N21

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NURSING IN THE 21st CENTURY: A MOBILE JOURNAL

Nursing in the 21st Century (N21) is a practice-based interactive scholarly work (ISW). It is a new way for nurses to speak, question, discuss, define, and collaboratively understand challenges facing their profession.

Available on the web or as a free iOS app, N21 is peer reviewed, mobile (no print), and theme based. Contributors represent a range of professional backgrounds. Articles are written in APA style.

N21 also utilizes a new storytelling platform, supported by The Creativist. This means each article is enhanced with a variety of multi-media “extras,” including audio, video, and graphics, that appear and recede with a tap. In the app, there is a commenting bubble at the bottom of each article.

With the 2010 Affordable Care Act, health care in America is moving into uncharted territory. Care models are transforming for providers and for recipients. And, with an unprecedented opportunity to define themselves outside the shadow of physician- and hospital-centered care, nurses are also on the verge of a tremendous shift, not only in how they practice, but in how they are educated.

N21 was created to stimulate conversation surrounding these transformations.

JOURNAL EDITOR: Dr. Maureen Boshier, FACHE, RN.
Dr Boshier is a senior health care executive on the faculty at Old Dominion University and at Eastern Virginia Medical School.

Browse issues below.

N-21: The Future of Nursing & the IOM Report

Issue 1
June 2013

A response to the Institute of Medicine (IOM) and Robert Wood Johnson Foundation’s (RWJF) report, “The Future of Nursing: Leading Change, Advancing Health.”

Since its release in 2010, the report has generated widespread discussion and interest and has proposed a vision for a transition that will affect nurses practicing at all levels. Contributors include journal editor Maureen Boshier (PhD, DLP, RN, Visiting Associate Professor of Community and Environmental Health, Old Dominion University), Julie Fairman (PhD, RN, FAAN, Nightingale Professor of Nursing, Director of the Barbara Bates Center for the Study of the History of Nursing), Diane Huber (PhD, RN, NEA-BC, FAAN, University of Iowa College of Nursing), Patty Jones (Healthcare Management Consultant at Milliman & Robertson), and Milena Staykova (EdD, FNP- BC, Assistant Professor, Jefferson College of Health Sciences).

Optimized for iPhone, iPad: Download N21 in App store
For web viewers: Click here*

*The fine print: Access from Mac or PC is fine. Firefox works best for audio. Chrome may have problems with audio. Workplace security may prevent images/ links from downloading.

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Issue 2
January 2014

Considers the status of IPE – interprofessional education.

IPE in the classroom, and IPC – interprofessional collaboration – in the work force, have been discussed for nearly forty years. Now, its time has finally arrived. The issue contains four articles: Steven Becker (PhD, Professor of Community and Environmental Health, Old Dominion University) writes on managing Japan’s 2011 mega-disaster collaboratively. Michael Crouch (PhD, Gatton College of Pharmacy, East Tennessee State University), and Wilsie Bishop (PhD, Vice President for Health Affairs and University Chief Operating Officer, East Tennessee State University), offer a look at implementing IPE in a university setting. Rebecca Poston (PhD, RN, CPNP, Lecturer, Old Dominion University) looks at developing a common language for collaboration. And an interview with Ann King (DNP, FNP-BC, Clinical Associate Professor East Carolina University, and Captain, U.S. Army Reserve, as a Nurse Practitioner and Public Health Nurse) examines simulation and its impact on preparing practitioners for collaborative practice.

Optimized for iPhone, iPad: Download N21 in App store
For web viewers: Click here*

*The fine print: Access from Mac or PC is fine. Firefox works best for audio. Chrome may have problems with audio. Workplace security may prevent images/ links from downloading.

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Issue 3
June 2014

Considers toxic hierarchies, workplace violence, and how abusive behaviors impact patient care.

