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Moral distress in nursing
By Keith Carlson
Moral distress may not be a concept on the lips of many nurses, but it is an issue with which a significant number of nurses grapple on a regular basis. Moral distress occurs when an individual knows what the right course of action should be in a particular situation, but that person is hampered from acting on that knowledge by a variety of factors. Whether in the ICU, the ER or other milieus, nurses can find themselves faced with morally-distressing situations that may easily lead to feelings of burnout, compassion fatigue, cognitive dissonance, depression, anxiety and dissatisfaction.
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MARN NEWS & UPDATES


ANA-Massachusetts 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.

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ANA Massachusetts New Graduate Board of Directors Position
Looking for New Graduates to serve a one year position on the ANA Massachusetts Board of Directors as a New Graduate Member. These directors shall be members who have been licensed as registered nurses for five (5) years or less. Please forward a Declaration of Interest Form, click here, to info@ANAMass.org and djeffery@ANAMass.org no later than June 1st.
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Call for Nominees for Appointed Positions - Materials Due May 30
On behalf of the ANA Board of Directors, the Committee on Appointments issues this call for qualified nominees for appointment to seats on several sections.
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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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PUBLIC COMMENT: Revised Code of Ethics
The revised Code of Ethics for Nurses with Interpretive Statements is now open for public comment. Please broadly promote this opportunity to provide feedback on the Preface and nine Provisions. ANA would encourage the commenter to read the revised document in its entirety before posting comments. This will help with understanding the flow and how the content is arranged under the nine provisions. The comment period is open until June 6, 2014. Click here to access the public comment space.
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Massachusetts Health Council 2014 Annual Meeting
Storefront Health Care: Exploring a New Delivery Model With the proliferation of retail store based clinics and urgent care centers, the traditional model of health care delivery is being shaken up. Join us for a discussion on where this trend is leading with a diverse panel of stakeholders.
Wednesday, June 11, 2014
7:30 am - 10:30 am
Sheraton Boston Hotel
For more information, click here.

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Modern Healthcare Voting
ANA President Karen Daley, ANA CEO Marla Weston and American Academy of Nursing President Diana Mason have made the ballot for Modern Healthcare’s “100 Most Influential People in Healthcare” ranking! Voting closes Friday, June 13. Please vote here for the five nominees you believe should make the final list of the "100 Most Influential."

We encourage you to vote for nurse leader nominees. Recognizing nurse leaders in the “Most Influential” rankings is an excellent way to elevate the contributions of the profession and show how nurses are “leading the way” to transform the health care system. Additional nurse leaders on this year’s ballot include:

  • Geraldine "Polly" Bednash, CEO/executive director, American Association of Colleges of Nursing, Washington
  • Maureen Bisognano, president and CEO, Institute for Healthcare Improvement, Cambridge, Mass.
  • Susan Hohenhaus, executive director, Emergency Nurses Association, Des Plaines, Ill.
  • Sister Carol Keehan, president and CEO, Catholic Health Association, Washington
  • Beverly Malone, CEO, National League for Nursing, Washington
  • Marilyn Tavenner, CMS administrator, CMS, Baltimore, Md.
  • Deborah Trautman, CEO, American Association of Colleges of Nursing, Washington
  • Deidre Walton, president, National Black Nurses Association, Silver Spring, Md.

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    Career Guides Needed for ANA - Massachusetts (formerly MARN) Career Connections Program! New nurses need you!
    ANA - Massachusetts (formerly MARN) is happy to announce that the new program to help senior nursing students and new graduates who anticipate entering their first professional nurse position is very popular! The aim of the Career Connections program is to match a novice nurse (the Seeker) with a professional nurse career guide. This is a great opportunity for nursing professionals to share their knowledge and experiences with novice nurses through this important transition to a professional position in nursing. Career Guides support and encourage the seeker throughout their transition as they enter professional practice. The role of the Career guide is to guide Seeker to:
    • Identify possible entry level positions
    • Critique cover letters and resumes
    • Provide coaching for interviews with nurse recruiters
    • Listen and support to novices’ questions and answer job-related concerns
    Once matched, Career Guides and novice nurses arrange to meet at a mutually agreeable time. The connection is meant to end when novice nurses find their first position. To participate send name, position, snail mail address and phone number to Sabianca Delva at sabianca.delva@gmail.com

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    Confirmed MERS-CoV Case in Indiana, 2014
    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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    NURSING & HEALTHCARE NEWS


