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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.

To Be a Nurse
imageWhat does it really mean?
Ostomy Care
No abstract available
Cell Phones and Bacteria
No abstract available
Witnessing the ‘July Effect’
No abstract available
The Cure for the Racist Patient?
imageIn health care, appeasement tends to be the norm. That may be changing.
One in Seven Babies Exposed to Zika Virus In Utero Has Birth Defects
imageNurses play an important role in monitoring the health of these infants.
NewsCAP: Study finds postpartum depression also affects fathers
No abstract available
Study Finds U.S. Immigrant Medical Costs Are Lower Than Thought
imageDemographic data suggest recent immigrants are ‘young and robust.’
NewsCAP: The ICN issues position statement on evidence-based safe nurse staffing
No abstract available
Patients with Dementia and Firearms: Nurses Have a Role to Play
imageAsking about household guns is a place to start.
NewsCAP: The USPSTF finds little evidence for using ECG to detect asymptomatic atrial fibrillation
No abstract available
Opioid Use by Pregnant Women Jumps Fourfold
imageRate of naloxone given for overdoses also increases by 75%.
NewsCAP: Physician shortage is boosting the pay of nonphysician primary care providers
No abstract available
NewsCAP: The CDC identifies a potential public health risk from tianeptine
No abstract available
Patient Dumping Is Still a Problem
imageNurse-led transitional care may be one solution.
AJN On the Cover
imageNo abstract available
AJN On the Web
No abstract available
Hormonal Therapy Before Surgery for Uterine Fibroids
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.
Cesium Chloride, Used as Alternative Cancer Therapy, Poses Risks
Cesium chloride, which is used as alternative therapy by some cancer patients, has been determined to have significant adverse effects, especially cardiovascular effects.The FDA has issued an alert stating that cesium chloride should not be used in compounded medications.
First Drug Approved for Patients with Refractory AML and Mutation in the IDH1 Gene
Ivosidenib (Tibsovo) has been approved to treat adults with relapsed or refractory acute myeloid leukemia who have a mutation in the IDH1 gene.
Drug Approved to Treat Smallpox After a Bioterrorist Attack
A new antiviral drug, tecovirimat (TPOXX), has been approved to treat smallpox. Public health scientists have raised concerns that variola virus, which causes smallpox, could be released in a bioterrorist attack, creating a public health emergency.
D&C Aftercare
No abstract available
CE: Original Research Patient Handling and Mobility Course Content A National Survey of Nursing Programs
imagePurpose: Despite the evidence supporting safe patient handling and mobility (SPHM) practices, anecdotal evidence suggests that such practices are not universally taught in academic nursing programs. The primary goal of this cross-sectional descriptive study was to understand what nursing programs teach students about lifting, turning, transferring, repositioning, and mobilizing patients. Methods: Faculty from baccalaureate and associate's degree nursing programs in the United States were invited via e-mail to complete a 64-item survey questionnaire, which was accessible through an online link. Participants were also invited to send documents related to SPHM course content to the research team. Results: Faculty from 228 baccalaureate and associate's degree nursing programs completed the questionnaire. Most curricula included outdated manual techniques, taught reliance on body mechanics to reduce the risk of musculoskeletal injuries, and made use of nonergonomic aids such as draw sheets. Elements of SPHM in the curricula were less common, and nearly half of the respondents didn't know whether their affiliated clinical facilities had an SPHM program. Conclusions: The survey results suggest many possibilities for improvement—such as partnering with faculty in physical and occupational therapy departments, clinical partnering, and working with equipment vendors—to better incorporate evidence-based SPHM principles and practices into nursing curricula.
1.5 CE Test Hours: Original Research Patient Handling and Mobility Course Content A National Survey of Nursing Programs
imageNo abstract available
CE: How to Predict Pediatric Pressure Injury Risk with the Braden QD Scale
imageThe Braden QD Scale is a conceptually based, pediatric-specific, risk assessment instrument that reliably predicts both immobility-related and medical device–related pressure injuries in the pediatric acute care environment. A revision and simplification of the commonly used Braden Q Scale, the Braden QD Scale can be used to assess risk among the wide range of infants, children, and adolescents commonly treated in acute care environments. As part of a comprehensive program to prevent hospital-acquired pressure injuries, the Braden QD Scale promotes patient safety, quality of care and care monitoring, and effective resource use in pediatric hospitalized patients. The authors provide guidance on using the Braden QD Scale to assess pediatric patients and score their risk of pressure-related injury in numerous scenarios frequently encountered in acute care practice.
2 CE Test Hours: How to Predict Pediatric Pressure Injury Risk with the Braden QD Scale
imageNo abstract available
Nurses Fight for the Right to Vote
imageThe Nineteenth Amendment to the U.S. Constitution guarantees women the right to vote. Its ratification in 1920 represented the culmination of a decades-long fight in which thousands of women and men marched, picketed, lobbied, and gave speeches in support of women's suffrage. This article provides a closer look at the lives of four nurse suffragists—Lavinia Lloyd Dock, Mary Bartlett Dixon, Sarah Tarleton Colvin, and Hattie Frances Kruger—who were arrested for their involvement in the women's suffrage movement.
No Detrimental Effects in Children of Same-Sex Parents
According to this study: Children with same-sex parents did as well as or better than children with heterosexual parents in terms of psychological and social adjustment.
Further LDL Lowering Could Reduce Cardiovascular Risk
According to this study: Even in patients with very low low-density lipoprotein (LDL) cholesterol levels, there is a progressive, corresponding reduction in the risk of major cardiovascular events with further reduction in LDL cholesterol.
HPV Vaccination does not Change Adolescent Sexual Behaviors
According to this study: Enactment of state legislation designed to increase use of the human papillomavirus vaccine does not lead to an increase in risky sexual behaviors in U.S. adolescents.
Food Additives Pose Health Risks
According to this report: Increasing evidence suggests that colorings, flavorings, and chemicals added to food directly or indirectly during processing or packaging have adverse effects on health, particularly in children.
Addressing Unsafe Student Behavior
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. Even students nearing the end of their educational program may struggle in the clinical setting and lack the knowledge and skills necessary to provide safe care. The preceptor serves as a role model and helps ensure that only students who are adequately prepared transition to professional practice. This article discusses the role of the nurse preceptor, identifies examples of unsafe student behavior, and shares strategies for preventing and managing such situations in the clinical setting.
Fixing America's Health Care System
imageIn The Healing of America, journalist T.R. Reid considers what other countries’ health care systems can teach us.
The Integrative Therapy Nurse: A Valuable Player in Symptom Management
imageWith the support of colleagues and hospital management, the author, an RN with board certification in therapeutic massage and bodywork, developed and implemented the role of the integrative therapy nurse on the spinal cord injury and disorders unit at the Minneapolis Veterans Affairs Medical Center. The goal of this initiative was to provide patients with additional nonpharmacologic options for addressing their symptoms through the creation of an integrative therapy nurse role within the existing interdisciplinary team of physicians, NPs, psychologists, registered dieticians, physical therapists, occupational therapists, speech pathologists, and staff nurses. This article outlines the process of creating this role, discusses implications for practice, and reports the outcomes of three years of its implementation. The outcomes of decreased pain and increased relaxation among the veterans who participated in this initiative warrant its further expansion to additional clinical settings.
Giving Thanks for Meaning in a Nonclinical Setting
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.
Dimensions of Dorothy
imageThe healing language of compassion and care can transcend the limitations of words.

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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