Improving LGBTQ Health and Well-Being
Free, evidence-based resources for health care providers, individuals, and families. (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: Nursing Resources Source Type: research

Far from Home
A flight nurse cares for one of COVID-19's many ‘peripheral victims.’ (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: Reflections Source Type: research

The Sustainable Development Goals and Building a Culture of Health
This article is one in a series in which contributing authors discuss how the United Nations (UN) Sustainable Development Goals (SDGs) are linked to everyday clinical issues; national public health emergencies; and other nursing issues, such as leadership, shared governance, and advocacy. The 2030 Agenda for Sustainable Development, a 15-year plan of action to achieve the goals, was unanimously adopted by all UN member states in September 2015 and took effect on January 1, 2016. The Agenda consists of 17 SDGs addressing social, economic, and environmental determinants of health and 169 associated targets focused on five th...
Source: AJN - May 23, 2020 Category: Nursing Tags: Local Action for the Global Goals Source Type: research

How to Support the Nurse in Your Life
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. (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: Best of the Blog Source Type: research

Abnormal Basic Metabolic Panel Findings: Implications for Nursing
In this article, the second in a new series designed to improve acute care nurses' understanding of laboratory abnormalities, the author continues her discussion of important values in the basic metabolic panel (see Back to Basics, January, for a discussion of sodium and fluid balance). Here she addresses the electrolytes potassium and chloride as well as blood urea nitrogen and creatinine, four values that are best considered together because they both reflect and impact renal function as well as acid–base homeostasis. Important etiology, clinical manifestations, and treatment concerns are also presented. Three case...
Source: AJN - May 23, 2020 Category: Nursing Tags: Back to Basics Source Type: research

Acid Suppressants Increase Risk of Colonization with Multidrug-Resistant Microorganisms
According to this study: Use of acid suppressants is associated with a 75% increase in the risk of intestinal tract colonization with multidrug-resistant microorganisms in both the community and health care settings.More prudent use of acid suppressants may help to reduce the risks of colonization with multidrug-resistant microorganisms. (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: Journal Watch Source Type: research

Automated CT Biomarkers Predict Cardiovascular Events and Survival Better than Clinical Parameters
According to this study: In asymptomatic adults, fully automated quantitative tissue biomarkers derived from computed tomography (CT) scans can perform better than established clinical parameters in predicting future cardiovascular events and overall survival.These data support the added value of abdominal CT scans performed for other indications. (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: Journal Watch Source Type: research

Antibiotics, Systemic Corticosteroids Effective for Copd Exacerbations
According to this study: A systematic review of the literature provides support for the use of antibiotics and systemic corticosteroids in adults experiencing exacerbations of chronic obstructive pulmonary disease, regardless of severity.These medications, however, were associated with an increased number of total adverse events and endocrine-related adverse events. (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: Journal Watch Source Type: research

Lifestyle Changes After Initiating Medication for Cardiovascular Disease
According to this study: The initiation of antihypertensive or lipid-lowering medication is associated with lifestyle changes, both positive and negative.More effective measures are needed to support positive lifestyle changes in patients prescribed these medications for the primary prevention of cardiovascular disease. (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: Journal Watch Source Type: research

Reducing Waste in the Clinical Setting
This article addresses how they can strengthen efficiency and environmental sustainability initiatives in their facilities by engaging in, monitoring, and supporting environmentally friendly clinical practices and programs at the point of care. Included are practical tips and examples of projects in which nurses identified sources of waste—the relaundering of unused linens; disposal of unused products; and improper sorting of pharmaceutical waste, recycling, and regulated medical waste—and realized significant cost savings as well as improved efficiency and environmental sustainability. (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: Special Feature Source Type: research

1.5 CE Test Hours: Opioid Use Disorder: Pathophysiology, Assessment, and Effective Interventions
No abstract available (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: Feature Articles Source Type: research

CE: Opioid Use Disorder: Pathophysiology, Assessment, and Effective Interventions
ABSTRACT: Opioid use disorder (OUD) is a chronic, relapsing disease. Genetic variability, dysregulated stress system response, and history of opioid experimentation or escalating exposure all contribute to the likelihood of developing OUD, which produces complex brain changes that make it difficult to stop opioid use. Understanding the neurobiology of OUD helps nurses anticipate the behaviors of patients with OUD and approach them with empathy. Here, the authors discuss the pathophysiology of OUD, available screening tools, medical treatments, and behavioral interventions that have demonstrated efficacy in reducing subst...
Source: AJN - May 23, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Original Research: The Relationship Between Food Insecurity and Cost-Related Medication Nonadherence in Older Adults: A Systematic Review
Conclusion: Overall, the findings indicate that older adults who have multiple chronic conditions and only receive Medicare are at increased risk for food insecurity and CRN. Finding ways for health care providers and organizations to help manage these risks is critical to improving health outcomes and reducing use of health care services. Nurses can be pivotal in taking the lead to develop appropriate interventions and programs for patients, and to advocate better government-funded health care and policy reform in order to improve outcomes in this vulnerable population. (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Get Them What They Need!
No abstract available (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: Art of Nursing: PDF Only Source Type: research

