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.NURSING FLASH
.HIGHLIGHTS
2022 Nursing Leadership Summit
BRI Network
Understanding, Preserving and Improving Patient Experience, Quality and Safety — Feb. 24-25, 2022 — Caesars Palace, Las Vegas, NV
The leadership and direction of the clinical enterprise of any hospital or health system either excels or fails through the nursing staff and its leadership. Chief nursing officers have a demanding, complex role that commands accountability in leading the nursing profession and achieving quality patient outcomes.
CNOs have consistently gone through a significant amount of challenges. Through these challenges, nursing leaders are tasked with providing quality care, reducing costs while improving patient experiences — a challenge that requires strong leaders at the helm of their organizations.
This conference brings together senior nursing executives from hospitals and health systems to strategize, collaborate and share best practices on patient safety, patient satisfaction, clinical transformation, readmissions, care coordination, quality and key new drivers shaping the healthcare industry.
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.NURSE WELLNESS
Another pandemic challenge for nurses: Sleep problems
Daily Nurse
Difficulty sleeping due to work stress and scheduling contributes to nurses’ anxiety and depression. More than half of nurses had difficulty sleeping during the first six months of the COVID-19 pandemic — and getting less sleep increased their odds of experiencing anxiety and depression, according to a new study led by researchers at NYU Rory Meyers College of Nursing.
“Nurses are already at risk for higher rates of depression and insufficient sleep compared to other professions, thanks to the stress of patient care and the nature of shift work. The pandemic seems to have further exacerbated these issues to the detriment of nurses’ well-being,” said Amy Witkoski Stimpfel, PhD, RN, assistant professor at NYU Rory Meyers College of Nursing and the lead author of the study, which was published in the Journal of Occupational and Environmental Medicine.
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5 ways to restore depleted healthcare workers
Harvard Business Review
Even before the pandemic, burnout among healthcare workers was well documented. The pandemic turned it into a crisis. A key component of burnout is depletion, which is characterized by feeling physically and emotionally drained, just barely hanging on — like the ICU nurse who sits in her car outside the hospital and texts a friend, “I don’t think I can make it through another shift.” But leaders of healthcare providers can do a lot to combat this problem. By implementing a variety of approaches, they can restore their workers’ physical and emotional reserves, sense of self, and trust in the organization that employs them. We have identified five effective strategies that some organizations have adopted. They are derived from our interviews with leaders of healthcare systems, our collective experiences in quality improvement, critical care medicine, and physician leadership, and research on burnout that we and others have conducted.
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The 12-month Online RN-BSN program provides students, who are current RNs, the opportunity for educational and professional advancement. This program is designed to meet the needs of working registered nurses in providing them new perspectives by learning from other nurses. Students will be able to apply real-world solutions in their current positions immediately.
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'We're the first patient': UNMC grant prioritizes nurses' mental health
HealthLeaders Media
From predictive algorithms to revisiting past care models to virtual nursing, nurse leaders are digging in and finding solutions to the current staffing crisis. Nurse staffing created some of the most difficult trials for nurse leaders during 2021, but it also sparked their ingenuity as they searched for solutions.
As the pandemic continued its deadly spread across the United States, nursing shortages, which had been a challenge even before COVID-19 arrived, intensified. Nurses on the cusp of retirement opted to go, while others left because of burnout, contract labor opportunities, opposition to vaccination mandates, or to take care of family.
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.ARTICLES, ADVICE & ADVOCACY
California nurse licensure changes are coming in March 2022, impacting travel nurses
Nurse.org
Through the pandemic, the Emergency Medical Services Authority (EMSA) in California enacted policies that allowed nurses who were licensed in any state to work in California. However, on March 31, 2022, the executive order that allowed that provision is expiring.
That means that any out-of-state nurses who do not specifically have a California nursing license will not be allowed to work in California anymore. According to the California Board of Nursing, any travel nurses who wish to continue working in the state must get a California endorsement. Interim licenses are allowed, but if you don’t have a CA license, you’re out. And unfortunately, those changes may only exacerbate nursing shortages in the state as well.
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Hospitals must address biases to improve patient care
Healthcare Facilities Today
Lack of resources because of the ongoing pandemic have played a role in taking action against biases.
