American Nurse Today

American Nurse Today is the official publication of the American Nurses Association.

Articles from Vol. 11, No. 5, May

Antibiotic Stewardship for Staff Nurses: Five Key Ways You Can Influence Antibiotic Use
OVER THE PAST DECADE, antibiotic resistance has increased and spread dramatically throughout the world. According to the Centers for Disease Control and Prevention (CDC), antibiotic use is the single most important factor leading to antibiotic resistance....
Antimicrobial Stewardship and You
THE WORLD HEALTH ORGANIZATION estimates that by 2050, antimicrobial resistance (AMR) will cause as many as 10 million deaths globally. Not only does AMR lead to increased mortality; it also lengthens hospital stays and drives up healthcare costs. AMR...
At CHI, Nurse Board Leadership Is Embedded in the Culture
CATHOLIC HEALTH INITIATIVES (CHI), a nonprofit, faith-based health system, has a longstanding commitment to nurse leadership in the boardroom. Based in Englewood, Colorado, CHI is one of the nation's largest healthcare systems, with 105 hospitals plus...
Attaining a Culturally Congruent Practice
PATIENT-CENTERED, holistic care is something that nurses are taught about early and are expected to strive for every day. Yet we can't truly practice safe, patient-centered care if it's not also culturally congruent care. This broad term incorporates...
Caring for Patients with Spinal Cord Injuries: Learn How to Help Stabilize Patients and Prevent Complications of These Devastating Injuries
SPINAL CORD INJURIES (SCIS) are a significant cause of disability, with profound--and in many cases devastating--consequences. According to recent data, about 12,000 SCIs occur annually in the United States, and up to 250,000 Americans are living with...
Consider a Career as a Healthcare Simulation Educator: Simulation Education Roles Offer Exciting Career Opportunities
Simulations give healthcare professionals and students the opportunity to practice complex skills in realistic settings. According to David Gaba, MD, director of the Center for Immersive and Simulation-Based Learning at Stanford University School of...
Fat Embolism Threatens a Patient's Life: Quick Action by a Nurse Helps an Ortho Patient to a Better Outcome
JORGE VALENCIA, age 27, is admitted to the medical-surgical unit after surgical reduction and fixation of a displaced, compound right femoral fracture--an injury he sustained in a car accident the day before. His nurse, Sara, obtains his vital signs...
How to Recognize Delirium in Pediatric Patients; Pediatric Delirium Can Go Unrecognized Unless Clinicians Use a Bedside Assessment Tool to Identify It
A SYNDROME of acute brain dysfunction, delirium causes observable changes in behavior. A hallmark of delirium is a disturbance of consciousness and cognition, with inattention that develops acutely and fluctuates over time. (See Understanding diagnostic...
Improving Your Coaching Skills: Employees Value Managers Who Develop a Coaching Style of Managing
SUSAN is a seasoned nurse on a telemetry unit. One day, she arrives 20 minutes late, without explanation, to a mock code that the unit clinical educator is holding. The educator asks her to leave because she can't participate in the code in progress....
Is Utilization Review the Career for You? A Utilization Review Nurse Helps Ensure Authorization of Services, Which Minimizes Costs and Maximizes Reimbursement
RISING MEDICAL COSTS and healthcare reform have increased the need for careful review and management of medical resources. The unique and vital role of the utilization review (UR) nurse serves this need. Like many nurses, you may be unfamiliar with...
Making a Difference for Patients through Culturally Congruent Care
REGARDLESS of the healthcare setting, a registered nurse (RN) in 2016 is likely to encounter patients with culturally diverse beliefs and practices about health, wellness, and illness. Respecting and integrating those beliefs into competent, evidence-based...
Patient-Handling Injuries: Risk Factors and Risk-Reduction Strategies: Learn about a Multifaceted Approach to Safe Patient Handling and Mobility Programs
For more than 40 years, nurses have had the highest jobrelated injury rates of all healthcare personnel. In a 2011 survey conducted by the American Nurses Association: * 62% of nurses expressed concerns about experiencing a disabling musculoskeletal...
Reduce Patient Handling Injuries Now!
It's time for nurses and administrators to do their part to reduce patient handling injuries (PHIs) in nurses--and patients--resulting from mobility missteps. Know the facts In a survey of nurses conducted by the American Nurses Association (ANA):...
Safeguarding Patients: The Courageous Communication Solution: How to Confront Colleagues about Your Safety Concerns
PREVENTABLE MEDICAL ERRORS account for 440,000 deaths each year and are the third leading cause of death in the United States. According to The Joint Commission, communication failure is the third most commonly identified root cause of all sentinel...
Safe Patient Handling and Mobility Panel: Members, Process, and Objectives
On June 18-19, 2015, a panel of leading experts in safe patient handling and mobility met to better define the problem, clarify risk factors, and identify strategies for reducing risk for patient-handling injuries and improving patient safety. Panel...
Safe Patient Handling and Mobility: The Journey Continues
Hazards associated with manual patient handling continue to compromise the health and safety of nurses. Among nurses who responded to the American Nurses Association's (ANA's) Health Risk Appraisal: * 42% believe they are at risk at work from lifting...
Shared Calling: Then and Now
MAY IS A WONDERFUL MONTH, with so many celebrations to enjoy and share, including Mother's Day, National Nurses Week, Florence Nightingale's birthday, Armed Forces Day, and Memorial Day. The calling History tells us that the nursing profession...
The Doorway Assessment: Reducing Anxiety and Promoting Critical Thinking in Nursing Students: Observing the Patient from the Doorway on the First Clinical Day Helps Ease Students' Fears
As a clinical instructor, I'm aware of my enormous responsibilities--to imbue nursing students with knowledge, teach them nursing skills, help them hone their critical thinking ability, and acculturate them to the profession by conveying what it means...
The Shape of Things to Come
IT'S A GRIM PREDICTION, but healthcare organizations are headed for stormy days. The Affordable Care Act (ACA) was supposed to solve the problem of poor access to healthcare for most Americans. Signed into law in 2010, it was fully implemented in 2015....
To Q or Not to Q: Engaging Students in Quality and Safety in Nursing Education: QStudent Lets Students Make a Difference in Healthcare Quality
Every nursing student should strive to make a positive difference in health care. Through will, ideas, and execution, QStudent was created as a new component to the Quality and Safety Education for Nurses (QSEN) Institute. (See What is QSEN?) QStudent...
Writing and Reviewing NCLEX Test Questions: Find out How You Can Participate in Creating or Reviewing Questions
All nurses can recall their experience taking the nursing licensure examination, whether they did it the old-fashioned way (paper and pencil) or used today's computer-adaptive testing method. This important rite of passage helps ensure competent individuals...
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