As COVID-19 cases surge across the country, the American Association of Nurse Anesthetists (AANA) is urging the U.S. Department of Health and Human Services (HHS) to make a waiver that suspends physician supervision requirements of nurse anesthetists permanent.
More than 90 percent of human papillomavirus (HPV)-related cancers could be prevented by widespread uptake of the HPV vaccine. Yet, vaccine use in the United States falls short of public health goals.
Critical care nurses are ideally positioned to drive full integration of palliative care into the care of all patients who are seriously ill, including patients with COVID-19.
In-hospital cardiac arrests (IHCA) represent catastrophic and often terminal events. Despite investments to improve the quality of resuscitation efforts, fewer than 25% of all patients that experience cardiac arrests in hospitals survive to discharge, and survival varies significantly across hospitals and by race. Until now, few have been able to specify reasons for the between-hospital differences.
Survivors of COVID-19 are a vulnerable population who often have health ramifications from their illness and hospital stay. Upon returning home from acute care, large proportions of survivors experience functional dependencies, pain, dyspnea, and exhaustion. Until now, no data has been available on the outcomes of COVID-19 patients discharged home after hospitalization and their recovery needs.
With COVID-19 infections surging in rural America, the American Association of Nurse Anesthetists (AANA) joined several other healthcare organizations to bring equitable access to care in rural America and bridge the rural divide. The Rural Health Action Alliance (RHAA), a coalition of healthcare providers and facilities who provide high-quality, evidence-based care to millions of Americans, will seek to advance federal policies to improve rural health outcomes.
Leaders of the American Association of Nurse Anesthetists (AANA) are encouraging the president-elect to appoint nurses to lead government agencies in an effort to move our nation forward during the COVID-19 pandemic
As the final step of the implementation of South Dakota Senate Bill 50, the South Dakota Board of Nursing this week adopted rules regarding full practice authority for Certified Registered Nurse Anesthetists (CRNAs) in the state.
Type 1 diabetes (T1D) is the third most common pediatric chronic disease in the United States, and the risk of the disease has risen sharply in non-Hispanic Black (NHB) children in the last 20 years, data show. Ironically, the significant advances in T1D therapeutics over recent years, especially new technologies, may have exacerbated racial disparities in diabetes treatment and outcomes
The U.S. Department of Veterans Affairs (VA) has issued an interim final rule for comment that serves as an important and historic step in prioritizing quality healthcare for our nation’s veterans.
The COVID-19 pandemic and the implications of physical distancing have disrupted new mothers’ birth and breastfeeding experiences even if they are not COVID-19 positive or a person awaiting results. In a new case series report from the University of Pennsylvania School of Nursing (Penn Nursing), researchers share common concerns and experiences as reported by three first-time, healthy mothers regarding the disruption of their birth plans and breastfeeding experiences.
Community immersion classes are central to teaching nursing students about social determinants of health. But what happens when on-site engagement is suspended due to a pandemic?
Researchers used informatics to examine 5,000+ patient records and five years of data related to nursing skin assessments and hospital-acquired pressure injuries. The results underscore the importance of treating and monitoring irritated skin early and eliminating the cause as an important step to prevent pressure injuries.
An article in AACN Advanced Critical Care describes how Duke Heart Center did not sacrifice its commitment to clinical inquiry and providing high quality care for patients and their families, as it quickly adjusted to sudden pandemic-related visitor restrictions.
The American Association of Nurse Anesthetists (AANA) partnered with 10 national nursing organizations to submit comments in response to the 2021 Medicare Physician Fee Schedule proposed rule, calling for the removal of costly physician supervision and removal of practice barriers for Certified Registered Nurse Anesthetists (CRNAs) and other advanced practice registered nurses. More than 5,200 CRNAs, student registered nurse anesthetists, and their supporters responded, making up nearly 15 percent of those who submitted comments to the proposed rule.
The American Association of Nurse Anesthetists (AANA) has partnered with more than 50 national healthcare and mental health awareness organizations to support the introduction of the “Dr. Lorna Breen Health Care Provider Protection Act” (H.R. 8094) that supports behavioral health and well-being among healthcare professionals.
Insulin pumps are widely used in the management of type 1 diabetes (T1D) and reviews have shown insulin pump therapy to be associated with improved glycemic control, fewer severe hypoglycemia events, and improved quality of life. Yet, non-Hispanic white children (NHW) are more than twice as likely as non-Hispanic Black children (NHB) to use this technology.
Sepsis rates at a sample of Massachusetts hospitals were significantly lower with increased nurse staffing and intensivist hours, according to new research published in the October issue of Critical Care Nurse.
Serious traumatic injuries are a health event that can begin a trajectory toward chronic health and social challenges. Research on patient outcomes following traumatic injuries establishes the pervasive nature of injuries’ long-term consequences in physical, psychological, social and economic well-being, which may persist months and even years after an injury hospitalization. In light of this research, emerging interventions have targeted enhanced and coordinated healthcare services to support recovery and address patients’ long-term rehabilitative needs.
