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Tag: Nursing

  • Decision Guide Clarifies Indicators for Swallowing Consults

    Decision Guide Clarifies Indicators for Swallowing Consults

    Newswise — A multidisciplinary group at ECU Health Medical Center in Greenville, North Carolina, developed a decision guide to provide healthcare teams with specific guidelines for swallowing care after extubation. The decision guide standardizes the process for clinicians to determine which recently extubated patients required further swallowing assessment by an appropriate professional.

    As the only Level 1 trauma center east of Raleigh, North Carolina, ECU Health Medical Center serves a vast rural region home to more than 1.4 million people and is the largest resource for critically ill patients in eastern North Carolina. Critically ill patients are frequently intubated with an endotracheal tube to maintain an adequate airway for breathing. After the endotracheal tube is removed, patients often experience difficulty swallowing, also known as dysphagia, which is associated with a variety of poor outcomes. 

    “It is important that patients experiencing dysphagia be treated swiftly because dysphagia can cause difficulty eating, drinking or swallowing necessary medications,” said Waverlyn J. Royals, MS, CCC-SLP, speech-language pathology (SLP) clinical specialist and student education coordinator for rehabilitation services at ECU Health Medical Center. “Determining which patients need a swallowing assessment helps care teams intervene early and improve outcomes, as well as more efficiently use resources and reduce costs.” 

    Since ECU Health is an academic health system, its partnership with Brody School of Medicine at East Carolina University allows for team members such as Royals to conduct research to continue finding best practices for patients and care teams. The multidisciplinary group conducted a literature review as part of a process improvement project to help clarify decision-making for patients post-extubation. This review identified specific risk factors that healthcare teams should consider regarding dysphagia post-extubation.

    These risk factors became points of decision in the guide. A “yes” answer to any of the decision points resulted in the patient’s continued non-oral status and triggered a consult to SLP professionals. If each question has a “no” response, it eliminates unnecessary requests to assess patients who already tolerate an oral diet. For patients with no positive indicators from the decision guide, including a water swallowing challenge, the nurse consulted with a healthcare provider about starting an oral diet.  

    “In addition to clarifying which patients need further evaluation, the guide provides nurses and providers with clear indicators to answer questions from patients and families about why individuals were deemed unready to safely resume eating and drinking,” Royals said.

    “A Decision Guide for Assessing the Recently Extubated Patient’s Readiness for Safe Oral Intake” details the development of the guide, as well as the risk factors and clinical indicators it covers. The study is published in the February issue of Critical Care Nurse (CCN).

    As the American Association of Critical-Care Nurses’ bimonthly clinical practice journal for acute and critical care nurses, CCN is a trusted source of information related to the bedside care of critically and acutely ill patients. Access the article abstract and full-text PDF by visiting the CCN website at http://ccn.aacnjournals.org.

    About Critical Care Nurse: Critical Care Nurse (CCN), a bimonthly clinical practice journal published by the American Association of Critical-Care Nurses, provides current, relevant and useful information about the bedside care of critically and acutely ill patients. The award-winning journal also offers columns on traditional and emerging issues across the spectrum of critical care, keeping critical care nurses informed on topics that affect their practice in acute, progressive and critical care settings. CCN enjoys a circulation of more than 128,000 and can be accessed at http://ccn.aacnjournals.org/.

    About the American Association of Critical-Care Nurses: For more than 50 years, the American Association of Critical-Care Nurses (AACN) has been dedicated to acute and critical care nursing excellence. The organization’s vision is to create a healthcare system driven by the needs of patients and their families in which acute and critical care nurses make their optimal contribution. AACN is the world’s largest specialty nursing organization, with about 130,000 members and over 200 chapters in the United States.

    American Association of Critical-Care Nurses, 27071 Aliso Creek Road, Aliso Viejo, CA 92656; 949-362-2000; www.aacn.org; facebook.com/aacnface; twitter.com/aacnme

    American Association of Critical-Care Nurses (AACN)

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  • Study shows peer messaging tool can be successfully implemented in the nursing workforce

    Study shows peer messaging tool can be successfully implemented in the nursing workforce

    Newswise — A tool developed at Vanderbilt University Medical Center to address disrespectful workplace behaviors through trained peer-to-peer messaging can be successfully implemented in the nursing workforce with the appropriate support, according to a new study published in the January 2023 issue of .

    The first author of the article, “Implementation of Peer Messengers to Deliver Feedback: An Observational Study to Promote Professionalism in Nursing,” is Cindy Baldwin, MS, RN, CPHRM, senior associate for the Department of Pediatrics and School of Nursing at the Vanderbilt Center for Patient and Professional Advocacy.

    Prior research shows that unprofessional behaviors in health care settings lead to unhappy, less motivated workers and poorer outcomes for patients and families, Baldwin said. She and other researchers evaluated the feasibility of implementing for staff nurses the Co-Worker Observation System (CORS), a tool developed at VUMC in 2013. Prior to the study, CORS had been implemented for doctors and advanced practice providers at Vanderbilt, but not for staff nurses, Baldwin said.

    “We thought this was a unique opportunity to be able to give nurses an opportunity to self-regulate, as shared governance models highly support this concept,” Baldwin said. “Creating a vision for respect and inclusion for all team members aligns with organizations’ values and the nursing code of ethics.”

    Researchers implemented CORS for staff nurses at VUMC and two other academic medical centers — Keck Medicine of the University of Southern California (including USC Verdugo Hills Hospital and Norris Cancer Center) and University of Iowa Health Care — using a project bundle with 10 essential implementation elements.

    CORS promotes addressing professional behavior in the moment, but if that doesn’t happen, co-workers can use an electronic documentation system to document the observation. In the study, those reports were screened through natural language processing software, coded by trained CORS coders using the Martinez taxonomy, then referred to a trained nurse messenger who is carefully selected to be a peer, based on role and tenure.  The nurse messenger shares the observation with the nurse that offended the person who reported the incident. The name of the reporter is withheld.

    The study considered 590 reports from the three sites from Sept. 1, 2019 to Aug. 31, 2021. Most reports included more than one unprofessional behavior — a total of 1,367 unprofessional behaviors were recorded, then mapped to existing categories in the CORS system. Most unprofessional behaviors — 48.8% — were related to issues in clear and respectful communication. Another 33.3% were related to performing duties/tasks that are part of a role. A total of 6.8% were related to appropriate medical care; 5.9% to professional integrity; and 5.2% a report of concern or possibly egregious.

    Baldwin also noted that 92% of all nurses in the study’s database never received a CORS report about their behavior.

    Baldwin said the beauty of the peer-reporting system is it allows a trained peer messenger to resolve the issue with the nurse that trigged the report, and the incident is not reported to nursing leadership or human resources unless required by policy or law or requiring investigation. Most peer reports are delivered at face value, without investigation, realizing that there are two sides to every story.

    CORS data collected over 10 years show that most people listen to peer criticism and self-correct. She noted that much unprofessional behavior is not rooted in the workplace, but rather outside life stressors.

    “We want to make sure that people hear or understand how they’re being perceived, whether it’s a one-time thing or it’s a pattern, without immediately going to progressive discipline.”

    Baldwin cautioned that simply implementing a peer-to-peer reporting system isn’t enough; messengers must be trained, and the correct reporting infrastructure and leadership support must be in place. The study found that nurses would deliver CORS messages to their peers with the correct training.

    Other VUMC authors of the paper are Alice Krumm, DNP, RN, CNOR; Heather Davidson, PhD; Lynn Webb, PhD; Thomas Doub, PhD; and William Cooper, MD, MPH.

    “The findings of this study really highlight the fact that professionals will respond if we approach them in respectful, nonjudgmental ways,” said Cooper, who leads the Center for Patient and Professional Advocacy.

    Cooper expressed appreciation for VUMC nursing leadership for supporting the innovative project, which has already drawn interest from health systems around the country. “This work continues a longstanding partnership between our center and Vanderbilt’s nursing leadership in identifying innovative ways to promote professionalism,” he said.

    Executive Chief Nursing Officer Marilyn Dubree, MSN, RN, NE-BC, FAAN, noted that VUMC recently received its fourth Magnet designation from the American Nurses Credentialing Center, in part because of its commitment to shared governance.

    “Every nurse at Vanderbilt has a voice, and CORS is an innovative peer-reporting model that strengthens that voice,” she said. “I am excited about the possibilities as we expand the use of this tool to further empower our nurses.”

