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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.

Been There, Done That—What Will It Take to Safeguard Seniors in Disasters?
imagePrior recommendations still aren't implemented 10 years later.
The Need to Target Young Blood Donors
No abstract available
The Immediate Effects of Rural Hospital Closures
No abstract available
Routine Health Screening: To Continue or To Discontinue?
No abstract available
Routine Health Screening: To Continue or To Discontinue?
No abstract available
Alzheimer's and Dementia: The Next War for Rural Veterans and Their Families?
imageNurse-led interventions can prepare a vulnerable population.
Crisis in New Jersey Highlights Problems for Many State Boards of Nursing
imageBureaucracy and lack of resources challenge licensing and oversight.
Joint Commission Reassesses Pain Management
New guidelines go into effect in January.
Age, Racial, and Gender Gaps Are Narrowing in Alcohol Use Disorders
Increases in alcohol abuse by women, older adults, and minorities outpaced the national average.
NewsCAP: Study finds gabapentinoids are ineffective for low back pain
No abstract available
NewsCAP: Surprising gaps found in RN knowledge of postpartum complications
No abstract available
Can Dementia Be Prevented?
imageA Lancet commission makes the case for prevention and symptom treatment.
NewsCAP: Private clinics marketing unproven stem cell treatments spur FDA to act
No abstract available
NewsCAP: Mothers who intend to use safe sleep positions for infants may not follow through
No abstract available
NewsCAP: An online course platform aims to improve international emergency responses
No abstract available
Help for the Helpers
imageFamily caregivers are receiving much-needed support, but is it enough?
AJN On the Cover
imageNo abstract available
AJN On the Web
No abstract available
The Effectiveness of Speech and Language Therapy for Poststroke Aphasia
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.
New Oral HCV Drug
Vosevi is the first direct-acting antiviral drug approved for use in adults with hepatitis C virus (HCV) infection when other drug therapies haven't been successful. It is a fixed-dose combination drug containing sofosbuvir, velpatasvir, and a new drug entity, voxilaprevir.Like other direct-acting antivirals for HCV, Vosevi may reactivate hepatitis B virus infection.
New Drug for Sickle Cell Disease
Endari (L-glutamine oral powder), an amino acid, is the first new treatment for sickle cell disease approved in nearly 20 years. Approved for use in those ages five years and older, Endari reduces the severe complications of sickle cell disease.The most common adverse effects of Endari include constipation, nausea, headache, abdominal pain, cough, pain in the extremities, back pain, and chest pain.
FDA Adds Online REMS Table
The Food and Drug Administration has added an online table to its risk evaluation and mitigation strategy (REMS) Web page that summarizes information on the REMS for every drug with a high risk of serious adverse effects.Nurses should educate patients receiving any of the drugs listed in this table on the potential risks and to self-monitor for adverse effects.
Health Check
No abstract available
CE: Original Research Primary Care Providers and Screening for Military Service and PTSD
imageNo abstract available
1 CE Test Hour: Original Research Primary Care Providers and Screening for Military Service and PTSD
imageNo abstract available
CE: Preeclampsia Current Approaches to Nursing Management
imageNo abstract available
1.5 CE Test Hours: Preeclampsia Current Approaches to Nursing Management
imageNo abstract available
Creating a Fair and Just Culture in Schools of Nursing
imageNo abstract available
Organization and Scope of the Neuro-Psychiatric Unit
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. This excerpt, from an article in the August 1918 issue, is part of a report presented at the 21st annual American Nurses Association convention. The author, a physician, discusses at length and with compassion the new diagnosis of “war neurosis” or “shell shock.” At the end of his report, he emphasizes the need for “specially trained nurses… women of the greatest possible intellect,” to care for these men. (To read the full article, go to http://links.lww.com/AJN/A80 and scroll to page 1010.) Nurses today still care for these patients—only now they are diagnosed with posttraumatic stress disorder (PTSD) rather than shell shock, and may include women as well as men. Some nurses are also looking at the larger picture of how well we serve these soldiers. To read a recent study by two Pennsylvania nurses that examines why veterans may not receive appropriate care for military service–related health problems, see “Primary Care Providers and Screening for Military Service and PTSD” in this issue. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.
Liberty and Justice for All
imageNo abstract available
Promoting Nursing Students’ Ethical Development in the Clinical Setting
imageThis article is one in a series on the roles of adjunct clinical faculty and preceptors, who teach nursing students and new graduates to apply knowledge in clinical settings. In this article, the author discusses how nursing instructors influence the ethical development of students in the clinical setting.
Prompted Voiding Offers Long-Term Benefits to Nursing Home Residents
According to this study: A prompted voiding intervention delivered by nursing home staff reduced urinary incontinence in nursing home residents.The patients in the intervention group had significantly fewer wet episodes, a lower incontinence rate, and more total continent toileting episodes per day, and these effects were sustained for up to six months.
Nurse Staffing Patterns in Relation to Patient Experience of Care
According to this study: Nurse staffing patterns are important factors in patient ratings of their hospital care experiences.A higher staffing level and skill mix, and greater staffing flexibility, were all positively associated with patient experience of care.
Nondrug Interventions Reduce Pain and Opioid Use After Total Knee Arthroplasty
According to this study: Electrotherapy and acupuncture after total knee arthroplasty can potentially help to reduce pain severity and delay postoperative opioid consumption.
Similar Mortality Rates After Surgery or Observation of Localized Prostate Cancer
According to this study: Radical prostatectomy wasn't associated with significantly lower all-cause or prostate cancer mortality rates compared with observation in men with localized prostate cancer.Surgery was associated with more adverse events but with a significantly lower risk of disease progression and additional treatment.
What Nurses Talk About When They Are Talking About Ethics
imageThe first step toward solutions to ethical problems.
Redeemed by M*A*S*H
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.
Moon River and Mom
imageA nurse caring for her dying mother rediscovers an old source of intimacy and ease.

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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..
VA finalizes rule that expands scope of nurse practice
The Veteran Affairs Department believes the rule will make it easier for veterans to be seen by medical professionals. The American Medical Association is one of the physician groups that says it "lowers" the standard of care.
Albert Wright named president and CEO of West Virginia University Medicine, and other moves
Albert Wright has been promoted to president and CEO of West Virginia University Medicine. He replaces Dr. Christopher Colenda, who retired in August.
Could replacing nurses with nursing assistants pose risks to patients?
The study is salient as hospitals look for ways to cut costs, including by changing the skill mix of nursing staff by hiring assistants with less training.

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