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‘Balanced Menus’ leads to reduced greenhouse gas emissions

Health Care Without Harm (HCWH) and the Johns Hopkins Center for a Livable Future, part of the Johns Hopkins Bloomberg School of Public Health,...

‘Tis the season…to immunize

For many nurses, August is a whirlwind of back-to-school activity. And it's not just the crunch of shopping for school supplies, new clothes, or...

“Bundle” up to prevent pressure ulcers

Find out how to start a pressure ulcer prevention program on your unit or in your facility.

2009 H1N1 Flu – Situation Update

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called...

2009 H1N1 Flu – Situation Update (01.04.10)

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called...

2009 H1N1 Flu – Situation Update (01.08.10)

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called...

2009 H1N1 Flu – Situation Update (02.02.2010)

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called...

2009 H1N1 Flu – Situation Update (11.20.09)

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called...

2009 H1N1 Flu – Situation Update (12.04.09)

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called...

2009 H1N1 Flu – Situation Update (12.11.09)

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called...
basic life support BLS

2020 American Heart Association Basic Life Support for the inpatient setting

Everything healthcare providers need to know Editor’s note: This is an early release of a web exclusive article for the March 2021 issue of American...

6 surprising best resuscitation practices

Nothing is more important to the patient’s outcome than properly performed chest compressions.
COVID-19-Screening

A call to care: A model for creating an employee COVID-19 screening clinic

Takeaways: Setting up an employee COVID testing clinic requires leadership, coordination, and can be a model of patient-centered nursing care. When done well, employee...

A Case Study: Using Technology to Build a Culture of Safety

An emphasis on a culture of safety and appropriate use of technology help the organization deliver safer and more efficient health care.

A catastrophic diagnosis puts nursing care to the test

The complicated case of a retiree with a newly diagnosed lung tumor kicks off our new "Case Study" department.

A close call for a patient with a rare skin reaction

Stevens-Johnson syndrome has a 15% mortality rate. For one patient, accurate assessment of this rare skin condition led to a full recovery.

A geriatric family-centered care model for hospitalized elders

This innovative model has helped reduce falls and pressure ulcers, and RN turnover rates have dropped as well.

A horse is a horse—and sometimes part of a clinical team, too

Equine-assisted activities and therapies partner professionals with horses to address the patient’s needs.

A hospital’s Magnet® redesignation drive spurs efforts to improve patient safety

Magnet appraisers’ questions increase the author’s determination to reduce patient falls.

A little humor please

Laughter is a way of dealing with life’s stressors. Learning how to use humor to enrich our personal and professional lives can benefit us...

A new oral anticoagulant hits the market

Pradaxa gives clinicians a new tool for preventing strokes and blood clots in patients with atrial fibrillation. Learn how it works, who’s eligible to receive it, and how to administer it.

A new surgical intervention for reflux treatment

Learn about LINX, a surgical procedure for treating chronic gastroesophageal reflux disease.

A partnership to enhance outcomes through quality dashboards and action

Learn how a multidepartmental task force improved a hospital’s data display and action-planning tools

A powerful question: “Have you ever served in the military?”

To help ensure military veterans get appropriate diagnosis and treatment, ask patients if they’ve ever served in the military.

A probable meningitis case puts the ED on alert

The care team works quickly to identify the patient’s meningitis type.

A quantum life

Quantum theory explains how you create your life through what you choose to think, then intend and, ultimately, do.
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 also true...

A ROADMAP involves patients and families in the plan of care

This electronic tool keeps patients and families informed on key aspects of care.

A roll-up-your-sleeves kind of hope

To reinvent health care, we need down-to-earth help and a roll-up-your sleeves kind of hope.

A special week for perioperative nurses

Learn about Perioperative Nurse Week and perioperative nurisng.

A stubborn case of supraventricular tachycardia

JAKE KARCHNER, age 65, is admitted for treatment of acute myeloid leukemia. Because of his history of supraventricular tachycardia (SVT), the physician has ordered...

A swift, decisive response to GI bleeding

Coffee-ground emesis tips off caregivers to acute upper GI bleeding.

A troubled life, a difficult death

Editor’s note: National Homelessness Awareness Week is November 10-18. Like many of our homeless patients, "Sarah" was a bundle of contradictions. She came from money,...

A woman’s worst enemy

Most women woefully underestimate their risk for heart disease. Although breast cancer gets more publicity, heart disease and stroke kill nearly 12 times as many American women. This article details gender-based differences in diagnosis, treatment, and prevention and discusses strategies to raise awareness of women's cardiovascular risks.

A woman’s reproductive health: Clues to future heart disease?

Reproductive status, hormonal therapy, oral contraceptives, irregular menstrual cycles, and pregnancy complications may raise woman’s risk of cardiovascular disease.

A word about patients’ psychic experiences: Listen

In her dream, a young pediatric nurse answered the phone at the nurses’ station and was told to go to the lobby where a...

A world of caring nurses

A photographic celebration of nurses around the world

AACN endorses white paper on medication reconciliation

The American Association of Critical-Care Nurses (AACN) recently endorsed a white paper that calls for system-wide programs for medication reconciliation — the process of...
abdominal aortic aneurysm

Abdominal aortic aneurysm

Recognize potential danger for a positive outcome. Takeaways:  Abdominal aortic aneurysm is a serious condition that requires prompt identification and effective interventions.  Early recognition of...
absolute neutrophil count (anc)

Absolute Neutrophil Count

For a patient with cancer, the absolute neutrophil count (ANC) is a crucial lab value. Are you familiar with the two methods for calculating it?

Act fast against anaphylaxis

Anaphylaxis can kill within minutes unless the victim receives immediate treatment. Calling a rapid response team to the scene can avert disaster.

Act fast against pneumothorax

Stop life-threatening pneumothorax with quick thinking and action.

Act fast against severe hypoglycemia

With quick thinking and immediate action, you can save this patient.
neurologic

Act fast when new neurologic deficits arise

Alert clinicians take immediate steps to eliminate a life threatening epidural hematoma.

Act immediately against anaphylaxis

An antibiotic infusion triggers a near-fatal reaction.

Acts of kindness

Many of us have lasting memories of a few special patients. For me, Joe is one of those patients. The day he was admitted, Joe...
Acute cardiac tamponade

Acute cardiac tamponade

Martin Pace, a 65-year-old man, is admitted with an inferior wall ST-segment elevation myocardial infarction and receives a permanent pacemaker for sick sinus syndrome....

Acute cardiogenic pulmonary edema

Quick action prevents respiratory failure. Takeaways:  Acute cardiogenic pulmonary edema occurs with reduced cardiac muscle efficiency. Decreased pump function results in increased pulmonary venous and...

Acute flaccid myelitis

Nursing implications and public health Takeaways:  Acute flaccid myelitis (AFM) is a perplexing condition which, to date, has no concrete effective treatment. The Centers for...
Acute hypopituitarism, healthcare, registered nurse, nursing, nursing journal

Acute hypopituitarism

Your recognition of troubling signs and symptoms results in prompt diagnosis and treatment. Takeaways: Hypopituitarism is the deficient secretion of one or more pituitary hormones. ...

