To manage hypotension and avoid kidney injury related to bupropion, Kim initiates isotonic I.V. fluids for hemodynamic stability. She knows that seizures are more likely with IR formulations and recognizes that increased agitation, decreased GCS score, and onset of tremors and hallucinations frequently precede seizures. Kim prepares to administer I.V. benzodiazepines, a first-line treatment for seizures and agitation from bupropion toxicity, as ordered, and to minimize the risk of rhabdomyolysis.
How to enhance nurse retention
Healthcare organizations worldwide struggle with nurse turnover. A systematic review by Bae estimated the cost of nurse turnover in the United States to range from $21,500 to $88,000 per nurse. That review also found an association between nurse turnover and decreased patient satisfaction, increased patient falls, higher rates of hospital-acquired pressure injuries, and increased medical errors. Al-Rjoub noted that high turnover rates among nurses can lead to increased recruitment and training costs, decreased patient care quality, and lower staff morale.
How to enhance nurse retention
Healthcare organizations worldwide struggle with nurse turnover. A systematic review by Bae estimated the cost of nurse turnover in the United States to range…
Adolescent overdose
To manage hypotension and avoid kidney injury related to bupropion, Kim initiates isotonic I.V. fluids for hemodynamic stability. She knows that seizures are more…
HAPI reduction through process improvement
To strengthen prevention efforts, many hospitals have adopted Kamishibai Cards (K-Cards), a visual quality improvement tool designed to prompt structured conversations between nurse leaders and frontline staff. A study by Stewart found that K-Cards enhanced adherence with evidence-based interventions and…
Workplace Safety: A multidisciplinary approach
We began by asking frontline nursing staff about their experiences and workflow. In unit-based meetings, we asked about workplace violence events, including name calling, verbal or physical threats, sexual comments, and encounters with physical aggression. When we asked nurses if…
When “just asking AI” becomes a HIPAA problem
Here’s the wrinkle: Being on an approved device doesn’t mean every use of it is automatically clean. In 2026, as described by Adler, patients filed suits against several health systems over AI scribe and ambient-documentation tools that recorded clinician–patient conversations…
The nurse’s role in ketamine infusion therapy
According to Rawat and colleagues, one-third of patients receiving treatment for depressive disorders may be resistant to commonly prescribed antidepressants while others may wait weeks for symptom improvement. However, these same researchers note that many patients who haven’t responded well…
Emotional intelligence in nursing
Nursing has long been described as one of the most demanding professions. Nurses must think critically, communicate effectively, practice safely and efficiently,…
Emotional intelligence and clinical competence
Think about the last difficult interaction you had at work. Perhaps a frightened patient became angry. A family member questioned the care…
Burn pit exposure
During deployments ti Iraq, Afghanistan, and other locations across the world, U.S. military service members were at risk for exposure to airborne…
American Nurses Association Enterprise News, November 2026
The American Nurses Enterprise (ANE) announced Rich G. Kenny, MMCi, RN, as its vice president of Artificial Intelligence and Digital Health Programs…
Adolescent overdose
To manage hypotension and avoid kidney injury related to bupropion, Kim initiates isotonic I.V. fluids for hemodynamic stability. She knows that seizures are more likely with IR formulations and recognizes that increased agitation, decreased GCS score, and onset of tremors…
Acute sepsis
Emma Craig, a 68-year-old, alert, and oriented woman with a past medical history of type 2 diabetes, hypertension, and arthritis, is admitted for an elective right total hip arthroplasty. Postoperatively, she remains on the med–surg unit while awaiting transfer to…
Boerhaave syndrome
A 27-year-old man with no significant past medical history received a diagnosis of viral gastroenteritis 2 days ago and has had persistent vomiting despite…
A post-TAVR emergency
Mr. James tells Lizzy, the PACU nurse, that he doesn’t feel well and might pass out. Lizzy knows that conduction disturbances after TAVR can…
Epiglottitis in adults
One week ago, a 46-year-old man developed a sore throat that’s progressively worsened despite supportive therapy, resulting in a visit to the ED. The…
Peritonsillar abscess
When William arrives in the ED, he tells Kara, a triage nurse, that he has right-sided throat pain with radiation to his right ear,…
Adolescent overdose
To manage hypotension and avoid kidney injury related to bupropion, Kim initiates isotonic I.V. fluids for hemodynamic stability. She knows that seizures…
Acute sepsis
Emma Craig, a 68-year-old, alert, and oriented woman with a past medical history of type 2 diabetes, hypertension, and arthritis, is admitted…
Boerhaave syndrome
A 27-year-old man with no significant past medical history received a diagnosis of viral gastroenteritis 2 days ago and has had persistent…
A post-TAVR emergency
Mr. James tells Lizzy, the PACU nurse, that he doesn’t feel well and might pass out. Lizzy knows that conduction disturbances after…
