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The breadth and depth of nursing
By Keith Carlson
The nursing profession has grown astronomically since the days of Florence Nightingale. While we may have once served as handmaidens to the whims and needs of god-like physicians, the definition of what it means to practice as a nurse is light-years away from the era of our diminutive status and relative servitude. We nurses know that our scope of practice and autonomy have grown by leaps and bounds, and a plethora of specialties and practice settings has opened doors of opportunity hitherto unknown by our older nursing colleagues.
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Nurses making public policy purposeful
Over 110 nurses and nursing students attended this AzNA educational workshop on January 16. It’s mission was to present information about how influential their voice can be in the legislative/public policy arena. Mary Harden, RN, CNOR highlighted the morning with her presentation on “How to Run for Public Office: What we Never Learned in Nursing School”. Mary was elected several years ago to the Board of Directors of the Maricopa County Special Health Care District. Thanks are in order to Pfizer for providing a grant to support this activity.
Arizona Immunization Program
Keep current on state and local immunization issues through the new Immunications newsletter.
Mark your calendars for upcoming AzNA events.
The Fifty Second Arizona Legislature has convened
Committees are meeting, bills are dropping, and the AzNA Public Policy Committee has begun to evaluate the first batch of those bills. Issues emerging include marijuana taxation, excess use of emergency departments by AHCCCS clients, chiropractic prescriptions, and controlled substance Rx monitoring. Comprehensive information on activities at the State House including bills, and legislators can always be found on line at the Arizona Legislative Information System website here: ALIS.
CDC data show one case of occupational HIV acquisition since 1999
Did you know that former ANA President Karen Daley was a leader in the drive for safe needle delivery systems? CDC researchers have reported that cases of U.S. health care workers getting infected with HIV have become rare, with just one confirmed case since 1999. Strategies to prevent and manage exposures to HIV are important, but researchers said the data also may indicate the efficacy of HIV treatments to reduce patients' viral load. PhysiciansBriefing.com/HealthDay News (1/9)
EDUCATIONAL EVENTS & RESEARCH
Your input may still be needed — Respond to a survey
As a valued member of the Arizona Nurses Association (AzNA), you are invited to participate in a research study being conducted by a Barrett Honors Nursing student from Arizona State University. The survey will explore the level and type of public policy involvement among registered nurses (RN) who are members of AzNA. Furthermore, the study aims to identify the knowledge base and motivation of nurses and their involvement in public policy as well as the barriers and benefits.
For this study, we ask that you complete the electronic survey below by January 31st.The survey should take 10 to 15 minutes to complete. Responses will remain anonymous.
Participating in this study is voluntary and you are free to withdraw your participation from this study at any time. However, by completing and submitting this survey, you are indicating your consent to participate in the research study.
If you have any questions regarding the survey or this research project in general, please feel free to contact us at firstname.lastname@example.org
Your participation is appreciated!
Thank you to those of you who have already participated in the study!
Review: E-learning matches traditional training for doctors, nurses
Millions more students worldwide could train as doctors and nurses using electronic learning, which is just as effective as traditional medical training, a review commissioned by the World Health Organization has found.
Researchers at Imperial College London who conducted the review said that wider use of e-learning might help make up for a global shortfall of 7.2 million health workers identified in a recent WHO report.
The missed list: Revelations of busy NICU nurses
Medscape (free login required)
Previous nursing research has established that nurse staffing levels and nurse-to-patient ratios influence patient outcomes, and "missed" nursing care is believed to be a mediator in this relationship. A nurse can only do so much during a shift, regardless of the setting.
Previous studies of missed care (necessary nursing care that is omitted either entirely or partly during the shift) have focused on adults in acute or intensive care settings, finding that such nursing tasks as ambulation, turning, feedings, patient teaching, discharge planning, emotional support, oral hygiene, bathing and comfort care are among those most often sacrificed when time runs short.
