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ADVANCE for Nurses is thrilled to welcome you to Nurse POV Blogs, part of the Nurse POV: Online Community. Our new blogs offers posts covering timely questions, advice and opinions about the nursing field; connecting professionals nationwide. We have provided tags to assist in locating topics of interest, a profile page to make uniquely your own and a list of our most active discussions to keep you abreast of the latest discussions. We look forward to hearing more about the nursing field from your Point of View (POV).
January 29, 2016 12:54 PM by Mark Darby of Spirituality in Nursing

Nursing is focused on Evidenced Based Practice. More so now than in any other time in our history, we look to research and the scientific method. You may think these methods fail us when we study spirituality. Can you imagine being a peer reviewer and being assigned an article entitled "God and Cholesterol: An underused intervention" I can just see the description of the research protocol. "A group of volunteers were ...

January 21, 2016 12:35 PM by Diane Goodman of The Nurse Card

Anyone who knows me has seen me working at some point fueled by cups of strong coffee. Apparently, I am not alone.

It appears that recent research on the consumption of coffee beverages demonstrates the #1 and #2 spots are held by nurses and doctors, respectively. We understand the mathematics of working long hours with minimal breaks and maximum demands. It is similar to running a vehicle and plotting MPG's. ...


Her name is Nadine. Developed by Nanyang Technological University in Singapore, this human-like, or humanoid, robot can reveal personality, mood and emotions. Nadine's creators believe that social robots like her will soon surface in homes, offices and other environments that face worker shortages. 

But should nurses live in fear that Nadine's descendants will take control of the profession of nursing? ...

December 28, 2015 1:38 PM by Diane Goodman of The Nurse Card

We hear a baby's first gasp and cry and we are often the ones to witness the last gasp of the dying. We honor these sounds with our presence, never forgetting the blessing to be there at the beginning and end to life.

In between, sound plays such an important part to a nurse's life we almost forget the beauty of it, the wondrous nature and rhythm of what we hear. We know when it gets out of hand, and it's too ...

December 21, 2015 12:29 PM by Leatitia Coetzee of New to Nursing

As I sit and stare out the window of our tearoom, looking out at Table Mountain ,I cannot help and feel a sense of wonder and how I blessed I am to live in such a beautiful country.

I get a sense of pride. I think of how blessed I am for all I have and I smile and with that my mind changes course to all those that in this festive season don't have the same sense of pride that I feel. 

I wonder ...


Healthcare has entered a new era of collaboration; specifically, interprofessional collaboration that engages professionals ranging from physicians, nurses, dieticians, and therapists to pharmacists, physician assistants, social workers and case managers. Stories on collaboration abound in the healthcare industry news. Consider these developments:

December 16, 2015 4:04 PM by Mark Darby of Spirituality in Nursing

You can CAT scan a broken bone or a diverticula. You can scope a cardiac vessel in real time and watch the blood flow. But a change of character-from helpless to hopeful, from addict to recovery, from smoker to non, from overwhelmed with chronic pain to a person who copes well-is something that nurses know exist but which we cannot measure. Character, how you act on a long term basis, is the part of your personality ...

December 12, 2015 11:27 AM by Diane Goodman of The Nurse Card

I am a reasonable person but also intermittently annoying. I invented the concept of "lunch and learns" simply to interrupt nurses while they were cramming down a meal. I loved it beyond measure; they greeted me with an occasional eye-roll and/or groan. What did they care about understanding egophony when their lunch was cooling?

Plenty, as it turned out.

They were hungry for better assessment tools, ...

November 27, 2015 2:16 PM by Diane Goodman of The Nurse Card

Johnson and Johnson has long been an ardent supporter of nursing, especially this past year, when the ladies of The View seemed disinclined to remember that we deserve the utmost respect and admiration. So I was especially enthralled to see a recent band aid commercial airing during prime time TV. "Covering", the folks at Johnson and Johnson insisted, equals "caring". Cute. Catchy. But is it true?

I certainly ...

