News, views, and interviews of interest to the nursing community.
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Doug Olsen discusses how military nurses at Guantanamo Bay face conflicting ethical imperatives and potential real world consequences over force-feeding Guantánamo Bay detainees. Military nurses are bound by the Oath of Commissioned Officers to protect their country and not simply to follow orders—in this way, their oath differs from the one taken by enlisted personnel. While officers are legally bound by the Uniform Code of Military Justice to follow orders, they are also expected to use sound judgment in assessing them—and to sometimes refuse those that are not in the best interests of the country, even if doing so means they will be held morally and legally responsible for the exceptional act of refusal. In some situations, the moral expectation to assess orders can present a conflict of fundamental values with a high potential for moral distress for the nurses involved.
Sufferers of mild traumatic brain injuries (mTBI) often have no physical symptoms and this injury may be undetected at first, yet it often has a profound negative effect on quality of life, including functional abilities and interpersonal relationships. AJN editor-in-chief Shawn Kennedy speaks with author Hyatt about her work with these patients and what all nurses need to know to recognize mTBI injuries.
Author Maureen Cavanagh shares her experience treating a pregnant woman with terminal ovarian cancer, and how the patient inspired in staff a commitment to patient-centered care.
Authors Kathleen McCauley and Karen B. Hirschman discuss the identification and management of cognitive impairment in hospitalized older adults. They stress that research involving this population must actively engage clinicians, patients, and family caregivers, as well as address the complex process of managing postdischarge care.
This is a story of how a team of nurses restored a patient’s hope. Editor-in-chief Shawn Kennedy speaks with the lead author of the team at the Mayo Clinic in Rochester about how they helped this patient with an unusual and painful illness to begin a journey towards recovery. Their attention to basic nursing care with a holistic approach is an exemplar of what care should be.