Resources for Nurses from the FDA
No abstract available (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: Drug Watch Source Type: research

Three Prescription Drugs are Now Available Over the Counter
Three drugs previously available only by prescription will now be available only over the counter: diclofenac sodium topical gel, 1% (Voltaren Arthritis Pain); olopatadine HCl ophthalmic solution/drops, 0.1% (Pataday Twice Daily Relief); and olopatadine HCl ophthalmic solution/drops, 0.2% (Pataday Once Daily Relief). (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: Drug Watch Source Type: research

First Oral Immunotherapy for Peanut Allergy
Peanut (Arachis hypogaea) allergen powder-dnfp (Palforzia) is the first oral immunotherapy for children ages four to 17 years who have been diagnosed with a peanut allergy.Like subcutaneous forms of immunotherapy, Palforzia introduces the allergen in increasing doses and risks inducing allergic responses, including anaphylaxis. (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: Drug Watch Source Type: research

Prevention of Platinum-Induced Hearing Loss in Children with Cancer
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. (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: Cochrane Corner Source Type: research

AJN On the Web
No abstract available (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: AJN On the Web Source Type: research

AJN On the Cover
No abstract available (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: AJN On the Cover Source Type: research

Where Are the Masks?
Shortages of vital PPE during the COVID-19 pandemic. (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: AJN Reports Source Type: research

Confronting Medical Error
A new book makes the case for ‘a culture shift of epic proportions.’ (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: What I'm Reading Source Type: research

NewsCAP: Use of macrolide antibiotics during pregnancy increases risk of birth defects.
No abstract available (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: In the News Source Type: research

NewsCAP: Inappropriate presurgical antibiotic use is common in children.
No abstract available (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: In the News Source Type: research

NewsCAP: Global sepsis cases double, many in young children.
No abstract available (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: In the News Source Type: research

RNs protest in front of the White House on Tuesday, April 21.
No abstract available (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: In the News Source Type: research

NewsCAP: Surgical jackets and bouffants in the OR provide no measurable benefit to patient outcomes.
No abstract available (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: In the News Source Type: research

‘Cry It Out’ Sleep Training Gets Support
New research finds no harm to infant–mother attachment. (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: In the News Source Type: research

In Memoriam: Robert V. Piemonte
No abstract available (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: In the News Source Type: research

Syria's Devastating Legacy of War
Nearly a decade of conflict leaves health and housing systems in shambles. (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: In the News Source Type: research

Isolated and Lonely: Older Adults Endure Pandemic Restrictions
Concerns for physical and mental health. (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: In the News Source Type: research

Improving the Lives of Women and Girls
Twenty-five years after the Beijing Declaration, progress is marginal. (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: In the News Source Type: research

Why a Nurse (and Mother) Didn't Know
A striking plea for education in recognizing mental illness. (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: Viewpoint Source Type: research

Nurses: Courageous, Committed, and Fed Up
The COVID-19 pandemic is a watershed moment for nurses. (Source: AJN)
Source: AJN - May 23, 2020 Category: Nursing Tags: Editorial Source Type: research

Further Treatment, or Hospice? Three Deaths Compared
Hope is a double-edged sword when it comes to end-of-life choices. (Source: AJN)
Source: AJN - April 25, 2020 Category: Nursing Tags: Reflections Source Type: research

Aspirin For VTE Prevention After Joint Replacement
According to this study: In terms of clinical effectiveness and safety, aspirin isn't significantly different from the other anticoagulants used to prevent venous thromboembolism after total hip or knee replacement.Patients receiving aspirin had a lower risk of bruising and lower limb edema. (Source: AJN)
Source: AJN - April 25, 2020 Category: Nursing Tags: Journal Watch Source Type: research

Any Number of HPV Vaccine Doses Reduces Risk of Cervical Cancer
According to this study: Among girls and women 15 to 19 years of age, receipt of one, two, or three doses of the human papillomavirus vaccine is associated with a reduced incidence of preinvasive cervical lesions compared with no vaccination. (Source: AJN)
Source: AJN - April 25, 2020 Category: Nursing Tags: Journal Watch Source Type: research

