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| August 16, 2016 |
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By Keith Carlson
 There are three generations at the heart of the American nursing workforce: the baby boomers, Generation X and the millennials. These nurses interface daily in myriad settings, and the quality of that interface is crucial to patient satisfaction, nurse satisfaction and a positive workplace culture. Nurse leaders must maintain awareness of the differences between these diverse generations of nurses, actively working to create positive rapport and collaboration among staff members.
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Dr. Morris shares a moment with Marketa Houskova, ANA/C staff.
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On Aug 11, 2016, BRN held their monthly meeting in L.A.. Seeing how the current licensure processing time reached 20-24 weeks, there were several complaints about the increased delays that affects not only first-time nurse applicants, but also nurses waiting for license verification via endorsement. ANA\C advocated on behalf of our members and our future members, spoke for other nursing organizations such as ACNL and CNSA, and offered help & assistance within our expertise to the BRN and the new Executive Officer, Dr. Morris, who will unveil his plan to improve this dire situation during the next BRN meeting on Sept 15, 2016. ANA\C will be there.
"In 2013, CA eliminated the physician supervision requirement for Licensed Midwives (LMs), who require significantly less training than Certified Nurse Midwives (CNMs). Unlike LMs, CNMs must become registered nurses and obtain a graduate degree in midwifery. They primarily deliver babies in hospitals, while licensed midwives usually work in homes or birth centers." For further information on CA CNMs and their plight to work without physician supervision, read more here.
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“Healing yourself is connected to healing others.” — Yoko Ono
| | EDUCATIONAL EVENTS & RESEARCH |
ANA's Leadership Institute has launched an intensive two-day workshop designed specifically for nurse managers and their staff — hosted at ANA headquarters this November. For more information visit The Nursing Knowledge Center
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| | NEWS FROM AROUND THE INDUSTRY |
FierceHealthcare
Hospitals are working to make it easier for patients to sleep, but they can also improve outcomes by giving nurses on late shifts the chance to nap, argues a column on Medscape Medical News.
There’s ample precedent for employee naps in industries that involve 24-hour operations — and even within the healthcare industry — writes Laura A. Stokowski, R.N., but the practice has made little headway within nursing.
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Medical News Today
Men with very high-risk prostate cancer, who are treated at hospitals with a high proportion of administered radical local treatment (radiotherapy or prostatectomy), only have half of the mortality risk of men who are treated at hospitals with the lowest proportion. This is according to a new study conducted by researchers at Umea University in Sweden and published in European Urology.
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Health Leaders Media
The Office of Management and Budget has again classified CNSs as general RNs rather than advanced practice nurses. One CNS explains why this is a cause for concern.
If you head over to the Bureau of Labor Statistics website and search "advanced practice nurses" function here are the results you'll get — nurse anesthetists, nurse midwives, and nurse practitioners.
Where's the fourth category of APRNs — clinical nurse specialists?
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The New York Times
The death rate in the United States declined in the first quarter of this year, preliminary data show, a return to normal for a crucial health measure that showed a rare increase in 2015.
The data from the National Center for Health Statistics were estimates based on all death records received by the center as of June 19, and could still change. Even so, they came as a relief to researchers, who had been taken aback by a rise in the nation’s death rate in 2015, an event that has happened only a few times in the past 25 years.
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Becker's ASC Review
While physician and advanced practitioner salaries rose this past year, healthcare executives and nurses experienced a pay decrease, according to HealthITNews.
Health eCareers' 2016 Healthcare Salary Guide surveyed 19,754 healthcare professionals.
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Monthly Prescribing Reference
The U.S. Food and Drug Administration is reporting a temporary shortage of Avycaz (ceftazidime and avibactam; Allergan) for Injection. Avycaz for Injection is unavailable as of Aug. 8, and the shortage is estimated to last six months. The reason for the shortage according to the FDA Safety and Innovation Act (FDASIA) of 2012 is due to a shortage of active ingredient.
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Reuters
People with sleep disorders like sleep apnea, insomnia or restless leg syndrome may have a poorer recovery after a stroke and higher risk of a second stroke, according to a review of existing research. The authors recommend screening for these sleep disorders among people who have had a stroke or mini-stroke.
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The Clinical Advisor
Chronic pancreatitis is significantly less likely to have an alcohol-related etiology in women than in men, according to research published in Pancreas. Chronic pancreatitis has long been considered a disease that occurs most frequently in alcoholic men, but recent data suggest its etiology to be complex. To better understand chronic pancreatitis in women, the researchers compared data on women and men with the disease from a large, prospective, multicenter U.S. cohort — the NAPS2 Continuation and Validation study.
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MedPage Today
The DAPT score does fine as a risk assessment for extended dual antiplatelet therapy (DAPT) — but like similar tools, the real question is whether it is even used, clinicians said. "From a methodologic standpoint, the construction of this score represents an elegant solution to a complicated problem: quantifying both benefits and harms from a therapeutic intervention into a singular metric from which clinical decisions can be based," Roxana Mehran, MD, and Usman Baber, MD, both of Mount Sinai Medical Center in New York City, wrote in a commentary online in JAMA Cardiology.
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HealthDay News
There's not enough evidence to determine the potential benefits or risks of screening for high cholesterol in children and teens without symptoms, signs or a known diagnosis, experts say. For that reason, no recommendation can be made for or against such screening, the U.S. Preventive Services Task Force said in a statement released Aug. 9.
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HCP Live
By 2025, the U.S. will be short 90,000 physicians and 500,000 nurses. The Bureau of Labor Statistics projects that between 2014 and 2022 there will be over one million job openings for nurses because of growth and the need for replacements.
Recently, there were more than 70,000 nursing student applications turned down because there aren’t enough teachers, classroom space, and clinical space to train them.
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MedPage Today
U.S. birth rates fell in the first quarter of 2016 compared to year-ago rates, Centers for Disease Control and Prevention researchers found. Provisional data for first-quarter 2016 indicated that the "general fertility rate" among women ages 15-44 dropped slightly below the fertility rate for first-quarter 2015 (59.8 vs. 60.0 births per 1,000 women, respectively), reported Lauren M. Rossen, PhD, of the CDC, and colleagues.
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