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Letter to the Editor

  • Medical errors continue to rise and are one of the top three patient safety concerns today. Organizations committed to a culture of safety are more successful in recovering medical errors.

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Reply by author Edmonson to Thompson on Moral Courage and the Nurse Leader

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December 20, 2010

Reply by Cole Edmonson to Thompson on “Moral Courage and the Nurse Leader” by Cole Edmonson (September 30, 2010).


Thank you for the Letter responding to my article (September 30, 2010) regarding moral courage in nurse leaders. You are correct in describing the 'judicious' concept that we as nurse leaders must consider and uphold. However, the question often becomes "How do we do this?" Barbara Mackoff's (2010) work on ‘engaging nurse managers’ offers recommendations to do just this. In our facility the Leader-Patient Line of Site Program (L2P) creates intention, structure, and process to assure that leaders will achieve the outcome of being connected to the patient and the bedside within the context of the leadership domain.

Strengthening the connection with our clinical origins and the patient experience has great capacity to increase engagement, prevent burn-out, and find ongoing joy in our profession. L2P is supported through an appreciative inquiry framework infused with a foundation of virtue ethics. The synergy among these models and frameworks culminates in environment where nurse leaders can thrive, develop, and grow both personally and professionally.

Thank you, your colleague, Cole Edmonson, MS, RN, FACHE, NEA-BC


Mackoff, B. (2010). Nurse Manager Engagement: Strategies for Excellence and Commitment. Sudbury, MA: Jones and Bartlett