The AJN Podcast

This Month in AJN – January 2018 monthly highlights January 2018 Editor-in-Chief Shawn Kennedy and Clinical Editor Betsy Todd present the highlights of the January issue of AJN. The authors of our first CE, “Oral Care for Head and Neck Cancer Symptom Management,” describe an evidence-based practice change at a radiation oncology center designed to reduce the severity of oral mucositis in adults receiving radiation treatment for head and neck cancer. Our second CE, “Managing Postoperative Pain,” reviews the recommendations of the American Pain Society’s postoperative pain management guideline, and discusses its historical context and the current events that may affect its implementation in clinical practice. Our next article, “Original Research: Increasing the Connectivity and Autonomy of RNs with Low-Risk Obstetric Patients,” describes a study that explored the perspectives of patients, RNs, certified nurse midwives, and other providers regarding a new prenatal connected care model aimed at reducing in-office visits and creating virtual patient–RN connections. “Professional Development: Predatory Journals: Alerting Nurses to Potentially Unreliable Content” provides information for nurses on predatory journals and their harmful practices, plus online search strategies for identifying and avoiding the content published in these journals. In addition, there’s News, Reflections, Drug Watch, Art of Nursing, and more.

This Month in AJN – December 2017 monthly highlightsDecember 2017Editor-in-Chief Shawn Kennedy and Clinical Editor Betsy Todd present the highlights of the December issue of AJN. Our first CE, “Original Research: Does Certification in Vascular Access Matter? An Analysis of the PICC1 Survey,” explores whether and how certified and noncertified PICC inserters differ regarding their practices and views about PICC use. Our second CE, “Pressure Injuries Caused by Medical Devices and Other Objects: A Clinical Update,” provides a review of the etiology, identification, and prevention of pressure injuries caused by medical and other devices, plus highlights from the current National Pressure Ulcer Advisory Panel clinical guidelines. The authors of our next article, “Supporting Family Caregivers: No Longer Home Alone: Teaching Family Caregivers to Assist Safely with Mobility,” provide information nurses can use to educate family caregivers on mobility issues, including a tear sheet of key points and links to instructional videos. “Cultivating Quality: A Nurse-Led Ultrasound-Enhanced Vascular Access Preservation Program” explores how one institution reduced its catheter failure rate and use of nonessential peripherally inserted central catheters by initiating a practice change involving an ultrasound-guided insertion technique. In addition, there’s News, Reflections, Drug Watch, Art of Nursing, and more.

This Month in AJN – November 2017 monthly highlights November 2017 Editor-in-Chief Shawn Kennedy and Clinical Editor Betsy Todd present the highlights of the November issue of AJN. Our first CE, “Original Research: Primary Care Providers and Screening for Military Service and PTSD,” explores whether primary care providers in the private sector are screening patients for military service and subsequent posttraumatic stress disorder. Our second CE, “Preeclampsia: Current Approaches to Nursing Management,” provides a clinical update on current practice related to preeclampsia risk assessment, prediction, and management, plus pathophysiology. The author of our next article, “Creating a Fair and Just Culture in Schools of Nursing,” discusses strategies nursing schools can use to create a fair and just culture. “Perspectives in Palliative Nursing: Liberty and Justice for All” explores how circumstances faced by unauthorized immigrants can raise ethical quandaries regarding the principles of patient autonomy and justice. In addition, there’s News, Reflections, Drug Watch, Art of Nursing, and more.

AJN editor-in-chief Shawn Kennedy speaks with author Cydnee Sankey-Deemer about her study, which explored whether rural Pennsylvania providers offered military service screening to their patients.

AJN editor-in-chief Shawn Kennedy speaks with author Cindy M. Anderson about her article, which reviews current practice related to preeclampsia risk assessment, prediction, and management, plus updated diagnostic criteria from the American College of Obstetricians and Gynecologists Task Force on Hypertension in Pregnancy.

AJN editor-in-chief Shawn Kennedy speaks with author Nancy Berlinger about her article, which discusses how nurses can be creative problem solvers without resorting to workarounds that may be ethical in intent yet potentially harmful in their consequences.

