America’s dark secret

Words about equality, friendship, and peace must be accompanied by action. (more…)

An ethical approach

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

ANA News

Center for Ethics and Human Rights recognized with prestigious Cornerstone Award The American Nurses Association (ANA) Center for Ethics and…
thank you gift patient giving

Beyond a box of chocolates

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

Beyond a box of chocolates

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

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.

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…
Discontinuing medically administered nutrition

Discontinuing medically administered nutrition

Support patient’s values, beliefs, and goals.  Takeaways: Medically administered nutrition and hydration (MANH) is indicated for individuals with chronic, complex,…
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…

Ethics for nurses in everyday practice

In recent years, most of the world’s people have celebrated their diversity: different races and languages, religions and cultures, and…

Ethics in a pandemic

Nurses need to engage in self-care to reduce moral distress. Takeaways: The COVID-19 pandemic brings many ethical dilemmas for nurses…

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…

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.

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.

Issues up close

For many nurses today, the workplace may feel like uncharted territory. New technologies, bold advances in health care, and a…

Issues up close

Enduring and evolving: Code of Ethics for Nurses

Issues up close

Foundational documents underscore shared responsibility for staffing

Killing for profit

Reinforcing hospice’s valuable services after disturbing court case (more…)
leadership better leah curtain ant

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.

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.

Moral space

Understanding the problems of living and dying. (more…)

No peeking allowed

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

Nursing’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.

pain management an ethical approach

Pain management: An ethical approach

ANA’s new position statement on pain management offers guidance When a federal law permanently expanded medication-assisted treatment (MAT) prescribing authority…
patients sleep ant

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,…
roe vs. wade

Secrets, lies, and cover-ups

The impact of the new healthcare bill can’t be hidden forever. By Leah Curtin, RN, ScD(h), FAAN As Newton observed,…

Sense of injustice

A sense of injustice is essential to the survival of the human race. Current events re-enforce the sense that some…
succeeding complicated times

Succeeding in complicated times

Leadership success requires understanding that healthcare organizations are a world of connections. I WAS SITTING in my easy chair watching Monday…

Telling our story

The public needs a better understanding of what nurses do, so tell your story.

The ‘fake’ news effect

At some point the political questions of the day collapse. It’s the day the economic issues, and the immigration issues,…
giving time ant

The giving time

Real nurses nurture their young. By Leah Curtin, RN, ScD(h), FAAN My mother once told me that the first half…

The practice of ethics

More nurses skilled in ethics are needed to help nurses cope with on-the-job ethical dilemmas.

Trust me. I’m a nurse

Reconciling trust, ethics, and caring. Takeaways: For 17 consecutive years, nurses have received the highest rating in the Gallup honesty…
unconscious bias and the ehr

Unconscious bias and the EHR

To: Ethics inbox From: Concerned RN Subject: Frequent flyers I am a new RN working in an inner-city emergency department.…

We vs. they

Here, in the United States, a lot has been happening lately; the kinds of things that represent some of the worst…

What nurses owe one another

With all the concern about ethics today, little attention is paid to the way healthcare professionals treat one another. Nonetheless,…
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What to do when a colleague is impaired

To: Ethics Advisory Board From: Medical-surgical staff nurse Subject: Substance use disorder Recently I discovered a colleague on my unit…
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.

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