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‘PAWSitive’ interventions ease ‘rrrf’ times in pediatrics

Daniel, a 5-year-old child with asthma, is anxious and doesn’t want to keep his oxygen mask on during his much-needed nebulizer treatment. Teary eyed,...

“Bundle” up to prevent pressure ulcers

Find out how to start a pressure ulcer prevention program on your unit or in your facility.

#EndNurseAbuse—Help is on the way

New resources to protect RNs from workplace violence THE American Nurses Association’s (ANA) Health Risk Appraisal in 2016 indicated that 25% of nurses had been...


ANA joins CDC’s new infection control training collaborative  Healthcare professionals agree that infection prevention and control measures, when implemented correctly and consistently, have the potential...

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. I work 10 hours per...
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 midwives are on the front...

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 in a report called...

2009 H1N1 Flu – Situation Update (01.04.10)

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called...

2009 H1N1 Flu – Situation Update (01.08.10)

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called...

2009 H1N1 Flu – Situation Update (02.02.2010)

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called...

2009 H1N1 Flu – Situation Update (11.09.09)

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called...

2009 H1N1 Flu – Situation Update (11.20.09)

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called...

2009 H1N1 Flu – Situation Update (12.04.09)

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called...

2009 H1N1 Flu – Situation Update (12.11.09)

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called...

2009 H1N1 Flu: Situation Update (10.14.09)

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called...

2009 H1N1 Flu: Situation Update (10.23.2009)

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called...

2009: H1N1 Flu: Situation Update (10.16.09)

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called...

2018 nursing trends and salary survey results

What are your colleagues saying about workplace violence, bullying, and job satisfaction? RNs, as a whole, are a satisfied group. We’re satisfied with the...

2019 ANA Innovation Award winners update

Nurse-led innovation continues to unfold. The American Nurses Association (ANA) Innovation Awards, powered by support from BD, highlight, recognize, and celebrate exemplary nurse-led innovation that...

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 celebrate exemplary nurse-led innovation that...

4 million reasons

Let’s celebrate and promote workforce diversity. AS WE COUNT DOWN to the start of National Nurses Week (NNW) on May 6, I’d like to share...

5 reasons why pandemics will be more frequent

We must prepare now for future outbreaks. In 1918, nurses played a pivotal role in the Spanish flu pandemic that killed about 675,000 Americans and...
gerontological nursing ant

A contemporary look at gerontological nursing

Nurse experts identify and respond to changing needs of an aging population. By Carol J. Bickford, PhD, RN-BC, CPHIMS, FHIMSS, FAAN What exactly is gerontological nursing?...
ethics of nurse staffing

A conversation about the ethics of staffing

Editor’s note: In March 2016, Leah Curtin RN,ScD,FAAN, a living legend in nursing for her work in ethics, was asked to address the American...

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 amid ongoing threats. To...

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 now the third leading cause...

A kinder, gentler workplace

Others may not notice your courtesy, but they will notice your rudeness.   EVERYTHING has changed over the years. Technology, populations, human behavior, even bacteria and...

A kinder, gentler workplace, part 2: Impatience

When I was a nursing student making rounds with a surgeon, he decided to remove a patient’s stitches. I hurried to the treatment room for a sterile...

A kinder, gentler workplace, part 3: The generation gap

“We shall a new rule of life make: a little kinder than is necessary be.” Yoda-speak for a famous quote from Peter Pan creator J.M. Barrie Problems can...

A look back—and ahead

Making progress on key priorities. TIME FLIES—especially when you’re engaged in efforts you feel passionate about, working with people who are committed to making a...

A medication dosage simulation strategy to improve patient safety

Simulation boosts skills and encourages active learning.  Takeaways:  Traditional medication administration dosage testing can be time-consuming, costly, and lack elements of active learning.  Simulation in...

A model for ethical decision-making in management

Pam Cipriano, president of the American Nurses Association, said In November 2014 that nurses must know how to make ethical decisions. Indeed! And this...

A nurse’s guide to food banks, food pantries, and soup kitchens

More than 48 million people in the United States live in poverty. According to Feeding America, food insecurity affects 49 million Americans; most of...

A quantum life

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

A roll-up-your-sleeves kind of hope

To reinvent health care, we need down-to-earth help and a roll-up-your sleeves kind of hope.
whack side head health care price Leah curtain

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.
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 ways. But when looking at...

Advance care planning across the care continuum

Nurses can play an active role in engaging patients and families in helpful conversations. Takeaways Nurses are in a unique position to promote advanced care...

Advancing adoption of the electronic health record

Experts at the federal level are working to actualize the promise of health information technology.

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.

Advocacy agenda

Collective action reaps rewards in public policy.  Advocacy—the process of influencing public policy—occurs at all levels of government and has real-world consequences; it’s not an...

Advocacy: A modest proposal

Nurses are with patients during some of the most important moments in their lives.

Advocating for access to safe, quality care

As I write this, the next steps in the GOP’s crusade to repeal and replace the Affordable Care Act (ACA) remain unclear. However, together...
ana affirmation focus practice competencies ant

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.

Afraid at work

Sometimes certain people have personality problems — and anger problems. If that person happens to be in a position of authority, the result can...
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 times, the nursing profession keeps...
amazing ant

Amazing you!

Celebrate yourself…you deserve it! By Leah Curtin, RN, ScD(h), FAAN Things are so different today. I remember being thoroughly and soundly spanked for an infraction that,...
An activity menu for older adults

An activity menu for older adults

You are caring for Mrs. R, a 75-year-old woman admitted to your hospital with pneumonia. After a few days, Mrs. R starts frequently ringing...
healthy nurse nations inaugural year

An inside look at Healthy Nurse, Healthy Nation’s inaugural year

Social movement gains momentum through engagement By Holly Carpenter, BSN, RN HEALTHY NURSE, Healthy Nation™ (HNHN), the American Nurses Association (ANA) Enterprise’s social movement to transform...

An invitation to error

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

An ounce of prevention

Engage in practical training through Project Firstline.  A lifetime of working with patients with serious burn injuries truly ingrained in me the importance of infection...

ANA and HIMSS join forces to advance nurse-led innovation

Highlights from the inaugural NursePitchTM event in Orlando. THIS JANUARY, the American Nurses Association (ANA) announced a new partnership with the Healthcare Information and Management Systems Society (HIMSS) to...

