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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.

Saving the Safety Net
imageWill Medicaid ‘reform’ render it useless?
Nursing and Politics
No abstract available
Nursing and Politics
No abstract available
Nursing and Politics
No abstract available
Ethical Issues
No abstract available
Addressing HIV Stigma in Health Care
imageStrategies to address this potent barrier to treatment and prevention.
AMA Resolution Opposes Independent Practice by APRNs
imageAn old debate heats up again.
ED Visits for Self-Harm by Girls Are on the Rise
imageA nearly 20% increase since 2008 worries experts, as the behavior is a suicide risk factor.
NewsCAP: Capsules less objectionable than colonoscopy for those receiving fecal transplantation
No abstract available
Seniors Need Hip Fracture Surgery Within 24 Hours
imageEarly surgery found to reduce life-threatening complications.
Addressing the ICU Patient's Information Needs
Nurse researchers create an educational pathway.
CMS Delays Fines for Nursing Home Infractions
imageMoratorium elicits concern among nursing home advocates.
NewsCAP: The WHO reports global circulation of fraudulent medical products
No abstract available
In Memoriam: Margo McCaffery
imageNo abstract available
The CDC's HI-5 Initiative
imageA plan to improve community health in five years.
AJN On the Cover
imageNo abstract available
AJN On the Web
No abstract available
FDA Warns Against Unregulated Products
Some drugs that aren't approved by the Food and Drug Administration (FDA) may still be legally sold in the United States. These include drugs compounded by licensed physicians, pharmacists, and pharmacies. However, drugs manufactured in other countries that do not come from reputable sources cannot be legally sold here, although these drugs can sometimes be purchased online.The FDA reports on adverse events from two unregulated products: a compounded subcutaneous drug (glutamine, arginine, and carnitine) and an overseas product, Balguti Kesaria Ayurvedic Medicine, which is adulterated and potentially lethal.The agency's BeSafeRX web page contains resources to help patients determine if an online pharmacy is reputable.
Risk of Heart-Related Death From Gout Medication
Preliminary results from a clinical safety trial of the gout medication febuxostat (Uloric) indicate that, when compared with allopurinol, the standard gout treatment, febuxostat increases the risk of heart-related deaths.The Food and Drug Administration will provide additional information after the final trial results are submitted and analyzed.
No abstract available
CE: Original Research An Investigation into the Safety of Oral Intake During Labor
imagePurpose: The purpose of this study was to compare the maternal and neonatal outcomes among laboring women permitted ad lib oral intake with those permitted nothing by mouth except for ice chips. Design: This was a quantitative retrospective observational cross-sectional study. Sample: The initial data set consisted of all closed medical records for 2,817 women who were admitted to a suburban community hospital in the northeastern United States between January 2008 and December 2012. Some subjects’ records were missing either covariate data or outcomes data, resulting in final sample sizes of 2,797 women (for comparison across covariates) and 2,784 women (for comparison across outcomes). Methods: A deidentified limited data set was extracted from the electronic health record for descriptive and inferential comparisons between groups. Demographics and maternal comorbidities present on admission were compared between groups before data analysis. Outcome comparisons were obtained with traditional between-groups analysis and propensity score matching. Results: The groups were found to be sufficiently equivalent for comparison. The group permitted nothing by mouth was significantly more likely to have unplanned cesarean section births than the group permitted ad lib oral intake. There were no significant differences in unplanned maternal ICU admissions postpartum, in neonate condition as determined by Apgar scores, or in the need for a higher level of care. Allowing women ad lib oral intake during labor caused no increase in morbidity, and there were no mortalities in either group. Conclusion: Allowing women ad lib oral intake during labor does not increase adverse maternal or neonatal outcomes. It stands to reason that allowing such intake could increase patient satisfaction. Further study is needed to determine what types of food and drink are most beneficial as well as what types are preferred.
1.5 CE Test Hours: Original Research An Investigation into the Safety of Oral Intake During Labor
imageNo abstract available
CE: Malnutrition in Older Adults
imageOlder adults are at risk for compromised nutritional status because of physical changes associated with aging, as well as cognitive, psychological, and social factors such as dementia, depression, isolation, and limited income. Malnutrition negatively affects quality of life, increases health care costs, and increases the risk of short-term mortality. Nurses and other members of interdisciplinary health care teams play important roles in preventing malnutrition in community-dwelling older adults and in older adults in long-term care settings. This article provides an overview of screening tools and interventions nurses can use to minimize the risk of malnutrition in older adults.
1 CE Test Hour: Malnutrition in Older Adults
imageNo abstract available
Creamed Dishes for the Convalescent
