Bold Voices - July 2013 - (Page 18)

AT THE BEDSIDE In Our Journals Hot topics from this month’s AACN journal Heart failure has one of the highest hospital readmission rates. In the 2013 AACN Distinguished Research Lecture, Nancy Albert said this is because nurses and patients often follow parallel paths regarding self-care for heart failure (HF). Albert’s research indicates nurses are not as knowledgeable as expected about HF self-care principles and don’t spend enough time educating hospitalized patients about effective self-care. She also found that hospitalized patients rely on current symptoms to gauge the severity of their condition and misperceive expectations about long-term self-care. Training to improve nurses’ knowledge about and ability to effectively deliver self-care information is key to helping patients control HF. (Albert, AJCC, July 2013) 18 Early mobilization for critical care patients may be beneficial, even within the first 24 to 48 hours of hospitalization. However, intubation or a patient’s unstable physiological status hinders active mobilization efforts. Within 72 hours of intubation, 20 minutes of bilateral passive leg movement delivered by continuous-passivemotion (CPM) machines was well tolerated by 30 patients. Heart rate, blood pressure and oxygen saturation remained stable throughout the intervention. Pain was also significantly reduced during and after CPM, as was interleukin 6, a proinflammatory cytokine. More research is needed, but passive or early mobilization might provide a novel approach to pain management in critically ill patients. (Amidei et al, AJCC, July 2013) Nursing documentation patterns show a link to patient mortality. Nurses alter their monitoring behavior as a patient’s clinical condition deteriorates, often detecting and documenting subtle changes before physiological trends are apparent. A datamining study of 15,000 acute care patients and 145 patients with cardiac arrest found that patients who died had more optional comments and more documentation of vital signs within 48 hours than patients who survived. This finding suggests some features of documentation in electronic health records can be used to predict mortality. (Collins et al, AJCC, July 2013) Enhance Your Professional Development in a Collaborative Learning Environment With Deep Appreciation... September 18-20, 2013 MGM Grand Las Vegas, Nevada For inpatient nurse managers and charge nurses at the point of care, Nurse Manager Priorities is a beyond-the-basics conference where forward-thinking influential leaders guide your learning. For more information, visit

Table of Contents for the Digital Edition of Bold Voices - July 2013

Front/Digital Edition Viewing Guide
Another Angle
We Welcome New, Thank Off-going National Board Members
Managers Note Less Professionalism Among Nurses
Joint Commission: Alarm Fatigue Can Be Deadly
Many Nurses Subject to Workplace Violence
Sharps Injuries Continue to Pose Work Hazard
Medicare Commission Explores Pay Inequality for APRNs
NTI 2013 in Photos
Can iPads Disrupt Function of Implanted Heart Devices?
Copper Surfaces Can Cut in Half the Risk of HAI
In OurJournals
Boston Eds Ready for Emergencies, Some Airlines Unprepared
AACN Scholarships Support Your Future
Visionary Leaders Recognized at NTI
Step Forward

Bold Voices - July 2013