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Work-life balance in healthcare: The fundamentals
By Catherine Iste
People in careers that revolve around helping others are often the worst at maintaining a healthy work-life balance. Healthcare workers are some of the most challenged employees when it comes to self-care, yet they spend every day helping others with health challenges.
It seems to be a common personality trait among those driven to help others that they put others first. Yet time and again we have all seen that if we take care of ourselves, we can actually help others more.
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Win a FitBit from AzNA!
The first 50 people to register for AzNA’s 2015 Biennial Convention will be entered into a drawing for a FitBit — you could be the winner!
OASIS Hospital, the Valley’s Premier Orthopedic Hospital is seeking talented and knowledgeable RNs to join their world class team! These highly sought after Night Opportunities in the PSU provide autonomy, exceptional rates, a family setting, great schedules, and pure joy.
ANA Urges Congress to Prevent Nurse Injuries
Rep. Conyers Working with Senate on National Standard for Handling Patients
The American Nurses Association (ANA), Rep. John Conyers (D-MI), and healthcare safety experts urged healthcare employers to implement common-sense, comprehensive programs to protect healthcare workers from career-ending injuries, and safeguard patients from falls at a briefing on May 12, 2015 on Capitol Hill. Healthcare safety experts emphasized that national legislation would signal a “true investment” and “true progress” in preventing injuries to health care workers and patients. Rep. Conyers’ bill, the Nurse and Health Care Worker Protection Act, aims to reduce costly, potentially career-ending injuries and preventable harm to patients. The act is the only national legislation that has addressed safe patient handling and mobility. It will establish a national occupational safety standard that will eliminate the manual lifting of patients by direct-care RNs and healthcare workers through the use of modern technology and safety controls. The Conyers bill will incorporate principles from Safe Patient Handling and Mobility: Interprofessional National Standards, a framework developed by an expert ANA panel for establishing a comprehensive program to eliminate the manual handling of patients.
New DHS Director Named
Dr. Cara Christ has been named by Governor Ducey to head the AZ Department of Health Services which oversees public health. She joined the department in 2008 working in epidemiology. Her interest in epidemiology and public health led her to apply to medical school at the University of Arizona where she graduated in 2005. She has served as the department’s chief medical officer, licensing director and deputy director of public health. Former director Will Humble left the department in March. Dr. Humble now works for the U of A’s Arizona Health Sciences Center in Phoenix.
What are today's options for healthcare coverage for needy children?
Recently, H.R. 2, the Medicare Access and Children's Health Insurance Program (CHIP) Reauthorization Act was signed into law in Washington, D.S. Included in this legislation was an extension of federal funding of CHIP, which covers more than eight million children and pregnant women in families that earn income above Medicaid eligibility levels, for two years. Confusion reigns because the Federal CHIP program was unfunded for a while last year and thought to be defunct until revived by H.R.2. Arizona also has a “CHIPS” program known as CHIPS/Kids Care which has been closed to new registrants since January, 2013. There were about 47,000 children enrolled at that time and those eligible are still covered. Records filed by AZ in 2014 show that on 10/23/14 federal regulators (CMS) approved a state plan amendment that said that children ineligible for Medicaid due to “income disregards” will still be eligible for the federal CHIP. For nurses helping families find health insurance for their children, whether it is through the Affordable Care Act, AHCCS/Medicaid or elsewhere, here are some helpful links. AHCCCS/KidsCare which is still processing renewals for children currently on KidsCare. AHCCCS this is Arizona’s Medicaid agency. The federal site is HERE. For more information see the AzNA Health Care Marketplace site.
EDUCATIONAL EVENTS & RESEARCH
Mark your calendars for upcoming AzNA events.
|July 25-26||27th Annual Southwestern Regional Nurse Practitioner Clinical Symposium — REGISTRATION NOW OPEN
|Aug. 28||2nd Annual National Association of Hispanic Nurses: Phoenix Chapter Conference REGISTRATION NOW OPEN
|Sept. 23-25||AzNA Biennial Convention — The Changing Landscape of Healthcare: Trends in Nursing Leadership, Practice & Education – REGISTRATION NOW OPEN!
||San Marcos Resort, Chandler, Arizona|
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NEWS FROM AROUND THE INDUSTRY
What it means to be a 'virtual nurse'
Nursing has evolved over the past few decades. The commonly perceived view of the nurse at the bedside, monitoring a patient’s vital signs or assisting physicians during rounds, has changed. With the advent of new digital technologies in healthcare, such as telehealth and remote monitoring tools, today’s nurse can be practically virtual.
