Nursing School Connections and Reconnections: Lisa’s Story

Do you have relationships with people who’ve come in and out of your life at just the right times? People who you connect with so deeply, that no matter how much time has passed, you pick up your friendship without missing a beat? That’s how I’d describe my relationship with Myrna.

In the spring of 1990, my parents and I attended an open house at the nursing school I would be attending that fall. The program consisted of separating the parents from the soon-to-be students for different sessions. When we met up again, my parents introduced me to a couple who they had become fast friends with – and who just happened to be from our same home town! It was Myrna’s mom and dad! And so it was our parents who initially introduced Myrna and I. We spent some time talking that day, amazed that we had never met before back at home. We went to different high schools, but literally lived within five miles of each other!

Lisa-Myrna-graduation.JPGSo we started school and became fast friends. Our nursing class was small enough that everyone got to know each other pretty well. Most of our classes were together and no other students at the university we attended had a schedule like ours as nursing students! After graduation, I remained in the Philadelphia area and Myrna had a commitment in New York City, so we were separated for several years. There was no social media at the time and we were both pretty busy starting our careers, so our contact was pretty limited.

Fast forward to 1995/1996 and Myrna moved to Philadelphia, taking a job in the same hospital I was working. She was in the Surgical ICU, I was in the Medical ICU, so our paths did cross occasionally at work, but it was that time together that really sticks with me. We were single, living in the city, meeting for dinners and hanging out together. We both returned to school and while her focus was on management and mine, women’s health, we still managed to take some of our requisite classes together --- research and statistics. You definitely need a good friend during those graduate level courses – I was so grateful for Myrna!

After we finished our degrees, over the next several years, we both settled down, got married, and started our families. I left the bedside and started working as a clinical editor. Myrna moved to Texas, and later to Colorado and explored some other non-clinical opportunities as well --- in pharmaceutical research, and, later, medical simulation.

Myrna came to Philadelphia a few years later on a work trip and we got to spend a little time together and she explained her work in simulation – I was so impressed. Shortly thereafter, she reached out to me: “Would I like to write some cases for her?” “Of course!”

Fast forward again, now to 2012, I was attending a conference in Colorado. “Hi Myrna – want to try to meet up?” “Yes, I’ll meet you at the airport!” It had been such a long time since we’d seen each other! So we visited briefly then and a few years later, our team at NursingCenter was looking for another clinical editor to join our team. I knew just who to call. 
Posted: 9/14/2016 7:40:51 AM by Lisa Bonsall, MSN, RN, CRNP | with 5 comments

Categories: Education & Career

Nursing School Connections and Reconnections: Myrna’s Story

Lisa-Myrna-at-Penn-(1).JPGI recall attending a reception with my parents in the spring prior to starting my Freshman year at the University of Pennsylvania (Penn), School of Nursing in Philadelphia. My mother was talking to another parent and I casually joined the conversation. We found out that she and her daughter, Lisa Morris (Bonsall) were from our same small town on Long Island. We attended different schools and therefore, had never met. Call it coincidence or fate – we became instant friends. We both enrolled in the pre-freshman program in August to prepare for the academic rigors of an Ivy League institution. At the conclusion of the program, we felt we were ready. Contrary to this belief, once the school year ramped up, I for one, found it to be extremely challenging. The course load was very heavy our freshman year and the amount of information we needed to memorize and synthesize was overwhelming at times. We managed to survive our first year, despite numerous distractions: parties, co-ed dorms, football games and sorority initiation.

Sophomore year brought with it the beginning of our clinical rotations and an end to our late night parties. While our non-nursing classmates slept until mid-morning, we were up and out the door by 6 am to get to our clinical site for a full day of patient care. I remember learning the basics of safe nursing practice, medication administration, and disease management. I’ll never forget the nursing process and writing care plans for all of our patients, each encompassing an assessment, diagnosis, planning, implementation, and evaluation. The practical, hands-on education continued through our junior and senior year with opportunities to take advantage of the many liberal arts classes that Penn had to offer. Lisa and I made it through, and we both graduated with a Bachelor of Science degree in Nursing (BSN). It was 1994 and our turn to make a difference.

