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Preventing in-patient falls: The nurse's pivotal role

Chu, Ruby Z.

Nursing. 47(3):24-30, March 2017.

Preventing falls requires a multidisciplinary approach to create a safe patient environment, including a fall prevention program and education for nurses. This article discusses practical, evidence-based interventions that nurses can implement to keep their patients safe.

Wound Care 101

Cox, Jill

Nursing. 49(10):32-39, October 2019.

The clinical nurse may be the first caregiver to assess changes in a patient's skin and initiate wound care. This article provides practical guidelines that any nurse can implement to support wound healing and improve patient care.

Top 10 tips for coping with short staffing

Laskowski-Jones, Linda; Toulson, Karen

Nursing. 37:9, Fall 2007.

Everyone faces short staffing from time to time. Here are some practical tips to help you cope.

Code blue: Do you know what to do?

Jackson, Janet E.; Grugan, Amy S.

Nursing. 45(5):34-39, May 2015.

Although nurses in hospitals are required to have basic life support training, they may have few opportunities to practice these skills before needing to perform them in a crisis. Make sure your skills are current by reviewing appropriate actions and interventions nurses and other clinicians must perform during a code blue.

The legalities of nursing documentation

Campos, Nikki K.

Nursing. :7-9, January 2010.

To meet the expectations of the public, nurses must fully understand the duties associated with their position as set forth by not only governing bodies, but also the institutional policies and procedures affecting their practice. One particular duty that deserves significant emphasis is the requirement of complete and accurate documentation related to patient care, which includes what's done to and for the patient and how particular decisions about care are made.

Recognizing subtle signs and symptoms of pediatric cancer

Barbel, Paula; Peterson, Kathleen

Nursing. 45(4):30-37, April 2015.

Even though cancer is rare in children and adolescents, it's the leading cause of disease-related deaths among Americans ages 1 to 19. Refresh your knowledge of the elusive signs and symptoms of cancer because early diagnosis and treatment can save young lives.

Assessing mental health in vulnerable adolescents

Farley, Holly R.

Nursing. 50(10):48-53, October 2020.

In recent years, a dramatic shift in risks and behaviors threatens adolescents' mental well-being more than ever before. This article explores how nurses in any practice setting can identify adolescents at risk for mental health issues and intervene effectively.

12-lead ECGs part II: Identifying common abnormalities

Goldich, Guy

Nursing. 44(9):30-36, September 2014.

Nurses who can independently interpret a 12-lead ECG can anticipate and prepare for emergency care their patients may need. Review this practical guide to recognizing abnormal ECGs, which builds on last month's article about assessing normal findings.

Anorexia nervosa in adolescents: An overview

Peterson, Kathleen; Fuller, Rebecca

Nursing. 49(10):24-30, October 2019.

Anorexia nervosa (AN) is an eating disorder that is difficult to treat, and relapse is common. Here, explore management strategies and nursing interventions for adolescents diagnosed with AN.

Motivational interviewing: A journey to improve health

Droppa, Mandy; Lee, Heeyoung

Nursing. 44(3):40-45, March 2014.

Apply the motivational interviewing principles and communication skills discussed here to elicit patients' personal reasons for changing unhealthy behaviors, then reinforce their healthier choices.

Stay out of court with proper documentation

Austin, Sally

Nursing. 41(4):24-29, April 2011.

Besides undermining patient safety, inaccurate or incomplete documentation can land you in court if you're ever charged with nursing negligence. Avoid legal problems by always following these practical, best-practice guidelines.

Reminiscence therapy: Finding meaning in memories

Klever, Sandy

Nursing. 43(4):36-37, April 2013.

When approaching death, many people want to put their lives in perspective. By encouraging patients to talk about their past, you can improve their self-esteem and help them achieve a sense of fulfillment.

Advancing the profession: The clinical nurse educator

Brennan, Jean; Olson, Evelyn Louise

Nursing. 48(10):53-54, October 2018.

Emphasizing required skills, knowledge, and education, this article describes the role of clinical nurse educators (CNEs) and the best practices CNEs can use to optimize education for nurses.

Case management: An overview for nurses

Armold, Sarah

Nursing. 49(9):43-45, September 2019.

Case management offers an exciting opportunity for nurses as they decide how best to serve their patients. This article discusses the role of case managers in the healthcare setting.

Cannabis dabbing: An emerging trend

Mullins, Mary Frances

Nursing. 51(5):46-50, May 2021.

Cannabis dabbing is the recreational use of extremely concentrated tetrahydrocannabinol, the main psychotropic cannabinoid derived from the marijuana plant. In this article, the author details the significant health and legal risks associated with dabbing and discusses how nurses can educate patients.

I.V. fluids What nurses need to know

Crawford, Ann; Harris, Helene

Nursing. 41(5):30-38, May 2011.

Refresh your knowledge about I.V. fluids, including how they act in the body and which ones to use (or avoid) in common clinical situations. This is the first in a series of articles on fluid and electrolyte balance.

