News for the Registered Nurse


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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.

It's the Moments That Matter
imageBrief encounters and events can sometimes change lives.
Nursing and Aging
No abstract available
Gloves and Ostomy Care
No abstract available
The Wald Model in Action
No abstract available
QTIP
No abstract available
In the News: Erratum
No abstract available
When a Childhood Sexual Abuse History Influences Patient Trust
imageIt's time to acknowledge this safety issue and train nurses in compassionate care.
DACA Recipients Seeking RN Licensure: On a Road to Nowhere?
imageFor many who complete a nursing curriculum, the dream ends with a diploma.
Anticholinergic Drug Use Associated with Risk of Dementia
Data suggest reducing or stopping anticholinergics for middle-aged and older adults.
NewsCAP: Joint Commission issues antimicrobial stewardship requirements for ambulatory health care
No abstract available
Cosmetic-Related Pediatric Exposures Are a Main Source of Calls to Poison Centers
Storage precautions like those for medications are recommended.
NewsCAP: Most U.S. adults haven't been tested for HIV
No abstract available
NewsCAP: Department of Veterans Affairs (VA) launches VA Mission Act
No abstract available
State News Roundup
No abstract available
NewsCAP: Cyberattacks on health care organizations are increasing
No abstract available
Cannabis Use Increasingly Common in Pregnancy, Alcohol Still a Problem
imageExperts urge greater awareness.
AJN On the Cover
imageNo abstract available
AJN On the Web
No abstract available
ANA Adopts New Presidential Election Policy
The organization determines candidate endorsement is no longer beneficial.
New Drug for Hypoactive Sexual Desire Disorder in Premenopausal Women
Bremelanotide (Vyleesi) is now approved for the treatment of generalized hypoactive sexual desire disorder in premenopausal women.The drug may transiently increase blood pressure, induce focal hyperpigmentation, and produce nausea.Nurses and NPs should confirm that a patient's blood pressure is under control prior to starting bremelanotide.
Dupilumab Approved to Treat Chronic Rhinosinusitis with Nasal Polyposis
Dupilumab (Dupixent) is now approved to treat adults with chronic rhinosinusitis with nasal polyps.Nurses should note that the dose for this indication is different than the dose for treating asthma or atopic dermatitis.
New Pediatric Indication for Dalteparin Sodium
Dalteparin sodium (Fragmin) is the first anticoagulant approved to treat children with symptomatic venous thromboembolism.With infants, nurses should avoid using the formulation of the drug that comes in a multidose vial containing benzyl alcohol, which can potentially induce fatal “gasping syndrome” in these patients.
New Drug Indications for Pediatric Type 2 Diabetes, Cystic Fibrosis, and Hospital-Acquired and Ventilator-Associated Bacterial Pneumonia
Liraglutide (Victoza) is now approved for use in children 10 years and older with type 2 diabetes.Tezacaftor–ivacaftor (Symdeko) is now approved for children six years and older with cystic fibrosis and a specific genetic mutation. Previously, the combination drug was approved for children ages 12 and older.The combination antiinfective ceftolozane–tazobactam (Zerbaxa) is now approved to treat hospital-acquired and ventilator-associated bacterial pneumonia in patients 18 years and older. The dose of ceftolozane–tazobactam is higher for this indication than for others.
Remembrance
No abstract available
CE: Infection in Acute Care: Evidence for Practice
imageABSTRACT: Infection may be either a cause for admission to an acute care hospital or health care associated, a complication of receiving care for another illness in the acute care environment. In recent years, there has been significant research investigating risk factors for infection in the hospital setting, best practices for diagnosis and treatment, and ways to prevent many health care–associated infections. Multidrug-resistant organisms are a consequence of antibiotic overuse, poor environmental hygiene, and our increasing ability to keep chronically ill patients alive longer through invasive intensive care support. This article reviews the evidence on infection in acute care settings, with a focus on community- and hospital-acquired pneumonia, surgical site infections, and Clostridioides difficile infection. Recommendations for integrating this evidence into nursing practice are offered.
1.5 CE Test Hours: Infection in Acute Care: Evidence for Practice
No abstract available
CE: Knowledge of Precision Medicine and Health Care: An Essential Nursing Competency
imageABSTRACT: Advances in genetic and genomic research, combined with the rapid development of new technologies, have reshaped our understanding of health and disease processes, generating what have collectively become known as “omics” sciences. These sciences are now an integral part of health care delivery, with nurses and nurse scientists at the forefront, implementing and adapting genomic technologies in the clinical setting while advancing knowledge in these areas. With the increasing focus on precision medicine and health care, integrating genetic and genomic knowledge has become an essential competency in nursing care, research, and education, as it enables nurses to collaborate effectively with patients in improving their health and well-being.
