Celebrating excellence

When Dr. Margretta Madden Styles conducted the first extensive studies of nurse credentialing—research that ultimately led to a comprehensive set of certification standards—she couldn’t have envisioned the long-lasting and truly global impact of her efforts. Today, more than 340,000 nurses hold credentials from the American Nurses Credentialing Center, distinguishing themselves and assuring patients, colleagues, and organizations that they’ve attained specialized knowledge and expertise in their area of practice.

Psychological PPE

The Institute for Healthcare Improvement (IHI) developed “Psychological PPE: Promote health care workforce mental health and well-being” based on research and evidence-based recommendations aimed at protecting and supporting the mental health and well-being of the healthcare workforce during and after the COVID-19 pandemic. IHI reviewed available evidence on interventions that help protect staff mental health under extreme working conditions, including natural disasters, terrorist attacks, and prior pandemics.

Celebrating excellence

When Dr. Margretta Madden Styles conducted the first extensive studies of nurse credentialing—research that ultimately led to a comprehensive set of certification standards—she couldn’t…

Psychological PPE

Communicating with patients about firearm safety

Nurses frequently need to ask personal and sensitive questions, even in the absence of an established therapeutic relationship. Through typical healthcare interactions, disclosures about violence, risk, and firearm ownership may arise. However, nurses receive little or no education, training, or…

The Five Rs

Studies have demonstrated significant associations between higher psychological safety and objective patient safety outcomes, reinforcing the idea that the same conditions that enable learners to grow also contribute to safer care. At the same time, measuring patient safety solely as…

Virtual reality simulation in the nursing skills lab

Nursing programs should prepare students for real-life clinical experiences, but several factors influence the amount of orientation time a novice nurse receives, including cost, time constraints, familiarity with electronic health records, and the ability to provide patient-centered care and perform…

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…

Current Journal

The first OTC birth control pill

Elevating the transition-to-practice experience

Practicing with epilepsy

Respectful care for gender-diverse patients

American Nurses Enterprise News, April 2026

ANA president recognized on TIME100 Health list, 2026 Individual Membership Division election: Call for nominations, The Year of The Power of Nurses™—National…

Elevating the transition-to-practice experience

In 2022, The merger of two regional health systems gave rise to a healthcare enterprise covering six states and employing nearly 3,000…

Nurse residency programs

Make a strategic investment. American Nurse Journal’s CNE topic this month considers standardization of nurse residency programs (NRPs). I’ve been a proponent…

Workforce wisdom

Summit attendees collaborate to strengthen nursing and provide optimal care. Audience engagement was a feature of all sessions. Participants asked insightful questions…

Rapid Response

Spinal cord compression and cauda equina syndrome

Mr. Robert Trent*, a 22-year-old man, arrives at the ED with acute, uncontrolled severe back pain, which he rates as 10 (the worst possible). The pain, which began 5 hours earlier, was unrelieved with ibuprofen. Robin, the nurse, takes his…

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…

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…

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…

Spinal cord compression and cauda equina syndrome

Mr. Robert Trent*, a 22-year-old man, arrives at the ED with acute, uncontrolled severe back pain, which he rates as 10 (the…

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…

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Simulation: Preparing for workplace violence

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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Continuing Education

Elevating the transition-to-practice experience

In 2022, The merger of two regional health systems gave rise to a healthcare enterprise covering six states and employing nearly 3,000 prospective newly licensed nurses (NLNs) who graduated from an accredited program and had less than 6 months of…

Farmworker healthcare challenges

In addition to the health problems that everyone encounters, farmworkers also may experience pesticide exposure, long hours with few breaks, heat exposure and related illnesses, lack of water and sanitary bathroom facilities, injury, prolonged exposure to noisy equipment, and overexposure…

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…

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.…

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…

Elevating the transition-to-practice experience

In 2022, The merger of two regional health systems gave rise to a healthcare enterprise covering six states and employing nearly 3,000…

Farmworker healthcare challenges

In addition to the health problems that everyone encounters, farmworkers also may experience pesticide exposure, long hours with few breaks, heat exposure…

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…

Practice Matters

The first OTC birth control pill

Unintended pregnancy among adolescents remains an ongoing concern. Amjad and colleagues note limited access to reliable contraception, inconsistent use of birth control, stigma, and lack of comprehensive sex education as barriers to preventing unintended pregnancy.