Epidural analgesia: What nurses need to know

Sawhney, Mona

Nursing. 42(8):36-41, August 2012.

Refresh your knowledge of epidural analgesia and review current standards of care. This comprehensive overview covers safely administering epidural analgesia to manage certain types of acute and chronic pain, achieving optimal pain control, and identifying and managing adverse reactions or complications.

20 questions: Evidence-based practice or sacred cow?

Miller, Julie; Hayes, Denise Drummond; Carey, Katherine W.

Nursing. 45(8):46-55, August 2015.

Despite dramatic advances in healthcare research, many nurses continue to promote outdated nursing practices. Grounded in tradition rather than science, these “sacred cows” are ineffective, unnecessary, and sometimes dangerous. Read the results of a nationwide survey designed to test nurses' knowledge and beliefs about outdated nursing practices, then update your practice based on the best evidence available.

Elder abuse: Screening, intervention, and prevention

Stark, Sharon

Nursing. 42(10):24-29, October 2012.

Signs and symptoms of elder abuse are often mistaken for those of normal aging or declining health. This article details how to assess for abuse and discusses what nurses should do if they know or suspect an older adult is a victim.

Increasing cultural competence with LGBTQ patients

Margolies, Liz; Brown, Carlton G.

Nursing. 49(6):34-40, June 2019.

Many nurses lack basic education about LGBTQ (lesbian, gay, bisexual, transgender, queer) patient care. Review this article for insights and strategies that can help nurses recognize health disparities affecting LGBTQ patients, encourage patients to disclose sexual orientation and gender identity to healthcare professionals, and work with LGBTQ patients to improve outcomes.

Call to action: How to implement evidence-based nursing practice

Mick, JoAnn

Nursing. 47(4):36-43, April 2017.

Implementing evidence-based nursing practice supports nurses in practicing to the full extent of their education and licensure. To ensure high-quality patient care, follow this practical guide to integrate your clinical skill and experience with the best available clinical research evidence.

Nasal cannula or high-flow oxygen for patients with COPD in acute respiratory distress?

Tasota, Frederick J.; Kress, Terri L.; Conlin, Tiffany L.; More

Nursing. 51(5):52-57, May 2021.

The authors address a common nursing misconception regarding the administration of high-flow oxygen via non-rebreather mask instead of low-flow oxygen via nasal cannula in patients with chronic obstructive pulmonary disease who are in acute respiratory distress.

Caring for adults with impaired physical mobility

Crawford, Ann; Harris, Helene

Nursing. 46(12):36-41, December 2016.

Immobility and its complications can cause physical disability and emotional suffering. With appropriate assessment skills, early mobilization efforts, and proper prevention strategies, nurses can help patients avoid complications and optimize their quality of life.

Preparing for the new nursing licensure exam: The next-generation NCLEX

Ignatavicius, Donna D.

Nursing. 51(5):34-41, May 2021.

The National Council of State Boards of Nursing is changing its licensure exam to focus on a clinical judgment model. This article describes the current National Council Licensure Exam (NCLEX), the shift in focus from the nursing process to clinical judgment, and the intended emphasis of the next-generation NCLEX.

Bridging communication gaps with the deaf

Shuler, Gregory K.; Mistler, Lisa A.; Torrey, Kathleen; More

Nursing. 43(11):24-30, November 2013.

Are you up-to-date on laws and evidence-based interventions that can help nurses communicate with patients who are deaf or hard of hearing? Sidestep a host of risks caused by poor communication and improve care by gaining a deeper understanding of the best practices presented here

Preventing, assessing, and managing constipation in older adults

Toner, Francis; Claros, Edith

Nursing. 42(12):32-39, December 2012.

Did you know that up to half of all older adults experience constipation? Be ready to assess these patients, prepare them for diagnostic testing if necessary, and teach them simple but effective interventions to ward off serious complications.

Diabetic peripheral neuropathy: Person-centered care

Anastasi, Joyce K.; Klug, Chloe

Nursing. 51(4):34-40, April 2021.

Diabetic peripheral neuropathy (DPN) is a common neurologic complication of both type 1 and type 2 diabetes mellitus. After presenting an overview of DPN, this article details the clinical assessment and management of patients with DPN and discusses the nurse's role in supporting these patients.

Chest X-ray interpretation: Not just black and white

Pezzotti, William

Nursing. 44(1):40-47, January 2014.

Is your patient's chest X-ray unremarkable, or does it show a life-threatening abnormality? Use this article to gain a basic understanding of chest X-ray interpretation to sharpen your assessment skills, promote patient safety, and optimize care.

Rapid response teams: What's the latest?

Jackson, Shirley A.

Nursing. 47(12):34-41, December 2017.

For nearly 25 years, rapid response teams (RRTs) have been assessing and managing patients who experience acute clinical deterioration. Update your knowledge about nurses' vital role in the team, a new role for families activating an RRT, and end-of-life concerns.

