“Nurse Overload” Article Breaking All Blogging Records! Now Watch video of 1 Nursing Minute!

The article Doug Hall and I wrote “Nurse Overload:  The Risks to Employee and Patient” is getting LOTS of ‘hits’ and comments.  Docs, Patient Advocates, and Nurses are commenting in various places in the social media realm.  Thank you all for watching and sharing.  One of my dreams is to build a bridge between consumers […]

Overstaff? A Counterintuitive Alternative Approach to Safe Nurse Staffing

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Balancing financial health of the organization with patient safety and nurse health make nurse staffing a challenge.  Add to that many variables such as skill and experience mix of the nurses, patient acuity, working conditions, fatigue, patient and family dynamics and having enough of the right staff to provide safe compassionate care becomes even more […]

When a Toxic Culture Exists, Alignments Become Integral and Dangerous to Collaborative Efforts!

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From Miriam Webster online dictionary: col·lab·o·rate  verb \kə-ˈla-bə-ˌrāt\ : to work with another person or group in order to achieve or do something : to give help to an enemy who has invaded your country during a war Interesting distinction, don’t you think? Alignments can be insidious in healthcare teams and can confuse leaders because they […]

Medicare Talking Points! What Else Should We Know?


I think that improving Medicare may be our best strategy and am publishing short pieces to help celebrate it’s 49th anniversary this month!  I know it is not perfect and don’t pretend to be an expert on it.  Our system is so complicated, it is very hard to understand, even if you are a healthcare […]