EBP 2.0: Promoting Nurse Retention Through Career Development Planning
This is the second 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 will feature 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 - June 1, 2019 Category: Nursing Tags: EBP 2.0: Implementing and Sustaining Change Source Type: research

Original Research: Exploring Working Relationships Between National and Expatriate RNs on Humanitarian Aid Missions: The Perspectives of Liberian Nurses
Conclusions: The findings indicate that changes are warranted in the current work culture between national and expatriate nursing staff. Improving collaboration between national and expatriate RNs could lead to higher-quality care and better patient outcomes. Predeployment training for expatriates that incorporates the voices of national staff is recommended; this would raise awareness of the realities of nursing in low-resource settings and promote respect for national staff. (Source: AJN)
Source: AJN - June 1, 2019 Category: Nursing Tags: Original Research Source Type: research

Worth Its Weight in Gold
Being a nurse can mean investing emotionally in things you never thought you'd care about. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Reflections Source Type: research

Decolonization Reduces Risk of Postdischarge MRSA
According to this study: Decolonization with chlorhexidine and mupirocin led to lower risks of postdischarge methicillin-resistant Staphylococcus aureus and readmission compared with hygiene education alone. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Journal Watch Source Type: research

Comprehensive EHR Associated with Higher Nurse Satisfaction
According to this study: Adoption of a comprehensive EHR system is associated with greater nurse satisfaction with the system, more favorable reports of the system's usability, and higher quality of care. However, work environment affected all usability ratings. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Journal Watch Source Type: research

Proton-Pump Inhibitor Use Associated with Kidney Injury, Electrolyte Abnormalities
According to this study: Proton-pump inhibitors may increase risk of renal adverse events and electrolyte abnormalities compared with histamine-2 receptor antagonists. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Journal Watch Source Type: research

Little Change in RNS’ Work Schedules in a 10-Year Period
According to this study: Like experienced nurses, new nurses typically work 12-hour shifts, as well as voluntary and mandatory overtime, and more than 10% hold second jobs. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Journal Watch Source Type: research

Healthy Lifestyle Most Important for Prevention of ASCVD
According to this study: A healthy lifestyle throughout life is the most important factor in preventing atherosclerotic cardiovascular disease.Lifestyle and risk factors should be considered when deciding whether pharmacotherapy is needed for primary prevention. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Journal Watch Source Type: research

Not Compatible with Nursing
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. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Best of the Blog Source Type: research

Promoting Nurse Retention Through Career Development Planning
This is the second 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 will feature 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 - May 25, 2019 Category: Nursing Tags: EBP 2.0: Implementing and Sustaining Change Source Type: research

How We Fail the Dying
Katy Butler illuminates the human costs of her father's medically delayed death. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: What I'm Reading Source Type: research

Exploring Working Relationships Between National and Expatriate RNs on Humanitarian Aid Missions: The Perspectives of Liberian Nurses
Conclusions: The findings indicate that changes are warranted in the current work culture between national and expatriate nursing staff. Improving collaboration between national and expatriate RNs could lead to higher-quality care and better patient outcomes. Predeployment training for expatriates that incorporates the voices of national staff is recommended; this would raise awareness of the realities of nursing in low-resource settings and promote respect for national staff. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Original Research Source Type: research

No One Knows I Have a Colostomy
This article reminds us, once again, of the importance of patient education and support after life-changing surgery. For nurses who are not ostomy specialists, “Stoma and Peristomal Skin Care: A Clinical Review” in this issue offers an update on stoma care. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: From the AJN Archives: PDF Only Source Type: research

1.5 CE Test Hours: Stoma and Peristomal Skin Care: A Clinical Review
No abstract available (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Feature Articles Source Type: research

CE: Stoma and Peristomal Skin Care: A Clinical Review
This article covers the appearance of a normal stoma, early postoperative stoma complications, and later complications of the stoma and peristomal skin. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Feature Articles Source Type: research

1.5 CE Test Hours: Understanding the Complications of Sickle Cell Disease
No abstract available (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Feature Articles Source Type: research

CE: Understanding the Complications of Sickle Cell Disease
Sickle cell disease (SCD) is an autosomal recessive genetic condition that alters the shape and function of the hemoglobin molecule in red blood cells. While the overall survival rate among children with SCD has improved in recent years, pediatric rates of hospitalization, ED use, and mortality from complications of SCD remain high. Among patients ages 18 and older, hospital admission and ED usage are even greater—and the median age at death of people with SCD is considerably lower than that of the general population. Nurses who care for patients with SCD have an opportunity to improve health outcomes and quality of ...
Source: AJN - May 25, 2019 Category: Nursing Tags: Feature Articles Source Type: research

Wrapped
No abstract available (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Art of Nursing: PDF Only Source Type: research

Tofacitinib Trial Prompts FDA Review of Adverse Effects
A required postmarketing clinical trial of tofacitinib (Xeljanz, Xeljanz XR) in the treatment of rheumatoid arthritis found an increased risk of pulmonary embolism and death when patients were treated with 10 mg twice daily compared with the currently approved 5 mg twice daily dose.NPs are encouraged to follow tofacitinib's dosing guidelines when treating rheumatoid arthritis. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Drug Watch Source Type: research