Bad behavior, between professionals and between patients and professionals, when given tacit approval, becomes embedded and continues as the norm. Such behavior creates disharmony and self- doubt, impeding healing and interfering with sustaining an environment of care and peace. Four contributors look at dangerous behaviors and how to modify them for better patient outcomes. Ellen Fink-Samnick (MSW, ACSW, LCSW, CCM, CRP – “Ellen’s Ethical Lens” on LinkedIn) discusses the ethical implications of poor communication. Jim Blando (Assistant Professor, Old Dominion University) looks at hostile patients and the impact of workplace violence. Christine Kovner (PhD, RN, FAAN, Professor, NYU College of Nursing) adds important bullet points from a recent article about young nurses. The issue concludes with an interview with well-know nurse advocate and author, Suzanne Gordon (Life Support, From Silence to Voice, When Chicken Soup Isn’t Enough, Beyond the Checklist)

Optimized for iPhone, iPad: Download N21 in App store
For web viewers: Click here*

*The fine print: Access from Mac or PC is fine. Firefox works best for audio. Chrome may have problems with audio. Workplace security may prevent images/ links from downloading.

Issue 4
January 2015

Looks at trends to prolong life at all costs, and the value of having conversations about mortality and end-of-life care, before it’s too late.

“Do not go gentle into that good night, rage, rage against the dying light” written by Dylan Thomas and published in 1951, and often quoted because it captures so much of the human response to ending of life. Contributors to Issue 4 look at trends that prolong life at all costs, and offer both personal and clinical expertise on the important conversations families and care providers should be having about end-of-life care, before it’s too late.

Donna M. Nickitas, a professor at Hunter College, Hunter-Bellevue School of Nursing, reflects on the recent loss of her sister and blurred responsibilities when a nurse cares for family. Dorothy Faulkner, PhD, MPH, PMP, and faculty at Eastern Virginia Medical School, offers innovative models for integrative palliative care. Revathi A-Davidson, MA MPH, reviews the Institute for Healthcare Improvement’s “The Conversation Project.” Dr. Joan McIver Gibson, a well know bioethicist, weaves her 30+ years working in the field of death and dying with a story of personal loss. Dr. Gibson also leads a video round-table discussion on legislative initiatives, attitudes, and policies. And, Deborah Golden Alecson, an adjunct faculty member at Excelsior College, offers a thanatologist’s perspective.

Optimized for iPhone, iPad: Download N21 in App store
For web viewers: Click here*

*The fine print: Access from Mac or PC is fine. Firefox works best for audio. Chrome may have problems with audio. Workplace security may prevent images/ links from downloading.

 

 

Issue 5
July 2015

Inspired by the release of the new book, The Patient Will See You Now (Eric Topol, MD), this issue looks at how nursing will and is responding to patients as they join health care conversations and care plans.

In 2009, in his article, “What ‘Patient-Centered’ Should Mean: Confessions of an Extremist,” Don Berwick noted that “patient centeredness” has a long intellectual pedigree.
We are now seeing a new focus on patient-centered care merging with technology and (finally) entering the classroom and hospitals. Kellie Bryant (NYU) shows how standardized patient actors help students. Fran Ludwig and Bonny Kehm (Excelsior College) discuss integrating person-centered care into AD to BSN nursing student curricula. Marty Brock, a nurse and member of an IT department in a large health system, showcases technology used by their nurses and patients. Amy Zwygart, Heidi Shedenhelm, and Adam Holland, staff at the Mayo Clinic, look at the institution’s history of patient-centered care. An RN offers a personal account of a nightmarish odyssey through outpatient care. And finally, nursing leader Joann Rickley, shows how UCSF has redesigned its services, blending patient input from architecture to meals.

Interested in submitting an article? Click the N21 button to learn more!

QED SealN21 received a QED award from Digital Book World in 2013.

 

Did you know Excelsior College has other publications?

Click here to learn about the Excelsior ReView, a semi-annual online arts publication featuring works from our world-wide faculty, staff, students, alumni, course and exam takers.

And, click here to learn about the peer-reviewed journal from Excelsior’s National Cybersecurity Institute (NCI).