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Nursing Times -
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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.

Improving the Work Environment, Step by Step
imageGreater awareness of the issues will hopefully lead to more change.
The Importance of PPE Use
No abstract available
Cultivating Grit
No abstract available
The Small Talk Matters
imageImproving patient care with multilingual health care providers.
U.S. Women's Health Falls Behind That of Other High-Income Countries
imageBreast cancer care and access to specialists are bright spots.
Study of Reported Sexual Misconduct by Nurses Finds Gaps in Disciplinary Action
Resources for nurses and managers are available via the NCSBN.
NewsCAP: Greater public awareness needed for SAMHSA's national addiction helpline
No abstract available
Black Lung Disease Resurges in Appalachian Coal Miners
imageEarlier detection and treatment are needed.
NewsCAP: Nurse residency program has launched in New York City
No abstract available
The Number of Uninsured Americans Is on the Rise Again
Most affected are women, young adults, and those with low incomes.
NewsCAP: The ADA issues new: Standards of Medical Care in Diabetes
No abstract available
NewsCAP: The AAP issues a statement on comprehensive care and support for transgender children and teens
No abstract available
NewsCAP: The CMS issues opioid prescription policies for patients receiving Medicare Part D benefits
No abstract available
Win–Loss Scoreboard
AJN looks at recent U.S. health care trends.
America's Problem with Opioid Abuse Takes Its Toll on Nursing, Too
imageClinicians contend with a crisis of addiction as solutions remain elusive.
AJN On the Cover
imageNo abstract available
AJN On the Web
No abstract available
New Warning for Fluoroquinolone Antibiotics
imageThe Food and Drug Administration has added a warning to the labeling of all fluoroquinolone antibiotics stating that these drugs can increase the risk of rupture or dissection of aortic aneurysms.NPs should avoid prescribing fluoroquinolones to patients at risk for aortic aneurysms unless no other therapy is available.
Implantable Pumps Require Specific Medications To Prevent Pump Failure And Risks To Patient Safety
The Food and Drug Administration has issued a Safety Communication regarding implantable pumps used for drug administration and the risks of using medications not approved for use with the pumps to treat or manage pain.Nurses who work with patients receiving intrathecal delivery of pain medication via an implantable pump are urged to carefully read the pump's labeling to identify which medications are approved for use with the pump.
Cat-a-tonic
No abstract available
CE: Original Research: Errors in Postoperative Administration of Intravenous Patient-Controlled Analgesia: A Retrospective Study
imageBackground: Intravenous patient-controlled analgesia (IV PCA), which typically involves opioids, has become widely used in clinical settings as an effective method of pain management. Identifying errors in the administration of these drugs is essential to improving patient outcomes. This study sought to describe and analyze the errors associated with postoperative IV PCA. Methods: Relevant data were collected from the medical records of all patients who received IV PCA at a large academic medical center in South Korea during a three-year period. The study sample comprised 45,104 patients who used one of four types of IV PCA delivery devices. Results: Errors occurred in 406 cases (0.9%). Operator error was the most common type of error (54.7%), followed by device malfunction (32.3%), prescription error (12.3%), and patient error (0.7%). Of the 222 operator errors, the most frequent type was failure to begin IV PCA drug administration (28.8%), followed by programming errors by non-anesthesia providers who weren't authorized to program the device (24.8%) and wrong infusion rates set by anesthesia providers who were so authorized (24.8%). Conclusions: The findings provide valuable information that can aid in the development of policy and procedures for safer, more effective postoperative administration of IV PCA. They also suggest that it's necessary not only to improve the operation of acute pain services teams, but also to ensure ongoing provider and patient education specific to IV PCA use.
1.5 CE Test Hours: Original Research: Errors in Postoperative Administration of Intravenous Patient-Controlled Analgesia: A Retrospective Study
No abstract available
CE: A Historical Review of Nurse–Physician Bedside Rounding
imageThe purpose of this article is to describe and analyze nurse involvement in hospital bedside rounding from 1873 to 1973. Interdisciplinary rounding is touted as a collaborative activity between nurses and physicians. Understanding the historical trends in nurse involvement in this process can shed light on the opportunities and barriers that clinical rounding presents today. This research was gathered using historical sources, both primary and secondary, and a social history framework. Primary sources included manuals for head nurses, nursing journals, and nursing student diaries.
