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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.

The Unwavering Courage of Nurses
imageCourage can take many forms.
Hazardous Drug-Handling Practices
No abstract available
The Value of a Garden Sanctuary
No abstract available
Mandating Nurse-to-Patient Ratios
No abstract available
When Is It Time to Leave Nursing?
A nurse perceives a possible decline in her own cognitive abilities.
Is a Medical Mistake an Error or a Crime?
imageThe case of a Tennessee nurse has rekindled an old debate.
Intervention Reduces Racial Disparity in Care of Lung Cancer Patients
Nurse navigators are key players.
NewsCAP: The WHO recommends designating 2020 as ‘year of the nurse and midwife.’
No abstract available
NewsCAP: Higher intake of diet drinks may increase health risks in postmenopausal women
No abstract available
NewsCAP: Federal judge rules the ACA unconstitutional, but a challenge is certain
No abstract available
Subacromial Decompression Surgery Is No Longer Advised
imagePatients are urged to avoid this ineffective shoulder treatment.
NewsCAP: Miss voting when hospitalized? Not if these nurses can help it
No abstract available
NewsCAP: E-cigarettes erase progress in reducing teen tobacco use
No abstract available
Allowing Organs from Donors with Hepatitis C May Reduce the Transplant Wait List
imageDirect-acting antivirals can effectively treat recipients who become HCV positive.
NewsCAP: Daily aspirin for primary prevention can do more harm than good
No abstract available
Psychiatric Advance Directives
imageThey can enhance the lives of patients with mental illness, but multiple obstacles impede their implementation.
AJN On the Cover
imageNo abstract available
AJN On the Web
No abstract available
Mechanical vs. Manual Chest Compressions for Cardiac Arrest
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 Drugs for Preventing Migraines
The Food and Drug Administration has approved three drugs from a new drug class designed to prevent migraine headaches. The drugs target calcitonin gene–related peptide, a substance involved in the excessive cerebral vasodilation that leads to migraine headaches.The three new products are administered subcutaneously once per month.
FDA Warns of Hidden Prescription Drugs in Dietary Supplements
The Food and Drug Administration has issued a warning that many products sold as dietary supplements for weight loss, sexual enhancement, or body building contain prescription drugs or other chemicals.Nurses and NPs should assess patients for use of these products and help them recognize those that are potentially tainted.
What You Do
No abstract available
CE: Original Research: Work-Related Stress and Positive Thinking Among Acute Care Nurses: A Cross-Sectional Survey
imageBackground: Acute care nurses work in highly taxing environments, and as such are vulnerable to work-related stress, burnout, and attrition. Yet some nurses appear to flourish even in the presence of such stress, perhaps because of differences in their cognitive processes. Positive thinking, a set of skills that can be learned, has been linked to increased well-being, physical health, and longevity. But at this writing, there has been scant research investigating the use of positive thinking among nurses. Purpose: To assess the relationship between perceptions of work-related stress and the use of positive thinking among acute care nurses. Methods: A cross-sectional survey consisting of the Expanded Nursing Stress Scale, the Positive Thinking Skills Scale (PTSS), and a demographic questionnaire was administered to a convenience sample of 298 RNs, which included nurses already working for an eight-campus health care system and newly hired nurses during orientation. Results: Compared to the established group, the incoming RNs were generally younger, had less education, and reported higher levels of both work-related stress and positive thinking. Linear regression analysis revealed that an increase in perceived stress was predictive of an increase in positive thinking. The PTSS, which had not been previously tested among nurses, was found to be reliable and valid. Conclusion: This is the first U.S. study to evaluate the use of positive thinking in managing work-related stress among acute care nurses. The data suggest that positive thinking skills are being used to cope with such stress. But the mean PTSS scores for both groups were only slightly above midline, suggesting that nurses’ use of positive thinking as a coping skill can be improved through formal training and education.
