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November 2014 - Volume 114 - Issue 11
pp: 7-72

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Implementing Evidence-Based Medication Safety Interventions on a Progressive Care Unit

Williams, Tyeasha; King, Melissa W.; Thompson, Julie A.; More

AJN, American Journal of Nursing. 114(11):53-62, November 2014.

Creator: Shawn Kennedy
Duration: 7:48
AJN The American Journal of Nursing November 2014, Volume 114, Issue 11;
Editor-in-chief Shawn Kennedy and Clinical Editor Betsy Todd, present the highlights of the November issue of the American Journal of Nursing. The photo on our cover of a father with his daughter, who had a traumatic brain injury, highlights our CE article on mild traumatic brain injury and how often patients don’t realize they’ve suffered an injury. Our second CE is about early implementation of palliative care for hospitalized older adults. Our Cultivating Quality column discusses the preparation of medications and how safety interventions can reduce errors. And we have an ethical piece about nurses’ moral distress at Guantanamo Bay. Our Archives column reflects on historical force-feeding of women in British prisons as well. Our Legal Clinic describes the nurse’s duty to protect, asking, did nurses unreasonably ignore a patient’s risk of harm? In addition, there’s News, Reflections, Drug Watch, Art of Nursing, and more.
Creator: Shawn Kennedy
Duration: 16:33
Doug Olsen discusses how military nurses at Guantanamo Bay face conflicting ethical imperatives and potential real world consequences over force-feeding Guantánamo Bay detainees. Military nurses are bound by the Oath of Commissioned Officers to protect their country and not simply to follow orders—in this way, their oath differs from the one taken by enlisted personnel. While officers are legally bound by the Uniform Code of Military Justice to follow orders, they are also expected to use sound judgment in assessing them—and to sometimes refuse those that are not in the best interests of the country, even if doing so means they will be held morally and legally responsible for the exceptional act of refusal. In some situations, the moral expectation to assess orders can present a conflict of fundamental values with a high potential for moral distress for the nurses involved.
Creator: Shawn Kennedy
Duration: 18:38
Sufferers of mild traumatic brain injuries (mTBI) often have no physical symptoms and this injury may be undetected at first, yet it often has a profound negative effect on quality of life, including functional abilities and interpersonal relationships. AJN editor-in-chief Shawn Kennedy speaks with author Hyatt about her work with these patients and what all nurses need to know to recognize mTBI injuries.