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.NURSING FLASH
50 questions about racism in nursing
ANA\C

The American Nurses Association\California (ANA California) has created an important tool to assess the extent to which racism permeates nursing in California’s health care system. But it goes further than that. The tool, which is a self-assessment for both nursing staff and nursing managers, will analyze each person’s responses and offer individualized action plans designed to help the respondents take steps towards confronting and combatting racism in the organizations in which they work.
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.ARTICLES, ADVICE & ADVOCACY
CDC: Child COVID-19 hospitalizations 10x higher for unvaccinated
CDC
Weekly COVID-19-associated hospitalization rates among children and adolescents rose nearly five-fold during late June-mid-August 2021, coinciding with increased circulation of the highly transmissible SARS-CoV-2 Delta variant. The proportions of hospitalized children and adolescents with severe disease were similar before and during the period of Delta predominance. Hospitalization rates were 10 times higher among unvaccinated than among fully vaccinated adolescents.
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SARS-CoV-2 infection after vaccination in health care workers in California
NEJM
Data from phase 3 clinical trials of messenger RNA (mRNA) vaccines through November 2020 showed 94.1% efficacy for the prevention of symptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection at 14 days after the second dose of the mRNA-1273 vaccine (Moderna) and 95% efficacy at seven days after the second dose of the BNT162b2 vaccine (Pfizer).
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Mu coronavirus variant recorded in 167 people in L.A. County
Los Angeles Times
A coronavirus variant recently determined to be a “variant of interest” has been detected in 167 people over the summer in Los Angeles County, officials said. The variant now known as Mu was mostly detected in July, according to analyses completed between June 19 and Aug. 21, the Department of Public Health said.
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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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Nurse shortages in California reaching crisis point
CalMatters
Around California — and the nation — nurses are trading in high-pressure jobs for a career change, early retirement or less demanding assignments, leading to staffing shortages in many hospitals. Hospitals are struggling to comply with the state’s nurse staffing requirements as pandemic-induced burnout has exacerbated an already chronic nursing shortage nationwide.
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Special offers with RN Perks
ANA

Nurses, we are grateful for your extraordinary commitment and dedication to protect and serve our communities. To say thanks and goodbye to summer, ANA has partnered with your favorite brands to bring you special back-to-school deals on tech, health and wellness, apparel, and much more. Visit RN Perks to view all these great offers, just for nurses like you.
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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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Technology and Data in 2030
NEJM Catalyst

Sept. 9, 2021 — 9:00 a.m.-10:45 a.m. PDT Virtual Event
Health care organizations have struggled to get the most value from their costly investments in information technology and data analytics. If health outcomes and care delivery are to improve over the next decade, the promise of IT and data must be realized. So how can health care professionals employ applications, infrastructure, and data to achieve higher-value care?
Join this dynamic, fast-paced event featuring an international panel of health care leaders and technology experts along with live, interactive Q&A. Sessions offer actionable advice on how to improve the value of health care technology, the data and IT infrastructure needed for truly patient-centric care, and how to ensure that technology supports rather than hinders health care providers.
Register today and you’ll receive a copy of the "3rd Annual Optum Survey Report on AI in Health Care," a free report from Optum.
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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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ANA Policy, Innovation and Advocacy Forum is coming Sept. 14!
ANA