Gout Medication Receives Black Box Warning
The gout medication febuxostat (Uloric) now carries a black box warning that it increases the risk of cardiovascular death in people with preexisting cardiovascular disease.NPs should prescribe febuxostat only if use of allopurinol fails to control gout or isn't tolerated. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Drug Watch Source Type: research

New Drug Treats Rare Blood Clotting Disorder
Caplacizumab-yhdp (Cablivi) is the first drug specifically indicated for acquired thrombotic thrombocytopenic purpura, a rare and potentially life-threatening blood clotting disorder. It is prescribed in combination with plasmapheresis and immunosuppressive therapy.The drug carries a warning that severe bleeding can occur with use, although the most common adverse effects are headache and minor bleeding from the nose or gums.Caplacizumab-yhdp is given initially as an iv bolus and then as a subcutaneous injection along with plasmapheresis. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Drug Watch Source Type: research

Automated Mandatory Bolus vs. Basal Infusion for Maintenance of Epidural Analgesia During Labor
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. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Cochrane Corner Source Type: research

Volunteering in Two Border Communities
In this report, she writes about her work and observations while volunteering at and visiting migrant shelters in Tucson, Arizona, where she lives, and San Diego, where she often travels to visit family. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: AJN Reports Source Type: research

AJN On the Web
No abstract available (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: AJN On the Web Source Type: research

AJN On the Cover
No abstract available (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: AJN On the Cover Source Type: research

NewsCAP: The WHO reports high mortality from congenital syphilis
No abstract available (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: In the News Source Type: research

Catheter Ablation Improves Quality of Life for Atrial Fibrillation Patients
Death, stroke, and cardiac arrest outcomes are comparable to drug therapy. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: In the News Source Type: research

Temporary Block to Gag Rule Limiting Access to Family Planning Funding
Maryland is the first state to fund its own Title X program. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: In the News Source Type: research

NewsCAP: MedPAC recommends Congress require APRNs and PAs to bill Medicare directly for patient visits
No abstract available (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: In the News Source Type: research

NewsCAP: UK journals to ban ads for infant formula
No abstract available (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: In the News Source Type: research

International Nurse Migration
Nurses’ dual role as migrants caring for other migrants. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: In the News Source Type: research

NewsCAP: Since 2010, 95 rural hospitals in 26 states have closed
No abstract available (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: In the News Source Type: research

Nurses Volunteer to Provide Health Care for Migrants
An Arizona shelter offers insight into difficulties some migrants encounter. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: In the News Source Type: research

The Alarming Global Increase in Measles
Is the antivaccination movement causing a worldwide pandemic? (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: In the News Source Type: research

Approaches to Precepting
No abstract available (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Letters, etc. Source Type: research

Family Caregiving
No abstract available (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Letters, etc. Source Type: research

Chlorhexidine and Oral Care
No abstract available (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Letters, etc. Source Type: research

What Is a Nurse?
Traditional images of the profession don't reflect the myriad roles we now play. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Viewpoint Source Type: research

From Patient Zero to Public Health Emergency
The measles outbreaks may be a wake-up call to reinvigorate vaccination campaigns. (Source: AJN)
Source: AJN - May 25, 2019 Category: Nursing Tags: Editorial Source Type: research

The Other Side
As her father's hospital stay is prolonged, a nurse struggles with a newfound sense of helplessness. (Source: AJN)
Source: AJN - April 27, 2019 Category: Nursing Tags: Reflections Source Type: research

A Nurse in the House
Freshman congresswoman Lauren Underwood brings nursing and health care policy experience to the table. (Source: AJN)
Source: AJN - April 27, 2019 Category: Nursing Tags: Profiles Source Type: research

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. (Source: AJN)
Source: AJN - April 27, 2019 Category: Nursing Tags: Journal Watch Source Type: research

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. (Source: AJN)
Source: AJN - April 27, 2019 Category: Nursing Tags: Journal Watch Source Type: research

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. (Source: AJN)
Source: AJN - April 27, 2019 Category: Nursing Tags: Journal Watch Source Type: research

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. (Source: AJN)
Source: AJN - April 27, 2019 Category: Nursing Tags: Journal Watch Source Type: research

Ensuring a Successful Preceptorship
This 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. (Source: AJN)
Source: AJN - April 27, 2019 Category: Nursing Tags: Teaching for Practice Source Type: research

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 h...
Source: AJN - April 27, 2019 Category: Nursing Tags: From the AJN Archives: PDF Only Source Type: research

Advocating for Janetta
No abstract available (Source: AJN)
Source: AJN - April 27, 2019 Category: Nursing Tags: In the Community Source Type: research

Leading the Effort to Promote Bleeding Control in Our Communities
Nurses can prepare the public to save lives following a mass casualty event. (Source: AJN)
Source: AJN - April 27, 2019 Category: Nursing Tags: Emergency Source Type: research

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. (Source: AJN)
Source: AJN - April 27, 2019 Category: Nursing Tags: Best of the Blog Source Type: research