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...
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...
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...
Building a sense of community on nursing units
Jeff Rawson, a new nurse graduate, works on a behavioral health unit. His manager believes his transition is going well—until Jeff asks to transfer to another unit. When she talks with him about it, h...
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...
Health, safety, & wellness
Many nurses have difficulty finding time to sit, eat, and recharge during a long shift‚Äîeven with scheduled breaks. Therefore, napping during breaks probably seems unthinkable. Many hospitals even ha...
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...
Are Accountable Care Organizations doomed to fail?
The value of Accountable Care Organizations (ACOs) is a hot topic in health care today. The authors of a Wall Street Journal editorial argue that ACOs are likely to fail because they are based on flaw...
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...
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...
Why disruption can be a good thing
Seventy-two seconds into liftoff, a defective mechanical part set off a string of events that caused the Challenger space shuttle to tear apart as millions watched it vanish in the air. An investigati...
How to create “sticky” messages to influence others
Nursing has been ranked as the most trustworthy of all professions for the past decade, except for firefighters after 9/11. Being perceived as trustworthy may make us feel good, but it doesn’t galvani...
Are you confident about confidence intervals?
Note From the Editor: This is the fourth article in our "Spotlight on Statistics" series, which aims to clarify statistical practices used in research.
The term confidence interval (CI) can b...
The P value: What it really means
As nurses, we must administer nursing care based on the best available scientific evidence. But for many nurses, critical appraisal, the process used to determine the best available evidence, can seem...
An algorithm to help you manage your stress
Nurses face tremendous stress in their daily practice. Various environmental and personal factors can exacerbate or mitigate stress. High stress levels impair cognitive and psychomotor functioning, le...
Understanding core measures for heart-failure treatment
Heart failure (HF) occurs when the heart can’t pump enough oxygenated blood to perfuse body organs. This condition is the primary cause of more than 55,000 deaths each year in the United States. The m...
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 January 2013 article "Helping patients survive sepsis" mistakenly listed "respiratory rate slower than 20 breaths/minute" as one of the diagnostic criteria for systemi...
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...
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...
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Lean tools and concepts reduce waste, improve efficiency
A Magnet™ organization goes lean, with nurses playing a key role in the culture change.
Hospitals increasingly are implementing quality-improvement systems based on “lean” principles derived largely ...
Understanding correlation analysis
Note from the editor: This is the third article in our "Spotlight on Statistics" series, which aims to clarify statistical practices used in research articles.
As a nurse, you’re expected to ...