Geriatric urosepsis: Prevention and detection

Despite extensive research and updates to practice guidelines, urinary tract infections (UTIs) remain a common occurrence within long-term care (LTC) facilities. The Centers for Disease Control and Prevention reports that 20% of UTIs occur in these facilities. For most healthy adults, a full dose of antibiotics leads to complete recovery, but failure to recognize UTI symptoms and respond promptly can lead to more ominous outcomes, including urosepsis. Identifying and addressing barriers to care can help prevent urosepsis and ensure positive patient outcomes.

Nursing-led M&M conferences

The implementation of nursing-led morbidity and mortality conferences (NMMCs) in our neonatal intensive care unit emerged after experiencing several adverse patient outcomes and identifying nursing knowledge gaps related to certain diagnoses. With the goal of improving the quality of nursing care and providing educational opportunities for nurses, we established a committee (including nursing representatives from the unit-based council) to begin reviewing the literature to support the creation of NMMCs.

Nursing-led M&M conferences

The implementation of nursing-led morbidity and mortality conferences (NMMCs) in our neonatal intensive care unit emerged after experiencing several adverse patient outcomes and identifying…

Geriatric urosepsis: Prevention and detection

Despite extensive research and updates to practice guidelines, urinary tract infections (UTIs) remain a common occurrence within long-term care (LTC) facilities. The Centers for…

Eat, Sleep, Console

When people experience opioid use disorder in pregnancy, the fetus has prolonged exposure to the opioid. At birth, abrupt cessation of this exposure may lead to infant withdrawal symptoms, traditionally known as neonatal abstinence syndrome. However, neonatal opioid withdrawal syndrome…

Female external urinary catheters: A nurse-led intervention

Indwelling urinary catheters (IUCs), although frequently overused according to the Centers for Disease Control and Prevention (CDC), are necessary for acute and chronic medical care. For example, the CDC notes several indications for their use, including urinary retention or obstruction,…

Nitrous oxide: Myths and misconceptions

Nitrous oxide (N2O) has been used as an analgesic during childbirth since the late 1800s, almost exclusively outside of the United States, until it resurfaced around 2011. A resurgence in use, coupled with widespread lack of knowledge about the modality,…

Intellectual and developmental disabilities: Nurse advocacy

Healthy People 2030 calls for the improved health and well-being of those with disabilities. The World Health Organization notes that 25% of the U.S. population lives with a disability; globally, the number is close to 1.3 billion (16% of the…

American Nurse requests your opinions:

We are currently conducting several surveys in order to ensure that the journal continues to deliver pertinent and timely information to our readers. Click one(or more) of the links below to share your opinions and insights. Feel free to take all of our surveys!

Nursing Trends Journal Covers Nurses as Influencers

Webinars

View our complete library
Or check out our latest:

From Shortages to Solutions: Supporting Nurses and Strengthening Teams

Who handles the handling?

Gastrointestinal Whole-Patient Care

Collaboration in Patient-Centered Care Planning: Navigating Oncology

Simulation: Preparing for workplace violence

Current Journal

Nurses’ voices matter in payment regulations

Breast cancer: Personalized prevention for women

Quality patient care knows no border

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…

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.…

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?…

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…

Continuing Education

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 a myriad of shapes and sizes, each designed to address different wound characteristics and stages of…

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 liver cirrhosis, liver cancer, and deaths related to viral hepatitis. Nurses have an important role to…

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…

STIs: Antibiotic resistance and treatment challenges

Since the discovery of multidrug-resistant infections, such as methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococci, concern has grown regarding antibiotic resistance among sexually transmitted infections…

Premature ventricular complexes

Your patient has heart failure exacerbation, hypertension, type 2 diabetes, peripheral vascular disease, chronic renal failure, and depression. She says that she feels lightheaded…

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…

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…

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…

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.

