ANA Insights

‘Tis the season…to immunize

For many nurses, August is a whirlwind of back-to-school activity. And it’s not just the crunch of shopping for school…
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#WeAreFirstline

ANA joins CDC’s new infection control training collaborative  Healthcare professionals agree that infection prevention and control measures, when implemented correctly…
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10 tips to boost employee engagement

Employee engagement begins with an organization’s leaders… Management expert Ken Blanchard once said, “What motivates people is what motivates people” meaning that each person is motivated in his or her own way and by his or her own unique aspirations and preferences.

nurses

125 years of progress

ANA’s track record shapes its pandemic response.  “We have been so busy that we don’t know where we are at.…
20 million strong

20 million strong

Nurses and midwives create a healthier world. No matter what continent we call home, the experience is the same—nurses and…

2008 state legislative wrap-up

Legislatively, 2008 was a good year for nursing. In many states, safe nurse staffing laws, mandatory overtime restrictions, and safe patient-handling legislation got the thumbs-up.

2009 H1N1 Flu – Situation Update

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators…
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2019 Magnet® Application Manual raises the bar for nursing excellence

In October 2017, the American Nurses Credentialing Center’s Magnet Recognition Program® released the 2019 Magnet® Application Manual, the 12th application manual in the 27-year history of the program. It builds upon the foundation of seminal research conducted in the early 1980s that led to the creation of the program, but it also incorporates contemporary standards that address challenges faced globally by healthcare organizations today.

2020 ANA Innovation Award winners update

Making strides forward during a challenging year    The American Nurses Association (ANA) Innovation Awards, powered by BD, highlight, recognize, and…

4 million reasons

Let’s celebrate and promote workforce diversity. This content is for Digital Access and Print Plus subscribers only. Log In Register

5 steps to interim manager success

Turn a challenge into an opportunity. Takeaways: The interim nurse manager role can be extremely complex and challenging but is…
Workshop sessions

A case study of a managers’ workshop

To apply for Magnet® recognition, a healthcare organization must describe and demonstrate how its nursing leaders promote and develop nursing…

A conversation with Patricia Flatley Brennan

Patricia Flatley Brennan, PhD, RN, FAAN, is the director of the National Library of Medicine (NLM), the world’s largest biomedical library and the producer…

A conversation with Rep. Lois Capps

Over the past several months, I’ve written extensively about the importance of nurses increasing their political advocacy to protect health care…
aging

A growing population

As the number of people over 65 years old continues to grow in the United States, so too is a…
ANA

A journey of healing

Statement acknowledges harms to nurses of color, outlines actions for change. Editor’s note: This is an early release of an…

A kinder, gentler workplace

According to an analysis in the May 2016 issue of BMJ, medical errors in U.S. healthcare facilities are incredibly common and are…

A quantum life

Quantum theory explains how you create your life through what you choose to think, then intend and, ultimately, do.

ethics

A question of conscience

To: Ethics Advisory Board    From: Concerned RN Subject: Refusal to participate Two nurses on my unit have submitted written…
innovation

A veteran and an entrepreneur

Brian Mohika took setbacks in stride and found success.  United States Air Force veteran Brian Mohika, BSN, RN, has advocated…
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A viral collision

Reinforce vital practices to keep each other safe. The COVID-19 pandemic is on a collision course with the cold and…
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A whack on the side of the head

The last iteration of repealing and replacing Obamacare has gone down in failure because of Republicans appalled by cost and Democrats obsessed with numbers of Americans without access. I think repeal and replace keeps coming up because the narrative never changes. What Congress needs is a new way of thinking—a whack on the side of the head.

A Year of Gifts

Our editor-in-chief reviews important accomplishments in the past year and presents a nursing "wish list".

Accommodating and building bridges

Rose Constantino is inducted into the ANA Hall of Fame. In her 57-year career, Rose Constantino, PhD, JD, RN, FAAN,…
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Adapting a professional practice model

Follow these steps to ensure nurse engagement and interprofessional collaboration. Takeaways: Creating a PPM is required for ANCC Magnet® designated…
Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN President, American Nurses Association

Addressing the opioid epidemic

Funding and access to care are crucial to solving substance use disorders. The word crisis can be defined in several…
shared governance

Advancing shared governance during a pandemic

A collaborative initiative yields positive outcomes despite challenging circumstances. Takeaways: Shared governance is a framework that empowers collaborative decision-making and…

Adventures in virtual meetings

Tired of unproductive staff meetings held at inconvenient times? Had it  up to here with being interrupted when trying to express your opinion? Maybe it’s time to explore alternatives to the traditional in-person meeting. One hospital unit did just that, and their online meeting forum helped them create new protocols in record time.

