The case of the vanishing stethoscope

A 2001 study assessed the cardiac auscultation skills of 314 internal medicine residents from Canada, the United Kingdom, and the United States. The results revealed consistently low proficiency, with mean identification scores of 22% for U.S. residents, 26% for Canadians, and 20% for their British counterparts. This raises the question: How would bedside nurses and nurse practitioners perform in comparison?

Collaboration in patient-centered care planning

Person-centered care planning ensures well-informed patients, adherence to therapy, and patient self-management confidence

The case of the vanishing stethoscope

A 2001 study assessed the cardiac auscultation skills of 314 internal medicine residents from Canada, the United Kingdom, and the United States. The results…

Collaboration in patient-centered care planning

Person-centered care planning ensures well-informed patients, adherence to therapy, and patient self-management confidence

Specialized nursing care for times of greatest need

An adolescent patient came to my clinic traumatized after being sexually assaulted by her mother’s boyfriend. I noticed her raspy voice. After further examination, I recommended that we complete a strangulation assessment, during which we recovered the perpetrator’s DNA. The…

Multitasking: Gift or Nursing’s Curse?

A study that examined the cognitive mechanisms involved in task switching, particularly how executive control processes manage multiple tasks (think of the time you checked a text message while programming an I.V. pump), suggests that multitasking reduces efficiency because the…

A view of 5600 Fishers Lane in Rockville, Maryland, which houses the headquarters of the Agency for Healthcare Research and Quality and other health agencies. According to a senior AHRQ official who spoke on condition of anonymity, a climate of deep depression has settled over the agency’s offices. (Antony-22/Wikimedia Commons/CC BY-SA 4.0)

What’s Lost: Trump Whacks Tiny Agency That Works To Make the Nation’s Health Care Safer

Sue Sheridan’s baby boy, Cal, suffered brain damage from undetected jaundice in 1995. Helen Haskell’s 15-year-old son, Lewis, died after surgery in 2000 because weekend hospital staffers didn’t realize he was in shock. The episodes turned both women into advocates…

I remember: Reflections of a hospice nurse

As I drive down the road I pass familiar houses. The homes flood me with memories. I remember the faces. I remember the look in your eyes. The smile when I came through the door. The pleading look when the…

Syphilis eradication is still a long way off: Doxy-PEP can help

In the late 1990s, public health departments around the globe celebrated the prospect of eradicating syphilis. However, by the early 2000s, this…

COVID-19 patients fared worse on ECMO than non-COVID-19 patients: Study

Pneumonia patients with COVID-19 who required extracorporeal membrane oxygenation (ECMO) fared worse than those without COVID-19, according to a study that looked…

Enhancing rural health through expanded APRN scope of practice

Rural American communities frequently struggle to provide adequate primary care services due to limited healthcare facilities and a shortage of qualified professionals.…

Better Nurse Staffing Reduced Cesarean Births: Study

Hospitals that staffed maternity wards at recommended standards had fewer cesarean births, according to a study published in Nursing Outlook. Cesarean rates…

Webinars

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Collaboration in Patient-Centered Care Planning: Navigating Oncology

Simulation: Preparing for workplace violence

Tactical Implementation of an Effective Falls Program

Challenging and Inspiring: Beyond Common Fall Prevention Practices

Travel Nursing – How to ensure a good experience

Continuing Education

Sepsis in the hospital setting: A case study

A 42-year-old man arrives in the ED. He reports not feeling like himself. Three days ago he stepped on a nail, which punctured his…

Cancer treatment delays and survival outcomes

Delays in seeking treatment frequently lead to poor health outcomes. Especially with regard to symptoms associated with cancer, early detection and treatment can improve…

Women and HIV pre-exposure prophylaxis

Why are new HIV cases still occurring when we have preventive treatment? One reason could be a lack of knowledge and experience among healthcare…

Coaching and evaluating new graduate nurses

Ongoing research shows a decline in new graduate nurses’ clinical judgment. Effective mentorship plays a crucial role in ensuring patient safety while new nurses…

Navigating Long COVID

Long COVID, a stigmatized and somewhat controversial condition, has begun to gain the public’s attention as some who previously had acute COVID-19 began reporting…

Living with atopic dermatitis

A healthy 4-month-old baby boy of Eurasian descent is exclusively breastfed. This morning, his mother changes him and finds crusty, red oozing blisters covering…

Sepsis in the hospital setting: A case study

A 42-year-old man arrives in the ED. He reports not feeling like himself. Three days ago he stepped on a nail, which…

Cancer treatment delays and survival outcomes

Delays in seeking treatment frequently lead to poor health outcomes. Especially with regard to symptoms associated with cancer, early detection and treatment…

Women and HIV pre-exposure prophylaxis

Why are new HIV cases still occurring when we have preventive treatment? One reason could be a lack of knowledge and experience…

Coaching and evaluating new graduate nurses

Ongoing research shows a decline in new graduate nurses’ clinical judgment. Effective mentorship plays a crucial role in ensuring patient safety while…

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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Current Journal

