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The Interspersing of Nursing: A Geographical Look at the Demand for Nurses

clock February 6, 2015 05:33 by author Lisa Bonsall, MSN, RN, CRNP

Use the infographic below to learn about the demand for nurses in the U.S. This was created by Adventist University of Health Sciences Online RN to BSN program.

Adventist University of Health Sciences



Measles Update

clock February 2, 2015 16:34 by author Lisa Bonsall, MSN, RN, CRNP

The current outbreak of measles, which has been linked to a California amusement park, continues to make headlines in the United States. The Centers for Disease Control and Prevention (CDC) is tracking data on the states affected and the number of cases. I encourage you to stay informed so you’ll be able to best educate your patients and answer their questions.

Before I get to the purpose of this post – to review transmission, signs and symptoms, and treatment of measles – I’d like to briefly address why we are seeing this resurgence in cases. In 1998, a study was published in the Lancet which suggested a link between the measles, mumps, and rubella (MMR) vaccine and autism. As a result, increased numbers of parents opted to refuse the MMR vaccine for their children. The researchers later retracted their study, and current evidence concludes that there is no association between vaccines and autism.

As nurses, we have a responsibility to educate patients about the importance of vaccinations and the implications when vaccine-preventable diseases reemerge. Measles is extremely contagious and can have serious complications, especially for certain high risk groups. Please stay informed about the current outbreak and recommendations for vaccinations. 

What is measles?

Measles is an acute viral illness, transmitted by direct contact with infectious droplets or by airborne spread. After exposure (the incubation period can range from seven to 21 days), a prodromal syndrome of high fever, cough, runny nose, and conjunctivitis is characteristic. Koplik spots (white or bluish-white spots on the buccal mucosa) may occur and then the development of the characteristic maculopapular rash, which typically spreads from the head to the trunk to the lower extremities, follows. 


Complications of measles

Common:

  • Otitis media
  • Bronchopneumonia
  • Laryngotracheobronchitis
  • Diarrhea

Severe:

  • Encephalitis
  • Respiratory complications
  • Neurologic complications
  • Subacute sclerosing panencephalitis (SSPE)

Who’s at risk for severe complications?

  • Infants and children younger than five years; adults over 20
  • Pregnant women
  • Immunocompromised patients

Need-to-know information for nurses

  • After appearance of the rash, infected patients should be isolated for four days in a single-patient airborne infection isolation room (AIIR).
  • Measles is a reportable disease and local health departments should be notified within 24 hours of suspected measles cases. 
  • Routine childhood immunization for MMR vaccine starts with the first dose at 12-15 months of age, and the second dose at 4-6 years of age or at least 28 days after the first dose. (More vaccine schedules and information, including contraindications to vaccination, can be found here.)

References
Finerty, E. (2008). Did you say measles? American Journal of Nursing, 108(12). 
Skehan, J. & Muller, L. (2014). Vaccinations: Eliminating Preventable Illness. Professional Case Management, 19 (6).
Wade, G. (2014). Nurses as Primary Advocates for Immunization Adherence. The American Journal of Maternal/Child Nursing, 39 (6). 
Centers for Disease Control and Prevention. (2015, January 30). Measles (Rubeola): For Healthcare Professionals.



NursingCenter’s New Year’s Resolutions

clock January 8, 2015 06:36 by author Lisa Bonsall, MSN, RN, CRNP

As we get into 2015, here are some resolutions you can expect from Lippincott NursingCenter!

1. All of our enewsletters are getting a new look! We know that many of you check your email from your phone or tablet; we want to make sure that your are getting the best information in the best format for your device! Here is a peek at our newly launched NursingCenter enews

        

 

2. NursingCenter will also be getting a new look! Stay tuned for an update to our website. Make sure you are a registered member and that your profile is up-to-date. You will get content specific to your practice right on your NursingCenter home page!

3. Want to complete your CE activities while you are on-the-go? We have a new CE app in development, so you’ll be able to complete your CE activities right on your mobile device and then sync up with your computer to download and print your certificate! 

4. Look for more CE collections and Focus On collections so you can easily find topical information and specially-priced offers! 

