MSNN1303 - Beliefs and Attitudes about Medication Adherence in African American Men with High Blood Pressure 

Total Credit Hours Available: 1.10 CH

Contact hours available until 6/30/2015.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Faculty, Planners and Authors Conflict of Interest Disclosure:
The authors, editor, planning committee, and education director reported no actual or potential conflict of interest in relation to this continuing nursing education article.

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Non-Endorsement of Products:
Accreditation of activities for contact hours does not imply approval or endorsement
of any product, advertising, or educational content by the Academy of Medical-Surgical Nurses (AMSN), AJJ, or the American Nurses Credentialing Center’s Commission on Accreditation.

Accreditation Statement:
This educational activity has been co-provided by Anthony J. Jannetti, Inc. and Academy of Medical-Surgical Nurses.

Anthony J. Jannetti, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC-COA).

Accreditation status does not imply endorsement by the provider or ANCC of any commercial product.

Anthony J. Jannetti, Inc. is a provider approved by the California Board of Registered nursing, Provider Number, CEP 5387.

Objectives:

• Discuss the incidence of hypertension in America, particularly in Black men.
• Identify the factors associated with nonadherence to medication regimens and the effects on health.
• Describe each of the primary themes found to impact medication adherence in African American men with high blood pressure.
• Explain what is needed in further study to improve beliefs and attitudes toward medication adherence in the population of this study.

MSNN1302 - Revisiting Rhabdomyolysis 

Total Credit Hours Available: 1.00 CH

Contact hours available until 4/30/2015.

Requirements for Successful Completion: Complete the learning activity in its entirety and complete the online CNE evaluation.

Faculty, Planners and Authors Conflict of Interest Disclosure: The authors, editor, planning committee, and education director reported no actual or potential conflict of interest in relation to this continuing nursing education article.

Commercial Support and Sponsorship: No commercial support or sponsorship declared.

Non-Endorsement of Products: Accreditation of activities for contact hours does not imply approval or endorsement of any product, advertising, or educational content by the Academy of Medical-Surgical Nurses (AMSN), AJJ, or the American Nurses Credentialing Center’s Commission on Accreditation.

Accreditation Statement: This educational activity has been co-provided by Anthony J. Jannetti, Inc. and Academy of Medical-Surgical Nurses.

Anthony J. Jannetti, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC-COA).

Accreditation status does not imply endorsement by the provider or ANCC of any commercial product.

Anthony J. Jannetti, Inc. is a provider approved by the California Board of Registered nursing, Provider Number, CEP 5387.

Objectives:

• Discuss the incidence of rhabdomyolysis and its prevalence in recent years.
• Explain the symptoms and presentation of the patient with rhabdomyolysis.
• Identify treatment methods for those diagnosed with rhabdomyolysis.
• Describe the role of the medical-surgical nurse in caring for the patient with rhabdomyolysis.

MSNN1301 - Prostate Cancer: An Update on Screening and Treatment 

Total Credit Hours Available: 1.00 CH

The purpose of this continuing nursing education series is to increase nurses’ and other health care professionals’ awareness of prostate cancer.

MSNN1207 - Developmental Disabilities in Adults: Not Just a Pediatric Concern 

Total Credit Hours Available: 1.30 CH

The purpose of this continuing nursing education article is to increase the awareness of adults with developmental disabilities in nurses and other health care professionals.

MSNN1206 - Obstructive Sleep Apnea:
Patients at Risk 

Total Credit Hours Available: 1.30 CH

Obstructive sleep apnea (OSA), a sleep disorder, is recognized as a significant health issue. It is associated with many lifethreatening co-morbidities. OSA is described along with the health implications and the available treatment options in the acute hospital setting.

MSNN1203 - Lyme Disease: The Great Imitator 

Total Credit Hours Available: 1.00 CH

The number of cases of Lyme disease is increasing. Lyme disease impacts quality of life, as well as health care resources and costs because of missed or inaccurate diagnosis and ineffective or inadequate treatment. Medical-surgical nurses can identify and educate others about this silent stalker.

