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Is there another way to solve the nursing shortage?
Six states and the District of Columbia are considering legislation that would establish mandatory minimum hospital-nurse staffing ratios to deal with patient volume "peaks," but there may be an easier way of addressing the problem, according to a column in the Wall Street Journal.
While the respective state nursing associations in Iowa, Massachusetts, New York, Texas, Minnesota and New Jersey support the legislation, hospitals have long opposed staffing mandates, claiming they cannot afford increased staffing levels, Eugene Litvak, president of the Institute for Healthcare Optimization, writes in the Journal.
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DON'T MISS OUT — MARN invites you to a Holiday Networking Social
Wednesday, Dec. 11, 2013
History of Nursing Archives
Howard Gotlieb Archival Research Center
at Boston University
771 Commonwealth Avenue
Mugar Memorial Library, First Floor
5:30 - 8 p.m.
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MaSNA students free
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Authors Wanted for the MAssachusetts Report on Nursing (MARN Newsletter)
Needed: Articles for The Spring 2014 edition of the MAssachusetts Report on Nursing
Remember: The MARN newsletter is read by @ 110,000 RNs in the Commonwealth!
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For 2013 we invite you to write about how nurses unite and work to improve healthcare.
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Deadline date for submission is Jan. 10, 2014!
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Call for Proposed Changes to the MARN Bylaws
Reminder from the MARN Bylaws Committee that any proposed changes to the MARN Bylaws must be submitted in writing using the
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NURSING & HEALTHCARE NEWS
Why HealthCare.gov should have been a mobile app
By Alex Bratton
Of all the problems with the HealthCare.gov site, perhaps the most baffling is why it was created as a website in the first place. The main target of the HealthCare.gov website is young, healthy millennials, those aged 18-29 years old. Since millennials don't run up big healthcare bills, their monthly premiums will subsidize the insurance benefits of nearly 4.3 million older and less healthy Americans. The problem with HealthCare.gov is that these millennials don't get their information the same way as older generations.
Sophisticated 'electronic skin' enables continuous monitoring of patient's temperature
The A to Z of Robotics
A number of technologies have been developed to detect skin temperature changes that can serve as early indicators of disease development and progression. For example, sophisticated infrared digital cameras can detect, in high resolution, temperature changes across large areas of the body. At the other end of the technology spectrum, paste-on temperature sensors provide simple, single-point measurements.
As the official publication of the Wound Ostomy Continence Nurses Society (WOCN), JWOCN provides continuing education for the entire scope of WOC nursing practice. This authoritative, international resource is devoted to the nursing care and management of patients - containing original, peer-reviewed articles covering key topics in hospital, home and LTC settings. Try it free in December.
Study casts doubt on whether extra vitamin D prevents disease
Researchers cast doubt on the prevailing wisdom that vitamin D supplements can prevent conditions like cancer, diabetes and heart disease, saying low vitamin D may be a consequence, not a cause, of ill health.
The findings, published in The Lancet Diabetes & Endocrinology journal, could have implications for millions of people who take vitamin D pills and other supplements to ward off illness - Americans spend an estimated $600 million a year on them alone.
New rules require veteran nurses to go back to college as RN-BSN programs flourish
Last year, the New Brunswick hospital sent the staff a brief letter stating a new policy for the institution: All registered nurses — even those who have been treating patients for decades — need to earn a bachelor of science degree in nursing within the next decade.
That meant about half of the hospital’s registered nurses, most of whom have two-year associate’s degrees, would have to go back to college to earn the four-year degree if they want to keep their jobs.
Nurses fill numerous end-of-life care roles
Hospice nurses prepare patients nearing death and their families for the inevitable while helping them live life to the fullest during their remaining days. That includes palliating symptoms, offering emotional support and coordinating additional services.
“We are privileged to be with patients and their families on their final journey,” said Lynn Von der Linden, RN, BSN, case manager at Barnabas Health Hospice and Palliative Care Center in West Orange, N.J., who described her job as one of bringing comfort and assessing and meeting needs. “Hospice is about living. We want to make the best of every day we have, no matter how many days we have left.”