As we look back on the recent celebration of International Nurses Day, I want to shed some light on what it takes to be a virtual nurse.
Bill takes aim at nationwide shortage of nurses
The National Nursing Shortage Reform and Patient Advocacy Act, introduced March 25, would establish minimum registered nurse–to-patient ratios in hospitals, protect nurses’ rights to advocate on behalf of their patients, and invest in training and retraining nurses to address the nationwide shortage.
Recently proposed legislation aims to address nursing shortages.
Many hospitals failing when it comes to nurse safety, Leapfrog report finds
While awareness over nurse safety has grown, a new survey by The Leapfrog Group found 40 percent of hospitals fail to comply with all 21 endorsed safe practices in the field.
“Nurses provide the majority of patient care in hospitals and are critical to the safety and quality of any hospital,” Leapfrog said in its report.
Thank you, nurses
The Huffington Post
While much of healthcare is focused on physician quality measures, data show that good nursing care significantly impacts quality of care. For example, when administrators are forced to cut nursing staff to save money, it increases the workload for nurses and impacts quality. One 2007 study (Weisman) found that a "10 percent increase in number of patients assigned to a nurse leads to a 28 percent increase in adverse events such as infections, medication errors and other injuries."
Insomniacs may be more sensitive to pain
People with insomnia or poor sleep quality may be less tolerant of pain, new research suggests. The more frequent and severe the insomnia, the greater the sensitivity to pain, the Norwegian study showed. Additionally, the researchers noted that people with insomnia who also suffer from chronic pain have an even lower threshold for physical discomfort.
What is the 'right' nurse-to-patient ratio?
A recent survey commissioned by the Massachusetts Nurses Association (MNA) showed that eight in 10 registered nurses believe hospital staffing levels are adversely affecting patient care. The MNA is pushing for state legislation that would establish nurse-to-patient ratios on various hospital units. As of now, California is the only state that has established such a law, but nursing unions are currently lobbying to get more states to enact nurse-to-patient ratio laws.
Fall-related deaths nearly doubled for US seniors since 2000
The number of American seniors who die from fall-related injuries has nearly doubled since 2000, a new report from the U.S. Centers for Disease Control and Prevention reveals.
The observation is based on an analysis of death rate information compiled by the National Vital Statistics System between 2000 and 2013. The report specifically noted that while roughly 30 seniors in every 100,000 died following a fall in 2000, that figure jumped to nearly 57 per 100,000 by 2013.
Nurses connect the dots between data and better patient care
Maria Laylo, a nurse in Hematology/Oncology, was in her first year of nursing when her manager mentioned a research opportunity through St. Michael’s nursing research program. “I had never done research or quality improvement before, so I volunteered,” said Laylo. “It looked like a good opportunity for a new nurse like me to learn and make a change in our unit.”
The Knowledge Translation of Performance Data for Frontline Nurses and Leaders Project (known as PERFORM KT) connects front-line nurses with research mentors and provides monthly education sessions. With this support and some dedicated backfill time, nurses analyze and use their unit’s performance data to identify and plan improvements to care.
Scientists are closing in on the root cause of schizophrenia
By Dorothy L. Tengler
Schizophrenia was once thought to be just a catch-all term for forms of mental behavior that we don't understand.
In fact, however, schizophrenia is a diagnosis that describes a psychiatric illness characterized by impairments in the perception or expression of reality. These impairments most commonly manifest as auditory hallucinations, paranoid delusions or disorganized talking and thinking in the context of significant social or occupational dysfunction.
Helping front-line nurses help suicidal patients
Assessing an individual's risk of suicide is a challenging task for nurses. Due to their front-line role in the healthcare system, nurses are usually the first health professionals to assess if an individual is at risk of suicide.
"Risk assessments are complex and require sophisticated nursing skills," says Santa Mina. "Generally, suicide is a taboo topic to discuss and suicide risk is often fluid. Although there are rating scales that attempt to quantify risk level, their numeric, linear approach provides limited understanding of an individual's context that identifies one who is at risk of taking his or her life."
Welcome to the ER: Nurses discuss life in the emergency room
No one wants to wind up in an emergency room. At least not as a patient.
But there’s a group of dedicated, talented, fun-loving and hard-working people who show up day in and day out to ensure that their patients have the best experience possible while in the emergency department.
Local anesthesia may be best for infants during surgery
New research suggests infants may recover better after some kinds of surgery if they receive local anesthesia — which only numbs part of the body — instead of being "knocked out" completely with general anesthesia.
Young patients who had local anesthesia were less likely to suffer from disrupted breathing following hernia surgery, the study found.
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