Organophosphate poisoning

A 32-year-old man with no significant past medical history, experiences acute shortness of breath, watery eyes, and twitching while working in a soybean field. The triage nurse recognizes that the symptoms might indicate organophosphate poisoning and activates the rapid response team.

Smoking cessation and lung cancer screening

The U.S. Preventive Services Task Force recommends screening high-risk individuals for lung cancer with annual low-dose computed tomography scans. However, in 2024, only about 16% of high-risk individuals adhered to these recommendations. Factors such as insurance coverage, access to healthcare, and awareness of the benefits of screening influence uptake rates. Nurses have a critical role to play in increasing screening among various populations, including those with limited care access.

Organophosphate poisoning

A 32-year-old man with no significant past medical history, experiences acute shortness of breath, watery eyes, and twitching while working in a soybean field.…

Smoking cessation and lung cancer screening

The U.S. Preventive Services Task Force recommends screening high-risk individuals for lung cancer with annual low-dose computed tomography scans. However, in 2024, only about…

Bereaved parents and perceptions of hope

Bereaved parental perspectives on hope during their child’s cancer journey can prove complex and subjective. Hope, which can alleviate distress, is difficult to define. In the face of good outcomes or a favorable prognosis, families direct hope toward a cure…

HPV Extragenital testing sites

The CDC reports that HPV infection is typically asymptomatic and commonly spreads between individuals without signs of infection. However, HPV infection can result in genital warts, respiratory papillomatosis, and cancer. According to the CDC, HPV is notable for being the…

Nurse-driven frailty screening

Home-based primary care (HBPC) involves routine and urgent primary care provided by an interprofessional team to frail vulnerable adults who would otherwise lack access due to homebound status. Despite its demonstrated success, access to HBPC remains limited. This project fostered…

Oral care and hospital-acquired pneumonia

Many consider oral care an element of grooming, not an infection control measure. However, an association exists between poor oral care and systemic disease. For example, aspiration of oropharyngeal pathogens into the lungs can lead to pneumonia. Immobile or confined…

How is Your Nursing Team Making a Difference?

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Gastrointestinal Whole-Patient Care

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Simulation: Preparing for workplace violence

Current Journal

COPD exacerbation

Suicide left ventricle after TAVR: Prevention and intervention

Loyalty vs integrity when making a professional endorsement

Pursuing a passion to help your with addiction

Trauma and its impact on health

Trauma changes us. This powerful emotional experience of terror or stress affects biology and immune function, reminding us of the connection between…

Teens and cyber victimization

Cyber victimization (CV) among teens is characterized by targeted aggression in an electronic context. This phenomenon, including cyberbullying, cyber fraud, and cyberstalking,…

HPV Extragenital testing sites

The CDC reports that HPV infection is typically asymptomatic and commonly spreads between individuals without signs of infection. However, HPV infection can…

Loyalty vs integrity when making a professional endorsement

I'm in a social media group for nurse practitioners (NPs), and a recent discussion made me uncomfortable. One individual offered to write…

Continuing Education

Trauma and its impact on health

Trauma changes us. This powerful emotional experience of terror or stress affects biology and immune function, reminding us of the connection between the mind and body. Learn about the connection between trauma and immune function and the implications for nursing…

Oral care and hospital-acquired pneumonia

Dress for success: Wound dressing basics

Some nurses find wound dressing selection intimidating and frustrating. Businesswire estimates that more than 5,000 wound care products exist in the United States, in…

Comprehensive nursing approach to hepatitis B and C

HBV and HCV pose significant health risks. In their chronic form, years after initial infection, both viruses can result in severe health issues, including…

ESCAPE from delirium

Falls in hospitals frequently coincide with delirium, a common yet sometimes unrecognized comorbidity among geriatric patients. Delirium is characterized by sudden, rapid cognitive impairment…

Naloxone education for nursing staff

In 2021, 4 years after the U.S. Department of Health and Human Services declared the opioid crisis a public health emergency, the Centers for…