Acute traumatic coagulopathy: The latest intervention strategies

Our evolving understanding of how blood loss causes shock is changing trauma resuscitation methods.
patient safety

Adding an I to SBAR: A new twist on communicating patient emergencies

In the 2000 report To Err is Human: Building a Safer Health System, the Institute of Medicine challenged the healthcare system to focus on...
marijuana

Adolescents and marijuana: What nurses need to know

Andy was a freshman in high school when he first tried marijuana. He and his friends began experimenting, thinking marijuana was “cool and just...
Adult obstructive sleep apnea OSA

Adult obstructive sleep apnea: Taking a patient-centered approach

Sleep apnea causes sleep deprivation and, over time, can lead to serious physiologic changes.

Advances in blood transfusion

Ongoing research, development, and vigilance initiatives are designed to make blood components safer and more easily available.

Advancing adoption of the electronic health record

Experts at the federal level are working to actualize the promise of health information technology.

Adventures in virtual meetings

Tired of unproductive staff meetings held at inconvenient times? Had it  up to here with being interrupted when trying to express your opinion? Maybe it's time to explore alternatives to the traditional in-person meeting. One hospital unit did just that, and their online meeting forum helped them create new protocols in record time.

Adverse drug reactions in the elderly: Can we stem the tide?

To make drug use safer in older adults, nurses must take complete medication histories, report suspected reactions to the FDA, and take a holistic view of our patients’ health status.
Emergency cardiac drugs: Essential facts for med-surg nurses

Advocating for patients in an era of drug-delivery problems

Learn what steps you can take to help patients avoid drug contamination and cope with drug shortages.

Air Force recognizes CRNAs’ full scope of practice

The U.S. Air Force releases a new policy on anesthesia delivery.

Airway pressure release ventilation: A boost for spontaneous breathing

Many clinicians are using this mechanical ventilation mode to help reduce lung damage, pneumonia, and other complications of ventilation. Find out how it works, when it's indicated, how it preserves spontaneous breathing, and why it reduces sedation requirements.

Amazing apps: Space-age tools for clinicians

Health apps hold the promise of greater access to medical services, better monitoring of chronic conditions, and improved patient outcomes.

Ambulance diversions increase mortality

A new study finds that ED diversion is associated with increased mortality.

America’s Affordable Health Choices Act of 2009

Make a difference join ANA's Health Care Reform Team
Amniotic fluid embolus

Amniotic fluid embolus

A team’s quick actions ensure a positive outcome.   Takeaways: After a patient is admitted with gestational hypertension, she experiences an acute change in mental status. ...
ALS

Amyotrophic lateral sclerosis and the trajectory of care

This case presentation illustrates ALS progression and accompanying care. Takeaways: Amyotrophic lateral sclerosis care focuses primarily on palliation. Nurses must know how to identify symptoms,...

An evidence-based approach to creating a new nursing dress code

How should nurses dress? Should you wear a white uniform? Is jewelry appropriate on the job? A survey reveals what patients really think.

An invitation to error

What happens when you’re short staffed and there isn’t anyone to help?

ANA ACTION ALERT: Proposed regulations could mean big opportunity for nurses

Hospitals operate under a type of rule book: one that dictates who can do what, when, and where in patient care. They have to...

ANA addresses nurse-specific measures in health IT

The American Nurses Association (ANA) has long supported nurse-specific measures in health IT

ANA addresses shift work

ANA position statements address the hazards of shift work.
nusre-health-safety

ANA advocates for nurses’ health and safety

Collaborating in the new year to address pandemic challenges together As nurses contend with the pandemic and its multi-layered effects into 2021, the American Nurses...

ANA awards five hospitals for outstanding nursing quality

The American Nurses Association (ANA) honored five hospitals Jan. 27 for achieving outstanding nursing quality, based on the nursing performance measures they collect and...

ANA comments on ACOs

In the political realm, there is intense debate on how to cut costs in the Medicare program without sacrificing services or care to beneficiaries....

ANA endorses Kid Safe Chemicals Act

Acting on a directive from the 2006 House of Delegates, ANA has endorsed the Kid Safe Chemicals Act. The bill would ensure for the...

ANA Immunize resource

Click to visit www.anaimmunize.org, the American Nurses Association's online immunization resource.

ANA participates in International Panel on Safe Patient Handling

Recognized as a champion of safe patient handling on a national level, the American Nurses Association (ANA) contributed expertise to support nurses and other...

ANA releases 2011 Health and Safety Survey results

ANA’s new survey identifies nurses’ concerns about health and safety in their work environments.

ANA signs on to letter affirming positive change in U.S. Public Health Service

ANA signs a letter of concern about proposed creation of an Office of the National Nurse.

ANA supports safe patient handling measures in Congress

"The Nurse and Health Care Worker Protection Act of 2009" (H.R. 2381) gets ANA approval.

ANA urges nurses to volunteer before disaster strikes

In the aftermath of the Haiti earthquake on Jan. 12, many nurses felt the urgent need to jump on a plane and hit the ground in Haiti to help treat and comfort the survivors, but were not sure how to go about it.

ANA works to remove legal barriers to APRN practice

While advanced practice registered nurses (APRNs) have been increasing in number and expanding their impact on the healthcare system, federal law continues to contain...
Anaphylasxis_schoolnurse

Anaphylaxis in the school setting

Quick action results in positive outcome.  Takeaways: School mealtimes are important for socialization and nutrition, but food allergies can be life-threatening. Quick assessment and action...

Anatomy lesson 101

ANA's National Center for Nursing Quality promotes nursing quality and patient safety while helping nurses advocate for themselves.
AnimalAssistants

Animal assistants in healthcare

An animal may provide just the benefit patients need. Prepandemic, I had the pleasure of traveling to the National Institutes of Health (NIH) for a...

Antibiotic stewardship

Every nurse has a responsibility to prevent antibiotic resistance. Takeaways: Nurses have a key role to play in preventing infections and preserving the power of...

Antidepressant discontinuation syndrome: What every acute-care nurse should know

Rapid withdrawal from antidepressant drugs can cause serious problems in acute-care patients. This article explains why acute-care nurses need to put antidepressant discontinuation syndrome on thier radar screen.

Anxiety attack or myocardial infarction?

The patient thinks she knows what's causing her chest pain. Her nurse knows she must rule out myocardial infarction.

Aortic aneurysm: Causes, clues, and treatment options

Increase your ability to recognize aortic aneurysms and provide postop care.
Aphasia

Aphasia: When speaking is hard

Imagine you are talking, and then suddenly you can’t. Your ability to communicate has paused. Over time, or in an instant, your ability to...

Applying a systematic approach to new-product assessment

Take the spontaneity out of new-product purchases to control costs and keep patients safe.

