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Journal of Nursing : ER



  • Retro-Clival Hematoma In The Pediatric Emergency Department
    Richard. Pearson
    An unusual presentation of Retro-clival hematoma in the pediatric population
  • Factors Influencing Nurse Medication Errors
    Skip Morelock PhD, RN, NEA-BC Clinical Professor of Nursing Collin College
    This article explores the medication errors and the phenomena of nurse distractions. Nurses are intimately involved in the medication administration process. Even though the parameters of selection, dosing, compounding, and dispensing medication remain under the purview of other allied health professionals, the nurse represents the last safety checkpoint between the medication and the patient and efforts should be directed toward removing obstacles which are negatively impacting this process. It has long been suspected that nursing distractions whether by patient, family, coworkers or others, are facilitating the occurrence of errors in the hospital setting. There are practices which are discussed which may ameliorate this threat to some extent if employed consistently and judiciously.
  • Disease Preveniton and Health Promotion Screening: Breast Cancer
    Maria C. Hatter, RN, BSN Hye Jeong Robbibaro, RN, BSN
    Current risk factors for breast cancer, screening recommendations, and latest diagnostic assessments.
  • The power of saying "Thank You"
    Dr. Chinazo Echezona-Johsnon
    The power of saying "Thank You." in Nursing
  • RN's informed about skills of Occupational Therapist & Physical Therapists
    Joan M Fenske RN,MS,PhD.
    Registered Nurses do not differentiate between the applied skills of the Occupational Therapist and Physical Therapist, nor do Registered Nurses realize it is the Occupational Therapist who is responsible for prescribing patients with developmental disabilities the type and configuration of an appropriate wheelchair.
  • Improving the clinical experience of working with undergraduate nursing students; a team approach.
    Randi Flexner, DNP, APN, FNP-BC,RN
    This article emphasizes the value of working together in training the future nurses, and suggests strategies and tools to assist in the process. Bringing quality and safety to nursing education in the classroom and clinical is of high importance. Staff nurses play a key role in the clinical preparation and success of the student nurse. Faculty, preceptors, students and the system at large can be more successful if working together to reach the learning objectives and goals. Designated educational units (DEU) are an example of improved clinical teaching/learning environments, but every clinical unit can participate and practice quality regardless to the formal structure and protocal of an established DEU. Understanding that the staff nurse plays a significant role in mentoring the future nurse generation is a reason enough to see working with students is a necessity rather than a burden.
  • Recovering from Tragedy and Surgery
    Catherine Stevens RN, BSN
    A story of a patient recovering from surgery and a tragic event.
  • Let Volunteers Answer The Call
    Irene Brennick
    How volunteers take pressure off of Nurses
  • Current and Future Educational Challenges for the Nurse Educator
    Skip Morelock PhD, RN, NEA-BC
    This article explores current trends in nursing education.
  • A Purpose
    Brianna Ensor
    In 1st grade I lost my best friend to Leukemia, which made me realize I wanted to be a nurse. I want to specialize in pediatric oncology because my cousin touched my life even at a young age.
  • Preparation of Faculty in the Era of Educational Technology
    Josephine Kamera, MSN, RN
    While online nursing education programs are on the increase, faculty is constantly challenged to teach effectively in online environment. Preparation of nursing faculty in educational technology provides avenues for successful online teaching.
  • Are Canadian Nurse Practitioners here to stay?
    Yureve Govind, MD, MBA
    This paper outlines articles that take a closer look into the role of NPs in the Canadian health care system, and how their roles have evolved in response to an ever-changing health care environment.
  • Interactive Technology is Shaping Patient Education and Experience
    Cristina Cassano MSN, RN
    This article describes the Nurse Informatics participation in adopting technology in patient care and nursing workflow. Healthcare settings now integrate electronic medication prescribing, tele-health, online appointment scheduling and mobile laboratories where informatics nurses are essential in guaranteeing that the computerized solutions interface with each other. In order to accomplish information related activities, informatics nurses must synchronize and exchange significant clinical and technical information with the goal of supporting and coordinating safe, effective patient care and assuring an efficient workflow. A strong foundation for addressing the challenges of electronic documentation is the informatics nurses capability to understand and direct the balance of patient care with the technology systems and organizational structure that supports this balance. In order to guarantee a successful implementation of a computer system while managing patient care is to integrate nurses’ perceptions, beliefs, and knowledge in the use of new technology and how nurses implement this technology into their daily nursing practice.
  • Women and Homelessness
    Grace Augustine, ARNP, Barry University
    Women and homelessness is a great concern that affects the global policy and health determinants to improve health. This case study is a glimpse of the cultural class as it revolves around the lives of mostly White homeless mothers, attending to both everyday lives and cultural norms while exploring and interpreting their interdependencies.
  • Beginnings of a Lifetime
    Billie Cecile Overton RN,MSN
    Inspirational article about becoming a nurse and 38 years later.
  • Provision of Effective Patient Education: A Learning Clinical Experience
    Nighat Karim (BScN Student at Aga Khan University School of Nursing and Midwifery)
    Patient education is one of the fundamental aspects of holistic nursing care. It is the core responsibility of nurses to provide information to the patient and their families that is understandable and appropriate promoting awareness and optimal health. However, student nurses come across to various barriers in providing effective patient education, including decrease knowledge, lack of clear objectives and lack of clinical exposure. Similarly, I came across a similar situation in my community rotations in which I faced obstacles in educating the patient. There are several strategies that results in the provision of effective patient education, which includes, open communication style, written instructions, addressing barriers, formulating teaching plans, identifying learning styles and needs, and use of teaching aids. Therefore, through effective patient education nurses can increase the independence of client for self care in hospital as well as in community settings.
  • Anesthesia Awareness for Perioperative Nurses
    Joan Boczany
    Anesthesia awareness definition is an unexpected recall of events while under general anesthesia. The majority of the authors place the rate of anesthesia awareness to one patient out of every one thousand patients that experience some form of anesthesia awareness, however the exact mechanism of the pharmacological action of anesthetic is not clearly understood.
  • When Doing The Right Thing Leads to the Wrong Results
    Tracy Nelson-Bungert, RN, MSN
    Reprimanding nurses for medication errors contibutes to a culture of evasion and silence and does not address the reason behind the mistake.
  • Barriers to Patients Undergoing Methadone Maintenance Therapy
    Ashley Giordano, Lindsay Harrington, Courtney Letourneau, Laura Smith, & Sara Vermouth
    Methadone maintenance therapy is one method utilized to combat opioid addiction and is an effective treatment in the abstinence from opiates. The purpose of this article is to communicate comprehensive information to healthcare providers about methadone as a medication, and the treatment guidelines of maintenance programs in the hopes of diminishing the stigma attached to methadone maintenance therapy. Through a comprehensive literature review, information regarding mechanism of action, maintenance therapy program guidelines, different barriers to treatment, and how to overcome these barriers were collected and reviewed.
  • The Far Reaching Impact of a Child
    Michelle Gosselin, RN, CEN
    Emergency care of pediatric patients leaves a deep impact to nurses career and lives. When these young lives are altered or end, how is the profession caring for the nurses left behind. This article explores the need for awareness and support during these trying times to return the nurse back to wellness.
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