Trauma and its impact on health

Trauma changes us. This powerful emotional experience of terror or stress affects biology and immune function, reminding us of the connection between…

Oral care and hospital-acquired pneumonia

Many consider oral care an element of grooming, not an infection control measure. However, an association exists between poor oral care and…

Dress for success: Wound dressing basics

Some nurses find wound dressing selection intimidating and frustrating. Businesswire estimates that more than 5,000 wound care products exist in the United…

Comprehensive nursing approach to hepatitis B and C

HBV and HCV pose significant health risks. In their chronic form, years after initial infection, both viruses can result in severe health…

Education and Career Guide

Education can be the key to professional success. Whether you’re a new or experienced nurse, returning to school to get your BSN or another advanced degree can make the difference between thriving and stagnating in your career. Tap into the articles presented in this year’s education guide for tips and thoughtful advice on nursing education. The American Nurse Education and Career Guide, provides you with facts, figures, other nurses’ experiences, and tons of other resources to help you in your journey.

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Rapid Response

Organophosphate poisoning

COPD exacerbation

A 75-year-old man with a history of chronic obstructive pulmonary disease (COPD), hypertension, and a 20-pack-year smoking history, is transferred from the ED to a med–surg unit for continued monitoring after a COPD exacerbation. The provider orders 3 liters per…

Spontaneous pneumothorax

A 19-year-old man with no significant medical history develops sudden, sharp, left-sided chest pain while playing basketball. After 8 hours, his pain doesn’t improve…

Crohn’s disease and GI perforation

JUSTIN REYNOLDS*, a 22-year-old man, arrives at the medical–surgical unit for a diagnostic workup after reporting abdominal pain, diarrhea, vomiting, and weight loss for…

Serotonin syndrome

A 54-year-old woman arrives at the ED with flu-like symptoms, including fatigue, muscle aches, and a mild fever. Her medical history includes depression, which…

Alpha-gal syndrome

A 67-year-old woman arrives at the ED in distress. She tells the ED triage nurse that about 3 hours after eating beef nachos, she…

Organophosphate poisoning

A 32-year-old man with no significant past medical history, experiences acute shortness of breath, watery eyes, and twitching while working in a…

COPD exacerbation

A 75-year-old man with a history of chronic obstructive pulmonary disease (COPD), hypertension, and a 20-pack-year smoking history, is transferred from the…

Spontaneous pneumothorax

A 19-year-old man with no significant medical history develops sudden, sharp, left-sided chest pain while playing basketball. After 8 hours, his pain…

Crohn’s disease and GI perforation

JUSTIN REYNOLDS*, a 22-year-old man, arrives at the medical–surgical unit for a diagnostic workup after reporting abdominal pain, diarrhea, vomiting, and weight…

Practice Matters

A case study: CHF and depression

Mr. Robert Gains*, a 45-year-old truck driver, arrives for a post-hospitalization follow-up appointment with the nurse practitioner (NP) at his cardiologist’s office after insertion of an internal cardio defibrillator to manage recently diagnosed congestive heart failure (CHF). During his visit, Mr. Gains appears fatigued, angry, and sad. He reports weight loss, a decreased appetite, lack of energy, and not feeling like himself.

Stigma and liver transplantation

Bias associated with liver transplants reflects underlying practices within healthcare that shape how it emerges and persists. Since 2014, as noted by Pimienta and…

Mental health trailblazers

The mental health trailblazers podcast features the groundbreaking journeys of psychiatric mental health nurses in their quest to meet the urgent needs of under-resourced…

Alleviating nurse fatigue

Today's nursing workforce spans multiple generations, each with distinct needs, strengths, and challenges. Addressing generational differences as healthcare evolves remains essential for mitigating nurse…

Mental Health access

A culture shift from stigma to support Being a nurse is one of the most meaningful professions. Each day offers the opportunity to heal,…

Have you ever served?

