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Journal of Nursing : Care

  • Case Study: A Systematic Approach to Early Recognition and Treatment of Sepsis
    Madeleine Augier RN BSN
    The term sepsis is often misunderstood. The public and often healthcare workers are unaware of the severity and high mortality rates this infection process has upon the world. Sepsis has vague symptoms that make diagnosis difficult. Often, sepsis is diagnosed in the later stages, when more obvious yet severe symptoms occur. This case study discusses a female who presents to the emergency department with sepsis secondary to pneumonia. Over the course of three days, the patient’s health quickly deteriorates, demonstrating the rapid progression of sepsis. Clinical findings, such as vitals signs, lab abnormalities, and symptoms of sepsis are discussed. The term bundle of care is presented to educate the reader on the golden standard of care for treatment of sepsis. This case study intends to increase community awareness and education to health care providers as well as providing an evidenced-based treatment guideline. More education and raised awareness will help prevent a deadly yet treatable infectious process.
  • Nurses Eat Their Young; An Insight Into Systematic Hazing and its Implications on Patient Care
    Shelby Leahy
    I am a nursing student that worked as a CNA for six years. I was inspired to write this from my own experiences that I have encountered while working in the field of nursing.
  • Post-Fall Care Nursing Algorithm
    Keisha Lovence DNP, MSN, ACNP-BC, RN
    Post-Fall care practices are an integral aspect to patient care. As we care for older adults it is important to consider post-fall care practices.
  • Building Trusting Work Relationships in Healthcare and Beyond
    Pablo Velez, PhD, RN, Sherry Nooravi PsyD.
    In an effort to help leaders in various types of healthcare organizations learn how to build trust and strong work relationships within their organizations, eight chief nursing officers (CNOs) from healthcare organizations throughout California were interviewed. All the CNOs were asked the same structured questions. A review and analysis of those interviews revealed the following five dimensions as key ingredients: authenticity, work ethics, communicating and sharing news, history and reputation, and creating a supportive and empowering environment. Our results include the definitions of trust by the eight CNOs, the Four R’s of building trustworthy relationships and an acronym of SHARE. We discuss what CNOs describe as “trust blockers,” actions a CNO can take that would break the employee’s trust. The results of this research can be used in a variety of ways including incorporating them into leadership development training aiming at strengthening their personal leadership styles and improving workplace environments by creating and role modeling a more open communication culture.
  • Six Sigma and Healthcare Finances
    Skip Morelock PhD, RN, NEA-BC
    This article is a brief primer on Six Sigma methodology and its impact on healthcare finance and nursing.
  • Bedside Reporting: Embracing the Need for Clinical Change
    Dr. Kelly Duffy, EdD, MSN, RN
    Communication is an integral part of nursing care. The implementation of bedside reporting practices provides an avenue for best practices and improved outcomes.
  • Beginnings of a Lifetime
    Billie Cecile Overton RN,MSN
    Inspirational article about becoming a nurse and 38 years later.
  • Improving Patient Care While Decreasing Costs: The Benefits, Barriers, and Student Perspectives on Nurse Residency Programs
    Glenn Javelona Yaira Kurtzman
    Many professions have long since realized that a vast divide exists between the classroom and real-world practice and, thus, have mandated transitional programs. Nursing lacks such an intermediate step as part of its professional training although new nurses are pressured to provide both safe and competent care to increasingly complex patients without any transitional support (Pittman, Herrera, Bass, & Thompson, 2013). To fill this gap many institutions have begun to implement their own nurse-residency programs [NRPs]. However, since not all institutions have introduced such transition-into-practice programs barriers must exist. Nationwide, NRPs are shrouded in confusion, false perceptions, and concerns that hinder their implementation. This manuscript was compiled to help shed light onto the reasons for the lack of implementation and provides evidence of the importance and overall benefits for such programs. Personal perspectives are also provided from the authors in order to gain a nursing-student perspective about these transitional programs.
  • True Suffering In An ICU
    Carlton R. Smith, Professional Therapeutic Counselor, Author, The Ignorant Grandfather, 2014.
