1. Fitzpatrick, Melissa A. RN, MSN, FAAN, Editor-in-Chief

Article Content

Every month for the past 3 years, I've sat at the computer waiting for a burst of inspiration that would become my Nursing Management editorial. The health care industry is so dynamic that usually it wasn't a challenge. This month's editorial is a struggle for me, as I've made the difficult decision to step down from the journal's Editor-in-Chief role. My full-time position as an industry health care strategist, the responsibilities of running my consulting business, and meeting the needs of my family have become difficult to juggle, as each responsibility grows more demanding.


Prolific endeavors

Consider the daunting health care changes we've faced over the last few years, and those we'll encounter in our future:


[white diamond suit] Patient confidentiality has moved to the forefront with the April 14 enactment of the Health Insurance Portability and Accountability Act (HIPAA). To comply, we've revised our practice environments, while keeping staff members motivated during escalating census and acuity-no small feat!


[white diamond suit] The nursing shortage is like nothing we've encountered before. By 2010, 40% of nurses will be at least 50 years old. The over-65 population will double within the next 30 years, and those ages 85 and older are currently the fastest-growing group. Who's going to take care of us and who's going to educate the nurses?


[white diamond suit] And what about staffing ratios? Research now demonstrates that patient mortality increases when a nurse's care load exceeds four patients. Some have taken staffing ratios into their own hands: For the first time in history, various states have proposed staffing ratios, and, in some cases, passed the necessary legislation to enact them.



Nursing Management stood by you through these transitions and it'll be there as you face future challenges. Its dominant market strength is undeniable, and you continue to send tremendous feedback in support of our efforts. A trusted resource, the journal's management and staff development continuing education offerings ( make a difference to nurse leaders' practice everywhere. Our active editorial advisory board with prominent additions is instrumental to Nursing Management 's new peer review process that helps shape the journal's direction and ensures the importance of its "gold standard" content.


The synergy between Nursing Management 's Congress and the journal continues to build. Content of both forums is innovative and vital to you, as you've told us time after time. This year's Congress, October 26 to 29 in San Diego, Calif., is no exception. For more information, visit


Fond farewell

Your honesty, willingness to share personal experiences, and commitment to excellence in nursing leadership continue to impress and inspire me. Thank you for contributing to the journal's achievements and success during my tenure.



Figure. No caption a... - Click to enlarge in new windowFigure. No caption available.