View Now

Rapid Response

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 3 days. Justin doesn’t drink alcohol or use tobacco products. He reports a history of Crohn’s…

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 she manages with a selective serotonin reuptake inhibitor, and recurrent migraines treated with a triptan. Two…

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…

Pericarditis

Pericarditis, an inflammation of the pericardial sac, typically occurs as a result of a viral infection. It’s most common in men between 20 and…

Malignancy-induced hypercalcemia

A 69-year-old man arrives in the ED with reports of persistent fatigue, nausea, vomiting, anorexia, excessive thirst, increased urination, and back pain for 3…

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…

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…

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…

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…

Pericarditis

Pericarditis, an inflammation of the pericardial sac, typically occurs as a result of a viral infection. It’s most common in men between…

Practice Matters

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 200,000 U.S. service members transition out of the military and enter a period marked by considerable life adjustments. Many veterans experience high levels of stress during this transition back into civilian life.

This article is available to American Nurses Association members and ANJ subscribers only.

Already a member? Log in here

We want you! Professional writing in nursing

Professional writing plays a vital role in nursing. From accurate documentation and clear patient education to effective communication with colleagues and contributions to scholarly…

Vital conversations

Nurses’ key role in engaging patients about vaccine safety, effectiveness VACCINATION is one of the most impactful public health interventions worldwide. The Centers for…

Ethics of disclosure in pediatric end-of-life care

A 17-year-old girl with a terminal diagnosis has an estimated 3 weeks to live. Both parents, who understand the situation, are religious and want…

Nursing science and shrinking support

Before she reaches the room, the nurse hears Olivia’s* wheezing. It’s spring tilling season in the rural community, and dust and agricultural debris fill…

Therapy animals in the Ukraine military conflict

In the fall of 2024, I presented my research on animal-assisted therapies with farm animals at the International Association of Human–Animal Interaction…

Ending microaggressions

Guidance for recognition and response to subtle yet damaging harms. Microaggressions in nursing and patient care remain under-identified and under-addressed yet have…

CLABSI prevention in hospitalized patients receiving hemodialysis

Many individuals receiving hemodialysis require a central venous catheter, which places them at risk for central-line associated bloodstream infections (CLABSIs). The Centers…

From the Ethics Inbox

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 cases, organ procurement organizations (OPOs) proceed before a deceased patient’s family arrives. How do I balance…

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 direct injuries and broader psychological effects. Given the growing concerns about safety in healthcare settings, would…

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…

Everyday ethics: Hear something, say something

Recently, I witnessed something that made me uncomfortable. I was surprised when one of my more senior nurse colleagues referred to a newly graduated…

Everyday ethics: Informed consent

As a study coordinator, I recruit participants to a randomized clinical trial that’s evaluating experimental drugs for renal cancer. One of the individuals who…

Everyday ethics: Balancing beliefs with care

I’m a nurse in a med–surg unit. A patient I recently cared for who has amyotrophic lateral sclerosis decided to voluntarily stop eating and…

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.…

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,…

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…

Everyday ethics: Hear something, say something

Recently, I witnessed something that made me uncomfortable. I was surprised when one of my more senior nurse colleagues referred to a…

Perspectives

Is It Really an Ethical Dilemma?

Nurse offering ancillary support to child

We cannot carry this alone: The case for ancillary support in nursing

School nurse access can make a difference in zip code health disparities

Strategies to assist entry-level nursing students as they transition into practice

Is It Really an Ethical Dilemma?

One day, I witnessed a colleague engaging in unsafe and unprofessional behavior. The colleague repeatedly documented that a wound dressing had been…

We cannot carry this alone: The case for ancillary support in nursing

Burnout in high-acuity care is well documented. Emotional suppression, compassion fatigue, and moral distress can fracture even the most resilient clinicians. But…

School nurse access can make a difference in zip code health disparities

It’s high time school nurses take their rightful place, alongside teachers and counselors, within every American school. It isn’t just about student…

Strategies to assist entry-level nursing students as they transition into practice

We’re facing more of a challenge than ever with our new graduate nurses as they transition into practice. We’re experiencing a nursing…

Community

Classifying AI use in writing for publication

Strengthen health systems worldwide: Invest in nursing professional development

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…

Still new, still standing: A novice adjunct nurse educator in Texas

I entered nursing education with two feet in and my heart wide open. After years of bedside patient care, nurse preceptor experience,…

News

Once a Patient’s in Custody, ICE Can Be at Hospital Bedsides — But Detainees Have Rights

May 1, 2025: Gov. Jared Polis prepares to sign a bill at the Colorado Capitol in Denver.

Wary of RFK Jr., Colorado Started Revamping Its Vaccine Policies in the Spring

Why Are More Older People Dying After Falls?

