Nurses’ Duty to Care: Recommended Reading in AJN’s May Issue

The May issue of AJN is now live.

“If nurses are expected to have a strong sense of duty to care and to report to work even in disaster situations, then it’s essential to understand what factors influence that sense, in order to foster and sustain a workforce ready to do so,” write the authors of this month’s Original Research article, “Exploring U.S. Nurses’ Perceived Duty to Care During the COVID-19 Pandemic.” Read the study here.

“The Mountain Model for Evidence-Based Practice Quality Improvement Initiatives” introduces a conceptual model that merges evidence-based practice and quality improvement principles into a unified framework with the goal of disseminating and sustaining EBPQI projects across health care. (CE credit available)

“Clinical Inquiry and Problem Identification,” the second article in our new Evidence-Based Decision-Making series, discusses optimizing clinical inquiry, using data to describe a clinical problem, and strategically developing a focused clinical question. A commentary on navigating clinical questions accompanies the article.

“Improving Medication Management for Inpatients with a Secondary Diagnosis of Parkinson Disease” describes how a nurse-led multidisciplinary team implemented a quality improvement project to identify patients with Parkinson disease and customize medication management […]

2024-04-29T10:19:38-04:00April 29th, 2024|Nursing|0 Comments
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A Nurse-Led QI Project to Reduce ED to ICU Transition Time

Countless studies conclude that the longer an admitted patient boards in an emergency department (ED) the greater the risk for negative outcomes such as falls and hospital-acquired conditions. ED patients waiting for admission to the intensive care unit (ICU) may be at the greatest risk, as they are categorized as critical.

Transporting critical patients from the ED to the ICU requires coordination of multiple clinicians from both units, which can lead to delays. Leading and managing these coordination efforts is a challenge. However we are optimistic as small tests of change have led us to advancements in the timeliness of ICU admissions and improvements in quality and safety.

-Jonathan Nover, MBA RN, senior director of nursing, Mount Sinai Queens

The Project

Geneline Barayuga, MSN RN

The ED and ICU teams at Mount Sinai Queens, a 165-bed hospital with 70,000 annual ED visits in Queens, New York, performed a quality improvement (QI) project by developing a collaborative approach between the ICU and ED charge nurses to reduce the median […]

2023-12-11T10:17:23-05:00December 11th, 2023|Nursing, Quality improvement|0 Comments
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Military Environmental Exposures: Recommended Reading in AJN’s November Issue

The November issue of AJN is now live.

What should nurses know about caring for people who have been exposed to potentially harmful agents—such as air pollutants, chemicals, radiation, warfare agents, and materials containing asbestos and lead—during military service? Read “Military Environmental Exposures” to find out.

Our November CE article, “Recognizing Transfusion-Associated Circulatory Overload,” reviews the most current definitions of this adverse transfusion reaction and outlines its characteristics and management.

“What Health Care Staff Who Experienced Assisted Patient Falls Can Teach Us: Implications for Fall and Fall Injury Risk,” presents qualitative findings from a QI project aimed at improving guidance for staff on the risks of assisting falling patients.

“Nursing Research, Step by Step: Sample Size Planning in Quantitative Nursing Research,” one in a series on clinical research by nurses, describes how to determine an appropriate sample size for a quantitative research project, and introduces the concepts of error, power, and effect size.

In “Optimizing Blood Culture Collection Volumes,” the authors discuss a QI project they conducted to understand the causes of underfilled and overfilled blood cultures obtained by nurses and PCTs and to reduce their incidence.

See also the […]

2023-10-26T11:59:45-04:00October 26th, 2023|Nursing|0 Comments
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Recommended Reading from the August Issue of AJN

The August issue of AJN is now live.

“Nursing Care for Patients After Ostomy Surgery,” a CE feature, details the basics of pre- and postoperative care and patient education for colostomy and ileostomy—two of the most common types of ostomy surgery.

This month’s Original Research article is on nurses’ self-reported QI engagement and competence. Also see “Cultivating Quality: Reducing Tubing and Device Connections” to learn about a nurse-led QI project that explored misconnection prevention strategies.

“Fostering Race-Based Conversations in Nursing,” our latest Focus on DEI column, discusses ways to address racism and promote cultural competence.

AJN Reports examines the unintended consequences of online health care portals, noting that:

Although patient portals are designed to help with the management of personal health information, their proliferation may also be creating barriers to care for some people.

See also the extensive health care news sections, the Journal Watch and Drug Watch sections, a new installment in our series on palliative nursing, and a Reflections essay on how a school nurse compassionately cared for the author when she became pregnant at age 15—and whose kindness inspired the author to eventually become a […]

2023-07-27T10:05:09-04:00July 27th, 2023|Nursing|0 Comments
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May Issue: Addressing Nurse Burnout, New Chest Pain Assessment Guidelines, More

“This is the third Nurses Day celebrated since the start of the pandemic and nurses’ work has gotten more recognition than ever. But is that recognition enough?”—AJN senior clinical editor Christine Moffa in her editorial, “Honoring Nurses Where They Need It”

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

Original Research: Combating the Opioid Epidemic Through Nurse Use of Multimodal Analgesia: An Integrative Literature Review

This review presents strong evidence on the benefits of multimodal analgesia in reducing opioid use for pain management in the acute care setting.

CE: Chemicals in the Home That Can Exacerbate Asthma

The authors describe how the use of cleaning and disinfectant products may affect asthma and asthma-related symptoms and report the findings of a recent study they conducted that identified how these products could reduce asthma control in older adults.

Effective Holistic Approaches to Reducing Nurse Stress and Burnout During COVID-19

This quality improvement project evaluated the use of serenity lounges—dedicated rooms where nurses can take workday breaks to relax and rejuvenate—and massage chairs on nurses’ anxiety, stress, and burnout.

[…]

2022-04-25T09:32:36-04:00April 25th, 2022|Nursing|0 Comments
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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