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Advice for millennial nurses

How do you become a great leader in a multigenerational workplace? Takeaways: Millennials who strive to be leaders must embrace…
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Advocacy agenda

Collective action reaps rewards in public policy.  Ernest J. Grant Advocacy—the process of influencing public policy—occurs at all levels of…

Advocacy matters

Concerted efforts yield wins on nursing priorities.  In an era of political rancor, an important piece of legislation involving nursing…
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Advocating for nurses on boards

As part of its ongoing initiative sponsored by the Rita & Alex Hillman Foundation to recognize nurses in board leadership roles, the American Nurses Foundation interviewed Cole Edmonson, DNP, RN, FACHE, NEA-BC, FAAN. Edmonson is the chief nursing officer (CNO) at Texas Health Presbyterian Hospital Dallas, a three-time designated Magnet® hospital.

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Affirmation of focused practice competencies

In August 2017, the American Nurses Association (ANA) Board of Directors approved the inclusion of an additional component to ANA’s newly revised recognition of a nursing specialty, approval of a specialty’s scope of practice statement, and acknowledgment of standards of a specialty practice program. The new component, affirmation of focused practice competencies, provides a formal review process for identifying the specific knowledge, skills, abilities,accountability, and judgment deemed important for professional practice success, interprofessional collaborative practice and team success, and achievement of defined outcomes.

Workplace

Afraid at work

Sometimes certain people have personality problems — and anger problems. If that person happens to be in a position of…
Home Equity

Agendas for change

Nursing’s path for growth, diversity, and health equity. Even as nurses worldwide confront one of the gravest crises in modern…

Aligning values and board service

As part of its initiative sponsored by the Rita & Alex Hillman Foundation to recognize nurses in board leadership roles, the…

All for one, and one for all

Let’s validate and value the contributions of foreign-educated nurses who come to this country seeking opportunities to practice.

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Amazing you!

Celebrate yourself…you deserve it! By Leah Curtin, RN, ScD(h), FAAN Things are so different today. I remember being thoroughly and…

An ethical approach

Guidance for navigating complex healthcare dilemmas. From the joyous celebrations at the sound of a newborn’s first cries to the…

An invitation to error

What happens when you’re short staffed and there isn’t anyone to help?

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An ounce of prevention

Engage in practical training through Project Firstline.  A lifetime of working with patients with serious burn injuries truly ingrained in…

ANA comments on ACOs

In the political realm, there is intense debate on how to cut costs in the Medicare program without sacrificing services…
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ANA launches Healthy Nurse program

Registered nurses educate patients and the public on good health and wellness practices. But many times, nurses themselves are unable…
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ANA pays it forward

I am an organizational junkie with no apologies. As many of you know, I started my political activism in nursing…

ANA supports Tavenner to head CMS

The American Nurses Association (ANA) commends the White House for its recent decision to nominate Marilyn Tavenner, MHA, BSN, RN,…

ANA urges nurses to volunteer before disaster strikes

In the aftermath of the Haiti earthquake on Jan. 12, many nurses felt the urgent need to jump on a plane and hit the ground in Haiti to help treat and comfort the survivors, but were not sure how to go about it.

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ANA’s 125th anniversary

Building on our history and recognizing nurses When I first began serving as president of the American Nurses Association (ANA),…

Anatomy lesson 101

ANA’s National Center for Nursing Quality promotes nursing quality and patient safety while helping nurses advocate for themselves.

Antimicrobial stewardship and you

The World Health Organization estimates that by 2050, antimicrobial resistance (AMR) will cause as many as 10 million deaths globally. Not only does AMR lead to increased…
aromatherapy

Aromatherapy: Essential oils and nursing

Explore this option for enhancing well-being Takeaways: Aromatherapy is a growing holistic therapeutic option, but is not typically taught in…
AI

Artificial intelligence in nursing

Practical implementation in clinical settings. Editor’s note: This is an early release of a web exclusive article for the January…

Asking difficult questions

Inclusive nursing assessment in a new era of healthcare Takeaways: Collecting information about race, ethnicity, sexual orientation, and gender identity…

Attaining Magnet status

The authors explain the program that has brought Magnet success to seven hospitals – so far.

