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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.

Welcoming the Class of 2021: Prepare for Uncharted Waters
imageBy the time they graduate, nursing roles and settings may be vastly different.
A New Charter on Professionalism and Health Care Organizations
imageNurses should embrace and share this ethical framework.
The Human Microbiome
No abstract available
Critical Thinking During Time-Out Protocols
No abstract available
Critical Thinking During Time-Out Protocols
No abstract available
Helping Pregnant Smokers Quit
No abstract available
Natural Disasters and Resilience Training
No abstract available
Keeping Assessment Skills Sharp
No abstract available
Gun Violence and Children
imageA grim picture persists, exacerbated by scant research.
How Long Should Routine Health Screening Continue?
Guidelines differ, but a new study guides patient discussions.
NewsCAP: Survey outlines the current characteristics of CNSs
No abstract available
Two Studies Suggest Fewer Opioids Could Be Prescribed After Cesarean Sections
Shared decision making cuts the number of pills prescribed.
NewsCAP: New app may streamline breast milk management in the NICU
No abstract available
Trends in U.S. Health Care
No abstract available
NewsCAP: Even moderate alcohol use affects cognitive function
No abstract available
NewsCAP: Support services for older adults, caregivers, and those with disabilities have improved, but progress is too slow
No abstract available
NewsCAP: One of every 200 people in Yemen suspected of having cholera
imageNo abstract available
Will Rural Community Hospitals Survive?
imageLow patient volume and reimbursement issues drive closures.
AJN On the Cover
imageNo abstract available
AJN On the Web
No abstract available
Vitamin A Supplementation for the Prevention of Morbidity and Mortality in Infants
Editor's note: This is a summary of a nursing care–related systematic review from the Cochrane Library. For more information, see .
New Indication for Cancer Drug Based on Biomarkers
* Pembrolizumab (Keytruda) has been approved for the treatment of unresectable or metastatic solid tumors that have either the microsatellite instability–high or mismatch repair deficient genetic biomarker. * It is the first time a cancer treatment has been approved based on a tumor's specific biomarker rather than on the location in the body where the cancer originated.
Diabetes Drug Receives Boxed Warning for Increased Risk of Leg and Foot Amputations
* Canagliflozin's labeling now carries a black box warning stating that the drug increases the risk of leg and foot amputations. * The most common factors leading to amputation with canagliflozin therapy are lower limb infections, gangrene, diabetic foot ulcers, and ischemia. Patients with a history of prior amputation, peripheral vascular disease, and neuropathy are more likely to require amputation during canagliflozin treatment.
Baga Undone.
No abstract available
CE: Original Research: The Experience of Transitioning to a Caregiving Role for a Family Member with Alzheimer's Disease or Related Dementia
imageBackground: Alzheimer's disease is a chronic, debilitating disease that currently affects an estimated 5.5 million Americans. The majority are being cared for at home by family caregivers, who are known to have higher levels of burden than any other group of caregivers. Purpose: The purpose of this phenomenological study was to explore the lived experiences of people who transition to the role of caregiver for a family member with Alzheimer's disease or a related dementia. Methods: The study used purposeful sampling. Eight women and two men (mean age, 66.3 years) participated. Data were collected through in-depth semistructured interviews, along with observational field notes. Data were analyzed using a hermeneutic phenomenological approach. Results: The average duration of caregiving reported by participants was five years. Seven themes were uncovered: something is wrong; journey to diagnosis: ambiguity and negative emotions; shifting roles and relationships: losses and challenges; seeking knowledge and support: solutions and frustrations; adapting to the topsy-turvy world of caregiving: finding purpose; preserving self without guilt; and finding a way out. Conclusions: The study findings have implications for nursing education, research, and practice, with participants expressing needs for better communication and access to resources. The findings also suggest the importance of health care planning early in the disease process, and of raising awareness about nurses as a resource for family members.
1 CE Test Hour: Original Research: The Experience of Transitioning to a Caregiving Role for a Family Member with Alzheimer's Disease or Related Dementia
imageNo abstract available
CE: Can Your Older Patients Drive Safely?
image In many areas of the world, driving is an essential part of life and for reasons of comfort, convenience, and security remains the primary mode of transportation among older adults. Both normal aging and diseases that are more prevalent in advanced age can substantially reduce older drivers’ functional abilities, elevating their risk of involvement in motor vehicle accidents and serious injury or death. Identifying and intervening with older drivers at increased crash risk is an important aspect of preventive medicine. The authors discuss the specific driving risks adults face as they age and how nurses can raise older patients’ awareness of these risks. They also discuss the importance of connecting older adults to community resources that may help them continue driving safely for a longer period or find alternative transportation options.
1.5 CE Test Hours: Can Your Older Patients Drive Safely?
imageNo abstract available
Six Things You Can Do Today to Prevent Hospital-Onset C. difficile Tomorrow
imageSome lesser-known advice on keeping patients safe.
Lessons Learned from Litigation: Legal and Ethical Consequences of Social Media
imageEditor's note: To the surprise of many, a Canadian nurse's Facebook post complaining about the medical care a family member had received resulted in disciplinary action by the licensing board. We asked our legal and ethical contributing editors to provide some insight on the issues of this case.
Number of U.S. Women Taking Maternity Leave Remains Static
According to this study: * The number of U.S. women taking maternity leave has not changed significantly over the past two decades. * This is true despite recognition of the benefits of allowing parents to spend time with newborn children, and the enactment of laws to protect the right to do so.
NSAIDs Increase the Risk of AMI
According to this study: * The use of nonsteroidal antiinflammatory drugs (NSAIDs) increases the risk of acute myocardial infarction (AMI). * The risk of AMI is greatest during the first month of NSAID treatment that involves higher doses.
Routine Glucose Self-Monitoring Unnecessary for Non–Insulin-Treated Patients with Type 2 Diabetes
According to this study: * Self-monitoring of blood glucose levels doesn't improve glycemic control or health-related quality of life in patients with non–insulin-treated type 2 diabetes.
Proton Pump Inhibitors may Reduce Bleeding Risk in Older Patients on Antiplatelet Therapy
According to this study: * Patients ages 75 or older who receive aspirin-based antiplatelet treatment without proton pump inhibitors are at greater and more prolonged risk for bleeding than younger patients. * The risk of disabling or fatal upper gastrointestinal bleeding is particularly high in these patients.
Supporting Adjunct Clinical Faculty
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. In this article, the author discusses ways to promote learning among adjunct clinical faculty as well as strategies for creating closer connections between these teachers and the schools of nursing that employ them.
Those Who Comfort Us
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: .
Palliative Care in the Acute Care Setting
imageThis series on palliative care is developed in collaboration with the Hospice and Palliative Nurses Association (HPNA; ). The HPNA aims to guide nurses in preventing and relieving suffering and in giving the best possible care to patients and families, regardless of the stage of disease or the need for other therapies. The HPNA offers education, certification, advocacy, leadership, and research.
Empowering Nurses Across the Globe
imageAs the largest part of the health care workforce, it's nurses, says Leslie Mancuso, who will make the difference.
The Squeeze
imageWhy is the experience of violence a commonality in nursing?