Ureteroscopy for Urinary Calculi with or Without Ureteral Stents
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. (Source: AJN)
Source: AJN - April 25, 2020 Category: Nursing Tags: Cochrane Corner Source Type: research

Embracing a Role from Nursing's Past
This is the first of three articles exploring ways in which frontline nurses may be affected by recommendations of the forthcoming National Academy of Medicine Future of Nursing 2020-2030 study. (Source: AJN)
Source: AJN - April 25, 2020 Category: Nursing Tags: Eye on the Future of Nursing Source Type: research

One in 4 Million: The Nurse Who Mentored Me
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. (Source: AJN)
Source: AJN - April 25, 2020 Category: Nursing Tags: Best of the Blog Source Type: research

A Pancreatic Enzyme Medication Self-Management Initiative
This is the seventh 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. (Source: AJN)
Source: AJN - April 25, 2020 Category: Nursing Tags: EBP 2.0: Implementing and Sustaining Change Source Type: research

Margretta Madden Styles
EDITOR'S NOTE In recognition of the Year of the Nurse and the Midwife initiative, AJN will periodically highlight the works of key nursing leaders. Sometimes it will be in the form of articles from our archives, at other times it will be excerpts from or summaries of nurses' work with related commentary. Here, courtesy of Margretta Madden Styles's daughter, we've reprinted Styles's “Declaration of Belief About the Nature and Purpose of Nursing,” originally published in her book, On Nursing: Toward a New Endowment (C.V. Mosby Company, 1982). We hope it will inspire you. Copyright © 2020 Wolters Kluwer Hea...
Source: AJN - April 25, 2020 Category: Nursing Tags: Historical Feature: PDF Only Source Type: research

Caring for Visually Impaired Patients in the Hospital: A Multidisciplinary Quality Improvement Project
Conclusions: VIPs have specific needs when hospitalized. Patients' and staff members' responses to this QI project were overwhelmingly positive; both groups were appreciative of the newly implemented initiatives to meet the special needs of the visually impaired. (Source: AJN)
Source: AJN - April 25, 2020 Category: Nursing Tags: Cultivating Quality Source Type: research

A Case of Bradycardia and Extreme Fatigue
Editor's note: This is the first in a new series on electrocardiography (ECG) interpretation. Nurses in all settings should know the basics, as medications and physiological changes can cause cardiac arrhythmias. Each article will start with a brief case scenario and an ECG strip and then take you step by step through analyzing the heart rhythm. (Source: AJN)
Source: AJN - April 25, 2020 Category: Nursing Tags: Strip Savvy Source Type: research

1.5 CE Test Hours: Managing Pain in Critically Ill Adults: A Holistic Approach
No abstract available (Source: AJN)
Source: AJN - April 25, 2020 Category: Nursing Tags: Feature Articles Source Type: research

CE: Managing Pain in Critically Ill Adults: A Holistic Approach
This article discusses how the PADIS guidelines go beyond the PAD guidelines, providing specific guidance related to risk factors for pain, the assessment and management of pain in critical illness, and the ways in which the experience of pain in critical illness is intertwined with that of agitation, delirium, immobility, and sleep disruption. Tables summarize the key points in the PADIS guidelines, clarify the distinctions between PADIS and PAD, and describe the implications for nurses. (Source: AJN)
Source: AJN - April 25, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Original Research: Exploring the Effects of a Nurse-Initiated Diary Intervention on Post–Critical Care Posttraumatic Stress Disorder
Conclusions: For critical illness survivors, a collaborative diary-writing intervention during hospitalization and after discharge can mitigate post–critical care PTSD. Participants who received diaries had a lower incidence of PTSD symptoms than controls; and at follow-up, they indicated that the diary intervention was worthwhile. We recommend the use of collaborative diary writing to help critical illness survivors in working through their experiences. (Source: AJN)
Source: AJN - April 25, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Cremation Urn
No abstract available (Source: AJN)
Source: AJN - April 25, 2020 Category: Nursing Tags: Art of Nursing: PDF Only Source Type: research

FDA's 2019 Annual Report Highlights New Drugs and New Uses
No abstract available (Source: AJN)
Source: AJN - April 25, 2020 Category: Nursing Tags: Drug Watch Source Type: research

First Targeted Therapy for Rare Form of GI Stromal Tumors
The targeted chemotherapy avapritinib (Ayvakit) has been approved to treat a rare form of gastrointestinal stromal tumor that hasn't been responsive to previous drug therapies. (Source: AJN)
Source: AJN - April 25, 2020 Category: Nursing Tags: Drug Watch Source Type: research