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The calculus of nursing education and patient outcomes
By Keith Carlson
With the publication of a new study in The Lancet, it appears that the call for more baccalaureate-prepared nurses just became louder, and the results of said study appear to carry a great deal of weight in both the academic and clinical worlds. Using discharge data from more than 400,000 hospitalized European patients, this well-received study demonstrates that increasing a hospital nurse's workload by only one patient leads to a 7 percent increase in the chances that a patient will die within 30 days of admission.
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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.

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MARN EVENTS


Celebrate National Nurses Day at Fenway Park with the Massachusetts Association of Registered Nurses!
Register Now, click here.
Red Sox vs. Cincinnati Reds - Tuesday, May 6, 2014

Be sure to join us at the pre-game Networking event at 5:30 p.m. at the Cask & Flagon
Networking Event: $20, MARN member rate, $35 non-member rate, $10 student rate.
Tuesday, May 6, 2014 - 7:00 p.m. (game time)
Invite your friends, family and colleagues for MARN Night at Fenway Park
Deadline to order *tickets: March 17 2014
*Based on availability*
Red-Sox Tickets: $20 each
First come, first served, so place your ticket order today!
Stop by the registration table at the pre-game event to pick up your tickets or other arrangements will be made.

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  JBI Evidence-Based Practice Resources - Try it Free for January
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Registration Open: MARN Awards Dinner and Spring Conference
Register Today, click here.
Friday, April 11
Living Legends in Nursing and Annual Awards Banquet
For a list of Award Recipients, click here.
Saturday, April 12
Annual Spring Conference - Reaction…Response…Reflection, Lessons Learned from the Boston Marathon Tragedy
Conference Agenda, click here.
Dedham Hilton Hotel • Dedham, MA
Reserve your room today at (781) 329-7900
Discounted Room Rate of $129 cutoff date is March 12

Call for Posters, click here.
Please consider being a Sponsor, click here.
Exhibitor Opportunity, click here.

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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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PRODUCT SHOWCASE
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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.
 


MARN NEWS & UPDATES


Authors Wanted for the MAssachusetts Report on Nursing (MARN Newsletter)
Needed: Articles for The Summer 2014 edition of the MAssachusetts Report on Nursing
Remember: The MARN newsletter is read by about 118,000 RNs in the Commonwealth!
We are focusing on Safe Staffing legislation and welcome your comments and stories!
This is YOUR newsletter so we need YOU to make a contribution!
Your ideas about features to include in future newsletters are always welcome. The more input, the better!!
Your contribution can be sent to newsletter@marnonline.org or mailed to MARN Newsletter, P. O. Box 285, Milton, MA 02186
Deadline date for submission is April 10!

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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.

March 26 — Framingham State College
April 15 — Hallmark Health System, Lawrence Memorial Hospital Campus, Medford, MA
**check back for more dates and locations
For more information, click here.
To reserve your spot today, click here.

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Howard Gotlieb Archival Research Center and the Nursing Archives Associates at Boston University cordially invite you to attend the NAA Annual Meeting
Guest speaker:
Terri Arthur, MSM, RN
Wednesday, April 2 at 5:30 p.m.
Trustee Ballroom
One Silber Way, Ninth Floor
Boston, Massachusetts 02215
R.S.V.P. by March 26 to (617) 353-3697
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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NURSING & HEALTHCARE NEWS


Telehealth could cut Medicare Advantage costs, group says
Government Health IT
The Telecommunications Industry Association would like Congress to stay aware of how useful remote patient monitoring can be when it comes to containing healthcare costs. For example, cites TiA, remote patient monitoring — just one aspect of telehealth services – is expected to save $36 billion globally by 2018, with North America accounting for slightly more than three-quarters of these savings, according to one study.
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Research shows sedation before nerve block boosts risk, not relief
Nurse.com
Sedating patients before a nerve block needed to diagnose or treat chronic pain increases the costs, risks and potential for unnecessary surgeries, and sedation does not increase patient satisfaction or long-term pain control, according to new research. “Sedation doesn’t help, but it does add expense and risk,” study leader Steven P. Cohen, M.D., said in a news release. Cohen is a professor of anesthesiology and critical care medicine at Johns Hopkins University School of Medicine in Baltimore. “In some places, every patient is being sedated. Our research shows it should be used very sparingly.”
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Insulin-related hypoglycemia: Common, costly, preventable
Medscape (free subscription)
Over a 5-year period, the study authors calculate that emergency-room visits for hypoglycemia cost the U.S. healthcare system an estimated $600 million — and this is not including hospitalization costs. "This is important, because many of the emergency room visits for insulin-related hypoglycemia may be prevented," lead author Andrew I. Geller, M.D., from the Centers for Disease Control and Prevention, in Atlanta, Georgia, told Medscape Medical News. Dr. Geller and colleagues publish their findings online in JAMA Internal Medicine.
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FEATURED ARTICLE
TRENDING ARTICLE
MOST POPULAR ARTICLE
Researchers stress weight-bearing exercise for bone strength
Medical Xpress
When Denise Allee went shopping at Terre Haute's Honey Creek Mall on a recent Saturday, she left with some piece of mind. Future health care providers from Indiana State University had set up a booth inside the mall's main entrance, offering free bone-density scans as part of a research project. "We have a few bone problems that go in the family, so I just thought I would go ahead and have it checked out," said Allee, 59, of Bloomingdale. "I was surprised how good I did."

