About Shawn Kennedy, MA, RN, FAAN, editor-in-chief (emerita)

Editor-in-chief, (emerita), AJN

Same Boat, Different Ocean

By Shawn Kennedy, AJN editor-in-chief

Since the Robert Wood Johnson Foundation/Institute of Medicine Future of Nursing report was released six months ago, we’ve heard a lot about how nurses need to have more representation on boards of health care institutions and be more active participants in decisions about redesigning health care delivery systems. (See our online resource page for a variety of information about the report.)

To me, it’s a recommendation that’s so intuitive and simple that it’s almost embarrassing—and the need for it only drives home how absurd our health care system can be. It’s mind-boggling to me that organizations feel they can plan effective health care without the input of nurses. Imagine aircraft manufacturers designing a plane without input from the primary group—pilots—who will be responsible for flying it safely.

I suppose many health care entities and boards  feel that they have this input from physicians—but really, in most hospitals physicians aren’t involved in the nitty-gritty operations details that either make or break workflow processes or can impede the delivery of safe, cost-effective care.  How many times have hospitals planned patient care units or purchased equipment without nursing, input only to find that the systems aren’t workable or create more work? […]

Nurses, Summits, and Salt Lake: The Challenges Facing New Nursing Grads

By Shawn Kennedy, AJN editor-in-chief

I’m attending the National Student Nurses’ Association (NSNA) annual convention, in Salt Lake City, Utah. I always gripe about meetings here—but then I arrive and realize I’d forgotten what a beautiful place it is. For one thing, there are the mountains rising up behind the cityscape—everywhere you look, there they are. (The photo here was taken from the plane as it was approaching Salt Lake City.)  There’s something really relaxing about these views.

I always enjoy this conference—I love meeting the future generation of nurses. This year’s group—about 2,400 strong—are enthusiastic, passionate, and serious about a career, not just a job. Many are people who’ve already been in the workforce. According to figures from the NSNA about the attendees, 47% are 26 or older, 22% are 36 or older, 52% will be graduating from baccalaureate programs, and 93% plan to continue their education. Impressive statistics.

Yesterday’s keynote speaker was Patrick Hickey, a professor at University of South Carolina–Columbia School of Nursing, who has summited the seven highest peaks in the world. He spoke about the challenges of his climbs, especially Mount Everest, where he spread the ashes of a friend who was supposed to have been with him. It was fitting—here, with mountains all around us, and with many in the audience facing their own uphill […]

When Patient Safety Trumps All: Conversations With the Texas Whistleblower Nurses

Map of USA with Texas highlighted Image via Wikipedia

You may not remember February 11, 2010, all that well, but it’s a date nurse Anne Mitchell will never forget. It was the date she was acquitted of all criminal charges in a case that garnered widespread coverage not only in the nursing world (see our October 2009 report) but in the general media (see the New York Times article).  Mitchell was the Texas nurse criminally prosecuted for filing a complaint with the Texas Medical Board against a physician for unsafe and substandard practices (that board did agree with her). She and a colleague found themselves embroiled in a nightmare in which they were fired, arrested, and indicted. (Charges were eventually dismissed against Vicki Galle and only Mitchell went to trial.)

The case raised questions about a nurse’s professional and legal duty to safeguard patients—and about the strength of whistleblower protections (Texas has a whistleblower protection law).

In a “what goes around comes around” scenario, this past February those who pressed the charges—the sheriff (who was a patient, friend, and business partner of the physician); the Winkler County attorney; the former hospital administrator; and the physician—were all indicted by a grand jury. Ironically, the indictment was partially for misuse of official information, the same charge they had brought against the nurses.

On February 18, I interviewed Mitchell, Galle, and another colleague, Naomi Warren, who also wrote a […]

Placenta Facebook Photos: Nurse and Mommy Tribes See Student Expulsion Differently

Will patients trust that when they are anesthetized they will be treated respectfully? Will hospitals and other clinical agencies be less inclined to host students for fear of litigation over privacy? I imagine at the very least, all nursing schools are now quickly developing social media policies. The American Medical Association has one and the American Nurses Association is, I’m told, developing one.

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