Opioid use disorder and overdose have reached unprecedented levels around the world. In the United States, remediation of pain is one of the most common reasons American adults seek healthcare. Therefore, it is vital that clinicians practicing in diverse roles and settings have a clinical understanding of pain and substance use disorders as well as knowledge about public health and opioid policy interventions.
This World Patient Safety Day, Sept. 17, the American Association of Nurse Anesthetists (AANA) joins the Patient Safety Movement Foundation (PSMF) in celebrating healthcare safety and raising global awareness.
The United States has seen a 200% increase in the rate of deaths by opioid overdose in the last 20 years. But many of these deaths were preventable. Naloxone, also called Narcan, is a prescription drug that reverses opioid overdoses, and in more than 40 states — including Pennsylvania — there is a standing order policy, which makes it available to anyone, without an individual prescription from a healthcare provider.
Confronting the uncomfortable reality of systemic racism – the system that creates and maintains racial inequality in every facet of life for people of color – is having a national heyday. But calling out this injustice and doing something about it are two different things.
HIV prevention remains a public health priority in the United States. Pre-exposure prophylaxis (PrEP) is a drug regimen recommended for individuals who have engaged in behaviors that place them at elevated risk for HIV. When used consistently, daily oral PrEP has been shown to reduce HIV transmission by 99 percent. However, despite increases in PrEP awareness and uptake over the past several years, data show that four of five people who could benefit from PrEP did not access the medication in 2018.
Adolescence is a difficult period of development, made more complex for those with Type 1 diabetes mellitus (T1DM). The challenges of managing multiple doses of daily insulin administration, blood glucose monitoring, dietary and exercise requirements, can make self-care difficult and complicate outcomes. Adolescents with T1DM often have poorer diabetes outcomes than others, indicating that glucose control is difficult for them to maintain.
A nationwide survey of critical care nurses points to workplace climate as an important target for efforts to promote clinician well-being and reduce burnout. Overall, one-third of the respondents reported burnout, which mirrors other studies that have found a high prevalence of burnout among critical care nurses.
According to a new study published today in BMJ Quality & Safety, many hospitals in New York and Illinois were understaffed right before the first surge of critically ill Covid-19 patients. The study, “Chronic Hospital Nurse Understaffing Meets Covid-19,” documented staffing ratios that varied from 3 to 10 patients for each nurse on general adult medical and surgical units. ICU nurse staffing was better but also varied significantly across hospitals.
The American Association of Nurse Anesthetists (AANA) discovered in a new survey that employment opportunities for Certified Registered Nurse Anesthetists (CRNAs) during the COVID-19 public health crisis is improving.
The Washington Post recently selected Darolyn Milburn, MSN, CRNA, as a 2020 Star NurseTM. Milburn, a member of the American Association of Nurse Anesthetists (AANA), is a Certified Registered Nurse Anesthetist (CRNA) at Johns Hopkins Hospital in Baltimore.
To provide high-quality, value-based healthcare for millions of patients living in the nation’s rural communities, the White House issued an executive order on Aug. 3 that calls on the Department of Health and Human Services (HHS) to report on ways to eliminate regulatory burdens. The American Association of Nurse Anesthetists (AANA) is encouraged by the order which, if considered, could increase access to quality care for patients by removing costly supervision requirements of nurse anesthetists.
Oklahoma is now the 19th state to opt out from federal regulations that require physician supervision of Certified Registered Nurse Anesthetists (CRNAs). The governors of 18 states and Guam have exercised such exemptions prior to the Centers for Medicare & Medicaid Services’ (CMS) suspension for all states during the COVID-19 health crisis.
Atrium Health’s tele-ICU quickly adjusted its patient-centered focus to include supporting and protecting bedside nurses caring for patients in isolation, as part of the system’s planning and preparations for the pandemic.
Many Black men suffer symptoms of traumatic stress in the aftermath of traumatic injury, and they also often carry social concerns, including experiences of discrimination and stigma. Yet despite their significant needs, underserved populations often have limited access to behavioral health care as well as a lack of financial resources to pay for such care. Because of these barriers, many trauma survivors do not seek professional behavioral health care and instead rely on informal or alternative sources of care.
The Washington Post recently selected Ladan Eshkevari, PhD, CRNA, LAc., FAAN, as a 2020 Star NurseTM. Eshkevari, a member of the American Association of Nurse Anesthetists (AANA), is an associate professor at the Georgetown University Medical Center’s School of Nursing & Health Studies in Washington, DC.
Five-article symposium in AACN journal focuses on promoting well-being and resilience in critical care nursing, including strategies to increase the frequency of positive emotion in daily life.
