AJN eNews


April 15, 2014

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IOM Evaluates Programs for Preventing Psychological Disorders in U.S. Military Personnel
A study of programs aimed at preventing psychological disorders in active service members and veterans, conducted by the Institute of Medicine (IOM), found that the majority aren't evidence-based and are evaluated infrequently. One exception is the U.S. Air Force's suicide prevention program, which was lauded for its comprehensive, evidence-based approach.

Updates on U.S. Trends in TB Rates and on a TB Screening Program
The Centers for Disease Control and Prevention (CDC) has reported that, although tuberculosis (TB) incidence rates decreased in 2013 across all racial and ethnic groups, decreases were greater among whites (9.2%) and blacks (7.5%) than among Hispanics (5.3%) and Asians (0.3%). And a 2014 assessment of the CDC's rigorous TB screening program for U.S.-bound immigrants and refugees, implemented in 2007, has found it effective for addressing the disease in that population.

Rapid Treatment of Suspected Influenza Decreases Mortality in Adults, But Questions Remain
A meta-analysis of data gathered from six World Health Organization regions during the 2009–2010 influenza pandemic revealed that, compared with later treatment, early treatment with a neuraminidase inhibitor significantly reduced mortality rates in adults, though not in children. But a new Cochrane review found that while neuraminidase inhibitors reduce flu symptoms in otherwise healthy adults, they aren't proven to affect transmission; experts are calling for further review.

Quick Takes

  • Experienced NPs in New York State will no longer have to practice under written agreement with a physician, once a new law goes into effect in January, 2015.
  • The U.S. Preventive Services Task Force has concluded that there is insufficient evidence to support universal screening for cognitive impairment in adults older than 65 years.
  • The American Society of Clinical Oncology has released The State of Cancer Care in America: 2014, a report on demographic, economic, and oncology practice trends.


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"Using Guided Imagery to Manage Pain in Young Children with Sickle Cell Disease," an April CE–Original Research feature, reports on the effectiveness of this technique in reducing pain and improving self-efficacy in this population. For a quick overview, read this blog post.
"Telehealth: A Case Study in Disruptive Innovation," another CE feature, discusses various applications of telehealth—a means of delivering care that is likely to be a part of every nurse's skill set in the near future.
"Developing the Review Question and Inclusion Criteria," the second article in a series on systematic reviews from the Joanna Briggs Institute, describes how to construct a well-built clinical question for a systematic review.
"The Boston Marathon Bombings One Year Later," this month's AJN Reports, presents the stories of four emergency nurses who were on duty that day. And don't miss our interviews with the authors and the nurses.

To hear more about these and other stories in the current issue, listen to the audio highlights. (If you have difficulty playing a podcast, please try using a different browser.) Full text of some articles may require purchase.


AJN's blog, Off the Charts, has daily updates on news that matters to nurses, as well as commentary on a range of topics. Bookmark us, check in often, and leave a comment: what's on your mind?

Recent posts include:

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Coming up in the May issue of AJN...

  • CE–Original Research: Intimate Partner Violence in Rural U.S Areas: What Every Nurse Should Know by Amanda Dudgeon and Tracy A. Evanson. This article describes the unique aspects of intimate partner violence in rural populations and provides nurses with tools and information vital to effective intervention.
  • CE: Responding to the Cholera Epidemic in Haiti by Mary Lou Schulz Fisher, Tom Wood, and Lance Plyler. How one group of health care workers established containment and intervention efforts during this 2010 disaster.
  • Teaching for Practice: Delineating the Role of the Part-Time Clinical Nurse Instructor by Linda Koharchik. This new series on the roles of adjunct clinical faculty and preceptors begins with a discussion of the benefits and drawbacks of this position—and why it's crucial to nursing education.
  • Systematic Reviews, Step by Step: Constructing a Search Strategy and Searching for Evidence by Edoardo Aromataris and Dagmara Riitano. The third article in a series from the Joanna Briggs Institute describes how to develop a comprehensive search strategy for a systematic review.
  • Reflections: Intensive Care by John B. Fiddler. The author finds his ideal of nursing care in an inpatient hospice.
  • Art of Nursing: The Caring Quilt. Fiber arts.


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