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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.

Sitting Our Lives Away
imageExercise may not mitigate the ill effects of prolonged sitting.
Nurses’ Role in Assisted Suicide/Aid in Dying
No abstract available
Transfusion Therapy
No abstract available
Cell Phone Use at Work
No abstract available
Cell Phone Use at Work
No abstract available
In the News: Erratum
No abstract available
Afraid to Notice: On Responding to Children with Visible Disabilities
imagePretending not to see these children can be the cruelest response.
Why Are Women Still Dying of Pregnancy and Childbirth?
imageInequity is a key contributor.
Studies Document Reductions in Murder, Suicide Rates with Certain Gun Laws
Permit-to-purchase and risk-based firearm seizure laws are effective approaches.
AJN Selected for Nursing Journal Hall of Fame
imageNo abstract available
The AACN Drafts Proposal for BSN as the Entry Level for RNs, Gets Pushback
Comments show this issue is far from settled among nurses.
NewsCAP: Hospital-acquired conditions decline from 2014 to 2016
No abstract available
Jury Finds in Favor of Nurse Who Sued Brigham and Women's Hospital
Lawsuit describes retaliation after she stood up for a colleague.
NewsCAP: American Cancer Society predicts new cancer cases and cancer deaths
No abstract available
The WHO Highlights Nurses’ Role in Reducing Noncommunicable Diseases
imageRecommendations for ‘mobilizing the nursing workforce’ praised by the ICN.
NewsCAP: Colorectal cancer screenings should start at age 45 for those at average risk, says the American Cancer Society
No abstract available
Global Update: Infectious Diseases
imageNo abstract available
In Memoriam: Shirley Fondiller
imageShirley Fondiller
Responding to Mass Shootings: Are Hospitals—and Nurses—Fully Prepared?
imageMany aren't, but they can learn from those who have been through it.
AJN On the Cover
imageNo abstract available
AJN On the Web
No abstract available
NPs Meet in Denver to ‘Move Mountains’
imageTheme and place come together at the AANP annual conference.
First Drug Approved to Reduce Bleeding Risk During Medical Procedures in Patients with Chronic Liver Disease
Avatrombopag (Doptelet) is now approved to treat thrombocytopenia in adults with chronic liver disease who are scheduled for a medical or dental procedure.The drug has been associated with thrombotic and thromboembolic complications. Nurses should teach patients prescribed avatrombopag how to assess for blood clots.
First Oral Drug for Moderate-To-Severe Ulcerative Colitis
Immediate-release tofacitinib (Xeljanz) is now approved to treat moderate-to-severe ulcerative colitis.Nurses should assess patients for infections prior to the initiation of and throughout tofacitinib treatment.
Warning For Oral Drugs Containing Benzocaine
Benzocaine, a local anesthetic found in over-the-counter and prescription oral drugs, is associated with a rare serious adverse effect called methemoglobinemia.The Food and Drug Administration has asked manufacturers to stop marketing benzocaine products for the treatment of teething pain in infants and oral pain in children under two years of age.
Harvest
No abstract available
CE: Too Much Sitting A Newly Recognized Health Risk
imageWhile moderate-to-vigorous physical activity (MVPA) has been widely accepted as a major factor in promoting optimal health, emerging research specific to sedentary behavior suggests that MVPA alone may not be enough. This integrative literature review examines the evidence on sedentary behavior as an independent health risk for cardiometabolic health conditions, certain cancers, and all-cause mortality. In so doing, it reveals new insights into high-volume sitting and prolonged uninterrupted sitting and their relationship to adverse health conditions in order to increase awareness of sedentary behavior as an independent health risk factor, examine the potential effects of displacing sedentary time with light-intensity physical activity, and encourage nurses to advance the overall reduction of sedentary behavior.
1.5 CE Test Hours: Too Much Sitting A Newly Recognized Health Risk
imageNo abstract available
CE: Managing Stable COPD An Evidence-Based Approach
imageChronic obstructive pulmonary disease (COPD) affects as many as 16 million Americans and is expected to be the third leading cause of death worldwide by 2020. To increase awareness of COPD, encourage related research, and improve care of patients with this chronic disease, the Global Initiative for Chronic Obstructive Lung Disease (GOLD) was launched in 1998 and published an evidence-based report on COPD prevention and management strategies in 2001 that has been revised regularly. The fourth major revision, which was published in 2017 and revised in 2018, includes significant changes related to COPD classification, as well as to pharmacologic, nonpharmacologic, and comorbidity management. The authors discuss the changes to the GOLD recommendations and, using a patient scenario, explain their application to clinical practice.
1.5 CE Test Hours: Managing Stable COPD An Evidence-Based Approach
imageNo abstract available
Antidepressant Medications
imageDepression is one of the most common mental health conditions. Many nurses will care for patients who have depression and may be receiving treatment. Treatment often includes the use of medications that affect mood. This article provides a brief overview of the history, indications for use, adverse effects, and nursing considerations regarding antidepressants. This is the second in a series of articles about medications used in the treatment of mental health disorders. For the first article in this series, see “Antipsychotic Medications,” June 2017.
The Nursing of Nervous Diseases
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 they 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. As Donna Sabella points out in this month's Mental Health Matters column, “There has certainly been progress in our ability to understand and manage depression…. Yet we still have a long way to go in improving the mood and well-being of those who are struggling to feel better.” That statement is made strikingly clear when reading this September 1916 article by Alice Shepard Gilman. It's true that patients with “nervousness” no longer spend six to 12 months hospitalized, nor are they “put to bed at once” and “fed to the limit of their capacity.” However, though sedatives and hypnotics are no longer considered first-line treatment, they are still among the most commonly prescribed psychotropic drugs. We continue to provide nonpharmaceutical nursing care to ease anxiety or insomnia and lessen the need for medication. And certain aspects of the nurse's role have also stayed constant: the importance of observation, the use of distraction, and standing “nearer the patient than the doctor himself, having [the patient's] full trust and confidence.” Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.
Vigorous Exercise Lowers Risk of Death in Childhood Cancer Survivors
According to this study: Regular vigorous exercise in early adulthood in adult survivors of childhood cancer is associated with a significantly lower risk of death.Increased exercise over eight years was also associated with a lower risk of death in these patients.
Failures in Precaution Practices are Common in Hospitals
According to this study: Failures in use of standard and transmission-based precautions, which can lead to self-contamination and disease transmission, not only occur frequently during routine hospital care, they happen under a wide variety of circumstances.A range of strategies is likely needed to address compliance with precautions and reduce transmission risk.
Diethylstilbestrol Exposure in Pregnancy Linked to Multigenerational Neurodevelopmental Deficits
According to this study: Exposure to the endocrine disruptor diethylstilbestrol during the first trimester of pregnancy increases the risk of attention deficit–hyperactivity disorder in grandchildren.
Mental Illness Associated With Increased Vulnerability To Crime
According to this study: Mental illness is associated with a higher risk of being a victim of crime, in particular violent crime.Substance use and personality disorders have the greatest associations with being subjected to crime.
The School Nurse
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: www.ajnoffthecharts.com.
Efficacy of Topical Anesthetics for Pain Control During Skin Laceration Repair
Editor's note: This is a summary of a nursing care–related systematic review from the Cochrane Library. For more information, see http://nursingcare.cochrane.org.
The World Health Organization's Chief Nursing Officer
imageElizabeth Iro assumes a key decision-making role at the WHO.
His Wonderful Life
imageA nurse is reminded that quality of life is in the eye of the beholder.

