An Open Letter to the ANA Membership


Dear Member:

As you are probably aware by now, the ANA Board of Directors recently made the decision to uphold the 2019 Membership Assembly (MA) vote that rescinded the 1985 Presidential Endorsement Process and replaced it with a Presidential Engagement Policy. Whether to uphold the will of ANA’s highest governing body, which voted overwhelmingly to end the endorsement process, or endorse a presidential candidate in this year’s election, was one of the most important and toughest decisions this board has made.

We did not take this responsibility lightly. Each of us read every communication sent to us and as a group, we relitigated the debate that occurred at the 2019 Membership Assembly regarding the pros and cons of each option. I trust that you can appreciate the anguish that each board member experienced in making a decision. As an elected leader, could you ignore the will of the majority who, after debating this issue for two years, has already spoken through their vote at Membership Assembly, or send a message that ignores that result even if legally permitted to do so? I believe that you would agree that to undertake such a move sends a message that the ANA board ignores the ANA member governing body.

In making this decision, board members had the tough responsibility of detaching from their personal political views and experiences to act in the best interest of the association. ANA represents the interests of 4.2 million registered nurses with diverse political views. As a board, we could not ignore this fact given we are in the middle of one, if not the most, divisive election in history. The decision of the board, like that of the Membership Assembly, was evidence-based, and it underscored our belief in the critical thinking of each registered nurse.  

As a professional organization, ANA does not have a vote in national, state or local elections – but individually, you and I do. ANA’s Presidential Engagement Policy encourages each nurse to not only get out and vote – but to get other nurses and nurse advocates out to the polls as well. As ANA’s president, I know ANA benefits through its work with members of both parties to promote the profession before Congress and with the administration. As a Black man, who has spoken out against racism and the current political temperament fomenting hate and divisiveness, I pledge to personally get out the vote for the candidate that I believe will best represent my own values and priorities for a safe, equitable, just and compassionate country. 

I urge you to vote, engage and campaign for the candidates, from those running for president, down the ballot to members of Congress and state and local offices, who most align with your own political views – informed by your personal values and experiences and your professional responsibilities, guided by the Code of Ethics for Nurses.  This November and beyond, we must always fight for what is right for nurses, our patients and the public.

Sincerely yours,

Ernest J. Grant, PhD, RN, FAAN


American Nurses Association

Safe and Sound Week – August 10-16


What makes a nurse safe at work? The American Nurses Association (ANA) supports and promotes nurse safety in its many aspects, which include use of personal protective equipment (PPE), preventing workplace violence, avoiding injury in handling patients, and having staff capacity that is appropriate for quality outcomes and nurse safety.

To draw attention to safety in healthcare settings, ANA partners every August with the Occupational Safety and Health Administration (OSHA) during Safe and Sound Week, which is now under way (August 10-16). The national week of activity is meant to recognize the successes of workplace health and safety programs, and share ideas on how to keep America’s workers safe.

This year, the COVID-19 pandemic has shown dramatically that nurse safety needs to be a priority 24/7, 52 weeks a year. The pandemic has tragically taken lives, including nurses’ lives, and challenged all corners of the healthcare system. ANA has been active in public and behind the scenes to advocate for all possible steps to ensure nurses are Safe and Sound at work, so they can continue to care for patients and educate the public about the pandemic. We must safeguard nurses’ and other frontline providers’ well-being and heed their invaluable insights so that the nation can recover faster and stronger.

As ANA President Ernest Grant said recently in impassioned testimony before Congress, “It is both a moral and strategic imperative for our nation’s leaders to do everything possible to arm and protect nurses and other critical responders as we work to combat the pandemic and prepare for future public health crises.”

For Safe and Sound Week in the year of COVID-19, PPE and workplace violence are of special concern to ANA.

Personal Protective Equipment. Access to appropriate PPE has been one of ANA’s main legislative priorities during COVID-19. Below are some talking points we have made to legislators and thought leaders, that you can also share with your elected officials:

  • PPE shortages continue to persist throughout the healthcare system. At one point this year, three out of four nurses said they are required to reuse their N95 respirators, or are encouraged to do so.
  • Many nurses have reported they do not feel safe using PPE that has been through a decontamination process.
  • Decontaminated respirators may not fit properly or may have other deficiencies.
  • When nurses voice their concerns about unsafe PPE, they should not be subject to retaliation. At ANA’s urging OSHA encourages workers to report such incidences.
  • A solution to addressing safety issues with PPE is to return to OSHA standards and pre-COVID guidelines as soon as possible.
  • ANA also supports creation of an OSHA standard specifically addressing risks of infection disease transmission.

For more information about ANA advocacy on PPE, visit the COVID-19 resources on Nursing World and share your voice with congress to let them know that more PPE is needed immediately.

Workplace Violence. Workplace violence by patients, family members, peers, and external individuals, including intimate partners, is a serious safety issue in healthcare settings, affecting nurses and patients. Yet violence and other abuses toward nurses are not well tracked and analyzed. One reason is that many nurses do not report incidents of violence, perhaps in the belief that their experience will not be acted upon effectively. The COVID-19 emergency has revealed unique threats that could arise in future emergency or high-stress periods, posing risks to nurses and to patient care. For instance, there have been times when family frustration about patient isolation has led to threats and violence. Nurses and other healthcare workers have also felt unsafe in their own communities, because of stigma and unfounded fears about exposure to the virus from healthcare workers specifically.

ANA believes workplace violence can and must be addressed. Our #End Nurse Abuse campaign is raising awareness about risks as well as ways to prevent violence and abuse in healthcare settings. ANA supports legislative and regulatory reform, such as OSHA standards for prevention programs, and collecting national data with effective reporting systems.