A growing number of hospitals and other healthcare facilities are prioritizing their diversity and inclusion efforts in order to better provide patient care and retain staff. Despite these attempts, there has been a rise in biases complaints from both patients and staff. The lack of resources that hospitals have because of the ongoing COVID-19 pandemic and supply chain shortages could impede access to healthcare for patients and limit trajectories for staff.
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Apply to Sacramento’s #1 hospital! Joining the UC Davis Health team connects you to a world-class university medical center that fosters collaboration and provides ongoing learning for all health care professionals. UC Davis Health offers excellent compensation and benefits, including competitive insurance plans, holidays, paid vacation/sick leave, retirement benefits and more.
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Racism and Nurses: Diverse Perspectives
OJIN
In the five new articles in this current OJIN topic Racism and Nurses: Diverse Perspectives, we offer discussion about current challenges and trends to address racism in nursing and healthcare.
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Pandemic price gouging complaints raise staff tensions with traveling nurses
Marketplace
Like most traveling nurses right now, Pamela McNairy of Mississippi says she’s making more money than she ever thought possible. She’s working in a Southern California COVID unit, getting $10,000 a week before taxes. But that’s working 13-hour shifts, overnight, five nights a week. “We’re the ones who are actually doing the real patient care and keeping these people alive,” she said. “I’m telling you, it’s hard.”
So it doesn’t sit well with McNairy that the American Hospital Association is calling for price gouging inquiries into staffing agencies, citing reports of pay rates tripling from before the pandemic. Nearly 200 members of Congress have signed on in support.
Hospitals are crying foul over the high prices they have to pay traveling nurses during an escalating staff shortage.
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Thousands of industry professionals subscribe to association news briefs, which allows your company to push messaging directly to their inboxes and take advantage of the association's brand affinity.
Connect with Highly Defined Buyers and Maximize Your Brand Exposure
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At NorthBay Healthcare, we are devoted to creating an environment that nurtures and nourishes a commitment to compassionate care, and just as importantly, allows you to flourish. So join us, and be part of an incredible community of dedicated professionals who share the same passion to provide exceptional patient care.
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.NEWS FROM AROUND THE INDUSTRY
The rise of e-cigarettes — What nurses should know
Oncology Nursing News
In 2018, the U.S. surgeon general issued an advisory calling for immediate action against the epidemic of youth electronic e-cigarette use. For the past seven years, e-cigarettes have been the most commonly used tobacco product among U.S. youth with an estimated one in five high school students and one in 20 middle school students using them. Nurses are on the front lines and are a direct touch point in the effort to curb e-cigarette use among children and teenagers, according to Joelle Fathi, DNP, RN, ARNP, CTTS, FAAN, chief healthcare delivery officer at the GO2 Foundation for Lung Cancer and deputy chair of the Tobacco Control and Smoking Cessation Committee at the International Association for the Study of Lung Cancer.
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Estimated 73% of U.S. now immune to Omicron: Is that enough?
Medical Xpress
The Omicron wave that assaulted the United States this winter also bolstered its defenses, leaving enough protection against the coronavirus that future spikes will likely require much less — if any — dramatic disruption to society. Millions of individual Americans' immune systems now recognize the virus and are primed to fight it off if they encounter Omicron, or even another variant.
About half of eligible Americans have received booster shots, there have been nearly 80 million confirmed infections overall and many more infections have never been reported. One influential model uses those factors and others to estimate that 73% of Americans are, for now, immune to Omicron, the dominant variant, and that could rise to 80% by mid-March.
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WHO: New COVID cases drop by 19% globally, deaths stable
Medical Xpress
The number of new coronavirus cases globally fell by 19% in the last week while the number of deaths remained stable, according to the World Health Organization. The U.N. health agency said late Feb. 15 in its weekly report on the pandemic that just over 16 million new COVID-19 infections and about 75,000 deaths were reported worldwide last week.
The Western Pacific was the only region to report a rise in new weekly cases, an increase of about 19%; Southeast Asia reported a decrease of about 37%, the biggest drop globally. The number of deaths rose by 38% in the Middle East and by about one-third in the Western Pacific.
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ACIP issues Adult Vaccination Schedule, 2022
Medscape
The recommended vaccination schedule for people in the United States aged 19 years and older has been released by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.
