Thu.Mar 28, 2024

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A Pediatric ICU Nurse Finds Relief in Not Compartmentalizing Hard Emotions Like Grief

Amercan Journal of Nursing

Editor’s note: Hui-wen Sato is a pediatric ICU nurse in California and a regular writer for this blog who has gone deeply into the topic of grief, her own and that of patients and their families. Her insights reverse our usual ways of understanding grief, finding a generative energy instead of a wasteland. Here is a key passage from a TED-style talk (see video below) she gave at the last End Well Project conference in November 2023.

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In pursuit of excellence: the career vacation

The Nurse Break

More from In Pursuit of Excellence here Express interest in writing for us here When I initially started to write this piece, I was on a career vacation. I was on long service leave for the first time in my life. When I first wrote those words, I was stunned I had been around long enough for that, and as I look in the mirror today, I have had to face facts, I am a little greyer (okay a lot), a little wrinklier (just a little) but hopefully a little bit smarter than I was all those years ago

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Nurses are Fed Up

Empowered Nurses

Recently, eight nurses who were terminated from Saint Vincent Hospital in Worcester, Massachusetts filed a lawsuit for wrongful termination claiming the hospital retaliated against them for reporting unsafe conditions. According to an article in MedPages Today , there have been over 600 official reports filed by nurses over the last six months regarding staffing shortages in this hospital.

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Mastering the Art of Creating a Sustainable Routine Beyond Nursing

Daily Nurse

Creating a routine looks different for everyone and isn’t always what people see on social media. It certainly doesn’t have to look perfect, and most people make mistakes before finding what helps them manage their everyday lives. You might want to eat healthier, take a walk after work , or remember to do a particular chore. Whatever it is, maintaining a dependable routine can be tricky with a busy work schedule, but not impossible.

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Fertility Benefits for Every Age: A HR Roadmap from Gen Z to Baby Boomers

Speaker: Lauri Armstrong, SHRM-SCP - Sr. Director, People Operations at Carrot Fertility

Today’s workforce includes multiple generations of employees all looking for something different from their benefits package. While meeting these disparate needs can be challenging, a comprehensive fertility benefit can support everyone from junior staffers learning about their fertility health to senior leadership managing menopause and low testosterone symptoms.

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NMC signs off record investment in fitness to practise

Nursing Times

The NMC has signed off plans to invest £30m in fitness to practise amid an ever-increasing backlog and public scrutiny. Read more.

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Contribution of cultural behavioural patterns and family-informed interventions in cancer-related fatigue

Evidence-Based Nursing

Commentary on: Li H, Ng MSN, Jin X, et al. ‘Life became slow down’: a descriptive qualitative study of the experiences of cancer-related fatigue amongst people with advanced lung cancer. Palliat Med 2023; Sep;37 (8):1168–1182. doi: 10.1177/02692163231184926. Epub 2023 Jul 3. Implications for practice and research Multidimensional measurement of cancer-related fatigue in clinical practice may contribute to coping strategies based on the assumption that it affects physical, emoti

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Health care teams ‘act locally’ to support sustainability

Penn Medicine News

Teams across Penn Medicine are working hard to “think globally, act locally” when making environmentally friendly changes in their day-to-day operations.

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Who gets to die at home? Race and disease-related cause of death impacts young adults place of death

Evidence-Based Nursing

Commentary on : Gustafson CM, Higgins M, Wood KA, Song MK. Place of death for young adults with chronic illness. Nurs Res. 2023 Jul 11. doi: 10.1097/NNR.0000000000000681. Epub ahead of print. Implications for practice and research Clinicians must communicate with young adults (YAs) throughout their disease course about end-of-life care preferences, including place-of-death.

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Maine Senate passes bill that mandates nurse-to-patient ratios

Health Leaders | Nursing

A bill just passed in the Maine State Senate would mandate nurse-to-patient ratios.