5. We are also committed to keeping you updated on your license renewal requirements. Check back often for updates for your state CE requirements!

6. We’ve got a line-up of Nurses on the Move to keep you abreast of the great things nurses are achieving in our profession! Remember, you can nominate a colleague, friend, or even yourself by emailing ClinicalEditor@NursingCenter.com.

We are looking forward to a great 2015 and hope that you’ll continue to use Lippincott NursingCenter for all of your professional and clinical needs!



World AIDS Day 2014

clock December 1, 2014 09:00 by author Lisa Bonsall, MSN, RN, CRNP

Over the past four decades, human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) have evolved from a global epidemic into a chronic disease. Screening methods, prevention recommendations, treatment options, and prognosis have evolved as well. As nurses, we care for patients with HIV and AIDS in every setting, are involved with public education, and participate in research. 

Today, December 1, 2014, is World AIDS Day – “an opportunity for people worldwide to unite in the fight against HIV, show their support for people living with HIV and to commemorate people who have died.” Many of us care for patients with HIV/AIDS in our practice, whether we work in a setting dedicated to treating this patient population or not. We must all remain vigilant in staying updated and making sure our patients and the public are informed.

Several articles have been published in our journals over the past year, which I think you will find informative and applicable to your practice. Take some time to review these articles and learn more about HIV and AIDS and improving care and outcomes for patients. 

 HIV Infection and its Implication For Nurse Leaders
Nursing Management, October 2014

The Synergistic Effects of HIV, Diabetes, and Aging on Cognition: Implications for Practice and Research 
Journal of Neuroscience Nursing, October 2014

Wounds in Patients with HIV
Advances in Skin & Wound Care: The Journal for Prevention and Healing, September 2014 

Nursing in the Fourth Decade of the HIV Epidemic  
American Journal of Nursing, March 2014

A Combination Drug for HIV Prevention in High-Risk Groups 
American Journal of Nursing, August 2014

For more reading on this subject, we also have a specially-priced CE collection on HIV and AIDS



What are all those letters and how can I get them?

clock September 14, 2014 09:07 by author Lisa Bonsall, MSN, RN, CRNP

BSN, RN-C, APHN-BC, PPCNP-BC, DNP… There are so many opportunities for furthering your nursing education. Whether it’s achieving a new academic degree or getting certified in your specialty, we’ve got resources to share with you! Take some time to explore these FREE resources on Lippincott’s NursingCenter!

Focus On: Achieving Your BSN
Learn why now is the time to return to school, and gain advice on overcoming barriers that are in your way. 

Focus On: Achieving Your Advanced Nursing Degree
With options such as online programs and employer-based incentives, achieving an advanced degree in nursing is within reach. 

Nursing Certification Boards By Specialty
Certification in a nursing specialty demonstrates a commitment to advancing one’s knowledge and skillset. 

Good luck to you in your future educational endeavors!



Suicide assessment – an important nursing responsibility

clock August 20, 2014 09:09 by author Lisa Bonsall, MSN, RN, CRNP

As we continue to mourn the loss of Robin Williams, an iconic entertainer and comedian, it’s important for us to take a step toward learning from his death. As nurses, our responsibilities to our patients are numerous, but we know that safety is a number one priority. Even if we don’t routinely care for patients with mental illness, patients that we encounter may have a mental illness of which we are unaware. Some patients may have an undiagnosed or newly diagnosed disorder that may increase their suicide risk, whether due to its pathophysiology or its impact on quality of life. In nursing school, we learned about suicidal ideation and how to do a suicide assessment. I’d like to share some resources from our journals with you to revisit this important topic.

 

Assessing patients for suicide risk
Nursing2010 

Suicide Prevention in Neurology Patients: Evidence to Guide Practice
Journal of Neuroscience Nursing

All along the watchtower: Suicide risk screening, a pilot study 
Nursing Management

As If the Cancer Wasn't Enough... A Case Study of Depression in Terminal Illness
Journal of Hospice and Palliative Nursing

Additional Resources
American Foundation for Suicide Prevention
National Alliance on Mental Illness
U.S. Department of Health and Human Services – Directory of support groups



Nurses On the Move: Lorry Schoenly

clock July 31, 2014 03:29 by author Cara Gavin, Digital Editor

Nurses work in all types of environments. Whether it is an ER, university, military, consulting firm, or even a prison, the role of the nurse goes far beyond the typical hospital setting.

