《今日美国护士》2016年11月总第11卷第11期
American Nurse Today
November 2016 Vol. 11 No. 11
Continuing Education
Addressing patient and caregiver suffering
解决患者和照护员痛苦
Suffering—it’s a powerful word that evokes a visceral response. Actually, patient means “one who suffers” in Latin. To reduce patient suffering, we need to consider the experience of nurses and other caregivers, because patient experience and nurse engagement are inextricably tied. Measuring the met and unmet needs of both patients and caregivers is critical for addressing those needs and driving improvement and value in healthcare.
Leading the Way
Principled leadership and the imperative for workplace civility
有原则的领导与工作场所文明训诫
Recognizing, addressing, and preventing incivility calls for a systematic organizational approach to fostering healthy workplaces that deliver safe patient care. Failing to note and deal with uncivil behaviors causes at least as much damage as the incivility itself. Especially if perpetuated in a patterned way over time, uncivil behaviors can cause lasting harm to individuals, teams, and organizations. Perhaps most important, they can jeopardize patient care, leading to life-threatening mistakes, preventable complications, and patient injury or even death.
Practice Matters
A kinder, gentler workplace, part 3: The generation gap
更加友好、优雅的工作场所之三：代沟
Problems can arise from the differing mindsets and communication styles of workers born in different eras. “Managing a multigenerational workforce is an art,” leadership strategist Eric J. McNulty wrote in theHarvard Business Review. “Young workers want to make a quick impact, the middle generation needs to believe in the mission, and older employees don’t like ambivalence.”
Inside ANA
Contribute to building nursing research and enhancing safe, quality practice
继续构建护理研究增强安全、优质执业
Call for action: Nurses lead and transform palliative care
呼吁采用行动：护士领导和改革姑息保健
From the ethics inbox: Reporting a sentinel event
伦理信箱：哨兵事件报告
Nurses lead in fighting opioid crisis
护士在阿片样物质危机中的领导作用
Career Sphere
Tools to improve your collaborative skills
改善合作技能的工具
Mind/Body/Spirit
The selflessness and dedication of military nurses
军队护士的无私和奉献
Thirty years ago, Brigadier General Sarah Wells began the tradition of gathering nurses together to place flowers on the graves of nurses who served in the U.S. military and are buried at Arlington National Cemetery. This biannual tradition continues today.
Strictly Clinical
BONES: A postoperative plan of care and education program for total joint replacement patients
PONES:全关节置换患者的术后护理计划和教育课程
According to the Centers for Disease Control and Prevention, about 719,000 total knee replacement and 332,000 total hip replacement procedures were performed on inpatients in 2010. For both procedures, these statistics reflect a large increase from 2000. Many factors help explain the rise, including an aging and growing population, obesity as an osteoarthritis precursor, and better healthcare access. The growing number of joint replacement patients underscores the need for nurses and other healthcare professionals to be prepared to provide specialty care and education.
Drugs and Devices
Steroid injection better than gentamicin for treating Meniere’s disease
类固醇注射剂治疗梅尼埃病效果优于庆大霉素
Ménière's disease is characterised by severe vertigo attacks and hearing loss. Intratympanic gentamicin, the standard treatment for refractory Ménière's disease, reduces vertigo, but damages vestibular function and can worsen hearing. We aimed to assess whether intratympanic administration of the corticosteroid methylprednisolone reduces vertigo compared with gentamicin.
Capsule that significantly extends drug release may help eradicate malaria
胶囊大大延长药物释放有助于根治疟疾
Researchers have developed an ultra long-lasting drug delivery system in the form of a capsule to deliver an anti-malaria drug, which could help eradicate the disease; the technique could also be used for delivery of other medicines.
Take Note - Practice Updates
E-cigarettes may be harmful for teens
电子烟可能对青少年有害
Adolescent e-cigarette users have increased rates of chronic bronchitis symptoms, according to a study in American Journal of Respiratory and Critical Care Medicine.
Special Reports
Fall prevention: The little things can make a big difference
摔倒预防：小事情大意义
In 2014, a multidisciplinary task force at Central Maine Medical Center (CMMC) in Lewiston created a fall-reduction program flexible enough to be customized to each unit’s medical specialty. The team chose the fall-prevention toolkit from the Agency for Healthcare Research and Quality as the best-practice guide against which to evaluate CMMC’s program. A comprehensive collection of best practices, the toolkit includes many items that involve a process-improvement methodology. We used some of these tools to assess the current use and effectiveness of CMMC’s fall-prevention strategies. Here we describe how we reduced our fall rate.
Editorial
Size matters—or does it?
体型很重要—真的吗？
Does “Size matters” mean anything in nursing? In every hospital, nursing is the largest department—often representing more than 50% of staff. But does that mean nursing is the biggest and strongest department? Does nursing have more influence than other departments in creating policies, enforcing professional behavior, or setting guidelines that ensure adequate time at the bedside to care for patients? If you’re smiling or just shaking your head right now, it’s because you know nursing certainly does not have more influence.
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