Legal / Ethics

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.

ethics

A question of conscience

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

A Year of Gifts

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

An invitation to error

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

thank you gift patient giving

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…
gift patient gratitude thanks acceptance

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…

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…
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…

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?

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.

Doing the most good

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

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transform our healthcare system, we need to don our customized tool belts, get to work, and be willing to abandon the outdated methods of the past.

Environement, health, and safety

Bullying is an abusive behavior that threatens the safety of healthcare workers. Nurses should examine their own interactions to see if they are exhibiting this undesirable behavior.

standards of care

Ethics and crisis standards of care

To: Ethics Advisory Board From: Contingently confused Subject: Conventional, contingency, and crisis standards of care Throughout the COVID-19 pandemic, I…

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…

Ethics of bedside arraignments

To: Ethics inbox  From: Concerned RN Subject: Bedside arraignments I am a medical-surgical nurse and admitted a patient to my…

Ethics, relatively speaking

To: Ethics inbox From: Puzzled nursing instructor Subject: “Putting away” your moral beliefs? Recently, a nursing student wrote this as…

Federal legislative agenda

Promoting the critical role nurses play in the health of patients and the nation, as well as guaranteeing a strong…

Finance: It’s not a dirty word

Your chief nursing officer stops you in the hall. To your surprise, she asks, “Jen, why don’t you apply for…

From Your ANA President

Nurses must step up and become a primary force in reshaping the
nation’s healthcare system.

From Your ANA President

The recently launched Initiative on the Future of Nursing seeks to address the challenges facing the nursing profession and to improve healthcare quality and delivery. It’s time for all nurses to get involved in the effort and become part of the change.

From Your ANA President

November 6, 2010 marks the 10th anniversary of the Needlestick Safety and Prevention Act. ANA’s new president reviews the progress made in reducing bloodborne pathogen exposures over the last decade.

From Your ANA President

As she ends her term as ANA President, Rebecca Patton urges nurses to demonstrate their leadership and help make the provisions of the new healthcare reform act a reality.

Headlines from the Hill

ANA supports the Medicare Patient Access and Quality Improvement Act, which would repeal the Medicare sustainable growth rate and reform Medicare Part B payment

Headlines from the Hill

Find out what has been accomplished during the 112th Congress and what healthcare professionals stand to lose if our country goes over the "fiscal cliff."

Headlines from the Hill

To mark the 2-year anniversary of the Affordable Care Act, ANA took part in a celebration recognizing the law’s patient protections.

Headlines from the Hill

By taking part in ANA’s Lobby Day, nurses can join forces to educate elected officials on the critical issues facing nursing today.

This content is for Digital Access and Print Plus subscribers only.

Headlines from the Hill

CMS has proposed major changes to the rule for Medical Conditions of Participation, which can significantly affect nursing practice.

This content is for Digital Access and Print Plus subscribers only.

Headlines from the Hill

The August legislation that raised the debt ceiling was the first round in the government spending debate. Safety-net programs may be on the Congressional chopping block in the future.

Headlines from the Hill

ANA recently cohosted a Senate Nursing Caucus briefing to present final results from the 2008 National Sample Survey of Registered Nurses, and participated in a healthcare reform conference call with Michelle Obama.

Headlines from the Hill

ANA CEO “stars” with actress Jessica Alba in the fight against toxic chemicals.

Headlines from the Hill

Congress has reintroduced the Home Health Care Planning Improvement
Act, which would allow APRNs to order home health
services under Medicare.

Headlines from the Hill

The Republicans now control the House of Representatives. No matter what policy objectives either party tries to enact, ANA will continue to ensure that the voice of nursing is heard in Congress.

Headlines from the Hill

ANA’s Lobby Day gave nurses the chance to meet congressional representatives and lobby in support of issues important to nursing.

Headlines from the Hill

By meeting in-person with their congressional representatives, nurses can garner support for the Home Health Care Planning Improvement Act, which would allow advanced practice nurses to order home health services under Medicare.

Headlines from the Hill

As one of three nurses in Congress, Representative Eddie Bernice Johnson (D-TX-30) has been a champion for nursing, introducing and…

Headlines from the Hill

ANA supports two Congressional bills that would improve patient safety and protect RNs from debilitating injuries caused by manual patient lifting/

Headlines from the Hill Dollars and…sense?

As Congress nears the "fiscal cliff" and the so-called
sequester with its across-the-board spending cuts, ANA will continue to advocate for funding of programs important to nurses.

Healthy and wise

A coalition of medical societies has joined together to put the brakes on healthcare overuse and excesses.

How to comment on government regulations

You can get directly involved in developing public health policy by submitting your comments on proposed government regulations to federal departments and agencies.

Issues up close

Enduring and evolving: Code of Ethics for Nurses

Issues up close

ANA has joined the Partnership for Patients to improve patient safety.

Issues up close

This article details how patients are affected by APRNs’ current inability
to order home health services.