ANA supports safe patient handling measures in Congress

"The Nurse and Health Care Worker Protection Act of 2009" (H.R. 2381) gets ANA approval.

ANA’s 125th anniversary

Building on our history and recognizing nurses When I first began serving as president of the American Nurses Association (ANA), I frequently spoke about this...

ANA’s Health Risk Appraisal: Three years later

What have we learned in the 3 years since ANA launched the HealthyNurse® Health Risk Appraisal (HRA)? Since November 2013, more than 13,500 RNs and...

Applying a systematic approach to new-product assessment

Take the spontaneity out of new-product purchases to control costs and keep patients safe.

Are you confident about confidence intervals?

The confidence interval yields information on how confident researchers are about the success of a studied intervention.

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 nursing school. Essential oils affect...

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 2022 issue of American Nurse...

Assessing the ethical climate: An environmental scan

Nurses offer insights on day-to-day ethical challenges. By Liz Stokes, JD, MA, RN At the June 2017 American Nurses Association (ANA) Membership Assembly in Washington DC,...

Attitude adds to a toxic work environment

Richard Aldington, a well-known British writer, poet, and reviewer, insisted that the best review he ever wrote wasn’t published. He explained, “In the early...

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.

Autonomy and the patient’s right to choose falls prevention

You know from your experience that some patients will choose not to call for help before getting up from a bed, chair, or toilet,...

Banner Simulation Medical Center: Using simulation to set up new nurses for success

Today, many nursing students graduate from educational programs without the clinical skills and judgment they need to handle a typical hospital caseload. At the...

Before blowing the whistle, learn to protect yourself

Don't let fear of reprisal stop you from reporting serious misconduct.

Behind the curtain: Creating an in situ simulation experience

Go "behind the curtain" to learn how simulation is being used to prepare hospital-based nurses for urgent situations.
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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 to a nursing supervisor....
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....

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.

Blood transfusions: How technology can improve patient safety

Testing a prototype identification system leads to 100% acuracy.
The Future of Nursing

Brain science gives holistic care a new aura of legitimacy

IF YOU’VE EVER WONDERED if you can consciously change not just your mind but the very structure of your brain, Alfred North Whitehead is proof positive that...
Nursing Career Facts

Breaking down diversability barriers to improve patient well-being

Many of us make assumptions based on a person’s appearance, behavior, our personal experiences, and what we believe that person might be thinking. But...

Breathe new life into unit staff meetings

Revive humdrum unit meetings by setting compelling themes and having staff members present agenda items.

Brighter days ahead

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

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.
pamela cipriano phd rn ana president

Building moral resilience and healthy environments

This effort requires everyone’s support. “That which does not kill us, makes us stronger,’’ so proposed German philosopher Friedrich Nietzsche back in the 19th century...
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Building programs to reduce sharps injuries from insulin injection

Your involvement in safety programs and device evaluation and selection protects everyone. Takeaways: Increases in incidence of diabetes can result in increasing incidence of sharps...

C.A.R.E. to prevent medical device related pressure injuries

A facility’s innovative program effectively reduced patient injury.  Takeaways: Learn how a nurse-led interprofessional innovation was designed at an organization that’s received Magnet® designation. Gain...

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

Can teach-back reduce hospital readmissions?

A study shows this method helps educators focus on topics the patient doesn’t fully grasp.
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? You’ve provided education until you’re...

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...

Case Study: When is what you know considered confidential?

Five years ago, Jane Doe* was an inpatient at the XYZ Psychiatric Medical Clinic, being treated for long-standing cocaine use. Hers was a voluntary...

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 began in March 2020 and...

Celebrating nurse innovators

Nurses’ creativity showcased at the ANA Quality and Innovation Conference in Orlando. THE American Nurses Association (ANA) continued its commitment to cultivating and celebrating nurse-led...

Central venous catheter dressings put to the test

A nursing team's research findings lead to hospital-wide savings.
change injury trends diabetes insulin injection ant

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 work focuses on being a...

Charge Nurse University: Preparing future nurse leaders

A leadership development program helps staff nurses with high leadership potential become the hospital’s next nurse leaders.
cherish differences

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 to irrational or dysfunctional...

Claiming our rights

The pandemic has cast a spotlight on human rights. According to CNN, the night-shift emergency department (ED) nurses at a Detroit hospital reached a tipping...
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 sidelines. I didn’t think it...

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.

Collaboration brings an innovative approach to nursing education

Working with local hospitals, a Texas consortium of nursing schools developed learning modules to improve new nurse graduates’ preparation for practice.

Collaboration: Get better care, go home sooner, live longer

In April 2015, Critical Care Nurse published an article about the correlation between nurse-physician collaboration and positive patient outcomes. When nurses and physicians collaborate,...

Combating medication verification workarounds in an electronic world

In the classic report To Err is Human: Building a Safer Health System, the Institute of Medicine reported that at least 44,000 of the...

Combatting stress

Nurses know stress—it seems like a defining characteristic of the profession. In a recent ANA Health Risk Appraisal survey of more than 10,000 RNs...

Communicating with intubated patients: A new approach

Learn how one hospital improved communication between nurses and intubated patients through the use of an algorithm, new communication devices, and a focused communications course for nurses.

Communication for coordination

Key takeways - Communication across the continuum of care is more than "just read my notes." - Consistent communication is key to safe, effective patient care. -...

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.
compassion nurse virtue

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 defined as the loss of...
compassionate connections

Compassionate Connections

Improve outcomes, promote trust, and keep patients safe. Takeaways: Creating meaningful, compassionate connections with patients can improve outcomes, promote trust, and help patients feel safe...

Conscience, legalism, and the clash of rights

Federal law prohibits hospitals that receive certain federal funds from forcing employees to participate in abortions. But in September of 2011, the University of...

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 the capacity to handle a...
COVID-19 vaccines

COVID-19 vaccines: What you need to know

A critical intervention to help end the pandemic.     Scientists began work to develop a safe and effective vaccine soon after identifying the SARS-CoV-2 genome in...

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.

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.
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 as a last resort....

Creating more than just a journal club

How to create an innovative journal club - and keep it going.