    Vanderbilt University Medical Center

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  • Penn Medicine Invests in Future Nurses with ASPIRE Program at the Hospital of the University of Pennsylvania

    Penn Medicine Invests in Future Nurses with ASPIRE Program at the Hospital of the University of Pennsylvania

    Newswise — PHILADELPHIA – Penn Medicine has partnered with the Howley Foundation and La Salle University to launch the ASPIRE Program at the Hospital of the University of Pennsylvania (HUP), marking an important investment in the future of nursing. The high school and college program will support local high school students in Philadelphia with a goal of increasing diversity in health care and offering opportunities for economic mobility. The program is supported by a commitment from the Howley Foundation of up to $7.5 million.

    Each year, up to 25 outstanding high-school juniors will be selected to be ASPIRE scholars and participate in an enrichment program, lasting for the reminder of their high-school careers. The enrichment program offers mentorship and exposure to health care, the role of nurses, patient safety, and more through a series of interactive and hands-on sessions at the hospital. The first cohort of high-school students will begin with juniors in early 2023.

    Upon graduation and fulfillment of requirements, students then have the opportunity to pursue a Bachelor of Science in Nursing (BSN) at La Salle University with financial support from federal grants, a school scholarship, and a scholarship from the ASPIRE Program itself—which is funded by the Howley Foundation and Penn Medicine. During that time, they will have the opportunity to apply for paid positions at HUP where they can practice their skills and gain more relevant experience.

    “ASPIRE firmly aligns with Penn Medicine’s and HUP’s goals to offer pipeline opportunities for members of our community to continue cultivating an inclusive workforce and providing outstanding patient care,” said Colleen Mattioni, DNP, MBA, the chief nurse executive at HUP. “The ASPIRE Program will welcome a diverse pool of young people into an environment of research, innovation, and evidenced based practice, and high quality clinical care. Of course, we will benefit from participants’ enthusiasm, curiosity, and passion.”

    The first portion of the program consists of both lecture-type lessons and hands-on learning in the hospital for the high school students. Instructors are HUP nurses and hospital staff. While the students will not participate in clinical work with hospital patients, they will have opportunities to observe and assist nurses and other clinicians. At the end of this part of ASPIRE, scholars will also have a better understanding of the life of a nurse and the skills and approach required to excel at the job.

    “Those who begin nursing school may not have much experience with the field unless they’ve volunteered somewhere or perhaps they have family members who are nurses,” said Beth A. Smith, MSN, the corporate director of Nursing Professional Development at HUP. “Not only will this program attract a more diverse generation of future nurses, but will also provide a unique opportunity to see the impact nurses make while providing them with skills and giving them a strong head start in a nursing career.”

    During their college years, the ASPIRE Scholars will benefit from ongoing support and guidance through advisors who will offer guidance and support on academic and other matters effecting their education. They will also have regular check-ins with their peers and instructors from the program.

    “We are excited to see the ASPIRE Program grow over time and look forward to creating an environment where ASPIRE scholars can thrive academically and professionally,” said Smith.

    The ASPIRE Program at HUP builds upon the model established by the Howley Foundation for the Cleveland Clinic in 2017.

    “The central focus of The Howley Foundation is supporting quality educational opportunities, and the many wonderful institutions of learning in the Philadelphia region have served generations of our own family well,” said Nick Howley, chair and founder of the Foundation. “We believe these programs are the keys to creating meaningful social and economic mobility, and we are thrilled to work with Penn Medicine and La Salle whose strengths align so closely with our mission. We look forward to  seeing the ASPIRE model in Philadelphia and providing the region’s students an educational continuum that spans exposure to the nursing profession, training and mentorship, and very real opportunities for employment.”

     

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    Penn Medicine is one of the world’s leading academic medical centers, dedicated to the related missions of medical education, biomedical research, and excellence in patient care. Penn Medicine consists of the Raymond and Ruth Perelman School of Medicine at the University of Pennsylvania (founded in 1765 as the nation’s first medical school) and the University of Pennsylvania Health System, which together form a $9.9 billion enterprise.

    The Perelman School of Medicine has been ranked among the top medical schools in the United States for more than 20 years, according to U.S. News & World Report’s survey of research-oriented medical schools. The School is consistently among the nation’s top recipients of funding from the National Institutes of Health, with $546 million awarded in the 2021 fiscal year.

    The University of Pennsylvania Health System’s patient care facilities include: the Hospital of the University of Pennsylvania and Penn Presbyterian Medical Center—which are recognized as one of the nation’s top “Honor Roll” hospitals by U.S. News & World Report—Chester County Hospital; Lancaster General Health; Penn Medicine Princeton Health; and Pennsylvania Hospital, the nation’s first hospital, founded in 1751. Additional facilities and enterprises include Good Shepherd Penn Partners, Penn Medicine at Home, Lancaster Behavioral Health Hospital, and Princeton House Behavioral Health, among others.

    Penn Medicine is powered by a talented and dedicated workforce of more than 52,000 people. The organization also has alliances with top community health systems across both Southeastern Pennsylvania and Southern New Jersey, creating more options for patients no matter where they live.

    Penn Medicine is committed to improving lives and health through a variety of community-based programs and activities. In fiscal year 2021, Penn Medicine provided more than $619 million to benefit our community.

    Perelman School of Medicine at the University of Pennsylvania

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  • TTUHSC School of Nursing Celebrates Fall Graduates

    TTUHSC School of Nursing Celebrates Fall Graduates

    Newswise — There were 465 candidates for graduation at the Texas Tech University Health Sciences Center (TTUHSC) School of Nursing commencement exercises Saturday, Dec. 17 at the United Supermarkets Arena, Lubbock, Texas.

    Among those graduates was the first cohort of the School of Nursing satellite campus in Mansfield, Texas. The satellite campus, which welcomed its first group of student nurses in 2021, is a result of a collaboration with Methodist Healthcare System, Methodist Mansfield Medical Center and the city of Mansfield to address the shortage of nurses in the region.

    According to a report from the U.S. Department of Health and Human Services, Texas will be short almost 16,000 nurses by 2030.

    Of the 19 graduates, 13 are staying in the Dallas-Fort Worth metroplex.

    “We believe that our implicit mission has to be to create what we can in terms of creating more nurses to ease the ever-present shortage of nurses all over Texas,” School of Nursing Dean Michael L. Evans, Ph.D., RN, FAAN, said. “What this means for the community is that they’re going to have better health care and better access to health care. Nurses aren’t just in hospitals. They’re in primary care clinics and schools. Anything having to do with health care in the community, whether it’s in Mansfield or greater Dallas-Fort Worth, it’s going to be improved by having an increased number of nurses per year in the region.”

    The Mansfield satellite campus is an extension of the same program the School of Nursing currently has on its campuses in Abilene, Permian Basin, Lubbock and Amarillo.

    “Many new nurses are attracted to the large, DFW hospitals,” said Amanda Veesart, Ph.D., R.N., Traditional BSN Program director. “Having a nursing school in the city of Mansfield, that is attending classes and clinical in the area, is a great recruiting tool. We are placing the students in the community early which directly correlates to learning the culture and system of the area. Many of the hospitals are looking to TTUHSC to graduate BSN-prepared nurses who will stay and help with the nursing shortage in the suburban area.”

    The School of Nursing is nationally accredited and has a highly regarded reputation for nursing excellence. Nursing Schools Almanac ranked the School of Nursing number one in Texas, No. 10 among public nursing schools and No. 18 among nursing schools in the U.S.

    According to Evans, Red Raider nurses are very much in demand because they have the knowledge and skills necessary to be successful. When they graduate, 90+ percent already have a job secured.

    “We do a very good job of selecting those on who can be successful in this program and then helping them be successful after,” Evans said. “The reason we’re here is to improve health care through collaboration and innovation. We’re doing it through collaborating with community resources and our own internal resources to be able to bring a very innovated nursing education program.”

    Texas Tech University Health Sciences Center

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  • Mount Sinai Phillips School of Nursing Welcomes the Classes of 2022 in Graduation Ceremony

    Mount Sinai Phillips School of Nursing Welcomes the Classes of 2022 in Graduation Ceremony

    Newswise — The Mount Sinai Phillips School of Nursing is celebrating two graduating 2022 classes, August and December, with a total of 150 students. The graduation ceremony will take place on Thursday, December 15, at 4 pm at The Mount Sinai Hospital, Annenberg Building, Stern Auditorium (1468 Madison Ave. NY, NY 10029).

