Home 2009


110th Congress wrap up

The 110th Congress adjourns with a mixed record on healthcare.

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.

2008: The year of pro-nurse advocates

To help elect pro-nursing candidates, volunteer for campaign work and urge everyone you know to vote.

A nurse’s inappropriate language—an ethical issue

To: Ethics Advisory Board From: Concerned nurse manager Subject: A nurse’s behavior frightens a patient LR is a new graduate RN with 1 year of...

A question of conscience

To: Ethics Advisory Board    From: Concerned RN Subject: Refusal to participate Two nurses on my unit have submitted written notification stating that they would no longer...

A Year of Gifts

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

Advocacy: A modest proposal

Nurses are with patients during some of the most important moments in their lives.
Emergency cardiac drugs: Essential facts for med-surg nurses

Advocating for patients in an era of drug-delivery problems

Learn what steps you can take to help patients avoid drug contamination and cope with drug shortages.

An invitation to error

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

ANA endorses Hillary Clinton for President

This has certainly been an interesting and exciting presidential election year. I hope many of you have been tuned in and by now have...

ANA endorses Kid Safe Chemicals Act

Acting on a directive from the 2006 House of Delegates, ANA has endorsed the Kid Safe Chemicals Act. The bill would ensure for the...

ANA President Attends White House Meeting

Karen Daley, PhD, MPH, RN, FAAN, newly elected president of the American Nurses Association (ANA), attended a meeting at the White House in recognition...

ANA Revises Two of Its Foundational Nursing Publications

In its role as the professional organization for all 3.1 - 3.6 million registered nurses in the United States, ANA is the author and...

ANA urges Congress to invest in domestic nursing education, not immigration

ANA urges Congress to invest in domestic nursing education, not immigration As the nursing shortage continues to weigh on hospital administrators and patient care, the...

ANA urges Congress to invest in nursing workforce development. ANA endorses the Nursing School...

ANA has launched a campaign aimed at increasing federal funding for nursing recruitment and education by $50 million. If successful, this campaign would result...

Avoiding copyright violations in educational presentations

What you don’t know about copyright can get you into legal jeopardy.

Before blowing the whistle, learn to protect yourself

Don't let fear of reprisal stop you from reporting serious misconduct.
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 to a nursing supervisor....
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 to a nursing supervisor....

Building the case for chemical policy reform

Over the past three decades, we have become increasingly aware of the impact that our environment, and chemical exposures in particular, has on our...

C-suite executives believe ACA will improve health care

A survey of 74 C-suite executives published in Health Affairs finds they are optimistic about the effects of the Affordable Care Act (ACA). The...

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...

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 to 1% of their base...

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 syndrome and multiple other...
public health issues chief nurse romano career government

Chief nurse officer takes on full range of public health issues

Rear Admiral Carol A. Romano, PhD, RN, FAAN, is the Assistant Surgeon General and Chief Nurse Officer for the United States Public Health Service...

CMA lobbyists discuss hot topics in the states

In 2009, patient safety, health care, safe staffing, and nursing advancement will top ANA's list of legislative priorities.

CMS awards funding for APRN training

On July 30, the Centers for Medicare & Medicaid Services (CMS) announced the participants for a new initiative that provides funds to support clinical...

CMS broadens ‘medical staff’ concept to include APRNs

The Centers for Medicare & Medicaid Services (CMS) has broadened the concept of "medical staff" so that hospitals can include other practitioners such as...

Congress considers mental health parity legislation

Legislation under consideration in the U.S. House and Senate would require group health insurers to cover mental health care at the same level as...

Congress passes National Alzheimer’s Project Act

Congress has passed the National Alzheimer’s Project Act, which as of Dec. 15 was ready to be signed by President Obama. The Act establishes...
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 has not only exposed...

Creating a Magnet® culture using the ANA Code of Ethics

One hospital’s Magnet workgroup used a Code of Ethics program to transform nursing practice.

Creating ethical environments in nursing

To uphold workplace ethics, leaders must send the message that unethical behavior is never acceptable, no matter who's demonstarting it.

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.

Defending yourself through documentation

Complete, objective, and accurate documentation of the care you provide can help you avert or defend against lawsuits.

Documentation: You’ve got a lot to lose

According to the Centers for Medicare & Medicaid Services, fraud is “the intentional deception or misrepresentation made by a person with the knowledge that...

Doing the most good

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

Drug errors harm 1.5 million people each year, report finds

In a new report, the Institute of Medicine concludes that at least 25% of harmful adverse drug events are preventable, and recommends specific preventive actions for nurses and other healthcare workers.


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.

Election Day 2006: It’s nurses’ time to be heard!

Make your voice heard on election day.