Current and future newborn screening

Newborn screening illustrates what can happen when genetic testing converges with ethics and electronic health records
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 improve nurses’ insights into care...
dedicated education units advancing nurse preparation 2

Dedicated education units: Advancing nurse preparation

An academic-practice partnership achieves student and staff nurse success. Takeaways:  Developing and sustaining a dedicated education unit (DEU) academic-practice partnership requires collaboration, commitment, and careful...

Defeating horizontal violence in the emergency department

The authors share how they defused horizontal violence in their ED.

Defending yourself through documentation

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

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.

Demystifying literature reviews

Every nurse should understand evidence-based practice and the terms used in literature reviews.

Developing a mentor program to improve support and retention

A medical intensive care unit implements mentorship to ease the transition from novice to practicing nurse. Takeaways: After orientation is complete, newly hired nurses seek...

Developing and expanding APRN and PA teams

Takeaways: Advanced practice RN (APRN) and physician assistant (PA) roles are increasing in both primary and acute care settings. The integration of APRNs and...
Differentiating research, evidence-based practice, and quality improvement

Differentiating research, evidence-based practice, and quality improvement

All nurses should know and understand the differences among these three concepts.

Difficult and frustrating? Caring for those with chronic and complex conditions

Caring for people with chronic and complex health needs has become an ever-larger part of everyday nursing. The World Health Organization has identified common...

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.

Do Magnet facilitites maintain their “magnetism”?

Nursing researchers investigated 41 facilities to determine whether they maintained thier "Magnetism" after earning Magnet designation.

Do you hear what I hear? Combating alarm fatigue

As you enter your unit to begin your shift, a cacophony of alarms from multiple devices greets you. The cacophony continues throughout your entire...

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 the vaccination requirements for adolescents and adults?

This handout, part of ANA's Bringing Immunity to Every Community campaign, provides the tools you need to ensure that adolescents and adults get appropriate vaccinations.

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.
preceptor nurse good

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 a preceptor who demonstrates...

Doctor shopping and prescription substance use disorders: A nursing response

Prescription substance use disorders (SUDs) have a serious impact on society. In 2013, 6.5 million adults admitted to illicit use of prescription medications. The...

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...

Does a right to refuse treatment include a right to demand it?

According to the dictionary, the word integrity is a noun, and it means either adherence to moral and ethical principles; soundness of moral character;...

Don’t tolerate disruptive physician behavior

No matter if you like - or fear - a doctor who behaves badly, you must report the incident for the sake of the staff, the patients, the institution.

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 workforce. In a September 2021...

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.

Dumped: When nursing homes abandon patients to the hospital

Margie is an 86-year-old nursing home resident who has developed a bladder infection. As is the case with many elderly women, she also is...
Emergent nurse cross-training

Emergent nurse cross-training in response to COVID-19

Program prepares a hospital for future patient surges Takeaways: Patient surges during the COVID-19 pandemic require nurses who are cross-trained to work in units other...

Empowering nurses with infection control resources

As the frontline defense in many healthcare facilities, nurses and their knowledge of infection control principles and confidence in infection control protocols are essential to...
workplace violence

End workplace violence

Charting a path to zero tolerance April 16, 2021, marked a key milestone in the journey to end workplace violence in healthcare, when the Workplace...

Engaging and advocating

Election year offers opportunities to influence. Nurses make a difference. Those four words succinctly and accurately capture what our profession is all about and what...

Enhancing nursing curriculum with an injection of technology

Use online tools to engage and motivate students. Evidence-based research has changed teaching from a traditional teacher-centered approach to a student-centered (constructivist) approach. According to...
errors care bottom line

Errors, care, and the bottom line

Try a mock survey to ensure patient safety. PRESIDENT Calvin Coolidge once said, “The chief business of the American people is business,” but that was...

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.

Evidence-based practice: The forum approach

At one hospital, nurses use a monthly evidence-based practice (EBP) forum to help integrate EBP into the workplace culture.
Exposed to patient’s body fluids

Exposed to patient’s body fluids? Now what?

Learn how to protect yourself by taking the right steps if you are exposed to a patient’s body fluids.

Family history as a genetic assessment tool: Where are the resources?

Learn the value of a genetic history and resources for how to conduct one.

Fighting emerging threats

Three years ago, the American Nurses Association (ANA) and nurses nationwide found themselves on the frontlines of a crisis when the Ebola virus made its way to the United States, killing one patient and infecting two RNs who provided care to him. The crisis wasn’t in the number of cases in this country—four diagnosed and 11 treated—but in the need to ensure that healthcare workers could keep themselves and the public safe when faced with a potentially fatal infectious organism.

Finance for nurse managers: Return on investment

Healthcare leaders need to spend their money wisely. Determining the costs and benefits of proposed workplace solutions can be easier with the authors' five-step approach.
first last line defense

First and last line of defense

Nurses are crucial to ensuring the safety of patients and the public. NURSES want every interaction with every patient to be safe, whether we’re administering a...

For once, ethics and the ‘bottom line’ agree

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

Forgive us our trespasses

When Archbishop Desmond Tutu, chairman of South Africa’s Truth and Reconciliation Committee, speaks of Nelson Mandela, he insists Mandela has always been a free man because he was free from any need or desire for revenge.
nurse-physician collaboration

Fostering nurse-physician collaboration through shared experience

An innovative program fosters appreciation for nurses.  Takeaways: Medical residents participating in a Nurse-for-a-Day program reported that the top lessons they learned included the difficulty...

Foundation for the future

A bold initiative to reshape nursing and healthcare. Throughout the COVID-19 pandemic, nurses nationwide have been providing exemplary service under extraordinarily trying circumstances. From the earliest...
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...
From idea to impact

From idea to impact

Innovation Awards recognize nursing initiatives.       The 2022 American Nurses Association (ANA) Innovation Awards, sponsored by Stryker, recognized an individual nurse’s efforts to make healthcare in...

From our readers: A perspective on moral uncertainty and politics

Nursing as a profession tends to hold a liberal view of politics and social justice. A strong belief in the autonomy of the professional...

From our readers: ABC’s of evidence-based practice

A simple mnemonic can serve as a guide for the process of evidence-based practice.

From our readers: Overtime is only fun in baseball: A somber look at mandatory...