    These classes are the first to graduate from the School’s new, cutting-edge facility in East Harlem. It includes a high-tech simulation lab and classrooms to prepare nurses to meet the health care challenges of the day. Graduates come from all over the country, represent a variety of backgrounds and ages, and have different reasons for wanting to become nurses.

    All graduates of the 2022 class are a part of the Accelerated Bachelor of Science in Nursing (ABSN), a program to support and train nurses with the flexibility they need to succeed. It is one of two programs the school offers, along with an RN-to-BSN program. All of this year’s graduates have received offers for positions at the Mount Sinai Health System.

    “It is definitely a unique time for nursing, as our health care landscape is ever-changing and evolving in response to highly critical situations. But it’s every part of who these graduates are becoming, and I thank each student and graduate for rising to the challenge with such courage,” said Todd Ambrosia, DNP, MSN, MBA, APRN, FNP-BC, FNAP, Dean of the Mount Sinai Phillips School of Nursing and Vice President for Nursing Academic Affairs, Mount Sinai Health System. “For all of us, if there was ever a time when we needed to come together and say, ‘We will make space for humanity in our care, and let it transform us into a more compassionate, courageous, resilient community,’ this is the time. And we are the ones to do it.”

    The graduation program will start with an introduction from Dean Ambrosia and processional of the faculty and graduating class, followed by greetings from Janet Green, Co-Chair of the Mount Sinai Phillips School of Nursing Board and granddaughter of Seymour Phillips, for whom the school is named, and Beth Oliver, DNP, RN, FAAN, Senior Vice President and Chief Nursing Executive, Mount Sinai Health System.

    The keynote address will be given by Lorraine McGrath, MA, RN-BC, Senior Director of Clinical Affairs, and Associate Professor at the Mount Sinai Phillips School of Nursing. Brittany Robinson, salutatorian from the class of December 2022 will be giving the student address. Following the presentation of the graduating class and conferring of degrees, Vice Dean Laly Joseph and Assistant Dean Vivian Lien will distribute awards to graduating students and Lynn Rubenstein, MA, RN, Professor Emeritus, Mount Sinai Phillips School of Nursing, will deliver the international pledge for nurses.

    About the Mount Sinai Phillips School of Nursing

    Founded in 1904, PSON is dedicated to the professional education of undergraduate nurses. Because it is part of the Mount Sinai Health System, students benefit from an impressive array of clinical experiences, in the hospital and in the community. The school offers an Accelerated BSN and a RN to BSN program. The school has designed a variety of innovative curricula responding to the special needs of working adults interested in entering the nursing profession, nurses interested in advancing their careers, and foreign-educated physicians and nurses who wish to pursue nursing practice in the United States. In 2014 and again in 2019, the National League of Nursing designated the school a Center of Excellence in Nursing Education in the category of Student Learning and Professional Development. Located in the East Harlem neighborhood of Manhattan, convenient to public transportation, the school currently enrolls close to 350 students. In addition to CCNE, the School is accredited in nursing for its baccalaureate program by the New York State Board of Regents and the Commissioner of Education.

    About the Mount Sinai Health System

    Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, over 400 outpatient practices, over 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.

    Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes approximately 7,300 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report‘s Best Hospitals, receiving high “Honor Roll” status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children’s Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is one of three medical schools that have earned distinction by multiple indicators: It is consistently ranked in the top 20 by U.S. News & World Report‘s “Best Medical Schools,” aligned with a U.S. News & World Report “Honor Roll” Hospital, and top 20 in the nation for National Institutes of Health funding and top 5 in the nation for numerous basic and clinical research areas. Newsweek’s “World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York City and in the top five globally, and Mount Sinai Morningside in the top 30 globally; Newsweek also ranks The Mount Sinai Hospital highly in 11 specialties in “World’s Best Specialized Hospitals,” and in “America’s Best Physical Rehabilitation Centers.”  For more information, visit https://www.mountsinai.org or find Mount Sinai on Facebook, Twitter, and YouTube.

    Mount Sinai Health System

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  • Celebrating 60 Years of Nursing Education Excellence

    Celebrating 60 Years of Nursing Education Excellence

    Newswise — For six decades, the University of Northern Colorado’s School of Nursing in the College of Natural and Health Sciences has had a strong history of educating nurses to provide compassionate, courageous and competent care to patients across Colorado and beyond through research and practice. 

    Like the health care industry, the School of Nursing has evolved throughout the years since it was founded in 1962. The first class was enrolled in 1963 and the following year, the first capping ceremony was held with five nursing students. Sixty years later, in the fall of 2022, 477 students were enrolled in the 10 programs currently offered. And in total, more than 6,000 students have graduated from the School of Nursing prepared to assume leadership roles in practice, education and research, since its inception. 

    To celebrate this achievement, a ceremony was held on Friday, Dec. 2, in the Campus Commons where faculty and alumni were honored for advancing the health of the public.  

    “We are incredibly grateful to the previous faculty and alumni who have, and still are contributing to, the strong foundation of excellence of the School of Nursing programs, for which we continue to build upon,” said Director Melissa Henry, Ph.D.  

    The anniversary celebration included an open house in Gunter Hall and a reception that featured live music, a silent auction and dinner. Attendees were also able to enjoy pictures throughout the last 60 years, reminisce on the evolution of nursing attire and take a picture with Florence Nightingale, one of the founders of modern nursing, in a photobooth. 

    Meet four inspiring health care professionals and UNC alumni who are impacting patients’ lives:

    Jennifer Higgins ’92, ’15 MSN, RN,NPD-BC, CNL 

    Manager Professional Development Northern Region, UCHealth 

    At UNC, I was inspired by: I’m a two-time grad from UNC’s School of Nursing.  In my undergrad program, my biggest influence was my mom. She’s a nurse and I grew up with conversations about the hospital at every dinner. I loved to go to her work after school to wait for her and I felt comfortable in the hospital setting even as a kid. (At UNC), I was influenced by all my professors, but the one that made the biggest impact was Dr. Deb Leners. I appreciated the perspective I got on nursing from her that nurses are professionals with an invaluable contribution to the world. In my grad school experience, the person who affected who I am as a master’s-prepared RN is Dr. Kathleen Dunemn. I appreciate her kind, calm, realistic approach to the rigor of a graduate program. She inspires me through her career and the level to which she has impacted the profession. 

    What brings me back to work each day:  The idea of long hard days at work took on a new perspective with the pandemic.  Never in modern times have we faced the kind of challenges we did during the COVID surges that changed life for everyone. I equated leaving work to escaping a burning building with my friends inside, day after day.  As a nurse, I took on the task of caring for patients alongside my peers, and as a leader I had to help create processes to protect patients and staff all the while having the rules continuously changing. Direction given in the morning oftentimes changed by lunch. Keeping my team focused and moving forward together without losing morale was the biggest challenge I’ve faced. I kept coming back and continue to come back every day because that’s what nurses do. 

    I know I’ve made a difference when: Every nurse remembers certain moments in their career.  I have had a long career and have gotten to do many things with my nursing degree. Each of those experiences have given me moments of knowing I was meant to be in that place at that moment. The kids I’ve taken care of have made a mark that will be with me forever.  One newborn I took care of was very premature and had a difficult start in life.  I took over her care one night and realized she didn’t look very good. I had cared for her since birth and there was something about her that was a little “off.” I followed procedures for alerting providers and within hours, she was transferred to a higher level of care to be treated for sepsis.  This is a very dangerous diagnosis for a fragile preemie and she did very well, partly because it was caught early. My proudest moments are those when I find out that something I did impacted someone in a way I couldn’t have imagined.  Being an educator means that every patient is your patient. I tried to include pediatric education because kids are my thing, and because they can show up anywhere at any time.  I ran a mock pediatric code blue where the child experiences a cardiac arrest. Just a week later, I was contacted by that manager to say “You know what you taught us last week?  We had to use it last night.  Everything went well.  Thank you.”  Asking any nurse about one moment in their career that stands out is impossible because every day is an opportunity to have that moment. 

