COVID-19-related anxieties: Impact on duty to care among nurses.

BACKGROUND: Duty to care is integral to nursing practice. Personal obligations that normally conflict with professional obligations are likely amplified during a public health emergency such as COVID-19. Organizations can facilitate a nurse's ability to fulfill the duty to care without compromising on personal obligations. RESEARCH AIM: The study aimed to explore the relationships among duty to care, perception of supportive environment, perceived stress, and COVID-19-specific anxieties in nurses working directly with COVID-19 patients. RESEARCH DESIGN: The study design was a cross-sectional descriptive study using an online survey. It was conducted at an ANCC Magnet® designated 385-bed acute care teaching hospital located in a suburban area. PARTICIPANTS AND RESEARCH CONTEXT: Included in this study were 339 medical surgical nurses working directly with COVID-19 patients during the early phase of the pandemic. ETHICAL CONSIDERATIONS: The study was reviewed by the institution's clinical research committee and determined to be exempt. A survey invitation letter with a voluntary implied consent agreement was sent to participants with a description of the research study attached to the anonymous survey. RESULTS: Nurses with specific COVID-19-related anxieties were more likely to agree that it was ethical to abandon the workplace during a pandemic. CONCLUSIONS: Organizations can and ought to mitigate the negative effects of COVID-19 on duty to care in future pandemics and healthcare emergencies by incorporating several recommendations derived from this study.

Cultivating a Culture:: Implementing Methods to Embrace Diversity and Inclusion.

Anne Arundel Medical Center, Annapolis, Maryland, was the recipient of this year's American Organization for Nursing Leadership's Prism Award, which recognizes an organization with advanced diversity efforts. The medical center, part of Luminis Health, added diversity as a core organizational value in 2009, making efforts to provide care to diverse populations and support an inclusive work environment for staff. Through strategic initiatives and community partnerships that target recruiting efforts, the organization has created a culture in which difficult conversations about differences are supported and encouraged. Additionally, targeted hiring initiatives have increased diversity among hospital leadership. Diversity and inclusion initiatives focus on creating a culture that welcomes and supports everyone, regardless race, ethnicity, or sexual orientation/identity.

Humanistic nursing, interpersonal relations theory, and the empathy-altruism hypothesis.

The purpose of this paper is to illuminate the relevance and applicability of theory for nursing research and practice. Following a brief explanation of the four levels of theoretical abstraction recognized by nursing, Paterson and Zderad's humanistic nursing theory and Peplau's theory of interpersonal relations are described. In addition, one social psychology theory, the empathy-altruism hypothesis, is also explained. The value and implications of the three theories for nursing research and practice are discussed, and several research questions are proposed.

Peripheral nerve blocks: understanding the nurse's role.

This article describes the nursing care and management of patients during and after administration of peripheral nerve blocks. We review recommendations for patient monitoring, as well as the risks and complications associated with anesthetic agents. Several upper and lower extremity blocks, including the Bier block, are described. The nursing role in the use of the peripheral nerve stimulator is also explained. Throughout the discussion, nursing responsibilities are emphasized.