July’s Nurse On the Move, Lorry Schoenly PhD, RN, CCHP-RN, is a correctional healthcare risk consultant for jail and prison clients. She also currently serves as part of the faculty at the Chamberlain College of Nursing and writes a monthly column on correctional healthcare issues, along with podcasts.

Schoenly previously served as the director of education of the National Association of Orthopaedic Nurses and assistant vice president of Rancocas Hospital, among other titles. She started her career as a staff nurse. She received her bachelor’s of nursing from Excelsior College and earned both her master’s in burns, emergency, and trauma, and doctorate in nursing from Widener University.

Through our interview, I learned why Schoenly went into correctional nursing and what daily reminder she has for nurses.

Q: Why did you decide to become a nurse?
A:  I never imagined being a nurse while growing up. I come from a family of educators. While in critical care after the difficult delivery of our son, I looked around at the nurses scurrying about and thought, "These folks are doing meaningful work.” I was hooked.

Q: You started as a staff nurse and remained in that role for a little over three years. What motivated you to continue your education and become a staff instructor and, eventually, a director of education?
A:  I guess I have always been an educator at heart. As a staff nurse…I was like a sponge soaking up information from any inservice or continuing education course I could find. I was thrilled to apply and be accepted [to a staff development position]…where I was able to continue in patient care, while managing the orientation of new staff and creating inservices for new treatment and equipment. For me, it was an ideal combination.

Q: As a nurse educator, what advice do you have to inspire others to further their education?
A:  You can almost never go wrong with education. One of the joys of nursing is the wide array of opportunities. If you are unhappy in your current position, research other options and determine what is needed for an entry-level position. Enjoy the journey and seek to apply everything you learn in the classroom into your current work experiences.

Q: How did you become interested in correctional nursing?
A:  Like many in our specialty, I am an accidental correctional nurse. I don't know anyone who announced as a child that they wanted to be a jail nurse when they grew up. In fact, it had never occurred to me that nurses worked in jails and prisons until I answered an advertisement for a nurse educator position in the NJ prison system. However, once I saw the great need for nursing care and nursing caring behind bars, I saw an opportunity to bring my skills and abilities to bear both locally and nationally. Correctional nurses care for a vulnerable, marginalized, and very needy patient population. And, it takes grit and determination to work in that environment day after day. I see firsthand the struggles correctional nurses have in the low resourced and ethically challenging criminal justice system. I do what I can to support their efforts.

Q: As a correctional healthcare consultant, what is your biggest challenge related to patient care?
A: The greatest challenge I face when helping improve patient care is organizational culture. Pervasive attitudes among team members are hard to eradicate. We want quick fixes, whether it be losing weight, getting dinner on the table, or improving a relationship. It is the same in healthcare. Leaders want to write a policy, inservice staff, and then move on to the next thing on the list. It doesn't work like that in organizations, even though we wish it would!

Q: If you could give nurses a daily reminder, what would it be?
A: The encouragement I use at the end of each of my Correctional Nursing Today podcasts is to "Make today count for good.”  As nurses, we always have an opportunity to make a difference in someone's life, and I try to remind myself of that regularly. A quotation on the whiteboard of my office that encourages me is from Goethe, "Knowing is not enough; we must apply. Willing is not enough; we must do,” As an educator, I try to continually encourage others to apply what they are learning, otherwise it is for naught.

Q: What do you see for the future of nursing?
A:  The future of nursing is bright as we move forward. There are many opportunities for nurses to make a difference, no matter the position or location. Correctional nursing, in particular, is advancing as a specialty, and I am delighted to be a part of it!