    UNC’s Nursing program stands out because…: I am now a leader in a department where new RNs are supported, educated and developed into professionals.  I get to work with those nurses who used to be my instructors and mentors. I see their dedication and the passion they put into taking a novice and turning them into the enthusiastic and knowledgeable new nurse. I have gotten to teach alongside some of them and see their world in a whole different way. Just as I feel educators impact every patient, I also realize that the nursing instructors at UNC have the same impact on the future of nursing itself.

     

    Donnie DeCamp ’11 RN, MSN, VA-BC, CRNI 

    Guest Lecturer, University of Northern Colorado 

    At UNC, I was inspired by: I was really impacted by one of the courses in advanced pathophysiology. I was allowed to explore a topic of interest to me, HIV, and create an interactive teaching PowerPoint that was impressive. The cohort I was in started calling me “Mr. Megabyte.” 

    What brings me back to work each day: The look on a learner’s face when things click and make sense to them, especially with difficult topics and concepts. 

    I know I’ve made a difference when: As a vascular access specialist RN, I’m often praised by patients when venous access is obtained on first attempt.  

    UNC’s Nursing program stands out because… of the caliber of the faculty and staff.

     

    Melissa Chevarria ’18 MSN, RN 

    Practical Nursing Faculty at the Community College of Denver 

    At UNC, I was inspired by: So many faculty members and clinical instructors at UNC made a difference in my life and education! Professors Deb Rojas, Barb Garrity and Wayne Potter specifically acted as mentors for me during nursing school and supported me through difficult times in my career. I recently obtained my master’s in Nursing with an emphasis in Nursing Education so I may have the same impact on others one day. This past summer, I was fortunate to complete 150 practicum hours for my MSN alongside Deb Rojas, with the opportunity to connect with Barb and Wayne again. It was one of the best experiences of my life. 

    A program in the School of Nursing that not only set me up for success but introduced me to some of my closest friends was the Student Nurses Association (SNA). I was an active member throughout nursing school, and SNA opened so many doors for me. I had the opportunity to connect with students in other cohorts, volunteer within the community, and build leadership skills. I encourage all nursing and pre-nursing students to join SNA! 

    What brings me back to work each day:My nursing students encourage and inspire me every single day. I teach in a nursing program that serves culturally diverse students and disadvantaged populations. My students come from various backgrounds with incredible experiences and powerful stories. Their drive, courage and resiliency motivate me to be the best nurse and educator that I can be each day.  

    I know I’ve made a difference when: I don’t have a specific moment or memory to share, but I do believe that small moments of compassion and caring can change our patients’ lives. Before my current position, I worked in the Emergency Department at Children’s Hospital. As an Emergency Department nurse, you’re continuously meeting new patients and families. It can be challenging to build relationships with patients when you’re providing care for a brief period. To connect with my patients and improve their experience, I always made an effort to learn something new about them every time I entered their room. This small gesture went a long way; it allowed me to build trusting, therapeutic relationships. I encourage my students to take the time to get to know the person they’re taking care of; everyone comes with a story that we can learn from.   

    UNC’s Nursing program stands out because…I can speak to the rigor of the program and clinical experiences that impacted my path as a nurse, but it wasn’t just these aspects that stand out to me and impact how I practice.  The nursing program at UNC never felt like school to me, it always felt like my home. Our professors were more than educators; they were our mentors, our support system, and always went the extra mile for us. They created an incredibly safe and nurturing environment for their students to grow in that was impactful to our development. I strive to bring that same level of compassion and dedication to the growth of the nursing profession.

     

    Mari Schlie Mutter ’03, ’11 MSN, RN, FNP-BC 

    UNC School of Nursing instructor; St. Matthew’s provider – free clinic  

    At UNC, I was inspired by: So many outstanding faculty members currently and throughout the years! Faye Hummel inspired me from the first time she walked in the classroom. Never have I known of a woman/person who is able to inspire so many people just by the way she carries herself and her overall confidence. Faye walked her talk, which was international education, vulnerable populations, transcultural nursing and social justice. Faye’s contributions to Vietnamese medical education for 20-plus years has been invaluable through Friendship Bridge Nurses Group. Alison Merrill inspired me by her example of standing up against great odds with kindness. And, through the years, Melissa Henry has been my trusted colleague, gentle advisor, and friend. When I was not sure of myself, Melissa encouraged me of what I was capable of and was meant to do. 

    What brings me back to work each day: Caring changes us—meeting the needs of people at the most vulnerable time of their life and being there for them is a privilege. The connection made between nurses and patients is one of trust. 

    I know I’ve made a difference when: It is all the simple things that we do each day. It is when we see a need and meet that need. And, being an advocate for our patients every day. 

    UNC’s Nursing program stands out because… We are taught to validate people—to listen and ensure dignity. To be advocates. To show up each day remembering that we are there to serve and not expect anything in return. The returns are great.

    University of Northern Colorado

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  • OADN Names Justin Fontenot New Editor-in-Chief of Teaching and Learning in Nursing

    OADN Names Justin Fontenot New Editor-in-Chief of Teaching and Learning in Nursing

    Newswise — The Organization for Associate Degree Nursing (OADN) has named Justin Fontenot, DNP, RN, NEA-BC as Editor-in-Chief of the association’s official journal Teaching and Learning in Nursing (TELN). Dr. Fontenot will oversee journal’s editorial content and peer review in coordination with the editorial board, associate editors, and the OADN Board of Directors, and assure fulfillment of the journal’s mission as the only peer-reviewed publication dedicated to the advancement of associate degree nursing education and practice.

    “The OADN Board of Directors is proud to announce Dr. Fontenot as the journal’s new Editor-in-Chief,” says OADN President Karen LaMartina PhD, MSN, RN. “Justin brings an ebullient enthusiasm, commitment to innovation and thought-provoking leadership to OADN’s flagship publication.  His national-level experience in education, research and practice has prepared him to continue the legacy left by former Editor-in-Chief Dr. Anna Valdez.”

    Dr. Fontenot, who is a Fellow of the Academy of Associate Degree Nursing (AADN), is an Assistant Professor of Nursing at the University of Louisiana at Lafayette and the former Associate Editor of TELN. He began his career 22 years ago and is an Associate Degree (ADN) prepared nurse. Dr. Fontenot’s work focuses on educational equity to strengthen the various paths to nursing practice. In October 2021, he published a framework in TELN entitled “Clinical touchpoints: Using the PREP framework to improve critical thinking among pre-licensure nursing students.” This framework improves clinical instruction and evaluation, moving from nuanced evaluation to the evaluation of critical clinical reasoning skills to ensure clinical educational equity. Dr. Fontenot is currently serving as a founding member and Co-Chair of the OADN Diversity Equity Inclusivity Committee, where he made substantial contributions as an author of the OADN position paper on Racial and Social Equity. He has demonstrated a deep commitment to addressing racism, bias, and oppression in nursing education and practice. Dr, Fontenot is a dedicated advocate for Associate Degree Nursing and serves as a role model for ADN students, nurses, and faculty.

    “I am thrilled to accept the position of Editor-in-Chief at Teaching and Learning in Nursing,” says Fontenot. “I know that I have huge shoes to fill, but the foundation of the journal and its reach are already immense. I’m proud to carry on the work equitably, highlighting diverse voices to uplift, guide, and usher Associate Degree Nursing into our new, reimagined futures.”

    “Dr. Fontenot has proven his exceptional editorial skills as the Associate Editor of Teaching and Learning in Nursing,” notes OADN Chief Executive Officer Donna Meyer, MSN, RN, ANEF, FAADN, FAAN. “His creativity, knowledge of nursing trends and passion for Associate Degree Nursing education will only help to further advance TELN as an exceptional professional scholarly journal.”

     

    About the Organization of Associate Degree Nursing (OADN) 

    Representing the over 1,100 associate degree nursing programs across the country, OADN is the national voice and a pivotal resource for community college nursing education and the associate degree pathway.  We work to expand networks that promote leadership, collaboration, and advocacy to further enrich nursing education and the communities we serve. Online at www.oadn.org

    Organization for Associate Degree Nursing (OADN)

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  • Care home nurses still need support to recover from Covid trauma, research shows

    Care home nurses still need support to recover from Covid trauma, research shows

    Newswise — Those on the front line of the Covid pandemic need mental health support to help them recover from, or manage, the stress and trauma they faced – according to University of East Anglia research.

    A new report published today investigates the impact of the pandemic on nurses working in care homes.