Modern Healthcare
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University of Michigan nurses approve 3-day strike
Nurses at the University of Michigan voted in favor of a three-day work stoppage to protest "ongoing and continuous violations of their workplace rights" after their contracts expired June 30.
Baby boom: 16 nurses pregnant at same Arizona hospital
Banner Desert Medical Center in Mesa, Ariz., is expecting it's own baby boom, with 16 ICU nurses all expecting at once.
Young nurses seek advanced degrees, leaving gaps in direct patient care
More young nurses are opting to get advanced degrees, which could help fill gaps in primary care. But it could also take them away from patients' bedsides, according to a new survey.
Value-based healthcare models require a better-educated, patient-centered workforce
The drive to attain value-based care is reshaping hospital staffing at every level, from hiring to education to teamwork.
Advanced practice and nurse practitioners bring more profit, productivity to medical practices
Physician-owned practices with more non-physicians earned $100,748 more in net income, according to a new report from the Medical Group Management Association.
NYC nurses to get $20.8 million in gender bias settlement
New York City will pay a group of nearly 1,700 nurses $20.8 million to settle a gender discrimination complaint filed by the U.S. attorney for the Eastern District of New York.
Nurses at Vermont's largest medical center go on strike
About 1,800 unionized nurses at Vermont's largest hospital launched a two-day strike Thursday following unsuccessful contract negotiations, but hospital officials say operations continued with little disruption for patients.
More nurse practitioners now pursue residency programs to hone skills
A growing cadre of nurse practitioners—typically, registered nurses who have completed a master's degree in nursing—tack on up to a year of clinical and other training, often in primary care.
Celebrating a life of faith and service at the century mark
In 2013, Sister Mary Maurita Sengelaub was inducted into Modern Healthcare's Health Care Hall of Fame. This year, she'll be celebrating another milestone as a testament to a lifetime of good health; June 28 will mark Sister Mary Maurita's 100th...
Intermountain piloting app to manage the ebb and flow of nurse staffing
Taking a cue from Uber, Airbnb and other on-demand companies, leaders at Intermountain Healthcare think a mobile app for scheduling nurses and other healthcare workers might help solve their staffing challenges.
Nurses want to delete Zuckerberg name from San Francisco General Hospital
SEIU nurses in San Francisco want to delete the Zuckerberg name from Zuckerberg San Francisco General Hospital
Too much nurse overtime can hinder collaboration
Overtime among nurses is relatively common, but the practice can lead to decreased collaboration with other nurses or physicians even if it's just an hour over the nurse's shift, according to new research.
Week Ahead: Hospital execs swoop into D.C.
Hospital execs and lobbyists will flood the Washington Hilton for the American Hospital Association's annual membership meeting. HHS Secretary Alexa Azar, CMS Administrator Seema Verma, and Sen. Susan Collins (R-Maine) are among the D.C. dignitaries...
Arizona nurse stuns running world at Boston Marathon
A nurse from Banner-University Medical Center in Tucson, Ariz., captured second place at the Boston Marathon, only her second marathon.
Bill would give Virginia nurse practitioners more autonomy
A measure passed by Virginia's General Assembly would allow most types of nurse practitioners with five years of full-time clinical experience to earn approval to practice without maintaining a contract with a physician who oversees them.

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