AJN eNews

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March 14, 2014

 
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More Evidence that Cutting Nursing Staff May Cost Lives
A study of data gathered in 300 European hospitals found that increasing nurses' workloads by one patient increased the likelihood of inpatient hospital death by 7%. Increasing the proportion of nurses with bachelor's degrees was associated with reduced likelihood of patient death. The authors concluded that both staffing ratios and nurses' educational levels affected patient outcomes.

Report Details Risk Factors and Disease Prevalence among Hispanics and Latinos
Data from the Hispanic Community Health Study/Study of Latinos show that, across all background groups, one in three participants had prediabetes; among middle-aged participants, one in four had diabetes. The study was initiated "to identify risk factors … [for] the development of cardiovascular disease and to evaluate the role of acculturation in the prevalence and development of risk factors and disease" in this understudied population.

Obesity Prevalence Drops in Younger Children, Remains High in Youth and Adults
An analysis of data from the National Health and Nutrition Examination Survey revealed that obesity prevalence among children ages 2 to 5 years decreased from 14% in 2003–2004 to about 8% in 2011–2012. But there were no comparable changes in obesity prevalence among youth or adults, which remains high. The authors recommend continued surveillance.

Quick Takes

  • The American Academy of Pediatrics has published updated guidelines for preventive screening in infants, children, and adolescents.
  • States that opt out of Medicaid expansion may be wreaking havoc on residents' mental health care, according to a new report from the American Mental Health Counselors Association.
  • Three articles published online March 3 in JAMA Psychiatry explore prevalence, trends, and risk factors for suicide and mental health disorders in U.S. Army personnel.



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"Giving Sexual Assault Survivors Time to Decide: An Exploration of the Use and Effects of the Nonreport Option," a March CE–Original Research feature, describes findings showing that, in Texas, the nonreport option has had a considerable positive impact on sexual assault nurse examiners, survivors of sexual assault, and the criminal justice system, although challenges remain. Don't miss this interview with the lead author.
"Nursing in the Fourth Decade of the HIV Epidemic," another CE feature, discusses HIV epidemiology and policy in the United States, advances in testing and treatment, and ways that nurses can continue to have a positive impact on the epidemic. An accompanying video describes how an early encounter with an HIV-positive patient changed one nurse's perspective on the disease.
"The Systematic Review: An Overview," the first in a new series on systematic reviews from the Joanna Briggs Institute, provides a synopsis of the systematic review as a scientific exercise and discusses the ways it can influence health care decisions.
"Clostridium difficile Infection Is on the Rise," this month's entry for Emerging Infections, explains the importance of early recognition of the signs and symptoms in light of the increasing frequency of this pathogenic infection.
"Eyes Wide Shut," an In the News item, puts to bed the myth that a nurse can deliver safe care on just a few hours' sleep.

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.

Blog

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 April issue of AJN...

  • CE–Original Research: Using Guided Imagery to Manage Pain in Young Children with Sickle Cell Disease by Cassandra Elaine Dobson and Mary Woods Byrne. Findings from this study indicate that guided imagery can be an effective, readily teachable technique for managing and limiting sickle cell disease–related pain in a pediatric population.
  • Telehealth: A Case Study in Disruptive Innovation by Janet Grady. This article discusses many 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.
  • Systematic Reviews, Step by Step: Developing the Review Question and Inclusion Criteria by Cindy Stern, Zoe Jordan, and Alexa McArthur. This second article in a series from the Joanna Briggs Institute describes how to construct a well-built clinical question for a systematic review.
  • Remembering the Fall of Bataan, April 1942 by Elizabeth M. Norman. Honoring the courage and commitment of these army and navy nurses on this anniversary.
  • Reflections: The Blame Game by Natosha Cramer. Judging patients for poor life choices is neither right nor professional.
  • Art of Nursing: The Myth as Blues by Christopher Michel. A poem.


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