    It shows how care home nurses were unprepared for the situation they found themselves in, and that this impacted their mental health and wellbeing.

    The research team say that these frontline workers need a mental health and wellbeing strategy to help promote recovery from the symptoms of trauma and moral distress that they faced during the pandemic.

    Lead researcher Diane Bunn, from UEA’s School of Health Sciences, said: “Our work shows that care home nurses were completely unprepared for the extraordinary situation they found themselves in during the Covid-19 pandemic, and that this has impacted their mental health and wellbeing.

    “They had to manage a highly infectious new disease, associated with high mortality, in residents already living with complex clinical conditions.

    “They did this alongside staff shortages, constantly changing and conflicting guidelines and with minimal external professional support.

    “Health and social care staff are still very much in a recovery phase. They need time to recover from all that happened during the pandemic and many of them will need counselling and mental health support for some time.

    “Supporting care home nurses to recover from the pandemic is essential to maintain a healthy, stable workforce.”

    The research team carried out in-depth interviews with care home nurses about their experiences of the pandemic, across homes for older people in England and Scotland. They particularly focused on the nurses’ resilience and mental wellbeing.

    “All of the nurses we spoke to described being attentive to the needs of others, but less attentive to their own needs, which came at personal cost,” said Bunn.
     

    “There are many lessons to be learnt to support their recovery and ensure appropriate policies are in place in preparedness for the next pandemic,” she added.

    The study highlights a range of strategies to help nurses accept and recover from their experiences, and suggestions for how to better-prepare for future pandemics. These include:

    • Bespoke mental health and wellbeing strategy for care home nurses in the current pandemic recovery period and ensuring that this is ongoing and adaptable for future pandemics and disasters.
    • Wider professional and government recognition of the specialist skills required of care home nurses.
    • Revisit guidance to better prepare for any future pandemics and disasters on care homes
    • Involvement of care home nurses in the development of disaster-response policies in care homes.
    • Consistency of guidelines, and research-informed methods for effective communication of guidelines.

    “Support for care home nurses will likely benefit other care-home workers either directly through wider roll-out, or indirectly through improved wellbeing of nurse leaders,” added Bunn.

    This work was led by the University of East Anglia in collaboration with researchers at the University of Leicester. It was funded by the Burdett Trust for Nursing and the National Institute for Health and Care Research (NIHR).

    ‘Care-home Nurses’ responses to the COVID-19 pandemic: Managing ethical conundrums at personal cost: A qualitative study’ is published in the Journal of Nursing Scholarship on December 6, 2022.

    ENDS

    University of East Anglia

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  • UCHealth Initiative Reduces Off-Label Pulse Oximeter Placement

    UCHealth Initiative Reduces Off-Label Pulse Oximeter Placement

    Newswise — The critical care team at UCHealth in Colorado reduced the off-label placement of pulse oximetry sensors from 15% to less than 1%, according to an article published in the December issue of Critical Care Nurse (CCN).

    “Improving Patient Safety by Increasing Staff Knowledge of Evidence-Based Pulse Oximetry Practices” details how the short-term quality improvement initiative helped change the culture of pulse oximetry use, with long-term solutions, ongoing education and the addition of dedicated ear probes in each critical care patient room.

    Pulse oximetry is a commonly used monitoring technology that provides an indirect and accurate method of measuring a patient’s oxygen saturation, an essential element in critical care units and many inpatient clinical areas. The results help inform decisions regarding oxygen therapy.

    Many common clinical situations can result in using a pulse oximetry sensor in an off-label location, such as placing a finger sensor on an earlobe. With limited literature about the accuracy of such off-label use, it’s considered a best practice to follow the manufacturer’s guidelines and use sensors for only those locations for which they are designed. 

    Co-author Maureen Varty, PhD, RN, is a research nurse scientist at UCHealth University of Colorado Hospital and an assistant professor at University of Colorado College of Nursing, Aurora. She worked on the initiative with Danielle Hlavin, BSN, RN, CCRN-CMC, a charge nurse at UCHealth Memorial Hospital Central in Colorado Springs.

    “When trying to get an oxygen reading, it can be easy to use the same sensor in various points, but pulse oximeters are not interchangeable,” Hlavin said. “By taking the time to understand the barriers to practice, we identified sustainable solutions and reinforced best practices for using the correct type of sensor and preventing pressure injuries that may develop.”

    The initiative was a response to noticing that off-label placement was being used in critical care patient rooms, with inconsistent practices that could affect patient safety.

    Audits were conducted by entering each occupied patient room and noting finger probes being used on off-label sites. In the preintervention audit, with 508 observations during August through October 2020, a finger probe was used off label in 77 patients (15.2%). In the postintervention audit in March and April 2021, with 365 observations, a finger probe was used instead of an ear probe in only three patients (0.8%).

    The team used a simple preintervention survey to assess healthcare staff members’ knowledge of and confidence in pulse oximetry use and appropriate placement. Before the intervention, only 38.9% of bedside staff members said they knew not to use finger sensors on the ear. After the intervention, 85% of respondents knew not to do so.

    They also evaluated the availability of pulse oximetry supplies, types of supplies and any barriers to obtaining this equipment. This assessment revealed anecdotal evidence that staff members had difficulty quickly locating ear probes for their patients, leading them to turn to off-label placement when finger sensors were not able to detect a good signal.

    With the support of hospital management, 90 ear probes were purchased for critical care settings. These were labeled “ICU” and affixed to the pulse oximeter cable in each patient room for easy access.

    A brief, formal educational presentation was first provided to 175 nurses in October 2020 during staff skill laboratories, and then to 37 respiratory therapists and 21 patient care technicians and advanced care providers during their staff meetings from October 2020 through January 2021.

    Further education was provided in real time to mitigate the potential risks of pressure injuries developing from the use of ear probes and ensure that best practices continued to be followed.

    As the American Association of Critical-Care Nurses’ bimonthly clinical practice journal for acute and critical care nurses, CCN is a trusted source of information related to the bedside care of critically and acutely ill patients.

    Access the article abstract and full-text PDF by visiting the CCN website at http://ccn.aacnjournals.org.

     

    About Critical Care Nurse: Critical Care Nurse (CCN), a bimonthly clinical practice journal published by the American Association of Critical-Care Nurses, provides current, relevant and useful information about the bedside care of critically and acutely ill patients. The award-winning journal also offers columns on traditional and emerging issues across the spectrum of critical care, keeping critical care nurses informed on topics that affect their practice in acute, progressive and critical care settings. CCN enjoys a circulation of more than 128,000 and can be accessed at http://ccn.aacnjournals.org/.

    About the American Association of Critical-Care Nurses: For more than 50 years, the American Association of Critical-Care Nurses (AACN) has been dedicated to acute and critical care nursing excellence. The organization’s vision is to create a healthcare system driven by the needs of patients and their families in which acute and critical care nurses make their optimal contribution. AACN is the world’s largest specialty nursing organization, with about 130,000 members and over 200 chapters in the United States.

    American Association of Critical-Care Nurses, 27071 Aliso Creek Road, Aliso Viejo, CA 92656; 949-362-2000; www.aacn.org; facebook.com/aacnface; twitter.com/aacnme

    American Association of Critical-Care Nurses (AACN)

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  • La Section des soins infirmiers vise à répondre aux besoins des infirmières en matière de soins de l’épilepsie dans le monde entier

    La Section des soins infirmiers vise à répondre aux besoins des infirmières en matière de soins de l’épilepsie dans le monde entier

    Newswise — Les infirmières sont les fournisseurs de soins de santé les plus répandus dans le monde; l’Organisation mondiale de la santé estime qu’ils représentent 59 % de tous les professionnels de la santé.

    Les infirmières qui s’occupent de personnes atteintes d’épilepsie peuvent remplir des dizaines de rôles, selon la formation de l’infirmière et l’établissement et le pays dans lesquels elle travaille. Mais les infirmières qui soignent les personnes atteintes d’épilepsie font face à de nombreux défis, notamment un manque de possibilités de formation, un financement de recherche inadéquat et une compréhension limitée de leurs rôles et de leur valeur.

    À l’automne 2021, la section des soins infirmiers de l’ILAE a été créée pour créer un « foyer » pour les infirmières du monde entier qui s’occupent de personnes atteintes d’épilepsie. La section se concentrera sur les besoins des infirmières et infirmiers et déterminera comment l’ILAE peut aider à y répondre, ainsi que d’intégrer les points de vue des infirmières dans d’autres aspects de l’ILAE, y compris les commissions, les conseils et les congrès.

