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Journal of Nursing

  • Spinal Block Versus Epidural Block
    Stacey Kast RN,BSN
    Spinal anesthesia, also called spinal analgesia, sub-arachnoid block (SAB) or intrathecal, is a form of regional anesthesia involving an injection of a local anesthetic into the cerebral spinal fluid with a fine needle. The term epidural is often short for epidural anesthesia, a form of regional anesthesia involving injection of drugs through a catheter placed into the epidural space. The injection can cause both a loss of sensation (anesthesia) and a loss of pain (analgesia), by blocking the transmission of signals through nerves in or near the spinal cord.
  • Health and Law
    Cindy Huffer, MSN, RNP
    This legal case study involves a young woman who presented ambulatory to the emergency room with a gunshot wound to the head
    Tags: health, law
  • National Nursing Licensure
    Antonia Frazier
    National nursing licensure promotes more effective licensing than does state licensure by alleviating the ever-present nursing shortage and promoting mobility among the nursing workforce.
  • Elective Induction of Labor and Early Term Delivery
    Elizabeth Johnson
    The rate of elective induction of labor without medical indication is on the rise. Elective inductions carry long-term consequences for the maternal and infant dyad. Maternal risk of induction includes hemorrhage, uterine dystocia, uterine rupture, and cesarean section related to failed induction of labor. Neonatal risks include respiratory distress, feeding difficulty, and long-term psychological and behavioral tendencies such as attention deficit and hyperactivity disorder (ADHD). In reviewing a variety of studies, researchers have seen a decrease in morbidities and health care costs for both mother and infant when spontaneous labor occurs. However, the risks of liability and malpractice suits tempt physicians to schedule elective inductions. By creating and implementing policies on elective induction of labor, nurses have the ability to educate patients on the importance of letting labor occur naturally.
    Tags: health, labor
  • Managing Type II Diabetes within the Hispanic Community
    Kathy Nobles
    Diabetes is termed the life style disease for good reason. It is a progressive and chronic illness largely caused by obesity and lack of exercise. If left untreated or poorly controlled, this disease can lead to debilitating complications and premature death.
  • Professional Nursing: Is A Doctorate Degree Necessary
    Wendy Van Cauwenbergh
    Obtaining a higher education has transitioned from being a privilege to a prerequisite for professional success. However, success is not always correlated with the level of education the individual possesses. This is especially true in the field of nursing.
  • Do nurses really understand Advanced Health Care Directives?
    Maureen Kroning RN MSN EdD
    As a Nursing Supervisor, I have witnessed many problems associated with patients Advanced Health Care Directives (AHCD). On many occasions, patients are asked about AHCD when their medical condition worsens, leaving education of AHCD lacking and often put to the family to make end-of-life decisions. Both nurses and patients have verbalized not understanding AHCD. At the local hospital not only have many nurses acknowledged not understanding their role and responsibility about AHCD, but they also do not really have a good understanding themselves of what AHCD are; therefore, they do not feel comfortable educating patients and families about this vital healthcare issue. Research shows that providing AHCD education is effective in changing not only the treatment preferences of patients, but their attitudes toward end-of-life health care (AHRQ, 2003). There was an eminent need to look into this problem at the local community hospital.
    Tags: health, nurse
  • 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,
  • Literature Review: Safe Nurse Staffing
    Shana Camphor
    The purpose of this literature review is to exam nurse staffing and staffing related issue and its impact on the healthcare world. Safe nurse staffing poses substantial issues at the clinical level including its tremendous impact on patient mortality, patient satisfaction, increased incidence of medical errors, and nurse dissatisfaction and burnout.
    Tags: health, nurse
  • 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.
  • Moral Distress in Nursing and Available Support Systems
    Brynne Underhill and Jennifer Finkle
    Moral distress is a key issue facing nursing today; it affects the way nurses care for their patients and the number of nurses who stay in the profession (Gutierrez, 2005; Hamric & Blackhall, 2007).
  • Multidisciplinary Rounds In Various Hospital Settings
    Venice Ababat, Jeremias Asis, Michelle Bonus, Chloe DePonte, David Pham
    This paper focuses on the use of multidisciplinary rounds in various hospital settings with an emphasis on intensive care units. A comprehensive literature review on the studies that focused on the use of multidisciplinary rounds will be incorporated and referenced. Topics to be discussed in regard to application of multidisciplinary rounds are benefits, barriers, gaps in current literature, and recommendations for baccalaureate level nursing.
  • “What is it with you?”
    Kathleen Beyerman
    “I’ve got a fainter here!” I call over my sister’s head to the flight attendant. My sister is sitting in the aisle seat, I am in the middle, and my new patient is sitting by the window. He has just announced to me that he doesn’t feel well and thinks he may faint
    Tags: health, nurse
  • Nurse/Patient Communication Twenty Suggestions for Improvement
    John R. Thurston, Ph.D.
    From time to time, physicians are taken to task by fellow physicians and many others for a variety of shortcomings in the practice of their profession. Common among the listed faults is a lack of effective communication with their patients.
  • Basics on Inpatient Blood Sugar Control
    Lenore Hernandez RN, MSN, CDE, APRN-BCADM, CNS
    Controlling inpatient blood sugars is challenging and complex. Inpatient blood sugars can be affected by a multitude a variables. Some of the variables are nutritional intake, inflammation, stress and steroids. Research indicates more than 50% of Americans could have diabetes or pre-diabetes by the year 2020. Healthcare costs for this population both inpatient and outpatient is enormous and growing. Many of these patients will require hospitalization. Inpatient diabetes treatment can be complex but the outcome enhancement is great. Improving inpatient blood sugar control decreases both complications and mortality. Controlling the blood sugars of this growing patient population is well worth the investment of time and resources.
  • Health Promotion and Disease Prevention
    Renee Van Sickle
    The United States falls behind in healthy outcomes when compared to other countries.
  • Implication of Foreign-Educated Nurses on United States Nursing Collegiality
    Dr. Judy Williams, Ph.D., RNC
    The United States (U.S.) has repeatedly experienced a shortage of qualified registered nurses, a situation, which is capable of deteriorating further in view of the U.S. aging population (Clark, Stewart, & Clark, 2006).
  • Electronic Medical Record: How its Use Facilitated an Increase in the Number of Patients with Diabetes to Achieve the Target Measurement of Having at Least 2 HbA1c Tests Performed in a 12 Month Period.
    Tracy Colburn, RN, Author
    We are in the midst of an unprecedented era, the convergence of technology and medicine. Even stories of failures are not true failures because of all we stand to learn from the experience of others. Technology has enabled those in the field of medicine to move forward with their own improvement projects
  • College of DuPage Opens Hospital Simulation Lab for Nursing Program
    Brian Kleemann
    College of DuPage Nursing students are now learning how to respond to a wide variety of patient care experiences in the new Hospital Simulation Lab.
  • Stem Cell Research is Our Future of Cures
    Lisa Smith RN, BSN
    People have the power to change the world. The donation embryos are a step in the right direction for resources to continue research to help society in the future. It is not the intent to clone but to cure. Life is a gift that we should keep giving with this great opportunity.
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