Nursing in the 21st Century (N21) is a new place for nurses to speak, question, discuss, define, and collaboratively resolve challenges facing their profession.

Available as a free iOS app, N21 is peer reviewed, mobile (no print), and theme based. Contributors represent a range of professional backgrounds.

N21 also utilizes a new storytelling platform, designed by Atavist. This means each article is enhanced with a variety of multi-media “extras,” including audio, video, and graphics, that appear and recede with a tap. There is also a commenting bubble at the bottom of each article.

With the 2010 Affordable Care Act, health care in America is moving into uncharted territory. Care models are transforming for providers and for recipients. And, with an unprecedented opportunity to define themselves outside the shadow of physician- and hospital-centered care, nurses are also on the verge of a tremendous shift, not only in how they practice, but in how they are educated.

N21 was created to stimulate conversation surrounding these transformations.

Browse issues below.

N-21: The Future of Nursing & the IOM Report

Issue 1

A response to the Institute of Medicine (IOM) and Robert Wood Johnson Foundation’s (RWJF) report, “The Future of Nursing: Leading Change, Advancing Health.”

Since its release in 2010, the report has generated widespread discussion and interest and has proposed a vision for a transition that will affect nurses practicing at all levels. Contributors include journal editor Maureen Boshier (PhD, DLP, RN, Visiting Associate Professor of Community and Environmental Health, Old Dominion University), Julie Fairman (PhD, RN, FAAN, Nightingale Professor of Nursing, Director of the Barbara Bates Center for the Study of the History of Nursing), Diane Huber (PhD, RN, NEA-BC, FAAN, University of Iowa College of Nursing), Patty Jones (Healthcare Management Consultant at Milliman & Robertson), and Milena Staykova (EdD, FNP- BC, Assistant Professor, Jefferson College of Health Sciences).

Optimized for iPhone, iPad: Download N21 in App store
For web viewers: Click here


Issue 2

Considers the status of IPE – interprofessional education.

IPE in the classroom, and IPC – interprofessional collaboration – in the work force, have been discussed for nearly forty years. Now, its time has finally arrived. The issue contains four articles: Steven Becker (PhD, Professor of Community and Environmental Health, Old Dominion University) writes on managing Japan’s 2011 mega-disaster collaboratively. Michael Crouch (PhD, Gatton College of Pharmacy, East Tennessee State University), and Wilsie Bishop (PhD, Vice President for Health Affairs and University Chief Operating Officer, East Tennessee State University), offer a look at implementing IPE in a university setting. Rebecca Poston (PhD, RN, CPNP, Lecturer, Old Dominion University) looks at developing a common language for collaboration. And an interview with Ann King (DNP, FNP-BC, Clinical Associate Professor East Carolina University, and Captain, U.S. Army Reserve, as a Nurse Practitioner and Public Health Nurse) examines simulation and its impact on preparing practitioners for collaborative practice.

Optimized for iPhone, iPad: Download N21 in App store
For web viewers: Click here*


Issue 3

Considers toxic hierarchies, workplace violence, and how abusive behaviors impact patient care.

Bad behavior, between professionals and between patients and professionals, when given tacit approval, becomes embedded and continues as the norm. Such behavior creates disharmony and self- doubt, impeding healing and interfering with sustaining an environment of care and peace. Four contributors look at dangerous behaviors and how to modify them for better patient outcomes. Ellen Fink-Samnick (MSW, ACSW, LCSW, CCM, CRP – “Ellen’s Ethical Lens” on LinkedIn) discusses the ethical implications of poor communication. Jim Blando (Assistant Professor, Old Dominion University) looks at hostile patients and the impact of workplace violence. Christine Kovner (PhD, RN, FAAN, Professor, NYU College of Nursing) adds important bullet points from a recent article about young nurses. The issue concludes with an interview with well-know nurse advocate and author, Suzanne Gordon (Life Support, From Silence to Voice, When Chicken Soup Isn’t Enough, Beyond the Checklist)

Optimized for iPhone, iPad: Download N21 in App store
For web viewers: Click here*



Issue 4 (Available in January!)

Looks at trends to prolong life at all costs, and the value of having conversations about mortality and end-of-life care, before it’s too late.

“Do not go gentle into that good night, rage, rage against the dying light” written by Dylan Thomas and published in 1951, and often quoted because it captures so much of the human response to ending of life. Contributors to Issue 4 look at trends that prolong life at all costs, and offer both personal and clinical expertise on the important conversations families and care providers should be having about end-of-life care, before it’s too late.

Donna M. Nickitas, a professor at Hunter College, Hunter-Bellevue School of Nursing, reflects on the recent loss of her sister and blurred responsibilities when a nurse cares for family. Dorothy Faulkner, PhD, MPH, PMP, and faculty at Eastern Virginia Medical School, offers innovative models for integrative palliative care. Revathi A-Davidson, MA MPH, reviews the Institute for Healthcare Improvement’s “The Conversation Project.” Dr. Joan McIver Gibson, a well know bioethicist, weaves her 30+ years working in the field of death and dying with a story of personal loss. Dr. Gibson also leads a video round-table discussion on legislative initiatives, attitudes, and policies. And, Deborah Golden Alecson, a thanatologist and adjunct faculty at Excelsior College, discusses the Death with Dignity Initiative.

QED SealN21 received a QED award from Digital Book World in 2013.
To get N21:

  • You’ll need an iPhone or iPad.
  • Go to the App Store, type N21 in the search bar, and hit enter.
  • Load it as you would any other app.
  • Swipe side to side to move between articles.
  • Scroll top to bottom to read an article in its entirety.
  • Tap the screen to see or hide extras.
  • Tap the bottom to see more options, including font adjustment and commenting bubble.

*The fine print: Access from Mac or PC ok. Firefox may be tricky. (Workplace security may prevent images and audio from downloading.)

Did you know Excelsior College has other publications?

Click here to learn about the Excelsior ReView.
The ReView is a semi-annual online publication focused on the creative and artistic talents of our world-wide community: alumni, students, instructors, staff, and course and exam takers.

And, click here to learn about the new peer-reviewed journal from Excelsior’s National Cybersecurity Institute (NCI).