    Les priorités de la Section des soins infirmiers de l’ILAE

    La première priorité de la Section des soins infirmiers est de recueillir de l’information au moyen d’une évaluation des besoins. « L’objectif est de se faire une idée des types d’infirmières qui existent, de ce qu’elles font, de leur milieu de travail, de leurs besoins en matière d’éducation et d’autres besoins », a déclaré Patty Osborne Shafer, coprésidente de la section des soins infirmiers et infirmière spécialisée en épilepsie et consultante de Boston.

    Les chefs de section s’attendent à une grande variabilité des besoins et des obstacles parmi les infirmières et infirmiers de différentes régions et espèrent cibler chaque région avec une formation et des solutions personnalisées. Étant donné que 80% des personnes atteintes d’épilepsie vivent dans des pays à revenu faible ou intermédiaire, il est crucial de comprendre les besoins des infirmières dans ces domaines, a déclaré Jane von Gaudecker, coprésidente de la section des soins infirmiers et professeure adjointe à l’École des sciences infirmières de l’Université de l’Indiana.

    « Nous savons qu’il n’y a pas de possibilités d’éducation dans ces domaines – pas seulement pour l’épilepsie, mais une formation plus large en neurologie n’est pas possible pour les infirmières dans de nombreuses régions à revenu faible ou intermédiaire », a-t-elle déclaré.

    L’enseignement normalisé n’existe pas

    Le Royaume-Uni a élaboré des cadres de compétences pour les infirmières spécialisées dans l’épilepsie adulte (ESN), les ESN pédiatriques et les ESN pour troubles d’apprentissage. L’American Association of Neurology Nurses a un programme de certificat. Les infirmières peuvent obtenir une maîtrise ou un doctorat en préparation à un rôle de pratique avancée, comme infirmière praticienne, mais il n’y a pas d’accréditation spécialisée pour les infirmières praticiennes en épilepsie ou les autres infirmières qui s’occupent de personnes atteintes d’épilepsie.

    « Les infirmières doivent suivre un processus de formation et d’accréditation formels pour pouvoir dire qu’elles sont des infirmières en pratique avancée, mais la façon dont cela se rapporte à l’acquisition de connaissances avancées sur l’épilepsie varie selon votre établissement, vos ressources et votre lieu de résidence », a déclaré Shafer. « Nous essayions d’obtenir une certification infirmière pour l’épilepsie aux États-Unis, mais les organismes de certification nous disaient que nous n’étions pas assez nombreux. »

    « La plupart des infirmières qui commencent à travailler dans un centre d’épilepsie ou une clinique d’épilepsie apprennent de leurs collègues », a déclaré Karen Legg, secrétaire de la Section des soins infirmiers et infirmière praticienne récemment retraitée de la Nouvelle-Écosse. « Nous sommes autonomes et lisons tout ce que nous pouvons trouver. Nous trouvons les besoins du patient, puis apprenons comment répondre à ces besoins. Mais il ne nous reste plus qu’à le comprendre.

    Trois niveaux de formation

    La Section des soins infirmiers de l’ILAE élabore des programmes d’enseignement pour trois niveaux :

    • Infirmières qui découvrent l’épilepsie
    • Infirmières qui peuvent s’occuper régulièrement de personnes atteintes d’épilepsie, mais qui ne s’identifient pas comme « infirmières épileptiques »
    • Infirmières spécialisées dans les soins aux personnes atteintes d’épilepsie (infirmières spécialisées dans l’épilepsie, ou ESN)

    « Nous nous concentrons sur ce premier niveau en ce moment, et les données de l’évaluation des besoins nous aideront à aller plus loin », a déclaré Shafer.

    Bien que le fardeau de l’épilepsie soit plus lourd dans les pays à revenu faible ou intermédiaire, il y a moins de médecins pour y faire face. « Les infirmières constituent le segment le plus important du groupe de travail sur les soins de santé », a déclaré von Gaudecker, qui mène également des recherches sur la santé mondiale. « Donc, se concentrer sur les infirmières dans les pays à revenu faible et intermédiaire, les former à la façon de prendre soin des personnes atteintes d’épilepsie et d’identifier une personne atteinte d’épilepsie dans la communauté et de l’orienter vers des soins, ce serait très important. »

    La formation des infirmières en soins primaires pourrait les aider à identifier les signes et les symptômes de l’épilepsie chez leurs patients, ainsi qu’à mieux comprendre les options de traitement pour les personnes atteintes d’épilepsie pharmacorésistante, ce qui ferait des infirmières un rôle actif dans l’aiguillage des personnes vers des soins plus spécialisés.

    « Il y a tellement de personnes atteintes d’épilepsie, même dans les pays à ressources élevées, qui ne sont pas proches d’un centre tertiaire ou d’un centre d’épilepsie », a déclaré Legg. « Ils peuvent avoir des crises continues, mais ils souffrent simplement parce que la personne qui s’occupe d’eux dit:« Oui, vous avez l’épilepsie et vous allez avoir des crises de temps en temps.

    « Nous savons que cela ne doit pas être la vérité et qu’il y a plus d’options. Si nous pouvons atteindre les infirmières et les sensibiliser, nous pouvons changer la vie des gens. »

    Développer la section des soins infirmiers de l’ILAE

    Le nombre de membres de la Section des soins infirmiers a augmenté rapidement; il y avait 250 membres à la mi-août 2022, et près de 450 à la fin de septembre 2022. La réponse a été une agréable surprise, a déclaré Legg.

    « Les gens ne se contentent pas de se joindre aux questions des membres et d’y répondre, ils envoient des notes pour leur demander comment ils peuvent s’impliquer », a-t-elle déclaré. « Il y a vraiment une réponse tellement vive et vibrante; c’est grand, et ça grandit rapidement.

    « C’est tellement gratifiant et encourageant de voir cela », a déclaré von Gaudecker. « Les infirmières et infirmiers sont intéressés à faire partie de cette organisation mondiale, à apprendre à se connaître et à travailler ensemble. »

    En savoir plus sur la section des soins infirmiers de l’ILAE

    Rejoignez la section des soins infirmiers de l’ILAE

    Lire l’étude ESPENTE (2019)

    Avantages du rôle des RSE, des pratiques standardisées et de l’éducation dans le monde (2019 – Prevos-Morgant M et al, Revue Neurologique)

    Objectifs de la section des soins infirmiers

    • Évaluation des besoins pour comprendre ce que les infirmières qui s’occupent des personnes atteintes d’épilepsie veulent et ce dont elles ont besoin
    • Programmes d’études pour différents niveaux de soins infirmiers, comparables au programme d’épileptologie de l’ILAE – niveaux 1, 2 et 3, de base à hautement spécialisé
    • Intégrer la participation des infirmières à d’autres conseils, commissions et groupes de travail de l’ILAE qui traitent de questions importantes pour les infirmières (c.-à-d. la santé mondiale)

    ##

    Fondée en 1909, la Ligue internationale contre l’épilepsie (ILAE) est une organisation mondiale avec plus de 120 sections nationales.

    En promouvant la recherche, l’éducation et la formation pour améliorer le diagnostic, le traitement et la prévention de la maladie, ILAE œuvre pour un monde où la vie de personne n’est limitée par l’épilepsie.

    Site Web de l’ILAE (disponible en plusieurs langues) | Facebook | Instagram

    Twitter: Français Anglais Japonais Portugais Espagnol

    International League Against Epilepsy

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  • Attitudes towards corona vaccination among medical and nursing staff

    Attitudes towards corona vaccination among medical and nursing staff

    Newswise — COLOGNE. Due to their close contacts with patients, people working in the medical and nursing fields have a higher risk of infecting themselves and others with the COVID-19 coronavirus. Being vaccinated is therefore essential not only for their own protection but also for their patients. Carolin Muschalik and co-authors from the Federal Center for Health Education (BZgA) have now asked whether (and to what extent) the attitudes towards COVID-19 vaccination in this group differ from those in the general population, and whether identified differences could support recommendations for action (Dtsch Arztebl Int 2022;119.DOI: 10.3238/arztebl.m2022.0206).