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.

Environment, health & safety

Read about the new guide to choosing safer products and chemicals.
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 keep hearing about different levels of care....

Ethics and the quality of care

Leah Curtin discusses the issue of quality care from an ethical perspective.

Ethics case study: ‘Just watch them die…’

According to the Associated Press, a Brookdale Senior Residence facility* worker who identified herself as a nurse, refused to administer cardiopulmonary resuscitation (CPR) to...

Ethics case study: Poor staffing results in brain-damaged patient

Author Leah Curtin discusses the ethical issue of short staffing.

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...

Ethics for nurses in everyday practice: How stupid can you get?

Staffing is an issue at this 150-bed proprietary acute-care hospital. More than 100 of the hospital’s nurses, led by Mary Sims*, RN, signed a...

Ethics for nurses in everyday practice: Insubordination in the ICU?

What happens when there is no room in the ICU for an ED patient?

Ethics in a pandemic

Decision-making during a healthcare crisis. In a severe pandemic of an infectious disease, healthcare organizations will face a surge in demand for care to large...

Ethics is not punitive

Leah Curtin writes about finding your passion.

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 unit who was arrested and injured during...

Ethics, relatively speaking

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

Faith, community, and health: Partnerships with good neighbors

Our editor-in-chief turns a spotlight on faith and community partnerships.

FDA looks to improve medical device review process

The U.S. Food and Drug Administration plans to implement changes in 2011 designed to improve review of medical devices. Read more at http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm240418.htm.

FDA marks 50 years of Kefauver-Harris amendment

This year the U.S. Food and Drug Administration (FDA) is marking the anniversary of the Kefauver-Harris amendment, passed 50 years ago. The legislation gave...

Federal legislative agenda

Promoting the critical role nurses play in the health of patients and the nation, as well as guaranteeing a strong nursing workforce into the...

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 that charge nurse position...

For once, ethics and the ‘bottom line’ agree

Author Leah Curtin discusses the dangers of bottom-line thinking.

Form of cinnamon used in U.S. contains higher concentrations of coumarin

A study in Journal of Agricultural and Food Chemistry has found that cassia cinnamon, commonly used in products sold the U.S., contains higher concentrations...
activism nurse political

From apathy to political activism

When someone mentions the words politics and nursing in the same sentence, do you roll your eyes? Do you think to yourself or ask...
advocate advocacy speak out hands black white

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...

From Your ANA President

ANA plans to grow stronger by staying ahead of the curve.

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.

Genetic counseling, abortion, sex-selection, and autonomy

Author Leah Curtin discusses the implications of genetic testing for sex determination

Genetic counseling, abortion, sex-selection, and autonomy—a response to readers’ comments

Author Leah Curtin responds to readers' comments on one of her recent articles.

Genetic Information Nondiscrimination Act signed into law

The federal government bans genetic job discrimination; ANA backs the Kid Safe Chemicals Act.

Genetics and ethics in health care and nursing

Review these excerpts from  anew book on genetics and ethics in health and nursing.

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

ANA’s legislative agenda introduced in the 113th Congress

Headlines from the Hill

Election results: A “demographic time bomb”

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

The RN Safe Staffing Act and what it means for you

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.

Headlines from the Hill

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

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 cosponsoring bills to advance...

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.

Healthcare reform: Resolve to increase your knowledge in 2014

Find out how the Affordable Care Act is reforming health care and how it could affect your practice.

Healthy and wise

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

HHS releases modifications to HIPAA privacy, security, enforcement, and breach notification rule

On Jan. 17, the Department of Health and Human Services (HHS) released “Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules under...

Higher education bill creates new opportunities for nurses and schools

Higher education bill created new opportunities for nurses and schools; House joins Senate in supporting advanced practice registered nurses in home health.

How do we get into morally questionable situations?

Leah Curtin discusses the dangers of bottom-line thinking.

How the candidates want to change health care

Web exclusive! See what Senators McCain and Obama say they'll do to fix our broken healthcare system.

How to avoid the pitfalls of social media

You may face serious consequences if you use social media and other new technologies inappropriately.

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.

Incorporating nursing quality indicators in public reporting and value-based purchasing initiatives

Quality-improvement initiatives give short shrift to nursing- specific indicators. The authors discuss obstacles to incorporating such indicators and explore current initiatives to include them.

Is the Code of Ethics for Nurses a legal document?

To: Ethics Advisory Board    From: Concerned RN Subject: Unethical practice error   What if I make an inadvertent, unethical practice error? Is the Code of Ethics...

Issues up close

Enduring and evolving: Code of Ethics for Nurses

Issues up close

Care coordination: Nurses lead the way.

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.