The author reviews issues surrounding mandatory overtime.
inclusion loop newsletter team

From our readers: The making of a newsletter

When I was working as an ICU nurse on the evening shift, I could tell you what was happening on my unit and with...

From our readers: Using theater improvisational games to enhance interpersonal skills in nurses

Learn how to "play the game" to help nurses and students build skills.

From our readers…A case study of implementing an injury prevention program

The authors explain how they successfully implemented an injury prevention program.

From our readers…Are you prepared for a mass casualty event?

Take a self-assessment to determine if you are ready and take action to increase your preparedness.

From our readers…Creating a patient/family advisory board

Today’s nurse is challenged to procure the skills and knowledge to facilitate healthy work environments in order to achieve best patient outcomes. How better...

From our readers…Delegation for nursing managers: Increasing the odds of success

Delegation is one of the most important—and most neglected—management skills. Learn how be a better delegator.

From our readers…Hourly rounding benefits patients and staff

Studies have shown hourly rounding decreases call light usage and unit noise levels, increases patient satisfaction, and reduces falls. Some researchers also report increased...

From our readers…Negative effects of shackling pregnant incarcerated women

The author advocates for more respectful treatment of pregnant women who are incarcerated.
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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...
Practice Matters - Gandhi

Gandhi and the practice of nursing

Professional ethics and daily practice. One man, Mohandas Gandhi, led us back into morality as a practical thing. In my opinion, his greatest contribution to...

Generational learning preferences

Target patient teaching to match generational and individual needs.  Takeaways: Generational cohorts frequently have similar characteristics that influence learning preferences. Understanding generational preferences allows us...

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 research sheds light on common complex diseases

Using new tools, researchers are exploring complex disorders in which genes and the environment strongly interact.

Getting to the root of the root-cause analysis problem

With national attention focused on the unacceptable prevalence of medical errors, the healthcare sector has turned to highly reliable industries, including aviation and nuclear...
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Give the gift of life

Make a personal commitment to support blood donation in your community.     Nurses first learn about the value of blood and the mandate for maintenance of...
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Global issues are our issues

Nurses around the world focus on healthcare quality and access. While a lack of access to health care, widespread poverty and hunger, low literacy, and...

Going from the gut

The current emphasis on best practices, guidelines, and checklists make cause healthcare professionals to turn off their judgment and go by the book - even when it's the wrong thing to do.

Good intentions eclipsed

Leah Curtin discusses how negative effects of work on work/life balance and mandatory overtime affect patient care.
From where I stand

Good-bye and God bless…

Practical hope will create new realities.  It is with some trepidation and a great deal of nostalgia that I say good-bye to my role as...

Gorillas, restraints, and moral blind spots

Leah Curtin discusses a restraint situation.

Grasping the all-important concept of risk

To fulfill your responsibility toward evidence-based practice, you need to understand statistical techniques. In the first article in our new “Spotlight on Statistics” series, the authors demystify the concept of risk and describe how it helps you apply evidence to your practice.
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Grooming our future leaders

The future of nursing may be in jeopardy. For almost a decade, we’ve known that when the current shortage peaks around 2020, we’ll have...
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Harassment: It’s about abuse of power

You should feel safe at work. By Leah Curtin, RN, ScD(h), FAAN Nurses—everyone, in fact—have a right to a workplace free of harassment, but that’s too...
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Hazardous drugs, a safety blind spot

Know the risks of handling many commonly administered drugs.  WARFARIN, OXYTOCIN, CLONAZEPAM—registered nurses administer millions of these drugs daily with little awareness that they are...
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Hazardous exposures and military veterans

Identify veterans and perform exposure assessments to improve care outcomes.  Takeaways: Many military service members access healthcare outside of the Veterans Health Administration, so nurses...

Healing our hazardous environment

Environmental pollution threatens our homes, workplaces, and communities. So what can you do? This article will tell you.

Healing the wounds: Quantum nursing V

Quantum nursing demands that nurses honor each person’s humanity, promote independence and autonomy, and offer the opportunity for individuals to redefine for themselves who they are and how they choose to live.

Health promotion and disease prevention in rural communities

Key takeaways Diabetes and risk of diabetes is high nationwide, especially within rural communities with limited access to care. Group Lifestyle Balance programs offer...
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Healthy Nurse, Healthy Nation™ Have you accepted the challenge?

Nurses are leading the nation's journey to better health. By Holly Carpenter, BSN, RN, and Jaime Murphy Dawson, MPH Since May 2017, over 10,000 nurses and...

Hospice and palliative care

What nurses don't know about hospice and palliative care can hurt the patient and family.

How do we get into morally questionable situations?

Leah Curtin discusses the dangers of bottom-line thinking.

How do we manage in uncertain times?

As the early months of a new political landscape unfold, there are many concerns about the future direction of health care and other issues important...

How dolls can help patients with dementia

Dolls can work wonders on geriatric dementia patients.

How shall we mourn our dead?

Take your time and follow the path that’s right for you. Since May 2020, the Centers for Medicare & Medicaid Services have required nursing homes...

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 appraise quantitative research articles

Increase your ability to critically appraise, synthesize, and communicate research findings.

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.

How to conduct an evidence-based practice investigation

How to conduct an evidence-based practice investigation The authors describe how they conducted a clinical inquiry into their own practice on cardiac monitoring lead placement...

How to deliver bad news

Healthcare providers often must give bad news to patients and families. Doing this in a direct, concise, compassionate way is a skill that equired practice.

How to improve your listening skills

Find out how the “GRRRR for great listening” model can improve your communication with colleagues to help you deliver high-quality care.
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How to increase developmental opportunities for frontline nurse leaders

Over the decades, the role of the frontline nurse manager has evolved from head nurse to nurse leader. With this evolution, the traditional managerial...

How to meet the challenge of disruptive patients

Disruptive patients can be challenging for even the most experienced nurse. Learn how identify those at high risk for disruptive behavior and strategies for defusing a person who is being disruptive.

How to motivate your staff

Use these tips to help your team succeed.

How to prevent falls among older adults in outpatient settings

The author provides tips for preventing falls.

Huddle up for patient safety

You have received report on your patients and are starting your shift on a busy medical-surgical unit. To help control your workflow and manage...

