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.

Predatory Publishing Is Alive and Well
imageWe need to be vigilant against fake journals.
Nurses as Global and Planetary Citizens
imageA call for a vision of interconnectedness.
Diversity in Nursing
No abstract available
Intimate Partner Violence
No abstract available
EHR Data
No abstract available
Drug Shortages Lead to Rationing, Treatment Delay
imageAffected patients may not be aware of the impact on their care.
As We Went to Press: COVID-19 Continues to Spread
Updates on the coronavirus.
Standard Car Seats Pose Risks for Late-Preterm Infants
Nurses are the front line of protection.
NewsCAP: Congress approves funding for gun violence research.
No abstract available
NewsCAP: The Federal Communications Commission (FCC) has proposed a three-digit hotline number for suicide prevention.
No abstract available
Addressing S. aureus Colonization in Parents to Protect NICU Neonates
Treating parents reduces colonization rate in neonates by half.
NewsCAP: Study finds no significant link between use of talcum powder and risk of ovarian cancer.
No abstract available
State News Roundup
No abstract available
NewsCAP: New national RN survey data are released.
No abstract available
NewsCAP: Unnecessary Pap tests in U.S. teens.
No abstract available
Are Patient Privacy and Health Data at Risk?
imagePartnerships between tech companies and health systems challenge privacy expectations and laws.
AJN On the Cover
imageNo abstract available
AJN On the Web
No abstract available
New Warning for Gabapentinoids
The Food and Drug Administration is requiring that a new warning be added to the labeling of gabapentinoids concerning the risk of respiratory depression, especially when the drug is combined with other central nervous system (CNS) depressants or the patient has respiratory risk factors.
Olaparib Approved for Metastatic Pancreatic Cancer
Olaparib (Lynparza) is now approved for maintenance treatment in adults with deleterious or suspected deleterious germline BRCA-mutated metastatic pancreatic adenocarcinoma.
New Drug Approved for HER2-positive Metastatic Breast Cancer
Enhertu (fam-trastuzumab deruxtecan-nxki) is approved to treat unresectable or metastatic HER2-positive breast cancer after other treatments have been unsuccessful.
Father and Child in Silhouette
No abstract available
Original Research: An Investigation of Career Choice Regret Among American Nurses
imagePurpose: To explore whether burnout is an independent predictor of career choice regret among nurses. Methods: In November 2017 we invited a random sample of 89,995 members of the American Nurses Association to participate in an anonymous online survey. The survey collected demographic and professional information and included the Maslach Burnout Inventory–Human Services Survey for Medical Personnel (known as the MBI-HSS [MP]), as well as several items exploring career choice regret. Of the 86,858 nurses who received the e-mail invitation, 8,638 (9.9%) responded. Multivariable logistic regression analysis was conducted for the final sample of 6,933 nurses who provided complete responses to the MBI-HSS (MP) and the career choice regret survey items. Results: Fifteen percent of the 6,933 participating nurses had career choice regret. On multivariable analysis, experiencing burnout, working unplanned or mandatory overtime, being male, and having a higher academic degree related to nursing were independent predictors of career choice regret. Burnout was the strongest such predictor. Conclusion: Career choice regret among U.S. nurses is relatively common. Of the independent predictors this study identified, burnout had the strongest relationship with career choice regret. Organizational strategies aimed at reducing burnout and supporting nurses' ongoing professional development should be pursued.
CE: Acute Care for Patients with Dementia
imageABSTRACT: Among adults ages 65 and older, dementia doubles the risk of hospitalization. Roughly one in four hospitalized patients has dementia, and the prevalence of dementia in the United States is rising rapidly. Patients with dementia have significantly higher rates of hospital-acquired complications, including urinary tract infections, pressure injuries, pneumonia, and delirium, which when unrecognized and untreated can accelerate physical and cognitive decline, precipitating nursing home placement and death. The authors discuss the unique needs of patients with dementia who require acute care, highlighting evidence-based strategies for nurses to incorporate into practice.