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Computer program calls parents when asthma scrips run low
Family Practice News
A newly developed computer program mines electronic medical records to find pediatric asthma patients who are about to run out of their inhaled corticosteroid inhalers, then calls their parents to help them order new ones. It’s not a robocall. Parents don’t push buttons to signal their response.

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Nursing staff cuts associated with increased risk of preventable deaths
2 minute medicine
Recent policy reforms in Europe aimed at shortening hospital stays would result in intensified nursing care of inpatients, raising concerns of adverse outcomes for quality of care. This study sought to inform the decisions around this key issue, and concluded that both nurse staffing and nurses’ education were significantly associated with mortality. These results challenge the recent European Union decision to continue endorsing vocational nursing education after only 10 years of general education.

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Buprenorphine prescribing 'disappointingly low'
Medscape (free subscription)
Few family doctors who complete the required training to prescribe buprenorphine for opioid-addicted patients actually do, new research shows. A study conducted by researchers at the University of Washington in Seattle showed that following completion of training, fewer than a third of physicians reported prescribing buprenorphine to treat addiction. "It's actually quite frustrating because the problem of opioid addiction has grown enormously in the US over the last 15 years, to the extent that unintentional lethal overdoses from opioids now exceed the number of deaths from car accidents," study investigator Roger A. Rosenblatt, M.D., MPH, said.
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Rating sites becoming an important tool for patients
By Pamela Lewis Dolan
Despite physicians' dislike of online rating sites, a survey finds patients are increasingly relying on them when shopping for a new doctor. A survey conducted by researchers at the University of Michigan Medical School found that when choosing a doctor, physician rating sites weren't ranked as high as other factors such as word of mouth from family and friends or whether a physician accepts the patient's insurance. But there is evidence the rating sites have become an important tool. And use of them is likely to continue growing.
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Even 15-minute delays in stroke treatment make huge difference
Nurse.com
Every 15-minute delay in delivering tissue plasminogen activator after ischemic stroke robs survivors of about a month of disability-free life, according to a study. On the other hand, speeding treatment by just one minute means another 1.8 days of healthy life, researchers reported March 13 on the website of the journal Stroke. “‘Save a minute, save a day’ is the message from our study, which examined how even small reductions in treatment delays might benefit patients measurably in the long run,” Atte Meretoja, M.D., PhD, MSc, said.
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Poor comprehensive geriatric assessment linked to long-term mortality in older HF patients
Healio
A poor score on a comprehensive geriatric assessment was associated with higher rates of long-term mortality among older patients hospitalized with HF, researchers reported in a new study. Previous research has demonstrated a correlation between poor comprehensive geriatric assessment and worse prognosis during hospitalization for HF and soon after discharge. However, researchers said the correlation with long-term mortality was uncertain.
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Health education not routinely provided to patients
DoctorsLounge
For patients with chronic disease, health providers do not routinely provide health education, according to a study published March 6 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease. Tamara S. Ritsema, M.P.H., from the University of Nebraska Medical Center in Omaha, and colleagues examined the rate of health education provision by physicians, physician assistants, and nurse practitioners/certified midwives using data from 2005 to 2009 from the National Hospital Ambulatory Medical Care Survey. Data were abstracted for 136,432 adult patient visits for chronic conditions, including asthma, chronic obstructive pulmonary disease (COPD), depression, diabetes, hyperlipidemia, hypertension, ischemic heart disease and obesity.
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Study: Blood biomarker could help with concussion diagnosis
Nurse.com
Concussion or mild traumatic brain injury in athletes who play competitive contact sports, such as hockey, football and boxing, is a growing problem, according to background information in the study, which was published March 13 on the website of JAMA Neurology. While mild concussions generally cause no loss of consciousness, they can induce other symptoms such as dizziness, nausea, trouble concentrating, memory problems and headaches. Severe concussions can cause a loss of consciousness. Most concussions resolve in days or weeks, but some patients can suffer symptoms more than a year after injury.
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Bracing for Obamacare, 1 in 3 health facilities adding doctors
Forbes
Facing an influx of newly insured patients under the Affordable Care Act and a wave of demographic trends, 31 percent of health facility managers plan to increase their medical staffs, according to a new report. The findings are the latest data from a nationwide survey of hospitals and medical groups by Staff Care, a subsidiary of health care staffing firm AMN Healthcare (AHS). The survey polled 230 hospital and medical group managers.
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TRENDING ARTICLES
Missed last week's issue? See which articles your colleagues read most.

    Blood test predicts Alzheimer's disease (CNN)
Nurse numbers, education linked to patient death rate (Reuters via Chicago Tribune)
Nurses perform colonoscopies as well as docs (HealthDay News via The Clinical Advisor)
Obamacare spotlights need for nurse practitioners (Los Angeles Daily News)

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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