Applying the Magnet™ model to improve medication safety

A Baltimore hospital used the five Magnet components as a framework for transforming its bedside medication administration process. Involving directcare nurses in decision making was a key aspect of the project.

Are 12-hour shifts safe?

Is working 12 consecutive hours in a fast-paced, high stress, physically and mentally demanding environment a good idea? Click here to read this exciting...

Are extended work hours worth the risk?

Today, 75% of hospital nurses work 12-hour shifts. But studies show a link between nurse fatigue and preventable medical errors.

Are we making progress against autism?

Scientists are learning more about this baffling disorder, but a cure is a long way off.

Are you an ABG ace?

Can you interpret arterial blood gas (ABG) values with confidence? To find out, test yourself with the case studies in this article.

Are you confident about confidence intervals?

The confidence interval yields information on how confident researchers are about the success of a studied intervention.

Are you prepared for malaria?

Global traveling brings about 1,000 cases of malaria to this country each year. Don't be caught off guard if you encounter it in your practice.

Are you ready to care for patients in clinical trials?

Part 1 of a four-part series on clinical trials

Aromatherapy for you and your patient

Use fragrant oils to soothe muscles, relieve tension, and more.

Assessing the seven dimensions of pain

Pain affects many aspects of your patient's reality. Learn about the seven dimensions of pain and how to evaluate them.

Asthmatic teenager lands in the ICU

Alarming findings signal the need for noninvasive positive-pressure ventilation.

Astute assessment prevents paralysis

What seems like a simple pulled muscle to a shipping clerk turns out to be cauda equina syndrome, a potentially paralyzing injury that warrants immediate surgery.

Astute assessment saves a patient with PE

A nurse responds quickly to the patient's distress.
anterior-wall myocardial infarction

Attacking anterior-wall myocardial infarction in time

More than 1 million Americans a year suffer a myocardial infarction (MI). This article tells you how - and how quickly - you need to respond to the most dangerous MI.

Attacking anterior-wall myocardial infarction in time

More than 1 million Americans a year suffer a myocardial infarction (MI). This article tells you how - and how quickly - you need to respond to the most dangerous MI.

Attitude: The power of human energy

Our thoughts, feelings, and disposition influence other people, not just because people see and read our facial expressions or body language, but because thoughts themselves are energy.

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 the rapid response team.

Awash in “bath salts”: The dangers and skyrocketing use of mephedrone

Banned in September, this designer stimulant can cause dangerous side effects and death.

AWHONN releases new staffing guidelines

The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) recently announced that it has published new perinatal nurse staffing guidelines to reflect the...

Baby pictures: Preserving precious moments in the NICU

For one nurse, taking pictures of preemies develops into an art form.

Banner Simulation Medical Center: Using simulation to set up new nurses for success

Today, many nursing students graduate from educational programs without the clinical skills and judgment they need to handle a typical hospital caseload. At the...

Battlefield nursing at the Boston Marathon

Three yellow balloons danced through the air, hovering over the finish line after being released by the bomb blast that brought the 2013 Boston...

Be a myth-buster: Stop the misconceptions about fibromyalgia

Fibromyalgia produces many symptoms but no signs, so some clinicians dismiss it as a wastebasket diagnosis. But the pain is very real, and patients with fibromyalgia need you to understand their pain - and try to relieve it.

Be a myth-buster: Stop the misconceptions about fibromyalgia

Fibromyalgia produces many symptoms but no signs, so some clinicians dismiss it as a wastebasket diagnosis. But the pain is very real, and patients with fibromyalgia need you to understand their pain - and try to relieve it.

Be prepared for poison ivy, oak, and sumac

The author clears up misconceptions and discusses treatment.

Behind the curtain: Creating an in situ simulation experience

Go "behind the curtain" to learn how simulation is being used to prepare hospital-based nurses for urgent situations.

Being a nurse, but also a daughter or son to our aging parents

Nurses come to the profession to provide care for individuals and, in some cases, populations. It is what we do best and for most...

Being with Dying

Your most powerful message has nothing to do with words.

Benzocaine puts a patient in a bind

Methemoglobinemia from benzocaine exposure causes tissue hypoxia.

Best practices for seasonal influenza immunization

Seasonal influenza and influenza-related complications are the most frequent causes of death from a vaccine preventable disease in the United States. In 2006, the...
borderline personality disorder care understand

Better care for patients with borderline personality disorder

Adult nurse practitioners (NPs) encounter patients with a wide range of challenging behaviors. Some of these behaviors can be especially hard to manage and...
gift patient gratitude thanks acceptance

Beyond a box of chocolates

Often, patients and families express their gratitude for a special nurse’s outstanding care with spoken thanks or heartfelt commendations written to a nursing supervisor....

Beyond an interesting “read”

Nurse authors call on educators to incorporate IOM findings into education, practice.

Beyond customer service

Many nurses don't like to hear their patients called "customers" or be told to provide "customer service." This expert explains how to lose the lingo and adapt the principles of customer service to patient care.

Beyond the donor shortage: Mechanical help for the failing heart

For patients with severe heart failure, ventricular assist devices are being used in more ways than ever.

Blood-borne pathogen exposure injuries

Healthcare workers are exposed to blood-borne pathogens through contaminated needlesticks, sharps injuries, and mucous membrane exposures to infectious blood or body fluids of patients....
PIV

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 care, applying...

Body contouring: Shaping the future of patients with an obese past

Massive weight loss leaves lots of excess skin. See how plastic surgery can help.

BONES: A postoperative plan of care and education program for total joint replacement patients

According to the Centers for Disease Control and Prevention, about 719,000 total knee replacement and 332,000 total hip replacement procedures were performed on inpatients...
bradykinin induced angioedema

Bradykinin-induced angioedema

Quick treatment results in a good outcome. Takeaways: Angiotensin-converting enzyme inhibitors can increase the release of bradykinin, which can increase tissue permeability with dilatation of...

Brain Booster – Summertime Emergencies

Exercise your intellect with this summertime crossword puzzle.

Breath at the belly

Mindfulness training can help nurses, patients, and loved ones cope with loss, grief, and suffering.

Brought to you by NDNQI: Data that do good

Thanks to the National Database of Nursing Quality Indicators, hospitals and nurses are capturing and converting into data what nurses actually do and how their actions affect patient care.

Building a compelling business case for nursing and quality indicators

The author outlines how to make a business case for clinical quality measures, including how to use NDNQI data to substantiate your position.

Building the case for chemical policy reform

Over the past three decades, we have become increasingly aware of the impact that our environment, and chemical exposures in particular, has on our...

Buying time for patients with acute liver failure

Managing the complications of acute failure, so your patient's liver has time to regenerate.

Calculating and interpreting the odds ratio

Researchers use the odds ratio to analyze which of two groups of individuals is more likely to have an adverse outcome. Find out how to calculate the odds ratio and interpret its significance

Calculating I.V. drip rates with confidence

Do you sometimes have trouble remembering the equation you learned for calculating I.V. drip rates? This article presents a simplified equation that can make calculations quicker and easier - whether the medication order is written for mcg/kg/minute, mcg/minute, or mg/minute.