Explore the interplay between health delivery systems and policy innovations. Better understand how nurses can amplify their voice through advocacy. Examine how virtual care is enhancing access to services, reducing disparities, and improving safety. Discuss the impact of the COVID-19 pandemic on the healthcare policy landscape. Learn successful strategies to apply design thinking to your work and life. Find out about the health priorities of the new administration.
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.NEWS FROM AROUND THE INDUSTRY
Rural hospitals can't find the nurses they need to fight COVID
Pew Charitable Trusts
Across the country, thousands of hospitals are overwhelmed with critically ill patients, prompting many overburdened nurses to change careers or retire early. The shortages are particularly dire in rural areas, rural health experts say, because of the aging workforce and population, smaller salaries and intense workload.
Rural health care leaders have begun offering sign-on bonuses and benefit packages to combat shortages during the pandemic. But they’ve found that even those perks aren’t enough to keep or attract skilled health professionals. Instead, they say, the focus needs to shift to boosting nursing school enrollment and getting workers into the field faster.
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Changing minds: What moves the needle for the unvaccinated?
Medscape
With just over 52% of those eligible in the United States fully vaccinated as of Sept. 1, health care providers and others have a continuing challenge ahead: trying to convince those who are eligible but still holding out to get vaccinated.
Recent data and a poll do show some movement in the right direction, as immunizations are increasing and hesitancy is declining among certain groups. According to federal officials, about 14 million people in the U.S. got their first dose in August, an increase of four million, compared to the numbers who got it in July.
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Risk of long COVID falls by half in 'breakthrough' cases
HealthDay News via Medical Xpress
In a finding that should reassure Americans who have already lined up to get their coronavirus shots, a new study shows the risk of long COVID-19 is halved in fully vaccinated adults if they do get a breakthrough infection. Researchers analyzed data from people who provided information for a COVID symptom study in the U.K. between Dec. 8, 2020, and July 4, 2021, including 1.2 million who'd received one vaccine dose and more than 971,000 who'd received two doses (fully vaccinated).
Fully vaccinated adults had a 49% reduced risk of long COVID, a 73% reduced risk of hospitalization and a 31% reduced risk of acute symptoms, the study showed.
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High incarceration rates fuel COVID-19 spread and undermine U.S. public safety
Northwestern University via Medical Xpress
How can government slow the spread of COVID-19 in the U.S.? Look to America's unique epidemic engines: jails and prisons in America.
Extremely high rates of incarceration in the U.S. undercut national public health and safety. The overcrowded, tight quarters in jails fuel constant risks of outbreaks. Add to that the daily movement of 420,000 guards in and out of the facilities and 30,000 newly released people who are likely to inadvertently carry the virus back to communities.
A new study from Northwestern Medicine, Toulouse School of Economics and the French National Centre for Scientific Research found the best way to address this public safety threat is through decarceration (i.e., reducing the number of people detained in jails).
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OxyContin maker Purdue Pharma is dissolved
HealthDay News
Purdue Pharma was dissolved on Sept. 1 and the Sackler family will pay $4.5 billion under a bankruptcy settlement that will end thousands of lawsuits brought against the company over the U.S. opioid crisis.
Purdue was the maker of OxyContin, which was first brought to market in 1996. To date, more than 500,000 Americans have died of opioid overdoses.
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Healthcare-associated infections spiked in 2020 in U.S. hospitals
Medscape
Several healthcare-associated infections in U.S. hospitals spiked in 2020 compared to the previous year, according to a Centers for Disease Control and Prevention analysis published recently in Infection Control and Hospital Epidemiology. Soaring hospitalization rates, sicker patients who required more frequent and intense care, and staffing and supply shortages caused by the COVID-19 pandemic are thought to have contributed to this increase.
This is the first increase in healthcare-associated infections since 2015.
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Black patients have highest rate of flu-associated hospitalization in U.S.
Healio
Over the course of 10 influenza seasons from 2009-2010 through 2018-2019, Black patients had the highest rate of influenza-associated hospitalization in the United States, researchers reported in JAMA Network Open.
CDC epidemiologist Alissa C. O’Halloran, MSPH, and colleagues conducted a cross-sectional study using data from the Influenza-Associated Hospitalization Surveillance Network, which represents approximately 9% of the U.S. population.
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9.7% of all U.S. persons uninsured in 2020
HealthDay News
In 2020, 31.6 million U.S. persons of all ages were uninsured, which was slightly, but not significantly, lower than in 2019, according to early estimates released by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.
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ATS policy highlights recommendations to reduce tobacco use, improve health
Healio
The American Thoracic Society Tobacco Action Committee released a new policy with recommendations created to reduce tobacco use, and increase research, treatment and tobacco treatment program implementation.
“More robust tobacco control policies are urgently needed,” Michelle N. Eakin, PhD, associate professor in the division of pulmonary and critical care medicine at Johns Hopkins University, and colleagues wrote. “It is important to have a multipronged approach of policy initiatives that target prevention, tobacco product control, treatment and research.”
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'Leaky' heart valves in pregnant women need more attention than once thought, study suggests
Johns Hopkins Medicine via EurekAlert!
An analysis of more than 20,000 individual medical records suggests that a form of heart valve disease thought to be relatively benign during pregnancy may put women at risk for serious bleeding, high blood pressure, organ damage and other complications during childbirth, according to research from Johns Hopkins Medicine.
In a report on the study, published online recently in the American Journal of Cardiology, researchers at Johns Hopkins Medicine found that pregnant women with a history of regurgitant or “leaky” heart valves, as well as those with narrowed or stenotic valves, are up to 100 times more likely to experience cardiac complications such as heart failure at the time of delivery compared with women without heart valve disease.
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