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Journal of Nursing



  • Clinical Considerations for Patients with Active Clostridium difficile Infection
    Donna Boyer,RN,WCC James McShane,BA,RN
    This article addresses the probable significant environmental Clostridium difficile (c. difficile) spore contamination that occurs when patients with active C. difficile infection are utilizing low air loss mattress therapy. We site published works that have proven environmental contamination exists in the absence of low air loss therapy. We assert that by virtue of the mechanism of action of low air loss surfaces, significantly increased environmental soiling is inevitable. Therefore, the risk of spreading infection is significantly increased. We are calling for additional research to determine the extent of increased contamination that occurs when low air low therapy is used on patients with active C difficile infection.
  • PSYCHOLOGICAL FACTORS AFFECTING EATING HABITS AMONG NURSES IN GENERAL HOSPITAL
    Principal Author: Cik Norfidah Binti Mohamad Contributing Author(s) 1. Zaleha Binti Mohd Hashim 2. Umi Kalsom Binti Ibrahim 3. Nordiana Binti Borhan Designation PA Head, Department of Nursing CA1. Registered Nurse CA2. Registered Nurse CA3. Registered Nurse Principal Author Tel. No: +6019 2413108 Principal Author-email address: [email protected]
    Abstract Background: Obesity and overweight are more frequent in workers working in shift and psychological distress increased among working women in Malaysia. A supportive manager and a flexible working time are linked with a decrease of the conflicts between family and work. Objectives: The purpose of the research was to investigate the patterns of eating habit and its relationship factors, with focus on psychological factor among nurses. Methods: A study of 100 nurses was conducted in medical-surgical wards of a public hospital. Data was collected using a cross sectional study using a convenience sampling (non probability). A self-administered questionnaire on eating habits was used, and analyzed using SPSS (version 21). Results: A majority of (89%) participants was from a female group while a number of male participants are only (11%). Majority (86%) responded they ate because of feeling happy followed by eating because of feeling lonely (80%) and most of them did not perceived that they have a healthy eating habits (53%). Conclusions: The findings indicated that employers need to identify physical workload that is acceptable to avoid risks of unhealthy eating habits and monitor the availability of healthy food in the worksite. Keywords: Eating habits,Psychological Factors, working in shifts.
  • History of Ebola and Nursing
    Chinazo Echezona-Johnson, Ed.D, LL.B, RNC-MNN Assistant Director of Nursing/Women and Children Nursing Education Metropolitan Hospital Center
    Many healthcare providers and the public are paying very special attention to the outbreak of the Ebola Virus in West Africa and the subsequent infection of the two critical care nurses at Texas. Many healthcare professionals expressed their confusion about the virus and the seeming stigmatization of nurses. Currently with the outbreak in Texas, nurses and other healthcare providers were encountered the same dilemmas as Central Africa nurses years ago.
  • The Cost of Caring
    Julie Givens RN, BSN Cynthia Bain MSN, RN, CNE
    Nurses care for individuals when they are most vulnerable and often serve as emotional outlets. It is this deep caring that can lead to nurses becoming burnt out or developing vicarious traumatization, secondary traumatic stress, or compassion fatigue. Awareness of these phenomena and methods of prevention needs to be increased throughout the profession. This includes teaching nursing students as they begin having interactions with patients in the clinical setting.
    Tags: cost, caring
  • Love in the ICU
    Brynn Knibbe, RN, BSN, CCRN
    the love I have witnessed between people during my time as an ICU nurse
    Tags: ICU, love
  • Cultural Diversity
    Elizabeth Shiferaw
    Cultural Diversity plays a very important role and will continue to play an even greater role as we move into a more diversified world. We live in an era of constant change and transformation, which in return paves the way for cultural transparency. The U.S. population consists of members from different racial and ethnic groups and depending on their geographical location, they can either be more or less concentrated.
  • Diabetes Insipidus
    Karen Resseguie-Vickstrom, BSN, BBA, MBA (current DNP student)
    ABSTRACT: Diabetes Insipidus (DI) is a deficiency response to the antidiuretic hormone (ADH) also known as vasopressin. There are two types of vasopressin (V) receptors known as V1 and V2 in which the V1 receptors located in the vascular smooth muscles cause vasoconstriction whereas V2 receptors located on the tubular cells of the cortical collecting duct control the reabsorption of water via the kidneys. DI effects the renal mechanisms of the water reabsorption which is particularly imperative for maintaining body fluid osmolality. Edification that medication management is available in conjunction with readily accessible liquids at all times to replenish the enormous losses that occur through urination in addition to enforcement that this disease can easily turn to life threatening if not managed properly. PURPOSE STATEMENT: The principle of this article is to aide nurses and advanced specialty nurses in providing educational awareness to parents whom have a child with Diabetes Insipidus as it correlates with an insufficient response to the antidiuretic hormone (ADH).