Calculating I.V. drip rates with confidence

Do you sometimes have trouble remembering the equation you learned for calculating I.V. drip rates? This article presents a simplified equation that can make calculations quicker and easier - whether the medication order is written for mcg/kg/minute, mcg/minute, or mg/minute.

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.
elder nurse old age

Can a nurse be too old to work at the bedside?

Read guest blogger Donna Cardillo’s thought-provoking article about when age comes into play during a nurse’s career. A recent New York Times article begged the...

Can soyfoods relieve postmenopausal symptoms?

The estrogen-lilke properties of isoflavones found in soyfoods may ease menopausal symptoms and lower the risk of osteoporosis and heart disease.

Can teach-back reduce hospital readmissions?

A study shows this method helps educators focus on topics the patient doesn’t fully grasp.

Can we curb substance abuse in college students?

Nurses can use current science to collaborate with other healthcare professionals toward reducing alcohol and drug abuse.

Capnography: A vital sign for the 21st century

Unlike traditional vital signs, capnography yields clear, specific information about the patient's condition and quickly alerts you to life-threatening disturbances.

Care during crisis

ANA brings nurses, experts together to shape practice policy during disasters

Care of clinical trial participants: What nurses need to know

The third in a series of articles on clinical trials from nurses at the National Cancer Institute.

Care, not chaos

A new document created by ANA and other groups delineates emergency care principles for psychiatric patients.

Caring and advocating for school children

When we think about RN staffing issues, most of us immediately think about these issues in the context of hospitals or long-term care facilities....

Caring for a homeless adult with a chronic disease

For homeless people, chronic illnesses can be hard to manage. Here’s what you should know about assessing these patients and developing a practical discharge plan.
obesity

Caring for adult patients with obesity in primary care

Evidence-based interventions are key for successful outcomes. Editor’s note: This is a web exclusive article for the October 2021 issue of American Nurse Journal.  Obesity is...

Caring for Caregivers: What Is Proven to Relieve Caregiver Strain and Burden?

Editor’s note: One of a series of articles on managing cancer-related symptoms from the Oncology Nursing Society. More than 1.5 million new cases of cancer...

Caring for chronic wounds: A knowledge update

Assess wounds more precisely, identify wound-related problems earlier, and intervene more effectively.

Caring for older lesbian, gay, bisexual, and transgender adults

Current discussions on the unique health issues of lesbian, gay, bisexual, and transgender (LGBT) populations have prompted the healthcare professions to reexamine their mission...
Caring for patients in alcohol withdrawal

Caring for patients in alcohol withdrawal

Be sure you’re prepared to care for patients with this condition
Fruits and Vegetables are dietary Staples of Caring for patients with metabolic syndrome

Caring for patients with metabolic syndrome

A precursor to serious complications, this dangerous condition is on the rise among Americans.
Caring for patients with Parkinson’s disease

Caring for patients with Parkinson’s disease

Learn about assessment, intervention, and teaching for patients with this progressive debilitating disease.
Transplant

Caring for patients with solid organ transplants

Donald Brooks, age 57, comes to the emergency department after fracturing his right hip in a skiing accident. He is admitted to the orthopedic...
Caring for patients with traumatic brain injuries

Caring for patients with traumatic brain injuries: Are you up to the challenges?

Many patients face prolonged recovery and permanent disability after a traumatic brain injury. This article reviews appropriate assessment and intervention and highlights family care.

Carotid artery stents: Opening the way to safer stroke prevention

Because of improvements in safety, stents are now the treatment of choice for many patients. Learn about the improvements and your role in patient care.

Carrots and sticks

The Stick—penalties for excess readmissions Is your hospital on the list? Starting this month, over 2,200 hospitals are forfeiting up to 1% of their base...

Cartoonist with a cause

The cartoons of Theresa Garnero, APRN, BC-ADM, MSN, CED, help patients cope with diabetes.

Case study: Coerced consent

“Coercion is commonly said to invalidate consent, and that is always true if the source of the coercion is the physician.

Case Study: How much is enough?

Three-year-old Christy* has been in the hospital’s pediatric intensive care unit (PICU) since birth, when she was diagnosed with McCune-Albright syndrome and multiple other...

Case Study: When is what you know considered confidential?

Five years ago, Jane Doe* was an inpatient at the XYZ Psychiatric Medical Clinic, being treated for long-standing cocaine use. Hers was a voluntary...
cauda equina

Catching cauda equina in time

Michael Smith, age 45, is admitted for lumbar laminectomy revision and fusion surgery. Despite his operative blood loss of an estimated 800 mL, he’s...

Catching on to C. difficle

Typically caused by antibiotic therapy, Clostridium difficile is now common in hospitals. Learn how to help stop the spread of this potentially fatal infection.

CDC publishes updates to immunization schedules for children and adults

Vaccines are known as one of the greatest achievements in public health over the last century. And each year, it seems more vaccines are...

CDC recognizes National Immunization Awareness Month

Click to visit www.cdc.gov/vaccines/events/niam, where you can find information from the CDC concerning this year's National Immunization Awareness Month.
patient-handling-safety

Ceiling lifts and safe patient handling and mobility programs

Equipment accessibility and multifunctionality help ensure program success. Editor’s note: This is an early release of a web exclusive article for the March 2021 issue...
Central lines troubleshooting complications

Central lines: Recognizing, preventing, and troubleshooting complications

Central lines can save lives. But dangerous complications can occur unless caregivers know how to identify, prevent, and solve potential problems.

Central venous catheter dressings put to the test

A nursing team's research findings lead to hospital-wide savings.

Cerebral interventional radiology: New options for stroke victims

Every 40 seconds, someone has a stroke; every 4 minutes, someone dies from stroke. Strokes are the fourth leading cause of death in the...

Cerebral salt wasting: An overlooked cause of hyponatremia

Commonly confused with SIADH, cerebral salt wasting can result from such neurologic conditions as subarachnoid hemmorrhage, intracranial hemorrhage, ischemic stroke, intracranial surgery, and brain trauma.
Cerebral Vasospasm

Cerebral vasospasm

Prompt recognition of subtle signs saves patient’s life. Key Points: Patients who experience an aneurysmal subarachnoid hemorrhage (aSAH) require frequent neurologic assessments to monitor for...

Cervical Spine injuries: Preserving function, improving outcomes

How to provide skilled care that stops the damage and helps your patient manage the injury.

Cervical spondylosis with myelopathy: Painful and sometimes paralyzing

This progressive degenerative spine condition is commonly mistaken for arthritis. This article covers assessment and management, including preop and postop care.

Challenging nursing’s sacred cows

Do you routinely instill normal saline solution into endotracheal tubes before suctioning? Use only the Glasgow Coma Scale for neurologic assessment? Evidence on these and other sacred cows of nursing practice might surprise you.

