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Letter to the Editor

  • We would like to thank the author of the Letter to the Editor in response to our OJIN article “Calling Nursing Informatics Leaders: Opportunities for Personal and Professional Growth”. Reading their comments and experiences regarding their growth as an emerging NI leader highlighted to us the importance of proactive work to support the NI leadership pipeline.

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Reply by Meyer, Lavin to Cockerel on "Vigilance: The Essence of Nursing"

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March 27, 2006
in response to letter by Alice J. Cockerel on  Vigilance: The Essence of Nursing by Geralyn Meyer, PhD, RN; Mary Ann Lavin, ScD, RN, FAAN (June 23, 2005)


We are pleased that our concept of vigilance as the essence of nursing rings true with someone who has practiced nursing for more than two decades. The writer’s experience of continuing to monitor a patient because of a feeling that something is "just not right" is familiar to many nurses. We also agree that vigilance becomes second nature to a nurse. The continual scanning of the environment for cues is something that nurses do routinely and is often difficult to express in words. But putting a name on that vigilance and being able to record it and communicate it to other health care providers and to health care payers is of paramount importance to our profession. We can not allow the vigilance that is so much a part of what nurses do to remain unnamed and, therefore, invisible to those outside our profession. Developing and using standardized language for surveillance diagnoses will allow us to communicate our vigilance in, and across, practice settings and to study it via the research process.

Geralyn Meyer

Mary Ann Lavin

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