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Kangaroo care: Making the leap to an evidence-based practice
Most nurses agree that nursing practices should be evidence-based. But making the leap from an established practice to a new, evidence-based practice is always challenging. To meet the challenges of e...
PR, P4R, P4P, VBP. Connecting the dots—with all of the "P's"
Choices, choices, choices. It is so easy to be confused about which is the best product or service. That’s why I am a big fan of Consumer Reports. You see, writers evaluate and report publicly t...
Bassett Medical Center wins 2011 Magnet Prize®
At the National Magnet® Conference held October 4 to 6 in Baltimore, the American Nurses Credentialing Center (ANCC) and Cerner® Corporation announced Bassett Medical Center of Cooperstown, New York, ...
Finance for nurse managers: Return on investment
The United States spends far more per capita on health care than any other developed nation. In 2006, our healthcare costs totaled $2.08 trillion, representing 16% of the gross domestic product. In fa...
Issues up close
The American Nurses Association (ANA) has long recognized the primary role of registered nurses (RNs) in care coordination. Nurses have always included care coordination as part of their key competenc...
Maximize your reprocessing program
The healthcare industry is at a critical juncture. The quest to find solutions that deliver better care for less money is imperative. To address this challenge, there is much talk these days about ...
Pilot studies: Helmsman on the ship of research design
A key element in the design of a high quality research project is use of a pilot study. The pilot study can represent different choices: a feasibility study conducted to prepare for the major researc...
Reducing catheter-associated urinary tract infections
Catheter-associated urinary tract infections (CAUTIs) are the most frequent type of healthcare-acquired infection, accounting for up to 80% of hospital-acquired infections. CAUTIs can lengthen hospita...
Issues up close
As the health economist for the American Nurses Association (ANA), I’ve been asked, "What will 2013 bring for RNs? Maybe even beyond 2013?"
Factors driving future demand
The beyond is the e...
'Balanced Menus' leads to reduced greenhouse gas emissions
Health Care Without Harm (HCWH) and the Johns Hopkins Center for a Livable Future, part of the Johns Hopkins Bloomberg School of Public Health, have released the first U.S. examination of the impact t...
Battery recycling: Nursing's role
Batteries are ubiquitous in the hospital environment. Think of all the battery-run equipment we use: beepers, cell phones, heart monitors, pacemakers, defibrillators, infusion pumps, blood analyzers, ...
Remedying role confusion: Differentiating RN and LPN roles
In today’s constantly changing healthcare system, a key challenge is to better define, differentiate, and demarcate the roles of the registered nurse (RN) and licensed practical nurse (LPN). For years...
Providing effective patient teaching on the Internet
Today, people can Google their way to an overload of information on any healthcare topic. But does the information make a difference? What kind of information and what type of presentation actually le...
Medical-surgical value analysis aims high above the bottom line
Standardization of medical-surgical products across hospitals and health systems can have significant benefits in cost savings, employee satisfaction, and the quality of patient care. North Shore Long...
The business of caring: What every nurse should know about cutting costs
Kate Peterson, an intensive care unit (ICU) director, starts her monthly staff meeting with sobering news: "Our hospital is losing money despite the increase in patient volume," she states. &#...
Implementing bedside shift report
I’m a floor nurse and charge nurse on a medical-surgical unit at a busy urban hospital. In the nearly 6 years I’ve worked on this unit, I’ve had many educational and training opportunities. One of my ...
Crime doesn't pay
Conspiracy, money laundering, drug possession, racketeering, kickbacks—these aren’t part of a gangster movie plot. They’re the underpinnings of the biggest rip-off of the U.S. healthcare system. Fraud...
Investigating nurses' dressing change techniques
With the growing incidence of microbial antibiotic resistance, preventing hospital-acquired (nosocomial) infections is more important than ever. Despite general expert opinion, primary research doesn&...
Ethics and the quality of care
Heaven knows the federal government, ably abetted by various organizations, publications, societies and the like is doing its best to improve healthcare quality through value-based purchasing, Hospita...
From our readers…A case study of implementing an injury prevention program
By: Mary Thomas Scott, RN, BC; Antonia Maria Clark, RN, MSN, BC; Mary Agnes Andreano, RN, MSN, CHPN, CCRC; Emily Ann Cooper, RN, BSN; Linda Ivey, RN; and Cynthia McArthur-Kearney, RN, MSN, NE-BC
Th...
Introducing the quantum patient
As a young visiting nurse working in Cincinnati, I was asked to go to the home of a woman who was “not compliant.” This woman, who had a history of high blood pressure and blood clots, was pregnan...
Environment, health and safety
ANA has been very concerned with and involved in the issue of ergonomic hazards as a health and safety concern in the workplace. Musculoskeletal injuries resulting from patient handling are responsibl...
A Year of Gifts
What’s on your holiday wish list? You may be caught up in the spirit of giving, or exhausted by the commercialization of the season. Wrapped in the activities of our daily professional lives is our wi...
Post-intensive care syndrome: What it is and how to help prevent it
My family and I have needed counseling for psychological trauma stemming from my ICU experience. It wasn't the car accident itself (which I don't remember) that caused my post-intensive care syndrome ...
Study in Health Affairs states surgical checklists save money
A study published in Health Affairs reports that use of the World Health Organization’s surgical safety checklist save hospital money because they prevent health care complications. “In a hospital wit...