American Nurse Today

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

Articles from Vol. 13, No. 4, April

Advice for Millennial Nurses
* How do you become a great leader in a multigenerational workplace? GENERATIONAL differences have been a popular topic for years, generating many articles and books. The first generational definition dates back to the 1950s when Mannheim published...
All in the Family: Special Care Nursery Team, Sentara Norfolk General Hospital, Norfolk, VA
Dorothy Garrison, BSN, RN, nurse clinician at Sentara Norfolk General Hospital, says that the "special care nursery staff see each other as family." And, based on the team's submission for the American Nurse Today All-Pro Nursing Team award, they see...
Celebrate National Nurses Week 2018
The American Nurses Association (ANA) National Nurses Week theme for 2018 "Nurses: Inspire, Innovate, Influence" recognizes that RNs provide the highest level of quality care to patients and deserve special recognition for their efforts to inspire,...
Celebrating the 2017 Nurse of the Year
At what age did you first realize you wanted to be a nurse? The American Nurses Foundation's Honor a Nurse 2017 Nurse of the Year, Linda J. Hassler, DNP, RN, GCNS-BC, FNGNA, said she was only 16 years old. Hassler was honored by Joanne Alderman,...
Create a Healing Environment for Patients with Pseudobulbar Affect
* Teach patients how to manage PBA for optimal quality of life. I just don't understand why Mom is crying. When I walked in the room, she was happy and calm. Then, when I asked her about her day, her smile turned into a frown and she started crying...
Don't Wear High Heels to an Evacuation: Lines between Essential and Nonessential Personnel Blur during a Crisis
An unsettled air of anticipation hung heavy over South Carolina Lowcountry in October 2016 as another late-season hurricane threatened. Televisions everywhere blared with constant and changing weather updates. Working at an acute-care hospital on the...
Families and Post-Intensive Care Syndrome: Preventing, Assessing, and Treating Trauma Suffered by Families of a Hospitalized Loved One
JENNIFER* leaned wearily against the bathroom wall and murmured, "What happened to my life, my world? How could this be? It's like a bad dream." Her distressed reflection in the mirror offered no word of explanation for how her daughter's 3-week hospitalization...
From Expert RN to Novice Clinical Instructor: Tips for Success
* Organize, communicate, and document for a successful clinical nursing instructor experience. CONGRATULATIONS! You've completed your master of science in nursing (MSN) and you're about to accept your first position as an adjunct clinical nursing...
Getting Financially Fit
* When you're in control of your finances, you reduce stress and worry. This is the fourth installment in a series of articles on wellness. You can read the first three articles at americannursetoday.com/category/wellness101/. NURSING may have...
Hypoglycemia and Chronic Kidney Disease: Insulin Administration Requires Close Monitoring
Assessment hints At bedtime, Mr. Johnson's point-of-care blood glucose (POC BG) level is 206 mg/dL, and he receives 15 units of insulin detemir subcutaneously. When his POC BG is checked the next morning at 5:45 AM, it's 145 mg/dL. At 9:30 AM, his...
Identifying Predatory Publication and Conference Invitations
To: Ethics Advisory Board From: Concerned nurse Subject: Not credible--or unethical? I am bewildered by the number of invitations my colleagues and I receive to publish and present our work in journals and at conferences all over the world....
Inspire, Innovate, and Influence
* Let's work together to tackle public health issues WITH NATIONAL NURSES WEEK coming soon, we'll be publicly recognized for our many positive contributions to healthcare at the bedside and beyond. While celebrating and looking back on all that...
Interacting with Individuals on the Autism Spectrum: Successful Care Depends on Communication with Patients, Families, and Caregivers
EDITOR'S NOTE: April is National Autism Awareness Month. Learn more at autism-society.org/get-involved/national-autism-awareness-month. HAVE YOU EVER FELT unprepared to navigate nursing encounters with patients with autism spectrum disorder (ASD)?...