Human factors engineering can improve patient safety

Knowing how nurses interact with the environment can help safeguard patients.
human rights

Human rights

ANA and nurses call for migrant family reunifications IMMIGRATION across our southern border took the spotlight earlier this year. People chose sides based on personal...

ICU Diary: The Gift of Care™

As an ICU nurse you’ve probably encountered the critically ill patient who is experiencing hallucinations, delusions, and confusion. Healthcare providers are learning just how...
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Immunization nurse champions

Staying informed about vaccines is the key. By Chad Rittle, DNP, MPH, RN, FAAOHN, and Ruth Francis, MPH, MCHES Are you an immunization nurse champion where...

Implementation science: A framework for integrating evidence-based practice

Implementation science is the study of methods that promote integration of research findings and evidence into healthcare policy and practice. It addresses the challenge of moving health research...

Implementing bedside shift report

Implementing bedside shift report improved communication with patients and families.

Improving HCAHPS scores the old fashioned way

Hospitals seeking to raise their HCAHPS score should focus on old-fashioned values—courtesy, kindness,respect, discipline, and commitment.

Improving palliative care and communication in the ICU

Looking for more information on evidence-based practices? Read this first article in a series from the National Institute of Nursing Research.

Improving patient education with Health Failure Mode and Effects Analysis

Learn how this tool helped an ICU analyze and correct flaws in its patient-education process
scoring system

Improving patient safety with a modified early warning scoring system

The modified early warning system (MEWS) is a physiologic scoring system for bedside assessment of medical-surgical patients. Early detection of changes in a patient’s...

Improving posthospital medication management for chronically ill older adults

For chronically ill older adults who take multiple medications, a hospital stay can result in various medication-related changes. Nurses administer their medications to them. Their medication...

In praise of nursing residency programs

The author explains how a residency can take the nurse beyond doing nursing to being a nurse in the fullest sense.

In pursuit of a good night’s rest

Good sleep quality is essential for overall health and well-being. The Centers for Disease Control and Prevention (CDC), via the Sleep Foundation, recommends that adults...
care boards

In with care boards, out with care plans

To promote patient-centered care, healthcare professionals are striving to find new ways to respond to individual patient preferences, needs, and values. Traditionally, nurses created...

Incivility and bullying

Let’s all work together to solve this workplace hazard. FOR DECADES, many nurses did not speak openly about incivility and bullying in healthcare. If we...
increasing electronic health literacy

Increasing electronic health literacy: A three-pronged approach

Use assessment, education, and support to create informed healthcare consumers. By Meigan Robb, PhD, RN, and Teresa Shellenbarger, PhD, RN, CNE, ANEF Takeaways: Changes in technological advances...

Infection control for lifts and slings

Your guide to keeping lifts and slings free from infection.
infection prevention

Infection prevention and control is for every nurse

Refresh your knowledge through ANA Project Firstline. Nurses have always played an important role in infection prevention and control (IPC). The COVID-19 pandemic has highlighted...
flu vaccine

Influenza prevention

Immunization options offer coverage across the population. Last year, the incidence of influenza worldwide was unprecedentedly low. For example, less than 0.4% of respiratory samples...

Influenza update 2019-2020

Protect yourself and your patients with timely vaccinations. WITH FLU SEASON beginning, your yearly flu shot is more important than ever. The Centers for Disease...

Informed consent for foreign-educated health professionals

Divina Gunito* was the first in her family to graduate from college, and now it was her turn to help her loved ones. She decided...

Initiative on the Future of Nursing

Dear American Nurse Today readers: Here’s your chance to help shape the future. The Robert Wood Johnson Foundation’s “Initiative on the Future of Nursing” at...

Innovating during a pandemic

An on-site makerspace leads to quick solution experimentation and implementation. Takeaways: Nurses have responded to the COVID-19 pandemic in inventive ways. Creating a culture of...
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Innovation central

Resources and recognition for advancing nurses’ ideas and ingenuity. Innovation—creating something new or improving on an existing process, product, or idea—is a “fundamental part of...
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Innovation in action

Harnessing the power of nurse-led innovation. The American Nurses Association (ANA) embarked on a journey of innovation as a part of its 2017-2020 Strategic Plan. Here...
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Inspire, innovate, and influence

Let’s work together to tackle public health issues.  With National Nurses Weekcoming soon, we’ll be publicly recognized for our many positive contributions to healthcare at...

Introducing the quantum patient

The quantum patient is an indivisible human being whose health problems might not be healed through traditional specialization.

Investing in nursing retention is a smart move in today’s economy

Residency programs help new graduates make the transition from school to practice.

Investing in ourselves

Self-care boosts nurses personally and professionally.  Nurses nationwide have performed arduous and impeccable work during the COVID-19 pandemic, now in its 21st month and about...

Is nursing a stigmatizing label that needs to go?

Read the perspective of a “nonnurse”.

Is there a right to medical care?

Bridging gaps through familiarity, kindness, and acceptance To even begin to answer the question—“Is there a right to medical care?”—one must first define a “right.”...

Is this quality improvement or research?

Imagine you’re a nurse working in the emergency department (ED) of a small hospital who wants to reduce medication errors in your department. You...
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It’s time for data-driven, patient-centered workforce management

How to transform data into effective staffing. Takeaways: Many sources of healthcare system data influence staffing outcomes. Nurses—especially nurse executives—can help other leaders in their...
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It’s who we are.

Nurses are part of high-performing teams during disasters. By Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN In the past few months, natural disasters and other tragic...

Just culture promotes a partnership for patient safety

The authors explain how workplaces can move toward just culture, which recognizes that errors may be systemic rather than personal.

Kangaroo care: Making the leap to an evidence-based practice

The authors explain how they used an evidence-based practice model to establish a new nursing practice - kangaroo care for healthy newborns.

Keeping genetic information confidential

What you should know about the new federal law.
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Keeping watch: Enhancing fall prevention through targeted video surveillance

Nurses who work in hospitals are challenged to identify patients at risk for falling and implement initiatives to keep them safe. Activities such as...
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Key competencies for nursing

To innovate is to put new ideas into practice or existing ideas into practice in new ways. Innovation isn’t new, but its prominence and need in health care continues to increase. Addressing the complexities of healthcare delivery requires creative solutions and approaches that challenge the status quo. Building a culture of innovation necessitates developing skills that allow for ongoing innovation. For this reason, the American Nurses Association (ANA) is focused on nurse-led innovation for healthcare improvement as a part of its strategic goals.