November 25, 2015 8:57 AM by Leatitia Coetzee of New to Nursing

So, after weeks of feeling uncertain, crying, screaming in fear and anger, feeling lost and in a very dark place, I had no other choice than to stop my studies. I never realized I was so lost and in danger of total collapse until it finally happened to me. After a year of emotional ups and downs, and not dealing with it all like I should have, it broke me.

So, now I had to stop my studies, and I was told by ...

November 12, 2015 2:42 PM by Guest Blogger of ADVANCE Perspective: Nurses

Guest editorial by Debbie Moore-Black, RN, ADN, charge nurse/staff nurse at Pineville Medical, Charlotte, NC, and Devin Black, BA, at the Center for Behavioral Health, North Charleston, SC.


The National Institutes of Health (NIH) describes precision medicine as "an emerging approach for disease treatment and prevention that takes into account individual variability in genes, environment and lifestyle for each person."   

Also known as precision health or healthcare, precision medicine embraces e-health, pharmacogenomics, electronic family health history, targeted therapies for ...

November 10, 2015 3:11 PM by Diane Goodman of The Nurse Card

According to the ANA, three of four nurses report feeling burnout during their career. Nurses in high stress and/or high turnover environments are more likely to experience feelings of burnout, as are shift workers, and those who work extended hours (i.e. ten to twelve-hour shifts). Nurses may experience weight gain, malaise, feelings of frustration, and apathy before they recognize the need to "refresh" their spirit ...

November 9, 2015 4:22 PM by Guest Blogger of ADVANCE Perspective: Nurses

November is National Hospice and Palliative Care Month, and I would like to share an open letter to all the nurses, social service, home health aides, chaplains, volunteers, and office staff who work every day to make Hospice care a seamless transition at end of life.

To My Dear Hospice and Palliative Care Workers:

  • For all the times you answered your phone, thank you
  • For all the paperwork ...

November 5, 2015 2:33 PM by Mark Darby of Spirituality in Nursing

On a cold night before exploratory cancer surgery a woman cries....alone with her fears. A night nurse going by, hears the brief tearful sniff of fear and goes into the room. It is as if the night nurse understands without having to ask. She goes over to the patient, touches her hand and says, "It'll be alright."

This type of interaction will not be found in any of billions of the new ICD10 codes. Many researchers ...

October 23, 2015 11:12 AM by Diane Goodman of The Nurse Card

We lost one of our 4paw doggies this week. Kiki became critically ill without warning, and in spite of aggressive therapy, we lost her. You're never ready for one of these things, especially since we lost another dog last year. Maybe we thought we should be done for a while. We've lost parents, friends, colleagues...it's been quite a string of losses, as I'm sure a few readers have experienced. You get to that point ...

October 23, 2015 7:56 AM by Leatitia Coetzee of New to Nursing

The opposite of the hard shell of armor you keep around yourself is the love and protection and companionship of your fellow students who need friends as much as you do.

Need to make some friends in nursing school? Admit defeat.

I was so closed off in the beginning of my nursing school training, especially about inner struggles on time management, procrastination, and life intervening in my OCD-laid ...


Nurses may have already experienced the Internet of Things (IoT) - also known as the Internet of Everything - in their personal lives as smart sensors surface in objects ranging from trash bins and refrigerators, to office supplies and slow cookers.

IoT is also poised to influence nurses' professional lives. The healthcare IoT market will surge to $117 billion by 2020, according to research from MarketResearch.com. ...

October 8, 2015 3:15 PM by Guest Blogger of ADVANCE Perspective: Nurses

This guest post is written by Lisa Wolf PhD, RN, CEN, director, Institute for Emergency Nursing Research, Emergency Nurses Association

Moral distress as it is currently understood in nursing has been studied in many settings, but there is a lack of research on the nature and content of moral distress as it manifests in the emergency department (ED).

Moral distress has been described by Corley and ...