A summit for change

Building better communities and health for all

The Power of inspiration

Treatment-resistant depression and the T-rex combination

Advance care planning in the Black faith community

Advance care planning, a routine aspect of healthcare, helps individuals make decisions about future care by reviewing their values, goals, and wishes.…

Caring for veterans

Veterans have distinct determinants of health related to their military service and occupational exposures. With more veterans seeking care in the community,…

American Nurses Enterprise News, May 2025

Bradley Goettl joins the enterprise as chief nursing officer The American Nurses Enterprise (ANE) welcomed Bradley (Brad) Goettl, DNP, DHA, RN, FNP-C,…

Pressure injuries and indwelling urinary catheters

Urethral erosion and urethral meatus pressure injuries resulting from a medical device-related pressure injury (MDRPI) frequently are overlooked, understudied, and not well…

Rapid Response

Acute myeloid leukemia

An 80-year-old man received a diagnosis of acute myeloid leukemia. He’s been hospitalized for a month, including an ICU stay during which he received…

Acute kidney injury: A quick diagnosis aids recovery

A 35-year-old man arrives at the ED with severe weakness, diarrhea, nausea, hypotension, and tachycardia, which began after he finished a 100-mile race the…

Aspiration: Blocking the airway

You’re caring for a 75-year-old man admitted to your unit with a diagnosis of ischemic stroke, left-sided weakness, and dysphagia. He receives continuous feedings…

Acute dystonic reaction

Acute dystonic reactions, movement disturbances, fall under the umbrella of extrapyramidal side effects. They’re associated with medications (including antipsychotics and antiemetics) that mediate dopamine.

Cystic fibrosis

A 48-year-old woman with a history of cystic fibrosis, is admitted to the surgical unit with a small bowel obstruction. At home, the patient…

Eclampsia

A 28-year-old woman who’s 8 months pregnant arrives at the obstetrics ED with right-side upper abdominal pain, a progressively worsening headache for the past…

Acute myeloid leukemia

An 80-year-old man received a diagnosis of acute myeloid leukemia. He’s been hospitalized for a month, including an ICU stay during which…

Acute kidney injury: A quick diagnosis aids recovery

A 35-year-old man arrives at the ED with severe weakness, diarrhea, nausea, hypotension, and tachycardia, which began after he finished a 100-mile…

Aspiration: Blocking the airway

You’re caring for a 75-year-old man admitted to your unit with a diagnosis of ischemic stroke, left-sided weakness, and dysphagia. He receives…

Acute dystonic reaction

Acute dystonic reactions, movement disturbances, fall under the umbrella of extrapyramidal side effects. They’re associated with medications (including antipsychotics and antiemetics) that…

Practice Matters

Caring for veterans

Veterans have distinct determinants of health related to their military service and occupational exposures. With more veterans seeking care in the community, the American Nurses Association Membership Assembly recommended in June 2024 that the association pursue work to improve nursing knowledge related to the healthcare needs of veterans. Because of…

PTSD: Increase screening and treatment

Many nurse practitioners (NPs) provide care in medically underserved areas, some in one of the more than 1,400 free clinics throughout the United States.…

Support planetary health

Actions to promote and protect the environment Spring marks a time of renewal and reawakening with cleaning, planting, and other fresh starts, bringing new…

EBP, QI, and IS

Some use the terms evidence-based practice (EBP), quality improvement (QI), and implementation science (IS) interchangeably. However important differences exist. Clinicians must understand those differences…

Catalysts of change

2025 Innovation Award winners close disparity gaps. Nurses’ insights and experience in developing solutions that matter illustrate The Power of Nurses™ in dynamic and…

Empathy in ostomy care

Empathy relies on understanding an experience from another’s perspective. A simulated learning activity such as wearing an ostomy bag for a day,…

Focus on nurses’ well-being

Nurses hold demanding and frequently stressful positions and hectic lives. Managing the stresses and strains of work and finding a positive work–life…

Nurses’ role in skin cancer prevention

Skin cancer has reached epidemic proportions—one in five Americans will develop some form by age 70. Nurses have an opportunity to make…

From the Ethics Inbox

Everyday ethics: Responsibility and accountability

A few weeks ago, I was floated to the post-anesthesia care unit (PACU), which was seriously short-handed due to surgeries from a multiple-car accident.…

Everyday ethics: Privacy and trust

As a perioperative nurse, I understand I should ensure the privacy and confidentiality of my patients and their information while providing care throughout pre-,…

Everyday ethics: Prioritizing patients

It’s my understanding that a nurse’s primary commitment is to our patients. Recently, while working as a travel nurse, I’ve been concerned about some…

Ethics in everyday care

The pandemic, from its earliest days in March 2020, exposed not only a health and healthcare crisis but also deep inequities in our society.…

Improving obstetric care for Black patients

As a labor and delivery nurse, I’ve witnessed some of my Black obstetric patients suffer negative outcomes during their birthing experiences from what I…

A call to better serve unsheltered patients

I’ve become increasingly concerned by the growing number of patients experiencing homelessness who’ve been coming to our clinic. How can I get involved to…