AJN editor-in-chief Shawn Kennedy speaks with author Elizabeth Bridges about her article, which discusses how to integrate capillary refill time and skin mottling score into the perfusion reassessment after initial fluid resuscitation—as recommended by revisions to the Surviving Sepsis Campaign six-hour bundle.

AJN AJN editor-in-chief Shawn Kennedy speaks with authors Joanne Disch and Jane Barnsteiner about their study, which investigated nursing school policies and practices for reporting and tracking student errors and near misses.

Editor-in-Chief Shawn Kennedy and Clinical Editor Betsy Todd present the highlights of the October issue of AJN. Our first CE, “Original Research: Exploring How Nursing Schools Handle Student Errors and Near Misses,” investigates nursing school policies and practices for reporting and tracking student errors and near misses. Our second CE, “Assessing Patients During Septic Shock Resuscitation,” discusses how to integrate capillary refill time and skin mottling score into the perfusion reassessment after initial fluid resuscitation—as recommended by revisions to the Surviving Sepsis Campaign six-hour bundle. Our next article, “Sexually Speaking: Obesity and Sexual Dysfunction: Making the Connection,” reviews the evidence on obesity and sexual functioning, plus nursing considerations for addressing weight-loss strategies with patients. The author of “Question of Practice: Workarounds Are Routinely Used by Nurses—But Are They Ethical?” discusses how nurses can be creative problem solvers without resorting to workarounds that may be ethical in intent yet potentially harmful in their consequences. In addition, there’s News, Reflections, Drug Watch, Art of Nursing, and more.

AJN editor-in-chief Shawn Kennedy speaks with author Loren Staplin about his article, which discusses the specific driving risks adults face as they age and how nurses can raise older patients’ awareness of these risks.

AJN clinical editor Betsy Todd speaks with author Nancy O’Connor about her article, which suggests six changes to make in your practice to prevent transmission of C. difficile.

AJN editor-in-chief Shawn Kennedy speaks with author Kathleen Czekanski about her article, which describes a qualitative study she conducted to explore the lived experiences of people who transitioned to the role of caregiver for a family member with dementia, with the aim of understanding the caregiver’s transition experience, the meaning caregivers attributed to their experience, and strategies they identified as effective in facilitating their transition.

AJN editor-in-chief Shawn Kennedy speaks with AJN’s legal and ethical contributing editors Edie Brous and Douglas P. Olsen about their article, which offers insight on the issues raised by a case in which a Canadian nurse’s Facebook post complaining about a family member’s medical care resulted in disciplinary action by the licensing board.

Editor-in-Chief Shawn Kennedy and Clinical Editor Betsy Todd present the highlights of the September issue of the American Journal of Nursing. Our first CE, “Original Research: The Experience of Transitioning to a Caregiving Role for a Family Member with Alzheimer’s Disease or Related Dementia,” explores the lived experiences of people who transitioned to the role of caregiver for a family member with Alzheimer’s disease or a related dementia. Our second CE, “Can Your Older Patients Drive Safely?,” discusses driving risks associated with advanced age, focusing on the behaviors and situations that put older drivers at greatest risk, as well as the key indicators of an older patient’s ability to drive safely. In our next article, “Emerging Infections: Six Things You Can Do Today to Prevent Hospital-Onset C. difficile Tomorrow,” the author suggests six changes to make in your practice to prevent transmission of this common bacterial infection. In “Legal Clinic: Lessons Learned from Litigation: Legal and Ethical Consequences of Social Media,” AJN’s legal and ethical contributing editors offer insight on the issues raised by a case in which a Canadian nurse’s Facebook post complaining about a family member’s medical care resulted in disciplinary action by the licensing board. In addition, there’s Perspectives on Palliative Nursing, News, Reflections, Drug Watch, Art of Nursing, and more.

AJN editor-in-chief Maureen Shawn Kennedy speaks with Judith Shamian, outgoing president of the International Council of Nurses, at the 2017 ICN conference in Barcelona.