Chemical soup

ANA and state associations work to protect nurses and the environment from chemicals.
Chemotherapy and Biotherapy Drugs for Autoimmune Disease

Chemotherapy and Biotherapy Drugs for Autoimmune Disease

New biotherapy drugs and older chemotherapy agents may improve quality of life in patients with autoimmune diseases.

Chest tube care: The more you know, the easier it gets

Many nurses find chest tube care intimidating—but it doesn’t have to be. Once you understand the basics, you can be confident when caring for...
public health issues chief nurse romano career government

Chief nurse officer takes on full range of public health issues

Rear Admiral Carol A. Romano, PhD, RN, FAAN, is the Assistant Surgeon General and Chief Nurse Officer for the United States Public Health Service...

Choosing wisely: Resources for selecting sharps safety devices

An essential part of a sharps safety program is selecting appropriate devices, such as safety needles. While no one device, feature, or mechanism of...

Climate Change

Nursing confronts climate change.

Clinical nurse leaders and clinical nurse specialists: harmonious partners

Collaboration between these two valuable resources depends on understanding how their roles differ.

Clinical trials 101

Don’t miss the second in a four-part series on clinical trials written by nurses from the National Cancer Institute at the National Institutes of Health, which covers phases of clinical trials, informed consent, ethics, and more.

Closing in on the cause of agitation

When an elderly patient becomes confused and agitated, a careful history of recent procedures and medications points clinicians in the right direction.

CMA Lobbyists plan to protect nurses, patients, and public from harmful chemicals.

By Angela Song As the new U.S. Congress convenes this January, the ANA will present our legislative agenda with a noted advantage. Through the combined...

Collaborating on technology: A learning exchange between U.S. and U.K. nurses

An immersion study found that shared governance helps healthcare organizations keep up with technology.

Collaborating to improve the financial health of health care

Nurses are collaborative by nature, especially when providing patient care. We embrace team-based care, and we welcome family members as partners. We know that...

Color awareness: A must for patient assessment

Color “blindness” may help minimize social and economic disparities, but can impede accurate patient assessment. The author explains why nurses should practice color awareness and tells how to adapt skin inspection for dark-skinned patients.

Coloring outside the lines

The Institute of Medicine’s Future of Nursing Initiative needs to create solutions that propel nursing and health care into the future.

Combating medication verification workarounds in an electronic world

In the classic report To Err is Human: Building a Safer Health System, the Institute of Medicine reported that at least 44,000 of the...

Communicating with intubated patients: A new approach

Learn how one hospital improved communication between nurses and intubated patients through the use of an algorithm, new communication devices, and a focused communications course for nurses.

Community-acquired pneumonia: Follow the guidelines to better outcomes

Make sure your care of patients with community-acquired pneumonia is evidence-based and up-to-date.

Complete blood count: Getting beyond the basics

The shapes of red blood cells can tell you plenty about your patient's condition - if you know how to interpret them.

Complications after brain hemorrhage repair

To save this patient, the team must halt cerebral artery vasospasms quickly.

Confronting racism in health care

Our editor-in-chief discusses the issue of race in health care.

Congress considers mental health parity legislation

Legislation under consideration in the U.S. House and Senate would require group health insurers to cover mental health care at the same level as...

Connecting the dots leads to suspicion of sepsis

Maria Espinoza, age 45, is recovering on the medical-surgical unit 2 days after a decompression fasciotomy for compartment syndrome of her right thigh, following...
wound ostomy continence nurse

Consider a career as a wound, ostomy, and continence nurse

In 2008, hospitals, extended-care facilities, and home-health agencies will face these regulatory and patient-care issues: • high expenses for supplies • unsatisfied patients • facility-acquired pressure ulcers •...

Continuous insulin infusion therapy: It’s not just for the ICU anymore

Administering continuous insulin infusions on every hospital unit improves glycemic control and patient outcomes.

Continuous renal replacement therapy: Dialysis for critically ill patients

This technique slowly removes wastes and excess plasma water, helping patients recover from their illness.

Controlling blood glucose in hospital patients

Recent studies shed light on the importance of maximizing glycemic control in inpatients with diabetes.

Controlling blood glucose levels in hospital patients: Current recommendations

The authors describe a three-pronged hyperglycemia management approach.

Cornucopia

Food-and Americas' overconsumption of it-have become public health issues. We need therapy for what one expert calls our "national eating disorder."
covid 19 diagnostic testing

COVID-19 diagnostic testing

Nurse knowledge can improve test administration, ensure efficacy, and increase result accuracy Takeaways: • Three COVID-19 diagnostic testing methods are available: molecular, antigen, and antibody. • Each...
healing environment pseudobulbar affect ant

Create a healing environment for patients with pseudobulbar affect

Teach patients how to manage PBA for optimal quality of life. Takeaways: Pseudobulbar affect (PBA) can develop after a stroke or in conjunction with...

Creating a smooth move for patients and staff

When Missouri Baptist Medical Center had to relocate nearly 200 patients in a single day, staff and leaders knew collaboration and planning would be key. Here’s how they did it.

CRRT spells success against acute renal failure in critically ill patients

Why critically ill patients with acute renal failure need continuous renal replacement therapy.

Current and future newborn screening

Newborn screening illustrates what can happen when genetic testing converges with ethics and electronic health records

Cystocerebral syndrome

Rapid recognition leads to a quick reversal. Takeaways: Assess the full medical history of patients on admission, including bowel and bladder issues to reduce risk...

Daily sedation breaks and breathing trials help wean patients from ventilators safely

For patients on mechanical ventilators, daily sedation cessation can decrease ventilator, ICU, and hospital days. Careful use of safety screens is crucial for patient safety and successful weaning.

Dealing with the dangers of dog bites

Dog bites can cause serious or even fatal injuries. Find out how to assess and intervene when your patient has been bitten.

Dealing with the dangers of dog bites

Dog bites can cause serious or even fatal injuries. Find out how to assess and intervene when your patient has been bitten.

Dear Members of Congress

In an open letter to Congress, Dr. Cipriano urges legislators to leverage nurses’ knowledge, skills, and abilities to help bring order to a chaotic healthcare system.

Deep-brain stimulation: Hope for dystonia patients

Deep-brain stimulation can make a significant difference in the lives of patients with dystonia.

Defeating horizontal violence in the emergency department

The authors share how they defused horizontal violence in their ED.

Déjà vu all over again

Some people simply can’t learn from the past—even the fairly recent and painful past.

Delegating without doubts

With this decision tree as your guide, you'll delegate tasks to assistive personnel with confidence.
dementia quiet thief nurse forgetful

Dementia: The quiet thief

The nurse’s note read, “not orientated to place and time due to dementia.” Several hours of general anesthesia for a knee replacement and then...

Demystifying literature reviews

Every nurse should understand evidence-based practice and the terms used in literature reviews.
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Demystifying palliative and hospice care

Armed with answers, you can provide patients and families with the information they need to make care decisions. Takeaways: Patients and their families may not...