    Essay concerning the view of various interactors in an ICU. Told from the perspective of a Professional therapeutic counselor who has counseled doctors, nurses, family, allied health and patients. Considers the suffering of all involved in the daily interactions of the ICU milieu.
  • Exploring Communication Technology In the Family Birthing Center
    RN Journal
    Technology is being used increasingly in the health care field in order to improve patient outcomes. An e-health nursing initiative has been set forth by the Canadian Nurses Association to direct the development of information and communication initiatives. Registered Nurses’ Association of Ontario (2009) defines e-health as, "The leveraging of information and communication technology to enhance professional practice in order to promote and facilitate the health and well-being of individuals and families.” The purpose of the article is to explore ways in which communication technology in particular can aid nurses in providing more effective care, and allow for an enhanced health outcome.
  • Culturally Competent Nursing in Homecare 
    Meghan Crivello, BS, RN, BSN
    Homecare nurses must be culturally aware in order to appropriately care for homecare patients. Culture plays a part in the care of all types of patients but it plays a more important role in homecare.
  • I Quit My RN Job Yesterday 
    by Linda Ritter, RN
    Time and time again changes were thrust on us and made to sound as if they were the answers to all our problems, when, in reality, they created more problems and basically cured nothing.
  • Care of the Pediatric Patient
    Leah Toms
    Short exemplar about caring for a pediatric patient in Interventional Radiology
  • My Nursing Career A Whole New Appreciation 
    Mary Ellen Buechel Holbrook, RN, BA, TNCC
    Not a day goes by, without reading in the newspaper and hearing over the radio or TV about the rising rate of unemployment in our country. It is this reality that has given me a whole new appreciation for being a nurse.
  • The Cardiac Diagnostic Interventional Symposium (CDIS), 2013
    John H. Balcom; RN, BScN, BHA; staff nurse, Creator and Chair of CDIS
    The symposium focused on nursing and allied healthcare professional education.
  • Challenges in Nursing Informatics
    by Crystal Dee Fuller RN, DNP, CRNP Faculty of Central Alabama Community College CoosaValley Schoolof Nursing
    As the use of technology explodes into the health care industry, its effects have the potential to become destructive elements to the nursing profession. This paper will discuss the evolution of nursing documentation, the immergence of health information technology, and the challenges it creates for the nursing profession.
  • Funding Health Care as a Basic Human Right
    Jennifer Bergen, Jay Fultz, Sally Kessie, and Angela Osburn
    The United States of America is a nation known and heralded worldwide for its democracy, freedom, and wealth. Through our commerce, we have become a prosperous nation. Through our commonalities we stand united. Through our shared citizenship, we establish our community. Through our voices, we are heard. So why is it, our nation has been divided against the idea of health care being funded as a basic human right? U.S. Senator, Ted Kennedy, once said,
  • Doing More with Less: Are We Compromising Patient Care?
    Anita Schilling
    I came bustling into the Medical-Surgical unit at the hospital where I work as scheduled. It was the third 12-hour shift I was working, so I was really looking forward to getting the shift over with and enjoying the upcoming four days off. I was expecting to come onto the floor to find the usual nurses on the unit.
  • American Association of Critical-Care Nurses Brings its National Nurse Leadership Skill-building Program to Texas
    American Association of Critical-Care Nurses
    The American Association of Critical-Care Nurses (AACN) expands its hospital-based nurse leadership and innovation training program to a fourth region with the addition of eight Austin-area hospitals. AACN Clinical Scene Investigator (CSI) Academy is designed to empower bedside nurses as clinician leaders and change agents whose initiatives measurably improve the quality of patient care with bottom-line impact to the hospital.
  • A Lesson Learned 
    by Gina Pearse, BSN, RN-BC
    I wanted to say something brilliant. I wanted to make it better. I had nothing to say. Instead, I put my arms around this tiny woman and I held her close. Her head rested on my shoulder as she sobbed for her losses. In that moment in time, there were no call lights, no medications, and no other important matters. There was no longer any urgency as I held this woman.
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