AJN contributing editor Amanda Anderson speaks with Frances Hughes, chief executive officer of the International Council of Nurses, at the 2017 ICN conference in Barcelona.

AJN editor-in-chief Shawn Kennedy speaks with Annette Kennedy, incoming president of the International Council of Nurses, at the 2017 ICN conference in Barcelona.

AJN editor-in-chief Shawn Kennedy speaks with author John Parmer about his article, which provides an overview of tuberculosis transmission, pathogenesis, and epidemiology, presents preventive care recommendations for targeted testing among high-risk groups, and discusses the nursing implications of a new U.S. Preventive Services Task Force recommendation statement on latent tuberculosis infection testing.

AJN editor-in-chief Shawn Kennedy speaks with author Regina Cardaci about her article, which describes the practices and policies of the Baby-Friendly Hospital Initiative—a program developed by the World Health Organization and the United Nations Children’s Fund to promote breastfeeding in hospitals and birthing facilities worldwide.

Editor-in-Chief Shawn Kennedy and Clinical Editor Betsy Todd present the highlights of the August issue of the American Journal of Nursing. On this month’s cover, a mother and her newborn share skin-to-skin contact. Our first CE, “Tuberculosis: A New Screening Recommendation and an Expanded Approach to Elimination in the United States,” provides a general overview of tuberculosis transmission, pathogenesis, and epidemiology, presents pre­ventive care recommendations for targeted testing among high-risk groups, and discusses a new USPSTF screening rec­ommendation. The author of our second CE, “Beyond Maternity Nursing: The Baby-Friendly Hospital Initiative,” provides an overview of the practices and policies of the Baby-Friendly Hospital Initiative (BFHI), the insti­tutional benefits of achieving BFHI certification, and the process through which health care facilities can do so. Our next article, “Original Research: The Effects of Red Yeast Rice Supplementation on Cholesterol Levels in Adults,” explores the most recent evidence on the effectiveness and safety of red yeast rice supplementation in treating dyslipidemic adults. In “Good Nursing Is Good Antibiotic Stewardship,” the authors use patient examples to review several antimicrobial stewardship activities and illustrate how nurses are essential to the appropriate use of antibiotics. In addition, there’s News, Reflections, Drug Watch, Art of Nursing, and more.

AJN editor-in-chief Shawn Kennedy speaks with author Katie Gresia McElroy about her article, which provides an overview of the current state of knowledge about the human microbiome—with a focus on the microbiota in the GI tract and the vagina, the two most commonly studied body sites—and discusses implications for nursing practice.

AJN editor-in-chief Shawn Kennedy speaks with Linda M. MacIntyre, the chief nurse of the American Red Cross, about her article, which discusses how demographic shifts in the United States are creating a greater need for ethnically and racially diverse blood donors—and what nurses can do to help.

Editor-in-Chief Shawn Kennedy and Clinical Editor Betsy Todd present the highlights of the July issue of the American Journal of Nursing. On this month’s cover is an illustration of gastrointestinal microbiota. The authors of our first CE, “Health and the Human Microbiome: A Primer for Nurses,” provide an overview of the current state of knowledge about the human microbiome—with a focus on the microbiota in the GI tract and the vagina, the two most commonly studied body sites—and discuss implications for nursing practice. Our second CE, “Early Intervention in Patients with Poststroke Depression,” explains how poststroke depression often manifests, describes risk factors, and discusses the screening tools and therapeutic interventions nurses can use to identify and help manage depression in patients following stroke. In our next article, “The Growing Need for Diverse Blood Donors,” the chief nurse of the American Red Cross discusses how changing demographics necessitate an increase in more ethnically diverse blood donors, and shares strategies nurses can use to address this need. In “Ethical Nursing Care When the Terminally Ill Patient Seeks Death,” the authors review clinical perspectives on the assessment of the patient’s wish or request to die, ethical questions, and the current legal landscape to consider how nursing care can be ethically provided to a patient requesting death. Finally, in “Could Emotional Intelligence Make Patients Safer?,” the authors address how emotional intelligence may be a skill that can help nurses to “error proof” communication in the health care setting. In addition, there’s News, Reflections, Drug Watch, Art of Nursing, and more.