Emotional intelligence in nursing
Nursing has long been described as one of the most demanding professions. Nurses must think critically, communicate effectively, practice safely and efficiently, and adhere strictly to professional guidelines. Historically and today, many in the profession work short-staffed and beyond scheduled…
Breast cancer and nursing care
Breast cancer, the second most common cause of cancer throughout the world, according to the Global Cancer Observatory, is the fourth leading cause of cancer death. In the United States, breast cancer is the most prevalent cause of cancer and…
Understanding and preventing diabetic foot complications
In patients with Type 1 diabetes, glycemic control can nearly halt the progression of neuropathy; however, in those with Type 2 diabetes, glycemic control…
Nurse educator burnout
Burnout, a condition discussed frequently in relation to clinical beside nurses, also impacts nursing faculty. As defined by the American Nurses Association, burnout results…
Ultrasound guidance and PIV insertion
Nurses frequently encounter challenges with peripheral I.V. (PIV) insertion, especially among adult patients with difficult I.V. access (DIVA), resulting in multiple unsuccessful skin punctures.…
Microbiome and depression
Patient education serves as an opportunity for nurses to share information about nutritional interventions that support a diverse gut microbiome aimed at improving overall…
Emotional intelligence in nursing
Nursing has long been described as one of the most demanding professions. Nurses must think critically, communicate effectively, practice safely and efficiently,…
Breast cancer and nursing care
Breast cancer, the second most common cause of cancer throughout the world, according to the Global Cancer Observatory, is the fourth leading…
Understanding and preventing diabetic foot complications
In patients with Type 1 diabetes, glycemic control can nearly halt the progression of neuropathy; however, in those with Type 2 diabetes,…
Nurse educator burnout
Burnout, a condition discussed frequently in relation to clinical beside nurses, also impacts nursing faculty. As defined by the American Nurses Association,…
Burn pit exposure
During deployments ti Iraq, Afghanistan, and other locations across the world, U.S. military service members were at risk for exposure to airborne hazards that may have long-term health consequences. Many overseas military installations lacked modern waste management infrastructure, resulting in…
Paradigm shift
New ANA position statement emphasizes employer, leader responsibility for nurse fatigue and safety. Have you ever been so exhausted that you felt physically ill or drifted asleep while driving home after a shift? Made or almost made an error due…
Evolving nursing practice
The American Nurse's Association (ANA) Nursing: Scope and Standards of Practice has long served as one of the profession’s foundational documents defining the “what,…
Nurses shaping policy
In practice, nurses may encounter visitation rules that are unclear, inconsistently applied, or influenced by individual interpretation. This causes patients and families to receive…
Nurses leading AI
ANA-convened Think Tank defines a forward path. NO LONGER a future concept in healthcare, artificial intelligence (AI) actively shapes nursing practice today. Recognizing both…
Men’s health equity
According to the American Association of Colleges of Nursing, male nurses comprise only about 13% of the nursing workforce, yet their presence creates meaningful…
Burn pit exposure
During deployments ti Iraq, Afghanistan, and other locations across the world, U.S. military service members were at risk for exposure to airborne…
Paradigm shift
New ANA position statement emphasizes employer, leader responsibility for nurse fatigue and safety. Have you ever been so exhausted that you felt…
Evolving nursing practice
The American Nurse's Association (ANA) Nursing: Scope and Standards of Practice has long served as one of the profession’s foundational documents defining…
Nurses shaping policy
In practice, nurses may encounter visitation rules that are unclear, inconsistently applied, or influenced by individual interpretation. This causes patients and families…
Respect in every patient encounter
A family friend who’s hospitalized and unable to move their legs due to a neurological disease told me that staff become irritated when they use the call light at night for help repositioning, even though this need is documented in…
Protecting nurses, preserving dignity
Our emergency department occasionally receives patients from law enforcement wearing spit hoods, and staff continue using them during care. If we have appropriate personal protective equipment (PPE) available, is it ethically acceptable for nurses to continue using spit hoods in…
Truth telling and patients with dementia
Is it ethical to “go along” with a patient who has dementia to prevent agitation? This article is available to American Nurses Association members…
Behind the curtain
I occupy a leadership role that places me at the decision-making table for complex, often politically sensitive discussions. In this position, I’m exposed to…
Social media influencers
How does the Code of Ethics for Nurses (Code) guide nursing professionals who want to post on social media about their experiences? This article…