Attitude: The power of human energy

Our thoughts, feelings, and disposition influence other people, not just because people see and read our facial expressions or body language, but because thoughts themselves are energy.

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Avoiding career derailers

By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Accepting the gift of feedback can lead to transformative change. Key Takeaways…
Avoiding flu complacency   

Avoiding flu complacency

Vaccination coverage is key to managing outbreaks.     As of June 17, the Centers for Disease Control and Prevention (CDC) estimated…

AWHONN releases new staffing guidelines

The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) recently announced that it has published new perinatal nurse staffing…
Battling burnout and languishing 

Battling burnout and languishing

Brief evidence-based tactics that work Even before COVID-19, rates of burnout, depression, stress, and anxiety in nurses, and other healthcare…
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Benefits of feedback for nurse leaders

Viewing feedback as a gift enhances career growth. Takeaways: Without feedback, beginning nurse leaders’ careers can be derailed Constructive feedback…
Predatory journals

Beware of predatory journals

Choosing best evidence requires watching for these red flags.   Takeaways: Predatory journals (reading them, citing them in your writing, or…
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Beyond a box of chocolates

Often, patients and families express their gratitude for a special nurse’s outstanding care with spoken thanks or heartfelt commendations written…
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Beyond a box of chocolates

Often, patients and families express their gratitude for a special nurse’s outstanding care with spoken thanks or heartfelt commendations written…

Beyond customer service

Many nurses don’t like to hear their patients called “customers” or be told to provide “customer service.” This expert explains how to lose the lingo and adapt the principles of customer service to patient care.

Bisphenol A update

Found in products we use every day, bisphenol A can have dangerous effects. ANA continues to advocate the chemical banned.

Blood-borne pathogen exposure injuries

Healthcare workers are exposed to blood-borne pathogens through contaminated needlesticks, sharps injuries, and mucous membrane exposures to infectious blood or…
influence

Boosting your influence

Jessie was excited to be appointed as chair of the professional practice council in her hospital. She envisioned being able…

Brick by brick

Building a foundation for a stronger healthcare system Early in her career, Betty Rambur, PhD, RN, FAAN, grew concerned about…

Brighter days ahead

Marking one year of the pandemic and nurses’ response We generally think of anniversaries as causes for celebration, as is…

Bring on the heat!

Unit nurses take a creative approach to solving a clinical practice problem.

Brought to you by NDNQI: Data that do good

Thanks to the National Database of Nursing Quality Indicators, hospitals and nurses are capturing and converting into data what nurses actually do and how their actions affect patient care.

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BSN in ten

Nurse leaders nationwide promote measure to benefit patient care and RNs’ careers. To garner support for a measure that promotes…

Building collaboration between CNOs and direct-care nurses

Collaboration hinges on mutual trust and respect. To nurture these attributes, the chief nursing officer must appreciate others’ contributions, use the skillsets of nurses at different knowledge levels, and involve staff in shared governance.

Building trust in your leadership

Steve recently accepted an emergency department (ED) director position in a busy safety-net hospital. He knew the role would be challenging; the…
building resiliency

Building your resiliency

With perspective and a few tools, turn failure to your benefit. Takeaways:  Failure to achieve a goal can lead to…

Calculating and interpreting the odds ratio

Researchers use the odds ratio to analyze which of two groups of individuals
is more likely to have an adverse outcome. Find out how to calculate the
odds ratio and interpret its significance

called to serve

Called to serve

RN elected to Florida legislature shares her insights. WHEN she saw an open seat in the Florida House of Representatives,…
fire patient

Can you fire a patient?

The answer may surprise you. WHAT can you do with a patient who won’t comply with any of your directives?…

Care during crisis

ANA brings nurses, experts together to shape practice policy during disasters

Care without gaps

ANA, nurses nationwide work to improve transitions in care Mary Maryland, PhD, APRN,BC, ANP, has had to rely on good…

Care, not chaos

A new document created by ANA and other groups delineates emergency care principles for psychiatric patients.

Carrots and sticks

The Stick—penalties for excess readmissions Is your hospital on the list? Starting this month, over 2,200 hospitals are forfeiting up…

Case study: Coerced consent

“Coercion is commonly said to invalidate consent, and that is always true if the source of the coercion is the physician.

Case Study: How much is enough?

