Why Doesn’t the U.S. Have an Office of the National Nurse?

By Diana Mason, editor-in-chief emeritus

Ann Keen

First, the necessary throat-clearing about who and where: I recently attended a public session held by the Institute of Medicine Initiative on the Future of Nursing. Chaired by University of Miami president and former secretary of Health and Human Services Donna Shalala and chief nurse for Cedar Sinai Medical Center Linda Burnes Bolton, the session began with presentations by two nurses involved in the Prime Minister’s Commission on the Future of Nursing and Midwifery in England: Ann Keen, Member of Parliament and Parliamentary Undersecretary for Health Services, who chairs the British commission; and Jane Salvage, the lead secretariat for the commission and a former contributing editor for AJN.

Now the point: During the formal session, Keen noted that various countries in the UK each have a chief nurse officer (CNO) who is responsible for developing a national nursing strategy. Afterwards, I interviewed Keen and Salvage, who both said they didn’t understand why American nurses were not supporting the call for a CNO for the United States, one who would be charged with developing and overseeing a national nursing strategy for this nation. In their eyes, a CNO who is on par with the surgeon general could help the nation to develop approaches to ensure an adequate nursing workforce, identify barriers to their full utilization, identify new models of care to better promote the health of the public, and develop strategies […]

Obama Follows Up Reform Speech By Addressing Nurses (including AJN’s Diana Mason) at White House

ObamaSpeakstoNurses

Said President Obama this morning, to a White House audience of nurse leaders (including Diana Mason, AJN‘s editor-in-chief emeritus): “You’re the bedrock of our medical system. . . Few people understand . . . as you do why we need reform.” Click the image above to go to a page where you can watch the full speech, and be sure to check back here for Mason’s account of her visit to the White House.

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Sure Nurses Are Honest, But They’re Also Highly Skilled Professionals

Comments such as “I have to call the doctor; I can’t make that decision” would be better stated as “I will consult with the doctor and we will determine the next step together.” Instead of saying “I’ll be taking care of you today,” say “I am your registered nurse and will be coordinating your care today.” Many different people in uniforms or scrubs wander in and out of patients’ rooms every shift. Let’s introduce ourselves along with our profession so that patients get a better idea of what we really do in the nursing profession

Is It Ethical for a Nurse to Decline the H1N1 Vaccine?

By Douglas Olsen, PhD, RN. Olsen is an AJN contributing editor who co-coordinates the journal’s Ethical Issues department and a nurse ethicist with the National Center for Ethics in Health Care at the Veterans Health Administration in Washington, DC. The views he expresses here are meant to stimulate discussion of this topic and not to serve as pronouncements guiding what nurses should or shound not do. The views are his alone and should not be construed as representing those of AJN or of the National Center for Ethics in Health Care or the Veterans Health Administration.

MailOnlineFluJabScreenshotPublic health experts advocate widespread flu vaccination for people who give direct care to patients. However, in the past less than 40% of health care workers have been vaccinated for flu, and in a recent Nursing Times survey from the UK 30% of nurses said they would decline H1N1 vaccine and only 37% said “Yes” they would take the vaccine. Here are some thoughts on how to sort out the question from an ethical perspective.

Nurses, as patients, should be accorded the same respect for their decisions about health care, including the right to refuse a treatment, that is due to all patients. In ethics this is called respect for patient autonomy.

Professional obligation. However, nurses have a professional obligation to do as […]

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