About peggychinn

feminist, nurse activist, writer, editor of ANS Advances in Nursing Science, quilter, grandmother nurturing the future of the amazing children in my life.

The Power of Ten!


Sigma Theta Tau has now published the 2nd Edition of the book “The Power of Ten,” a book of essays by nursing leaders that address ten top issues for nurses to rally around for the next few years.  These issues were identified prior to the results of the 2016 election, and now they are issues of increasing importance!  The essays provide ideas and inspiration for actions to strengthen nursing’s focus and activism.  The issues are:

  1. Educational Reform
  2. Academic Progression
  3. Diversity
  4. Interprofessional collaboration
  5. Systems thinking
  6. Voice of Nursing
  7. Global Stewardship
  8. Practice authority
  9. Delivery of care
  10. Professional handoff

This is an important resource for all nurses who are determined to act on the fundamental values of nursing.  The essays are a follow-up to the 2012 “Future of Nursing” report; the issues dovetail with the four recommendations of the report, and sine a light on the actions that nurses can take now to bring a culture of health to the center in shaping the future of nursing and healthcare.  The essays are short and to the point, and there are inspirational quotes from nursing leaders throughout that point the way forward.

Check it out! The book is available in several different formats directly from Sigma Theta Tau or from Amazon.  All proceeds from the book are being donated in equal parts to the American Red Cross nursing programs and the American Nurses Foundation.

Despair is not an option!


As the efforts to roll back the U.S. Affordable Care Act has progressed, what has emerged even further is the resistance from “we the people” – resistance that has, in no uncertain terms, changed the conversation. So even though we hear, every day, another jaw-dropping bit of news that threatens democracy world-wide, it is vitally important that we shift our gaze and energy to continuing whatever actions we can do to sustain our public voices. As Bernie Sanders stated in a recent interview with The Guardian

“This is what they [the people] should do,” he says, pumping out the Bern. “They should take a deep reflection about the history of this country, understand that absolutely these are very difficult and frightening times. But also understand that in moments of crisis, what has happened, time and time again, is that people have stood up and fought back. So despair is absolutely not an option.””  (source)

Our “Declaration of Solidarity and Resistance” continues to draw supporters – not only from nurses but from many others who join us in declaring the values that motivate our actions – actions that are not only important as acts of resistance to the current political trends to damage health and well-being, but actions to affirmatively promote and protect health and well-being for those we serve.  Our Declaration informs our deep reflection – reflection on the historical stand that nurses have taken for decades, and reflection on the political courage to step forward to act – to resist, and to build a future based on these values!

We welcome your stories, photos, videos – anything that you can share that shows what you are doing!  If you are sending a postcard to the White House on March 15th, send us a photo of your card!  If you are attending a rally, send us a photo or a video!  Write about your reflections, and ways that you are shifting away from despair!  We want to hear from YOU!

Dear Senator – an idea for an invitation!


We recently received a message from Suzanne Fontanesi in Baltimore, sharing a letter she is sending to her Senator asking them to shadow a nurse to inform their health care debate by seeing reality up close and personal. She has given us permission to post the letter here so that other nurses can follow through with their senators as well!

Dear Senator _______,

I am a nurse writing to you on behalf of tens of thousands of my fellow nurses, who are deeply concerned about the possibility of Americans losing health care coverage. Before the Senate votes to repeal and/or replace of the Affordable Care Act, Congress members should be very clear eyed about who will be impacted, and how that impact will shape lives.

Nurses are ranked as the most trusted professionals in the nation. Members of Congress are ranked among the least trusted. In the eyes of the American public, nurses have distinguished themselves as moral, responsible and compassionate professionals. One important practice among nurses is that of ”shadowing”. Before committing to a workplace, a nurse spends time observing at close hand, the minute to minute reality of the people they will be serving.

Senators have great responsibility and many demands on their time, which function to keep them at a distance from many of the realities of daily life for the average American, not to mention the most vulnerable.