1.5 CE Test Hours: Acute Care for Patients with Dementia
No abstract available
Reducing Waste and Increasing Sustainability in Health Care Settings
imageSince the 1960s, plastic has been used in the production of medical equipment and products that improve patient comfort, safety, and treatment. Yet an unwelcome challenge has emerged in the years since: how to safely dispose of this material without negatively affecting human health and the environment. Working with medical devices and supplies that are constructed using plastics, nurses are at the forefront of this issue and must identify solutions, collaborate with other health care workers, and lead efforts to establish more sustainable options. This series is in collaboration with the Alliance of Nurses for Healthy Environments (https://envirn.org).
Women Surveyed on their Abortion Decision
According to this study: In the five years after having an abortion, a majority of women said they felt abortion was the right decision.Both negative and positive emotions about abortion declined over five years; relief was predominant.
Improving Preoperative Cardiac Risk Prediction
According to this study: Preoperative N-terminal pro-B-type natriuretic peptide levels are predictive of major cardiovascular events and death after noncardiac surgery and can be used to improve preoperative cardiac risk stratification.
Testosterone Therapy Raises Risk of Venous Thromboembolism
According to this study: Testosterone therapy is associated with an increased short-term risk of venous thromboembolism in both men who have hypogonadism and men who do not.
Is Consulting in Your Future?
imageABSTRACT: Nurses' expertise, developed over time and through education, positions them to assume new careers such as independent nurse consultants. Although it's an exciting proposition, nurses may not understand what it means to be a consultant, know whether consulting is a good fit for them, or be familiar with how to establish and run a consulting business. This article defines consulting, discusses key competencies, and presents important considerations for starting and running a consulting business. Selected resources to assist in developing skills as a nurse consultant are also provided.
Going the Extra Mile for Seniors
imageChicago NP Dwayne Dobschuetz makes house calls—often on bike—to improve his patients' health and well-being.
Pharmacological Options for Treating Delirium in Critically Ill Adults
Editor's note: The mission of Cochrane Nursing is to provide an international evidence base for nurses involved in delivering, leading, or researching nursing care. Cochrane Corner provides summaries of recent systematic reviews from the Cochrane Library. For more information, see https://nursing.cochrane.org.
A Diabetes Screening and Educational Event in Rural Alabama
imageABSTRACT: Type 2 diabetes mellitus is an increasingly urgent public health issue in the United States. Prevention through early detection and education can help decrease the prevalence and complications of the disease. A nursing faculty member and a postgraduate year one pharmacy resident collaborated to provide diabetes screening and education at a local festival in rural Alabama. The prevalence of diabetes in Alabama is approximately 1.6 times higher than the national average. A glycated hemoglobin (HbA1c) test is the gold standard for diabetes diagnosis and is relatively quick and inexpensive. At the event, 38 participants received point of care HbA1c testing, results, and counseling. Seven participants had an HbA1c level of 5.7% to 6.4%, which indicates prediabetes, and one participant had an HbA1c level of 6.5% or higher, which indicates possible diabetes mellitus. Many patients were surprised by their results and by the simplicity of the test. The purpose of this article is to describe a cost-effective interdisciplinary educational event to increase diabetes awareness in a rural community.
Excellence in Nursing
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, from October 1969, is a classic piece by Virginia Henderson, known for her patient-focused theory of nursing practice and her extensive teaching and writing, including many thoughtful articles on the nature of nursing. Here, she illustrates her ideas about excellence in nursing by highlighting the accomplishments of several key nursing figures, from “Miss Nightingale” to 20th-century nursing innovators. Henderson's broad vision of nursing provides the framework for this discussion. She notes that “no one practices nursing except in relation to his or her times and in relation to the needs of a given society,” and that nursing therefore calls for a social conscience and an interest in civic matters. “It seems hardly possible to me that an excellent nurse can be at the same time an indifferent or socially inexperienced citizen.” Henderson's perspective seems more relevant and urgent today than even when it was written, during the turbulent 1960s. In this month's Viewpoint column, William E. Rosa builds upon her important work in his discussion of “Nurses as Global and Planetary Citizens.” Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
My Supporting Role
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 is 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.
‘Kindly Women and Practically Trained Subordinates’
imageHow nursing's past holds back our present.
A New Normal
imageA badly injured young man and his family take an important step toward acceptance.

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