Navigating digital privacy after death
A patient died unexpectedly. As I was gathering his belongings as part of post-mortem care, the family asked me to unlock his phone using…
Respect in every patient encounter
A family friend who’s hospitalized and unable to move their legs due to a neurological disease told me that staff become irritated…
Protecting nurses, preserving dignity
Our emergency department occasionally receives patients from law enforcement wearing spit hoods, and staff continue using them during care. If we have…
Truth telling and patients with dementia
Is it ethical to “go along” with a patient who has dementia to prevent agitation? This article is available to American Nurses…
Behind the curtain
I occupy a leadership role that places me at the decision-making table for complex, often politically sensitive discussions. In this position, I’m…
Chronic pain in older adults
Chronic pain is a prevalent and complex health issue among older adults. As noted by Chan and Chan, persistent, long-term pain has far-reaching effects on an individual’s physical, emotional, and social well-being. According to Tinnirello and colleagues, chronic pain, which…
Advancing patient safety through health literacy
Nurses can use organizational ED usage data to identify recurrent diabetes-related visits, stratify patterns by preferred language or other relevant demographic variables when appropriate, and target high-risk transitions with interpreter services, teach-back, medication reconciliation, culturally responsive education, and timely outpatient…
Supporting patient dignity through hair care
At our college of nursing, students in a newly formed Black Nursing Student Union developed an initiative to address the gap in Black hair…
Patient debrief after postpartum hemorrhage
Postpartum hemorrhage (PPH), the leading cause of maternal death according to the World Health Organization, requires time-sensitive and compassionate intervention. The American College of…
Nature and nurture: Practical approaches to wellness
Engaged and supportive nurse leaders who nurture a culture that prioritizes and normalizes self-care can help make a successful shift toward a healthy work…
Addressing pediatric vaccine hesitancy
Studies also have addressed communication strategies that don’t work and should be avoided. For example, nurses shouldn’t assume vaccine misconceptions result from a lack…
Chronic pain in older adults
Chronic pain is a prevalent and complex health issue among older adults. As noted by Chan and Chan, persistent, long-term pain has…
Advancing patient safety through health literacy
Nurses can use organizational ED usage data to identify recurrent diabetes-related visits, stratify patterns by preferred language or other relevant demographic variables…
Supporting patient dignity through hair care
At our college of nursing, students in a newly formed Black Nursing Student Union developed an initiative to address the gap in…
Patient debrief after postpartum hemorrhage
Postpartum hemorrhage (PPH), the leading cause of maternal death according to the World Health Organization, requires time-sensitive and compassionate intervention. The American…
Patient fall education poster
Patient falls in the acute inpatient setting remain a common safety concern. According to 2019 Patient Safety Network data, falls occur at a rate of three to five per 1,000 bed-days; 700,000 to 1 million hospitalized patients fall each year.…
Game on!
With education, nursing staff can improve their knowledge of patient safety, infection prevention, and organizational policies. But how effective is game-based learning? This quality improvement project aimed to answer that question when a team of nurses implemented an interactive game-based…
Predatory conferences
Educational conferences promote knowledge and provide a platform to share findings, build networks, and gain valuable insights, which makes them essential. However, many nurses…
Fall TIPS: Reducing falls in a med-surg telemetry unit
The Agency for Healthcare Research and Quality states that fall prevention should include three steps: assess fall risk, develop a personalized prevention plan, and…
New nurse orientation
Onboarding new nurses via recently trained preceptors can prove a daunting task for nurse educators. St. Joseph’s Health developed the Phases of Orientation Checklist…
Simulation: Preparing for workplace violence
Workplace violence (WPV) in healthcare remains a serious concern, and most healthcare workers will experience violence committed by patients. The National Institute for Occupational…
Patient fall education poster
Patient falls in the acute inpatient setting remain a common safety concern. According to 2019 Patient Safety Network data, falls occur at…
Game on!
With education, nursing staff can improve their knowledge of patient safety, infection prevention, and organizational policies. But how effective is game-based learning?…
Predatory conferences
Educational conferences promote knowledge and provide a platform to share findings, build networks, and gain valuable insights, which makes them essential. However,…
Fall TIPS: Reducing falls in a med-surg telemetry unit
The Agency for Healthcare Research and Quality states that fall prevention should include three steps: assess fall risk, develop a personalized prevention…