Editor's note: From its first issue in 1900 through to the present day, AJN has unparalleled archives detailing nurses’ work and lives over more than a century. These articles not only chronicle nursing's growth as a profession within the context of the events of the day, but also reveal prevailing societal attitudes about women, health care, and human rights. Today's nursing school curricula rarely include nursing's history, but it's a history worth knowing. To this end, From the AJN Archives highlights articles selected to fit today's topics and times. This excerpt, from an article in the June 1915 issue, illustrates the ways in which nurses of that era were intimately involved in feeding their patients. Cora McCabe Sargent, a nurse who wrote several nutrition-related articles for AJN, writes that “while it is not at all essential that a good cook understand nursing the sick, it is most important that a good nurse have a certain, practical knowledge of cooking.” Here she extols the value of a meticulously made cream sauce in tempting “the capricious appetite of the sick.” (To read the full article, go to Today's nurses are still concerned with patient nutrition, often addressing the nutritional needs of a community or a particular patient population in addition to those of individual patients. For tools and interventions that can help nurses to support good nutrition later in life, see “Malnutrition in Older Adults” in this month's issue. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.
The Ethical and Legal Implications of a Nurse's Arrest in Utah
imageEditor's note: On July 26, 2017, Alex Wubbels, the charge nurse on the burn unit at the University of Utah Hospital in Salt Lake City, was arrested for refusing to allow a police officer to draw blood from an unconscious patient in her care. Her arrest, during which she was forcefully placed in handcuffs and dragged out of the hospital, was documented on body camera video and drew national attention. We asked our ethical and legal contributing editors to provide some insight on the issues of this case.
Expanding RN Scope of Practice to Include Lumbar Puncture
imageThe competing demands of caring for high-acuity patients, reducing health care costs, and improving access to specialty care are complex challenges facing all health care providers. One approach—empowering nurses to expand their scope of practice—has been successfully employed for two decades by the nurse and physician leadership of a neurology department in an urban academic medical center. This article discusses the department's implementation of a quality improvement initiative to enhance access to neurology services in an ambulatory clinic by extending nursing practice to include lumbar puncture. Outcomes data from 2005 to 2016 demonstrate that through the department's comprehensive instructional program, RNs have competently and safely acquired new skills that have led to an expansion of their traditional roles, improved patient access to specialty care, and reduced costs.
Great Conversations: A Nurse Tackles the Puberty Talk
imageFor three decades, Julie Metzger has fostered dialogue between preteens and parents.
Teaching Wound Care to Family Caregivers
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 provide simple and useful instructions that nurses should reinforce with family caregivers who perform wound care tasks. 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 caregivers to watch the videos and ask questions. For additional information, see Resources for Nurses.
Continuous vs. Interrupted Chest Compressions for Cardiac Arrest
Editor's note: This is a summary of a nursing care–related systematic review from the Cochrane Library. For more information, see
Hormonal Contraceptives Increase Breast Cancer Risk
According to this study: Current or recent users of hormonal contraceptives are at higher risk for breast cancer than women who have never used hormonal contraceptives.The risk increases with the duration of use.
Meta-Analysis Shows Coffee Consumption is Generally Safe
According to this study: Coffee drinking is more often associated with benefit than harm for a range of health outcomes.The only consistent evidence of harm was regarding pregnancy outcomes and risk of bone fracture in women.
Interprofessional Collaborative Practice Model Improves Staff Communication, Patient Care
According to this study: Experienced clinicians reported that working within a nurse-led interprofessional collaborative practice model increased their knowledge and led to changes in behavior and practice.
No Clinical Benefit From Surgery for Shoulder Pain
According to this study: In patients with subacromial shoulder pain, arthroscopic decompression surgery and investigational arthroscopy were not found to be clinically beneficial compared with no treatment.
Death with Dignity (and Love)
imageA nurse takes on a challenging new role at her ailing father's request.

Modern Healthcare
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Hundreds of Quebec doctors say they don't want pay raise
When offered a raise, hundreds of physicians in Quebec just said no. Or at least they've signed a petition protesting the recently negotiated pay hikes.
CMS urged to scrap policy letting nurses evaluate lab tests
Hospital lab personnel are asking the CMS to roll back a 2016 policy that allows nurses to analyze lab tests. The request comes as such tests become more complex and widely used.
Nursing shortage will continue to pinch hospital margins
The nursing shortage is expected to persist through 2025, which will increase hospitals' expenses related to recruiting and retaining qualified employees.
Longtime California Nurses Association leader DeMoro retires
RoseAnn DeMoro, the executive director of National Nurses United and the California Nurses Association, retired Sunday after 32 years at the head of the labor union that has 150,000 members across the country.
Q&A with ANA President Pamela Cipriano: Nurses are vulnerable to rising workplace violence
Nearly three years ago, the American Nurses Association drew a firm line in the sand when it comes to workplace violence. The organization declared that it was taking a zero tolerance stance against violence and bullying and called on other parts of...
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.

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