250 years of American nursing

Human survival, particularly during times of crisis, has always hinged on our ability to provide care for our sick and vulnerable. The story of…

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.…

Promote publication success by avoiding pitfalls

When nurses share their expertise, they benefit colleagues and patients; however, many remain reluctant because they fear rejection. Nobody likes rejection, whether from a friend, the organization you hoped to work for, or the journal where you submitted your manuscript.…

PPE and effective communication

Muffled speech and lack of facial cues can impede effective communication, but these factors may not be directly addressed in the classroom, in clinical settings, or during orientation. For example, during a role-play scenario in a skills laboratory at our…

Managing cerebro spinal fluid drainage

Although CSF drainage with externalized ventricular devices and lumbar drains can save lives by reducing intracranial pressure and protecting vulnerable brain tissue, Dolmans and colleagues and Kerry and colleagues reported a mortality rate as high as 32.9% at 90 days.…

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 GLP-1s and nursing practice

The rapid rise of glucagon-like peptide-1 (GLP-1) receptor agonists marks a significant therapeutic shift, with far-reaching implications for nursing practice. Medications such…

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…

Beyond the bite

Nursing management of patients with Lyme neuroborreliosis directly affects outcomes by enabling early recognition of symptoms and facilitating prompt differentiation from other…

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…

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, subjective fever, and odynophagia. He’s been taking OTC ibuprofen every 8 hours without symptom improvement. Kara…

Inpatient stroke

Nurses can use the BEFAST mnemonic (Balance—trouble walking, Eyes—trouble seeing, Face drooping, Arm weakness, Speech difficulty, Time to call 911), developed by Intermountain Healthcare, to identify stroke symptoms and activate rapid response for timely diagnosis and treatment. This nurse’s knowledge…

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.…

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…

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…

Inpatient stroke

Nurses can use the BEFAST mnemonic (Balance—trouble walking, Eyes—trouble seeing, Face drooping, Arm weakness, Speech difficulty, Time to call 911), developed by…

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…

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.

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. Many nurses continue to apply the traditional visualization and extremity palpation technique to obtain vascular access.…

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 health, including mental health. That education should include an explanation of the gut–brain axis and its…

Elevating the transition-to-practice experience

This new enterprise’s nurse residency program standardization efforts focused on creating an optimal transition-to-practice experience. The restructuring reflects the new system’s nursing vision and…

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…

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…

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…

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…

Elevating the transition-to-practice experience

This new enterprise’s nurse residency program standardization efforts focused on creating an optimal transition-to-practice experience. The restructuring reflects the new system’s nursing…

Innovation accelerators

What would our global healthcare ecosystem look like if all nurses had access to innovation education, a collaborative innovation network, and mentors skilled in…

Youth vaping detection in primary care

The risks associated with smoking electronic cigarettes (vaping), particularly for adolescents, make it a critical issue for primary healthcare providers. Marketing portrays vaping as…

Oxytocin and well-being

Nursing is fundamentally relational. Beyond technical skills, nurses provide presence, touch, and emotional containment elements increasingly recognized as biologically powerful. A growing body of…

The first OTC birth control pill

Opill, the first over-the-counter oral contraceptive approved by the U.S. Food and Drug Administration, has the potential to address challenges related to…

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…

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…
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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 his biometric authentication so they could retrieve messages. I didn’t feel comfortable with this request. What’s…

Responding to refusals of basic care

I’m not sure how to respond when my patients decline basic tasks such as hygiene or dressing changes. I’m uncomfortable proceeding with this level of care against the patient’s stated wishes, but I also want to keep them safe by…

The fingerprints we leave behind

Nursing students often are taught about SDOH through lectures, readings, and case studies. While these approaches are important, they can only approximate the lived realities behind the concepts. The historical roots of health inequities can’t be fully appreciated from a…

How nursing data powers AI in healthcare

As artificial intelligence (AI) becomes more integrated into healthcare, much of the conversation focuses on the technology itself. But behind every AI tool is a foundation of clinical data—and much of that data are generated by nurses. In a Q&A,…

The fingerprints we leave behind

Nursing students often are taught about SDOH through lectures, readings, and case studies. While these approaches are important, they can only approximate…

Halting postpartum hemorrhage

When excessive blood loss during delivery threatens a mother’s life, quick assessment, effective interventions, and expert aid from the rapid response team…
flu shot kids note

Take Note – October 2006

CDC recommends annual flu shots for children ages 2 to 4 For the first time, the Centers for Disease Control and Prevention…

Troubling Imagery

“Young children can’t distinguish between reality and fantasy,” says Montoya, president of the National Association of Pediatric Nurse Practitioners (NAPNAP) and a…

Improving the care of stroke patients

Is your facility doing enough to help stroke patients survive and regain functional independence? Find out how a national evidence-based initiative helps hospitals…

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.