Knowing When and How to Leave Your Job: When You Know It's Time to Leave, Keep It Professional
Jennifer, an RN, has been with the same organization for over 10 years. She's a model employee in the medical critical care unit who knows the ins and outs of the organization and could do her job blindfolded. Recently, Jennifer has been feeling apathetic...
Medication Storage and Disposal Safety
* Preventing the dangers of accidental or intentional prescription drug misuse. ONE of the take-home lessons of the current opioid epidemic is the imperative to ensure proper medication storage and disposal. According to the Centers for Disease...
Newly Introduced Nurse Staffing Legislation Benefits Patients, Nurses, and Hospitals
The American Nurses Association (ANA) applauds the introduction of The Safe Staffing for Nurse and Patient Safety Act of 2018 (S. 2446, H.R. 5052) in the U.S. Senate and House of Representatives in February. The legislation requires Medicare-participating...
Nurse Leader Talks about Respectful, Healthy Work Environments
* Find an opportunity to address workplace civility. RIC CUMING, EdD, RN, NEA-BC, FAAN, is senior vice president and chief nurse executive at the twice Magnet[R]-recognized Christiana Care Health System in Wilmington, Delaware, and a Delaware Nurses...
Our Heritage, Our Future: Why We Celebrate Nursing
* The global community stands together to honor nursing's important role. EVERY YEAR, someone asks, "Why single out nurses for a weeklong celebration? Every profession should be celebrated." Usually a debate ensues with opinions and past experiences...
Patients Need More Sleep: Organizational Changes Are Needed to Help Hospitalized Patients Get the Sleep They Need
"Sleep, gentle sleep that...knits up the raveled sleave of care."--Shakespeare, Macbeth, Act II, Scene II AS MOST NURSES KNOW, sleep disturbance is a leading cause of hospital complications, including falls and delirium. Studies of humans and other...
Preventing Surgical Site Infection: Stopping Infection Requires Effective Discharge Teaching
MOST PATIENTS comply with preoperative instructions, and the surgery usually is performed as planned without incident. However, the same effectiveness can't be said for the discharge process. Many ambulatory surgical patients are discharged within...
Quick Action Grants a Family's Final Wish: Coordinators of Patient Placement and Staffing, Boston Children's Hospital
The 10 members of the coordinators of patient placement and staffing at Boston Children's Hospital pride themselves on their patient and family focus and their willingness to go above and beyond to do what's right. And, according to Suzanne Reidy,...
Ready, Set, Get Hired: Use the Nursing Process to Find the Job That's Right for You
You've graduated. You've passed the NCLEX-RN examination. You're an RN! Now, how do you begin your professional career? What qualities are you looking for in an employer? Have you researched your potential employers? What benefits--personal, professional,...
Rescuing Nursing Theory: Adopt a Nurse Theorist Today
I recently spent one summer working as a clinical instructor in a course that required 12-hour experiences on a very busy inpatient floor. As any clinical instructor, student, or floor nurse knows, clinical days can be long, confusing, and often chaotic....
Splash Safety-Protecting Your Eyes
* Learn how to reduce the risk and what to do if an injury occurs. EDITOR'S NOTE: In this second of a two-part series on protecting your eyes from splashed body fluids that may contain pathogens, we share insights from two experts: Amber Hogan Mitchell,...
The American Nurses Memorial of Bordeaux: For Nurses Who Die in Service
Nursing is a risky endeavor. Nurses practice in the midst of natural and humanitarian disasters, including warfare; they may have to stare down death not just for patients, but also for themselves. Nurses can and do die in service settings; in all...
The Meaning of Happiness: Strategies for Pursuing and Obtaining Happiness
Benjamin Franklin wrote this about the unalienable right to happiness delineated in the U.S. Constitution: "The Constitution only gives [you] the right to pursue happiness. You have to catch it yourself." Do nurses really have to chase or discover...
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