Lisa decided to stay in Philadelphia and accepted a position in the Medical Intensive Care Unit (MICU) at the Hospital of the University of Pennsylvania (HUP). I headed to the Big Apple to begin my career at the New York University Medical Center as a nurse in the Surgical Intensive Care Unit (SICU). With four years of training at Penn, I confidently thought once again, that I was ready. However, I quickly realized that I had so much more to learn. Each disease and surgical procedure involved many complexities. Every patient’s recovery varied based on multiple factors and comorbidities. I honed my assessment skills and learned to think critically. It was stressful, and I loved patient care, but after a few years in the ICU at NYU, I realized I wanted to do more. I was ready to go back to school and Penn was the obvious choice.

Lisa had come to the same conclusion and had started graduate school at Penn around the same time to pursue an Advanced Nurse Practitioner degree in Women’s Health. I was intrigued by the business of health care and decided to focus my graduate studies on Hospital and Healthcare Management. We both worked full-time, and many night shifts, in our respective ICUs during graduate school. We found ourselves back in the Biomedical Library, spending countless hours studying for exams, writing papers and preparing for presentations. Upon completion of our Master’s degrees, our occupations took off in different directions. Lisa embarked on a career in publishing and writing for Lippincott Williams & Wilkins. I accepted a position in vaccine clinical research at Merck & Co., Inc.

My husband’s job uprooted us from Philadelphia to San Antonio, and we finally settled down in Denver, Colorado. After several years in pharmaceutical research and lots of travel, I took a risk, left industry and began working for a small start-up education company that provided medical simulation training to health care professionals. We developed interactive clinical scenarios around patient disease management. Given her clinical expertise in the MICU, I reached out to Lisa to author several sepsis case studies for us. These cases served as the basis for the critical care curriculum used to train thousands of practitioners across the country. It was wonderful to work with Lisa again and to reconnect after so many years.

Balancing family with a career became more difficult after the birth of my second son, and I decided to take some time off from work to raise my two boys. It was a wonderful four-year hiatus that I will always cherish.  Toward the tail end of that break, Lisa had come to Denver to attend a nursing conference. We met for lunch, and I shared with her my desire to return to work. She remembered our conversation and called me a year later with a job offer, as her responsibilities and workload had grown tremendously. I was grateful to have the opportunity to jump back into the workforce, utilizing both my writing and clinical skills. Today, we collaborate on many nursing topics to provide educational resources to millions of nurses around the world.

It is hard to believe that it has been over 20 years since Lisa and I graduated with our bachelor degrees from Penn. I truly believe that it was fate for us to meet and reconnect after college. While we are not at the bedside full-time today, we are still contributing to the nursing profession in very meaningful and impactful ways. Nursing certainly opens up a world of opportunities, but it is up to each individual to take full advantage of them. Personally, there is no doubt that college provided me with an incredible education, but it is the friendships that I made that truly changed my life. For those of you going back to school this fall, enjoy every moment and cherish the people you meet as they may prove to be as important, if not more, that the lessons you receive in the classroom.

Myrna B. Schnur, RN, MSN 
Posted: 9/12/2016 7:40:42 AM by Lisa Bonsall, MSN, RN, CRNP | with 0 comments

Categories: Education & Career

World Suicide Prevention Day

world-suicide-prevention-day.pngSeptember 10th is World Suicide Prevention Day, hosted by the International Association for Suicide Prevention (IASP). According to IASP, “the World Health Organization estimates that over 800,000 people die by suicide each year – that’s one person every 40 seconds. Up to 25 times as many again make a suicide attempt.”

As nurses, you face these statistics every day and do your best to decrease these overwhelming numbers. Whether its screening suicide risks in teens, patients with traumatic brain injuries, elderly patients, or cancer patients, you consider the dangers and assess the situations. 

