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Nurse practitioner workloads expected to increase
Modern Healthcare (opinion)
The ranks of the physician assistant and nurse practitioner workforces continue to grow, even as scope-of-practice battles continue between doctors and these advanced practice clinicians. The workloads of NPs and PAs are expected to increase with the rise of team-based healthcare and primary-care offices adopting the medical-homes practice model. About two-thirds of the large multispecialty healthcare organizations surveyed by the American Medical Group Association and healthcare human resources consultant Sullivan, Cotter and Associates said they increased their advanced practices clinician workforce in the past months and two-thirds are projecting that they will hire more in the next 12 months.
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ASSOCIATION NEWS


MARN MEMBER SAFE STAFFING SURVEY
We are developing our public policy platform for the coming year and we cannot do this without knowing the thoughts and wishes of the membership. The patient safety act ballot initiative for November 2014 seeks to change the landscape for nursing. Your participation is extremely important to the future direction of your association.
Please click here to complete this very brief survey and be entered to win $100 and conference registration discounts.

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ANA: Call for Bylaws Amendments 2014
The ANA Committee on Bylaws, call for bylaws proposals to be considered at the June 2014 Membership Assembly. Please click here if you would like to propose changes to our current Bylaws, stating the current language (if available) and the proposed new language. The current Bylaws can be found at: http://www.nursingworld.org/FunctionalMenuCategories/AboutANA/Leadership-Governance/ANA-Bylaws.pdf.
Proposals may be submitted by email no later than Monday, March 3. If you have any questions, you may send them to bylaws@ana.org or to bianca.fornari@ana.org.

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PRODUCT SHOWCASE
  JBI Evidence-Based Practice Resources - Try it Free for January
Advance healthcare using content and tools from the Joanna Briggs Institute (JBI), a global leader in evidence-based practice, only on Ovid. Search evidence in any specialty including systematic reviews, recommended practices, evidence summaries, patient handouts and more. Then use JBI's unique tools to get evidence into practice. Try it Today!
 


MARN EVENTS


MARN Open Forums
Join us for an informal discussion about nursing practice in Massachusetts.
Hear the latest issues impacting your nursing practice. Share with us your thoughts and ideas about the future of nursing and MARN priorities.

Learn more about the MARN strategic plan.
Feb. 25 at Curry College
March 4 at UMASS Amherst, College of Nursing
March 26 at Framingham State College
For more information, click here.

To reserve your spot today, click here.

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MARN SPRING CONVENTION:
Call for Posters and Exhibitor/Sponsorship Opportunities:
Call for Posters, click here.
Exhibitor/Sponsorship Opportunities, click here.
Conference Agenda, click here.
Living Legends in Nursing and Annual Awards Banquet
Friday, April 11, 2014
Annual Spring Convention
Reaction... Response... Reflection, Lessons Learned from the Boston Marathon Tragedy
Saturday, April 12, 2014

Dedham Hilton Hotel • Dedham, MA
This educational offering will focus on nursing considerations in the assessment and management of patients with traumatic injuries, disaster preparedness, and lessons learned as we approach the one year anniversary following the Boston Marathon tragedy. Come meet and learn from those who were there and experts in the fields of trauma care and post-traumatic stress disorder (PTSD) as we explore implications for practice, education, and research.

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PRODUCT SHOWCASE
  Free CNE credits are just a click away.

We've made it easy to earn free CNE online by offering 24/7 access to more than 40 courses on pediatric and adolescent healthcare. We also offer several courses approved for the ethics credits you now need and our new, short, CNE-accredited video tutorials are perfect for watching on the go.
 


NEW DATE: Registration Open: MARN Accredited Approver Unit Eastern Workshop
Applying the 2013 ANCC Criteria to Nursing Continuing Education
One Year Later: Lessons Learned

Wednesday, April 30, 2014
9 a.m. – 12 p.m.
Symposium flyer, click here.
Register now, click here.
Conference Agenda, click here.
Wellesley Gateway Building
93 Worcester Street
Wellesley, MA 02481-9181

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MARN NEWS & UPDATES


MaSNA Nursing Career Forum
Keynote Speaker: Gino Chisari, RN, DNP
March 15, 2014
10 a.m. - 2 p.m.
RSVP by March 10th at
http://www.mastudentnurses.com/
Forum Flyer, click here.

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Research Participants Needed
A nurse educator and doctoral student would like to interview new Registered Nurses with learning disabilities to describe their transition into practice experience. The interview should take about 45 minutes and there is no cost other than your time. As a gesture of appreciation participants will receive a $10 coffee gift card. The study has been approved by Regis College IRB and all information is confidential. If interested or if you know of anyone who may qualify please email the researcher at newnursesstudy@gmail.com
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MARN Career Center
Check Out Great New Career Opportunities at the MARNCareerCenter here
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National Alert from Institute for Safe Medication Practices
Errors Reporting Program operated by the Institute for Safe Medication Practices. The alert addresses potential inaccuracies of electronically transmitted medication history information used for medication reconciliation. Surescripts, a major provider of medication history to hospitals and other healthcare systems, has “determined that a single data source for some of its Medication History Acute and Medication History Ambulatory records contains information that may be inaccurate.” This inaccuracy could jeopardize patient safety. All healthcare providers who use Surecripts’ Medication History Acute and Medication History Ambulatory services are encouraged to contact their electronic health record (EHR) vendor or facility EHR manager to determine if this issue affects their systems. This Alert and those sent previously can be found on the website of the National Coordinating Council for Medication Error Reporting and Prevention at this link http://www.nccmerp.org/nationalAlert.html.
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NURSING & HEALTHCARE NEWS