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Why Menopause Should Matter to Today’s Employers

Speaker: Julie B. Chavez - VP, Strategy & Alliances at Carrot

An estimated 1.1 billion women worldwide will have experienced menopause by 2025. Symptoms like hot flashes, fatigue, and anxiety can be incredibly disruptive — and last for years. But despite its massive impact, little is being done to support those going through menopause in the workplace. In a recent survey, 70% of respondents said they have considered changing their employment to better manage symptoms — perhaps because only 8% received significant support from their employer related to meno

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Digital assets should be included in advance care planning discussions for patients receiving palliative care

Evidence-Based Nursing

Commentary on: Stanley S, Higginbotham K, Finucane A, Nwosu AC. A grounded theory study exploring palliative care healthcare professionals’ experiences of managing digital legacy as part of advance care planning for people receiving palliative care. Palliat Med. 2023 Oct;37(9):1424–1433. doi: 10.1177/02692163231194198. Epub 2023 Aug 23. Implications for practice and research Digital legacy could be incorporated into advance care planning policies in practice, with explicit inclusion

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5 Strategies to Shield Your Practice Against Violence and Threats

Nurse Practitioners in Business

No matter how different our political views are, we can’t dispute the increase in violence across the country in the past few years. Every day, we hear about gun violence, hate crimes, gang fights, violence in schools, and crimes in everyday life. While we may not be the victims today, violence affects us all, reaching even the smallest corners of the country.

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Can falls as a behavioural marker indicate development of dementia down-line?

Evidence-Based Nursing

Commentary on : Zhang L, Wang J, Dove A, Yang W, Qi X, Xu W. Injurious falls before, during and after dementia diagnosis: a population-based study. Age Ageing. 2022 Dec 5;51(12):afac299. doi: 10.1093/ageing/afac299. Implications for practice and research People with dementia show a higher incidence of falls four years before diagnosis. There is a growing evidence of life-style risk factors for developing dementia in later life.

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Gender differences found in fall-related factors among community-dwelling Korean older adults

Evidence-Based Nursing

Commentary on : Suh M, Kim DH, Cho I, Ham OK. Age and gender differences in fall-related factors affecting community-dwelling older adults. J Nurs Res. 2023 Apr 1;31(2):e270. doi: 10.1097/jnr.0000000000000545. Implications for practice and research Future research could explore and test the efficacy of gender-specific fall prevention protocols. In practice, understanding that there are gender-based risk factors for falls would assist and prompt nurses and health professionals to perform assessme

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Maximizing Your Benefits Strategy: Reframing the Way We View Fertility

Speaker: Lizzie Wright - Director of Customer Success at Carrot Fertility

Employee expectations around benefits and workplace support have evolved in step with the growing need for fertility and family-forming care. As HR professionals, it is our job to ensure employees have a comprehensive understanding of the benefits our organizations offer and how they can utilize them. Before educating employees, we first need to understand the rising healthcare costs and the financial burden of fertility care.

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Supportive environment is key to self-determination for people with severe or profound intellectual disabilities

Evidence-Based Nursing

Commentary on: Kuld PB, Frielink N, Zijlmans M, et al. Promoting self-determination of persons with severe or profound intellectual disabilities: a systematic review and meta-analysis. J Intellect Disabil Res. 2023 Jul;67(7):589–629. doi: 10.1111/jir.13036. Epub 2023 May 11. Implications for practice and research Nurses can promote self-determination of people with severe and profound intellectual disabilities through relationship building and learning to read a person’s communicatio

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Cultural competence in nursing education: examining the nexus of cultural sensitivity and effectiveness among nursing students

Evidence-Based Nursing

Commentary on: Kardas U, Yilmaz Sahin S. Investigation of the relationship between cultural sensitivity and effectiveness levels among nursing students. Nurse Educ Pract. 2023 Oct;72:103773. doi: 10.1016/j.nepr.2023.103773. Epub 2023 Aug 29. Implications for practice and research Nurse educators and policymakers can draw valuable insights from these findings to shape evidence-based strategies for enhancing cultural competence in nursing education, ultimately contributing to the provision of cult

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Improving nutritional care for older adults: the role of massive open online courses and implementation science in enhancing health professional knowledge and attitudes

Evidence-Based Nursing

Commentary on : Eglseer D. Development and evaluation of a Massive Open Online Course (MOOC) for healthcare professionals on malnutrition in older adults. Nurse Educ Today. 2023 Apr;123:105741. doi: 10.1016/j.nedt.2023.105741. Epub 2023 Feb 4. Commentary Implications for practice and research Massive open online course (MOOCs) can improve health professionals (HPs)’ knowledge and nutritional care skills for malnutrition in older adults efficiently.