Issues up close – Preparing for the worst is the key to surviving disasters

National Preparedness Month is a good time to learn about national disaster-preparedness.

Leapfrog Group says hospital safety improvements too slow

The Fall 2013 update to The Leapfrog Group Hospital Safety Score shows many hospitals are making headway in addressing errors, accidents, injuries, and infections...
legal nurse consultant law healthcare

Legal nurse consultant: A career at the crossroads of health care and the law

The jurors file into the courtroom, avoiding eye contact with the attorneys and spectators. I hold my breath. The plaintiff’s attorney straightens his tie;...

Letters to the Editor – November 2008

Easy and inexpensive   Thank you for Susan Fetzer’s excellent article, “Putting a stop to postop nausea and vomiting,” in the August  issue. One treatment that...

Managing our fears to improve patient safety

Leaders must develop a structured process for team learning and communication.

Many shades of grey

Leah Curtin discusses the effects of ambiguity.

Mary Naylor named to Medicare Payment Advisory Commission

Mary D. Naylor, PhD, RN, FAAN, of the University of Pennsylvania School of Nursing, has been appointed to the Medicare Payment Advisory Commission. MedPAC...

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 after hospital discharge common

A study in Annals of Internal Medicine found that half of patients hospitalized with acute coronary syndromes or acute decompensated heart failure had "clinically...
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 morphine. Read more about...

Michelle Obama, Mary Wakefield discuss Affordable Care Act

First Lady Michelle Obama and Mary Wakefield, PhD, RN, Administrator for the Health Resources and Services Administration held a conference call on Sept. 28...

NEJM interviews HHS Secretary on healthcare reform

The New England Journal of Medicine features an interview about healthcare reform with Health and Human Services’ Secretary Kathleen Sebelius. Read more at http://www.nejm.org/doi/full/10.1056/NEJMp1014722.

NEJM: Public views on Medicare and the budget deficit

The July 13 issue of the New England Journal of Medicine includes an insightful review of public polling on Medicare and how public opinion...

New guidelines for treatment of malaria

The World Health Organization has released new guidelines for malaria treatment to counter the misuse of anti-malarial drugs. Access the guidelines at http://www.who.int/malaria/en/.

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.

Nurse Advocacy for chemicals policy reform gains exposure

Through resolutions, partnerships, and conferences, ANA's advocacy for chemicals
 policy reform is gaining wider exposure.

Nurse practitioners should be eligible to serve as “medical homes” for primary care

Nurse practitioners should be eligible to serve as “medical homes” for primary care By Eileen Shannon Carlson, JD, RN Congress is working to develop a comprehensive...

Nurse responsibility in advancing global health

To: Ethics Advisory Board From: Volunteer RN Subject: Global health outreach With the recent earthquake in Haiti and the devastation that country has experienced, I feel...

Nurse voices are needed now more than ever

Nurses can help retool our healthcare system by telling government leaders what they need to know.

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 to work longer hours and come in...

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 and play an integral...

Of artichokes and angry patients

How is an artichoke like an angry patient? What can you do to diffuse anger.

On the CUSP: How to implement a comprehensive unit-based safety program

This five-step program empowers staff to change unit culture and improve patient safety.

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, I find it incredibly important...

Patton attends ceremonies to celebrate opening of 110th congress. ANA wants YOU! Apply to...

ANA pledges to work with new leaders of the 110th Congress. ANA seeks Nurses for its political action leader (N-PAL) program.

Physician supports APRNs in Atlantic article

John Rowe, a physician who is professor in the department of health policy and management at the Columbia University Mailman School of Public Health,...

Preventing physician fatigue

Learn about new recommendations for reducing physician fatigue

Principles to live and work by: ANA Crafts document to guide RNs in environmental...

ANA issues principles delineating RN's rights and responsibilities toward improving environmental health.

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 unit. My manager doesn’t address the situation,...

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 brought to our emergency department (ED) from...
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.

Quality-improvement initiative: Classifying and documenting surgical wounds

Interprofessional collaboration promoted a successful initiative to improve wound classification.

Quantum ethics: Coming to grips with the dark side

Nurses have an ethical duty to address the web of relationships, expectations, and egocentrism that influences them.
patient, american nurse, nursing journal

Ready, set, go! How to return to the nursing workforce

Are you an RN who has been out of the workforce? Your talents, experience and expertise are needed in all healthcare settings. While technology...

Ready…Set…Go! My representatives are back home… What can I do?

During the August Congressional recess, many elected officials will be available in their district offices. This is a great opportunity for nurses to meet with them and perhaps make an impact on legislation involving nursing issues.

Research ethics: What nurses need to know

To: Ethics Advisory Board    From: Conscientious RN Subject: Patient care during research  I’ve been asked to care for patients who are participating in a research study....

