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Journal of Nursing



  • Is Nursing a Profession
    Laura Steadman, Ed.D, CRNP, MSN, RN Gary Milligan, DNP, MSHA, APHN-BC
    Professions require that educational preparedness must be within institutions of higher learning. In order to be held out as a profession, an individual must be able to practice autonomously within their scope of practice. Nurses have an identified scope of practice mandated by a particular state board of nursing. A profession has a code of ethics which is recognized across numerous levels of practice within the profession. The culture and norms of a profession are easily recognized by the professionals who make-up the body.
  • 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.
  • 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.
  • Yoga and the Benefits to Adults with Chronic Obstructive Pulmonary Disease
    Mary Tencza MS RN
    A leading cause of decreased quality of life and debility due to diminished gas exchange, chronic obstructive pulmonary disease (COPD) progresses slowly with no known cure. The overall effect on other systems and the emotional toll placed on these patients makes activities of daily living exceedingly impossible to manage. The purpose of this article is to conduct a review of the literature to determine the benefits derived from practicing yoga on one’s quality of life and pulmonary functions for those diagnosed with COPD with a special focus on the author’s current practice in home health. In addition The Yoga Sutra and Bhagavad Gita will be reviewed to offer a holistic approach to care.
  • 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.
  • An Interesting Assignment to Learn about Mental Illness
    Nicole Csutoros (BSN student) Maureen Kroning RN EdD
    Today, there exist so many various kinds of media including: books, magazines, newspapers, TV, movies, videos, smart phones, computer software and the uncountable sites one can access on the internet. The media is constantly bombarding us with so many messages many of which are subliminal or ostentatious. Subliminal messages from media often suggest what we should buy, how we should act and who we should be friends with. A recent assignment for a psychology class required students to analyze their favorite cartoon characters for signs and symptoms of mental illness. When you assess and analyze some of our favorite childhood cartoon characters some of them display signs and symptoms of mental illness. This assignment engages students to learn about what defining characteristics to look for when assessing patients for mental disorders and just how subliminal messages especially those that are negative can be harmful to our well-being.
  • The Forgotten Arm of Care
    Hilda Pritchard Ming PhD Director Nursing Staff Development Division University Hospital of the West Indies Jamaica
    This article addresses the need for building a healthy work environment amidst the great emphasis on staffing to enhance care .
  • 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.
  • Views of a New Graduate Nurse: The Value of Mentorship
    Barbara Robinson
    A brief overview of one nurse's struggles as a new graduate nurse and the importance of improving the working environment for new nurse graduates.
  • Phlebotomy Basics For Nurses
    Mary H. Nielson, DNP, APRN-BC
    The processes of phlebotomy are pivotal for patient care. Nurses may have to perform phlebotomy for their patient in various health care settings. Understanding the procedures, processes and reasons behind phlebotomy is the key to ensuring patient safety and positive patient outcomes.
  • Recognizing Heart Disease As a Women's Disease
    Maureen Kroning RN EdD Associate Professor of Nursing at Nyack College School of Nursing
    There are noted differences among heart disease signs between men and women. Coronary Heart Disease can go unnoticed in women until they actually suffer a heart attack (NIH). Thus it is essential women are aware of the signs and symptoms, risk factors and healthy life style choices to prevent the devastating effects of heart disease. .Seeking early treatment when symptoms present is vital in improving the outcome of heart disease. It is important to teach women how to incorporate prevention strategies such as: consuming a healthy diet, maintaining optimum weight, maintaining an active lifestyle, maintaining both normal blood sugar and blood pressure levels as well as avoiding risk factors such as smoking, drinking alcohol limit their stress and any unhealthy behaviors that can lead to heart disease. Advocating for women and promoting education regarding health issues affecting women needs to be a priority so heart disease in women can be prevented and effectively treated.
  • If You Work in a Hospital
    Jim Owen, MAT, retired EAP Counselor and Regional Manager for Workforce Performance Solutions. I provided EAP and Consulting services to multiple health care institutions and their staff in Northern and Eastern Maine. WPS is headquartered in Portland, Maine, and is a division of Affiliated Healthcare Systems, Bangor, Maine.