Touch and save lives by enrolling in the University of Houston-Victoria RN-BSN or Second Degree BSN programs this spring. Deadline to apply is Oct. 1 for the Second Degree BSN, so don’t delay. Talk to an advisor NOW. MORE
We help customers advance science and health by providing world-class information and innovative tools that help them make critical decisions, enhance productivity and improve outcomes. MORE
Pharmaceutical industry exerts influence on statin guidelines
By Dr. Jonathan Kaplan
On Nov. 12, the American College of Cardiology and American Heart Association came out with their 2013 guidelines for who should be on statin therapy to lower their bad cholesterol levels. When I saw them, I was surprised by the recommendations of widespread expansion of statin use. The new guidelines recommended what amounts to one-third of American adults being placed on cholesterol-lowering statins. To me, this smacked of industry influence because it was so obvious that one particular industry would benefit greatly. Maybe I was being paranoid. So I decided to do a little research.
Nurse navigator helpful after cancer diagnosis
Medscape (free subscription)
Cancer patients who had access to a nurse navigator soon after diagnosis reported feeling that they had better emotional support and were better informed, and they were more involved in their care, a randomized controlled trial has found.
"There hasn't been much rigorous evidence to clarify what works in navigation. Ours is the first randomized trial to show a positive impact on cancer patients from nurse navigator care. It should offer useful information for program development and improvement," said lead author Edward H. Wagner, M.D., MPH, senior investigator at Group Health Research Institute and director emeritus of the MacColl Center for Health Care Innovation in Seattle.
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In era of health reform, retail clinics become part of the healthcare delivery system
A contract between Detroit-based Henry Ford Health System and MinuteClinic, a division of CVS Caremark Corp., is one example of how retail clinics are becoming a larger part of the healthcare delivery system in Southeast Michigan to meet an expected increase in patient demand next year under the Patient Protection and Affordable Care Act.
Mobile working: Why healthcare staff should be better connected
From allowing remote access to medical records, to helping professionals engage their patients, mobile working has revolutionized the way staff at the John Taylor Hospice provide care. For the community psychological therapies team at the Birmingham-based center, mobile devices act as communication aids that can capture the interest of otherwise hard-to-reach children.
Study finds youth prefer and benefit more from rapid point-of-care HIV testing
Youth prefer, accept and receive HIV results more often when offered rapid finger prick or saliva swab tests rather than traditional blood tests according to a study by researchers at St. Michael’s Hospital.
More than 50 per cent of youths who took part in 14 North American studies preferred the rapid point-of-care tests because they are less invasive and provide faster results, said family physician Dr. Suzanne Turner.
Guidelines highlight importance of nurses in preventing bloodstream infections
Infection Control Today
Nurses are well positioned to stop dangerous and costly bloodstream infections caused by the improper placement of catheters in large veins in the neck, chest or groin, according to guidelines released by the Joint Commission, which oversees accreditation for U.S. hospitals, nursing homes and other healthcare facilities. Central line-associated bloodstream infections (CLABSI) needlessly afflict thousands of patients each year, lengthening hospital stays, boosting hospital readmission rates, and driving up the cost of care.
Clock is ticking: New acetaminophen combo limitations coming soon
By Jason Poquette
Beginning in January, manufacturers of combination prescription products containing acetaminophen are expected to limit their APAP content to no more than 325 mg per dose. The significance of this is that many narcotic combination products currently being dispensed will soon no longer be compliant with these guidelines. The most significant impact for this group would be the changes related to hydrocodone/acetaminophen combination products, many of which still contain 500 mg of APAP or more.
Energy drinks amp up heart contractility
Family Practice News
Consumption of an energy drink containing caffeine and taurine slightly, but significantly, altered left ventricular contractility in healthy volunteers, while consuming the same amount of caffeine alone did not lead to an alteration in contractility in a prospective study.
"A possible explanation for this finding could be the presence of taurine, which has been shown to increase the release of calcium in muscles," Dr. Jonas Dörner reported at the annual meeting of the Radiological Society of North America.
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