For a while, walking the dog felt hazardous. Earl Vickers was accustomed to taking Molly, his shepherd-boxer-something-else mix, for strolls on the…

FDA approves updated COVID-19 vaccines with new restrictions, potentially limiting access for healthy children

Guidance around COVID-19 vaccines has once again shifted after the Food and Drug Administration on Aug. 27, 2025, approved updated shots for the…

My Nurse Influencer

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: failure to comply may result in being sent home from the unit or the simulation lab.…

What’s new in the 2025 hypertension guideline?

The American Heart Association released its latest hypertension guideline in August 2025, establishing best practices for diagnosing and managing a disease that remains the leading preventable cause of death worldwide and a major contributor to mortality in the United States.…

What a résumé can’t tell you about a nurse

Composing a résumé may have become the great American performance art. Many are bloated with adjectives and carefully engineered to impress rather than reveal.…

What will you do with the time you saved?

Necessity is the mother of invention, so the proverb goes. Inventiveness is probably encoded in the human genome and has allowed our survival. Creating…

Publication extenders—A powerful tool for extending your article’s reach

You’ve worked hard to get your article published, so why should you put in more time? Because extenders can boost the uptake of your…

Why human flourishing matters in nursing

I had the honor of serving on the expert panel entrusted with the 2025 revision of the Code of Ethics for Nurses. Amid a…

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…

What’s new in the 2025 hypertension guideline?

The American Heart Association released its latest hypertension guideline in August 2025, establishing best practices for diagnosing and managing a disease that…

What a résumé can’t tell you about a nurse

Composing a résumé may have become the great American performance art. Many are bloated with adjectives and carefully engineered to impress rather…

What will you do with the time you saved?

Necessity is the mother of invention, so the proverb goes. Inventiveness is probably encoded in the human genome and has allowed our…

Mental Health

foundation-news-storytelling-resilience-influence

Storytelling: Resilience and influence in minutes

During the COVID-19 pandemic, nurses too often are the last and only person in the room when a patient dies. (more…)

From our readers…How my students kept me teaching

I went to high school in a small New England town at a time when career opportunities for women were just beginning…

Critical Care

Bloodstream infections from peripheral lines: An underrated risk

Analytics—the study of data to reveal meaningful patterns—is remaking large swaths of our culture, from business to sports to politics. In health…

Caring for patients with spinal cord injuries

Spinal Cord Injuries (SCIs) are a significant cause of disability, with profound—and in many cases devastating— consequences. According to recent data, about 12,000 SCIs occur annually in the United…

Pediatrics

Evaluation of practice: Small-volume intravenous medication administration via neonatal peripherally inserted central catheter lines

Medications administered intravenously in the neonatal intensive care unit (NICU) are often less than 3 mL in volume. However, guidelines from manufacturers…

Malignant hyperthermia

Malignant hyperthermia is a genetic life-threatening disease that results in an uncontrolled release of calcium that causes the body to go into…

Cardiology

health healthy nurse condition struggle disclosure

A question of disclosure: RNs often struggle with revealing their health conditions to employers

It’s no secret that Americans are living longer and that deaths from heart disease, stroke, and cancer are on the downswing. It’s…

Understanding end-tidal CO2 monitoring

This noninvasive technique gives early warning of respiratory compromise.

American Nurse TV

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

May 2025 American Nurse Journal VOL. 20 NO. 5 preview

April 2025 American Nurse Journal VOL. 20 NO. 4 preview

March 2025 American Nurse Journal VOL. 20 NO. 3 preview

February 2025 American Nurse Journal VOL. 20 NO. 2 preview

January 2025 American Nurse Journal VOL. 20 NO. 1 preview

December 2024 American Nurse Journal VOL. 19 NO. 12 preview

November 2024 American Nurse Journal VOL. 19 NO. 11 preview

October 2024 American Nurse Journal VOL. 19 NO. 10 preview

September 2024 American Nurse Journal VOL. 19 NO. 9 preview

August 2024 American Nurse Journal VOL. 19 NO. 8 preview

July 2024 American Nurse Journal VOL. 19 NO. 7 preview

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.

Watch Now

American Nurse requests your opinions:

Webinars

About

Contact

Podcasts