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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).
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 ...


The global telemedicine market will be worth $34 billion by 2020, according to 2015 research from Mordor Intelligence. By 2018, more than 65 percent of interactions between patients and healthcare organizations will occur via mobile devices, predicts IDC Health Insights.

Telemedicine is a subset of the broader category of telehealth. According to the Health Resources Services Administration, telemedicine ...

August 27, 2015 12:12 PM by Guest Blogger of ADVANCE Perspective: Nurses

Guest editorial by Stacy Slater, MSN, BS, RN-BC, Revenue Cycle Coordinator, Munson Healthcare, Traverse City, MI

Pay-for-performance, value-based purchasing, the triple aim of healthcare, HCAHPS, volume to value - Nurses need, at the very least, a rudimentary understanding of these terms and how the care they provide directly affects reimbursement and how reimbursement impacts the ...

August 26, 2015 12:24 PM by Diane Goodman of The Nurse Card

When I've been hospitalized as a patient, I prefer to remain anonymous. If you recognize me, keep it quiet please. It's not so much that nurses can be difficult patients (we can be), but that the whole patient experience may begin to tank once our occupation becomes known.

You may have had this happen. Once identified as a healthcare provider, your whole experience begins to change. One of two things ...

August 24, 2015 11:55 AM by Guest Blogger of ADVANCE Perspective: Nurses

Editor's Note: This guest post is written by Veronica Gutchell, DNP '13, RN, CNS, CRNP, assistant professor, University of Maryland School of Nursing

On any given night, about 3,000 people in Baltimore experience homelessness.  To help with this ongoing problem, University of Maryland School of Nursing (UMSON) faculty members Katherine Fornili, MPH, RN, CARN, assistant ...

August 20, 2015 2:59 PM by Leatitia Coetzee of New to Nursing

The last couple of months I have been struggling to find my purpose in life. Did I choose right and all those sorts of questions.  And lately after two bad test results, I felt like such a failure at life I should just give it up. I am not good enough. But nursing is my dream, and all I want to do is be the best at what I do. My whole life has led up to this phase of my existence.

So I have decided to ...

August 18, 2015 3:35 PM by Guest Blogger of ADVANCE Perspective: Nurses

Editor's Note: This guest post is written by Lisa Bingham, MSN, RN from Newburg, Oregon. She has been a registered nurse for 18  years and is currently pursuing her FNP from Gonzaga University

I fully support the idea about leveling "the playing field" when it comes to requiring advanced degrees for nurses to practice. I believe that my advanced education has greatly improved my nursing care; however, ...

August 13, 2015 4:58 PM by Mark Darby of Spirituality in Nursing

What the first thing you think about when you hear the word spirituality?   When I ask nurses about integrating spirituality into their practice, I hear many reactions including

  • It's all fluff
  • I am too busy
  • Or the best one "Are you asking me to go and knock on some strangers door and ask them to go to church?"

Despite all the misconceptions we have about spirituality, ...

July 30, 2015 8:02 PM by Diane Goodman of The Nurse Card

I am so saddened whenever I read of another loss of life, particularly when the beauty of life is described as "cut short following a grueling battle with (fill in the blanks) cancer, heart disease, respiratory failure, drug addiction, etc., etc. We love to use the word battle in this country when describing medical intervention. He fought hard against the affliction, but succumbed in the end. She battled ...


 A patient enters a clinic with symptoms of a serious infectious disease. A nurse fails to ask the patient where she "lives, works and plays" and if she is prepared to fill a fairly expensive prescription. This is healthcare of the past-a time when clinicians addressed patients' symptoms with small regard for the consequences of the disease or condition on community, surrounding populations and public health.     ...

July 20, 2015 2:39 PM by Leatitia Coetzee of New to Nursing

Have you ever gotten to a point in your life where you wonder to yourself, "Did I make the right choice?"

Lately I have been wondering just that. Am I where I am supposed to be? Why did certain things have to happen to me? Have I listened enough and made the right decisions? Did I do enough in my life? Strange questions I know, but I have realized in the last year that life is so fleeting. We aren't assured that ...

July 18, 2015 3:31 PM by Diane Goodman of The Nurse Card

We pry ourselves from bed and force our bodies out into work...rain, sleet, snow, or sunshine. Statistics demonstrate we tend to work more fatigued and drained than ever before, often when ill, or perhaps even feverish or contagious. We barely skim the bottom of Maslow's hierarchy, not because we choose to do so, but because we are nurses. It is the nature of the gig.

In light of all this sacrifice, we could ...

July 17, 2015 11:58 AM by Guest Blogger of ADVANCE Perspective: Nurses

Editor's Note: This guest post is written by Kathy Eliscu, BA, RN, who worked more than 30 years as a nurse in maternal/child health, office nursing, school nursing, and psychiatry at a major mental health clinic.

After 30-plus years in nursing, I've accumulated plenty of stories. You get it, if you've been in nursing for a while. Like for at least a week.

In the first decade, nursing ...


Healthcare organizations (HCOs) will benefit from involving nurses in health information technology (HIT) planning, implementation and optimization. The process begins early. Nursing schools, colleges and universities must build students' informatics awareness, knowledge and skills, as well as their drive to innovate and transform their work in healthcare via HIT.

Some academic programs already prepare nurse ...

June 28, 2015 11:48 AM by Diane Goodman of The Nurse Card

We pass them once in awhile in the hall, coming or going after hours or before beginning our shifts. Well-dressed consumers, suited-up, successful, concerned, peering into every corner of the hospital as if they are Sharks on an episode of Shark Tank. They act like owners with a vested interest in the operations of the coffee shop, the smile of the cashier handing them coffee at 0600, and whether the nurse they pass ...

June 25, 2015 3:18 PM by Lorettajo Kapinos of Nurse on the Run

It seems every nurse I know is working under staffing stressed conditions. Many are working extra hours that are insanely challenging.  Experienced nurses are hard to find and even harder to keep. So many people I know are working with  no fuel in their tank.  And yet, an amazing thing keeps happening. These nurses return to work day after day, mostly happy and often ...

June 22, 2015 2:57 PM by Leatitia Coetzee of New to Nursing

Being in nursing college is really teaching me, not only valuable professional skills, but also, life skills. As I am going through my general nursing work, I am realizing what is expected of us, what rules we must adhere to, what the government expects from us as nurses. But are we actually practicing the one fundamental rule or right that all these legal instructions tell us to do?

Do we as nurses stand ...

June 17, 2015 9:23 AM by Guest Blogger of ADVANCE Perspective: Nurses

Editor's Note: This guest post is written by by Nancy C. Lee, MD, deputy assistant secretary of health - women's health, and director of the office on women's health at the Department of Health and Human Services and Ana N. Fadich, MPH, CHES, vice president, men's health network.

Each year we ask women and men to take two weeks out of their routines to make their health a ...

June 15, 2015 3:19 PM by Guest Blogger of ADVANCE Perspective: Nurses

 Editor's Note: This guest post is written by Christine W. Clarke, RN, MS, ONC, educator, Houston Methodist Orthopaedics

When I reflect on the elements which persuaded my decision to become a nurse, I cannot ignore hereditary influence. Between my maternal grandfather's aunt serving with Florence Nightingale during the Crimean War and three of my aunts graduating as diploma nurses after ...



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 group in various stages of their nursing career share their 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.