Key components for optimal staffing

New principles help make this complex goal attainable. Nurse staffing is essential to the delivery of safe, quality healthcare in every practice setting. Nurses have...
Key concepts in patient-centered care

Key concepts in patient-centered care

Respect, communication, and comfort are essential to ensuring that care focuses on the patient first.

Killing for profit

Reinforcing hospice’s valuable services after disturbing court case   IN 2018, Jessica Love, a nursing supervisor for one of the largest hospice providers in North Texas, pleaded guilty...

Knowing you can make it

They were the darkest days of World War II. Ships—even those sailing far to the north, above the Arctic Circle—were being sunk with disastrous...
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Leadership: A conversation with Joanne Disch, AARP Board Chair

Joanne Disch, PhD, RN, FAAN, always knew she’d be a leader, but she didn’t envision chairing the board of the American Association of Retired...
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Leadership: Making things better

According to the Huffington Post, “A recent survey by the World Economic Forum found that 86 percent of respondents believe we are suffering a global leadership crisis.... The world is in crisis mode and there are few effective leaders to be seen.” One of the gifts of aging is that one has a great deal of hindsight, which improves insight, and gives one just a tad of foresight. All of which leads me to ruminate on leadership, especially in health care.

Leadership: What the books don’t tell you

They've been there, done that-and told Dr. Curtin all about it. She shares advice collected from nursing leaders across the country.

Let’s take the lead in educating the public about nursing

Editor’s note: The authors are the executive director and senior advisor, respectively, of The Truth About Nursing, a nonprofit organization that seeks to increase public understanding of...

Lies and the lying liars who tell them

The impact of lying on individuals and society. By Leah Curtin, RN, ScD(h), FAAN While human history is rife with evidence of lying, never has lying...
Racism In Nursing

Listening with compassion

Nurses’ experiences of racism in nursing. “Many Black girls don’t make it through this nursing education program.”  Have you ever had your intelligence, competence, and value...
Cancer survivorship

Long-term cancer survivorship nurse practitioner care model promotes patient quality of life

It’s not uncommon for cancer patients to say they classify themselves as a cancer survivor by having lived at least 5 years past the...

Looking for signs of hope

Opportunities for nurses keep increasing.

Making and breaking a promise

Is it ever okay to break a promise? IS IT EVER OKAY to break a promise? Generally speaking, no. A promise changes reality by introducing...

Making prone positioning a priority

Perfecting protocols to support patients with COVID-19     Research on the benefits of prone positioning for acute respiratory distress syndrome—and now COVID-19—has increased an awareness and...

Making sense of statistical power

If you want to interpret nursing research outcomes, you need to understand statistical power.

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.

Meaningful Recognition: Make it happen!

We all want respect. Here's how to go about getting it.

Medical device development

Things to know before you make the leap Takeaways: Nurses are perfectly positioned to engage in medical device development. The pathway to medical device development...

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.
medicare leah curtain

Medicare for all? Why not?

If President Trump really wants a healthcare plan that gives him a big win by covering all Americans, reducing insurance costs, and cutting the cost of healthcare, it could be done. And it would be far better than President Obama’s Affordable Care Act (ACA). Mr. Trump could push Senator Bernie Sanders’ (I-Vt.) bill that makes Medi­care available to everyone. And wouldn’t it be a hoot? A Republican president, House, and Senate would finally make universal access a reality. And why not? A single-payer system offers cost-cutting strategies that have succeeded all over the globe.
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Medication storage and disposal safety

Preventing the dangers of accidental or intentional prescription drug misuse. By Sharon A. Morgan, MSN, RN, NP-C One of the take-home lessons of the current opioid...
Medication titration

Medication titration

Meeting The Joint Commission standard. Takeaways: The Joint Commission Medication Management Standard states that hospitals are responsible for reducing medication errors. Preparing for Joint Commission...

Mentoring for success: Neurosurgery new hire RN mentorship program

This program enhances confidence. Takeaways:  The Neurosurgery Mentorship Program at New York Presbyterian–Columbia University Irving Medical Center pairs novice nurses with experienced nurses to improve...
mindful observation

Mindful observation

Bring your full attention to the patient to gain perspective. “If you cannot get the habit of observation one way or other, you had better...

Minimize words, maximize impact with simple graphics

Capture your audience’s attention quickly by using visual images to show concepts and explain data in articles and presentations.

Modifying the Magnet model: The shape of things to come

Learn about the next-generation model for the Magnet Recognition Program.

Moral space

Understanding the problems of living and dying. A number of years ago, I was caring for a woman who had acute leukemia. She was being...

Motivational interviewing: A communication best practice

This collaborative approach can influence behavior change and improve healthcare literacy. Takeaways:  Motivational interviewing (MI) is collaborative conversation style that promotes positive health behavior change...
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Moving forward with nurse-led care coordination

Expert panel contributes to an ongoing body of work. By Sametria McCammon, MSPH, and Ruth Francis, MPH, MCHES RNs are essentialto establishing and maintaining a well-coordinated...

Moving toward a restraint-free environment

Moving toward a restraint-free environment A behavioral health nurse provides guidance on how to eliminate the need for physical restraints in acute-care behavioral health facilities Sherry,...

Must nurses care for migrants?

Basic human rights apply to everyone. THERE SEEMS to be much controversy about giving healthcare to “undocumented” immigrants—or even “documented” ones. In fact, some people...

National Magnet Nurse of the Year® 2013 Award Winners

Learn more about these outstanding award winners.
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NICE Network: Nurses leading change in infection prevention

The power of RNs to effect change By Sametria McCammon, MSPH, and Sharon Morgan, MSN, RN, NP-C For 2 years, the Nursing Infection Control Education (NICE)...

No time like the present to get healthy

This month, ANA rolls out a new yearlong initiative focused on helping every nurse be a healthy nurse. Why? Good health is good for...