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Death education: the importance of terror management theory and of the active methods

Evidence-Based Nursing

Commentary on: Wu Q, Zhu P, Ji Q, et al. The effect of death education course utilizing constructivist learning theory on first grade undergraduate nursing student attitudes and coping abilities towards death: A mixed study design. Nurse Educ Today. 2023 Jul;126:105809. doi: 10.1016/j.nedt.2023.105809. Epub 2023 Apr 6. Implications for practice and research Death education courses (DECs) prepare healthcare students to manage future relationships with end-of-life (EOL) patients and their relative

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Leveling the Playing Field: How HR Can Equitably Improve Health Outcomes Through Fertility Benefits

Speaker: Julie B. Chavez - VP, Strategy & Alliances at Carrot

As HR and total rewards professionals, we are often seeking opportunities to foster a better sense of community and belonging amongst employees - ensuring that all employees have an equitable opportunity to receive fertility treatments is one of the many ways this can be achieved. Fertility benefits make it possible for employees to access treatments like IVF.

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Strategies for supporting mental health nurses applications of trauma-informed care

Evidence-Based Nursing

Commentary on: Wilson A, Hurley J, Hutchinson M, Lakeman R. Trauma-informed care in acute mental health units through the lifeworld of mental health nurses: A phenomenological study. Int J Ment Health Nurs. 2023 Jun;32(3):829–838. doi: 10.1111/inm.13120. Epub 2023 Jan 27. Implications for practice and research Clients’ medical data and trauma histories should be supplemented with information on their strengths to promote a holistic and integrated understanding of their lived experien

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Factors that enable or hinder the rebuilding of the therapeutic relationship following an episode of physical restraint in acute forensic services

Evidence-Based Nursing

Commentary on: Moyles J, Hunter A, Grealish A. Forensic mental health nurses’ experiences of rebuilding the therapeutic relationship after an episode of physical restraint in forensic services in Ireland: A qualitative study. Int J Ment Health Nurs. 2023 May 26. doi: 10.1111/inm.13176. Epub ahead of print. Implications for practice and research Ensuring routine postrestraint-focused clinical supervision, experiential training for forensic mental health nurses involved in rebuilding therape

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Literature suggests gaps in evidence-based PRN medication practices in acute mental healthcare

Evidence-Based Nursing

Commentary on: Wong S, Müller A. Nurses' use of pro re nata medication in adult acute mental healthcare settings: An integrative review. Int J Ment Health Nurs. 2023 Apr 6. doi: 10.1111/inm.13148. Epub ahead of print. Implications for practice and research This literature review provides synthesised evidence to evaluate and improve the clinical practice of pro re nata (PRN) medication in mental healthcare organisations.

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Trust and confidence of clinical staff and patients is crucial for the successful introduction of artificial intelligence (AI) in mental healthcare

Evidence-Based Nursing

Commentary on: Higgins O, Short BL, Chalup SK, et al. Artificial intelligence (AI) and machine learning (ML) based decision support systems in mental health: an integrative review. Int J Ment Health Nurs 2023 [Epub ahead of print 6 Feb 2023]. doi: 10.1111/inm.13114. Implications for practice and research The introduction of artificial intelligence (AI)-based decision support systems (DSS) in mental healthcare is at a very early stage.

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Trajectory patterns of self-care behaviour over 1 year provide nurses insights to tailor individualised care for patients with heart failure

Evidence-Based Nursing

Commentary on: Son YJ, Jang I. One-year trajectories of self-care behaviours and unplanned hospital readmissions among patients with heart failure: A prospective longitudinal study. J Clin Nurs. 2023 Sep;32(17-18):6427-6440. doi: 10.1111/jocn.16658. Epub 2023 Feb 23. Implications for practice and research Timely identifying self­care behaviour patterns over time may reduce the risk of hospital readmissions in patients with heart failure (HF).

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Social prescribing integrated in primary care enhances access to type 2 diabetes preventative approaches among high-risk patient population

Evidence-Based Nursing

Commentary on: Calderón-Larrañaga S, Greenhalgh T, Clinch M, Robson J, Dostal I, Eto F, Finer S. Unravelling the potential of social prescribing in individual-level type 2 diabetes prevention: a mixed-methods realist evaluation. BMC Med. 2023 Mar 13;21(1):91. doi: 10.1186/s12916-023-02796-9. Commentary Implications for practice and research Integrating social prescribing (SP) in primary care increases opportunities to deliver holistic care and facilitate clinic-community partnerships.

