Category Archives: Nurses

Apr 24 2014
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RWJF Scholars in the News: Markers for PTSD, inexcusable morbidity, nurse education, cigarette marketing, and more.

Around the country, print, broadcast, and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows, alumni, and grantees. Some recent examples:

Neuroscientists at Harvard University studying trauma and the adolescent brain have identified markers that might help predict susceptibility to post-traumatic stress syndrome (PTSD), New England Public Radio (NEPR) reports. Kate McLaughlin, PhD, an RWJF Health & Society Scholars alumna, and colleagues were studying young people who’d been through serious adversity when the Boston Marathon bombing occurred. They surveyed some study participants who had already had brain scans about how much media coverage of the tragedy they’d watched and how they reacted emotionally, learning that children with certain neurobiological markers or previous trauma were more likely to report symptoms of PTSD. “The more that we can understand the neurobiological markers as well as the psychological and social markers ... the better able we’ll be to deliver early and effective interventions to prevent the onset of mental health problems,” she tells NEPR. Listen here.

“People think about asthma and think we must have a handle on it in the United States, but the grim reality is that most patients’ asthma in this country is uncontrolled,” David Van Sickle, PhD, MA, an RWJF Health & Society Scholars alumnus tells Nonprofit Quarterly in an interview. Van Sickle points to little progress in reducing asthma-related hospitalizations, and what he describes as “inexcusable morbidity” from the condition.  

RWJF Executive Nurse Fellows alumna Jane Kirschling, RN, PhD, FAAN, is featured in Nurse.com on the importance of nurse education. “We’re the largest single group of health care providers in the United States, and we’re there 24-7, 365 days a year for the care that’s provided,” Kirschling said. “That’s in hospitals, community settings and long-term care settings. So, we have to make that commitment as a discipline and as professional nurses to continue to expand our knowledge and our critical thinking skills, and we do that through advancing nursing education.”

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Apr 21 2014
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Quotable Quotes About Nursing, April 2014

“It is a truism that healthy children are in a better position to learn in the classroom.

Unfortunately, it’s also a sad fact of life that the role of a school nurse—who is on campus to help insure students’ well-being—often goes overlooked or underestimated.”

--Editorial, Board Should Work to Remedy Nursing Shortage, Burbank Leader, April 11, 2014

“Our goal is not just to be at the table [of policy-making discussions]. We need practiced, experienced nurses to vote at that table, and when our voices are heard, the patient’s voices are heard, and this means we must invest more time, attention, and resources to develop nurse leaders.”

--Karen Daley, PhD, RN, FAAN, president, American Nursing Association, Nursing Leaders Essential in Providing Quality Health Care, Houston Chronicle, April 4, 2014

“I have watched the industry grow over the years as nurses become more involved than just taking vital signs, giving medications and bathing patients. There is a more team-oriented approach, which has developed in hospitals, and this naturally makes it a more rewarding career option. As a result, more and more nursing programs are in demand.”

--Brenda McAllister, MSN, EdD, director of nursing, EDMC-Brown Mackie College, Health Care Industry Experiencing New Demands for Nurses, (Milwaukee) Journal Sentinel, April 3, 2014

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Apr 17 2014
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RWJF Scholars in the News: Education levels and bone fractures, nursing research, hospital choice, and more.

Around the country, print, broadcast, and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows, alumni, and grantees. Some recent examples:

Social class may have a significant bearing on the likelihood that middle-aged African American and Asian women will suffer bone fractures, a new study suggests. Co-author Rebecca Thurston, PhD, an RWJF Health & Society Scholars alumna, found that current income level or ability to pay for care is not associated with bone-fracture risk. However, educational levels among minorities, which the authors note are tightly associated with socioeconomic status, are directly related. This suggests that socioeconomic status over the entire course of a woman’s life is more relevant to bone health than current income status, Health Canal reports.

The Richmond Times Dispatch reports on the importance and value of nursing research. Nursing “really looks at the whole person. So we consider the physiological issues in terms of health problems, as well as psychological components, which is a big part of any health problem,” Jacquelyn Campbell, PhD, RN, FAAN, director of the RWJF Nurse Faculty Scholars program, tells the Dispatch. “We also are very concerned with vulnerable populations, ending health inequalities. Some of our nurse scientists, including some of the Nurse Faculty Scholars, are actually doing physiological research in the lab, but they are very concerned with how that translates to the bedside and to the community.” 

