Study finds link between patient-nurse ratio, cardiac arrest survival | Read more from ANA on optimal staffing | Metabolic syndrome linked to higher heart disease risk for black women
May 22, 2015
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Study finds link between patient-nurse ratio, cardiac arrest survival
An analysis of data on 11,160 patients found that nurse staffing in medical-surgical units and better scores on a measure of nurses' work environments were associated with increased survival rates for in-hospital cardiac arrest. No correlation was found between survival rates and staffing ratios in ICUs, possibly because there are national standards for staffing intensive care, said researcher Monica Rochman of the University of Pennsylvania School of Nursing. The study included 2005-2007 data from 75 hospitals, and findings were presented at a meeting of the American Association of Critical-Care Nurses. Medscape (free registration) (5/21)
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Free CE: Treatment Adherence in CF
Read this CE-certified publication—designed for nurses and members of the cystic fibrosis (CF) care team—to explore patient-centered techniques to encourage treatment adherence in patients with CF. Listen to audio clips for perspectives from clinicians, patients, and caregivers. READ TODAY
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Metabolic syndrome linked to higher heart disease risk for black women
A study in the Journal of the American Heart Association found that black women with symptoms of metabolic syndrome have a higher likelihood of developing heart disease compared with white women with the same conditions. "The cardiovascular disease risk was elevated in black women by the presence of only two or three metabolic abnormalities, to a degree that would require four or more metabolic abnormalities among white women," said researcher Michelle Schmiegelow of Denmark. HealthDay News (5/20)
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Advanced ovarian cancer patients may benefit from presurgical chemotherapy
A 550-patient trial found that women with advanced ovarian cancer had lower rates of 28-day complications and mortality, spent less time in the hospital and had fewer side effects after undergoing chemotherapy before surgery, compared with those who had chemotherapy after the procedure. The findings were published in The Lancet. HealthDay News (5/20)
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Pregnant Hispanic women with diabetes at increased risk for retinopathy
Researchers looked at 880 pregnant Hispanic and non-Hispanic women with either pre-existing diabetes or gestational diabetes and found that 52.6% of Hispanic women with type 1 diabetes had different degrees of retinopathy, as did 25.06% of Hispanic women with type 2 diabetes and 3.59% of those with gestational diabetes. The findings, presented at the American Association of Clinical Endocrinologists meeting, also revealed that Hispanic women with type 2 diabetes had 25.07% rate of diabetic retinopathy compared with 10% in non-Hispanic women. Healio (free registration)/Endocrine Today (5/20)
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Lung disease linked to higher mortality risk for AFib patients
Data on over 18,000 participants with atrial fibrillation showed those with chronic obstructive pulmonary disease have a 54% higher likelihood of all-cause death and heart-related death. COPD was not linked to higher stroke or systemic embolism risk. The findings were to be presented at a meeting of the American Thoracic Society. HealthDay News (5/20)
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Newborn Screening Training and CCHD Best Practices - Save Now
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Trends & Technologies
Blood tests developed for irritable bowel syndrome
A researcher has developed two blood tests for the detection of irritable bowel syndrome, according to a study in the journal PLOS ONE. The assays identify elevated levels of the antibodies anti-CdtB and anti-vinculin, which react to toxins related to food poisoning. Medical News Today (5/20)
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Work-Life Balance
Make major diet changes slowly, experts say
Some vegetarians drop that diet in favor of a Paleo-type plan that lets them eat meat, but registered dietitian Elizabeth Somer says it can do more harm than good to jump from one diet to another for quick weight loss. Somer said people should make any major diet changes slowly to ensure they are successful, and get advice on adequate nutrients. U.S. News & World Report (5/20)
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Legislative Policy & Regulatory News
Cipriano: Military has opportunity to focus on health care ethics
The Navy's decision not to discharge a nurse for declining to participate in forced feedings at Guantanamo Bay was a victory, but more needs to be done, ANA President Pamela Cipriano writes. The Defense Health Board's Medical Ethics Subcommittee made recommendations in March, and ANA has recommended the establishment of a Pentagon office dedicated to ethics and the recognition that military health professionals' first ethical obligation is to their patients. The Washington Post (tiered subscription model) (5/22)
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House panel endorses 21st Century Cures measure
The 21st Century Cures bill passed the House Energy and Commerce Committee in a 51-0 vote Thursday. The bill would speed up drug approval by requiring the FDA to improve its drug review process, look at more flexible forms of clinical studies and include patient experience in the decision-making process. The full House is expected to vote on the measure in June. The Hill (5/21), Reuters (5/21)
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Large practices have smaller EHR pool than small practices, survey finds
An AmericanEHR Partners survey found that physician practices with at least 26 clinicians choose from a narrower pool of EHR systems than practices with one to three clinicians. The survey showed that 51% of small practices are using an EHR product from one of the vendors listed in the top 10 by AmericanEHR Partners, compared with about 60% of large physician practices that are using one of the systems. The survey also found that Practice Fusion's EHR had the biggest market share with practices having three or fewer physicians, while the EpicCare Ambulatory EMR system was most popular with practices of four or more doctors. (5/20)
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ANA News
Today is advance registration deadline for ANA Ethics Symposium
The ANA Ethics Symposium will explore ethical challenges from educational, clinical practice and policy/leadership perspectives. You'll have the chance to learn the most important elements of an ethical practice and how to implement "ethical watchfulness" into your daily work. Hear from those who have acted on their beliefs and how they address important ethical dilemmas facing nurses today. Don't wait -- advance registration ends today. Register now and save now!
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Editor's Note
SmartBrief will not publish Monday
SmartBrief will not publish Monday in observance of Memorial Day in the U.S. Publication will resume Tuesday.
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