But, what about assessing yourself and your colleagues for these same risks? As health care providers, nurses face stressful days and nights, confront poor patient outcomes, and combat the negative feelings they face to push through and carry on with the work at hand. At times, you may feel you are so busy caring for others that you forget to take a moment and to consider what’s going on inside yourself. 

On, there is a sobering blog, Are Your Nursing Colleagues Suffering from Depression?, that outlines some of the signs that indicate clinical depression and suicidal thoughts in nurses. According to the blog, “A study by Welsh found that 35% of a sample of medical surgical nurses had clinical depression. Another study from HealthLeaders Media revealed that one out of five nurses is depressed.” Nurses tend to have larger workloads than other professions, which can lead to both mental and physical stress. “Nurses perform 160 tasks in an eight hour shift with no task lasting longer than 2:45 seconds….Musculo-skeletal disorders are reported in more than 60% of the nursing workforce.” In the Clinical Nurse Specialist: The Journal for Advanced Nursing Practice article, Depression in Hospital-Employed Nurses, “Direct healthcare workers, including nurses, may be more vulnerable to depression as research has shown that work stress precipitates depression in working women and men. Indeed, healthcare workers were ranked third for depressive episodes of all occupations between 2004 and 2006.” Stress on the mind and the body are factors to consider when thinking about clinical depression. 

According to, another reason nurses may be more prone to depression and suicidal thoughts than other professions is that when a nurse makes a mistake, it may result in the loss of a patient. “The pressure to ‘Do no harm’ sits heavy on the shoulders of all who take that oath. But what comes after ‘if harm is done’? How do we counsel the person who may have made the mistake?” urges, “When a nurse or medical professional makes a mistake, immediate counseling and crisis intervention should be provided. Nurses should not have to bury themselves in grief, fear, and shame.” 

Other ways to support nurses in trying times are to connect, communicate, and care. IASP promotes these three actions as tools to support those who have encountered suicidal thoughts. You can connect by keeping an eye on yourself and your colleagues and by checking on how they are feeling. If a colleague or yourself is experiencing suicidal thoughts, communication is key. Nurses need to feel it is safe to discuss this topic without fear of being judged or reprimanded. Fellow nurses, policy makers, and managers then need to “care enough about suicide prevention to make it a priority.” Suicidal thoughts should not be swept under the rug or treated as something that can be dealt with later. The risks for nurses are just as real as the risks for the patients they are taking care of.
Posted: 9/8/2016 11:20:37 AM by Cara Deming | with 0 comments

Categories: Inspiration

Introducing Your Dashboard!

You may or may not have yet noticed that we’ve begun implementing more personalized features here on Take some time to explore your very own dashboard of content related to your area(s) of practice! Here’s how…

1. Login to your NursingCenter account. Don’t have one? Go ahead and register – it’s FREE!

2. Click your name at the top right of the page.

3. Click “My Dashboard.”

4. See the results!

5. You can even toggle between your practice areas to see additional content!

6. Need to edit your practice area? Just click “Edit” to update your profile.

Hope you enjoy this new feature on Lippincott! And remember, you can always update your profile to reflect your current practice area. Keep all of your selections up-to-date so we can bring you the content that best meets your needs to improve outcomes and develop professionally.

Thank you!

Posted: 8/31/2016 10:46:42 PM by Lisa Bonsall, MSN, RN, CRNP | with 0 comments


Preventing mosquito-borne illnesses [Infographic]

With Zika virus in the news and on our minds this season, we know some of the best advice for preventing this illness is to prevent infection via mosquito bites. See the infographic below for recommendations to prevent transmission of Zika virus and other mosquito-borne illnesses.