AJN editor-in-chief Shawn Kennedy speaks with Geraldine Rose Britton, lead author of “The Experiences of Pregnant Smokers and Their Providers.”

Editor-in-Chief Shawn Kennedy and Clinical Editor Betsy Todd present the highlights of the June issue of the American Journal of Nursing. This month’s cover features four paintings by British artist Bryan Charnley, whose later work depicts his experience with schizophrenia. The authors of our first CE, “Original Research: The Experiences of Pregnant Smokers and Their Providers,” conducted focus groups of pregnant smokers and their providers, most of whom were RNs, to better understand their experiences and to gain insights to help providers best deliver the stop-smoking message. Our second CE, “Mental Health Matters: Antipsychotic Medications,” reviews the mechanisms of action, adverse effects, and contraindications of first-generation typical and second-generation atypical antipsychotics. Our next article, “Irritable Bowel Syndrome,” reviews the epidemiology and pathophysiology of IBS and recent developments in the field of IBS research, summarizes diagnostic and treatment strategies, and discusses implications for nursing practice. In “Perspectives on Palliative Care: Advance Care Planning: The Nurse’s Role,” the author discusses how nurses can promote the practice of advance care planning in their facility and overcome the challenges associated with its implementation. In addition, there’s News, Reflections, Drug Watch, Art of Nursing, and more.

AJN editor-in-chief Shawn Kennedy speaks with Kathleen G. Burke, Tonya Johnson, and Christine Sites about their study, in which they developed eight nursing competency domains and 186 related knowledge, skills, and attitudes for professional nursing practice, then sought to validate them and to determine their developmental progression within a clinical advancement program.

AJN editor-in-chief Shawn Kennedy speaks with Laura Anderko and Barbara Polivka about “Project TENDR,” a collaborative initiative of scientists, health professionals, and children’s health advocates to promote chemical policy reform to reduce exposure to hazardous chemicals.

Editor-in-Chief Shawn Kennedy and Clinical Editor Betsy Todd present the highlights of the May issue of the American Journal of Nursing. On this month’s cover, nurses and other health care professionals provide care to a patient in distress. The authors of our first CE, “Original Research: Creating an Evidence-Based Progression for Clinical Advancement Programs,” developed eight nursing competency domains and 186 related knowledge, skills, and attitudes for professional nursing practice, then sought to validate them and to determine their developmental progression within a clinical advancement program. Our second CE, “Venous Thromboembolism: Updated Management Guidelines,” presents an overview of venous thromboembolism plus a review of recommendations from an updated guideline related to treatment options, nursing practice, patient education, diagnostic testing, and more. Our next article, “Environments and Health: Project TENDR,” discusses a collaborative initiative of scientists, health professionals, and children’s health advocates to promote chemical policy reform to reduce exposure to hazardous chemicals. In “Wound Wise: Deep Tissue Pressure Injury: A Clinical Review,” the authors describe the assessment, documentation, prevention, and treatment of these injuries. In addition, there’s News, Reflections, Drug Watch, Art of Nursing, and more.

AJN editor-in-chief Shawn Kennedy speaks with nurses from Shawnee Mission Medical Center in Shawnee Mission, Kansas, about a study they conducted to determine how an electronic risk assessment tool would compare with nurses’ judgment in identifying patients at risk.

AJN editor-in-chief Shawn Kennedy speaks with Mary H. Palmer about her article, which provides an evidence-based review of the screening, assessment, and management of overactive bladder in women—many of whom do not seek help for the condition and try to self-manage its symptoms, which may inadvertently worsen them.

AJN editor-in-chief Shawn Kennedy speaks with Stephanie Chalupka about her article, which examines the evidence on the likely effects of climate change on mental health and well-being, and discusses these health impacts, their mechanisms of action, and the unique vulnerabilities of some populations, as well as the need to build resilience.