Nurse advocacy and the power of the public’s trust

Like many of you, I celebrated the news that, for the 15th year in a row, the public ranked nurses as being the most honest...
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Nurse fatigue: A shared responsibility

RNs and employers can work together to promote healthy sleep. GETTING ADEQUATE REST is important for everyone, especially when fewer daylight hours in the fall...

Nurse fatigue: The silent epidemic

Mitigating this serious threat to health and safety Are you getting the recommended 7 to 9 hours of sleep in a 24-hour period? According to...
Nurse Innovators

Nurse innovators shine

NursePitch ™ reveals products for better care. The third annual NursePitch ™—held in collaboration with the American Nurses Association (ANA) and HIMSS, and sponsored by...

Nurse suicide attempt survivors

Easing back safely to the work environment Frequently, suicide ideation is a manifestation of mental illness, such as depression or anxiety disorder. However, even without...
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Nurses and assisted suicide

Should nurses have a role in this end-of-life choice? A COUPLE OF YEARS AGO, a close friend of mine died. She was in her 80s...

Nurses and vaccine hesitancy

You’re too important not to get vaccinated. Editor’s note: This is an early release of an article that will appear in the March 2021 issue...
The Future of Nursing

Nurses are nurses—unless they’re not

The key message of the Institute of Medicine’s (IOM) 2010 report “The Future of Nursing: Leading Change, Advancing Health” is that “nurses should achieve...
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Nurses during COVID-19’s next wave

We need to accept responsibility for our choices. I’m proud to be a nurse. You’ve made me prouder of my profession than I’ve ever been...
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Nurses living mindfully—Over the holidays and always

The Institute for Healthcare Improvement’s Triple Aim is to improve population health, increase patient satisfaction, and reduce per-capita spending. The Quad­ruple Aim adds the goal of improving healthcare pro­viders’ work life. This holiday season, “gift” yourself with self-care techniques to ensure the best care for patients and families and to promote effective interprofessional work environments.

Nurses rising

Recognizing, elevating, and caring for RNs during a pandemic As we celebrated the inauguration of President Biden and Vice President Kamala Harris, the first woman...
shaping future healthcare

Nurses shaping the future of healthcare

The power of advocacy is in the voting booth. IN THE FACE of repeated threats from Congress and the administration, the American Nurses Association (ANA) and...

Nurses’ role in managing pain

ANA offers guidance to help address a national and global epidemic. ON MY WAY INTO WORK at the burn center early in my career, I’d...
Mental Health Makeover

Nursing needs a mental health makeover

Easy access to resources and erasing stigma are key.     For too long, nurses have struggled quietly with mental health issues, fearing stigma or negative consequences...

Nursing research takes aim at chronic pain

The National Institute of Nursing Research is studying ways to promote better outcomes for patients with chronic pain.

Nursing—Built on a cornerstone of leadership

Editor’s note: In this month’s issue, ANA President Pamela Cipriano and National Student Nurses’ Association (NSNA) President Adam Tebben exchange editorial space. Cipriano’s editorial...
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...

Nursing’s memes: Ideas that mold the profession

We need to pay attention to the memes that are catching and spreading within our profession.

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.

On the power of one

The actions of a single person can be incalculable. That’s why it’s crucial that each of us instill “habits of virtue” in children.

One country, one people, one government

Let’s expect more from our country, our politicians—and each other. By the time this article is published, the holidays will be over, and it will...

Our future through my review mirror

Turn the troubling events of 2020 into opportunities in 2021. 2020 is finally over! It was a meaningful year because we had the opportunity to...
Outreach score identifies care coordination needs

Outreach score identifies care coordination needs

Save time, increase intervention efficiency and effectiveness, and enhance patient safety.  Takeaways: Care managers spend hours cross referencing multiple sources to gather as much information...

Pandemics and ‘One Health’

The intertwining of nature, wildlife, and humans increases the risk of disease spread.  With the world’s attention gripped by vaccinating the population against COVID-19, infectious...

Partner with interpreters to prepare patients for discharge

Interpreters are valuable partners when you need to teach a patient who speaks a language you don’t speak. Here’s how to achieve an effective collaboration.
passion with purpose

Passion with purpose

Looking back on ANA's work and presidency. THE PRESIDENCY of the American Nurses Association (ANA) is one of the most exciting, challenging, and rewarding roles in...

Pathological individualism

Our rights come with responsibilities. They call it a “pandemic,” meaning the disease has spread all around the globe. Horrible. Overwhelming. Deadly. The world has...
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Patient acuity tool on a medical-surgical unit

Use a tool for consistent, objective, and quantifiable patient assignments. Takeaways: Patient assignments can lead to dissatisfaction among nursing staff, especially when they’re not consistent,...
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Patient and family tele-education

Remote education is an effective teaching tool. Takeaways: Tele-education can serve as an alternative to in-person subcutaneous injection training for patients and families. Patients and...

Patient Nutrition

Do you routinely talk to patient's about nutrition and their health? Please click here to participate in a very short survey about nurses and...
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Patients need more sleep

By Leah Curtin, RN, ScD(h), FAAN “Sleep, gentle sleep that…knits up the raveled sleave of care.” —Shakespeare, Macbeth, Act II, Scene II As most nurses know,sleep...

Perspective: Mental illness and the right to bear arms

Nurses have a role to play in assessing, educating, intervening, and advocating. Takeaways:  Whether a history of mental illness caused a specific shooting or that...
Career options for nurse educators

Physician and nurse engagement: From concept to collaboration

In today’s complex healthcare environment, it’s crucial for all members of the healthcare team to work together in a collaborative, collegial manner in an...

Pick up some research to go!

Find out how to grab the latest research on the run, decide of the findings are ready to use in practice, and plan practice changes accordingly.

Pilot studies: Helmsman on the ship of research design

Pilot studies lay the groundwork for major research studies.

Pooling the power of goodness to create change

Commitment and compassion can do more to transform health care than any competitive business model can.
Preoperative education for patients undergoing total laryngectomy

Preoperative education for patients undergoing total laryngectomy

Patients undergoing a total laryngectomy can expect to experience significant lifestyle changes after surgery. Preoperative education is essential in helping them cope with these...

Preventing blood and body fluid splashes and splatters

Editor’s note: This article is the second in a three-part series brought to you in partnership with the International Safety Center. In September, we...
disposable syringes

Preventing injuries from disposable syringes

Editor’s note: This article is the last in a three-part series brought to you in partnership with the International Safety Center. The earlier articles...