Vitamin D offered negligible benefits on skeletal, nonskeletal outcomes
Healio
Among individuals living in non-institutional community settings, supplemental vitamin D with or without calcium appears to provide limited benefits to skeletal and nonskeletal health, according to study findings. Researchers utilized a conventional meta-analysis of existing studies to evaluate the data from randomized controlled trials of effects of vitamin D, with or without calcium, on cardiovascular events, cerebrovascular events, cancer, fracture and mortality. Subsequently, they conducted a trial sequential analysis, which was designed to determine potential changes to risk estimates in future trials.
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Medical identity theft a growing concern
By Pamela Lewis Dolan
For the first time since The Identity Theft Resource Center started tracking data breaches in 2005, healthcare has topped the list of industries responsible for the largest percentage of data breaches. Of the 614 breaches the ITRC tracked across all sectors and industries last year, healthcare accounted for 43.6 percent. This was the first time in eight years it overtook the business sector, which accounted for 33.9 percent of last year's breaches. The increase in reported healthcare breaches can be partially attributed to the HITECH Act.
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Top 4 tips that benefit RNs and help advance their careers
Nurse.com
It is imperative that every nurse – new and experienced – realize the healthcare landscape has completely changed. There will be plenty of opportunities for RNs and APNs who stay current with trends in education, technology, care and personal and professional development. Nurses must be willing to step outside their comfort zone and learn new ways — and places — of working and thinking about their profession.
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A push for less testing in emergency rooms
The Wall Street Journal
Under pressure to rein in healthcare costs, some physician groups and hospitals are turning to an area that has so far received little attention: cutting down on what many say is excessive diagnostic testing in the emergency room. Studies have shown that the use of advanced imaging techniques and the costs associated with them have grown rapidly in emergency rooms since the 1990s, partly because of the widespread availability of the technology and an emphasis on getting patients out of the emergency room quickly.

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Survey finds nurses have mixed feelings about their jobs
Nurse.com
While most nurses generally are satisfied with their jobs, many have a negative outlook for the future, according to a survey released by Jackson Healthcare, Care Logistics and Jackson Nurse Professionals. Factors such as inadequate staff to cover the number of patients and the addition of peripheral duties and documentation for regulatory requirements were cited by large numbers of the 1,333 hospital-based RNs surveyed as inhibiting time with patients.

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Liposome-bupivacaine showing promise in postoperative pain management
By Dr. Afsaneh Motamed-Khorasani
Postoperative pain management is necessary to prevent mortality and to improve general body function after surgery. Opioids are commonly used to reduce postsurgical pain. However, they are associated with many side effects. The potential to be able to provide a long duration of analgesic effect with a single drug dose at the time of surgery is considered as important.

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US young adults with hypertension often not given medication
Big News Network
One-in-10 U.S. adults ages 18 to 39 has hypertension, but primary care doctors are not quick to prescribe anti-hypertensive drugs to them, researchers say. Study leader Heather Johnson of the University of Wisconsin School of Medicine and Public Health said hypertension — high blood pressure — in young adulthood increases the risk of future cardiovascular events and medical treatment is advised if a patient's blood pressure isn't lowered via lifestyle modifications.
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Mysterious polio-like illness affects kids in California
USA Today
A mysterious polio-like syndrome has affected as many as 25 California children, leaving them with paralyzed limbs and little hope of recovery. "What's we're seeing now is bad. The best-case scenario is complete loss of one limb, the worst is all four limbs, with respiratory insufficiency, as well. It's like the old polio," said Keith Van Haren, a pediatric neurologist at Lucile Packard Children's Hospital in Palo Alto, Calif.
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ICD-10: CMS to hold end-to-end testing
Family Practice News
To address concerns about the upcoming transition to ICD-10, the Centers for Medicare and Medicaid Services announced Feb. 20 that it would conduct full end-to-end testing this summer. End-to-end testing will allow selected physicians, healthcare providers, hospitals, clearing houses, and billing agents to submit claims with ICD-10 codes, have those claims processed, and receive accurate remittance advice regarding payment.
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How healthcare spending got so high
The Wall Street Journal
Where have the increases in healthcare costs come from? Though the pace has slowed recently, medical prices have climbed more rapidly than the consumer price index over the past several decades. Hospital care still represents the lion's share of health spending, at around a third of the nation's health dollar, though that has fallen from a high of nearly 40 cents in every dollar in 1980. And if you look at Medicare's spending on hospital services — actual and projected — it's clear that this will remain a daunting challenge.
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Flu hitting young people harder this year
CNN
The flu is hitting younger people harder this season than in years past, the Centers for Disease Control and Prevention reported. People between the ages of 18 and 64 represent 61 percent of all influenza-related hospitalizations recorded during the current flu season — a significant increase compared with previous years when this age group represented about 35 percent of cases.
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Mindful minutes
Nurse.com
Practicing mindfulness can help patients cope with the physical and emotional changes they face after experiencing stroke. Ninety percent of stroke survivors suffer cognitive deficit, along with 40 percent who experience moderate to severe physical impairments, according to a 2013 report from the American Heart Association. Nearly one-third of stroke survivors suffer from depression and many report feeling a loss of sense of self. Caregivers, too, are likely to struggle with difficult emotions and may influence how the stroke survivor copes.
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TRENDING ARTICLES
Missed last week's issue? See which articles your colleagues read most.

    A patient's-eye-view of nurses (The New York Times)
Study: Bring home-based hospice techniques to hospital (Nurse.com)
Nurses and their health: Forging a path forward (By Keith Carlson)
A single shot eases menopause hot flashes (Healthline)

Don't be left behind. Click here to see what else you missed.


 

MARN Nursing Flash
Colby Horton, Vice President of Publishing, 469.420.2601
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Jessica Taylor, Medical Editor, 202.684.7169   
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