Everyday ethics: Responsibility and accountability

A few weeks ago, I was floated to the post-anesthesia care unit (PACU), which was seriously short-handed due to surgeries from a…

Everyday ethics: Privacy and trust

As a perioperative nurse, I understand I should ensure the privacy and confidentiality of my patients and their information while providing care…

Everyday ethics: Prioritizing patients

It’s my understanding that a nurse’s primary commitment is to our patients. Recently, while working as a travel nurse, I’ve been concerned…

Ethics in everyday care

The pandemic, from its earliest days in March 2020, exposed not only a health and healthcare crisis but also deep inequities in…

Community

Turn Down the Bed- Leave Chocolates (If They’ll Let You)

Closing beds to save money: How are some hospitals addressing the nursing shortage?

Nursing shortage: 3 ways to prepare

As the nursing shortage looms, healthcare organizations and leaders must take steps to address it now. These three strategies can help ensure…

March 2020: ANA News

ANA representative named to CMS patient safety panel Lillee Smith Gelinas, MSN, RN, CPPS, FAAN, editor-in-chief of the American Nurse Journal and…

News

What’s Lost: Trump Whacks Tiny Agency That Works To Make the Nation’s Health Care Safer

COVID-19 patients fared worse on ECMO than non-COVID-19 patients: Study

What’s Lost: Trump Whacks Tiny Agency That Works To Make the Nation’s Health Care Safer

Sue Sheridan’s baby boy, Cal, suffered brain damage from undetected jaundice in 1995. Helen Haskell’s 15-year-old son, Lewis, died after surgery in…

COVID-19 patients fared worse on ECMO than non-COVID-19 patients: Study

Pneumonia patients with COVID-19 who required extracorporeal membrane oxygenation (ECMO) fared worse than those without COVID-19, according to a study that looked…

My Nurse Influencer

In sickness and in health: The parallels of weddings and nursing graduations

May and June mark the season of both graduations and weddings—milestones that celebrate commitment, transformation, and new beginnings. There’s something vaguely matrimonial about a…

The future of innovation in nursing is you!

Over the years, my definition of innovation has changed — I care less about the end product and more about the human-centered process used to create…

The symbiotic relationship between nursing and design

Like nurses—who can use their degrees in a range of areas from clinical bedside care to research, education, entrepreneurship, history and more—professional designers also…

Nurses as Pilgrims

The travel writer Rick Steves describes three types of travelers: tourists, traveler, and pilgrims. I’d like to propose that those same terms can be…

Call to action: Support the reauthorization of the Lorna Breen Act

If you’ve worked as a nurse for any length of time, you already know the emotional toll this profession takes. But what’s harder to…

Why I choose to be grateful

Around Thanksgiving, I bring blank thank-you cards to class and distribute them to my students. I ask them to take 5 minutes to handwrite…

In sickness and in health: The parallels of weddings and nursing graduations

May and June mark the season of both graduations and weddings—milestones that celebrate commitment, transformation, and new beginnings. There’s something vaguely matrimonial…

The future of innovation in nursing is you!

Over the years, my definition of innovation has changed — I care less about the end product and more about the human-centered process used…

Multitasking: Gift or Nursing’s Curse?

A study that examined the cognitive mechanisms involved in task switching, particularly how executive control processes manage multiple tasks (think of the…

Syphilis eradication is still a long way off: Doxy-PEP can help

In the late 1990s, public health departments around the globe celebrated the prospect of eradicating syphilis. However, by the early 2000s, this…

Mental Health

Clinical humility: A humbled patient care

There’s a story that goes something like this: An elderly man falls down a flight of stairs at home. In the emergency…

Implementing trauma-informed care

Childhood trauma can result in severe mental and physical consequences that reverberate throughout a person’s life. Despite the widespread occurrence of childhood…

Critical Care

Avoiding complications from an acute GI bleed

When a patient begins to vomit bright red blood, a nurse relies on his knowledge of Mallory-Weiss tears-and the adroit interventions of…

Stopping a seizure in a pregnant patient

The rapid response team works quickly to try to prevent fetal injury.

Pediatrics

Safety, health, and back-to-school plans in a pandemic with Robin Cogan & A Better Normal

My heart is full, thank you to @CissyWhite and my friends at @ACEsConnection for inviting me to participate in this important conversation about Health, Safety,…

Helping patients who harm themselves

Why would someone deliberately hurt herself? The notion might seem odd—but as a nurse, you may encounter patients with signs of selfinjury (also called cutting, selfinflicted violence, self-harm,…

Cardiology

Drone Improve Response Times for Out-Of-Hospital Cardiac Arrests

Drones may reduce response time for cardiac arrest

In simulated out-of-hospital arrests, drones carrying an automated external defibrillator arrived sooner than EMS, reducing response time by about 16 minutes, reports…

Four new guidelines from AHA, ACC

The American Heart Association and the American College of Cardiology have released four guidelines related to preventing cardiovascular disease: cholesterol, obesity, lifestyle,…

American Nurse TV

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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