October Issue: Substance Use Among Nurses, RN Involvement in Staffing Policymaking, More

“Under my leadership—like that of the editors before me—these pages will serve to document and transform clinical practice and provide a space for nurses to contribute their voices to matters affecting our world today.”—AJN editor-in-chief Carl Kirton in this month’s editorial

The October issue of AJN is now live. Here’s what’s new. Some articles may be free only to subscribers.

CE: The Impaired Nurse

A guide to early recognition, diagnosis, and treatment of substance-related disorders among colleagues in the workplace.

Original Research: ‘It Would Be Nice to Think We Could Have a Voice’: Exploring RN Involvement in Hospital Staffing Policymaking

This qualitative study examined staff nurses’ perceptions of factors that hinder or support nurse involvement in hospital nurse staffing policymaking—and how nurses are, or would like to be, so involved.

Historical Feature: A Long History of Abortion

In response to the Supreme Court’s decision ending the nationwide right to abortion, the author takes a close look at abortion in American history and AJN’s archives, including the various roles played and challenges encountered by nurses.

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2022-09-26T08:56:14-04:00September 26th, 2022|Nursing|0 Comments

A Long History of Abortion

Looking to the past for context and perspective as the U.S. abortion care landscape changes dramatically.

The Supreme Court decision overturning Roe v. Wade ended women’s nationwide legal right to abortion after nearly 50 years.

Photo by Ian Hutchinson on Unsplash

Several states with so-called trigger laws banning abortion moved to implement these immediately. Although some of these laws have since been challenged in court, within a few months it’s expected that women living in about half the states will have very limited or no access to abortion care. Most of these laws—predominantly in the Midwest, South, and Plains states—make no exception for rape or to safeguard a woman’s health, until she is at risk of death.

Limiting health care access amid rising maternal mortality rates.

These restrictions on women’s health care occur while the U.S. continues to have a maternal mortality rate much higher than in other developed nations. According to the latest statistics from the CDC, this rate is rising, and health disparities persist: Black women are three times more likely to die from pregnancy-related causes compared with White women.

Women who have historically been most marginalized will be disproportionately affected by the Supreme Court’s decision, which is expected to affect […]

In a Formidable Nursing Career, Bernardine Lacey Faced and Overcame Racism

Her story is important to know, because it offers an opportunity to learn from the not-too-distant past and explore some of the difficult truths about racism in nursing, the role of the profession in this history, and the effect of these accounts on current diversity and inclusivity efforts.

Lacey meeting with first lady Barbara Bush in the White House in the 1980s.

So write Sandra Lewenson and Ashley Graham-Perel in their article in the August issue of AJN, ‘You Don’t Have Any Business Being This Good’: An Oral History Interview with Bernardine Lacey. In the article, they recount Lacey’s upbringing in the South and the many racial barriers that made it difficult for her in getting an education and pursuing her career—which became a formidable one. As a result of her many accomplishments in education, practice, and leadership, she was named a Living Legend by the American Academy of Nursing in 2014.

Racial barriers remain.

August Issue Highlights: Experiencing Racism in Nursing, Promoting Publications by Nurses, Much More

“Six of the nurses quit when they found out I was coming on because they said they would not take orders from me . . .”nursing leader Bernardine Lacey on encountering racism in her career, as described in this month’s Historical Feature

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

Original Research: Understanding Nursing Home Staff Attitudes Toward Death and Dying: A Survey

In this multisite study, the authors surveyed nursing home staff to gain insight into their perspectives on end-of-life care and to identify needs in such areas as pain control and palliative care education and training.

PANDAS: Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infection

A review of the pathogenesis, clinical presentation, diagnosis, and treatment of pediatric neuropsychiatric disorders associated with strep infection, plus teaching points for parents and patients.

Historical Feature: ‘You Don’t Have Any Business Being This Good’: An Oral History Interview with Bernardine Lacey

This article details, in her own words, black nursing leader Bernardine Lacey’s experiences with racism in her childhood, education, and career.

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2020-07-29T09:27:02-04:00July 29th, 2020|Nursing|0 Comments

1918 Redux: Supportive Nursing Care for the Coronavirus Pandemic Is Courageous Care

Litter carriers at Red Cross Emergency Ambulance Station in Washington, D.C., during influenza pandemic of 1918.

The lessons of the past.

As we struggle to make sense of unfolding data, announcements, and public health directives about the current coronavirus pandemic, appreciating the lessons from past pandemics can help us understand the effectiveness and challenges related to quarantines and social isolation, as well as the need for reliable and timely communications.

In times of public health uncertainty, nurses and nursing care have played a critical role in saving lives and relieving suffering. We now know a great deal about the role of nursing during the 1918 influenza pandemic. Some lessons need heeding now.

Historian Nancy Bristow’s American Pandemic (New York: Oxford University Press, 2012) presents the historical facts clearly. For example, public health officials’ 1918 prohibitions on public gatherings, the sharing of such (then) new personal items as toothbrushes, and school attendance and religious services met acceptance as well as resistance. […]

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