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Nurses taking non-emergency medical calls at Vegas dispatch
Eight registered nurses staff a new hotline in Las Vegas where some minor medical calls are routed. The pilot program kicked off in July with a $300,000 budget for training and pay for nurses who work one day a week.
Detective, nurse altercation could spur review of hospital policies
A video showing a Salt Lake City nurse being handcuffed for refusing to let police draw blood from an unconscious patient has gone viral and sparked a debate around police access to patients.
Officer handcuffs nurse for refusing blood test on patient
The University of Utah Health hospital said in a statement Friday that its nurse followed procedures and protocols in the July 26 incident when she refused to allow blood to be drawn from an unconscious patient.
Staffing startup Nomad Health opens platform to nurses
There will be an estimated shortage of 1.2 million nurses in the U.S. by 2022. But Nomad Health's CEO thinks his platform can help solve that problem.
Columbia's new nursing facility seeks 'iconic identity'
Columbia University School of Nursing's new facility will open this fall with 12 high-tech simulation rooms, allowing nurses to practice in a range of realistic care settings before going out into the field.
CMS may repeal ban on nursing home arbitration agreements
The Trump administration hinted to consumer organizations last week that it may repeal an Obama-era regulation that prohibits nursing homes from requiring patients to enter binding arbitration agreements.
Pennsylvania bill would expand role of nurse practitioners
Pennsylvania is considering legislation that would allow nurse practitioners to practice in rural or underserved areas without the supervision of a physician.
Judge halts $347 million false claims payment order for SNFs
An order requiring 53 skilled-nursing facilities to return more than $347 million in false claims would cause 183 centers to "collapse," a federal judge said.
U.S. Supreme Court questions validity of arbitration agreements for nursing homes
The U.S. Supreme Court on Wednesday questioned the validity of arbitration agreements used by nursing homes in a case involving Kindred Healthcare.
Kindred replacing physical nursing homes with 'virtual portfolio'
Kindred is selling its 91 skilled-nursing homes and will implement a new strategy that relies upon preferred partnerships with other nursing home operators to ensure a smooth patient handoff..
VA finalizes rule that expands scope of nurse practice
The Veteran Affairs Department believes the rule will make it easier for veterans to be seen by medical professionals. The American Medical Association is one of the physician groups that says it "lowers" the standard of care.
Albert Wright named president and CEO of West Virginia University Medicine, and other moves
Albert Wright has been promoted to president and CEO of West Virginia University Medicine. He replaces Dr. Christopher Colenda, who retired in August.
Could replacing nurses with nursing assistants pose risks to patients?
The study is salient as hospitals look for ways to cut costs, including by changing the skill mix of nursing staff by hiring assistants with less training.
Kindred pays $700 million for 36 nursing homes it will sell
Kindred Healthcare has agreed to pay Ventas $700 million for 36 nursing homes Ventas owns and leases to Kindred. The deal frees Kindred to sell them so Kindred can eventually exit the nursing home business.
Kindred is exiting the skilled-nursing home business
Kindred Healthcare is exiting the skilled-nursing home business to focus on its better-performing home health, rehabilitation and long-term acute-care hospital units, the company announced Monday.

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