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Journal of Nursing

  • 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.
  • 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.
  • Why Do Nurses Eat Their Young?
    Taylor Caron, Senior Nursing Student
    This article discusses issues related to new nurses regarding bullying and how the problem can be solved.
  • When does treatment become a life sentence?
    Michelle Terwilliger, BSN, MSCN,RN
    This is an article based on patient's autonomy and dignity and the treatment process for those that have terminal illness.
  • 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.
  • The Birmingham VA Nursing Academy Partnership
    Dr. Laura Steadman, Kimberly D. Froelich, PhD, RN, NE-BC, ARNP, VHA-CM, Angie Harrison, RN, VANAP scholar, Taylor Wiggins, RN, VANAP scholar, Elijah Berry, RN, VANAP scholar
    This article describes a partnership and the importance of partnering with the Birmingham VA Medical Center and the University of Alabama at Birmingham School of Nursing as part of a pilot program in The United States to promote nursing careers in the VA hospital and to improve the quality of nursing education in the School of Nursing. Since it began, in 2009, this program, called the Veterans Affairs Nursing Academy Partnership, has consistently performed beyond expectations to increase the breadth of knowledge for a select group of baccalaureate nursing students. Further it has created a strong connection between the Birmingham VA Medical Center and the University of Alabama at Birmingham School of Nursing, a professional resource that benefits all students and faculty.
  • Rising to the Challenge of Nursing Education
    Beth Kalkman, MSN RN, RNC-OB
    As the nursing shortage and nursing faculty shortage continue, it is imperative that we look to innovative measures in order to increase the number of available baccalaureate prepared nurses. At the same time, it is crucial that we do not neglect the quality of education required to receive the Bachelor of Science in Nursing degree. This paper examines potential solutions to the ongoing nursing shortage.
  • Medication Induced Bradycardia
    Gina Noggle RN BSN
    In medicine there is never a playbook about how things are going to unfold and this is especially true when it comes to recovering from surgery and anesthesia. For example, sometimes as nurses we give medications to treat one symptom and unintentionally cause another.
  • Nursing School Angel
    Kelly Fulghum, RN
    How a patient in nursing school taught me how to deal with life and death
  • Successful Aging For Canada's LGBT Older Adults
    Tosh Reed
    A research paper I wrote for my BSN degree regarding how health care services, particularly nursing can accommodate older adult members of the LGBT community and provide safe and best practice care.
  • 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.
  • Quiet Servant
    Deborah J. Camak ,MSN,RNC
    A poem dedicated to the service of community health nurses.
  • Reflections of Nurse Educator
    Chinazo Echezona-Johnson, Ed.D, LL.B, MSN, RNC-MNN Assistant Director of Maternal-Child Educator, Health and Hospital Corporation, Metropolitan Hospital Center
    Teaching is an art. Some people are born teachers while others acquire the skill. To be a great teacher, one has to have a sense of humor and be very flexible. Teachers will never teach to gain monetary reward. However, they will teach to achieve the best reward - satisfaction that they have an impact on the education of the leaders of the world, the training of CEOs, and the success of new breed of professionals. Teaching is a noble profession.
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