ANA plans ethics educational activities for 2015 to highlight importance in nursing practice
Making decisions based on a sound foundation of ethics is an essential part of nursing practice in all specialties and settings. In recognition of the impact ethical practice has on patient safety and the quality of care, the American Nurses Association (ANA) has designated 2015 as the “Year of Ethics" highlighted by the release of a revised code of ethics for the profession.
Just how ineffective is this year's flu shot? CDC experts do the math
Los Angeles Times
If you think this year's flu shot is worthless, think again: People who got vaccinated this fall or winter have been 23 percent less likely than their unvaccinated peers to come down with a flu-like illness bad enough to send them to the physician, according to a new report from researchers at the Centers for Disease Control and Prevention. That 23 percent figure is a measure known as "vaccine effectiveness," and it's certainly on the low end of the spectrum. In the decade since experts began calculating a VE for flu vaccines, it has ranged from a low of 10 percent to a high of 60 percent. But even at 10 percent, a vaccine could prevent about 13,000 flu-related hospitalizations among senior citizens in the U.S.
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Telehealth hits the mark on Triple Aim requirements
By Karen R. Thomas
In today's rapidly-evolving healthcare environment, care providers are looking for new ways to meet the needs of those for whom they provide care, while simultaneously reducing overall care costs. Hence, the development of Triple Aim.
The Institute for Healthcare Improvement (IHI) developed the Triple Aim as an approach for the healthcare system to use new innovations to simultaneously improve three things: the patient care experience, the health of all populations and the per capita cost of healthcare.
Autism signs may be missed in short checkups
The 10 to 20 minutes of a typical well-child visit isn't enough time to reliably detect a young child's risk of autism, a new study suggests. "When decisions about autism referral are made based on brief observations alone, there is a substantial risk that even experts may miss a large percentage of children who need a referral for further evaluation," said lead study author Terisa Gabrielsen. She conducted the study while at the University of Utah but is now an assistant professor in the department of counseling, psychology and special education at Brigham Young University in Provo, Utah.
Researchers propose new regulations for off-label uses of drugs and devices
Off-label use of drugs and medical devices has long been a part of medicine. The practice provides public health benefits but also presents some risks. To address that issue, researchers from the David Geffen School of Medicine at UCLA have proposed a system combining reporting, testing and enforcement regulations, and allowing interim periods of off-label drug prescription. Their recommendations, published in the Duke Law Journal, would give patients more treatment options while providing regulators with evidence of the drugs' safety and efficacy.
The US might be overtreating diabetes
American physicians may be giving drugs to a lot of older diabetic patients who are unlikely to benefit and might even be harmed, a new study in JAMA Internal Medicine suggests.
Older, sicker patients are treated as aggressively to get their blood sugar under control as healthier patients are, according to an analysis of a nationally representative survey of Americans 65 and older. That's despite what researchers say is greater risk that they'll suffer from dangerously low blood sugar, known as hypoglycemia, and little evidence that they benefit from intense diabetes management.
Insomnia: Using cognitive behavioral therapy in primary care
The Clinical Advisor
Insomnia is one of the most prevalent conditions treated by primary care providers, with estimates of 10-50 percent of patients presenting with this condition. Most patients continue to use nonbenzodiazepine and benzodiazepine hypnotics in primary care for a duration of greater than one month, contrary to guideline recommendations to limit its use to two to four weeks. Sociodemographic factors associated with greater long-term use of hypnotics include age older than 65, female gender and higher income levels. It is important to assess for these variables when identifying patients with insomnia. Because most hypnotic prescriptions are written in the primary care setting, behavioral strategies should be implemented in general practice as an alternative to long-term hypnotic use.
Flex-IT Act reintroduced to shorten meaningful use, again
By Scott E. Rupp
The Flexibility in Health IT Reporting (Flex-IT) Act of 2015, a reiteration of a bill introduced in Congress in 2014, has been introduced by Rep. Renee Ellmers (R-N.C.) and Rep. Ron Kind (D-Wis.).
According to the statement released by the members of Congress who drafted the bill, H.R. 270 would ensure that healthcare providers receive the flexibility "they need to successfully comply with HHS's meaningful use program."
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