice regret among U.S. nurses and whether burnout is an independent predictor.

CE: Acute Care for Patients with Dementia

This article describes the unique care needs of hospitalized patients
with dementia, highlighting evidence-based strategies and person-centered care principles nurses can incorporate into practice.
[…]

2020-04-01T08:36:54-04:00April 1st, 2020|Nursing|0 Comments

Nurses Recognizing the Importance of Earth Day

Happy Earth Day!

In the midst of this climate crisis it is important to take some moments to celebrate the earth. I like to do so by hiking in the Camden Hills on the coast of Maine. Over the last year, many cities and states have taken the lead in addressing climate change. I know this firsthand, as I serve as mayor of a small city in Maine. In the last year, our city has installed free public electric vehicle chargers, turned on our third solar array and are now powering almost 90% of our municipal electricity with solar, and created a city climate change committee to study the effects of climate on our community.

The most pressing public health challenge of this century.

As nurses we intimately know the communities that we serve and are aware of the potential physical and mental health effects of environmental factors. As the most trusted health profession, our voice is important in communication related to health and climate change.

As the nation moves towards a transition to renewable energy, nurses can join the conversation to ensure that all people are supported and included. Nurses know the importance of considering health in policy making. This includes ensuring that the communities who have been historically left out of environmental policy conversations […]

2019-04-22T08:22:51-04:00April 22nd, 2019|Nursing|0 Comments

April Issue: IV Patient-Controlled Analgesia Errors, Implementing EBP, Nurses and Climate Action, More

“Think about your own workplace: do you take pride in what you do, feel that you and your work are valued, and enjoy the team you work with? Do the good days outweigh the bad days?”—AJN editor-in-chief Shawn Kennedy in her April editorial

The April issue of AJN is now live. Here are some highlights.

CE: Original Research: Errors in Postoperative Administration of Intravenous Patient-Controlled Analgesia: A Retrospective Study

The authors describe and analyze the errors associated with the use of IV patient-controlled analgesia at a large medical center in South Korea.

CE: A Historical Review of Nurse–Physician Bedside Rounding

How has the nurse’s role in bedside rounding evolved since the 19th century? This article discusses the challenges of nurse participation in bedside rounding from 1873 to 1973.

Sustaining Nursing Grand Rounds Through Interdisciplinary Teamwork and Interorganizational Partnership

The authors present the implementation of a grand rounds program at their naval hospital, and demonstrate how nursing grand rounds can support professional growth and strengthen partnerships.

New Series: EBP 2.0: Implementing and Sustaining Change: From Strategy to Implementation

Our follow-up to the popular Evidence-Based Practice, Step by Step series (which appeared in AJN from 2009 to 2011) is focused on the most challenging of the seven EBP steps—implementation.

Environments and […]

2019-03-25T09:53:59-04:00March 25th, 2019|Nursing, nursing history|0 Comments

What Are We Breathing In?

Photo © Shutterstock.

For people who haven’t given much thought to “particulate matter” as a health hazard, the wildfires in the western United States remind us of how ambient smoke affects quality of life. Even communities not devastated by the fires—and often hundreds of miles away from them—have seen and experienced the effects of the smoke from these fires.

In this month’s AJN, authors Jessica Castner and Barbara Polivka explore particulate matter exposure and its effects on health in their article “Nursing Practice and Particulate Matter Exposure” (free until September 18). Using a detailed case history as an example, the authors offer guidance on nursing assessment and interventions to address particulate matter exposures. They also remind us how easy it is to encounter these pollutants.

“Common outdoor sources of particulate matter include industrial and traffic emissions, power plant emissions, wildfires, and wood stoves. Indoor sources include smoking, wood fires, cooking, and cooking fuels . . . mold; air fresheners and scented products; aerosolized cleaning and personal care products; and dust from carpeting, upholstery, and bedding.”

Air pollution: a host of associated ills.

While we often think of the respiratory problems that can result from this type of air pollution, Castner and Polivka point out literature that also […]

2018-09-04T09:14:24-04:00September 4th, 2018|environmental health, Nursing|1 Comment
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