1.5 CE Test Hours: Original Research: Work-Related Stress and Positive Thinking Among Acute Care Nurses: A Cross-Sectional Survey
No abstract available
CE: Assessing a Child's Pain
imageEffective pain assessment is a necessary component of successful pain management and the pursuit of optimal health outcomes for patients of all ages. In the case of children, accurate pain assessment is particularly important, because children exposed to prolonged or repeated acute pain, including procedural pain, are at elevated risk for such adverse outcomes as subsequent medical traumatic stress, more intense response to subsequent pain, and development of chronic pain. As with adults, a child's self-report of pain is considered the most accurate and reliable measure of pain. But the assessment of pain in children is challenging, because presentation is influenced by developmental factors, and children's responses to certain features of pain assessment tools are unlike those commonly observed in adults. The authors describe the three types of assessment used to measure pain intensity in children and the tools developed to address the unique needs of children that employ each. Such tools take into account the child's age as well as special circumstances or conditions, such as ventilation requirements, cognitive impairment, and developmental delay. The authors also discuss the importance of proxy pain reporting by the parent or caregiver and how nurses can improve communication between the child, caregiver, and health care providers, thereby promoting favorable patient outcomes.
1.5 CE Test Hours: Assessing a Child's Pain
No abstract available
Nursing and the Sustainable Development Goals: From Nightingale to Now
imageWhile health care often focuses on acute or chronic illness, the elements necessary for good health are far more complex than we tend to recognize. Florence Nightingale understood this complexity and wrote extensively on the myriad social and environmental factors that influence well-being. Today these factors are termed “health determinants” and undergird the United Nations 17 Sustainable Development Goals (SDGs). This article explores how nurses can contextualize the SDGs within their daily practice and create holistic plans of care for patients, families, communities, and nations.
What Would You Do If You Weren't a Nurse?
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.
Leading the Effort to Promote Bleeding Control in Our Communities
imageNurses can prepare the public to save lives following a mass casualty event.
Advocating for Janetta
imageNo abstract available
Final Services for Florence Nightingale
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. Florence Nightingale died on August 13, 1910. AJN noted her passing in the September 1910 issue and covered her August 20 funeral in the October issue. That account, “Final Services for Florence Nightingale,” describes the flowers and wreaths that accumulated at both the church and the Nightingale tomb. A special note was made of the wreath from Stella Forster, a seven-year-old girl, who sent along this message: “Please may my wreath be put with the other flowers. I picked the heather and made it myself, because I love her so.” It had been Nightingale's wish to have a simple burial. Nevertheless, as her small procession passed Buckingham Palace and Wellington Barracks, “the guards turned out and the sentries presented arms.” Nightingale might have been surprised to learn that in the United States, beginning in 1954, her birthday would be celebrated as the centerpiece of Nurses Week each year. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.
Ensuring a Successful Preceptorship
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. One of the first steps to becoming a preceptor is learning about the resources and support available within one's organization. This article offers tips to help preceptors prepare for and navigate the precepting experience.
Inappropriate Prescribing of Antibiotics Remains Widespread
According to this study: Almost a quarter of outpatient antibiotic prescriptions filled for privately insured adults and children were classified as inappropriate, according to a classification scheme based on the most recent diagnosis codes.
Aspirin for Primary Prevention Reduces Cardiovascular Events, Increases Bleeding Risk
According to this study: In people with no history of cardiovascular disease, aspirin is associated with a reduced risk of cardiovascular events but an increased risk of major bleeding.
Statins Reduce Major Vascular Events in All Age Groups
According to this study: Statin therapy significantly reduces the risk of major vascular events in all age groups, but the proportional reductions in risk decreased slightly with increasing age.
Bag-Mask Ventilation Benefits Critically Ill Adults Undergoing Tracheal Intubation
According to this study: Among critically ill adults undergoing tracheal intubation in the ICU, patients who received bag-mask ventilation in between the administration of medication and laryngoscopy had higher oxygen saturation rates and lower rates of severe hypoxemia compared with those who received no ventilation.
A Nurse in the House
imageFreshman congresswoman Lauren Underwood brings nursing and health care policy experience to the table.
The Other Side
imageAs her father's hospital stay is prolonged, a nurse struggles with a newfound sense of helplessness.

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