For much of my nursing career, I functioned as a 100% American-minded nurse.
Even though the Ebola epidemic had trickled right into my city, before I attended a global health day at the United Nations (UN) during Nurses Week in 2015, I’d neglected to really consider nursing at the international level.
Until I listened to non-governmental organization (NGO) subject matter experts’ briefings and toured the restricted areas at the UN where global decisions were made, my view of nursing had been largely consumed with understanding things in my own backyard: my day-to-day struggles as a new nursing leader at work, the evolving Affordable Care Act (ACA), and finding ways to apply the IOM Report on the Future of Nursing to my own clinical and academic practice.
My mono-continental nursing mind began to open that day.
The briefings, and most importantly, the subsequent friendships I kindled with nurses involved in international policy work through NGOs like Sigma Theta Tau International (STTI) and the Nightingale Initiative for Global Health, began to help me realize how interdependently we all practice together on a global stage and how attainable international involvement actually is.
When I took my first job as a hospital staff nurse, pretty much the only path to advancement in the clinical setting was moving into an administrative position. Nurses moved up by becoming nurse managers, then supervisors, and eventually nursing directors. It was considered unusual for someone to stay at the bedside for many years.
Benner’s Novice-to-Expert Model
Then along came the clinical ladder—a way for nurses to advance clinically. Patricia Benner’s landmark work on identifying the hallmarks of novice-to-expert practice laid the foundation for identifying the different stages of acquisition of skills (see her article on the topic published in AJN in 1982; free until May 22).
Evolving Competencies Require New Paths to Advancement
But while the competencies nurses need to practice effectively are vastly different today, many hospitals haven’t updated their clinical advancement programs to reflect the knowledge, skills, and attitudes (KSAs) that nurses need to practice effectively in today’s complex health systems. Moreover, there’s been little research to provide the evidence for identifying the various competencies and the associated KSAs. Our original research article in the May issue provides that evidence.
Creating an Evidence-Based Progression
The authors of “Creating an Evidence-Based Progression for Clinical Advancement Programs” used the […]
AJN has been asked to share with our readers a new report on nurse burnout: “A Gold Bond to Restore Joy to Nursing: A Collaborative Exchange of Ideas to Address Burnout” (pdf). The report is the result of a November 2016 retreat of leading thinkers in health care and nursing at the Johnson Foundation’s Wingspread campus in Racine, Wisconsin.
Among conference participants well known to AJN were Cynda Rushton, professor at the Johns Hopkins University School of Nursing and Berman Institute of Bioethics, and noted author and nurse Theresa Brown.
The post below detailing the report’s findings is by Cindy Richards of QPatient Insight, the consulting firm that organized the conference. An experienced journalist, she worked closely with conference attendees to prepare the report on the conference’s findings.
We often hear that America faces a nursing shortage—the United States Bureau of Labor Statistics said in 2015 that we would need 1.2 million more registered nurses by 2024. In addition, surveys of nurses continue to find high levels of job dissatisfaction and high percentages of nurses who express an intention to change jobs or leave the profession in the coming years.
Why? In too many cases, because they are overwhelmed by demands that get in the way […]
By Barbara Polivka, PhD, RN, FAAN, professor and Shirley B. Powers Endowed Chair in Nursing Research, University of Louisville, Kentucky
“… the symptoms or the sufferings generally considered to be inevitable and incident to the disease are very often not symptoms of the disease at all, but of something quite different—of the want of fresh air, or of light, or of warmth, or of quiet, or of cleanliness…” -Florence Nightingale, Notes on Nursing: What it is and What it is Not (1859).
As we celebrate the 46th Earth Day, it’s good to look back.
- Earth Day was founded by U.S. Senator Gaylord Nelson as an environmental teach-in on April 22nd, 1970.
- The first Earth Day celebration helped spur the creation of the U.S. Environmental Protection Agency and the Clean Air Act.
- Earth Day became an international celebration in 1971 when the UN Secretary General talked about it at a Peace Bell Ceremony in New York City.
A time to think about how we affect the environment and are affected by the environment.
Health Care Without Harm (https://noharm.org/) is an international organization promoting environmental health and justice. If you aren’t familiar with Health Care Without Harm I urge you to go to their website to see how health care organizations are decreasing their environmental impact. Health care facilities are:
- eliminating medical devices containing mercury and using safer non-mercury alternatives.
- eliminating medical devices containing phthalate […]
The April issue of AJN is now live. Here are some articles we’d like to bring to your attention.
CE Feature: Original Research: Do Nurses or Electronic Assessment Tools Better Predict Risk for Harm?
In many hospitals, nurse-led “safety huddles” are used to relay patient safety information, although whether this effectively identifies patients at risk for harm has not been determined. New electronic risk assessment tools are designed to identify patients at risk for harm during hospitalization, based on specific markers in the electronic health record. The authors of this study compared the results of both methods, finding statistically significant differences in the way nurses and data mining software identify risk of harm. In many instances, factors that the software captured had been anticipated by the nurses or were already addressed in the plan of care.
CE Feature: Overactive Bladder in Women
This article provides an evidence-based review of the screening, assessment, and management of overactive bladder in women, many of whom do not seek help for the condition and try to self-manage its symptoms, which may inadvertently worsen them. Those with overactive bladder often experience related physical and psychological symptoms and report a poorer quality of life than other women. However, many […]