1.5 CE Test Hours: Knowledge of Precision Medicine and Health Care: An Essential Nursing Competency
No abstract available
Special Feature: Countering Vaccine Misinformation
imageABSTRACT: Evidence consistently shows that vaccines are safe, effective, and cost-efficient. Yet preventable outbreaks of infectious diseases are occurring in the United States, leading to a strong public response and intense scrutiny of the antivaccine movement and its persistent spread of misinformation. Social media has been a major platform for such misinformation, and recent examinations have found that nurses are not exempt from engaging in antivaccine discourse. By practicing evidence-based care, addressing health literacy, and becoming involved in public health policy, nurses can be excellent advocates for immunization and may help prevent additional outbreaks of preventable diseases.
EBP 2.0: Implementing and Sustaining Change: The STAND Skin Bundle
imageThis is the fourth 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 features exemplars illustrating the various strategies that can be used to implement EBP changes—one of the most challenging steps in the EBP process.
Long-Term Inhaled Antipseudomonal Antibiotics in Cystic Fibrosis
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.
Unnecessary Antibiotic Prophylaxis for Dental Procedures is Widespread
According to this study: More than 80% of antibiotic prescriptions for infection prophylaxis before dental procedures are unnecessary.Antimicrobial stewardship in dental practices is needed.
Autism Spectrum Disorder is Mostly Due to Genetic Factors
According to this study: The variation in the occurrence of autism spectrum disorder in the population is mostly due to genetic influences, with little evidence of maternal effects.The heritability of autism spectrum disorder was estimated to be approximately 80%.
Better Cardiac Arrest Outcomes in Hospitals with More Nurses with BSNs
According to this study: Patients who experience cardiac arrest in hospitals that have a higher proportion of nurses with BSNs and lower workloads have a better chance of surviving with good cerebral performance.On general units, each additional patient per nurse was associated with 17% lower odds of surviving to discharge with good cerebral performance.
Healthy Lifestyle Protects Against Dementia
According to this study: Both an unfavorable lifestyle and a high genetic risk are independently associated with a higher risk of dementia in older adults.A favorable lifestyle is associated with a lower risk of dementia, even in people who have a high genetic risk.
Implementing a Fast-Track Team Triage Approach in Response to Hurricane Maria
imageBackground: Hurricane Maria struck Puerto Rico on September 20, 2017, and caused widespread damage to the island, resulting in decreased access to health care. Sixteen days later, a mobile military hospital (MMH) was deployed to Humacao, Puerto Rico, to provide medical relief. Overcrowding in EDs is a problem in disaster relief responses, as was the case here. Initial triage practices resulted in long wait times and limited access to care, and many people left before being seen by a provider. Purpose: This study describes the implementation of a combined fast-track and team triage process to quickly and effectively screen patients in the MMH. Methods: In addition to maintaining a formal triage, our ED staff combined two systems, fast track and team triage, to accommodate the influx of patients. This newly combined approach consisted of a health care provider (an MD, NP, or physician assistant) and an RN to facilitate the evaluation, treatment, and discharge of lower-acuity patients. Results: During peak operations (days 13 to 26 of the total 31 days of operation), 70% of MMH patients were evaluated, treated, and discharged from the combined fast-track and team triage, while only 28% of patients were sent to formal triage; patients with critical conditions (2% of the total) were sent directly to the ED. The mean number of patients seen daily in the first 10 days of operation (n = 84) increased by an average of 48% (n = 124) in the 14 days of peak operations. Conclusion: The combined fast-track and team triage approach enabled us to quickly and effectively screen patients and greatly improved clinical outcomes and patient flow in a mobile facility.
Keeping Count of Women and Girls Killed by Men
imageSchool nurse Dawn Wilcox compiles a database of violence against women.
When ‘Love’ = Death
imageWe all need to take heed and ask questions.
The Last One
imageWhat would it take to make you really appreciate the precious moments of your life?

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