Although change is inevitable, experiencing several changes simultaneously can lead to significant stress. Each year, according to the Government Accountability Office, approximately…

Breast cancer: Personalized prevention for women

Through evidence-based education and shared decision-making, nurses play a vital role in closing knowledge gaps and empowering all patients at risk for…

We want you! Professional writing in nursing

Professional writing plays a vital role in nursing. By sharing clinical expertise, innovative strategies, and critical perspectives, nurse authors make meaningful contributions…

From the Ethics Inbox

Loyalty vs integrity when making a professional endorsement

I'm in a social media group for nurse practitioners (NPs), and a recent discussion made me uncomfortable. One individual offered to write a positive endorsement for other group members in exchange for a positive endorsement from them on a public…

Fostering a workplace where nurses can flourish

I’m the Nurse Manager for a 34-bed medical–surgical unit and pursuing my DNP in nursing leadership. My school has a strong focus on ethics, and I want to incorporate the Code of Ethics for Nurses (Code) into my schoolwork and…

Everyday ethics: Interconnected care in a changing world

It seems like the revised Code of Ethics for Nurses, with the addition of Provision 10, is taking us beyond the bedside and our…

Balancing life and death transitions

I’m an ICU Nurse at a hospital that frequently procures organs from patients who’ve given consent to donate on their driver’s licenses. In some…

Everyday ethics: Addressing gun violence

As an RN working in the labor, delivery, and post-partum unit, I’ve witnessed the impact of gun violence on patients and families, both through…

Everyday Ethics: Supporting cultural values and health equity

I work in the obstetrics department of a community hospital. Our patients include immigrants and refugees who don’t speak English and have cultural practices…

Loyalty vs integrity when making a professional endorsement

I'm in a social media group for nurse practitioners (NPs), and a recent discussion made me uncomfortable. One individual offered to write…

Fostering a workplace where nurses can flourish

I’m the Nurse Manager for a 34-bed medical–surgical unit and pursuing my DNP in nursing leadership. My school has a strong focus…

Everyday ethics: Interconnected care in a changing world

It seems like the revised Code of Ethics for Nurses, with the addition of Provision 10, is taking us beyond the bedside…

Balancing life and death transitions

I’m an ICU Nurse at a hospital that frequently procures organs from patients who’ve given consent to donate on their driver’s licenses.…

Perspectives

From structure to outcomes: Applying the Donabedian Model to achieve nursing excellence

Quality improvement initiative to enhance nurse engagement in antibiotic stewardship

An appeal to the American people

Beyond the metrics: The human work of leading from the middle

From structure to outcomes: Applying the Donabedian Model to achieve nursing excellence

Professional nurses make meaningful contributions to quality outcomes for patients, communities, and organizations. The American Nurses Association maintains that “nurses have a…

Quality improvement initiative to enhance nurse engagement in antibiotic stewardship

A systematic analysis by the Antimicrobial Resistance Collaborators estimated that 4.71 million deaths worldwide were attributable to antimicrobial resistance in 2021. From…

An appeal to the American people

The ongoing nursing shortage puts a significant strain on the healthcare system. At a time like this, our nation needs no “Act”…

Beyond the metrics: The human work of leading from the middle

Middle leaders, especially nurse managers, live at the intersection of strategy and lived experience. We’re close enough to feel every shift in…

Community

Transitions as literary signposts: Powerful guides for the reader’s journey

Classifying AI use in writing for publication

Strengthen health systems worldwide: Invest in nursing professional development

Healthcare workers are the bedrock of an effective healthcare system and nurses comprise nearly 60% of the global healthcare workforce. Despite this…

Remembering Eloise Richardson

During World War II, countless women answered the call to serve, stepping into roles that reshaped history and helped turn the tide…

News

Lisa Bonfield cradles her newborn daughter, Adele, at home in New Orleans on Dec. 12, a few days after their first home visit from a nurse with the Family Connects New Orleans program. ( Rosemary Westwood/WWNO )

New Orleans Brings Back the House Call, Sending Nurses To Visit Newborns and Moms