MSNN1204 - Disseminated Intravascular Coagulation and Implications for Medical-Surgical Nurses 

Total Credit Hours Available: 1.00 CH

The patient's platelets are 50,000, and we're giving heparin. Something seems amiss, and I do not understand what is happening with this patient.

MSNN1205 - Reinterpretation of the Controlled Substances Act: Implications for Nursing Practice, Patient Care, and Nursing Ethics 

Total Credit Hours Available: 1.00 CH

In 1970, Congress enacted the Controlled Substances Act as part of the Comprehensive Drug Abuse Prevention and Control Act. Enforced by the Food and Drug Administration, the Act established the five schedules, or categories, of controlled substances and the drugs under each schedule. In 1973, the Department of Justice created the Drug Enforcement Agency (DEA) to coadminister the Controlled Substances Act with the Food and Drug Administration. In 1986, the DEA was given sole authority to schedule controlled substances and was also tasked with regulating individuals and organizations that manufacture, transfer, or dispense scheduled drugs. The Office of Diversion Control within the DEA is responsible for ensuring that scheduled drugs are not used for nonmedical purposes (Abrams, Pennington, & Lammon, 2007; Garrison & Mitty, 2010).

MSNN1202 - Nursing Research: It’s Easier Than You Think! 

Total Credit Hours Available: 1.00 CH

Like many nurses, I have avoided participating in nursing research. While Tingen, Burnett, Murchison, and Zhu (2009) emphasized the importance of nursing research, research has always seemed like too big of a time and energy commitment for me to get involved. My concern regarding the knowledge level needed to conduct research and to make a significant contribution to the science of nursing was a misperception. One tends to believe only those with a doctoral degree/education can participate and make significant contributions in research. Surprisingly, participating in research was much easier than I thought. Not only was it easier than anticipated, but the experience also provided unexpected benefits for all involved, from the primary researcher and nurse educator to the nursing students.

MSNN1201 - Managing Chest Tubes 

Total Credit Hours Available: 1.00 CH

Patients requiring chest drainage need specialized equipment and nursing management in order to achieve optimal outcomes. Individuals with chest tubes are commonly admitted to medical-surgical units. This article will review the reasons chest drains are different from other drains, discuss how chest tube collection devices operate, and how to apply these concepts to the care of a patient with a chest tube.

MSNN1106 - Empowering Patients with a Voice in Decision-Making 

Total Credit Hours Available: 1.00 CH

Inpatients have a sense of helplessness and loss of control in health care decisions that impact their lives (Vitek, Rosenzweig, & Stollings, 2007). The purpose of this study was to hear patients' voices in creating a plan of care using an innovative whiteboard.

MSNN1105 - The NP/Physician Hospitalist Team Connection 

Total Credit Hours Available: 1.00 CH

The pairing of the nurse practitioner and hospitalist has evolved at Carilion Clinic into a collaborative joint partnership. When working in tandem, teams can examine patients more quickly to reduce wait time, as well as spend more time discussing the plan of care with the patient and/or family.

MSNN1104 - The Impact of Culture on Pain Management 

Total Credit Hours Available: 1.10 CH

Pain, the most common reason patients seek health care, is an unpleasant sensory and emotional experience associated with actual or potential damage (Smeltzer, Bare, Hinkle, & Cheever, 2010). Pain is associated with certain diagnostic tests, diseases, and treatment. The anticipation of pain is a frequent barrier to prevention and treatment of some illnesses. Coupled with these concepts is the impact that culture has on pain. Individuals seeking care for pain bring with them past experiences and knowledge that have been influenced and reinforced by others such as peers, social groups, and family members (Racher & Annis, 2007).

MSNN1103 - Suicide: A Permanent Solution to an Often Temporary Situation  

Total Credit Hours Available: 1.10 CH

Suicide is an uncomfortable topic, avoided by even the most seasoned nurses. This article examines many myths about suicide, current treatment modalities for depression and suicide, and suggestions of how to approach this sensitive topic.

