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Nurses' calm and compassion ease patient suffering
Healthline News
Psychological support from nurses can help patients heal. There’s an art to telling someone it’s going to be OK, and for those who master it, this empathy and kindness can have a significant impact on a patient's recovery. Nurse-guided mindfulness could help decrease the pain of an uncomfortable procedure, according to research presented April 5 at the EuroHeartCare 2014 conference in Stavanger, Norway. Researchers from Copenhagen University Hospital in Denmark found that patients who were told by nurses to imagine that they were in a safe place during cardiac ablation experienced less pain than those who had no mindfulness intervention
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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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Don't miss out — Registration extended!
MARN Awards Dinner and Spring Conference

Register Today, click here.
Friday, April 11
Annual Spring Conference - Reaction…Response…Reflection, Lessons Learned from the Boston Marathon Tragedy
Conference Agenda, click here.
Conference Brochure, click here.
Dedham Hilton Hotel • Dedham, MA

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  JBI Evidence-Based Practice Resources - Try it Free for January
Advance healthcare using content and tools from the Joanna Briggs Institute (JBI), a global leader in evidence-based practice, only on Ovid. Search evidence in any specialty including systematic reviews, recommended practices, evidence summaries, patient handouts and more. Then use JBI's unique tools to get evidence into practice. Try it Today!

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 or mailed to MARN Newsletter, P. O. Box 285, Milton, MA 02186
Deadline date for submission is April 10!

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RESERVE YOUR SPOT TODAY: APRIL 15 at Hallmark Health System, Lawrence Memorial Hospital Campus — 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.

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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  Free CNE credits are just a click away.

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.

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.
Wellesley Gateway Building
93 Worcester Street
Wellesley, MA 02481-9181

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Modern Healthcare's annual '100 Most Influential People in Healthcare'
It's that time of year again! Modern Healthcare’s annual “100 Most Influential People in Healthcare” is underway and nominations are being accepted through Friday, April 18. After the nomination process, there will be voting to whittle the list down from 300 to the 100 most influential. We encourage you to nominate nurse leaders who are elevating the profession. The nomination process is easy – only five fields to fill out.
(If you'd like to nominate ANA President Karen A. Daley, PhD, RN, FAAN or CEO Marla J. Weston, Ph.D., RN, FAAN, please note that ANA is located in Silver Spring, MD.)

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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
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Nominations Open for Schwartz Center Compassionate Caregiver Award
Honoring New England Caregivers Who Demonstrate Extraordinary Compassion for Patients
The Schwartz Center for Compassionate Healthcare, a nonprofit organization dedicated to strengthening the relationship between patients and their healthcare providers, is seeking nominations for its 2014 Schwartz Center Compassionate Caregiver Award®. This prestigious award, given annually since 1999, recognizes caregivers and teams of caregivers who demonstrate extraordinary compassion for patients and families.
Nominees must be paid caregivers who work in a New England (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, or Vermont) healthcare organization and have direct patient contact. Nominations may be made by patients or family members or by healthcare professionals who work with the nominee. The recipient receives a $5,000 cash prize, and four finalists receive $1,000 each. All five will be honored at the Kenneth B. Schwartz Compassionate Healthcare Dinner on Thursday, November 20th, at the Boston Convention Center before an audience of more than 2,000 healthcare professionals, patients and family members.
The Center and award are named after Ken Schwartz, a Boston healthcare attorney who died of lung cancer at the age of 40 and found that what mattered to him most was the compassionate care he received from his caregivers, which he said “made the unbearable bearable.” He founded the Schwartz Center in 1995 to ensure that all patients receive compassionate care. Today, the center has programs in more than 350 healthcare institutions across the country. The Schwartz Center encourages the nomination of candidates from a variety of healthcare settings, including hospitals, physician practices, long-term care facilities, community health centers, outpatient clinics, and hospice and home care organizations. Eligible employees may include physicians, nurses, therapists, social workers, psychologists, nurse practitioners, physician assistants, certified nursing assistants, home health aides, and chaplains – as well as interdisciplinary teams of caregivers.
In 2013, the Schwartz Center Compassionate Caregiver Award was given to Pradeep Chopra, MD, a pain medicine physician at the Interventional Pain Management Center of Rhode Island in Pawtucket, RI. More information on how to nominate a caregiver is available on the Schwartz Center’s website, here.
The nomination deadline is Friday, May 9th.

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Longer stays but lower costs for direct pediatric admissions
Medscape (free subscription)
For children with pneumonia who are admitted to the hospital directly, rather than through the emergency department (ED), costs are significantly lower, although hospital stays are longer, according to a new study. "Direct admissions constitute a significant proportion of pediatric hospital admissions in the United States, but no past studies have characterized direct admission patterns or outcomes," said investigator JoAnna Leyenaar, M.D., assistant professor at Tufts University School of Medicine in Boston.
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4 ways to improve the nursing environment, patient safety
The nursing world has changed for the better throughout the past decade, but there is room for improvement as patients remain at risk for serious harm and disruptive behavior in the workplace continues, according to a new brief from the Robert Woods Johnson Foundation (RWJF). Healthcare organizations must make even more systemic, interprofessional and cultural changes to ensure nurses work in an environment that encourages patient safety, efficiency and accountability, the brief states.
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Exchange enrollment exceeds expectations, but too early to determine impact
By Pamela Lewis Dolan
The Obama administration's last-ditch efforts to get people to sign up for insurance through the insurance exchanges paid off as the total enrollment numbers exceeded 7 million by the March 31 open enrollment deadline. The enrollment data surprised nearly everyone. Just weeks before the deadline, the Congressional Budget Office revised its estimate of new enrollees down to 6 million. But while proponents of the Affordable Care Act had reason to celebrate, there are still many unknowns that will determine the long-term success of the law.