Three-year-old Christy* has been in the hospital’s pediatric intensive care unit (PICU) since birth, when she was diagnosed with McCune-Albright…
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Catching up to stay ahead

Getting back on track with routinely recommended vaccinations The COVID-19 pandemic has resulted in dramatic declines in adolescent vaccinations, which…

Celebrate National Nurses Week

ANA has selected “Nurses: Caring Today for a Healthier Tomorrow” as this year’s theme for National Nurses Week

Celebrating nurse innovators

Nurses’ creativity showcased at the ANA Quality and Innovation Conference in Orlando. THE American Nurses Association (ANA) continued its commitment…
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Change for the better

ANA liaison to the ACIP has a lifelong commitment to public health.  Chad Rittle, DNP, MPH, RN, FAAOHN, associate professor…
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Change maker

Dori Healey is passionate about patient safety, public service, and volunteering. President-elect for American Nurses Association (ANA)-Idaho, Dori Healey, MSN-RN,…
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Changing injury trends related to diabetes and insulin injection

This article is the first in a two-part series brought to you in partnership with the International Safety Center.

In the United States, the Centers for Disease Control and Prevention estimates that more than 30 million people live with diagnosed or undiagnosed diabetes, and the American Diabetes Association estimates that 1.5 million Americans are newly diagnosed with diabetes every year.

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Chaplains as connectors

Promoting spiritual care in the wellness continuum. Takeaways: Many assume that the chaplain’s work is limited to religion. However, their…

Chemical soup

ANA and state associations work to protect nurses and the environment from chemicals.

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Cherish the differences

You’ve probably heard of groupthink—the psychological phenomenon that arises in a group, where the desire for conformity or harmony leads…

Choosing your political battles

Mary*, a new manager in the operating room, prides herself on being a strong advocate for her staff, quickly acting…

Claiming our rights

The pandemic has cast a spotlight on human rights. According to CNN, the night-shift emergency department (ED) nurses at a…
Climate Courage

Climate courage

Act now to protect the global population.  I’ve always accepted the science of global warming, but I stayed on the…

Coaching Communication: Tips for nurse managers

One key element of performance management is coaching staff to improve behavior. In this section on coaching communication, I will share ideas for how you as a manager can coach employees via your day-to-day conversations.

Combatting stress

Nurses know stress—it seems like a defining characteristic of the profession. In a recent ANA Health Risk Appraisal survey of…

Communication for coordination

Key takeways – Communication across the continuum of care is more than “just read my notes.” – Consistent communication is…

Compassion holds everything together

Despite our physical separation from each other, we’re still all connected and react to what happens to each other. Compassion is the unifying force that holds it all together.

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Compassion: A nurse’s primary virtue

Strengthening compassion may help you avoid burnout. Nurses, we’re told, are fundamentally compassionate people. In fact, nurse burnout could be…
compassionate connections

Compassionate Connections

Improve outcomes, promote trust, and keep patients safe. Takeaways: Creating meaningful, compassionate connections with patients can improve outcomes, promote trust,…
COVID-19 syndemic

Considering the COVID-19 syndemic

To: Ethics Advisory Board     From: An alarmed nurse Subject: Nursing’s responses to pandemic-fueled inequities I’m troubled that the COVID-19 pandemic…
COVID-19 and palliative care

COVID-19 and palliative care

Primary care symptom management can enhance quality of life and prevent hospitalization.  Takeaways: Early identification and reporting of symptomatic COVID-19…
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COVID-19 exposed our deficiencies

The U.S. healthcare system needs adequate reserve capacity to address future pandemics. The current U.S. healthcare delivery system doesn’t have…

Create a great work culture

For a successful leader, establishing the right environment isn’t part of the job. It is the job.

Creating a smooth move for patients and staff

When Missouri Baptist Medical Center had to relocate nearly 200 patients in a single day, staff and leaders knew collaboration and planning would be key. Here’s how they did it.

Moral space

Creating moral space for nurses

Some years ago, I was caring for a 67-year-old wom­an dying of leukemia who had received an experimental chemotherapeutic agent…

Crime doesn’t pay

Fraud and abuse account for up to 10% of U.S. healthcare expenditures.
What should you do if you suspect potential healthcare fraud or abuse?

data science for nurses

Data science for nurses

Learn how to apply this skill to nursing projects.  Takeaways: Using data science methods and techniques has the potential to…

Dealing with difficult people

Jackie Jacobs is a charge nurse in a busy intensive care unit. She prides herself on being able to get…

Dear Members of Congress

In an open letter to Congress, Dr. Cipriano urges legislators to leverage nurses’ knowledge, skills, and abilities to help bring order to a chaotic healthcare system.