Add this infographic to your website by copying and pasting the following embed code:

Posted: 7/29/2016 8:35:34 PM by Lisa Bonsall, MSN, RN, CRNP | with 3 comments

Categories: Diseases & Conditions

Zika Virus: 5 More Things for Nurses to Know

Aedes-aegypti-mosquito.pngIn January of 2016, we shared 5 Things Nurses Need to Know about Zika Virus. Since that time, ongoing research and monitoring has increased what we know, and recommendations have been updated based on the latest evidence. Here are five more things that are important for nurses to understand:

1. Is there a test for Zika virus?
Early in the course of Zika virus, a serum real-time reverse transcription-polymerase chain reaction (rRT-PCR) may detect Zika virus RNA in the blood. The virus RNA may remain present in the urine longer than in the blood; the CDC recommends that urine samples be collected less than 14 days after onset of symptoms for rRT-PCR testing. Virus-specific IgM and neutralizing antibodies typically develop toward the end of the first week of illness, so Zika virus serologic testing can be done later in the course of illness. All submissions go through the state or local health department and there are specific instructions from the CDC on how to collect, prepare, and ship specimens for testing.

2. What are the current recommendations related to sexual transmission?
  • Men who have been diagnosed with Zika virus should use condoms or abstain from sex for at least six months.
  • Pregnant women with male partners who live in or travel to areas with Zika should use condoms every time they have vaginal, anal, or oral sex, or abstain from sex for during the pregnancy.
  • Both men and women should be counselled about contraceptive planning. Women with Zika virus should wait at least eight weeks after symptom onset before conceiving; men with Zika virus should wait at least six months, as it is unknown how long the virus may remain in semen. Women with possible exposure to Zika virus should wait at least eight weeks after being exposed to attempt conception; men should wait at least six months. 
3. What is microcephaly?
Microcephaly is a neonatal malformation in which infants are born with a head smaller than normal due to abnormal brain development. In some cases, newborns may develop normally, however, possible associated neurologic complications include developmental delay and seizures, as well as speech, hearing, and vision deficits, and feeding difficulties. Diagnosis can be made by ultrasound late in the second trimester or early in the third trimester, or after a baby is born. Microcephaly is a lifelong condition and treatment depends on the severity of the malformation and associated health problems.

4. Is Zika virus associated with Guillain-Barré syndrome (GBS)?
The CDC is investigating the link between Zika virus and GBS, as the Brazil Ministry of Health has reported an increased number of people who have been infected with Zika virus who also have GBS. GBS is an autoimmune disease which attacks the peripheral nervous system. Weakness of the arms and legs results, and flaccid paralysis often develops. In severe cases, the muscles of the face weaken and affect the eyes, swallowing, and breathing. Many patients with GBS have a history of a recent viral or bacterial infection, so it is possible that a percentage of those infected with Zika virus could develop GBS as well.

5. How should symptoms of Zika virus be managed?
At this time, there is no antiviral or other medication available to prevent or treat Zika virus. Rest, fluids, antipyretics, and analgesics are recommended for symptom management. It’s important to remember that aspirin and NSAIDs should be avoided until dengue virus is ruled out.

Centers for Disease Control and Prevention. (2016, July 14). Zika virus. Retrieved from Centers for Disease Control and Prevention:
Coyle, A. (2016). Zika virus: What nurses need to know. Nursing2016, 22-24.
O'Malley, P. A. (2016). Zika Virus: What We Know and Do Not Know. Clinical Nurse Specialist: The Journal for Advanced Nursing Practice, 194-197.
Todd, B. (2016). Zika Virus: An Unfolding Epidemic. AJN, American Journal of Nursing, 59-60.
Posted: 7/29/2016 5:15:26 AM by Lisa Bonsall, MSN, RN, CRNP | with 6 comments

Categories: Diseases & Conditions

Mobile Healthcare Applications Part 3: Nursing Education at Your Fingertips

healthcare-apps-part-3.pngRounding out this blog series on mobile health applications (apps) or mHealth apps, I wanted to touch on apps specifically designed to provide educational tools and quick references for the nursing profession. According to a survey conducted by Wolters Kluwer Health, 65 percent of nurses said they currently use a mobile device for professional purposes at the bedside.1  The study also found that 95 percent of health care organizations allow nurses to consult websites and other online resources for clinical information at work.1  A major advantage of mobile apps is that they provide a variety of references in one central location, that is easily attainable, from almost anywhere there is a reliable internet connection. Nurses employed in every clinical setting stand to benefit from resources at their fingertips, particularly those in home and public health settings, where access to evidence-based information may be limited.

