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Legal & Ethics

What are Gen Z nurses seeking?

A new study examines the work values of Generation Z nurses. These nurses, 25 and under, are now entering the workforce, bringing innovative ideas and expectations about what it means to work with them in...

Supporting patients with end-of-life conversations

To: Ethics inbox From: Widowed nurse Subject: Medical aid in dying I’m an operating room RN who has worked in a hospital environment for over 25 years. Five years ago, my husband died from pancreatic cancer....

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 believe that anyone who doesn’t have health insurance has no...

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 Commission published revisions to Leadership (LD) Standard LD.04.03.11 (the patient...

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 of a healthcare fraud scheme that included fatally overdosing patients for profit. She...

Workplace violence: Don’t risk it, de-escalate it

Know the warning signs and stay calm.   WHETHER you’re a certified nursing assistant, licensed practical nurse, registered nurse, or nurse practitioner, you’ll likely deal with patients who are feeling pain, have lost their independence, or...

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 viruses have changed, but time hasn’t changed at all. Time...
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 decades ago. Now, the chief business of American business has...
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 night football when I experienced a tiny epiphany: Sports teams are surprisingly complex functional structures...
coping incivility academia

From the Ethics Inbox: Coping with incivility in academia

To: Ethics Advisory Board From: Disappointed nursing professor Subject: Bullied by peers I am a new assistant professor at a university, after 12 years in my previous academic position. I was excited to become part of the...
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. Some of our patients are well known by the staff, who often describe them...
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 to NPs and PAs in October 2018 (with five-year limited authority to CNMs, CNSs, and...
why laws can't guarantee safe staffing levels

Why laws can’t guarantee safe staffing levels

Is the complexity of nurse staffing compatible with the blunt force of a law? FEW can doubt that nursing administration knows a great deal more about safe staffing than it did before the 1980s. In...