The team therapist model

Nurses experience significantly more shared suffering and loss than those in other caring disciplines. If not mitigated, this can lead to disproportionate levels of…

A case study: CHF and depression

According to Jha and colleagues, a lack of consistent depression screening in patients with congestive heart failure can lead to poor prognosis and outcomes.…

Fostering a culture of innovation and quality

Study identifies actions to guide healthcare organizations. THE AMERICAN NURSES ENTERPRISE (ANE) has prioritized innovation and quality practices as necessary components of workplace culture.…

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…

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,…

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…

From the Ethics Inbox

Respectful care for gender-diverse patients

During a change-of-shift handoff, I informed the oncoming nurse that a transgender patient uses she/her pronouns. The nurse responded, “I don’t subscribe to this trend of declaring pronouns. I’ll call the patient what I feel is right.” Does the Code…

Gift giving and receiving in nursing practice

I'm a new nurse on a pediatric oncology unit. Many of my colleagues bring in gifts for their patients. Is this something that I should be doing? On the flip side, am I allowed to receive gifts from families? This…

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…

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,…

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…

Respectful care for gender-diverse patients

During a change-of-shift handoff, I informed the oncoming nurse that a transgender patient uses she/her pronouns. The nurse responded, “I don’t subscribe…

Gift giving and receiving in nursing practice

I'm a new nurse on a pediatric oncology unit. Many of my colleagues bring in gifts for their patients. Is this something…

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…

Perspectives

The best career advice I was ever given

Prepared enough? A new FNP’s honest look at training, quality, and patient safety

Asking “What’s the point?”: A pivotal moment in a nursing career

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

The best career advice I was ever given

The best career advice I was ever given did not arrive in a hospital corridor, a simulation lab, or a leadership institute.…

Prepared enough? A new FNP’s honest look at training, quality, and patient safety

As the healthcare system confronts a growing shortage of primary care physicians, nurse practitioners (NPs) have become increasingly essential to meeting the…

Asking “What’s the point?”: A pivotal moment in a nursing career

At some point in their careers, many nurses quietly ask themselves a difficult question: What’s the point? Asking this doesn’t signal disengagement,…

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…

Community

Video abstracts: A powerful dissemination tool

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

Classifying AI use in writing for publication

As with nearly all fields, the use of artificial intelligence (AI) in writing is controversial and evolving. Part of the challenge is…

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…

News

Millions of CT scans are done every year – most leave important data behind

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

The American Nurses Association has issued a statement saying it is “deeply disturbed and saddened” about Saturday’s shooting death of 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…

My Nurse Influencer

AI is making nurses second-guess their expertise —That’s dangerous

Silicon Valley has discovered healthcare—again. This time, the promise is artificial intelligence (AI) that can predict when patients will deteriorate, before stressed-out nurses notice the warning signs. Venture capital is pouring billions into health tech startups, major tech companies are…

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…

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…

AI is making nurses second-guess their expertise —That’s dangerous

Silicon Valley has discovered healthcare—again. This time, the promise is artificial intelligence (AI) that can predict when patients will deteriorate, before stressed-out…

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…

Mental Health

Collaboration: The key to healthcare transformation

Transforming health care is a complex challenge that can best be met through a coordinated response from academia and clinical practice. Working together, chief nursing officers…

Health, safety, & wellness

By promoting and consuming nutritious foods, nurses can improve their own and their patients’ health.

Critical Care

Calming a thyroid storm

Saving a patient’s life may rest on recognizing which findings are red herrings and which hold the key to the crisis.

Hyponatremia signals acute adrenal insufficiency

Maryann Ward, age 56, is admitted to the chest pain unit. Sara, her nurse, finds her alert and oriented. Mrs. Ward tells Sara her chest…

Pediatrics

Recurrent respiratory papillomatosis in children

Treatment for this rare disorder may require repeat surgeries. Takeaways: Recurrent respiratory papillomatosis (RRP) is disease, but it’s progressive and can effect…

New treatment for peanut allergy in children

The U.S. Food and Drug Administration (FDA) recently approved Aimmune Therapeutics’ Palforzia [Peanut (Arachis hypogaea) Allergen Powder-dnfp] for children suffering from peanut…

Cardiology

Transesophageal echocardiography: Getting a clearer view

This minimally invasive approach provides an unobstructed view of nearly all cardiac structures.

Study: Gestational diabetes may increase risk for atherosclerosis later in midlife

Pregnant women who develop gestational diabetes may be at risk for early atherosclerosis during midlife before the onset of diabetes and metabolic…

American Nurse TV

June 2025 American Nurse Journal VOL. 20 NO. 6 preview

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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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