The Clinical Guideline on the "Recommended Adult Immunization Schedule, United States, 2022" appears online in Annals of Internal Medicine and in the CDC's Morbidity and Mortality Weekly Report. The document features changes to the zoster, pneumococcal, and hepatitis B vaccines. COVID-19 vaccinations are now included in the notes section of the schedule and can be co-administered with other vaccines, according to ACIP.
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Prior authorization impacts care, workforce productivity
HealthDay News
More than one-third of physicians report that prior authorization has led to a serious adverse event for a patient in their care, according to a survey released by the American Medical Association. "Health insurance companies entice employers with claims that prior authorization requirements keep healthcare costs in check, but often these promises obscure the full consequences on an employer's bottom line or employees' well-being," Gerald Harmon, M.D., president of the AMA, said in a statement. "Benefit plans with excessive authorization controls create serious problems for employers when delayed, denied, or abandoned care harms the health of employees and results in missed work days, lost productivity, and other costs."
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Fracking wastewater loaded with toxic chemicals, study shows
HealthDay News
Fracking has already raised the ire of environmentalists for its effects on the planet, but new research sends up another red flag: the wastewater produced by the complicated oil and gas drilling process is loaded with toxic and cancer-causing contaminants that threaten both people and wildlife.
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CDC: 100,000 HIV self-tests requested in 8 months
Healio
More than 56,000 people living in areas of the United States with a high burden of HIV ordered at least one HIV test from a CDC mailing program in eight months last year, according to data reported Feb. 16.
The program was created in support of the federal Ending the HIV Epidemic initiative, launched in 2019, by accelerating the identification of undiagnosed HIV infections.
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New study finds high-touch surfaces in long-term care facilities are frequently contaminated with potentially infectious material
Association for Professionals in Infection Control via EurekAlert!
Findings from a study published in the American Journal of Infection Control provide new insights that could help long-term care facilities assess the cleanliness of high-touch surfaces, and thereby enhance infection prevention and control measures designed to prevent serious diarrheal diseases and deaths among their residents. The study evaluated the utility of specific hygienic monitoring tools for assessing levels of microbial contamination on high-touch surfaces in 11 LTC facilities in South Carolina.
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Local pathogen knowledge key to preventing infection after surgery
University of Missouri-Columbia via ScienceDaily
More than 250,000 people undergo a transurethral procedure each year in the U.S., and up to 10% of those people will experience a postoperative infection. But researchers from the University of Missouri School of Medicine have discovered an indicator to potentially reduce infections. "Current first-line recommended antibiotics include first-generation cephalosporins and trimethoprim-sulfamethoxazole," said senior author Katie Murray, DO, assistant professor of surgery. "But we found different antibiotics may be more effective in certain parts of the country depending on that region's profile of antimicrobial susceptibility."
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Worse HbA1c, diabetes distress for current vs. former smokers with type 1 diabetes
Healio
Among adults with type 1 diabetes, current tobacco users have worse diabetes-related outcomes vs. past users and those who have quit, according to study results published in Journal of Diabetes and Its Complications. “This study found that current tobacco users tended to have worse profiles compared to never users across several clinical outcomes, including higher HbA1c values, higher diabetes distress scores, lower self-care scores and less frequent self-monitoring blood glucose,” Carla J. Rash, PhD, associate professor of medicine in the Calhoun Cardiology Center, Behavioral Cardiovascular Prevention Division and department of medicine at UConn Health, and colleagues wrote. “In contrast, former users were similar to never users on all these outcomes, suggesting that tobacco cessation may improve some clinical outcomes.”
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Most Americans unaware alcohol can cause cancer
Medscape
The majority of Americans are not aware that alcohol consumption causes a variety of cancers, and especially do not consider wine and beer to have a link with cancer, suggest the results from a national survey.
"Alcohol is a leading modifiable risk factor for cancer, yet most Americans are unaware that alcohol increases cancer risk," writes lead author Andrew Seidenberg, PhD, MPH, National Cancer Institute, Rockville, Maryland, and colleagues.
"Increasing awareness of the alcohol-cancer link, such as through multimedia campaigns and patient-provider communication, may be an important new strategy for health advocates working to implement preventive alcohol policies," they add.
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