    To address these questions, the authors carried out a Germany-wide survey in the framework of the CoSiD study between 9 July and 5 August, 2021, using computer-assisted web and telephone interviews. The attitudes towards COVID-19 vaccination were collected using the so-called 5C scale, which describes five psychological reasons for or against vaccination. Based on their vaccination status, the views of medical and nursing personnel (n = 506) were compared with those of persons in the general population who were younger than 66 years old and not employed in a medical or nursing field (n = 1505). Differences between the reference group of unvaccinated medical and nursing personnel and the three other groups were determined using linear regressions for complex samples and controlled for age, education, and gender.

    The research team found that 82 percent of medical and nursing personnel had been vaccinated at least once, and 75 percent had been vaccinated twice, at the time of the survey. The vaccination rate was similarly high in the general population (81 and 64 percent, respectively). In both groups, unvaccinated people had significantly more negative views about the COVID-19 vaccination than vaccinated people, but unvaccinated medical and nursing personnel were more critical than the unvaccinated general population: they had stronger concerns about the safety and effectiveness of the vaccine and less trust in decisions made by state authorities, and they were less likely to perceive being vaccinated as a collective responsibility. A similar percentage of unvaccinated persons in both groups thought that the COVID-19 vaccination was superfluous, and that COVID-19 did not pose a major threat.

    Based on these results, the authors see a need for specific measures to help convince unvaccinated medical and nursing personnel of the benefits of mandatory vaccination. In their opinion, the professional environment in these fields is particularly suitable for this.

    Deutsches Arzteblatt international

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  • Registration Opens for Premier Critical Care Nursing Conference

    Registration Opens for Premier Critical Care Nursing Conference

    Newswise — The American Association of Critical-Care Nurses (AACN) invites nurses and other healthcare professionals who care for acutely and critically ill patients and their families to its 2023 National Teaching Institute & Critical Care Exposition (NTI) in Philadelphia, May 22-24.

    The NTI experience will address nearly 50 clinical and professional development topics, allowing attendees to hone their clinical and professional practice skills while learning and networking with leading experts in critical care and colleagues from across the country. 

    NTI learning opportunities offer the following formats:

    • Educational Sessions: More than 200 sessions are offered during the conference and available after the conference through Oct. 31, 2023. Sessions are 60, 75 or 150 minutes.
    • SuperSessions: Large sessions for all participants feature motivational keynote speakers and AACN leaders, geared toward professional success, current and future trends, and/or national and global issues.
    • Pharmacology Content: Online classroom sessions include a minimum portion of pharmacotherapeutic content on drug-specific information, safe prescribing practices, safe medication administration and prescribing methodologies.
    • Posters: Self-viewing Beacon Journey for Excellence, Chapter Best Practices, CSI Academy Innovation, Evidence-Based Solutions and Research digital posters are offered during the conference and available after the conference through Oct. 31.
    • Sunrise/Sunset Sessions: Sessions are funded by unrestricted grants from corporate supporters. Sessions are 60 minutes long with approximately 75% clinical and 25% product-specific content.
    • ExpoEd Education: Product- and program-specific educational and in-service-style learning is provided by exhibitors. Sessions are 30 minutes.

    NTI includes the Critical Care Exposition, the largest and most comprehensive trade show expressly for progressive and critical care nurses. Hundreds of exhibits spread over 200,000 square feet will encompass cutting-edge healthcare equipment, devices, supplies and career opportunities.

    Following the in-person conference, AACN will offer NTI Virtual June 12-14, an online experience with the SuperSessions and educational sessions presented in Philadelphia, supplemented by live interaction with facilitators and attendees, and meaningful networking opportunities.

    For NTI 2023, participants can earn 37.75 CE contact hours, which are calculated on a 60-minute hour and determined by the number of learning activities a registered NTI participant completes. Learners must view/read the entire learning activity and complete the associated evaluation, as well as the program evaluation, to be awarded CE contact hours or CERP credit. No partial hours or credit will be awarded.

    More than 200 NTI sessions will be available on-demand with CE contact hours through Oct. 31.

    About the National Teaching Institute & Critical Care Exposition: Established in 1974, AACN’s National Teaching Institute & Critical Care Exposition (NTI) represents the world’s largest educational conference and trade show for nurses who care for acutely and critically ill patients and their families. Bedside nurses, nurse educators, nurse managers, clinical nurse specialists and nurse practitioners attend NTI.

    About the American Association of Critical-Care Nurses: For more than 50 years, the American Association of Critical-Care Nurses (AACN) has been dedicated to acute and critical care nursing excellence. The organization’s vision is to create a healthcare system driven by the needs of patients and their families in which acute and critical care nurses make their optimal contribution. AACN is the world’s largest specialty nursing organization, with about 130,000 members and over 200 chapters in the United States.

    American Association of Critical-Care Nurses (AACN)

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  • Natalie Bush Named Chair of the Johns Hopkins School of Nursing Advisory Board

    Natalie Bush Named Chair of the Johns Hopkins School of Nursing Advisory Board

    Newswise — The Johns Hopkins School of Nursing (JHSON) announces that Natalie Bush, MSN, RN, has been named Chair of the Nursing Advisory Board (NAB) following the retirement of Wally Pinkard, who previously held the position. For the last three years, Bush has served as the board’s vice chair offering a wealth of experience and knowledge in supporting the mission of JHSON.

    “Natalie is an accomplished leader, collaborator, and advisor, and we are grateful for her continued support of our school and the NAB,” says JHSON Dean Sarah Szanton, PhD, RN, FAAN.

    Bush earned both her Bachelor of Science and Master of Science in Nursing at West Virginia University School of Nursing. Upon graduation, she moved to Australia, where she established the first women’s counseling program in her region of the Northern Territory. The program provided free services to clients, with a focus on female health issues. Bush also worked for the Manhattan Beach, California, School District earlier in her career.

    In addition to her role at JHSON, Bush is involved in several nursing advisory boards including the Inova Fairfax Hospital Foundation Board and Nursing Council and the West Virginia University Foundation Board and WVU School of Nursing Advisory Board. She also serves as a Trustee at The Potomac School in McLean, Virginia, where she chairs the Health & Wellness Committee.

    “I am excited to step into the role of Chair and continue the important work of the Hopkins Nursing Advisory Board,” says Bush. “The NAB helps to extend the reach and impact of the Johns Hopkins School of Nursing through its network of volunteers who offer their counsel and advocacy. The NAB is committed to supporting Hopkins Nursing on its path toward progress and excellence. Together, we will continue to help make a difference in lives around the world.”

    ***

    Located in Baltimore, the Johns Hopkins School of Nursing is a globally-recognized leader in nursing education, research, and practice. In U.S. News & World Report rankings, the school is No. 1 nationally for its master’s and DNP programs. In addition, JHSON is ranked as the No. 3 nursing school in the world by QS World University and No. 1 for total NIH funding among schools of nursing for fiscal year 2020. The school is a five-time recipient of the INSIGHT Into Diversity Health Professions Higher Education Excellence in Diversity (HEED) Award and a four-time Best School for Men in Nursing award recipient. For more information, visit www.nursing.jhu.edu.

    Johns Hopkins School of Nursing

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  • Study casts doubt on routine use of anesthesiologists in cataract surgery

    Study casts doubt on routine use of anesthesiologists in cataract surgery

    Newswise — Ophthalmologists may be able to safely cut back on having anesthesiologists or nurse anesthetists routinely at bedside during cataract surgery, which accounts for more than two million surgeries per year in the U.S., according to a study publishing Oct. 3 in JAMA Internal Medicine. 

    A team of researchers from UC San Francisco examined Medicare claims for 36,652 patients who had cataract surgery in 2017 and found the use of anesthesia care was substantially higher for cataract surgery when compared to patients undergoing other elective, low-risk outpatient procedures—such as cardiac catheterization or screening colonoscopy. However, they found that these patients experienced fewer systemic complications—such as myocardial infarction or stroke—than did patients undergoing the other low-risk procedures.  These results held true even in cases where anesthesia experts were not present for the cataract surgery, suggesting that for many cataract patients, it may be reasonable to consider doing the procedure without routine anesthesia support.

    “It’s important to note we only looked at systemic complications and not ophthalmologic outcomes from the procedure,” noted senior study author Catherine Chen, MD, MPH, UCSF associate professor in  Anesthesia and Perioperative Care and researcher at the Philip R. Lee Institute for Health Policy Studies. “We are evaluating those next, but it would be premature to say we should change practice now based on this study. Hopefully we can get a conversation going, though.” 