Demystifying ventricular arrhythmias

Learn how to recognize and intervene for patients with these electrical heart abnormalities.
denture-care-promotes-good-health

Denture care promotes good health

Advocate careful cleaning and storage.  Takeaways: Microbial plaque that accumulates on dentures may be harmful to oral mucosa and overall health. Dentures must be cared...

Derailing disaster after pulmonary aspiration

Thanks to an alert nurse, an elderly patient avoids respiratory failure during her recovery from hip fracture surgery.

Derailing potentially deadly dehydration

When a dehydrated patient falls into a stupor and her vital signs head south, a rapid response team can help unit nurses stabilize her quickly - and avoid the semmingly inevitable.

Detect compartment syndrome in time

Early recognition and action can save a limb.

Detecting and screening for depression in older adults

Don’t assume depression is a normal finding in elderly patients.

Detecting cardiac injury with telemetry

With multi-lead telemetry monitoring, a nurse detects dangerous changes in her patient's heart rhythm, permitting quick action before an acute MI does permanent damage.

Detecting dysphagia

It’s 8:00 am and time for your 83-year-old patient, Virginia Johnson*, to take her oral medication. She was admitted with a left femoral fracture...
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Detecting elder abuse and neglect: The importance of good skin assessment

Bruises, grip marks, and lacerations are just some of the indications of elder abuse. By Armi S. Earlam, DNP, MPA, BSN, RN, CWOCN; Lisa Woods,...
Detecting, managing, and preventing pulmonary embolism

Detecting, managing, and preventing pulmonary embolism

Pulmonary embolism (PE) kills about 25% of those it strikes. This article explains how deep vein thrombosis (DVT) sets the stage for PE and describes how to assess, manage, and prevent both DVT and PE.
Detecting, managing, and preventing pulmonary embolism

Detecting, managing, and preventing pulmonary embolism

Pulmonary embolism (PE) kills about 25% of those it strikes. This article explains how deep vein thrombosis (DVT) sets the stage for PE and describes how to assess, manage, and prevent both DVT and PE.

Diagnosing and managing cough

Check out these highlights from the American College of Chest Physicians' new guidelines.

Differences among physicians, risk managers in admitting errors

Differences in attitudes among physicians and risk managers about revealing medical errors to patients may diminish the effectiveness of such disclosures, according to a new study published in the March 2010 issue of The Joint Commission Journal on Quality and Patient Safety.

Differentiating diabetes complications: What’s your call?

A patient who collapsed at home arrives at the hospital with a blood glucose level off the charts, plus extreme thirst and polyuria. Think his diagnosis is cut and dried? Think again.
Differentiating research, evidence-based practice, and quality improvement

Differentiating research, evidence-based practice, and quality improvement

All nurses should know and understand the differences among these three concepts.

Discovering and stopping hyperkalemia

Fast, focused assessment and action can stop this dangerous imbalance.

Dispelling pain myths

Read up on the latest evidence-based best practices in pain management.

Disposal dilemmas in home health care

Learn the proper way to dispose of sharps and waste pharmaceuticals used in the home.

Do you know the vaccination requirements for adolescents and adults?

This handout, part of ANA's Bringing Immunity to Every Community campaign, provides the tools you need to ensure that adolescents and adults get appropriate vaccinations.

Do you know which vaccines are recommended for special populations?

Pregnant and postpartum women, immunocompromised children, and persons at high risk for flu-related complications have special immunization needs. Part of ANA’s Bringing Immunity to Every Community campaign, this handout explains how to help ensure that these vulnerable populations are protected.

Dodging a trach tragedy

When a patient’s O2 Sat falls and subcutaneous neck edema arises, adroit troubleshooting identifies the cause.

Does evidence-based nursing increase ROI?

A quality-improvement initiative quantified return on investment (ROI) from cost avoidance for five healthcare-acquired conditions.

Does periodontal disease contribute to preterm birth?

The authors discuss the answer to this question.

Does your workplace culture need CPR?

If you suspect your workplace culture is "ill," assessment is a crucial first step. Using an established assessment tool can help ensure more thorough data collection.

Doing the most good

The Patient Protection and Affordable Care Act of 2010 provides many benefits.
Pathways to moral courage

Doing the right thing: Pathways to moral courage

Learn how to prepare yourself for the ethical and moral dilemmas you’re likely to encounter in the workplace.

Don’t tolerate disruptive physician behavior

No matter if you like - or fear - a doctor who behaves badly, you must report the incident for the sake of the staff, the patients, the institution.

Don’t forget ‘and mobility’

Mobility is an integral component of safe patient handling.
PIV

Don’t get ‘caught’ in the CAUTI trap

Catheter-associated urinary tract infections (CAUTI), the most common healthcare-associated infection, can be deadly.

Doubling or tripling of Americans with diabetes

As many as 1 in 3 U.S. adults could have diabetes by 2050 if current trends continue, according to a new analysis from the...

DPP-4 Inhibitors: A new approach to type 2 diabetes

Find out how this new class of drugs may help some of the 10 million Americans with type 2 diabetes who can't control their glucose levels. 

DPP-4 inhibitors: A new option for diabetes management

Drugs that inhibit dipeptidyl peptidase-4 (DPP-4) may improve glycemic control in patients with type 2 diabetes, reducing the risk of disease complications.

Drug errors harm 1.5 million people each year, report finds

In a new report, the Institute of Medicine concludes that at least 25% of harmful adverse drug events are preventable, and recommends specific preventive actions for nurses and other healthcare workers.

Drug therapy gets personal with genetic profiling

In the not-so-distant future, the science of pharmacogenetics may enable clinicians to give the right drug in the right dosage to the right patient—in every case.

Drugs and Devices Today

2/11/10 Recall of AEDs On February 3, Cardiac Science Corporation issued a recall for about 12,200 automated external defibrillators because they may fail during a resuscitation...

Drugs in the environment: Nurses’ roles and responsibilities

Editor’s note: This issue of American Nurse Today offers three perspectives on medication disposal, designed to educate nurses on this important issue so they can serve as advocates and teach their patients properly.

Drugs Today – August 2008

Web Exclusive! An update of drug news, including alerts, approvals, and removals, at www.AmericanNurseToday.com/journal.

Drugs Today – December 2008

Web exclusive! An update of drug news, including alerts, approvals, and removals.

Drugs Today – February 2009

WEB EXCLUSIVE! An update of drug news, including alerts, approvals, and removals.

Drugs Today – July 2008

An update of drug news, including alerts, approvals, and removals.

Drugs Today – March 2009

Web exclusive! An update of drug news, including alerts, approvals, and removals.

Drugs today – May 2009

An update of drug news, including alerts, approvals and removals.

Drugs Today – November 2008

Web Exclusive! An update of drug news, including alerts, approvals, and removals at www.AmericanNurseToday.com/journal.