As discussed in Part 1 of this blog series, there are thousands of mHealth apps available to clinicians. The most common are drug manuals, tools to help evaluate lab and diagnostic studies, and differential diagnosis guides2. Utilization of mobile devices in professional nursing practice may improve efficiency and assist clinicians to:
  • Complete professional development;
  • Stay up-to-date with the latest research and literature;
  • Provide patient and peer education;
  • Translate medical terms for patients and family members;
  • Compute drug dosages;
  • Calculate physiologic assessments, such as Body Mass Index (BMI), Mean Arterial Pressure (MAP), Glascow Coma Scale score, Apgar score, Stroke Scale and many more;
  • Organize shift work; and
  • Communicate with other health care professionals.
With an ever increasing number of mHealth apps on the market, how can nurses decipher which are useful and contain the most relevant and accurate information? In order to utilize these resources effectively, nurses should be competent in several key areas, including basic computer knowledge and use, information literacy, (IL) and information management3. Information Literacy (IL) is defined as the ability to recognize when information is needed and to locate, evaluate, and effectively use that information. Therefore, nurses must be able to assess mHealth apps for accuracy, credibility, bias, timeliness, and breadth of information.3  A study, conducted by Arith-Kindree and Vandenbark (2014), asked nursing students to assess a variety of mobile apps for usefulness. The study found that some apps, while from reputable sources, provided recommendations that were incomplete.3  Based on the findings from this study, nurses should critically evaluate each app to ensure it is:
  • Credible – verify the author’s credentials, publisher’s reputation, and peer-review status;
  • Relevant – assess the intended audience, purpose, and publication date;
  • Current – check that the content is consistently updated on a regular basis;
  • Utilitarian – confirm the app is useful and functions as it was designed; and
  • Comprehensive – establish that the information is complete and derived from a trusted source.
Health care apps can serve as useful tools for clinicians at the bedside, however, there are logistical and cultural obstacles that stand in the way of implementation and utilization. This opens up many opportunities for nurses in the field of informatics to develop policies, organizational infrastructure, and competencies for integrating mHealth solutions within health care organizations and communities.4  Several challenges, however, must be overcome which include:
  • Establishing hospital administrator support;
  • Overcoming staff resistance to change;
  • Training to different learning styles and comfort levels with technology;
  • Securing patient confidentiality;
  • Cost of infrastructure and maintaining consistent internet access;
  • Preventing vital machine failure or malfunction due to interference from handheld devices; and
  • Ensuring that mobile devices are not a distraction in the workplace.
Digital tools can potentially make us more efficient, effective, and informed practitioners. We are fortunate to live in an age of innovation where tools are available at our fingertips, any time, and anywhere. Unfortunately, not all mHealth apps are accurate and some cannot be trusted. We, as health care providers, need to develop a critical eye when evaluating the use of new technologies and verify that they are consistent with evidence based practice prior to full integration into the health care delivery system. In addition, more research is needed in the area of mHealth to assess the true impact it could have on workflow, quality, and patient outcomes.

  1. Wolters Kluwer Health Survey Finds Nurses and Healthcare Institutions Accepting Professional Use of Online Reference and Mobile Technology. (2014). Retrieved on July 11, 2016 from
  2. Baca K, Rico M, & Stoner M. (2015) Embracing Technology to Strengthen Care and Enhance Human Connection. Dimensions of Critical Care Nursing, 34(3), 179-80.
  3. Airth-Kindree  N & Vandenbark T. (2014) Mobile Applications in Nursing Education and Practice. Nurse Educator, 39(4). 166-169.
  4. Austin, R. & Hull, S. (2014) The Power of Mobile Health Technologies and Prescribing Apps. CIN: Computers, Informatics, Nursing, 32(11). 513-515. 
Myrna B. Schnur, RN, MSN 

Related Reading

Posted: 7/19/2016 5:29:04 AM by Lisa Bonsall, MSN, RN, CRNP | with 2 comments

Categories: Technology

Mobile Healthcare Applications Part 2: To Regulate or Not?

