This qualitative study was an in‐depth exploration of lesbian executives’ sexual identity management experiences. These women navigated an invisible identity in a privileged, visible organizational position, yet their lesbian identity often made them vulnerable to discrimination and remained a subtext that permeated their relationships with others. Findings revealed that the need for authenticity was a driving force in managing their sexual identity disclosure decisions. This study provides career development professionals with a clear description of lesbian executives’ workplace sexual identity management experiences so they may help their clients find their own voices and unique ways of managing their disclosure decisions.
Purpose/Aims Predatory journals, characterized by poor editorial practices and questionable peer review, constitute a threat to academic literature. Citations to predatory journals in reviews of research potentially weaken the strength of these reviews, which are relied upon by nurses as evidence for practice. The purposes of this study were to assess the (a) extent to which reviews have relied on articles published in predatory journals, (b) nursing research practice areas most reliant on predatory journal citations, and (c) extent to which predatory journal citations are being used in reviews that guide the care of sensitive or vulnerable groups. Methods Literature and other types of reviews with 1 or more citations to a predatory journal (n = 78) were assessed. The reviews were classified by topic (clinical practice, education, and management). Results The 78 reviews contained 275 citations to articles published in predatory journals; 51 reviews (65%) substantively used these references. Conclusions Predatory journal articles, which may not have been subjected to an adequate peer review, are being cited in review articles published in legitimate nursing journals, weakening the strength of these reviews as evidence for practice.
Critical care units serve the vital function of patient rescue through life-saving and life-preserving treatments. When an older patient's life hangs in the balance, preserving life takes priority over potential serious adverse drug events. There may be a tendency to consider transfer out of the unit as a less serious event; therefore, less attention is given to medication assessment. Often thought of by nurses as an almost clerical level task, the professional nurse plays a key role in identifying potentially harmful medications or medication combinations. If older patients remain on medications considered to be potentially dangerous, then patients are at risk for adverse drug events. Once the emergent nature of critical care interventions has passed, it is important to judiciously appraise patient status and conduct a medication assessment to discontinue or change the medication regimen to safer alternatives for older adults. Nurses can be instrumental in further research, education, and awareness for practitioners, patients, and families regarding the role of medications for older adults. Beers Criteria are not intended to be a clinical mandate, rather a designated as a clinical guideline with a clinical recommendation to support a provider's clinical judgment.
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