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Ghost in the inbox: AI may help alleviate the burden of patient messages

Evidence-Based Nursing

Commentary on: Ayers JW, Poliak A, Dredze M, Leas EC, Zhu Z, Kelley JB, Faix DJ, Goodman AM, Longhurst CA, Hogarth M, Smith DM. Comparing Physician and Artificial Intelligence Chatbot Responses to Patient Questions Posted to a Public Social Media Forum. JAMA Intern Med. 2023 Jun 1;183(6):589-596. doi: 10.1001/jamainternmed.2023.1838. Commentary Implications for practice and research AI assistants could be used to draft responses for physicians and nurses, potentially addressing a key element of

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Are we ready for prehospital troponin testing by paramedics?

Evidence-Based Nursing

Commentary on: Dawson LP, Nehme E, Nehme Z, Zomer E, Bloom J, Cox S, Anderson D, Stephenson M, Ball J, Zhou J, Lefkovits J, Taylor AJ, Horrigan M, Chew DP, Kaye D, Cullen L, Mihalopoulos C, Smith K, Stub D. Chest Pain Management Using Prehospital Point-of-Care Troponin and Paramedic Risk Assessment. JAMA Intern Med. 2023 Mar 1;183(3):203-211. doi: 10.1001/jamainternmed.2022.6409.

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Smoking cessation interventions are cost-effective in people affected by stroke

Evidence-Based Nursing

Commentary on: Wechsler PM, Liberman AL, Restifo D, Abramson EL, Navi BB, Kamel H, Parikh NS. Cost-Effectiveness of Smoking Cessation Interventions in Patients With Ischemic Stroke and Transient Ischemic Attack. Stroke. 2023 Apr;54(4):992-1000. doi: 10.1161/STROKEAHA.122.040356. Epub 2023 Mar 3. Implications for practice and research Measures to promote smoking cessation should go beyond brief counselling to include intensive counselling with pharmacotherapeutic support, such as varenicline, whi

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Patient-centered perspectives in diabetic retinopathy care: phenomenology and practice

Evidence-Based Nursing

Commentary on: Zhang M, Zhang C, Chen C, et al. The experience of diabetic retinopathy patients during hospital-to-home full-cycle care: a qualitative study. BMC Nurs. 2023 Mar 3;22(1):58. doi: 10.1186/s12912-023-01206-y. Implications for practice and research Consideration of patients' life experiences, which aids in examining their feelings and patient’ experiences.

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Low-quality evidence for medication errors reduction strategies in hospital paediatrics

Evidence-Based Nursing

Commentary on : King C, Dudley J, Mee A, Tomlin S, Tse Y, Trivedi A, Hawcutt DB; Royal College of Paediatrics and Child Health/Neonatal and Paediatric Pharmacist Group Joint Standing Committee on Medicines. For children admitted to hospital, what interventions improve medication safety on ward rounds? A systematic review. Arch Dis Child. 2023 Jul;108(7):583–588. doi: 10.1136/archdischild-2022-324772.

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Non-English speakers are not adequately represented in paediatric research

Evidence-Based Nursing

Commentary on: Chen A, Demaestri S, Schweiberger K, Sidani J, et al. Inclusion of non-English-speaking participants in pediatric health research: a review. JAMA Pediatr. 2023;177(1):81–88. doi: 10.1001/jamapediatrics.2022.3828. Implications for practice and research In a review of inclusion of non-English speaking (NES) participants, 9% of research articles included NES participants, which may impact study generalisability.

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Clinicians signal the need to improve competency in the care of patients who identify as LGBTQ+

Evidence-Based Nursing

Commentary on: Kelleher ST, Barrett MJ, Durnin S, Fitzpatrick P, Higgins A, Hall D. Staff competence in caring for LGBTQ+ patients in the paediatric emergency department. Arch Dis Child. 2023 Jul;108(7):525–529. doi: 10.1136/archdischild-2022-325151. Epub 2023 Apr 24. Implications for practice and research Emergency department staff self-identified the need for training in the care of youth who identify as LGBTQ+ to close a gap in knowledge and clinical preparedness.