    Some type of anesthetic and possibly sedation is needed for cataract surgery, Chen noted, but the question is who should be present for administration and intraoperative monitoring of these patients. In the past, cataract surgery carried a much higher risk of complications, which helps explain the historic and legacy use of anesthesiologists and/or certified registered nurse anesthetists (CRNA). 

     “The risk of the procedure itself used to require general anesthesia with paralysis and inpatient admission. Over time, ophthalmologists improved their technique so it [cataract surgery] is much safer and can be done on an outpatient basis,” said Chen. “Often the patient just needs a topical anesthetic such as numbing drops in the eyeball, and, at UCSF anyway, a little fentanyl and midazolam, which are agents a sedation nurse can administer safely.”

    A Question of Resources

    The study found that, for cataract surgery, 90% of U.S. Medicare patients have an anesthesia provider at the bedside compared to a range of <1% to 70% at bedside for other low-risk elective procedures. In contrast, fewer cataract surgery patients experienced systemic complications within seven days (7.7%) than patients undergoing other low-risk procedures (range, 13% to 52%).  

    Approximately 6% of ophthalmologists never used anesthesia providers, 77% always used anesthesia providers, and 17% used them for only a subset of patients. Patients of those ophthalmologists who never used anesthesia providers had a 7.4% rate of systemic complications. 

    There is no specific guidance from professional associations on whether to include an anesthesia expert during cataract surgery, but other countries do not routinely use them, to no ill effect, Chen noted. 

    With U.S. anesthesiologists being asked to staff an increasing number of non-OR procedures, such as endoscopic or interventional radiology procedures where patients tend to be much sicker and the procedure potentially more invasive, there often aren’t enough of these specialists go around, Chen said. 

    “Add to this a general shortage of anesthesiologists since COVID, and it’s clear we need to ensure staff resources are used efficiently,” said Chen.

    In an upcoming study, Chen and her colleagues will look at both systemic and ophthalmologic outcomes stratified by whether patients received care from an anesthesia provider during cataract surgery. While the current study used a sample of 5% of Medicare claims, the upcoming study will use 20% of claims. 

    “It’s certainly possible that by having an anesthesiologist there, the patients are calmer and possibly less likely to move, and so the ophthalmologic outcomes could be better—so we are working on those studies now,” Chen said. “Where I think where we could end up, when the results are in, is that instead of automatically defaulting to include an anesthesiologist, we stratify patients by risk so that their level of sedation and anesthesia support matches their likelihood of complications.”

    Co-authors and funding: Please see paper for additional co-authors and funding disclosures.

    University of California, San Francisco (UCSF)

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  • Dr. Nice’s Natural Products Announces Official Relaunch of Skincare and Wellness Company

    Dr. Nice’s Natural Products Announces Official Relaunch of Skincare and Wellness Company

    Dr. Nice’s Natural Products only all-natural, lanolin free, vegan, instant soothing gel.

    Press Release
    –


    updated: May 11, 2021


    SAN DIEGO, May 11, 2021 (Newswire.com)
    –
    Dr. Nice’s Natural Products LLC announced today the official relaunch of its skincare and wellness company.  Originally founded by pharmacist Frank J. Nice, RPh, DPA, CPHP, he is the creator of the only all-natural, lanolin-free, vegan, water-based nipple care product that gives breastfeeding moms instant soothing, cooling relief on contact.

    Dr. Nice’s Moisturizing Gel, the signature product, is made in the USA and now available for retail and wholesale purchase. Hospitals, Lactation Consultants, and Breastfeeding Moms trust the vegan formula, thanks to Dr. Frank J. Nice’s ten-year commitment to developing a safe, effective, all-natural treatment for painful, sore nipples.

    “After refining both the product and packaging, we are pleased to reintroduce this fantastic, truly one-of-a-kind formula,” stated Dr. Frank J. Nice. “Dr. Nice’s Natural Products looks forward to not only providing our signature moisturizing gel, but to expand our all-natural line of skincare and wellness products.” 

    Dr. Nice’s Natural Products encourages lactation consultants, breastfeeding moms, and others to follow the company on social media to keep up to date on new products.  Additionally, Dr. Frank J. Nice provides resourceful advice and information surrounding breastfeeding, lactation and pharmacology and welcomes questions on his blog “Nice Advice.”

    For more information visit DrNiceProducts.com

    For press/media inquiries, please email Marketing@drniceproducts.com

    Connect with Dr. Nice’s Natural Products on Facebook or Instagram. 

    Source: Dr. Nice’s Natural Products

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  • Leaders From Top Nursing Schools Predict More Online Learning, Simulations in 2021

    Leaders From Top Nursing Schools Predict More Online Learning, Simulations in 2021

    Press Release
    –


    updated: Oct 12, 2020


    CARLSBAD, Calif., October 12, 2020 (Newswire.com)
    –
    ​RegisteredNursing.org discussed the future of nursing education with department chairs, leaders, and faculty from top nursing schools and they tend to agree – students can expect more online learning and high-tech virtual simulations from nursing school in 2021.

    Nursing education leaders from renowned schools such as Johns Hopkins University, Baylor University, and University of San Francisco, as well as from regional schools such as Lakeland Community College and Augusta Technical College, all weighed in when asked, “In light of the changes that nursing students have seen in 2020, what will nursing school look like in 2021?”

    With the COVID-19 pandemic disrupting nursing schools, nursing students have had to adjust quickly. Online coursework and canceled in-person clinical rotations have become the norm for 2020. With the ongoing nursing shortage and the critical need for nurses, information on how schools will adapt to effectively educate nurses in 2021 is a topic on many students’ minds.

    “Nursing students should be prepared for a technology-heavy learning experience. There are a number of amazing virtual interactive patient simulation products available to nursing education institutions now, and educators have been working hard to integrate those tools into nursing curricula,” says Sarah M. Billings-Berg, DC, DNP, RN, CNE – Associate Dean of Nursing and Central Region Site Director at Vermont Tech and one of the experts featured in the piece.

    To read the article in full, visit https://www.registerednursing.org/25-nursing-school-leaders-students-expect-2021

    ​About RegisteredNursing.org:
    RegisteredNursing.org is a website dedicated to helping those interested in nursing from the research phase to enrollment to landing that first RN job and beyond.

    ​Media Contact:
    ​Sally Worthington
    Head of Outreach
    ​Email: sally.worthington@registerednursing.org 

    Source: RegisteredNursing.org

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  • JobMedic Announces 24 Healthcare Career Fair Dates in 2017

    JobMedic Announces 24 Healthcare Career Fair Dates in 2017

    Press Release
    –


    updated: Nov 18, 2016


    HOUSTON, TX, November 18, 2016 (Newswire.com)
    –
    After a successful year developing specialized healthcare career fairs across Texas, JobMedic announces 24 new event dates for the 2017 calendar year.

    Event locations include Albuquerque, Austin, Corpus Christi, Dallas, El Paso, Fort Worth, Houston, Oklahoma City, Phoenix, San Antonio, Sugar Land, San Antonio, and Willowbrook (North Houston).

    I have been able to fill some tough-to-fill positions and have hired, on average, about 10 candidates
    from each fair.

    Andria B., Senior Recruiter, HealthTrust Workforce Solutions

    JobMedic events start with a free Continuing Education (CE) class that provides state-required jurisprudence and medical ethics contact hours to nurses and social workers. A live hiring event follows that is open to all healthcare professionals. 

    Job seekers and passive candidates are presented with hundreds of opportunities at each event. Recent exhibitors include Tenet Health, DaVita, Houston Methodist, Kindred Healthcare, Fresenius Kidney Care​, HealthSouth, and The University of Texas Medical Branch.

    Attendees often receive job offers or interviews during the career fairs. “I have been able to fill some tough-to-fill positions and have hired, on average, about 10 candidates from each fair,” says Andria B., Senior Recruiter for HealthTrust Workforce Solutions (Formerly Parallon).

    Companies interested in exhibiting or becoming a sponsor should download the 2017 Exhibitor Packet or call (800) 707-7595 to learn more.

    Media Contact: 
    Matt Bertram 
    Phone: (800) 707-7595 ext. 701
    Email: events@jobmedic.com

    Source: JobMedic

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