Read these award-winners!

clock July 3, 2014 01:33 by author Lisa Bonsall, MSN, RN, CRNP

Last month, 21 Apex Awards were presented to journals published by Lippincott Williams & Wilkins. These awards are based on “excellence in graphic design, editorial content and the ability to achieve overall communications excellence.” The award-winning articles from our nursing journals are listed below. We are very proud to share them with you!

Shining a Light on Hoarding Disorder
Nursing2013

Responding To an Active Shooter and Other Threats of Violence 
Nursing2013

25th Annual Legislative Update: Evidence-Based Practice Reforms Improve Access to APRN Care 
The Nurse Practitioner: The American Journal of Primary Health Care 

The Hard Truth about Human Trafficking 
Nursing Management

IT Extra: Technology Management Strategies for Nurse Leaders  
Nursing Management

Smart Management: Recruitment And Retention: How To Get Them And How To Keep Them
OR Nurse 2013

Smart Management: High reliability Organizations: An Idea Worth Pursuing 
OR Nurse 2013

Smart Management: Build Your Staff's Leadership Skills 
OR Nurse 2013

Managing Patients with Severe Traumatic Brain Injury
OR Nurse 2013

Editorial: A Grassroots Movement Sounds the Call 
American Journal of Nursing



Cover Image from January 2014 issue of American Journal of Nursing


January 2013 issue of Nursing2013 Critical Care



Nurses On the Move: Helene Bowen-Brady

clock June 24, 2014 04:33 by author Cara Gavin, Digital Editor

As summer heats up, so do the incredible nurses who focus on the hottest professional topics.

This month’s
Nurse On the Move is Helene Bowen-Brady, M.Ed, BSN, RN-BC, the program manager for professional development at Brigham and Women's Faulkner Hospital. Not only does she focus on guiding the Department of Nursing on a Magnet Journey, but she also sits on the Steering Committee for the CLCDN (Clinical Leadership Collaborative for Diversity in Nursing), and recently served as the site coordinator for an international nursing research project.

Bowen-Brady previously served as a nurse educator, lactation consultant, and school nurse, all while raising her four children. She received her BSN from Boston College. She also earned a master’s degree and is currently exploring doctoral programs.

I interviewed Bowen-Brady to discover what drew her to such different roles in nursing and what she sees for the profession in the future.

Q: Why did you choose nursing as a profession?

A: Honestly, I wasn’t sure when I was 16 what I wanted to do. In the early 70’s, the career advice I received was to become either a teacher or a nurse. In the end, the motivation was simply that nurses who went to diploma schools got to live away at school, and if I became a teacher, I would have to commute to college. At 16, it was a very easy decision – I wanted to live away.  In retrospect, it was the best decision for me. As a nurse, I have had an incredible career.

Q: You worked with Canton public schools as a school nurse. How was that working environment and why did you choose to pursue a different venue for nursing?

A: I started working as a substitute nurse because the hours worked for my family. Little did I know what a great career move that would turn out to be and what wonderful clinical and leadership experiences school nursing would provide. In all of the nursing roles that I have had, I think that school nursing was probably the most challenging. School nurses work independently in most settings to manage a variety of complex acute and chronic healthcare needs for students of all ages.

Q: You were previously a lactation consultant. What drew you to that role?

A: Personal need – when my first son was born there was limited, if any, support for breastfeeding mothers in my community. When I worked as a VNA nurse, I was fortunate to work with an innovative nurse director who supported me to expand the services we provided for families with newborns.

Q: What encouraged you to continue your education as a nurse?

A: I believe that lifelong learning is essential for every nurse. The knowledge I gain from reading journal articles, attending classes, listening to webinars, or taking an online class absolutely helps me to be a better practitioner.

Q: You’ve spent a good amount of your career working in staff development and education. How has professional development changed over the years, if at all?

A: The biggest change is the technology. When I first became an educator in 1980, I had to handwrite every lecture, which was then typed by the department secretary since she was the only person with a typewriter. Finding relevant journal articles meant a trip to a hospital library or a local college. Today, I have countless electronic folders stored on my computer. Search engines make it easy to find reliable and current information about any topic. There are so many new and innovative technological strategies and tools that educators can use to engage adult learners in order to positively enhance learning activities to make them more meaningful for staff.

