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Ethics for nurses in everyday practice
In recent years, most of the world’s people have celebrated their diversity: different races and languages, religions and cultures, and social mores. These differences are what make life infinitely in...
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 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...
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...
What price are you willing to pay?
Josey Roane* reports the following “ethical” problem: “In my acute care facility, dangerous understaffing has become the rule rather than the exception – and by understaffing I am talking about one re...
Issues up close Managing yourself
Learn to manage yourself before you try to lead anyone else. This was an important insight that 120 nurse managers in South Florida shared during interviews with our research team about leadership ski...
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 ...
Thinking it through: The path to reflective leadership
Reflective leadership is a way of approaching the work of being a leader by leading one’s life with presence and personal mastery. Learning to be present, to be aware and attentive to our experience w...
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...
Celebrating the art and science of nurisng
The day before undergoing lifesaving, high-risk surgery, a young woman sat with her fiancé by her side. The charge nurse, who learned that they wanted to tie the knot before the surgery, quietly ...
On the power of one
“The effect of one upright individual is incalculable.”
— Oscar Arias, Nobel Peace Laureate
During the dark days when Nazi death camps polluted Europe, there lived a small group of heroes who ha...
Ride to the top with a good elevator speech
The elevator door opens and you step in to find yourself face to face with the important person you’ve wanted to meet to discuss your promising idea. It’s the chance you wouldn’t want to miss. But tha...
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...
Too young to be a nurse leader?
Marla Johnson began her career on an oncology unit after graduating from a BSN program 4 years ago. She achieved certification and regularly takes charge on the night shift. She recently started a mas...
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...
A geriatric family-centered care model for hospitalized elders
Elders use healthcare services three times more often than any other age group, mainly because of their higher incidence of acute and chronic disease. Among elderly persons in the United States, 87% h...
Perfecting your acid-base balancing act
When it comes to acids and bases, the difference between life and death is balance. The body’s acid-base balance depends on some delicately balanced chemical reactions. The hydrogen ion (H+) aff...
Tripping over the welcome mat: Why new nurses don’t stay and what the evidence says we can do about it
In a recently conducted survey regarding newly graduated nurses’ readiness to practice in the hospital setting, only 10% of nurse executives believed that new graduate nurses (NGNs) were fully prepare...
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...
Quantifying the benefits of staff participation in shared governance
Structures, in the form of councils and committees, provide forums where nurses participate and engage in work.
Processes are the bylaws and policies that define
how the work and decisions will be...
Quantum leadership: Upside down
Organizations are surprisingly complex structures that function as living, nonlinear, dynamic systems. They illustrate quantum principles that don’t lend themselves to observable phenomena. But if the...
Stigma and misconceptions related to addictive disease
What do you know about addiction to opioids? If you are like many clinicians you might have trouble sorting out the facts, which can affect your ability to identify and care for a patient who is addic...
Whistleblowing Texas Style
Eeyore’s Gloomy Little Instruction Book contains this sage advice: “No matter how good your friends are, and no matter how right you are, they may not stand behind you in a work-related confrontation,...
From capstone project to published article
You've done your homework-years of it, as shown by your doctor of nursing practice (DNP) capstone project. You breathe a sigh of relief, but then quickly wonder if you should submit your work for publ...
Health, safety, & wellness
Many nurses have difficulty finding time to sit, eat, and recharge during a long shift—even with scheduled breaks. Therefore, napping during breaks probably seems unthinkable. Many hospitals even ha...