Déjà vu all over again

Some people simply can’t learn from the past—even the fairly recent and painful past.

Delegating without doubts

With this decision tree as your guide, you’ll delegate tasks to assistive personnel with confidence.

Developing a leadership legacy

Leadership means different things to different people. For example, it might be a position of authority or perceived power. It might be a role…

Developing shared governance leaders

To obtain Magnet® recognition, hospitals must have structures and processes in place that ensure nurses participate in shared decision making.…

Differences among physicians, risk managers in admitting errors

Differences in attitudes among physicians and risk managers about revealing medical errors to patients may diminish the effectiveness of such disclosures, according to a new study published in the March 2010 issue of The Joint Commission Journal on Quality and Patient Safety.

Digital dashboards and staffing

Many healthcare organizations use digital “dashboards” to provide employees with real-time data collected from various sources, helping to guide decisions and improve the quality of care. Increasingly, dashboards also are being used to support effective staffing decisions.

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Discovering your true north

Rediscover your authentic self and regain your moral compass. By Rose O. Sherman, EdD, RN, NEA-BC, FAAN, and Tanya M. Cohn,…
Diversity

Diversity, equity, and inclusion

Elevate clinician voices through an interprofessional core council. Takeaways: Diversity, equity, and inclusion (DEI) efforts strive to improve healthcare for…
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Do the right thing

“Doing the right thing is not easy, but it needs to be done,” observed Captain Jacqlyn Sanchez, RNCOB, as she recalled a difficult time in her career with the U.S. Air Force. “My decisions were not popular at that time,” she said, “and I felt defeated and powerless.” Fortunately, a close friend and fellow nurse, Major (Ret.) Dana Albalate, gave Sanchez the motivation she needed to make those hard decisions and move forward. “She told me, ‘Just be yourself,’” Sanchez explained. “‘Your work will speak for itself.’”

Do you know the schedule for vaccinating children?

Learn how to promote pediatric immunizations in your practice. Part of ANA’s Bringing Immunity to Every Community campaign. this handout stresses the importance of vaccinating children and their caregivers, parents, and siblings.

Do you know which vaccines are recommended for special populations?

Pregnant and postpartum women, immunocompromised
children, and persons at high risk for flu-related complications have special immunization needs. Part of ANA’s Bringing
Immunity to Every Community campaign, this handout
explains how to help ensure that these vulnerable populations are protected.

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Do you remember when?

It’s time for new nursing graduates to join your work environment. Will you be a supportive colleague of their entry…
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Do you want to be a preceptor?

PRECEPTORS MAKE ALL the difference. Without the right preceptor, the transition from classroom to patient’s room can be difficult, but…

Doing the most good

The Patient Protection and Affordable Care Act of 2010 provides many benefits.

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Don’t say “no” to yourself

Anne Manton is inducted into the ANA Hall of Fame.  Anne Manton, PhD, RN, FAEN, FAAN, has made contributions to…
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Driving staffing solutions

Stakeholders join forces to address the nursing shortage.     The COVID-19 pandemic response has magnified long-standing nurse staffing deficits burdening the…

During an emergency: Be safe!

Thousands of accidental chemical spills and leaks take place in this country each year. Providing nurses with adequate first-receiver training can help ensure that we can care for contaminated patients without endangering ourselves.

Editorial

To achieve higher quality of care and help transform our healthcare system, we need to don our customized tool belts, get to work, and be willing to abandon the outdated methods of the past.

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Effective advocacy

Katie Boston-Leary wants nurses to shape the future. Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, is director of nursing programs…
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Effective transitions

ANA, nurse leaders support RN residency programs. Although most new nurses are excited when they finally begin their careers, their…
emerging trends nursing

Emerging trends in nursing

RNs embrace roles beyond the bedside. Seun Ross, DNP, MSN, CRNP-F, NP-C, NEA-BC, is the director of Nursing Practice and Work…
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End workplace violence

Charting a path to zero tolerance April 16, 2021, marked a key milestone in the journey to end workplace violence…

Ending stigma

From your ANA President: Mental health support is vital for nurses to thrive. If a flood or fire were to…
Ending the crisis

Ending the crisis

Think Tank proposes short-term actions for improved staffing.  To call the nurse staffing shortage a crisis in no way exaggerates…

Ending the cycle

Nurses nationwide work to eliminate partner violence.