Science: A universal source of ethics?

“It really doesn’t matter whether you are Muslim or Christian or Jew. In every religion, in every country, in every region at every time,...

Searching for transparency at Guantanamo Bay

A tour of the detainee facilities at Guantanamo Bay, Cuba leaves key questions unanswered.

Social Security improvements results in longer life spans

A study published in the Journal of Public Health Policy found that Americans over the age of 65 experienced steep declines in the rate...

Standardized patient “hand off” reduces medical errors

Using the patient “hand off” tool I-PASS reduced medical errors by 40% according to a study at Boston Children’s Hospital. I-PASS stands for: I...

Study: Immigrants contribute more to Medicare than they take out

According to a study in Health Affairs, immigrants in the U.S. disproportionately subsidize the Medicare Trust Fund, probably as a result of the high...

Study: Medicaid expansion may reduce mortality

Expansion of Medicaid coverage may reduce mortality among adults, according to a study published in the New England Journal of Medicine. Read more.

Study: Nonsmokers benefit from smoking ban

A study presented at the European Society of Cardiology meeting on Aug. 26, found that introduction of smoking bans in Bremen, Germany, prevented one...

Study: Pay for performance doesn’t affect 30-day mortality

A study in The New England Journal of Medicine found that the hospital-based, pay-for-performance program Medicare Premier Hospital Quality Incentive Demonstration failed to reduce...

Study: Shortages of cancer drugs associated with medication errors and higher

A study in the American Journal of Health-System Pharmacy reports a survey of oncology pharmacists in the United States found that shortages of oncology...

Supporting our children’s access to quality health care and our nurses

A Congresswoman who's also a nurse describes her efforts to improve children's access to healthcare coverage.
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 human immunodeficiency virus (HIV) screening...

Take Note – May 2009

A monthly round-up of clinical and practice news and alerts.
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 eight conditions stemming from preventable...

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 surveyed worldwide by the International...

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 when gas prices are going...

Tending to all their needs: Advance care planning for pediatric patients

B is a 12 year old boy who suffers from cardiomyopathy following an acute viral illness. His condition is stable, but without a heart...

The ‘state’ of state health insurance exchanges

Learn how these exchanges will work.

The Babies Doe: Finding middle ground

The author explores ethical questions about caring for a baby with profound birth defects and offers a nursing answer.

The code is in my briefcase

Applying the ANA's Code of Ethics to everyday nursing practice

The ethical will: A loving legacy

An ethical will serves as a vehicle for distilling a lifetime of wisdom and relaying messages of hope and love.

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 most expensive one percent: A case study

What would you do? Let author Leah Curtin know after you read this case study.

The patient engagement imperative

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

The quality nexus: Office of the National Coordinator for Health Information Technology

In April, Farzad Mostashari, MD, ScM, became the fourth National Coordinator of Health Information Technology within the Office of the National Coordinator for Health...

To make health care better, I would…

To make health care better, I would... ...mandate every patient have a primary RN who knows the patient’s past health history, socioeconomic status, health risks,...

Update on Medicare Part D prescription drug program

Medicare's prescription drug program recuperates from its rocky debut; ANA endorses the Medicare Quality Enhancement Act.

Urge Congress to invest in nursing. Oppose the Healthcare Truth and Transparency Act.

The American Nurses Association (ANA) is seeking an increase of $25 million in FY 2007 funding for the Nursing Workforce Development programs administered by...

Viewpoint: Nurse’s refusal to force feed Gitmo prisoners triggers debate

Few Americans know that a U.S. Navy nurse may lose his 18-year career because he decided he could no longer in good conscience continue...

What price are you willing to pay?

Leah Curtin discusses the challenge of a moral problem.

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.
minors and informed consent

What you must know about minors and informed consent

Our expert, Mable H. Smith, PhD, JD, RN explains the subtleties of informed consent when your patient is a minor.

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 freely reproduced and distributed, for...

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.

When does a nurse-patient relationship cross the line

When does a nurse-patient relationship cross the line?

Our legal expert, LaTonia Denise Wright, BSN, RN, JD, responds to a reader's question about professional boundaries and the legal and ethical ramifications of crossing them.
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.

When nurses speak up, they pay a price

Leah Curtin discusses the effects of whistleblowing on nurses’ lives

When patient privacy endangers staff

Examine the ethical and legal issues of patient privacy.

When something goes wrong: how to disclose an error

How should patients learn about an error?

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...

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Do Vitamins, Plants Help Uterine Fibroid Risk or Treatment?

A research team out of Poland recently undertook a comprehensive examination of published data to determine the role that vitamins and diet might play...