Mobile-Apps-twitter-292994_1920.jpgIn Part 1 of this series, I provided a general overview of mobile medical applications (apps) that are available on the market in the areas of general health, wellness, disease management, and hospital clinical workflow. There are many potential benefits of mobile medical apps, such as facilitating communication between patient and provider, enhancing efficiency, and advancing the overall quality of patient care. There have been recent reports in the news, however, pointing to the dangers of patients being misdiagnosed via telemedicine websites and mobile apps. Serious patient safety questions arise when mobile medical apps are designed to act as a medical device or provide patients with a medical diagnosis. Should these apps be regulated by the government? Part 2 of this blog series focuses on the current regulation recommendations* surrounding the use of mobile apps as it applies to direct patient care.

The Food and Drug Administration (FDA) is the government organization responsible for protecting the public health by assuring the safety of drugs, biological products, medical devices, food supply, cosmetics, and products that emit radiation.1 In 2015, the FDA released a document that outlines the use of health care applications and states that apps that act as either a medical device or an accessory to a medical device will need to obtain FDA approval. The intended use of a mobile app determines whether it meets the definition of a “device.”  When the intended use of a mobile app is for the “diagnosis of disease or other conditions, or the cure, mitigation, treatment or prevention of disease, or is intended to affect the structure or any function of the body, the mobile app is considered a device.” 2 Intended use is communicated to the consumer through product labeling, advertising, or verbal and/or written statements made by manufacturers. All products that fall under the definition of device are subject to regulations set forth by the FDA before they can be marketed and sold to the general public.

FDA regulation will focus on mobile apps that turn a mobile platform into a regulated medical device, which could pose a risk to a patient’s safety if it did not function properly. Examples include medical apps that:
  • Connect to and control medical device(s) in order to actively monitor or analyze medical device data. (i.e., an app that controls the delivery of insulin on an insulin pump);
  • Turn the mobile platform into a medical device by using attachments, display screens, or sensors, or by including functions similar to those of currently regulated medical devices. (i.e., an attachment of electrocardiograph (ECG) electrodes to a mobile platform to measure, store and display ECG signals);
  • Perform patient-specific analysis and provide patient-specific diagnosis, or treatment recommendations. (i.e., apps that use patient-specific parameters to calculate dosage or create a dosage plan for radiation therapy).
The following medical apps pose low risk to patient safety, and therefore, the FDA will exercise discretionary judgment with regard to regulation. Examples include apps that:
  • Help patients self-manage their disease or condition without suggesting specific treatments (i.e., apps that coach patients with cardiovascular disease to maintain a healthy weight, eat nutritiously, and exercise);
  • Provide patients with simple tools to organize and track their health information, without recommending a change to previously prescribed treatment or therapy (i.e., apps that log blood pressure, drug intake times, diet, daily routine, or emotional state);
  • Provide easy access to information related to patients’ health conditions or treatments (i.e., apps that use a patient’s diagnosis to provide a clinician with best practice treatment guidelines for common illnesses or conditions);
  • Help patients document, show, or communicate potential medical conditions to their providers (i.e., apps that serve as videoconferencing portals to facilitate communications between patients, health care providers, and caregivers);
  • Automate simple calculations routinely used in clinical practice (i.e. medical calculators for Body Mass Index (BMI), Glascow Coma Scale Score, or APGAR score);
  • Enable patients or providers to interact with Electronic Health Records (EHR) systems to view or download data to facilitate general patient health management and medical record-keeping;
  • Transfer, store, convert format, and display medical device data, without controlling or changing the functions of any connected medical device.
Mobile apps that are not considered devices under the FDA definition and are not required to undergo regulatory requirements include apps that:
  • Provide electronic copies of medical textbooks or references not intended to diagnose, treat, or prevent disease by helping a clinician assess a specific patient;
  • Act as educational tools for medical training and may have more functionality than an electronic copy of text (i.e., videos, interactive diagrams), but are not intended to diagnose, treat, cure, or prevent disease by helping a clinician assess a specific patient;
  • Provide general patient education and patient access to commonly used reference information;
  • Automate general office operations and administrative functions (i.e., coding, billing, accounting, scheduling, payment processing);
  • Act as generic aids (i.e., using the mobile platform to record audio, or send HIPAA compliant messages between health care providers in a hospital).
As more and more apps are developed in the field of health care, clinicians will play a pivotal role in how these apps are implemented in the routine care of patients. We need to have a basic understanding of app functionality, which ones are purely informational and which ones act as medical devices. More importantly, it is essential that we fully comprehend the impact these apps will have on the safety of our patients, as we are ultimately responsible for protecting them from harm.

