Bold Voices - May 2014 - (Page 7)

AT THE BEDSIDE Healthcare Professionals Smoke Less Than General Population T he number of healthcare professionals who smoke is lower than that of the general population, according to a study in JAMA: The Journal of the American Medical Association. "Changes in Smoking Prevalences Among Health Care Professionals From 2003 to 2010-2011" finds that although smoking rates showed little change from 2003 to 2007, recent significant decreases will be a benefit since healthcare professionals who smoke can be a barrier to tobacco interventions with patients. Researchers from the University of California, Los Angeles, used data from the Tobacco Use Supplement to the Current Population Survey to analyze smoking trends from 2003 to 2011. Physicians, registered nurses, licensed practical nurses, pharmacists, respiratory therapists and dental hygienists were included in the study and organized by current smokers, former smokers and those who never smoked. Of the 2,975 healthcare professionals in the latest data from 2010-2011, approximately 8 percent were smokers. In contrast, the number of smokers in the general population at the time was 16 percent. The group who showed the most significant decline in smoking was registered nurses, with a 36 percent decrease, while smoking among licensed practical nurses increased slightly, which is a serious concern, the study notes. U.S. Cancer Deaths Decrease The number of deaths from cancer has decreased by 20 percent for Americans, reports a study in CA: A Cancer Journal for Clinicians. "Cancer Statistics, 2014" finds the biggest decline among middleaged black men ages 40 to 49, for whom death rates have decreased by approximately 55 percent. The study attributes the drop to better prevention, screening, treatment and - most likely - a decline in smoking. It adds that the Affordable Care Act may lead to further decreases in cancer deaths by providing greater access to cancer screening. Sleep-Deprived Nurses May Regret Clinical Decisions Decision regret can involve more fatigue and daytime sleepiness, less nurse recovery between shifts and gender differences. C ritical care nurses who are fatigued, sleep-deprived and unable to fully recover between shifts are more likely than their unimpaired counterparts to regret clinical decisions, according to "Association of Sleep and Fatigue With Decision Regret Among Critical Care Nurses," a study in American Journal of Critical Care. A survey of critical care nurses working at least 36 hours a week found that 157 of 546 nurses, or 29 percent, reported regretting clinical decisions. The study used three models to analyze effects of sleep, nurse characteristics and satisfaction. "Nurses with decision regret reported more fatigue, more daytime sleepiness, less intershift recovery, and worse sleep quality than did nurses without decision regret," the study notes. "Being male, working a 12-hour shift, and clinical-decision satisfaction were significantly associated with decision regret." Although the study applies to past decisions and adverse outcomes, it could lead to future work-related stress that could compromise patients' safety, reports Medscape Medical News. The study suggests that critical care nurses and employers acknowledge the impact of fatigue, sleep deprivation and other factors, and develop mitigating strategies. Possibilities include taking naps and avoiding extended work shifts and excessive consecutive workdays. Employers also should provide education and implement scheduling models to manage fatigue. "Registered nurses play a pivotal role as members of the health care team, but fatigued and sleep-deprived critical care nurses put their patients and themselves at serious risk," the study adds. "By working together to manage fatigue, critical care nurses and employers can ensure that patients receive care from alert, vigilant, and safe employees." Future studies are needed to examine the association between sleep, decision regret and adverse events, including patient mortality. 7 AACN BOLD VOICES MAY 2014 Smoking among RNs decreased 36 percent, while increasing slightly among LPNs. http://onlinelibrary.wiley.com/doi/10.3322/caac.21208/full http://jama.jamanetwork.com/article.aspx?articleid=1812944 http://jama.jamanetwork.com/article.aspx?articleid=1812944 http://jama.jamanetwork.com/article.aspx?articleid=1812944 http://ajcc.aacnjournals.org/content/23/1/13.full http://ajcc.aacnjournals.org/content/23/1/13.full http://www.medscape.com/viewarticle/818499

Table of Contents for the Digital Edition of Bold Voices - May 2014

Another Angle
Pres Note Teaser: What Were We Thinking
Come for the Day. Learn for a Lifetime.
How AACN CSI Academy Changed My Practice
Healthcare Professionals Smoke Less Than General Population
Sleep-Deprived Nurses May Regret Clinical Decisions
Detecting Abuse When Kids Have Fractures
Effective Screening and Counseling for Alcohol Use
Most People Who Need Palliative Care Don’t Receive It
Interruptions Are Dangerous
AACN Community Steps Forward on Early Mobility
Awards
Satisfied and Engaged Staff Improve Patient Satisfaction
Involve Nurses When Developing Healthcare Technology
Nurses Concerned About Nursing’s Future
How Does This Year’s Flu Compare to Previous Trends?
Fewer Hospital Opportunities for Nursing Graduates
Excessive Crying as a Preemie, Behavioral Problems Later
Hand Amputees Can Feel Objects With New Prostheses
In Our Journals
Certification Capsules
New Editions of ‘AACN Essentials’ Textbooks
New at NTI 2014: Editorial Consults
Call for Nominations: AACN Board, Nominating Committee
Experience a Wasatch Mountain High This Summer at REACH
Thrive at NTI: 10 Tips for the Best Experience
Letters
Transitions
President’s Note

Bold Voices - May 2014

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