Editor-in-Chief Shawn Kennedy and Clinical Editor Betsy Todd present the highlights of the April issue of the American Journal of Nursing. On this month’s cover, a young boy witnesses the aftermath of severe flash flooding in Clendenin, West Virginia, in June 2016. Our first CE, “Original Research: Identifying Hospitalized Patients at Risk for Harm: A Comparison of Nurse Perceptions vs. Electronic Risk Assessment Tool Scores” studied how an electronic risk assessment tool compared with nurses’ judgment in identifying patients at risk. In our second CE, “Overactive Bladder in Women,” the authors provide an evidence-based review of the screening, assessment, and management of overactive bladder in women. Our next article, “Climate Change and Mental Health,” examines the likely effects of climate change on mental health and well-being, and discusses these impacts, their mechanisms of action, the unique vulnerabilities of some populations, and the need to build resilience. In “Professional Development: How to Engage Funders and Get Money: the 10 Rs You Need to Know,” the senior adviser for nursing at the Robert Wood Johnson Foundation shares tips to help nurses effectively raise funds for their research or organization. In addition, there’s News, Reflections, Drug Watch, Art of Nursing, and more.

AJN editor-in-chief Shawn Kennedy speaks with Linda MacIntyre, chief nurse of the American Red Cross, about what nurses do as volunteers.

AJN editor-in-chief Shawn Kennedy speaks with author Karen Roush about her article, which offers suggestions for developing good writing habits and tips on getting started. It’s the first in a new series designed to help nurses sharpen their writing skills.

Editor-in-Chief Shawn Kennedy and Clinical Editor Betsy Todd present the highlights of the March issue of the American Journal of Nursing. On this month’s cover, Nam Ngo, RN, a volunteer with the American Red Cross, assists victims of Hurricane Matthew at a shelter in Fair Bluff, North Carolina. Our first CE, “Improving Outcomes for Patients with Chronic Kidney Disease: Part 2” addresses disease complications and treatment for kidney failure. In our second CE, “Defining and Understanding Pilot and Other Feasibility Studies,” the authors provide an overview of feasibility studies, including pilot studies, and explain the type of preliminary data they seek to provide in order to make larger, future studies more efficient and successful. Our next article, “Original Research: How to Create a Poster That Attracts an Audience,” identifies the design principles and content-specific attributes of a poster that improve the chance that attendees at a nursing conference would read it. “Writing for Publication: Step by Step: Becoming a Published Writer” is the first article in a new series designed to help nurses sharpen their writing skills; it offers suggestions for developing good writing habits and tips on getting started. In addition, there’s News, Reflections, Drug Watch, Art of Nursing, and more.

Editor-in-Chief Shawn Kennedy and Clinical Editor Betsy Todd present the highlights of the February issue of the American Journal of Nursing. On this month’s cover is a watercolor painting by artist Vivian Jay, MSN, FNP-BC. Our first CE, “Improving Outcomes for Patients with Chronic Kidney Disease: Part 1” offers an overview of the disease, describes identification and etiology, and discusses ways to slow disease progression. In our second CE, “Nursing’s Evolving Role in Patient Safety,” the authors discuss their content analysis of 1,086 AJN articles published from 1900 through 2015. Our next article, “Supporting Family Caregivers: Medication Management for People with Dementia,” offers recommendations for nurses as they teach family caregivers how to manage medications for a family member with dementia. “A Collaborative State of the Science Initiative: Transforming Moral Distress into Moral Resilience in Nursing” describes a collaborative project in which nurse clinicians, researchers, and ethicists met to examine practices for addressing moral distress. In addition, there’s News, Reflections, Drug Watch, Art of Nursing, and more.

AJN editor-in-chief Shawn Kennedy speaks with authors Gayle Romancito, Stephanie Mahooty, and Andrew S. Narva about their article, which provides an overview of chronic kidney disease, describes identification and etiology, and discusses ways to slow disease progression.

