Some Recent Notable Posts from Nursing Blogs

Some posts of interest from the nursing blogs (those that are currently active; a fair number of familiar bloggers seem to be taking breaks, having kids, starting new jobs):

“Certified Medical Assistants Calling Themselves Nurses” can be found at The Nurse Practitioner’s Place. It’s not just inaccurate to do so, says the author. It’s often illegal.

Photo from otisarchives4, via Flickr. Photo from otisarchives4, via Flickr.

At My Strong Medicine, a short post about men, women, USPSTF guidelines, becoming an NP, and reaching a certain age, called “Heard While Studying: Everything Falls Apart at Age 40.”

One blogger, among others, who has been pretty quiet for some months (and who used to organize a regular “blog carnival” that helped create a community among nurse bloggers) is Kim McCallister at Emergiblog. She popped back up several weeks ago with a post called “The Voice,” which is about exactly that—how a nurse blogger lost the sense of freedom she started with as a staff nurse jotting down experiences, and instead internalized a “Sister Superego” that cautioned her to be “prim and proper,” rapping her knuckles until she just fell silent instead. Frustration with computerized charting and the general state of health care seems to be part of it as well. We hope the spirit moves her to write more soon.

Lastly, there’s a nice post by Megen Duffy (who often writes AJN‘s iNurse column, and who […]

2016-11-21T13:08:29-05:00January 25th, 2013|healthcare social media, nursing perspective|0 Comments
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ECRI Conference Notes: Creating and Replicating ‘Systemness’ within Health Care Delivery

By Joyce Pulcini, PhD, RN, FAAN, Policy and Politics contributing editor, AJN

The ECRI Institute’s 19th annual conference (November 28–29) looked at system-level innovation and quality in the health care system. It brought together experts from many fields, including medicine, nursing, hospital or health system administration, informatics, health care quality, policy makers, journalists, and academics. ECRI Institute is an independent, nonprofit organization that researches the best approaches to improving the safety, quality, and cost-effectiveness of patient care. The goals of the conference were to address the following:

  1. What is “systemness”?
  2. Which elements within mature health care systems result in the best clinical outcomes?
  3. Are approaches taken by long-established systems transferable to smaller, newer, or less integrated systems?
  4. Are financial incentives enough to drive change?
  5. How can electronic health records (EHRs) help improve “systemness”?
  6. Do transformation units within health care systems produce results?

The conference essentially tried to attack in a creative way the issues around the creation of systems that function optimally. Truly changing culture and providing optimal care delivery should always result in putting the patient at the center of care. The conversation was open and the conference succeeded in fostering important dialogue among the speakers and the audience.  A major focus was on creating systems, looking at technological or financial solutions, and measuring outcomes.

The session on team care (“Creating teams to improve inter- and intra-health care systems: Does evidence show a benefit?”)  highlighted the vexing issues around how to truly foster optimal teams. Lisa Schilling, RN, MPH, VP National HC Performance Improvement, Director, Center for […]

2016-11-21T13:08:48-05:00December 5th, 2012|digital health, health care policy, nursing perspective|0 Comments
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Evidence Contradicts AAFP: NPs Ideal for Leading Patient-Centered Medical Homes

By Karen Roush MS, RN, FNP-C, AJN clinical managing editor

What will it take to end the turf war physicians are waging  against nurse practitioners? The latest foray is over who should lead patient-centered medical homes (PCMH). According to the American Academy of Family Physicians (AAFP), only physicians should. They insist that nurse practitioners do not have the knowledge or skills to do so and that expanding the NP’s role in primary care would create a “two-tiered health system,” with patients who are cared for by an NP receiving a lower level of care.

That’s not what the evidence says. Or patients for that matter. Studies consistently find that when care provided by NPs is compared to care provided by physicians, the care is similar as far as prescriptions ordered and referrals made—most important, outcomes are the same.

Well, there is one area where differences keep showing up: patient satisfaction. Patients consistently say that they are more satisfied with care provided by nurse practitioners. They say that nurse practitioners listen better, spend more time with them, and provide them with more information.

Not only are nurse practitioners capable of leading medical homes, their education and skills make them ideal for this role. Whereas physicians focus on pathology and have the depth of knowledge and skill to manage highly complex patients, NPs focus on the “human response to disease” and take a more holistic approach to patient care. Nurses coordinate care all the time, identifying […]

2016-11-21T13:09:11-05:00October 3rd, 2012|nursing perspective|4 Comments
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Web Roundup: Changing Specialties, Measuring Quality, Caring and Freeloading, More

by Ramon Peco/via Flickr

Here are a few things worth noting on the Web today. At Code Blog, “Rookie Mistake” is illuminating on the subject of switching nursing specialties. Here’s a short excerpt:

My new hospice job is going pretty well.  I really like it.  It’s been an adjustment, but worth the stress of change.

Overall, I’ve been pretty surprised at how little I know/knew about how people die naturally.

In ICU, if you are actively dying, you look terrible.  In most cases, people dying in the ICU are there because we were or are trying to save their life.  This requires some treatments that cause other problems. . . . That is what dying looked like to me for 14 years.  Turns out it’s a pretty exaggerated version of how it is when people naturally die without life-saving interventions.

Also notable: a short post that many may relate to about paperwork and burnout, at The Nurse Practitioner’s Place.

In other news, Kaiser Health News reports that the Joint Commission is releasing its annual list of hospitals that have done well in following certain crucial procedures and protocols:

The commission is recognizing 620 hospitals (download list as PDF or .xls file) – 18 percent of those it accredits — as “top performers” for following recommended protocols at least 95 percent of the time.

Congrats to those who made the list. But a caveat: The article does […]

2016-11-21T13:09:14-05:00September 19th, 2012|Nursing|1 Comment
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What’s New on the Nursing Blogs?

By Jacob Molyneux, AJN senior editor/blog editor

Matthew Bowden/Wikimedia Commons

So what’s new on the nursing blogs. I’ve been checking around today, and here are a few good things I’ve found so far. Please let me know if there are any really new and lively nursing blogs we should add to our nursing blogs page. We need some new voices, and I’m sure they’re out there.

Burnout. At Nursing in Hawaii (this blog changes its name periodically to reflect the current location of its peripatetic owner), we find a pretty interesting and roundabout kind of post, “Nurse Burnout, Reality Shock, Marlene Kramer,” that addresses the stages of nurse burnout in a really useful and practical way (after discussing an early seminal book on the topic, what this has to do with the development of the Magnet program, and a few other items). Here’s an excerpt, but I’d suggest reading the whole thing for a look at this seemingly universal issue for nurses.

the honeymoon. This is where the new nurse is still being oriented and everything is wonderful. The preceptor is so smart! The staff is amazing! The paycheck is HUGE! we all love to be around such a person and delight in the innocence of youth.

crash and burn. the onset of this is hard to predict, but usually about the six-month mark. Takes place when the nurse starts getting feedback from every direction, not […]

2016-11-21T13:09:27-05:00August 22nd, 2012|nursing perspective|2 Comments
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