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AJN The American Journal of Nursing - Current Issue
AJN The American Journal of Nursing - Current Issue
AJN is the oldest and largest circulating nursing journal in the world. The Journal's mission is to promote excellence in nursing and health care through the dissemination of evidence-based, peer-reviewed clinical information and original research, discussion of relevant and controversial professional issues, adherence to the standards of journalistic integrity and excellence, and promotion of nursing perspectives to the health care community and the public.

2017: A Year of Uncertainty, Upheaval, and Undoing
imageMajor changes in policy, attitudes, and events leave many reeling.
Improving our Emotional Intelligence
No abstract available
The Ethical Dimensions of Hospital Administration
No abstract available
Missed Opportunities for Military Medics in the Nursing Profession
No abstract available
RNs’ Role in Enhancing Primary Care—Déjà Vu?
imageThe work of nurses in community health has always been transformative.
The Top Health Care News Story of 2017: American Instabilities Health Care Reform, Opioid Overdoses
When you can't agree what the problem is, you can't begin to solve it.
The Top Nursing News Stories of 2017
imageNo abstract available
The Top Social Justice News Stories of 2017
imageNo abstract available
2017 Win–Loss Scoreboard
AJN takes a look back at some of the health care achievements (and disappointments) of 2017.
Stories to Watch in 2018
imageNo abstract available
A Missed Opportunity in HIV Prevention?
imagePrEP is effective in at-risk individuals, but barriers to widespread use remain.
AJN On the Cover
imageNo abstract available
AJN On the Web
No abstract available
The FDA's Latest Response to Opioid Abuse and Overdose
imageIn continuing to address prescription opioid abuse and overdose, the U.S. Food and Drug Administration (FDA) is focused on immediate-release opioids, which are frequently prescribed and may be a gateway to prescription and illegal opioid abuse.The FDA's current action plan includes policy changes within the agency, promoting the development of new abuse-deterrent generic opioids, and expanding provider education on opioid use and misuse.
Trust Me
No abstract available
CE: Oral Care for Head and Neck Cancer Symptom Management
imageAn evidence-based practice change at a radiation oncology center in a large academic medical center was designed to reduce the severity of oral mucositis in adults receiving radiation treatment for head and neck cancer. In the intervention described, patients were given newly created oral care kits and educational materials to improve their oral hygiene. Evaluations were conducted at three points during the project (before radiation treatment, during week 4 to 5 of treatment, and one month after treatment). At week 4 to 5—when the severity of oral mucositis is expected to peak—patients reported improved oral hygiene practices and reduced oral mucositis severity. The authors conclude that the use of these oral care kits and educational materials lessened the effects of oral mucositis during and after radiation treatment.
1.5 CE Test Hours: Oral Care for Head and Neck Cancer Symptom Management
imageNo abstract available
CE: Managing Postoperative Pain
imageAcute postoperative pain remains undertreated despite the dramatic increase in opioid prescribing in the United States over the past 20 years. Inadequately relieved postoperative pain may be a risk factor for persistent postoperative pain, chronic pain, and disability. In an effort to promote evidence-based strategies for optimal postoperative pain management, the American Pain Society published a new postoperative pain management guideline in 2016. Its 32 recommendations for interdisciplinary and multimodal postoperative pain management are stratified according to risks and benefits, based on varying levels of evidence. This article aims to help nurses translate the recommendations into clinical practice, while providing the historical context in which the guidelines emerged and describing current events that may affect guideline implementation.
1 CE Test Hour: Managing Postoperative Pain
imageNo abstract available
Book of the Year Awards 2017
imageThe most valuable texts of 2017, as chosen by AJN’s panel of judges.
Worked at Home During the Blizzard? Not Nurses
Updated several times a week with posts by a wide variety of authors, AJN's blog Off the Charts allows us to provide more timely—and often more personal—perspectives on professional, policy, and clinical issues. Best of the Blog will be a regular column to draw the attention of AJN readers to posts we think deserve a wider audience. To read more, please visit:
Original Research: Increasing the Connectivity and Autonomy of RNs with Low-Risk Obstetric Patients
imageObjective: RNs are adopting an ever-larger role in health care models designed to reduce costs, increase patient satisfaction, and improve patient outcomes. Most research exploring such models has focused on those involving physicians or advanced practice nurses rather than RNs. This study explored the perspectives of patients, RNs, and other providers regarding a new prenatal connected care model for low-risk patients aimed at reducing in-office visits and creating virtual patient–RN connections. Methods: This qualitative evaluation was performed as part of a larger randomized controlled trial of the new care model. Individual interviews and asynchronous online focus groups were conducted with a total of 41 patients, up to 10 unit and connected care RNs, and up to 17 other providers (up to eight physicians and nine certified nurse midwives [CNMs]). Results: Thematic analysis indicated that patients in the new care model valued connectedness and relationships with the connected care RNs, including the ability to contact them as needed outside the office setting. Patients also valued their relationships with physicians and CNMs. Physicians appreciated having more time to care for higher-risk patients, and the connected care RNs appreciated being able to work to a fuller scope of practice, although participants in all provider groups suggested the increased use of protocols and other systems to ensure patient safety and improve communication among providers. Conclusions: A prenatal connected care model for low-risk women allowed patients to decrease the number of scheduled in-person clinic visits with physicians or CNMs while building stronger nurse–patient relationships through virtual connected care visits with an RN. The results included increased patient satisfaction and greater autonomy for RNs, allowing them to work to a fuller scope of practice. Although the new model gave physicians more time in which to see higher-risk patients, CNM–patient relationships may have been limited.
Gastric Bypass Surgery has Long-Term Health Benefits
According to this study: Weight loss after gastric bypass surgery was long lasting.Improvements in the incidence and remission rates of type 2 diabetes, hypertension, and dyslipidemia were seen during 12 years of follow-up.
Improved Patient Hand Hygiene Reduces C. Difficile Infections in Hospitals
According to this study: Education of hospital staff and patients can improve patient hand hygiene.Improved patient hand hygiene can help prevent Clostridium difficile infection in hospitalized patients.
Missed Nursing Care Increases the Risk of Death After Surgery
According to this study: Missed nursing care is significantly associated with patient mortality after common surgical procedures.Necessary care is more likely to be missed when RN staffing levels are low.
New Guideline for the Evaluation of a Neck Mass in Adults
According to this study: A neck mass in an adult may be the first manifestation of head and neck cancer and should be considered malignant until proven otherwise.
Preventing Falls and Fall-Related Injuries at Home
imageThis article is part of a series, Supporting Family Caregivers: No Longer Home Alone, published in collaboration with the AARP Public Policy Institute. Results of focus groups, conducted as part of the AARP Public Policy Institute's No Longer Home Alone video project, supported evidence that family caregivers aren't given the information they need to manage the complex care regimens of family members. This series of articles and accompanying videos aims to help nurses provide caregivers with the tools they need to manage their family member's health care at home. The articles in this new installment of the series explain principles for promoting safe mobility that nurses should reinforce with family caregivers. Each article also includes an informational tear sheet—Information for Family Caregivers—that contains links to instructional videos. To use this series, nurses should read the article first, so they understand how best to help family caregivers, and then encourage the caregivers to watch the videos and ask questions. For additional information, see Resources for Nurses.
Predatory Journals: Alerting Nurses to Potentially Unreliable Content
imageExploitative publications are degrading scholarly publishing.
The Effects of Lateral Positioning in Critically Ill Adults
Editor's note: This is a summary of a nursing care–related systematic review from the Cochrane Library. For more information, see
A Dream of Horses
imageA psychiatric nurse bears witness to an aging veteran's hidden possibilities.

