When Studying Mental Illness in Nurses Means Studying Yourself
AJN Off The Charts
by Guest Author
5d ago
Carrying the burden of depression as a nurse. As I read Anna’s (not her real name) description of how much effort it took to drag herself into work, how much she felt like a burden to her family, and her fear of being “found out,” tears welled up. “I know,” I said to myself. I was analyzing an interview transcript for a qualitative study of psychiatric-mental health nurses (PMHNs) who have experienced mental illness. More specifically, my colleagues and I wanted to know how their illnesses impacted their work as nurses. I have been a PMHN for over 40 years, with an even longer experience of a ..read more
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February Issue: Patient-to-Nurse Violence, The Future of Hospital at Home, More
AJN Off The Charts
by Diane Szulecki, editor
1w ago
“Workplace violence has become a familiar threat for those employed in a health care environment.”—Miranda Squire and Karen Hessler in this month’s Original Research article, “Patient-to-Nurse Violence During One-to-One Assignments: A Silent Epidemic” The February issue of AJN is now live. Here’s what’s new. Some articles may be free only to subscribers. AJN Reports: What’s the Future of Hospital at Home in the United States? Programs offering this promising acute care model have proliferated since 2020, but payment and regulatory structures to address equity, oversi ..read more
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Cross-Sector Collaboration and the New York City Involuntary Hospitalization Policy
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by Amanda Anderson, MPA, MSN, RN
1w ago
Although currently living upstate, I’ve closely followed news of Mayor Eric Adams’ policy for removing residents who appear mentally ill on city streets. As a nurse with a background in health care administration, I find this policy ethically problematic. As a PhD candidate studying how organizations collaborate to transition patients lacking homes at discharge, I know the complexities of implementing this policy. Mayor Adams is proposing a close read of section 9.58 of Article 9 of the New York State Mental Hygiene law, which is the state’s legislation pertaining to involuntary hospitalizatio ..read more
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A Tip Sheet for Care of Textured Hair in Hospitalized Patients
AJN Off The Charts
by Jacob Molyneux, senior editor/blog editor
2w ago
“Black patients’ hair is often neglected due to lack of appropriate products and a predominantly non-Black health care staff unfamiliar with caring for hair different than their own.” Click to expand; see link in text for a pdf of the full tip sheet. Irene Friedman, MS, RN, and Michelle Sison, MSN, RN, noticed that hair care for Black patients needed improvement at their hospital. In response, they developed a Tip Sheet for Care of Textured Hair as an initiative in line with the goals of their hospital’s nursing diversity, equity, and inclusion (DEI) Magnet core council. They have generous ..read more
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Death by PTSD: When Patients Are Afraid of Health Care
AJN Off The Charts
by Guest Author
3w ago
“I pleaded with her to go to the hospital.” Don’s voice is suffused with sadness as he sits at the bedside of his dying 39-year-old partner, Clarisse. “She was terrified of medical tests and procedures. By the time she saw a doctor the cancer had spread. She was so overwhelmed she refused any treatments.” Over the year I’ve had several patients like Clarisse; younger people who refused to seek medical care or declined treatments that might have cured them. Some were depressed, others worried about the financial burden. But there was a common thread: all were intensely distrustful, avoidant, an ..read more
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Every Patient Needs an IV, or Do They?
AJN Off The Charts
by Guest Author
3w ago
(This post is by an author of AJN‘s January CE feature, “Evidence-Based Practice for Peripheral Intravenous Catheter Management.”) Questioning the status quo. As a former critical care nurse and now a vascular access nurse researcher, I’ve had the good fortune to travel widely and work with nurses from around the globe on multiple projects. As a researcher, part of my role is to question clinical practices we often take for granted and to ask, “Is this the best way? Could there be a better way?” Identifying practice that may not always be evidence-based is how research often begins. Prior to t ..read more
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The Many Masks Nursing Students Wear
AJN Off The Charts
by Guest Author
2M ago
In my experience, nursing students often have an intense drive, intelligence, curiosity, and resilience to get them through the two years of the specialty courses in our BSN program. But sometimes the strain of the many demands and new experiences can be overwhelming, and over the years I have had numerous students come to my office for reassuring words and a safe space to reveal their struggles. Amidst the rigors of nursing school (and their nursing careers to come), it’s important that students find a way to balance studying with self-care. We all wear masks in our lives; in fact, they are e ..read more
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One Hospital and Community’s Rock Garden of Hope
AJN Off The Charts
by Guest Author
2M ago
In March 2020, Mount Sinai Queens, like many other hospitals, was overrun with patients with COVID-19. Despite layers of PPE, plus anxiety, exhaustion, and communication overload, the will to not only survive but thrive sustained the breath behind every mask. Heroes of all types were saving and soothing lives, and still are. Outside the big front door of our hospital is a bustling ED ramp. To the left were two 18-wheel refrigeration trucks, the sight of which could take your breath away. To the far right were two 30-foot inflatable enclosed tents propped up to help the ED off-load abundant ov ..read more
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Over-the-Counter Hearing Aids: A Panacea?
AJN Off The Charts
by Guest Author
2M ago
The U.S. Food & Drug Administration (FDA) recently approved the sale of over-the-counter (OTC) hearing aids for people with mild to moderate hearing loss (not severe hearing loss), beginning Oct. 17, 2022. What should nurses know about these devices? Margaret Wallhagen Hearing loss is one of the most common chronic conditions, becomes increasingly prevalent across the life span, and is far from benign. This latter fact is often not appreciated, but hearing loss is associated with a range of negative psychosocial concerns such as isolation and depression, as well as many health-related co ..read more
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ER Nurse Who Called 911 for Backup: ‘What Are We Afraid Of?’
AJN Off The Charts
by Guest Author
2M ago
Making the call. As I got home this morning after a hectic 12-hour shift as charge RN in a 50-bed ER, I sat in my silent car for a moment to ponder how much has changed in the last three weeks. Three weeks ago, overwhelmed by walk-in patients and ambulance traffic and severely short-staffed, I called the emergency services non-emergent line and asked for help in our crowded lobby. I wasn’t thinking about the repercussions, about the uproar or the giant target I sometimes feel I’ve installed on my back with my outspokenness. I was thinking about my coworkers, spread too thin, exhausted and afra ..read more
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