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Journal of Nursing



  • Going Against the Norm: Treating Cancer as a Metabolic Disease
    Jason Carhart, BSN Maureen Kroning RN EdD
    The current treatment for someone diagnosed with cancer is no longer acceptable. The focus needs to shift away from our standard treatments which so often causes pain as well as physical and emotional suffering. Emerging research about the body’s cellular metabolism provides new hope for cancer prevention and treatment. A number of mechanisms present in the human body are known to inhibit cancer cell growth by providing the body with an alternative fuel source, one that cancer cells cannot metabolize. For instance, induced ketosis offers a physiological means of regulating glucose metabolism in cancer patients while suppressing tumor metabolism and progression while ketone production significantly produces anti-cancer effects by shifting the body’s fuel source from a glucose dependency to one that is ketone based. Even while there remains controversy over the occurrence of many types of cancer, recent research has unveiled promising results towards cancer prevention and treatment. Emerging evidence indicates cancer is primarily a metabolic disease. According to Dana-Farber Cancer Institute (2014) research is being done to look at the connection between body weight, sugar intake, insulin levels and their correlation to cancer. Understanding the cellular metabolism of cancer is necessary in order to find preventative and holistic treatment modalities and for this to occur, a paradoxical shift in our current perception of cancer treatment is necessary.
  • The Hospital Room: Not Just Four Walls
    Debbie Croome Hancock, MN, RN, CPN and Kay J. Cowen, MSN, RN-BC
    The patient room is a place where patients and families learn about an illness and treatment plan, and where patients get better or worse. It is very important for nurses/nursing students to get a sense of the emotion that goes on in these rooms, the room is more than four walls.
  • Reducing Lateral Violence: A humanistic educational approach (2013)
    Janet M. Reed, RN BSN, MSN
    We’ve all witnessed it: the gossip, backbiting, and bullying that too often occurs in the nursing workplace. Lateral violence (LV), also known as horizontal violence or workplace bullying, consists of behaviors including “bullying, intimidation, sarcasm, back-stabbing, criticism, exclusion, and various forms of unequal treatment”. LV has been a topic of ongoing topic of concern in nursing for many years and is particularly prevalent in female dominated professions. LV is often attributed to oppression theory, which states that nurses are an oppressed group because they are deemed less important than others (such as medical practitioners); therefore, nurses often lack autonomy and control over their profession which results in powerlessness and displaced aggression towards other nurses.
  • Post-Operative pain management in Total Joint Replacements: Finding a Balance
    Michele E. White, RN, BSN
    Post-operative pain can place patients at high risk for complications (Finding the balance continues)
  • Authentic Leadership in Nursing
    Hallie Garrett at Kean University
    Authentic leadership, I choose this topic because it is what I aspire to be. I was treading on serious unfamiliar territory. I have never ventured upon this characteristic, but none the less; I want to be an authentic leader. I have been in the nursing world for over 20 years and have never met this strange and unfamiliar character called the quintessential “authentic leader”. I have worked with many different mangers in my career. I have noticed a common thread with each one .Leaders that were daily, dealing with emotional upheavals trying to balance their career and families. The stress from this unhappy medium; lead to mood swings and attitudes when they had a bad day. I remember as a staff nurse hiding behind curtains in my patient’s rooms to avoid the emotional outburst of my managers. This role of a leader all seemed frightening to me. I often wonder how this person is making a difference in patient care with such high levels of stress. I never had a good role model of a leader. But as I read the literature about authentic nursing leadership my spirit leaped and I could truly identify with the characteristics of this type of leader. This type of leader ventures out and takes risks and has a goal to exceed the standards of care; and is a trailblazer in the field of nursing. Authentic nursing leadership is multifaceted.
  • Understanding behaviors in Autism Spectrum Disorder
    Karen Regan BSN, RN-C
    With the rising incidence of Autism Spectrum Disorders, nurses need to be educated regarding comorbidities that can cause aberrant behaviors. Along with a thorough medical assesment, finding mental health services can be challenging for many families. Many PCP's and other non-mental health professionals take on medication management of behaviors due to the lack of appropriate mental health resources.
  • Distracted Driving and Young People
    Carol Sachs RN,BSN
    Distraction while driving occurs any time you take your eyes off the road, your hands off the wheel, and your mind off your primary task: driving safely. There are three main types of distractions. Manual – removing your hands from the wheel Visual – removing your eyes from the road Cognitive – taking your mind off the complex task of driving. It is this last type of distraction – known as cognitive distraction– which appears to have the biggest impact on driving behavior especially for young drivers. Young drivers, for the purpose of this paper, will be defined as those ages 16-20. According to Distraction.gov (2013), “young drivers are 4 times more likely than any other age group to be involved in a crash while distracted”. They are also 44% more likely to text. 73% of those surveyed report driving while texting. This results in 23 times more likelihood of crashing. In fact, 16% of all distracted driving crashes involve drivers under 20. Crashes are the leading cause of death worldwide among those aged 15–29 years.