Drugs Today – October 2008

Web Exclusive! An update of drug news, including alerts, approvals, and removals.

Drugs Today – Sept/Oct 2009

FDA warns against certain OTC nasal sprays Over-the-counter Zicam intranasal cold medications may cause long-term or permanent loss of the sense of smell and should...

Drugs Today – September 2008

Web Exclusive! An update of drug news, including alerts, approvals, and removals at www.AmericanNurseToday.com/journal.

During an emergency: Be safe!

Thousands of accidental chemical spills and leaks take place in this country each year. Providing nurses with adequate first-receiver training can help ensure that we can care for contaminated patients without endangering ourselves.
Acute,Compartment,Syndrome,Word,,Medical,Term,Word,With,Medical,Concepts

Early detection of acute compartment syndrome

Quick action prevents serious harm. Takeaways: Acute compartment syndrome (ACS) is a surgical emergency that requires early identification to avoid permanent disability of the affected...

Easing the way for the electronic health record

Pressure is building to develop a national electronic health record - and the nursing profession is playing a pivotal role in developing the standards needed to support it.
Emergency cardiac drugs: Essential facts for med-surg nurses

Emergency cardiac drugs: Essential facts for med-surg nurses

In the hospital setting, emergencies typically occur in emergency departments (EDs) and intensive care units (ICUs). But many also take place in progressive care...

Emergency nursing: A specialty unlike any other

The president of the Emergency Nurses Association tells why she’s proud to be an emergency nurse.

Emergency!

Our new crossword puzzle test your knowledge of medical emergencies.

Emerging infectious threats: Respiratory protection for personal safety

Many experts think a flu pandemic (perhaps the swine flu) is inevitable, underscoring the need for all healthcare workers to learn how to use respirators properly.

Enabling the ordinary: More time to care

The value of technology in automating and improving patient care

End the epidemic of childhood obesity…one family at a time

Obesity poses a dire health threat to children. Learn how to help families break the obesity cycle by following the recommendations in the AMA's comprehensive new childhood obesity guidelines.

End the epidemic of childhood obesity…one family at a time

Obesity poses a dire health threat to children. Learn how to help families break the obesity cycle by following the recommendations in the AMA's comprehensive new childhood obesity guidelines.

Ending AIDS: Safe sex is still key despite medical advances

There is much to celebrate in the battle against acquired immune deficiency syndrome (AIDS). Antiretroviral therapy (ART) is increasing life expectancy of people with...

Ending the cycle

Nurses nationwide work to eliminate partner violence.
Curriculum_Technology

Enhancing nursing curriculum with an injection of technology

Use online tools to engage and motivate students. Evidence-based research has changed teaching from a traditional teacher-centered approach to a student-centered (constructivist) approach. According to...
Enhancing patient outcomes with sequential compression device therapy

Enhancing patient outcomes with sequential compression device therapy

Use sequential compression devices effectively to help achieve the best possible outcomes for patients.

Ensuring quality and saving time

The National Database of Nursing Quality Indicators® tracks the care nurses provide, helping to improve nursing practice, patient outcomes, and the work environment.
health safety environment musculoskeletal disorder nurse

Environment, health and safety

ANA has been very concerned with and involved in the issue of ergonomic hazards as a health and safety concern in the workplace. Musculoskeletal...

Environment, health, & safety

With the growing reuse of single-use medical devices, ANA supports improvements in end-of-use product management and research on ethical and safety issues related to these devices.

Environment, health, & safety

Is widespread triclosan use leading to microbial resistance? ANA urges nurses to take a cautionary approach toward using triclosan-containing products at home.

Environment, health, & safey

Help reduce the toll of seasonal influenza by receiving, administering, teaching about, or encouraging seasonal influenza vaccination.

Environmental health and the pediatric patient

Save the children. Every pediatric assessment should include a complete environmental health history.
esophageal

Esophageal varices

Quick action prevents a negative outcome.     Takeaways: Cirrhosis of the liver causes scaring, shrinking, and hardening. Complications of cirrhosis include portal hypertension, esophageal varices, hepatic...

Essential elements of a comprehensive sharps injury-prevention program

The steps outlined below can help facilities significantly reduce sharps injuries.

Ethics and the quality of care

Leah Curtin discusses the issue of quality care from an ethical perspective.

Ethics case study: Poor staffing results in brain-damaged patient

Author Leah Curtin discusses the ethical issue of short staffing.

Ethics for nurses in everyday practice: Insubordination in the ICU?

What happens when there is no room in the ICU for an ED patient?
Evaluating the neurologic status of unconscious patients

Evaluating the neurologic status of unconscious patients

Assessing the neurologic status of unconscious or comatose patients can be a challenge because they can’t cooperate actively with your examination. But once you...
Evaluating the neurologic status of unconscious patients

Evaluating the neurologic status of unconscious patients

Assessing the neurologic status of unconscious or comatose patients can be a challenge because they can’t cooperate actively with your examination. But once you...

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 of neonatal...

Evidence-based interventions for chemotherapy-induced nausea and vomiting

Learn what you can do to manage this devastating effect of cancer treatment.

Evidence-based interventions for constipation in patients with cancer

Editor’s note: One of a series of articles on managing cancer-related symptoms from the Oncology Nursing Society. Constipation is a common but often unrecognized and...

Evidence-based interventions for depression in patients with cancer

Editor’s note: One of a series of articles on managing cancer-related symptoms from the Oncology Nursing Society. Dana Jennings, in his New York Times blog...

Evidence-based interventions for dyspnea

Editor’s note: One of a series of articles on managing cancer-related symptoms from the Oncology Nursing Society. Dyspnea is "a subjective experience of breathing discomfort...

Evidence-based interventions for sleep-wake disturbances

Editor’s note: One of a series of articles on managing cancer-related symptoms from the Oncology Nursing Society

Evidence-based interventions for the prevention of bleeding in patients with cancer

Learn how you can help prevent bleeding in patients with cancer.

Evidence-based practice in healthcare: Is it on shaky ground?

"Federal panel recommends against prostate cancer screening." This news headline may have given some nurses a sense of déjà vu, and not for the...
Excessive opioids

Excessive opioids lead to a close call for a burn patient

Tim Waters, age 28, is admitted to a burn intensive care unit for treatment after a natural gas explosion in his home causes deep...
Exposed to patient’s body fluids

Exposed to patient’s body fluids? Now what?

Learn how to protect yourself by taking the right steps if you are exposed to a patient’s body fluids.

Eye of the beholder: Grand rounds at the museum

"What do you see in his eyes?" asks Dr. Rothenberg. After a brief pause, someone replies, "He looks sad." Another states, "He’s kind of...

Facing cranial nerve assessment

This humorous approach will help you take a serious step toward remembering the cranial nerves.

Facing up to widespread obesity

Facing up to widespread obesity - a reality check on a very real epidemic.
faculty shortfall nurse

Faculty shortfall

Helen O’Shea, PhD, RN, hasn’t retired completely from her role as a nurse educator, and that is very fortunate, for the number of nurse...