MSNN1102 - Health and Physical Activity of Korean American Adults  

CNE credit for this article has expired.
The benefits and importance of regular physical activity throughout life and in a variety of ethnicities are well demonstrated, although few people engage in regular physical activity (Physical Activity Guidelines Advisory Committee, 2008; Walker, Pullen, Hertzog, Boeckner, & Hageman, 2006). The lack of physical activity among adults is a critical problem not only to individuals, but also to the health care system. For example, physically inactive people are at risk for many chronic diseases and conditions including heart disease, stroke, colon cancer, diabetes, obesity, and osteoporosis (Physical Activity Guidelines Advisory Committee, 2008). In 2010, the total cost of obesity was estimated to be $147 billion, and other estimated costs were $316 billion for heart disease, $264 billion for cancer, $218 billion for diabetes, and $74 billion for stroke (National Prevention, Health Promotion and Public Health Council, 2010). Thus, promoting health by increasing physical activity is a major health promotion objective (U.S. Department of Health and Human Services [USDHHS], 2010). Little is known about physical activity in Korean Americans, a growing population in the United States (U.S. Census Bureau, 2010).

MSNN1101 - Acute Pancreatitis and Enteral Feding: What is the Evidence?  

CNE credit for this article has expired.
Severe acute pancreatitis adversely affects both patients and the health care system. Effectively managing the nutritional needs of patients with pancreatitis is one commonly encountered struggle. Challenges include: simultaneously managing glucose; alleviating pain, nausea, and vomiting; treating diarrhea; and maintaining fluid and electrolyte status. This review examines the evidence guiding the enteral nutrition care of this patient population.

MSNN1007 - Surviving Sepsis: You Make the Difference 

CNE credit for this article has expired.
Medical-surgical nurses need to be aware of the early signs and symptoms of sepsis and be prepared to start early goal-directed therapy before the patient is transferred to a critical care unit. The initial, life-saving treatments for sepsis do not require special skills or equipment and can help reduce patient mortality.

MSNN1006 - Alcohol Withdrawal Syndrome 

CNE credit for this article has expired.
There are approximately 8 million people in the United States that are dependent on alcohol. About 500,000 cases of alcohol withdrawal syndrome each year are severe enough to require hospitalization and the care of a medical-surgical nurse.

MSNN1004 - Cultural Competency at the Bedside 

CNE credit for this article has expired.
The population of the United States is becoming increasingly more diverse racially and ethnically. It is predicated that by 2015, diverse populations will constitute over 30% of the population. Cultural competency is about developing the knowledge, skills, and resources to effectively care for patients of diverse cultures. Culturally competent nursing care requires the ability to provide respective and effective patient care.

MSNN1005 - Occupational Exposure to Bloodborne Pathogens: Prevention and Management 

CNE credit for this article has expired.
Exposure to bloodborne pathogens via needlesticks and blood and bodily fluid exposures continues to be a significant problem among nurses and other health care workers. The pathogens that are of serious concern are human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV). Though the risk of transmission is low, the fear and anxiety after an occupational exposure can be devastating.

MSNN1003 - A Nurse-Patient Partnership Program to Improve Medication Safety: "Ask Your Nurse about Your Medication" 

CNE credit for this article has expired.

MSNN1002 - Safe Use of Patient-Controlled Analgesia on a Medical-Surgical Unit 

CNE credit for this article has expired.

MSNN1001 - Immunosenescence: An Underappreciated Risk? 

CNE credit for this article has expired.

MSNN0906 - A Plan That Works - Enhancing the Graduate Nurse Orientation Experience 

CNE credit for this article has expired.
The results of an analysis conducted by unit educators and preceptors within a Magnet hospital prompted the development of a defined Graduate Nurse Orientation Enhancement Plan for orientees within the medical-surgical division. The plan sought to impact critical thinking skills, preceptor satisfaction, and retention.

