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Caring for older lesbian, gay, bisexual, and transgender adults
Current discussions on the unique health issues of lesbian, gay, bisexual, and transgender (LGBT) populations have prompted the healthcare professions to reexamine their mission and values. The Americ...
Issues up close
When embarking on a journey, it’s beneficial to begin with the end in mind. What does success look like? And then, what are the steps needed to get there?
To answer these questions and chart the ...
The practice of ethics
When staff nurses walk through the doors of their workplace, they step into a world of complex human interactions, science and technology, birth, death, and everything in between. And if those factors...
Consider a career in nursing informatics
Have you found yourself frustrated with your nursing career? The problem might not be your career, but rather your specialty. Consider whether a change in specialty would help you revitalize your care...
Building a compelling business case for nursing and quality indicators
In the past few years, several events have highlighted the value of the nursing profession in helping to achieve higher-quality, lower-cost patient care. For example, in 2011, the U.S. Department of H...
For once, ethics and the ‘bottom line’ agree
In a rare moment of cooperation, the American Hospital Association, the American Medical Association, and the American Nurses Association released a new report that found up to 766,000 healthcare and ...
Just culture promotes a partnership for patient safety
Editor's note: This is first in a series of articles exploring the human side of patient safety.
Historically, hospitals have operated under the assumption that health care involves the isolated work...
From our readers…Practical approaches to patient advocacy barriers
Nurses know that patient advocacy is an expected and important role for their practice, but the practical implications of acting as an advocate are often left for the nurse to interpret. These include...
Creating a Magnet® culture using the ANA Code of Ethics
Every day, nurses care for patients who are frightened, in pain, or facing life-changing
problems. Patients believe we will recognize and respond to their individual needs. According to
the annual G...
How to avoid the pitfalls of social media
As the Internet, social media, and other new technologies have advanced and made deep inroads into health care, new areas of potential liability have emerged. Inappropriate use of these technologies c...
The new normal
Many healthcare organizations are focusing on reducing costs to help them weather the coming months of shrinking budgets. Others are beginning to panic. For decades, hospitals have lived on a diet wit...
Nursing's ethical commitment to effective patient communication
As a nurse, you understand the need for effective patient communication. To provide ethical, high-quality care, you must be aware of and respond appropriately to your patient’s cultural beliefs,...
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...
Doing the right thing: Pathways to moral courage
Patient advocacy requires nurses to support and protect their patients. Nurses often find themselves in ethically questionable situations that conflict with their personal and professional morals. So...
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...
Creating ethical environments in nursing
A nurse fails to implement treatments for a patient, yet documents that she provided such care. Administrators pressure nursing faculty members to falsify student grades.A nursing leader urges a nurse...
Advancing adoption of the electronic health record
They say health care is local and personal. I can attest to that. I moved from the private healthcare sector in Milwaukee, Wisconsin to the public national setting of Washington, D.C. to work in the O...
A new surgical intervention for reflux treatment
LINX is a new surgical procedure developed to treat chronic gastroesophageal reflux disease (GERD). Originally developed and tested in the United Kingdom, LINX was approved in the United States by the...
Issues up close
There are a multitude of tools available to nurses that capture, analyze, and determine nurse staffing, whether to create a staffing plan or evaluate its effectiveness. Within that multitude, ANA’s Pr...
Taking a second look at stroke in women
Once considered primarily a man‚Äôs disease, stroke is now emerging as a major health risk for wo¬?men. In the United States, roughly 795,000 people have a stroke each year‚Äîabout 60,000 more women t...
Practical strategies to prevent surgical sharps injuries
Perioperative professionals are among the healthcare professionals at highest risk for sharps injuries—getting stuck by a suture needle or cut by a scalpel. About 30% of sharps injuries occur in surgi...
Interprofessional education promotes collaboration
In contemporary health care, interprofessional collaboration is a
marker of excellence. Evidence links effective collaborative practices
with the best patient outcomes, patient satisfaction, and sta...
Medical futility: A nurse's viewpoint
An unconscious, critically ill woman, age 82, hovers near death in the intensive care unit. The physician tells her family she has no chance of survival and continued interventions would be futile. Ye...
Nursing peer review: Principles and practice
To attain Magnet® recognition, an organization must have systematic peer-review practices.
To attain Magnet® recognition, an organization must establish formalized, systematic peer-review n...
Issues up close
Fans of car racing will attest to the importance of the pit crew in assuring the race car is at optimal performance. Each member of the crew has a specific task and works hard to assure she or he is t...