On behalf of the American people, I am inviting every United States Senator to spend a full work day shadowing a nurse, prior to voting on the repeal of the ACA. I ask them to observe a full work day, not as honored guests, but as quiet and anonymous observers in settings where nurses are caring for vulnerable Americans. Go with an open mind and ask questions.

I am requesting that you pause and take in the reality with your own eyes, ears and noses. Then, you may more legitimately resume the debate that will shape the lives of the most vulnerable millions of Americans. Regardless of party affiliation or political ideology, each Senator will bring relevant, firsthand information to the conversation.
Among 100 Senators, you will have collectively taken in the reality at schools, nursing homes, hospital emergency rooms, community mental health clinics, churches, drug treatment centers, and homeless shelters. Only then can you look us in the eyes and say that you understand our lives.

Please share this request with your fellow Senators. I will be happy to facilitate a shadow day for you or any of your colleagues.

Thank you for your consideration,

Your name
Your contact information

Do our actions make a difference?


#NursesResist
#ProtectHealth

This morning I heard from a nurse in Seattle asking this question in response to our advocacy alert inviting comments on the proposed rules weakening the Affordable Care Act –  “How can I be sure that my writing, calling and speaking up against these changes to ACA don’t actually encourage them to cut more? They seem to take our protests as success on their parts.” This is a terrific question, and it is one that plagues all of us from time to time!  Here is my response – and I invite everyone to add your comments to this post – to help all of us focus on our determination to resist!

It is true that we really cannot know, at least not right away, whether or not anything we do will make a difference. But it is also true that a common initial reaction, by anyone, to opposition is to dig in further and make a “show” of being emboldened – and for the politicians, this is exactly what they will do for the first few signs of opposition.  What they cannot withstand is a continued, large-scale show of opposition because at that point, it threatens their security.  Those who are elected officials begin to realize they cannot survive with large scale opposition.  Those who are appointed officials are also threatened, because our opposition threatens the elected administration that has put them in place.  It may be true that they will ignore our opposition to all actions that threaten the health of the American people, but we will be on record for standing on the side of the people, and as our opposition persists, and grows, if anything will make a difference, this will.

There is another piece to this – there are things that people do that indeed do help them – which is to keep repeating what they say, even if we say “don’t” – when we say “don’t take away our healthcare” we are actually calling forth the image of what we want them not to do – to take it away. When we repeat their tweets and their promises to repeal, we are actually emboldening them.  And so it is important to focus on what they do, not what they say. We will be posting suggestions for positive action regularly on the NurseManifest website, and also sending advocacy alerts like this one!  (note: we are sending email advocacy alerts to all who signed the Declaration of Solidarity and Resistance and included your email)

This question also inspired me to re-visit my post earlier this month – Guidelines for Resistance – guidelines that we are using as we offer suggestions for action.  Here again is the list of guidelines  (tweaked a bit) – to help sort out, as best we can, what actions can be effective.

1. Don’t use the name of the new President, and do not repeat his tweets, even in protest or in the negative (see the example below).
2. Remember this is a regime – he’s not acting alone; he has put in place many who have no interest in serving the needs of people for health and safety.
3. Do not argue with those who support the new administration –it doesn’t work;
4. Focus on his/their policies and actions, not his orange-ness, mental state, or wealth;
5. Keep your message positive; they want the country to be angry and fearful because this is the soil from which their darkest policies will grow.
6. No more helpless/hopeless talk
7. Support artists and the arts – pay attention to the comedians especially
8. Be careful not to spread fake news. Think like a scientist. Check it.
9. Take care of yourselves; and
10. Resist!
One shining example of why #1 on this list is so important.  A few days ago DJT tweeted that the media is the enemy of the people – and in response, some in the media started the hashtag #NotTheEnemy.”  This hashtag simply brings to mind the image of the media as the enemy, and reinforces the damaging image in the initial tweet.  George Lakoff (the originator of the list above) called the media out on this and encouraged everyone to stop using the “enemy” hashtag and imagery – to use instead #ProtectTheTruth.  Even these very little things are vastly important!  So share your ideas and inspirations here – let’s keep the resistance going – and grow it!