1 CE Test Hour: A Historical Review of Nurse–Physician Bedside Rounding
No abstract available
Sustaining Nursing Grand Rounds Through Interdisciplinary Teamwork and Interorganizational Partnership
imageIn 2017, Navy Nurse Corps executives launched a new nursing professional practice model that promotes operational readiness, professional development, and transformational leadership. This directive prompted nursing leadership at Naval Hospital Jacksonville (NH JAX) to conduct a needs assessment survey to determine what kind of educational initiative nursing staff members would most welcome in support of the goals of the new practice model. Survey respondents favored case studies presented in a nursing grand rounds format. Our change implementation team designed and executed the grand rounds program, offering lunchtime presentations every other month. Topics included a wide range of “high-risk/low-volume” procedures—those infrequently performed at participants’ clinical sites. Ten months after the initiation of grand rounds, surveys were distributed to NH JAX participants to assess their perceptions of the value of the sessions in terms of professional development, interdisciplinary teamwork, and strengthened institutional partnerships. Of the 161 nursing grand rounds participants, 41 (25%) responded to the postimplementation survey. Responses indicated that participants valued nursing grand rounds in enhancing clinical knowledge (83% agreed), discussing research and evidence-based practices (71% agreed), supporting professional development (88% agreed), improving interdisciplinary teamwork (83% agreed), and solidifying interorganizational partnerships (73% agreed). This article presents the implementation of the NH JAX grand rounds program and demonstrates how nursing grand rounds can serve as an excellent forum in which to develop knowledge, showcase research and evidence-based practices, support professional growth, improve collaboration, and strengthen partnerships.
Prosthetic Mesh for the Prevention of Parastomal Hernias
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.
EBP 2.0: From Strategy to Implementation
imageThis is the first article in a new series about evidence-based practice (EBP) that builds on AJN’s award-winning previous series—Evidence-Based Practice, Step by Step—published between 2009 and 2011 (to access the series, go to http://links.lww.com/AJN/A133). This follow-up series will feature case studies illustrating the various strategies that can be used to implement EBP changes—one of the most challenging steps in the EBP process.
Reexamining Resilience
No abstract available
Nurses and Climate Action
imageNo abstract available
Nursing in the Midwestern Flood
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 month's article appeared in the September 1943 issue, and reported on the spring flooding that had ravaged several midwestern states. Rebecca M. Pond of the Red Cross noted that during the floods, nurses worked in “hutments and barracks in [the] Army airport, unused factory buildings, college buildings, town and rural school houses, Boy Scout camps, abandoned CCC [Civilian Conservation Corps] camps, and an annex to a state hospital.” The nursing care provided sounds like nursing in today's disaster shelters: providing health assessments, immunizations, and emergency care; maintaining isolation precautions where needed; monitoring prenatal women, infants, young children, and the elderly or ill; and supervising housekeeping and sanitation services. In recent years, the United States has experienced particularly severe flooding and other disasters precipitated by climate change. In this month's issue, Cara Cook and colleagues explore the many ways in which today's nurses can help to prevent (and not only ameliorate) the effects of a changing climate. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.
Radical Prostatectomy has Substantial Benefit for Otherwise Healthy Men
According to this study: For otherwise healthy men with clinically detected, localized prostate cancer, radical prostatectomy reduces mortality and the risk of metastasis compared with watchful waiting.
Evaluate Penicillin Allergy Before Deciding Against Penicillin Use
According to this study: Although many patients report having an allergy to penicillin, few have clinically significant immunoglobulin-mediated or T lymphocyte–mediated penicillin hypersensitivity.Clinicians should evaluate penicillin allergy before ruling out the use of penicillin or other beta-lactam antibiotics.
Tele-Triage May be a Safe and Effective Approach for Patients with Chest Pain
According to this study: Patient calls regarding chest pain were safely and effectively managed with physician- and nurse-directed tele-triage.A direct-to-physician protocol for acute chest pain calls may be more efficient.
Nursing Empowerment Intervention Reduces Inpatient Sleep Disruptions
According to this study: An interprofessional intervention combining nursing education and empowerment to reduce sleep interruptions in hospitals led to fewer nighttime room entries and improved patient experience.The authors note that creating a sleep-friendly environment likely depends on the unit-based nurses championing this cause.
Finding Joy in the Workplace
imageNo abstract available
Another Day in the OR
imageCollapsing the insulating distance of global health.

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