In January of 1981, in her home, Marie Manthey started a small four-page newslett er called Primarily Nursing. Her intention was to share information about primary nursing, then a fairly new model of nursing, with clients and friends. In her own words from that first issue: "The practice of Primary Nursing is such an art-and it is an art-that I find it difficult to keep my associates and fellow practitioners abreast of the many developments that transpire within a matt er of months. Primarily Nursing is designed to do just that" (Manthey, 1981a, p. 1). She described primary nursing in that first issue: "The essence of a primary nurse's relationship with a client is based on the nurse's role as a professional. When the nurse explains her role as a primary nurse, with particular emphasis on the meaning of her title, she establishes herself as a professional and creates the bond that is necessary in sustaining a contractual professional-client relationship" (Manthey, 1981b, p. 2). Marie's passion for nursing was evident in that first issue as she wrote, " Primarily Nursing has been created to keep all of us in touch with the most current issues in this courageous and creative profession" (Manthey, 1981c, p. 1). Over the next two and a half decades, Primarily Nursing and then Creative Nursing have never strayed from that vision. Also in that first issue, Marie addressed the subject of nursing staffing: "The overwhelming workload that results from short staffing is a permanent condition in our profession. With the acceptance of this condition, we can become open to innovative means of overcoming our frustrations. We can then develop and effect ways to achieve professional satisfaction from work well done. This means learning to accept the fact that everything that needs to be done just won't be" (Manthey, 1981c, p. 1). In its first years, Primarily Nursing was essentially a one-person endeavor, with Marie supplying the main editorial content. At the time, Marie was based in New Haven, Connecticut, but was traveling around the country helping hospitals implement primary nursing. Early articles were very focused on gett ing Marie's voice out. She has said several times that it was her hope that this "litt le newsletter" would make it possible to spread the word about primary nursing without having to travel so much. But Marie kept traveling and kept writing. By 1984, a feature titled "Traveling Notes" was added, where Marie shared observations and thoughts from the field. The first major article writt en by someone other than Marie was an article submitt ed by Mary Jo Anderlonis and Sherry Maxwell about primary nursing in the emergency room. The bulk of the article explained how primary nursing works in an emergency sett ing. The first paragraph, however, echoed Marie's personal values and anticipated many recurring themes, speaking of the patient's need for continuity, increased nurse-physician collaboration, and nursing satisfaction. As Primarily Nursing entered the early 1990s, most of the articles were writt en by people other than Marie. In addition to fresh voices, these authors brought new interests and expertise in topics such as charting, military nursing, health care reform, and healthy workplaces. "Commitment to My Coworkers, " the text for the popular wallet card published by Creative Health Care Management, was first published in Primarily Nursing in 1991. In 1994, the name was changed to Creative Nursing: A Journal of Values, Issues, Experience & Collaboration. Claire Manthey Haukkala and Lisa Legge, the new editors, wrote in their first editorial that "We chose this name to clearly state our commitment to the values inherent within the nursing profession; to an ongoing discussion of the emerging issues challenging our profession; to a respect for the experiences we all bring to our work and the importance of sharing those experiences through storytelling and other means; and to collaboration and creativity" (Legge & Manthey Haukkala, 1994, p. …