In Part 3 of this blog series, I will provide an overview of the medical mobile educational tools available to nurses and how clinicians should evaluate which are the most reliable and relevant sources of information.

*Note: This article is a summary of the FDA guidelines and is not meant to be all-inclusive of the recommendations made by the FDA.
  1. The U.S. Food and Drug Administration. About FDA. Retrieved on June 27, 2016 from
  2. Mobile Medical Applications: Guidance for Industry and Food and Drug Administration Staff (2015). Retrieved on June 23, 2016 from

Myrna B. Schnur, RN, MSN

Related Reading

Posted: 7/10/2016 5:45:50 AM by Lisa Bonsall, MSN, RN, CRNP | with 3 comments

Categories: Technology

Global Growth in Nursing: Macro Trends in Nursing 2016 [Infographic]

It’s time for the second key macro trend driving the nursing profession in 2016 – “Global Growth in Nursing.” There are over 21.6 million nurses in the world and this number continues to rise, with most nurses residing in Europe and the Western Pacific. As the profession continues to grow globally, a number of challenges are presented both for nurses around the world and for nurses at home.

Use these Global Growth in Nursing infographics to understand how this macro trend affects you and your international partners. 



Bookmark our blog and be sure to watch out for the next four trends! Our Chief Nurse Anne Dabrow Woods DNP, RN, CRNP, ANP-BC, AGACNP-BC gave a presentation on the upcoming six key trends in nursing. To see Woods’ full Macro Trends in Nursing 2016 presentation, go to the Lippincott NursingCenter YouTube channel.

Add this first infographic to your website by copying and pasting the following embed code:
<a href=""><img src="” /></a>
  <p>Macro Trends in Nursing 2016:<a href=""> Global Growth in Nursing </a> By Lippincott NursingCenter</p>

Add this second infographic to your website by copying and pasting the following embed code:
<a href=""><img src="” /></a>
  <p>Macro Trends in Nursing 2016:<a href=""> Global Growth in Nursing </a> By Lippincott NursingCenter</p>


Posted: 7/6/2016 10:11:19 AM by Cara Deming | with 1 comments

Categories: Inspiration

Mobile Healthcare Applications Part 1: Your Health at Your Fingertips

mobile-phone-630413_640.jpgIf you own a Smart mobile phone, chances are you have downloaded a mobile application (app) or have used one at some point. According to a 2015 Pew Research Study, two-thirds of Americans own a Smart phone and more than half have used their phone to get health information.Mobile apps are software applications designed to run on platforms, such as smartphones, tablet computers and other handheld devices. Apps are downloaded onto your mobile device and are designed to provide consumers with quick access to information and tools with or without internet connectivity. As of June 2015, more than 100 billion mobile apps have been downloaded from app stores and the number of mobile app buyers in the United States is projected to reach 85 million in 2019.Apps developed specifically for health care are on the rise. There are over 150,000 mobile health, or mHealth, apps on the market focusing on various areas of wellness, including fitness, general health and drug information, disease management, telemedicine, and clinical workflow, to name a few. These are available for free or for a small fee and are typically intuitive and easy to use, even for those that are not technology savvy.

Fitness apps are perhaps the most widely used mHealth apps available today. Many of these apps have companion external devices known as wearables that help consumers track steps, weight, pulse, and calories. As a runner, I have used several training apps in preparation for long distance races. These assist in mapping routes, tracking training sessions, and calculating distance and speed. Some provide feedback on performance, while others send motivational reminders to users to get out and exercise. These digital coaches can facilitate healthy lifestyle changes and can be very cost effective to the average consumer, but only when integrated into a regular routine.