    Nurses hone skills for patients with chest pain
    Nurse.com
    “Time is tissue” is how Fred Duran, RN, BSN, describes the approach he and his RN colleagues take toward rapid, effective cardiovascular care at Glendale Adventist Medical Center in Glendale, Calif. In February 2014, GAMC received its re-accreditation as a chest pain center, the result of more than 18 months of exacting work and streamlining processes for patients with chest pain. The biggest component of the success, Duran said, was working with other departments such as the ED and ICU, to streamline the whole process and cut down minutes. “Every step of the way, we timed our efforts,” Duran said.
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    Study: School nurses save money
    Reuters
    A Massachusetts program that put full-time registered nurses in schools more than paid for itself by averting medical costs and lost work for parents and teachers, according to a new study. Many school districts have cut or reduced the hours of school nurses in recent years, and nationwide less than half of public schools have a full-time nurse, the authors of the report note. They say their results warrant “careful consideration” from districts that are thinking of making such cuts in an effort to save money.
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    FEATURED ARTICLE
    TRENDING ARTICLE
    MOST POPULAR ARTICLE
    Integrating telemedicine and mHealth into the health system
    By Jessica Taylor
    Many people think futuristic possibilities when they hear about telemedicine and mobile health, but the reality is that both will increase productivity and efficiency throughout the health system in the coming years. At the ATA 2014 Annual Meeting and Trade Show, healthcare colleagues were discussing how the alternative to face-to-face communication — telemedicine — has grown remarkably in the past few years and is continuing to do so.

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    With report of nurse understaffing dangers, group pushes to revive hospital staffing bill
    Washington Business Journal
    In another attempt to revive a nurse ratio staffing bill, a group representing D.C. nurses submitted a report to city officials Monday listing 215 instances when they say patients were endangered due to understaffing in District hospitals. National Nurses United, a national union that has partnered with a D.C. nurses union, is pushing for mandated nurse ratios and trying to get the D.C. Council’s Committee on Health to bring a bill out of committee that would create one.

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    New ICD-10 transition date set for 2015
    Medscape (free subscription)
    The Centers for Medicare and Medicaid Services (CMS) announced recently that it would require the use of the International Classification of Diseases, 10th Revision (ICD-10), set of diagnostic codes starting Oct. 1, 2015. That is 1 year later than the ICD-10 transition date that was in effect until recently. The CMS announcement, eagerly anticipated in the healthcare industry, was a response to Congress' passage in late March of a bill that prohibited the agency from setting a deadline for ICD-10 any earlier than Oct. 1, 2015.

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    Why telemedicine is the future of healthcare
    By Jessica Taylor
    Telemedicine is the hottest trend in the healthcare industry, and it is becoming more and more important to healthcare providers and patients around the world. According to medical professionals present at this year's ATA 2014 conference, telemedicine is the future of the healthcare industry. The trend is already backed by many hospitals and major health insurers, and the U.S. government recently endorsed telemedicine through Medicare and Medicaid.
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    Hemipelvectomy: Providing evidence-based nursing care
    Oncology Nurse Advisor
    Hemipelvectomy, a surgical procedure involving resection of either the pelvis or innominate bone, is an established therapeutic procedure for the management of primary bone and soft tissue sarcomas. This procedure is associated with significant morbidity, functional impairment and alterations in quality of life and body image. A thorough pre- and postoperative nursing assessment of the hemipelvectomy candidate is essential to promoting enhanced physiologic and quality-of-life outcomes for these patients.
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    New guidelines and technology needed for placement of feeding tubes in pediatric patients
    Science Codex
    Universal guidelines and improvements in technology are needed to reduce injuries and deaths from improper placement of nasogastric feeding tubes in pediatric patients, according to a comprehensive review of published literature. The review, conducted by the New Opportunities for Verification of Enteral Tube Location Work Group Project of the American Society for Parenteral and Enteral Nutrition found that while the bedside placement of a nasogastric feeding tube is a common procedure conducted by nurses, incorrect placement can have serious and potentially fatal consequences.
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    CMS proposes to ease meaningful use technology requirements
    Family Practice News
    Federal officials are proposing to give physicians some extra time to move to 2014 edition certified electronic health record technology and still qualify for incentives under the Medicare and Medicaid EHR Incentive Programs. Under a proposed rule released on May 20, the Centers for Medicare & Medicaid Services and the Office of the National Coordinator for Health Information Technology (ONC) would allow physicians, hospitals, and other eligible healthcare providers to continue using 2011 edition certified products or a combination of 2011 and 2014 edition certified products during the 2014 reporting period in the EHR Incentive Programs.
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    Telemedicine: Improving children's access to care
    By Julie Bernhard
    Almost 900,000 Americans die each year from heart disease, cancer, stroke, chronic lower respiratory disease and unintentional injuries. Up to 40 percent of these deaths could be avoided if individuals made lifestyle changes and attained increased access to healthcare. While the U.S. is currently expanding coverage through the Affordable Care Act, the law does not currently address the problem of access. Variability in accessibility is dependent upon several socioeconomic factors, and this issue was addressed at ATA 2014, the American Telemedicine Association's annual meeting and tradeshow.
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    TRENDING ARTICLES
    Missed last week's issue? See which articles your colleagues read most.

        CRNAs can help reduce health costs (The Boston Globe (opinion))
    Hospital security cameras: Too much invasion of privacy? (Medscape (free subscription))
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    Is nutrition the first step in addressing hospital readmissions? (U.S. News & World Report (opinion))

    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, Senior Medical Editor, 202.684.7169   
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