AJN editor-in-chief Shawn Kennedy speaks with authors Sonya L. Kowalski and Maureen Anthony about their article, in which they explore the nurse’s historical and contemporary role in promoting patient safety by discussing a content analysis they conducted of 1,086 AJN articles published from 1900 through 2015.

Editor-in-Chief Shawn Kennedy and Clinical Editor Betsy Todd present the highlights of the January issue of the American Journal of Nursing. On this month’s cover, mothers and their children with the birth defect microcephaly—likely attributed to Zika virus—wait for care at Hospital Oswaldo Cruz in Recife, Brazil. Our first CE, “Triglycerides: Do They Matter?” discusses the importance of lowering triglyceride levels and reviews the lifestyle changes and pharmacologic treatments that can help achieve this goal. In our second CE, “Human Papillomavirus–Related Oral Cancers: The Nurse’s Role in Mitigating Stigma and Dispelling Myths,” the author describes the risk factors, clinical features, and treatment of human papillomavirus (HPV)–related oral cancers, and suggests ways for nurses to educate patients on and correct misconceptions about HPV transmission. Our next article, “Supporting Family Caregivers: Teaching Caregivers to Administer Eye Drops, Transdermal Patches, and Suppositories,” outlines techniques nurses can use to teach caregivers how to properly administer medications by variousroutes. In addition, there’s AJN’s 2016 Book of the Year Awards, News, Reflections, Drug Watch, Art of Nursing, and more.

AJN editor-in-chief Shawn Kennedy speaks with author Anne Katz about her article, which describes the risk factors, clinical features, and treatment of human papillomavirus (HPV)–related oral cancers, and suggests ways for nurses to educate patients on and correct misconceptions about HPV transmission

Editor-in-Chief Shawn Kennedy and Clinical Editor Betsy Todd present the highlights of the December issue of the American Journal of Nursing. On this month’s cover, an American NP, Mary Plumb Senkel, volunteers at a rural makeshift clinic near Jacmel, Haiti. Our first CE, “Original Research: Examining the Links Between Lifestyle Factors and Metabolic Syndrome,” discusses a study that examined lifestyle risk factors for metabolic syndrome in people who are overweight or obese, aiming to distinguish those lifestyle factors associated with metabolic health in this population. In our second CE, “Preventing Contrast-Induced Kidney Injury,” the author provides an evidence-based review of screening, risk assessment, and hydration protocols for the clinical management of patients receiving contrast agents for radiographic imaging studies. Our next article, “Supporting Family Caregivers: Administration of Subcutaneous Injections” discusses how nurses can help family caregivers enhance their knowledge, experience, and skill in managing injectable treatments. In “Remembering Pearl Harbor at 75 Years,” the authors tell the stories of five Army and Navy nurses who witnessed the attack, prepared for the casualties, and selflessly cared for the many victims. In addition, there’s News, Reflections, Drug Watch, Art of Nursing, and more.

Editor-in-chief Shawn Kennedy and Clinical Editor Betsy Todd present the highlights of the November issue of the American Journal of Nursing. This month’s cover photo of a nurse with a patient and her family member brings to mind an increasingly common experience for many Americans: being a family caregiver. Our first CE, “Preventing, Managing, and Assessing Skin Tears: A Clinical Review,” discusses best practices for preventing, assessing, documenting, and managing skin tears. In our second CE, “Veteran Women: Mental Health-Related Consequences of Military Service,” the author reviews research confirming that both active-duty and veteran women are at increased risk for postdeployment mental health problems, and also addresses the nursing practice implications, including screening. Our next article, “Supporting Family Caregivers: Managing Complex Medication Regimens” offers an overview of how nurses can provide medication management education to family caregivers of older adults. In “Cultivating Quality: An Evidenced-Based Sleep Program to Reduce Sudden Unexplained Infant Deaths,” the authors describe how a nurse-led clinical and educational safe sleep program in the neonatal ICU improved outcomes for infants and their families and caregivers. In addition, there’s News, Reflections, Drug Watch, Art of Nursing, and more.