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Apr 15 2014
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Media Exposure and Acute Stress Following the Boston Marathon Bombings

E. Alison Holman, PhD, FNP, is an associate professor in nursing science at the University of California, Irvine and a Robert Wood Johnson Foundation Nurse Faculty Scholar.

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A year ago today, on April 15, 2013, in the first major terror attack on U.S. soil since September 11, 2001, Dzhokhar and Tamerlan Tsarnaev planted two pressure cooker bombs near the finish line of the Boston Marathon. Three people died and more than 260 were injured. For a week authorities searched for the perpetrators, shootouts occurred, and Boston was locked down. As reporters and spectators filmed the mayhem, graphic images were shown repeatedly in both traditional and social media around the world. Like the September 11, 2001 (9/11) terrorist attacks, the population of the United States was the terrorists’ intended psychological target. Yet most research on reactions to such events focuses on individuals directly affected, leaving the public health consequences for populations living outside the immediate community largely unexplored.

Tens of thousands of individuals directly witnessed 9/11, but millions more viewed the attacks and their aftermath via the media. In our three-year study following 9/11, my colleagues and I found that people who watched more than one hour of daily 9/11-related TV in the week following the attacks experienced increases in post-traumatic stress (PTS) symptoms (e.g., flashbacks, feeling on edge and hyper vigilant, and avoidance of trauma reminders) and physical ailments over the next three years (Silver, Holman et al., 2013).

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Apr 14 2014
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Apr 11 2014
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Academic Progression is Focus of Meeting with Community College, University Nursing Leaders

A year ago this week, the Robert Wood Johnson Foundation (RWJF) convened an unprecedented meeting that brought together diverse leaders from community colleges around the country, the Tri-Council for Nursing, and RWJF’s Academic Progression in Nursing (APIN) initiative, which is fostering collaboration between community colleges and four-year university nursing programs to promote seamless academic progression for nurses. The meeting was organized to address concerns in the community college community about the recommendation in the Institute of Medicine’s (IOM) report, The Future of Nursing: Leading Change, Advancing Health, that 80 percent of the nation’s nurses attain bachelor of science in nursing or higher degrees by the year 2020.

A paper, released today, reports on the proceedings of that meeting, including participants’ shared goal to ensure that community colleges continue their invaluable work to educate a new generation of nurses and diversify the nursing workforce; and to give all nurses opportunities to be lifelong learners who are well-prepared to provide high-quality care and promote health.

The paper includes an addendum that provides news and information about how nursing, health, education, government, business, and other leaders in nine states have made exciting progress in the last year in support of seamless progression for nursing students, as well as for nurses already in the workforce who wish to continue their education.

“While we did not solve every concern, the meeting was tremendously constructive, opening a dialogue, identifying numerous areas of strong agreement, and illuminating issues yet to be resolved,” said John Lumpkin, MD, MPH, senior vice president at RWJF. The Foundation “is determined that last year’s meeting be a beginning for a continuing, constructive dialogue that will advance the goals we all share.”

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Apr 10 2014
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RWJF Scholars in the News: Electronic health records, nurse mentoring, ‘longevity gaps,’ and more.

Around the country, print, broadcast, and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows, alumni, and grantees. Some recent examples:

The California Action Coalition has developed a mentorship program that is helping prepare the next generation of nurses to serve as leaders on health care reform. The state’s mentorship program dovetails with the 2014 leadership focus of the Future of Nursing: Campaign for Action, a national effort backed by RWJF and AARP that is working to transform health care through nursing. “Mentoring is key to strengthening any leader,” Mary Dickow, MPA, tells Nurse Zone. “Having strong mentors in my life helped me think differently and advance. I wouldn’t be where I am today without them.” Dickow is statewide director of the California Action Coalition.