MSNN0907 - Let Your Expert Voice Be Heard in Product Selection 

CNE credit for this article has expired.
The numbers and variety of products and equipment that are utilized in the care of patients to produce the best outcomes are mind-boggling. Whether in the acute care setting, the home, or a clinic, patient care involves the use of multiple tools to get the job done. Medical-surgical nurses by far are consumers of perhaps the greatest variety of products, so who better can there be to participate in the process of product selection, evaluation, and implementation?

MSNN0905 - Glycemic Control: It's Not Just About Diabetes 

CNE credit for this article has expired.
Medical-surgical nurses practicing in the hospital setting will sometimes care for patients withhyperglycemia. Some of these patients will be diagnosed with diabetes and yet some others will not, but all are at risk for other complications. Administering physiological insulin regimens is the most effective means to control blood glucose in patients with hyperglycemia. Nurses must be able to understand the importance of glycemic management and their role in the prevention of hyperglycemic and hypoglycemic events.

MSNN0904 - Building a Stronger Foundation: Raising Health Literacy Awareness 

CNE credit for this article has expired.
An adult's health literacy level is often silent and overlooked. Yet, it is a vital building block linked to patient safety and outcomes. Health care provider health literacy awareness and knowledge has increased since the release of the Institute of Medicine publication Health Literacy: A Prescription to End Confusion (Nielsen-Bohlman, Panzer, & Kindig, 2004). Highlighted in this report is effective patient-centered communication of health-related information as the foundation of patient safety.

MSNN0903 - Burnout and the Med-Surg Nurse 

CNE credit for this article has expired.
Burnout can be defined as a bio-psychosocial response to chronic emotional stress. It has three components: emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment (Erickson & Grove, 2008; Maslach, Schaufeli, & Leiter, 2001; Milliken, Clements, & Tillman, 2007). While stress seems an inherent part of the nurse profession, "since the mid 1980s however, nurses' work stress may be escalating due to increasing use of technology, continuing rises in health care costs, and turbulence within the work environment" (Jennings, 2008b, p. 137). Multiple studies have been done evaluating the incidence of burnout among nurses. In fact, every nurse can most likely recount personal incidences of varying levels of burnout. The fact that burnout is so pervasive is not a surprise, but the far-reaching ramifications should be enough to startle nurses, supervisors, and facility administrators into action.

MSNN0902 - Soars for Scores: A Quality Improvement Strategy for increasing Patient Satisfaction on an Orthopedic Inpatient Unit 

CNE credit for this article has expired.
Patient satisfaction is a valid indicator for measurement of service quality and is important to a successful health care organization (Press, 2002). Successful organizations recognize patient satisfaction as a core operating strategy and it has become an integral component of the measurement of health care quality. In the patient's mind, perception is reality and patient satisfaction is a valid outcome indicator of the quality care experience. To provide quality customer service, employees require a support system that includes appropriate training and education, staffing, reinforcement, information, equipment, and empowerment (Dwore, 1993).

MSNN0901 - Dissecting Anxiety Disorders In a Time of Economic Crisis 

CNE credit for this article has expired.

MSNN0806 - Multigenerational Workforces: From Conflict to Collaboration 

CNE credit for this article has expired.

MSNN0805 - Neutropenia - Basics for Medical-Surgical Nurses 

CNE credit for this article has expired.
CNE credit for this article has expired.

MSNN0804 - What's New with Falls Precaution Programs 

CNE credit for this article has expired.
CNE credit for this article has expired.

MSNN0803 - No Bones About It: Orthopedic Pain in Older Adults 

CNE credit for this article has expired.
CNE credit for this article has expired.

MSNN0802 - The Use of Personal Digital Assistants in Clinical Practice 

CNE credit for this article has expired.
CNE credit for this article has expired.

MSNN0801 - Patient Satisfaction: A Suburban Medical Surgical Unit's Strategy to Stay in the Top Percentile 

CNE credit for this article has expired.
CNE credit for this article has expired.