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.NURSING FLASH
California tackles crucial data exchange challenges
CHCF
The COVID-19 pandemic has exposed serious flaws in how health data is collected and shared within states across the nation. The federal government relies on this patchwork of state systems to decide how to deploy resources to address the health needs of the populations it serves. Nationally, investment in health data infrastructure has been woefully lacking for years, with significant consequences for public health reporting. California experienced that in February when officials decided to publish a vaccination dashboard to track the administration of COVID-19 vaccines just as large-scale inoculation efforts were getting underway in earnest. Due to the limitations of the aging data systems, the state dashboard was unable to provide an accurate accounting of how many Californians had been vaccinated.
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.ARTICLES, ADVICE & ADVOCACY
Why the U.S. nursing crisis is getting worse
Vox
Burnout, vaccine hesitancy, and plum traveling gigs are making it harder for hospitals to hire the nurses they need. COVID-19 may no longer be surging widely across the United States, but America’s hospitals are still experiencing a staffing crisis that is putting critical care for patients in jeopardy. Hospitals all over the country are struggling, especially those in lower-population areas. A new survey of rural hospitals from the Chartis Group, provided to Vox in advance of publication, reveals how deep the problem runs. Nearly 99% of rural hospitals surveyed said they were experiencing a staffing shortage; 96% of them said they were having the most difficulty finding nurses.
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2021 edition — Health Disparities by Race and Ethnicity in California
CHCF
All Californians should have access to the high-quality health care they need to lead long and healthy lives. Achieving this requires reducing disparities in health care and the social determinants of health that affect historically excluded or marginalized groups. Disparities occur across many demographic categories, including race/ethnicity, socioeconomic status, age, place of residence, gender, disability status, language, and sexual orientation. As one of the most racially diverse states in the nation, California has a critical responsibility to address health disparities experienced by people of color. Health Disparities by Race and Ethnicity in California: Pattern of Inequity shows that people of color face barriers in accessing health care, often receive suboptimal treatment, and are most likely to experience poor outcomes in the health care system.
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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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Vaccinating minority communities remains a challenge amid rise in COVID cases
PBS
Since the Food and Drug Administration granted emergency authorization of the Pfizer COVID vaccine for children ages 5 to 11, more than two million children have been vaccinated. Public health officials are highlighting the importance of providing vaccines to low income and minority communities that have been hit hardest by COVID. Stephanie Sy visited one of those communities in Phoenix, AZ.
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mRNA vaccination induces tick resistance and prevents transmission of the Lyme disease agent
Science
Repeated exposures to the black-legged tick, Ixodes scapularis, can lead to acquired resistance against ticks or “tick immunity.” To bypass the need for repeated exposures while still generating tick resistance, Sajid et al. developed an mRNA vaccine that encoded for 19 I. scapularis salivary proteins (19ISP). Guinea pigs vaccinated with 19ISP developed erythema at the site of tick attachment, a feature of acquired tick resistance. This led to poor tick feeding and, in the case of ticks infected with the Lyme disease agent, Borrelia burgdorferi, reduced transmission of the pathogen. Thus, 19ISP is a promising candidate for antitick vaccines that may also prevent transmission of tick-borne diseases.
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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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The FDA authorizes COVID booster shots for all U.S. adults
NPR
The Food and Drug Administration has given its okay for fully vaccinated Americans who are age 18 and older to receive a COVID-19 booster shot.The FDA recently granted emergency use authorization for a third dose of the Pfizer-BioNTech and Moderna vaccines, which had already been available to people 65 and older and to anyone 18 years and older who is at elevated risk of contracting COVID-19.
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Biden administration to buy Pfizer antiviral pills for 10 million people, hoping to transform pandemic
Washington Post
The Biden administration is planning to purchase 10 million courses of Pfizer’s COVID pill, a $5 billion investment in a treatment that officials think will help change the trajectory of the coronavirus pandemic by reducing severe illness and deaths, according to two people with knowledge of the transaction. Biden aides see both treatments as potential game-changers to help restore a sense of normalcy heading toward the pandemic’s second anniversary and are eager to add them to a still-small collection of treatments for Americans who contract the coronavirus, according to officials who spoke on the condition of anonymity because they were not authorized to discuss the deal. With breakthrough cases rising and 30% of adults not fully vaccinated, health officials say the pills will help tame the pandemic by thwarting the virus’s most pernicious effects.
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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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More Alzheimer's drugs head for FDA review: What scientists are watching
Nature
When the U.S. Food and Drug Administration (FDA) approved biotechnology firm Biogen’s drug for Alzheimer’s disease in June, regulators hoped to usher in a new era of treatment for the neurodegenerative condition. But the decision followed an independent advisory committee’s near-unanimous vote to reject the drug, called aducanumab — and instead divided the community. Some researchers think that the approval will bolster the development of drugs for treating brain disease, but others see it as a blemish on the FDA’s integrity and an obstacle to progress.
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Health Affairs explores mental health link to birth outcomes
CHCF
Improving maternal mental health has far-reaching benefits for mothers and birthing people, babies, and society at large. All mothers and birthing people* deserve to have a healthy birth, to have their mental health care needs met, and to have providers who recognize and respect their cultural and racial differences. There are effective interventions to manage perinatal mental health conditions, which include the most common complications from pregnancy and childbirth up to one year postpartum. But too few mothers and birthing people are screened and treated for these conditions, and as the October issue of the journal Health Affairs shows, birthing people with poor mental health are more likely to have poor health outcomes.
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Need CEs? Nurse-Led Care Webinars and Trainings
National Nurse-Led Care Consortium
Join them every week for free webinars, learning collaboratives, and ECHOs on a range of important topics. Learn from experts, expand your skills, and earn continuing education credits.