    I have been retired almost 3 years. Since retiring, I have been writing poetry instead of clinical records, reports, and contract proposals. Some of my poetry is about work. This poem reflects my experience working with nurses and doctors. I appreciate that poetry is not something you usually publish, however, like a photo, a poem is sometimes worth a thousand words. I think this poem is particularly relevant to the nurses who read your magazine, it has to do with bad days at work, and high expectations regarding patient outcomes.
  • The Future of Nursing Education: Heading for a Major Crisis
    Rebecca E. Przywara, BSN Student Nyack College, NY & Maureen Kroning RN EdD, Associate Professor at Nyack College, NY
    Nursing as a practice and profession has experienced significant changes over the years. For instance, in the 1800s nurses were expected to be subservient to doctors. Just hear what the doctor who gave Springfield Hospital’s first nursing graduation address: "Every nurse must remember that it is the attending physician's business to make a diagnosis of disease and hence that she should never hazard an opinion herself, under any circumstances." (Dr. Hooker, Springfield Hospital Annual Report, 1894). It would be interesting to know what the nursing faculty were thinking when they heard those words. Thankfully nurses during that era did not take the doctor’s advice and remained dedicated to advance and advocate for the profession of nursing. Around the same time that Springfield Hospital’s first nursing graduating class were listening to their graduation address, Florence Nightingale along with other nurse advocates, were making incredible strides to implement nursing education. After the Crimean War, Florence Nightingale recognized and introduced the need for formal nursing education but the education was limited to basic nursing knowledge and skills. As a result of the Women’s Rights Movement in the 1900s, the idea of nursing as a profession evolved into a reality. As society’s healthcare needs changed, nursing education had to change to meet those needs. There were however, challenges each century faced when trying to ensure nursing education met society’s needs and today, the challenges faced are heading right for a major crisis.
  • Disparities in Healthcare: Night Shift Nurses
    Skip Morelock PhD, RN, NEA-BC
    Night shift nurses have been shown more likely to developing health issues than their day shift counterparts. Research over the past twenty years has led to the increasing conclusion that working night shifts for as little as eight shifts a month is associated with an increased likelihood to develop metabolic syndrome, a four-fold increase in the incidence of vascular events, and an increased chanceofdeveloping certain cancers.
  • DNP and the Transformational Leaders
    Bo Soobryan
    Transitioning advanced nursing practice to the doctoral level represents the natural evolution of the nursing profession and the right moves to ensure that nurses are prepared for the highest level of practice. Many advocates within the health care community (local and national authorities) are calling and welcoming the DNP role. National and state agencies, as a leading advocate for advanced practice nursing, understands greatly the contributions APNs (advanced practice nurse) make in the health care system as cost-effective providers. In addition, APNs have identified the need for additional education in the areas of evidence-based practice, quality improvement, and systems management, among others (Kaplan & Brown, 2009). This transition in the education of advanced practice nurses (APNs) is targeted to meet the increasingly complex needs of patients, families, and communities in a rapidly changing health care environment. DNP education also has the potential to transform the nursing profession in a variety of ways. These include: • Creating and adopting new roles in nursing practice • Increasing the influence of APNs in health care and policy development • Promoting leadership by APNs in their workplace and health care organizations • Enhancing the self-concept of advanced practice nurses • Strengthening inter-professional relationships and collaborations. (Kaplan & Brown, 2009; Swider, Levin, Cowell, Breakwell, Holland, & Wallinder, 2009) The DNP stimulates the creation and adoption of new advanced practice role. As health care becomes more complex, it will take such strong leadership criteria for nurses in all fields to continue to improve their own standards and the qualifications of others in the field (Kaplan & Brown, 2009).
  • It is Time to Recruit More Men into the Profession of Nursing
    Isaiah Monroe (Nyack College, BSN student) & Maureen Kroning RN EdD (Associate Professor of Nursing, Nyack College, NY)
    It is a benefit to have men working in the profession of nursing. We need to recruit more men into our nursing schools and to work in our healthcare institutions. Both male and female nurses bring different perspectives and benefits to the profession of nursing and to the patient’s they care for. The ability of men to negotiate and obtain higher salaries and positions in both administration and nursing specialty areas may serve as the impetus to elevate the entire nursing profession.
  • Managing behavior in children with ASD
    Karen Regan
    Unfortunately, many of these children end up in the emergency department for these behaviors due to the lack of community mental health services. These crises visits often times result in unnecessary medications being prescribed for these problematic behaviors.
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