Safe and Sound Week is a good reminder that nurse safety is the responsibility of policymakers, employers, the nursing profession, and nurses themselves. Here are more ANA resources that can help keep nurses safe at work:

Safe Patient Handling and Mobility. In the HealthyNurse Survey 58 percent of nurses said they have experienced musculoskeletal pain at work in the past year. This pain is typically caused by the repetitive motions of transporting, mobilizing, repositioning, or ambulating patients. Musculoskeletal pain is not new to healthcare workers, and for the past 20 years ANA has advocated for safer practices and eliminating injuries for all professionals across the care continuum. For critically ill COVID-19 patients, proning procedures have been used to reposition patients, adding patient-handling risks for nurses.

In 2013, ANA developed the Safe Patient Handling and Mobility (SPHM) Interprofessional National Standards to assist organizations in creating SPHM policies and implementing and sustaining SPHM programs. Creating a culture of safety is the foundation for the standards. Without a commitment from staff and leadership, as well as the necessary financial resources, a successful SPHM policy cannot happen, and an SPHM program cannot be maintained. Other aspects of patient care are also addressed by safely handling patients including falls, pressure ulcers, skin injuries, and aggression among patients.

Mental Health.  Some nurses have become sick with COVID-19, but many others will suffer from anxiety, fear, anger, loss, isolation, loneliness, depression, stress, grief, or bereavement because of the pandemic. This is especially true for those who had pre-existing mental health conditions, or those serving on the front line. For all of us, mental health screenings, learning to build resilience, and getting the mental help needed immediately are key. Please see this blog and these webpages on nurse mental health and combating stress for further resources.

Self-Care. An empty plate has nothing to offer. If nurses are not rested, safe, well-nourished, fit, and satisfied with their work-life balance, then they may suffer personally and not be able to give the best care to their patients and families. That’s why self-care is so important. As difficult as this might be in the era of COVID-19 work and meal breaks, at least 7 hours of sleep daily, physical exercise, healthy food, and restorative “down time” need to be non-negotiable items in nurses’ routines. Healthy Nurses Healthy Nation has a plethora of blogs on self-care and stories of inspirational nurses.

Now more than ever, nurses, alongside other health professionals and their employers, need to focus on wellness and occupational health and safety. Nurses cannot do it alone; safe, respectful, and just workplace cultures are everyone’s responsibility. To learn more about occupational health and safety for nurses and health professionals, including immunizations, COVID-19, (see also CDC COVID-19 HCP guidance) staffing and more, visit For additional resources on self-care and nurse wellness, visit

ANA Advocacy – Transforming Nursing’s Voice on the National Stage


Last week, I represented the American Nurses Association (ANA) before the United States Senate Finance Committee to reiterate the urgent need to provide nurses a sufficient supply of personal protective equipment (PPE), safeguard the mental health and well-being of nurses, and address the racial health disparities exacerbated by COVID-19. Participating in a Senate hearing for the first time was an eye-opening experience. It was evident that senators unanimously respect and appreciate the significant sacrifices being made by nurses in response to COVID-19. What came to light during the hearing was that ANA’s bi-partisan approach to advocacy is working –as both sides of the aisle were interested in hearing our message and ensuring that the nation’s 4 million registered nurses are at the witness table as Congressional debate continues over access to PPE. More needs to be done to ensure nurses have access to PPE – therefore I urge each of you to help amplify our collective voice by taking ANA’s latest PPE survey and contacting your members of Congress today.

As ANA president, I am determined to ensure that ANA continues to be at the table to advance the voices of nurses and the patients they serve. This means the association representing the nation’s registered nurses needs to work with those who are elected regardless of political affiliation. Having good working relationships with the Administration and Congress allows for productive conversations even when we disagree. This approach has provided ANA’s leadership, including me, the opportunity to proactively discuss the threats our nurses face on the frontlines of the pandemic while voicing our opposition over the Administration’s defunding of the World Health Organization or the lack of action in authorizing the Defense Production Act. Despite these differences, ANA is recognized on Capitol Hill and within the Administration as the voice of nursing. This has allowed ANA additional opportunities to meet with influential decision makers.

In 2019, ANA’s highest governing body – its Membership Assembly – voted to move away from endorsing presidential candidates. In this presidential election cycle, ANA is focused on equipping nurses with information about the candidates to better engage in the 2020 elections. While ANA is not supporting a specific presidential candidate, I encourage every nurse and nurse advocate to actively participate in the political process, and vote on November 3. The decision not to endorse was based on recommendations of a bi-partisan task force made up of influential nursing leaders. ANA has developed NursesVote to help nurses activate, educate, support and vote for the political candidate of their choice. The ANA-PAC stands by its long history of endorsing pro-nursing Congressional candidates who typically have strong relationships with our Policy and Government Affairs staff and our Constituent/State Nurses Associations.

Since the beginning of the pandemic, ANA has met with the White House and has interacted with a number of federal agencies: the Department of Health and Human Services, the Department of Labor and the Federal Emergency Management Agency to raise concerns about a lack of PPE among other pressing issues. This is in addition to political advocacy efforts on Capitol Hill, which have already resulted in wins for nurses, outlined here in a June Capitol Beat blog. Nurses are at the table – and making a difference.

ANA’s advocacy focus is to ensure our ability to expand and promote nursing’s agenda and to fight for the profession and the patients they serve. We make our concerns known both publicly and in personal meetings with elected officials and their staff. ANA will not remain silent. We continue to lead the charge for nurses.