  • Abnormal Gait in Toddlers
    Author: Karen Resseguie-Vickstrom BSN, BBA, MBA (current DNP student)
    Disorders of the skeletal system can develop as a result of abnormal growth and development due to hereditary or congenital abnormalities (Grossman, 2013). Three possible diagnosis that could result in a three year old child that is having a noted abnormal gait is Torsional Deformities, Developmental Dysplasia of the Hip and Legg-Calveʹ-Perthes disease.
  • One Day, One Shift, One Year
    Maria Hatter, RN, BSN, CCRN
    Nurse's experience of delivering a baby in the restroom of an ED.
  • Not Just Another Day
    Kimberly Heister
    Brief story about helping someone say goodbye and knowing their loved one was cared for.
  • A Difficult Patient
    Catherine Stevens
    managing a difficult patient in the PACU setting. In my nursing career, there are many different types of challenges. Job challenges, schedule challenges and patient related challenges. No matter what type of nursing I have encountered there are always difficult patients that test my nursing skills. Whether the demands are related to technical skill, assessment or cultural understanding, I enjoy that critical thinking that is required to rise to the occasion. As a seasoned nurse I feel that technical challenges have become easier to handle, while the social or cultural challenges have my increased interest. I continue to obtain as much education as I can to assist my nursing challenges.
  • 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.
  • Self Examination of Body : An Effective Measure for Early Detection and Treatment Properly of Cancers among Girls/Women in Rural Area and Slum Area of India
    Harasankar Adhikari
    Cancer is the one of the scariest and second largest non-communicable disease. It contributes a sizable in the total numbers of deaths. The World cancer Report, 2003 indicates that cancer rates are set to increase at an alarming rate globally and it would be increased by 50% new cases for the year 2020. In case of India the number is expected to rise seven million by 2015. Ignorance among the public, delayed diagnosis and lack of adequate medical facilities has given it the dubious distribution of being a ‘killer disease’. Only early diagnosis and properly treatment strategies can be prevented the one third of common cancers. It is the prime matter of concern that the female population at their reproductive age and beyond is badly infected by the disease. The incidence of breast cancer, cervix and ovarian cancer are raising steadily. There are several factors like life style and diets specially among urban women associated with this increasing rate of victimization. But among females of rural and urban slums it speaks another scenario because these female populations has a little scope of self examination of their body which is an effective strategy rather than education, awareness and screening test.
  • No, Ms. Ray, I'm Not Thankful to Have a Job
    Pat Miller, RN
    Response to HR telling nurses they are lucky they have a job after cutting pay and benefits.
  • Educational Requirements for Baccalaureate Nursing Faculty: How do the States Differ?
    Kelli Fuller DNP, RN, ANP-BC Renee Davis DNP, RN, CPNP Bobbi Shatto PhD, RN, CNL
    Nursing shortages have plagued the United States for the past several decades. By 2020, the deficit of Registered Nurses (RN) is projected to exceed 1.2 million (AACN, 2012). One important factor is the shortage of qualified nursing faculty. Every year many qualified applicants are denied admission to nursing programs due to nursing faculty shortages (AACN, 2012). Nursing programs can only accommodate as many students as they have faculty to teach. State Boards of Nursing (SBN) throughout the country are collaborating with colleges and universities to fill nursing faculty vacancies utilizing a variety of creative strategies. An educational research team, at a private university in the Midwestern section of the country, examined each state’s SBN rules and regulations related to pre-licensure faculty requirements for baccalaureate nurse educators. The researchers found that there were vast differences in the educational requirements allowed by individual State Boards of Nursing for Baccalaureate nurse educators.
  • Teach Your Children CPR
    Maureen Kroning RN EdD
    CPR is a skill most anyone including our own children can learn. It is a skill that needs to be taught in all schools. We should not underestimate our youth being able to save someone's life by performing CPR.
  • Eating Disorder among Elderly Causing Heart Attack in Post Retirement Life
    Harasankar Adhikari
    In the era of globalization growing elderly faces multifaceted problems range from absence of ensured and sufficient income to support themselves and their dependents, to ill-health, absence of social security, loss of social role and recognition, and non-availability of opportunities for creative use of free time in all societies of India in their post retirement. In developed countries population ageing substantially shifted in social programmes.
  • A Study To Exploring Nursing Students’ Lived Experiences In Pediatric Clinical Practice In A Selected College, Chennai
    Kogila P.
    The results of this research can serve as a reference for nursing teachers to design appropriate courses for pediatric nursing curriculum.
  • Receiving another patient helped save my other patient...
    Stacey Kast Rn,Bsn
    I started my day in the Post Anesthesia Care Unit (PACU). I work the 7a-7p shift. It was just another routine day. I received an 84yr old female patient Mrs. R from the Main Operating Room (OR) who had undergone a Left Shoulder Replacement. Mrs. R received an interscalene block for pain in the OR and had general anesthesia. Since she was elderly and was not having good tidal volumes at the end of the case anesthesia decided to keep her on the ventilator a bit longer until she woke up more...
  • 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.
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