ANA “deeply disturbed” by Minnesota shooting death of ICU nurse Alex Pretti

New federal loan limits will worsen America’s nursing shortage and leave patients waiting longer for care

There is growing need for nurses in the United States – but not enough nurses currently working, or students training to become…

Limiting access to graduate nursing education: A policy shift that threatens workforce stability and public health

The pathway into nursing is rarely straightforward. I grew up in a working-class family, and college felt out of reach, but with…

My Nurse Influencer

Building the evidence base to integrate ‘Food Is Medicine’ principles into cardiovascular care: Q&A with Dr. Bunmi Ogungbe

The Food Is Medicine movement has been gaining momentum as a commonsense approach to cardiovascular care for some time. The goal is to complement, not replace, pharmacological interventions. With regard to heart disease, health systems and policymakers are finally recognizing…

Maximize dissemination of your published article

Once an article is published, it’s tempting to pat yourself on the back, accept colleagues’ accolades, and move on to the next project. But before you do, take time to promote your work so that it reaches the widest possible…

What honors code taught me about teaching

Until recently at my institution, each student signs a paper honor code at the start of an exam. The back of that sheet doubles…

The Gifts We Do Not See

The holidays may be behind us, but this blog by Fidelindo Lim, DNP, CCRN, FAAN, offers some critical insights into the enduring humanism of…

Gratitude and meaning can keep nurses going

Research continues to affirm what many of us intuitively know: gratitude is good and good for our health. A study has shown that people…

You’re wearing that to work?

Few undergraduate programs pay as much attention to attire as nursing. At every clinical orientation, dress code policies are reiterated with the familiar warning:…

Building the evidence base to integrate ‘Food Is Medicine’ principles into cardiovascular care: Q&A with Dr. Bunmi Ogungbe

The Food Is Medicine movement has been gaining momentum as a commonsense approach to cardiovascular care for some time. The goal is…

Maximize dissemination of your published article

Once an article is published, it’s tempting to pat yourself on the back, accept colleagues’ accolades, and move on to the next…

What honors code taught me about teaching

Until recently at my institution, each student signs a paper honor code at the start of an exam. The back of that…

Transitions as literary signposts: Powerful guides for the reader’s journey

Even with GPS, drivers still need signposts to know where they’re going on their travels. Similarly, readers need signposts to guide them…

Mental Health

Nurses, NPs, and other APRNs on the front lines of COVID-19: How do we protect the nursing workforce?

Today, we cannot escape the turmoil of living every moment of every day immersed within the chaos of the novel COVID-19 pandemic.…

self knowledge look think act affirmation

From our readers…The value of self-knowledge

Have you thought about what would bring joy into your life? Do you wake up excited to start the day ahead? Knowing…

Critical Care

Derailing disaster after pulmonary aspiration

Thanks to an alert nurse, an elderly patient avoids respiratory failure during her recovery from hip fracture surgery.

Nurses’ role in continuous renal replacement therapy

Acute kidney injury (AKI) in combination with other disease processes, such as COVID-19, significantly impacts patient mortality in the ICU.

Pediatrics

Adolescents and marijuana: What nurses need to know

Andy was a freshman in high school when he first tried marijuana. He and his friends began experimenting, thinking marijuana was “cool…

Take Note – March 2007

Previous hospital-room occupants may spread MRSA and VRE The risk of acquiring methicillin-resistant Staphylococcus aureus (MRSA) or vancomycin-resistant enterococci (VRE) infections increases…

Cardiology

Making resolutions, making meaningful changes

Did you make a New Year’s resolution? If so, how’s your resolve holding up? According to researchers, after 1 month, 75% of…

Take Note – July/August 2009

A weekly round-up of clinical and practice news and alerts.

American Nurse TV

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HealthCom Media, the publishers of American Nurse Journal, the American Nurses Association and Al Roker Productions collaborated to bring a few shining examples of the exemplary work being done by nurses in today’s very challenging healthcare environment to the American public.

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