Find all these opportunities and more below and on NurseLedCare.org.
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Transition to practice for California's nurse practitioners: Lessons from other states
CHCF
The signing of AB 890 (Wood) in September 2020 opened the pathway for nurse practitioners (NPs) in California to treat patients without physician supervision. This change has the potential to improve access to health care for millions of state residents, particularly those most impacted by health care provider shortages. NPs will be authorized to practice to the fullest extent of their education and training following a transition-to-practice (TTP) period of no less than three full-time equivalent years or 4,600 hours in specified settings. Additionally, NPs will be authorized to practice to the fullest extent of their education and training following an additional three years of practice beyond the TTP in all other settings.
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The Future of Nursing Podcast Series
NAM
A new NAM podcast series from the Future of Nursing 2020-2030 explores the stories of nurses and other experts who are confronting health disparities, led by Dr. Scharmaine Lawson.
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.NEWS FROM AROUND THE INDUSTRY
How much nurse pay is rising — and why
Advisory Board
It was inevitable that we would get to this point: baseline nurse compensation on a clear upward trajectory. Inevitable because this boils down to laws of supply and demand. Amid a clear nursing shortage, organizations are being forced to raise baseline compensation to compete for increasingly scarce qualified nurses. This is true in nearly every market, even for those considered to be "destination employers."
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Study analyzes factors that contribute to employee stress in the critical care environment
News-Medical
Hospitals can be very challenging and stressful places in which to work. They are equipped to treat seriously ill patients who need constant monitoring, such as patients with severe COVID-19, those who require organ support or who are recovering from a major operation. Reducing the negative psychological impacts on critical care staff can have a range of positive outcomes, including improved job satisfaction and a higher quality of patient care.
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New omicron variant stokes world fears, triggers travel bans
Medical Xpress
The discovery of a new coronavirus variant sent a chill through much of the world recently as nations raced to halt air travel, markets fell sharply and scientists held emergency meetings to weigh the exact risks, which were largely unknown.
A World Health Organization panel named the variant "omicron" and classified it as a highly transmissible virus of concern, the same category that includes the delta variant, the world's most prevalent. The panel said early evidence suggests an increased risk of reinfection.
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FDA: Merck COVID pill effective, experts will review safety
Medical Xpress
Federal health regulators say an experimental COVID-19 pill from Merck is effective against the virus, but they will seek input from outside experts on risks of birth defects and other potential problems during pregnancy. The Food and Drug Administration posted its analysis of the pill ahead of a public meeting where academic and other experts will weigh in on its safety and effectiveness. The agency isn't required to follow the group's advice.
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Ohio jury: CVS Health, Walmart, and Walgreens played role in opioid crisis
HealthDay News
CVS Health, Walmart, and Walgreens contributed to opioid overdoses and deaths in two Ohio counties, a federal jury in Cleveland found recently.
The first jury verdict in an opioids case came in the closely watched test case and may prove encouraging to plaintiffs in thousands of lawsuits across the United States using the same legal strategy — that the companies contributed to a "public nuisance," The New York Times reported. That argument was rejected this month by judges in California and Oklahoma in cases against opioid manufacturers.
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Obesity rate among emerging adults significantly increased from 1976 to 2018
Healio
The obesity rate among emerging adults — who researchers defined as individuals aged 18 to 25 years — increased more than 26 percentage points over a 42-year span, National Health and Nutrition Examination Survey data show.
The data also revealed that adults’ BMI rose more than 4 kg/m2 during the same period.
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'Diabetes epidemic will continue' until focus shifts to prevention
Healio
The CDC estimates that 34.5% of U.S. adults have prediabetes and 10.5% of all Americans have diabetes, making it the ninth-most common chronic disease in the country. Of those with diabetes, 21.4% have not been diagnosed with the condition. Diabetes also represents a financial burden in the U.S., with diagnosed diabetes costing about $327 billion in 2017, according to the American Diabetes Association.
A new study indicates there are “missed opportunities” for diabetes prevention in the U.S., researchers wrote in the American Journal of Preventive Medicine.
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Scientists link increased air pollution to an uptick in cases of lung cancer
News-Medical
An international team of scientists, led by Nanyang Technological University, Singapore, has linked increased air pollution to an uptick in cases of lung adenocarcinoma worldwide. The same study also concluded an overall lower consumption of tobacco worldwide is statistically linked to less people contracting lung squamous cell carcinoma.
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Robust approach needed to reduce risk of disease transmission between humans and wild animals
University of Birmingham via EurekAlert!
All three species of orangutans in Indonesia are listed as Critically Endangered, and moving animals between habitats is a fairly common practice as demands for agriculture, mining, and other natural resource use puts pressure on the forests they inhabit. Interactions and conflict between humans and orangutans sharing the same habitats also contributes to the complex problems facing these rare species across their range.
During the COVID-19 pandemic, researchers in the University of Birmingham’s College of Life and Environmental Sciences, collaborating with Wildlife Impact and other sector partners, identified instances of orangutans being released who had been in direct contact or proximity to humans without any protective equipment. In some cases, formerly captive orangutans were released after long periods of contact and potential exposure to human diseases.
The team’s results suggest that there is a potential problem of pathogen transmission between humans and animals which needs to be properly understood and managed.
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Extremely hot days linked to higher risk of emergency hospital visits
BMJ via EurekAlert!
Extremely hot days with an average temperature of 34.4°C (93.9°F) are associated with a higher risk of emergency department visits among adults of all ages, finds a large study from the United States published by The BMJ.
The results show that the adverse health effects of extreme heat are not limited to older adults and that some individuals and communities seem to be at greater risk than others.
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