Preventing needlestick and sharps injuries

Editor’s note: This article is the first in a three-part series brought to you in partnership with the International Safety Center. Watch for the...
Preventing preceptor burnout

Preventing preceptor burnout

New graduate nurses are vital to the success of healthcare organizations. We need their “new blood” to fill workforce gaps. But it’s not easy to...

Problem of psychiatric patient ED boarding

Leaders can advocate for changes to reduce ED boarding and crowding. IN SEPTEMBER 2012, in Update 2 to the Comprehensive Accreditation Manual for Hospitals, The Joint...

Problems with Privacy

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

Professional governance and staff engagement

A new medical unit establishes an engaged nursing workforce.  Takeaways: A culture grounded in teamwork, shared governance, and accountability is needed for staff engagement and...
Professional prioritization

Professional prioritization

Remember all the good we do.   Nurses repeatedly confront overwhelming workloads and the need to make extraordinarily complex choices amidst insufficient resources and competing priorities,...
program evaluation

Program transformation through evaluation

Assess program effectiveness using the CDC framework.  Takeaways: Nurses can drive change through program evaluation to improve patient outcomes. The Centers for Disease Control and...

Progressive multifocal leukoencephalopathy

Education and surveillance are key for patients at risk for this rare but fatal complication.  Takeaways: Progressive multifocal leukoencephalopathy (PML) is a rare demyelinating opportunistic...

Promoting health-behavior changes in patients

Using the transtheoretical model helps you gauge your patient’s readiness to change.
patient portal

Promoting patient portal engagement

Nurses can increase the use of a valuable healthcare tool. Editor's note: This is an early release of a web exclusive article for the January...

Protect yourself and your patients with vaccination

Why is immunization so crucial for nurses? Which vaccinations should all nurses get? Find out with this educational handout focusing on national efforts to reduce vaccine-preventable disease through ANA's Bringing Immunity to Every Community campaign.

Protecting children by preventing falls

Falls are the leading cause of unintentional injury to children outside hospitals and a considerable concern during hospitalization

Protecting failing kidneys: What to teach your patients

Mary Kean* is a 62-year-old woman who has had hypertension for the last 30 years. She has not taken her medicine routinely because, as...

Putting an end to patient overcrowding

Serious patient-flow problems call for more than just quick fixes. In some facilities, the culture must be transformed before patient bottlenecks can be banished. Read about one hospital's system-wide cure for its throughput blues.

Quality-improvement initiative: Classifying and documenting surgical wounds

Interprofessional collaboration promoted a successful initiative to improve wound classification.

Quality: A moral primer

Research reports that one in three deaths in the United States is due to medical error, much of which is due to sloppy, hasty,...

Quantum change: Flapping a butterfly’s wing

Tiny quantum changes can have widespread consequences, transforming the world in untold ways.

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.

Quantum leadership: Upside down

Human beings are intentionally directed energy. Leadership offers direction and purpose to that intentionality.

Quantum nursing

When you bring your life energy, focus, and intention to patients, you're practicing quantum nursing.

Quantum nursing II: Our “field” of influence

In a follow-up to a previous column, Dr. Curtin expands on the quantum concept of energy fields and discusses the use of focused attention to help patients.

Quantum nursing III: Connecting on the same wavelength

Dr. Curtin explains why nurses should consciously “connect” with patients and describes the neural mechanisms that make this possible.

Quantum nursing IV: Giving the patient a “quantum edge”

Dr. Curtin explores the healing effects of focused intention.

Quantum physics and collegial relationships

Dr. Curtin responds to readers who’ve asked how they can get others to practice focused attention and intention.

Quantum relationships: Time is not of the essence

You will forever and always be physically and consciously entangled with each of your patients.

Rapid health technology assessments

Introduction to a process that aids value chain decisions. Takeaways: Rapid health technology assessments (R-HTA) are focused systematic reviews of evidence for using biologicals, drugs,...
rapid response team psychiatric hospital

Rapid response team in a psychiatric hospital

A twist on the RRT positions nurses as leaders in responding to non-life-threatening situations. Takeaways Medical emergencies occur in many medical settings, including psychiatric hospitals....
disable disabled disability nurse

Ready, willing, and disabled

What’s life like for a nurse with a physical disability? Most studies on this topic have focused on nursing students with disabilities. We know...

Reaping the unexpected benefits of nursing research

The nursing leadership of our ICU and Coronary Care Unit (CCU) realized that the time had come to conduct a true nursing research study....

Recognizing and stopping the destruction of vertical violence

Vertical violence between nurses and student nurses can have devastating effects on the student, the employer, and the nursing profession.

Reducing stress to promote clinician well-being

When the stakes are high, as they generally are in health care, it follows that the stress levels of RNs and other clinicians also are high....

Refining stool consistency descriptors can help prevent adverse outcomes

Stool consistency and form are significant aspects of a GI assessment, providing valuable information about the patient’s bowel motility. Properly identifying and describing these...

Reflection and action

Continuing to work together is key in 2021. In just a few weeks, a new year will be upon us. Our desire to focus on...
History informs how we approach the future

Reflection and change

History informs how we approach the future.  Black History Month—celebrated each February—recognizes the contributions Black people have made across time and place despite persistent racism...
strategies promote patients rest sleep florence nightingale

Reflections on Nightingale in the Year of the Nurse

Nurses continue to build bridges for patients and their families. Takeaways: 2020 is the Year of the Nurse and Midwife. Established by the W.H.O to...

Reimagining flu vaccine clinics

A primary care network innovates during a global pandemic. Takeaways: Within a large regional network of primary care offices, an interdisciplinary team of nurses and...

Reimagining flu vaccine clinics

A primary care network innovates during a global pandemic. Takeaways: Within a large regional network of primary care offices, an interdisciplinary team of nurses and...

Research 101: Forest plots

Patient care decisions must be made based on the current best evidence, and nurses critically appraise many kinds of research designs and their associated...
pamela cipriano phd rn ana president

Responding to disasters

A conversation with Rear Admiral Sylvia Trent-Adams  In the wake of natural and human-made disasters, nurses confront tragedies and heal communities. No one knows this...