AJN editor-in-chief Shawn Kennedy speaks with Susan C. Reinhard and Heather M. Young about their guest editorial, which address the need for nurses to provide family caregivers with more guidance on performing increasingly complex tasks.

AJN editor-in-chief Shawn Kennedy speaks with author Christine Anne Ganzer about her article, which reviews research confirming that both active-duty and veteran women are at increased risk for postdeployment mental health problems, and also addresses the nursing practice implications, including screening.

AJN editor-in-chief Shawn Kennedy speaks with authors Douglas P. Olsen and Mary Alison Smania about their article, which examines the ethical and practical significance of making a distinction between research and not research when using data to identify best practices and improve care.

AJN editor-in-chief Shawn Kennedy speaks with author Tonja M. Hartjes about her article, which provides an overview of clinical considerations related to the assessment and treatment of pain, agitation, and delirium, which often occur together as parts of a syndrome that may be difficult to recognize in older adults.

Editor-in-chief Shawn Kennedy and Clinical Editor Betsy Todd present the highlights of the October issue of the American Journal of Nursing. The political cartoon on this month’s cover, created by two-time Pulitzer Prize-winning editorial cartoonist David Horsey, is a commentary on the contentious circumstances leading up to the 2016 presidential election. Our first CE, “An Overview of Common Oral Treatments for Breast Cancer: Improving Patient Safety in Nononcology Settings,” reviews the most common oral agents used to treat breast cancer and their possible adverse effects and interactions. In our second CE, “Assessing and Managing Pain, Agitation, and Delirium in Hospitalized Older Adults,” the authors provide an overview of clinical considerations related to the assessment and treatment of pain, agitation, and delirium. Our next article, “Perspectives on Palliative Nursing: For Advanced Cancer, What Treatment Is Next?” discusses how nurses can best serve patients faced with the choice between aggressive treatments and palliative or hospice care. In “Ethical Issues: Determining When an Activity Is or Is Not Research,” the authors examine the ethical and practical significance of making a distinction between research and not research when using data to identify best practices and improve care. In addition, there’s News, Reflections, Drug Watch, Art of Nursing, and more.

The experience of military sexual trauma (MST), which can result from assault, battery, or harass¬ment of a sexual nature, may jeopardize the mental health of service members as well as that of their fam¬ily members, colleagues, and community members. AJN’s editor-in-chief Shawn Kennedy speaks with lead author Denise M. Eckerlin about her article, which examines the unique ways in which men experience MST and explores the influence of stereotypes of masculinity, myths surrounding sexual assault, and military culture and structure on victims.

AJN editor-in-chief Shawn Kennedy speaks with author Debra L. Campo about her article, which provides an overview of the signs and symptoms of myocardial infarction in women and highlights how the failure to recognize them in the case of one woman—herself a nurse—led to misdiagnosis and could have resulted in death.

Editor-in-chief Shawn Kennedy and Clinical Editor Betsy Todd present the highlights of the September issue of the American Journal of Nursing. On this month’s cover, U.S. Army generals attend the commencement ceremony for the annual observance of Sexual Assault Awareness and Prevention Month at the Pentagon in Arlington, Virginia. Our first CE, “Original Research: Predicting Injurious Falls in the Hospital Setting: Implications for Practice,” discusses a retrospective study that analyzed which patient factors are associated with injurious falls in hospitalized adults. In our second CE, “Military Sexual Trauma in Male Service Members,” the authors examine the unique ways in which men experience military sexual trauma, and explore the influence of stereotypes of masculinity, myths surrounding sexual assault, and military culture and structure on victims. Our next article, “Recognizing Myocardial Infarction in Women: A Case Study,” provides an overview of the signs and symptoms of myocardial infarction in women and highlights how the failure to recognize them in the case of one woman led to misdiagnosis and could have resulted in death. In “Legal Clinic: Legal Considerations in Telehealth and Telemedicine,” the author examines the legal and regulatory considerations surrounding the rapidly growing practice of remote health care delivery. In addition, there’s News, Reflections, Drug Watch, Art of Nursing, and more.