A recent interview in the Atlantic with David Blumenthal, MD, MPP, has generated numerous comments from readers weighing in on the merits of electronic health records (EHRs). Blumenthal is former national coordinator for health information technology at the U.S. Department of Health and Human Services and a recipient of an RWJF Investigator Award in Health Policy Research. He points out in the interview that EHRs offer “substantial” benefits for patients, but notes that in the short-term, providers incur significant costs and that it will take time to make the transition to EHRs. The Atlantic has now published several articles highlighting reader comments, which can be found here, here, and here. FierceEMR published a story about the give-and-take, which notes that many of the commenters who are skeptical about the value of EHRs are physicians.

RWJF Health & Society Scholars program University of Wisconsin-Madison Site Director David Kindig, MD, PhD, appeared on the Kojo Nnamdi Show on Washington, D.C.’s WAMU radio to discuss the “longevity gap,”—the growing gap in life expectancy between the rich and the poor. Kindig and other guests explore how health care reform and policies to address income inequality might affect the gap.

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Apr 7 2014
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In the Media: Mental Health Nurse Rocks Literary World

This is part of the April 2014 issue of Sharing Nursing’s Knowledge.

A nurse author is making a grand entrance on the literary scene.

British nurse Nathan Filer, 33, won a prestigious literary prize last month for his debut novel about mourning and mental illness. The book won the United Kingdom’s 2013 Costa Book of the Year award, which carries a prize of nearly $50,000.

Called Where the Moon Isn’t (and The Shock of the Fall in the U.K.), the novel tells the tale of a young schizophrenic who witnessed the death of his younger brother and winds up in a mental health institution.

It draws on Filer’s professional experience as a mental health nurse; he has worked in psychiatric wards for more than a decade.

“For a first novel it is astonishingly sure-footed. ... I think there is genuine excitement about this winner,” chief judge Rose Tremai said, according to a blog post on National Public Radio. “It is not just about schizophrenia—it is about grief.” 

Filer has said that he intends to remain active in nursing despite his newfound literary success.

Apr 7 2014
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Recent Research About Nursing, April 2014

This is part of the April 2014 issue of Sharing Nursing’s Knowledge.

ICU Staffing’s Impact on Patient Outcomes

A nurse-led study from the United Kingdom has found that higher numbers of doctors and nurses in intensive care units (ICUs) have a positive effect on survival rates for high-risk patients.

A research team led by Elizabeth West, PhD, MSc, RN, Director of Research in the School of Health and Social Care at the University of Greenwich, used data on 38,000 patients in 65 ICUs in the United Kingdom, correlating patient outcomes with staffing levels for doctors, nurses, and support staff. They found that “higher numbers of nurses per bed ... and higher numbers of ‘consultants’ [senior hospital-based physicians or surgeons] were associated with higher survival rates. Further exploration revealed that the number of nurses had the greatest impact on patients at high risk of death.”

“It seems reasonable to argue,” the researchers conclude, “that skilled nurses, who have the time to observe patients closely, to intervene or mobilise the team if they begin to deteriorate, would be most important to patients who are at the greatest risk. This study is the first to produce evidence that this is the case.” Their findings are published in the May 2014 issue of the International Journal of Nursing Studies.

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Apr 4 2014
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RWJF Nurse Fellow Builds a Culture of Health Through the Community Health Center Movement

Linnea Windel, MSN, RN, president and CEO of VNA Health Care in Aurora, Ill., received the Illinois Primary Health Care Association’s Danny K. Davis Award last fall for her leadership of and service to the community health center movement. She is an alumna of the Robert Wood Johnson Foundation (RWJF) Executive Nurse Fellows program (2008-2011).

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Human Capital Blog: Congratulations on your award!  What does this mean for you and for your organization’s work?

Linnea Windel: The community health center movement (and the work that we do) reaches thousands of uninsured and underinsured people who, in most cases, wouldn’t have access to primary health care services otherwise. The award highlights the purpose of our work and the work of many.

HCB: The award is named for Danny K. Davis, a member of the U.S. House of Representatives and a champion of the community health center movement. How is VNA Health Care carrying out his mission?

Windel: When we became a federally qualified health center (FQHC) 12 years ago, we were serving 6,000 patients; this year we are on track to serve 60,000 patients. In the space of 12 years, we’ve expanded our service area and now have nine health centers in suburban Chicago. We live out the purpose of the community health center movement and the purpose of the award through the provision of care in communities with significant need.

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