Nursing during the COVID-19 pandemic

Mancuso, Lisa

Nursing. 51(1):42-44, January 2021.

A nurse offers first-hand insight into caring for patients with COVID-19 during the first coronavirus spike in the Northeastern US last spring.

How social determinants of health affect COVID-19-related morbidity and mortality

Pecoraro, Kathleen A.

Nursing. 51(5):24-32, May 2021.

The conditions under which people live and work and how those conditions affect health are known as social determinants of health. This article examines how disparities of wealth, opportunity, and other societal resources have influenced morbidity and mortality in minority people of color during the COVID-19 pandemic.

Evaluating competence and confidence using simulation technology

Kiernan, Llynne C.

Nursing. 48(10):45-52, October 2018.

To examine the role of simulation training in educating nurses and reducing clinical errors, the author describes a research project designed to determine the effectiveness of deliberate practice and simulation technology.

Keeping up-to-date with diabetes care and education

Funnell, Martha M.; Freehill, Karein

Nursing. 48(10):22-29, October 2018.

The American Diabetes Association publishes standards of care that are updated annually by a panel of experts. This article describes evidence-based approaches to care and education for adults with diabetes and highlights revisions in the 2018 Standards of Care that are relevant to nurses and patients with type 2 diabetes.

Caring for patients who are homeless

Mcenroe-Petitte, Denise M.

Nursing. 50(3):24-30, March 2020.

Nurses interact with patients across many settings. This article discusses concerns for patients considered homeless and the role of nurses in addressing their healthcare needs.

Caring for critically ill patients with COVID-19

Leaton, Mary Beth; Ospina, Kristin

Nursing. 51(4):24-31, April 2021.

Learn how one medical facility incorporated key clinical principles to manage the first surge of patients with COVID-19.

Are you ready to move into critical care?

Cottrell, Damon; Kendall, Stephanie M.

Nursing. 40(1):20-21, January 2010.

Consider the personal rewards of critical care nursing, then find out how to plunge into this demanding and in-demand field.

Artificial intelligence: Essentials for nursing

McGrow, Kathleen

Nursing. 49(9):46-49, September 2019.

This overview of artificial intelligence (AI) in healthcare settings examines basic AI concepts and the role of nurses using this cutting-edge technology.

Bringing home effective nursing care for the homeless

Gerber, Lois

Nursing. 43(3):32-38, March 2013.

Despite the obvious challenges, nurses can make a difference in the lives of these vulnerable patients. With a deeper understanding of their problems, nurses can provide support, offer resources, and perform other meaningful interventions.

Choosing a support surface for pressure injury prevention and treatment

McNichol, Laurie; Mackey, Dianne; Watts, Carolyn; More

Nursing. 50(2):41-44, February 2020.

The authors discuss an evidence- and consensus-based support-surface algorithm designed to help clinicians choose the most appropriate support surface for preventing or treating pressure injuries.

Reducing the risks of infiltration and extravasation

Rosenthal, Kelli

Nursing. 37:4,6-8, Fall 2007.

Follow our guide to prevent these painful and disabling conditions that can occur as complications of I.V. therapy.

Confronting barriers to improve healthcare literacy and cultural competency in disparate populations

Polster, Debra S.

Nursing. 48(12):28-33, December 2018.

Develop the evidence-based, culturally competent skills discussed here to cultivate positive patient- and family-centered nursing care.

Coping with moral distress during COVID-19

Godshall, Maryann

Nursing. 51(2):55-58, February 2021.

Learn why nurses are experiencing various forms of moral distress during the pandemic and what coping strategies they can employ to mitigate emotional pain.

Managing hypocalcemia in massive blood transfusion

Lim, Fidelindo; Chen, Leon L.; Borski, Daniel

Nursing. 47(5):26-32, May 2017.

Hypocalcemia, one of the most dangerous complications associated with massive blood transfusion, can lead to potentially fatal neurologic and cardiovascular dysfunction. The focus of this article is on the nurse's role in caring for patients who develop hypocalcemia related to massive blood transfusion.

Clara Barton: Angel of the battlefield

Strickler, Jeff

Nursing. 48(3):43-45, March 2018.

In the second installment of a new series, learn about Clara Barton's inspiring contributions to nursing during the Civil War and her role as the founder of the American Red Cross.

Head-to-toe: Organizing your baseline patient physical assessment

Haugh, Kathy Henley

Nursing. 45(12):58-61, December 2015.

Follow this generic framework to complete a baseline head-to-toe physical assessment in the first hour of your shift—and do it effectively and efficiently.

Evidence-based approaches to breaking down language barriers

Squires, Allison

Nursing. 47(9):34-40, September 2017.

Explore the complexities of language barriers between nurses and patients, including how these barriers affect nursing care and patient outcomes. Then use evidence-based strategies to improve communication and reduce readmissions.