October 1, 2015 2:15 PM by Diane Goodman of The Nurse Card

Erin was a lovely young woman, and she could have been anyone's patient, but she wasn't. She was mine. We started out on the wrong foot the morning of her surgery, with her physician yelling at me, fussing about finding the correct paperwork, appropriate analgesics, etc. He wasn't angry with us, he was displacing feelings of frustration. Everyone felt his angst and pain.

Erin's case was a tough gig from ...

September 29, 2015 10:02 AM by Mark Darby of Spirituality in Nursing

As of today, I am not one of the 2350 men who will get breast cancer this year.  The only man that I have seen who had breast cancer was a heavy marijuana user (not a risk factor they tell you about in Colorado.)  Yet I have been affected by this illness.  A non-English speaking woman asked me to attend her weekly chemo treatments when she was getting substandard care.  Several friends have been ...

September 29, 2015 9:19 AM by Guest Blogger of ADVANCE Perspective: Nurses

Guest editorial by Matthew F. Powers, MS, BSN, RN, MICP, CEN, president of the Emergency Nurses Association, the leading nursing association serving the emergency nursing profession through research, publications, professional development, and emphasis on quality and patient safety.

A trip to the emergency department can be a stressful event for any patient just given the fact they are sick or injured. ...

September 17, 2015 7:15 AM by Leatitia Coetzee of New to Nursing

 It seems now I am a student nurse, people presume I am the font of all knowledge for any medical condition, ailment or general problem, regardless of whether I'm on duty or not.

One time, I was lucky enough to have an afternoon to myself, without tests or tasks. I decided I would go out, have a long walk, get myself a book and settle down in a café to enjoy a good read and a bit of people watching.

I'm ...

September 15, 2015 10:44 AM by Mark Darby of Spirituality in Nursing


Defining spirituality can be done in such a way that it does not raise controversy. If I define spirituality as "Whatever is not the mind and the body", everyone could agree on this definition but it would be totally useless and frankly silly.

Spirituality is important. Therefore, as with anything important, definition creates controversy.  For some, spirituality is centered on a place, ...

September 8, 2015 1:15 PM by Diane Goodman of The Nurse Card

We have a shared joke among nursing peers. If a disease exists that is both rare and extremely painful, a NURSE will manage to be diagnosed with it. Never fails. Whether it is Murphy's Law, or some obscure nursing karma, this has proved to be true for my friends. As a result, we were not overwhelmingly surprised when one of us was diagnosed with advanced avascular necrosis (AVN) of the hip.

OK, it was ...



Technophobes and uberusers will learn from a group of bloggers who are immersed in healthcare informatics, technological development and implementation.

From our work environment to our homes and schools, our society is riddled with the catastrophic impact the lack of infection prevention has had in our communities, particularly in the facilities where we as nurses work. Susan Dubay, MPA, BSN, RN, and Barbara A. Smith, MPA, BSN, RN, CIC, will share their expertise and experience in infection control, and hope this space will give you an opportunity to share your opinions and comments as professionals who deal with this important topic each and every day.

Read along as a nurse at the start of her career shares her stories.

The ADVANCE for Nurses editorial staff will discuss issues in the nursing profession, current events in healthcare and offer their two cents for your enjoyment.

Nurses face unique challenges every day. This blog is one experienced nurse's way of integrating work, personal life and passion for writing, all while training for her first half-marathon.

We use our specialized knowledge and skills to provide quality care, educate, and save lives. We use our hearts to encourage, comfort, and support. When cure is not possible, we gently walk alongside patients and their families at the end of their journey. Oncology nursing is an honor. Cancer patients trust us with their lives, invite us into their fight, and depend on us to preserve their hope. That is making a difference....

Do you ever feel the need to pull rank as a professional? Nurses may shy away from disclosure until absolutely necessary. They may sit with a family member in the hospital, and "pretend" to be a layperson, until the family member is in pain, the IV is infiltrated, and the bedsheets are growing stale. Using "The Nurse Card" may prove appropriate or embarrassingly inappropriate for the nurse involved.

Mark Darby is author of several books about nursing and writes about spirituality and wellness.