Q: What do you envision for the future of nursing?

A: When I entered nursing school in the early 70’s, healthcare was primarily provided in the acute care hospital. Over the past 40 years, healthcare has changed dramatically. Nurses have an opportunity to play key roles in the future of healthcare and most of these expanded roles will be outside of the inpatient setting. I truly believe that the changes ahead will prove to be in the best interest of our patients and families.

Q: For a nurse starting out, what would be your number one piece of advice?

A: It would be to encourage nurses to get involved. Step outside the comfort zone of the unit or area you work in – join a committee at work or the professional organization that represents your practice area’s local chapter. There are so many incredibly talented and innovative nurses within the profession that each one of us can learn from. 



Nurses On the Move: Karlene Kerfoot

clock May 19, 2014 09:22 by author Cara Gavin, Digital Editor

National Nurses Week ended May 12th. It was a great opportunity to reflect on the important nurses who changed the course of the profession.

Today, nurses are still serving as role models to those around them. In recognition, we honor a NursingCenter member, Karlene Kerfoot PhD, RN, NEA-BC, FAAN, as this month’s Nurse On the Move. Currently the Chief Clinical Integration Officer at API, Kerfoot also worked in patient care administration, clinical practice, and healthcare consulting. She served in adjunct academic positions and was the Corporate Chief Nursing and Patient Care Officer at three of the largest healthcare systems in the U.S. She earned a doctorate in nursing from the University of Illinois and a master’s and BSN from the University of Iowa.

I spoke with her to learn a little more about her outstanding work and to discover what she sees for the future of nursing.

Q: Why did you choose nursing as a profession?
A: Well, it wasn’t my first choice. I wanted to go into political science, but there were limited jobs there. I know I wanted to make a difference. With nursing, it’s a great opportunity. You can travel and do different things. I forgot about political science and never looked back.

Q: What encouraged you to continue your education as a nurse?
A: I wanted to be able to have a choice of options as I got older. With a master’s or a PhD, you have more choices. I know I wanted to work in a complex setting where I could combine research and so on. I thought, “20 years from now, what will people want? They’ll want advanced degrees. I better get busy!”

Q: In your current role, what is the biggest challenge you face?
A: My biggest challenge is that many technology firms have technology people developing applications, but on the client side, the applications lack client input. I need to make sure they fit and that they are what’s needed out there and are relevant to the frontline clinical person.

Q: Nurses Week was celebrated May 6-12th. Why do you believe this week is important?
A: It’s important to understand your history and future. There are so many people who have changed the course of history, for instance Florence Nightingale. They are fabulous role models for people to look at and think, “I can change history too.”

Q: What are the top four ways nurses can avoid holding back their careers?
A: The first way to avoid holding back your career is to learn positive discontentment. Florence Nightingale said, “If you’re not moving forward, you’re moving backward.” We need to value innovative people, especially those who take a positive outlook on things and who can offer solutions, not just complaints.

Second, practice “No Excuse” career development. Florence Nightingale was discontent, and it pushed her to make changes [not just give up].

Third, talk about your work in measurable outcomes. Saying “I did good work” isn’t good enough anymore. In the last 10-15 years, there’s been a push for measurement. Give examples that show things happened because of you.

Fourth, become agile with technology. Technology is everywhere. Look for what’s coming in the future and what it will mean to patients. It’s like a language you need to understand.

Q: For a nurse starting out, what would be your number one piece of advice?
A: Look ahead and think about what people will need in the future and how you can provide it. You are your own company, so you need to prepare for the future. Every three to five months, practice strategic thinking, “What have I learned and what do I need to learn?”

Q: Finally, what do you envision for the future of nursing?
A: I wish, as time goes on, nurses will be more empowered. The public says nurses are the most trusted workers and they should be involved in healthcare policy and reform. I would hope nurses become more prepared to sit at those tables and to a make a difference because nurses are the spokesperson for the patient.

Do you know the perfect nurse to be featured for Nurses On the Move? Email your submissions to ClinicalEditor@NursingCenter.com.



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