Modern Healthcare
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Latest News from Modern Healthcare -

Advanced practitioners oppose AMA effort to limit their practice authority
Advanced practice nurses are urging the American Medical Association to rescind a recent decision to launch a campaign focused on limiting independent practice of non-physician practitioners across state lines.
The Hokeypokey Queen rules at St. John's Hospital
There's a lot of partying in one patient's room at St. John's Hospital in Springfield, Ill. And it's all about the hokeypokey.
What do nurses want?
Nurses ask hospitals to hire more, restrict mandatory overtime; hospitals cite nursing shortage.
Nurses file lawsuit over patient safety at Tenet's DMC Huron Valley-Sinai Hospital
The Michigan Nurses Association and several Huron Valley-Sinai Hospital nurses filed a lawsuit alleging the hospital has violated Michigan's public health code by refusing to act on complaints of "unsafe practice or conditions" at the hospital.
Utah nurse who refused to draw blood from unconscious patient settles over rough arrest
A Utah nurse who was arrested for refusing to let a police officer draw blood from an unconscious patient settled Tuesday with Salt Lake City and the university that runs the hospital for $500,000.
Nurses taking non-emergency medical calls at Vegas dispatch
Eight registered nurses staff a new hotline in Las Vegas where some minor medical calls are routed. The pilot program kicked off in July with a $300,000 budget for training and pay for nurses who work one day a week.
Detective, nurse altercation could spur review of hospital policies
A video showing a Salt Lake City nurse being handcuffed for refusing to let police draw blood from an unconscious patient has gone viral and sparked a debate around police access to patients.
Officer handcuffs nurse for refusing blood test on patient
The University of Utah Health hospital said in a statement Friday that its nurse followed procedures and protocols in the July 26 incident when she refused to allow blood to be drawn from an unconscious patient.
Staffing startup Nomad Health opens platform to nurses
There will be an estimated shortage of 1.2 million nurses in the U.S. by 2022. But Nomad Health's CEO thinks his platform can help solve that problem.
Columbia's new nursing facility seeks 'iconic identity'
Columbia University School of Nursing's new facility will open this fall with 12 high-tech simulation rooms, allowing nurses to practice in a range of realistic care settings before going out into the field.
CMS may repeal ban on nursing home arbitration agreements
The Trump administration hinted to consumer organizations last week that it may repeal an Obama-era regulation that prohibits nursing homes from requiring patients to enter binding arbitration agreements.
Pennsylvania bill would expand role of nurse practitioners
Pennsylvania is considering legislation that would allow nurse practitioners to practice in rural or underserved areas without the supervision of a physician.
Judge halts $347 million false claims payment order for SNFs
An order requiring 53 skilled-nursing facilities to return more than $347 million in false claims would cause 183 centers to "collapse," a federal judge said.
U.S. Supreme Court questions validity of arbitration agreements for nursing homes
The U.S. Supreme Court on Wednesday questioned the validity of arbitration agreements used by nursing homes in a case involving Kindred Healthcare.
Kindred replacing physical nursing homes with 'virtual portfolio'
Kindred is selling its 91 skilled-nursing homes and will implement a new strategy that relies upon preferred partnerships with other nursing home operators to ensure a smooth patient handoff..

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