Recent Supreme Court Decisions and Public Health Consequences

The overturn of Roe v Wade wasn’t the only decision with health effects.

Photo by Anna Sullivan/Unsplash

In the December 2021 issue of AJN, Caroline Dorsen and colleagues wrote a Viewpoint, “Why Nurses Should Care About the Supreme Court.” In it, they note:

“The court decides cases every year that have direct implications for our patients, our role as health care providers, and our profession. They decide cases that speak to our common humanity and affect the systems that influence health disparities. And we should all care about that.”

This certainly rang true for decisions recently handed down by the Supreme Court.

Other health consequences of the Dobbs case.

While much of the attention on the recent Supreme Court rulings has focused on the overturn of Roe v. Wade (in Dobbs v. Jackson Women’s Health Organization) and the effects that it will have for millions of women on their access to and choice of reproductive health care, we are starting to see many other potential effects of that decision.

An article at MedPage Today describes concerns that physicians may not choose obstetrics as a career because of worries over prosecution—what if a court doesn’t agree with their management of miscarriages or disagrees with their judgment that a mother’s life was in danger? Nurse […]

June Issue: Cardiac Devices for Heart Failure, Using EHR Data for Research and QI, More

“When nurses practice real self-care, they come to a place of self-respect, learn to hear their own voice, and recognize when their expressed needs are ignored. “—Emily Stice Laker in her Viewpoint article, “Nurses Need More Than Self-Care”

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

CE: Guideline-Directed Cardiac Devices for Patients with Heart Failure

The author reviews current device therapies for heart failure and uses a composite case to demonstrate how bedside nurses can help patients understand treatment options, potential complications of implantation, and post-op care.

Special Feature: Assessing EHR Data for Use in Clinical Improvement and Research

This article introduces nurses to the secondary analysis of EHR data, first outlining the steps in data acquisition and then describing a theory-based process for evaluating data quality and cleaning the data.

Nursing Research, Step by Step: Diagnostic Studies: Measures of Accuracy in Nursing Research

This article, one in a series on clinical research by nurses, reviews the use of diagnostic and screening tests and tools in nursing research and clinical practice.

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2022-05-31T09:08:10-04:00May 31st, 2022|Nursing|0 Comments

What Will It Take? When Will We Act?

Once again, we are sickened by another school shooting and the loss of children and teachers who tried to protect them from being mowed down by an assault weapon in the hands of an 18-year-old boy. This time Uvalde, Texas, is grieving for 19 children and two teachers, and it’s less than two weeks since a shooting in a Buffalo grocery store left 10 dead. Of course, we immediately see the messages from legislators offering their condolences and thoughts and prayers, but no promises to change anything. If not them, then who can?

I remember the awfulness of treating the occasional pediatric gunshot victim when I worked in the ER—usually an unintended target who was caught in crossfire. It was gut-wrenching, the kind of thing that should be a “never-event.” Today, ER nurses, paramedics, and physicians see young gunshot victims far too often. I don’t know how they can do it day after day, trying to comfort parents while dealing with their own trauma.

The leading cause of mortality in children and adolescents.

Firearm deaths are now the leading cause of mortality in children and adolescents (ages 1 to 19 years) in this country, according to a recent analysis by researchers at the University of Michigan reported in the New England Journal of Medicine. […]

States Seek to Limit Health Officials’ Powers to Act

Since the COVID-19 pandemic began, public health measures to control the spread of the virus have provoked fierce debate. In recent months, at least 15 state legislatures have passed or are considering bills to limit the legal authority of public health agencies, according to the Network for Public Health Law, which has partnered with the National Association of County and City Health Officials to document the situation. In addition, lawmakers in at least 46 states have introduced bills to rein in the power of governors to take action in public health and other emergencies.

The anger fueling these actions stems from the perceived overreach by health officials, resulting in a backlash of legislative attempts to limit their authority. These include measures to prevent the closure of businesses or allow lawmakers to rescind mask mandates.

In addition, some state courts have limited the emergency and regulatory powers that governors used to respond to the pandemic. Demands for “individual freedom” spurred some of these state actions, though their consequences are likely to be more far reaching. […]

AJN September Issue: Ischemic Stroke, A New Approach to Fall Prevention, More

“Pain is a complex experience. Offering patients an opportunity to express their feelings, listening to their words, looking into their eyes and sensing their uncertainty are all part of the compassionate side of healing.”—Barbara Wukovits in her September Reflections column, “My Pocket of Care”

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

CE: Acute Ischemic Stroke

A review of ischemic stroke pathophysiology; risk factors; presentation; and the evidence-based treatments, nursing assessments, and monitoring protocols that are critical to patient recovery.

CE: Reimagining Injurious Falls and Safe Mobility

This article by the author of the Hendrich II Fall Risk Model proposes a new approach to fall prevention—one grounded in evidence-based protocols known to positively impact the health of older adults.

AJN Reports: The Troubling State of Public Health

How underfunding, attrition, and COVID-19 are affecting the nation’s public health agencies and nursing workforce.
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2021-08-27T08:48:20-04:00August 27th, 2021|Nursing|0 Comments
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