General health care apps provide a range of capabilities, such as allowing patients to organize documents, appointments, and medications into a personal file that can be easily accessed at provider appointments and by family members. Others allow consumers to have direct access to all of their electronic health records (EHR) integrated into one place that automatically update with new information, such as medical history, medications, allergies, prior surgeries and procedures, vital signs, changes in weight, and glucose readings via a patient portal. These apps facilitate the sharing of medical records with providers in real-time, which may promote patient safety, disease prevention, continuity of care, and patient self-management.

Drug information apps provide clinicians with medication references, such as drug indications, dosages, contraindications, safety information, and prescription interactions. Apps aimed at improving medication compliance provide patients with reminders to take their pills, how many to take, and when to refill a prescription. Disease management apps help clinicians monitor patients’ health status and streamline communication. For example, there are several apps on the market targeting diabetes therapy. Some simply help patients monitor blood glucose levels, while others provide sophisticated data analytics to the patient’s health care provider and team, along with a patient self-management plan. Telemedicine apps support communication between patients and providers and is one of the fastest growing areas of app development. These apps enable patients to connect with clinicians via video or text consultation in real time. Some healthcare providers are able to refer to specialists, order lab tests and prescribe medications through the app. Others allow providers to make a diagnosis and determine if an emergency room visit is necessary.

Finally, clinical workflow improvement apps streamline communications and data management for nurses and other providers within the clinical setting. These are the most advanced apps on the market, often linking multiple health information systems and improving efficiencies in the workplace. Incorporating mHealth apps into the in-patient care setting, however, involves a high level of commitment, coordination, and resources. Questions hospital administrators should consider when developing a strategy involving mHealth include4:
  1. Do mHealth technologies enhance workflow, reimbursement, and quality of patient care?
  2. Which mHealth apps are approved for recommendation to patients?
  3. When can an mHealth app be recommended to the patient and how would this information be communicated to the health care team?
  4. Who will provide guidance to the patient on the use of the mHealth app, and who is responsible for monitoring compliance and outcomes?
  5. What is the evaluation process for new mHealth apps? How will effectiveness be tracked?
  6. What new skills are needed by clinicians, information technology professionals, and hospital executives to ensure successful implementation of new digital tools?
Integrating mHealth has the potential to improve disease management, communication, and overall patient care. Complete adoption of mHealth, however, will depend largely on:
  1. Payers’ recognition of the value apps provide in health care management
  2. Establishment of standards for security and privacy guidelines that protect patient’s personal health information
  3. Evaluation and regulation of health care apps
  4. Full integration into health information systems4
Technology has and will continue to rapidly transform every aspect of our daily lives. Managing our health is no exception. As mHealth apps become more sophisticated and increasingly ubiquitous in our modern society, patients and consumers will demand higher quality and functionality. We, as health care providers, need to be armed with the skills to adopt and manage digital tools as they will inevitably become an integral part of how we deliver patient care.
  1. U.S. Smartphone Use in 2015. The Pew Research Center. Retrieved on June 15, 2016 from
  2. Mobile App Usage – Statistics & Facts. Retrieved on June 20, 2016 from
  3. AJN Reports (2015). The World of Apps in Healthcare: Opportunities and Challenges for Nurses. American Journal of Nursing. 2016; 115 (11): 18-19.
  4. Austin R, Hull S. (2014). The Power of Mobile Health Technologies and Prescribing Apps. Computers, Informatics, Nursing.

Myrna B. Schnur, RN, MSN

Related Reading

Posted: 7/3/2016 7:53:25 AM by Lisa Bonsall, MSN, RN, CRNP | with 3 comments

Categories: Technology

Displaying results 81-90 (of 388)
 |<  <  5 - 6 - 7 - 8 - 9 - 10 - 11 - 12 - 13 - 14  >  >| 
Blog post currently doesn't have any comments.