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ICD-10: Painful to implement, painful to delay
If the implementation of ICD-10 diagnosis codes is delayed by an act of Congress, as seems likely, doctors may be spared a headache — but healthcare CIOs will gain one. The Centers for Medicare and Medicaid had set forth a firm Oct. 1 deadline for the implementation of a new and vastly expanded system of diagnosis and insurance billing codes, a transition that has been in the works since the 1990s and had been pushed back repeatedly.

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Can Google Glass transform medical education?
HIT Consultant
Google Glass looks exciting for the medical world, and presents a particularly powerful opportunity for medical education. A white paper by the Department of Emergency Medicine, Singapore General Hospital says, “simulation-based training has opened up a new educational application in medicine. It can develop health professionals’ knowledge, skills, and attitudes, whilst protecting patients from unnecessary risks”. Google Glass is taking simulation to the next level and making it more real, as the patients treated are real.

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Ask the nursing expert ... about ICD-10's impact on nurses
McKnight's Long-Term Care News
Accurate and descriptive nursing documentation will become even more important to ensure that when the medical records staff assign codes, the ICD-10 codes are as accurate and as precise as they can be. Education of nurses, doctors and even vendors will be required to make the October 2014 start to ICD-10 smooth and successful.
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New test could identify low risk chest pain patients in the emergency department
Approximately 15-20 million people in Europe and the United States go to the emergency department every year with chest pain. Many can be discharged early if they are not having an acute coronary syndrome. A large new single-center observational study, presented at the American College of Cardiology meeting in Washington, D.C., and published simultaneously in the Journal of the American College of Cardiology, provides fresh evidence that high-sensitivity cardiac troponin T (hs-cTnT) may be useful in helping identify chest pain patients in the emergency department who do not need to be admitted to the hospital.
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Trick of the Trade: Nasal foreign body removal using foley catheter
A healthy 4 year-old boy is brought in by mom for a plastic bead up his nose. The mom states, “The last time the other doctors had to be called, and it took forever. Oh, and I have to pick up his brother from school in 30 minutes. Can you get it out, doc?” The patient is squirming even as you take a quick peek at his nose, but you catch a glimmer of the bead up his right nare.
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Healthcare sign-ups surge toward 7 million
USA Today
A surge of interest and last-minute technical glitches marked the final day of enrollment in health insurance through federal and state websites, as a target once thought out of reach — 7 million enrollees — was on the verge of being reached. A government official told USA Today that the administration is on track to sign up 7 million people by the midnight deadline.
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FDA: New opioid overdose treatment can be administered at home
The Food and Drug Administration has approved a prescription treatment that can be used by family members or caregivers to treat a person known or suspected to have had an opioid overdose. Evzio (naloxone hydrochloride injection) rapidly delivers a single dose of the drug naloxone via a hand-held auto-injector that can be carried in a pocket or stored in a medicine cabinet. It is intended for the emergency treatment of known or suspected opioid overdose, which is characterized by decreased breathing or heart rates or loss of consciousness.
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Depression increases heart failure risk by 40 percent
Health Canal
Moderate to severe depression increases the risk of heart failure by 40 percent, a study of nearly 63,000 Norwegians has shown. Lise Tuset Gustad, first author of the study and an intensive care nurse at Levanger Hospital in Norway, said: “We found a dose response relationship between depressive symptoms and the risk of developing heart failure. That means that the more depressed you feel, the more you are at risk.”
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Abscess, 'Answers'
EM Lyceum
From packing abscesses, to antibiotics, to closure: How to manage abscesses better and dispel dogmas en route. These 5 questions were answered by expert, Drs. Singer and Talan and were published in the New England Journal of Medicine.
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What's next for healthcare
The New York Times
The first open enrollment period for health insurance under the Affordable Care Act has just ended, and consumers, insurers and federal officials now face many immediate chores and challenges that will help determine if the law works as intended. Many questions about the law’s potential impact on the healthcare system remain, and here are some preliminary answers.
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Common nursing practices based on tradition, not evidence
Many common nursing practices derive from tradition rather than empirical evidence that they are effective, according to an article in Critical Care Nurse. The researchers, led by Mary Beth Flynn Makic, Ph.D., a research nurse scientist in critical care at the University of Colorado Hospital, examined the evidence associated with four clinical practices common in nursing: managing feeding tubes in children and infants, promoting sleep in the intensive care unit (ICU), turning critically ill patients every two hours and preventing venothromboembolism.
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Missed last week's issue? See which articles your colleagues read most.

    Affordable Care Act may actually lead to fewer clinical visits (By Pamela Lewis Dolan)
Tagging, tracking nurses improves workflow (Health Leaders Media)
Study: Nurses take more accurate blood pressure readings than physicians (Healthcare Traveler)
CDC reports: HAI rates improving, but much work remains (
CDC: Autism prevalence 30 percent higher than previously thought (MedCity 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, Senior Medical Editor, 202.684.7169   
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