  • Clinical Decision Support Need for Standardization
    Dr. Chandrashekhar Bhoopalam
    Clinical Decision Support System (CDSS) is interactive software that assists physicians in decision-making about their patients. The system utilize data from pharmacy, laboratory, radiology, and other patient monitoring systems to help physicians in enhancing patient care. Statistics show an increase in the number of medical institutions adopting CDSS in pursuit of reducing errors, improving the nursing documentation and improving patient outcomes. This paper discusses errors arising from the use of CDSS and ways of preventing them.
  • Women’s knowledge regarding preventive measures of Food Poisoning in Khartoum, Sudan
    Waled Amen Mohammed Ahmed
    The objective of this article is to assess the mothers' knowledge regarding preventive measures of food poisoning in Khartoum. This is a descriptive, cross-sectional study; it was conducted in Alemtidad area during period extended from September to December 2012, it involved 88 mothers selected by convenience. Data were collected by using designed questionnaire then analyzed by (SPSS). It was found that; mothers’ knowledge about preventive measures for food poisoning is satisfactory concerning; hand washing, washing vegetables and cooking appropriately. The economic status, level of education, and housing condition are not predicting factors influencing level of mothers’ knowledge about food poisoning. The mothers in Khartoum have acceptable level of knowledge about food poisoning. There is need for strengthening the situation through education sessions
  • Advocacy for Those without a Voice: Helping Parents with Smoking Cessation
    Karmen Dayhuff, Christa McAfee, Deb Vincent, Susan Eley
    The purpose of this manuscript is to summarize current research in the area of second-hand smoke exposure in children and smoking cessation interventions for their parents.
  • Dear Mr. R
    Lauren Rathbun
    If you could write a letter to that patient you just can't forget, what would you say?
  • Making the Transition From Student to Working RN
    Ron Simpson, RN
    Guidelines and tips for transitioning to working nurse and additional tips on surviving the first year.
  • Increasing New Graduate Nurse Retention from a Student Nurse Perspective 
    by Kristin vanWyngeeren, BSN Massachusetts College of Pharmacy and Health Sciences School of Nursing Tammy Stuart, MS, RN Assistant Professor Massachusetts College of Pharmacy and Health Sciences
    Research shows that turnover rates are high for new nurse graduates as a result of a stressful work environment coupled with inadequate support during the transition from student to professional practice. This article seeks to define the problem of new nurse graduate retention, examine strategies implemented by specific organizations that decreased turnover rates of new graduate nurses, and offer recommendations for the new graduate nurse about to enter professional practice.
  • Clinical Nurse Leadership and Performance Improvement on Surgical Unit 
    by Cheryl A. Landry RN,MSN,CNL(c)
    There are many ways that nurses can prevent harm to their patients one method is to provide the necessary care that will promote only positive outcomes for their patients.
  • 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.
  • Let’s get rid of the “bad apples”
    Maureen Kroning RN EdD
    One of the most stressful challenges of the nurses working environment has become working among our own colleagues. Terms such as “Incivility”, “Bullying”, and “Lateral Violence” are now included among our long list of stressful issues nurses face each and every day. These terms include behavior that is undesirable for any institution and is counterproductive in any environment. Undesirable behaviors can involve not only nurses but any employee in an institution including that administration. The effects it has on nursing can be detrimental to the entire profession and even cause many to leave the profession of nursing altogether. We must begin to address this issue with specific interventions and we must do it now for it can and will taint the image of nurses who are smiling at work, providing caring, compassion, and good rapport with their fellow colleagues and have an investment in the organization to do well.
  • What do they expect? A comparison of student expectations and outcomes of undergraduate research experiences
    David M Chapinski
    The big challenges facing nursing students today have permanent effects on us all as patients. Nursing students need to be able to value the relevance, authority, and utility of nursing research for patient care through embedding research learning in both academic and practice-based settings. Students can be supported in learning how to access, understand, and appraise the authority of research through weaving these skills into enquiry-based learning. Furthermore, encouraging students to undertake research- based practice change projects can support research utilization and development skills.
  • Care of the Pediatric Patient
    Leah Toms
    Short exemplar about caring for a pediatric patient in Interventional Radiology
  • The Benefits of Keeping a Nursing Journal
    Maureen Kroning RN EdD
    Each day, nurses are playing a crucial role in someone’s life. They are a part of so many incredible stories and often they are not even aware of just how incredible their stories are and the impact these stories have on themselves, their patients, their own colleagues and their healthcare facilities. Most nurses will tell you that healthcare has changed drastically over the years and they probably would not say for the better. As nurses, we often practice in chaotic environments; one that is so vastly changing and one that is so hard to keep up with it. Keeping a nursing journal can not only put a voice to our unique nursing stories but can provide so many other benefits.
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