Issues up close

ANA’s House of Delegates recently approved a resolution supporting health
care for all. The author examines the social, economic, and political ramifications of undocumented immigrants’ lack of access to health care.

Issues up close

Family nurse practitioner (FNP) and nurse-midwife Karen Holder, FNP-BC, CNM, MHS, sees patients at a large primary care clinic in Flagstaff, Arizona, as well as at small satellite units in remote communities sprinkled around northern Arizona.

Issues up close

Nurses in the Department, Veterans Administration, Federal Nurses Association (FedNA), and other groups are collaborating to make sue the healthcare needs of active-duty military personnel and veterans are met.

Medical futility: A nurse’s viewpoint

Caring for a medically futile patient can be a wrenching emotional experience. Learn how to cope with the complex medical, ethical, and legal issues and help patients and families make difficult decisions.

Medication errors Best Practices

Medication errors: Best Practices

A medication error can occur in any healthcare setting-with devastating consequences. The authors describe weaknesses in the key elements of medication use and propose ways to make drug therapy safer.

Medication name change proposed

The United States Pharmacopeia (USP) has proposed changing the name of hydromorphone to reduce medication errors caused by confusion with…

No peeking allowed

Electronic health records give healthcare providers faster, more efficient access to patient information. Experts hope to make the data less vulnerable to security breaches.

Nursing ethics for a gig economy

To: Ethics Advisory Board From: Overworked RN Subject: Freelance nursing I’m exhausted. My unit is always short staffed. I’m asked…

Nursing’s ethical commitment to effective patient communication

Nurses need more than solid technical skills to provide ethical care. A recent AMA Ethical Force Program report casts a spotlight on effective patient communication as an essential component of care. This article points out parallels between the AMA report and the ANA’s Code of Ethics.

Nursing's role in healthcare reform

Nursing’s role in healthcare reform

The 2010 healthcare reform act (Patient Protection and Affordable Care Act, or PPACA) gives nurses new opportunities to deliver care…

Our “knowing-doing” gap

Something as simple and low – tech as the checklist can help healthcare providers close the knowing – doing gap.

Our Readers Respond

How do we get into morally questionable situations? I love this article. As a current student in the nursing program,…

Problems with Privacy

Leah Curtin discusses how the Health Insurance Portability and Accountability Act (HIPAA) has been misinterpreted to the detriment of patients.

Promoting civility in the workplace

To: Ethics Inbox    From: An ANA member Subject: Bullying and incivility Bullying and incivility are rampant on my nursing…
protecting-privacy

Protecting privacy while supporting nurses

To: Ethics Advisory Board    From: Concerned emergency department clinical manager Subject: Patient/family privacy and nurses’ well-being   A patient was…
Protecting yourself from malpractice claims

Protecting yourself from malpractice claims

As nursing practice becomes more autonomous, nurses are becoming more vulnerable to lawsuits. Learn how to avoid being sued for malpractice and what to do if you are sued.

ibuprofen medication meds pills pill

Take Note – December 2006

CDC recommends HIV screening for everyone New recommendations from the Centers for Disease Control and Prevention (CDC) call for routine…
washing wash hands hygiene note

Take Note – October 2007

Medicare to stop reimbursing hospitals for eight preventable conditions Medicare will stop paying hospitals for the extra costs of treating…

Take Note – Sept/Oct 2009

Patients lose when nurse staffing is insufficient Heavy workloads and insufficient staffing affect patient care, according to about 2,000 nurses…

Taking it to the top

ANA and state associations promote health system reform The importance of health system reform can seem like a distant memory…

The evolving role of the forensic nurse

Even if they’re not portrayed on the TV shows "CSI" or "Law &
Order: SVU," forensic nurses are pivotal in real-life forensic cases.
Catch up on the dynamic, evolving specialty of forensic nursing.

The patient engagement imperative

Engaging patients is essential to ensure optimal reimbursement. Here are tips for engagement that leaders can apply in their organizations

What to do when you’re being investigated

Being under scrutiny can rattle even the toughest RN. Our legal expert, LaTonia Denise Wright, BSN, RN, JD, explains how to protect your rights if you’re caught up in a regulatory or law enforcement investigation.

What’s in a name?

What’s in a name? Editor’s note: The information below was provided by United States Pharmacopeial Convention (USP). It may be…

When closeness breeds cruelty: Helping victims of intimate partner violence

We may not realize it, but most nurses have frequent contact with domestic abuse victims. Shame and fear of reprisal keep many victims from reporting the problem. Caregivers’ discomfort with the topic or unfamiliarity with its signs and symptoms can lead to missed opportunities to identify and help victims.

Tripping over the welcome mat: Why new nurses don’t stay and what the evidence says we can do about it

When good people make hard choices…*

Leah Curtin discusses the difficulty of making choices in health care and includes a challenging situation she experienced as a student.

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…

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