As a rapid influx of patients overwhelmed health systems during the coronavirus pandemic, palliative nurses played dual roles supporting patients, patient families, and colleagues. Two researchers at the University of Pennsylvania School of Nursing (Penn Nursing) are among those detailing the important role palliative care has in responding during the COVID-19 pandemic and in future public health crises.
As of May 2020, nursing home residents account for a staggering one-third of the more than 80,000 deaths due to COVID-19 in the U.S. This pandemic has resulted in unprecedented threats—like reduced access to resources needed to contain and eliminate the spread of the virus—to achieving and sustaining care quality even in the best nursing homes. Active engagement of nursing home leaders in developing solutions responsive to the unprecedented threats to quality standards of care delivery is required.
Vanderbilt University Medical Center designed and rapidly deployed a curriculum specifically to equip nurses new to ECMO with the knowledge, skills and confidence necessary to provide proficient and safe care for patients receiving ECMO. The pre-COVID ECMO training proved to be an effective, resource-efficient and pragmatic solution that can be used across different types of ICUs and across institutions.
Leaders of the American Association of Nurse Anesthetists (AANA) are encouraged by the Centers for Medicare & Medicaid Services (CMS) announcement on the creation of the Office of Burden Reduction and Health Informatics in an effort to “cut red tape” for providers.
There are close to 28 million nurses around the world who comprise a global workforce that delivers about 90 percent of primary healthcare, including frontline response to the COVID-19 pandemic. Ensuring their optimal contribution and continued well-being amid the myriad consequences of COVID-19 will increase the potential for measurable and improved health outcomes.
Older adults with COVID-19 who survive hospitalizations and return to their homes confront substantial health challenges and an unpredictable future. Early evidence suggests that complex and long-term physical, functional, cognitive, and emotional negative health consequences will be the norm for them. However, the trajectories of health care needs of older adults with COVID-19 in the weeks and months following hospital discharge have yet to be identified.
A multifaceted initiative at Rady Children’s Hospital in San Diego aligned organizational culture and infrastructure into an integrated system to support evidence-based nursing practice, providing a repeatable road map for other institutions aiming to develop practices and documents based on the best evidence to support patient outcomes.
In a letter today, the American Association of Nurse Anesthetists (AANA) partnered with 47 national nursing organizations to request support for the Veterans Affairs’ (VA) Directive 1899 to permanently remove barriers and allow Certified Registered Nurse Anesthetists (CRNAs) to practice to the full extent of their education and training.
Certified Registered Nurse Anesthetists (CRNAs) stand at the ready as the threat of COVID-19 threatens the nation’s rural communities. CRNAs are the primary provider of anesthesia care in rural America. The AANA has partnered with the National Rural Health Association (NRHA) to promote and release an infographic.
AANA President Kate Jansky, MHS, CRNA, APRN, USA LTC (ret), and AANA CEO Randall D. Moore, DNP, MBA, CRNA—both veterans—addressed a series of “misleading” and “inflammatory” assertions made by the American Society of Anesthesiologists this week related to a U.S. Department of Veterans Affairs (VA) directive allowing full practice authority for Certified Registered Nurse Anesthetists (CRNAs) in the VA.
An interprofessional simulation-based educational program helped Mount Sinai Hospital train nearly 90% of its medical ICU staff to care for patients in prone position, as part of its 2018 implementation of a new protocol related to prone position ventilation for patients with acute respiratory distress syndrome.
The aim of this study was to determine if implementing an evidence-based, nurse-driven sepsis protocol would reduce acute care transfer (ACT) readmissions from an inpatient rehabilitation facility compared to nonprotocolized or usual standard of care for adult sepsis patients undergoing physical rehabilitation.
Nursing research has an important influence on evidence-based health care practice, care delivery, and policy. Two editorials in the journal Research in Nursing & Health, by researchers at the University of Pennsylvania School of Nursing (Penn Nursing), explore how nursing research has been paramount in dealing with the emerging coronavirus pandemic.
A Texas hospital developed an integrated approach that reduced ventilation time for ICU patients. The 2018 study, in AACN Advanced Critical Care, is the first to examine the effects of implementing protocol-directed sedation with the coordinated use of two evidence-based assessments across multiple disciplines.
The American Association of Nurse Anesthetists (AANA) has partnered with 24 national organizations to request HHS Secretary Alex Azar support key provisions of the U.S. president’s executive order #13890, which provides a path to the permanent removal of burdensome supervision and licensure requirements for non-physician providers such as Certified Registered Nurse Anesthetists (CRNAs).
RSS
Medicine keyboard_arrow_right
Sciencekeyboard_arrow_right
Life keyboard_arrow_right
Business keyboard_arrow_right
Journal News keyboard_arrow_right
By Location keyboard_arrow_right
Meetings, Grants, and Events keyboard_arrow_right