Faith, community, and health: Partnerships with good neighbors

Our editor-in-chief turns a spotlight on faith and community partnerships.

Family history as a genetic assessment tool: Where are the resources?

Learn the value of a genetic history and resources for how to conduct one.

Family initiated rapid response team

Rapid response isn’t just for staff. More hospitals are allowing, even encouraging, patients and their families to make the call for help.

Family presence during resuscitation: The in’s and out’s

When the family wants to be with the patient, this advice will help you guide the conversation and manage the situation.

Family presence during resuscitation: Who decides?

Effective communication enables nurses and physicians to negotiate a collaborative decision that honors the family’s wishes.
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Far from home, bringing smiles to children’s faces

During my three decades as a nurse, volunteering on a medical mission has always been on my “to do” list. In 2005, having finished...
FES

Fat embolism syndrome

Early identification prevents negative outcomes.    Takeaways: Fat embolism syndrome is a rare complication that can occur after traumatic orthopedic injuries. Early identification of neurologic, respiratory,...

Fear of the low: What you need to know about hypoglycemia

Approximately 25.8 million children and adults in the United States have diabetes. Especially with the diabetes rate rising yearly, you’re likely to care for...

Fecal microbiota transplantation: Breaking the chain of recurrent C. difficile infection

The author describes an innovative technique that is helping patients with C. difficile infection, including patient selection; care before, during, and after the procedure; and patient education.

Fending off disaster for a frostbite victim

Without effective treatment, more than 40% of frostbite victims require digital amputation. Can Jonathan’s toes be saved?
Fine-tuning your feeding-tube insertion skills - American Nurse

Fine-tuning your feeding-tube insertion skills

Even if you're accustomed to inserting feeding tubes, the procedure can cause complications. The authors provide safety guidelines to help you make feeding-tube insertion safer.

Food in the fight against cancer: The evidence on cancer-related anorexia

Among the many treatments and supportive interventions for cancer, nurses and patients must not overlook a foundation of health—good nutrition. A proper diet during cancer treatment and beyond is essential for patients to feel better, have the strength needed to fight the disease, and maintain wellness.

Formula for success: Deliver enteral nutrition using best practices

Between 30% and 50% of adults admitted to U.S. hospitals are malnourished. This article explains how to provide nourishment while achieving better outcomes and shorter hospital stays.

Free radicals: What are they and why should nurses care about them?

Understanding free radicals at the cellular level can help focus our care practices.
Key concepts in patient-centered care

From our readers: Harp song — A journey to remember and embrace the heart...

“The aim of all spiritual paths, no matter their origin or the rigors of their practice, is to help us live more fully in...

From our readers: My first code—A retrospective report of a premature promotion and a...

The elevator’s walls were covered in bronze and silver raised metal squares that gave the appearance of a magic eye puzzle and smelled of...
oncologist_oncology_cancer_nurse

From our readers: On being an oncology nurse, or humble pie by the slice

I came to oncology nursing in 1984 through what I perceived as bad luck; my goal was to get out of the field ASAP....

From our readers: One nurse’s journey into patienthood

As I lay on the table staring up at the ceiling tiles and waited for my biopsy to begin, I suddenly became keenly aware...

From our readers: Overtime is only fun in baseball: A somber look at mandatory...

The author reviews issues surrounding mandatory overtime.

From our readers: Resolving the forces of bias and duty in caring for incarcerated...

In the nurses’ station of the 39-bed med-surg unit I double-checked my patient’s 2:00 PM medications against the pharmacy sheet and then started down...
The art of self-disclosure

From our readers: The art of self-disclosure

One aspect of the "art" of nursing is appropriate self-disclosure. Nurses and other healthcare providers often have an opportunity to share information about their...
guilt suicide prevention family relatives blame helpless death

From our readers: The guilt suicide leaves behind

Dedicated to John, who was loved by so many

From our readers: What it means to be a nurse

A nurse shares her meaning of nursing.
disaster relief psychological practical prepare

From our readers. . . Is disaster relief nursing for you?

Recently I had the opportunity to provide nursing services after an earthquake disaster in the Caribbean. In this article, I share my insights gained...

From our readers….Caring for Haiti from afar

The devastation in Haiti following the earthquake caused many of us in healthcare to come to a standstill. I am heartsick watching the suffering...

From our readers…A case study of implementing an injury prevention program

The authors explain how they successfully implemented an injury prevention program.

From our readers…A staff nurse perspective on the IOM Future of Nursing Report

A staff nurse gives his perspective on this important report.
nurse protection fire unfair standup defend

From our readers…Balancing the power in favor of patients

Ms. Sims, a bedside nurse featured by Leah Curtin earlier this year inspired me to write this article. At the behest of others, Ms....
recycle supplies hospital medical tools

From our readers…Caring for the world by recycling supplies

I became aware of the acute lack of essential medical supplies when I participated in medical missions work in the Philippines and Honduras. Basic...

From our readers…Creating a patient/family advisory board

Today’s nurse is challenged to procure the skills and knowledge to facilitate healthy work environments in order to achieve best patient outcomes. How better...

From our readers…Hourly rounding benefits patients and staff

Studies have shown hourly rounding decreases call light usage and unit noise levels, increases patient satisfaction, and reduces falls. Some researchers also report increased...
From our readers…How my bad experiences with call lights formed my nursing practice

From our readers…How my bad experiences with call lights formed my nursing practice

I have been a critical care nurse since 2008. In our unit, patients have call lights, and of course, patients and families want them...
Fruits and Vegetables are dietary Staples of Caring for patients with metabolic syndrome

From our readers…Hunger advocacy for nurses

Since the mid-1990s, the number of hungry people worldwide has been steadily increasing. Currently about 925 million people worldwide are hungry—about 1 in 7...
know your patient nurse

From our readers…Know your A, B, C, and D’s for patients with progressive disease

"Something’s wrong. We have to fix it quickly!" All of our training and experiences as nurses, such as my almost 30 years as a hospital-based...

From our readers…Negative effects of shackling pregnant incarcerated women

The author advocates for more respectful treatment of pregnant women who are incarcerated.
nonadherent refuse treatment nurse challenged challenge

From our readers…Nonadherent or compassion challenged?

Over the years nurses have labeled patients who choose (knowingly or unknowingly) to disregard instructions that could potentially alter their health condition toward a...

From our readers…Strategies for Implementing an Effective Sexual Assault Nurse Examiners Program (SANE)

SANE nurses help ensure victims of sexual assault receive the compassionate care they need and collect evidence that can be used in court.
Talking to patients about a “weighty” issue: Are you ready?

From our readers…Talking to patients about a “weighty” issue: Are you ready?

As the prevalence of obesity in the United States continues to rise, no doubt more of your patients are having weight issues that complicate...
nurse grief overcome

From our readers…The nature of grief

A wise person once said, "Grief is not a disease or pathology to be cured. Grief is the tangible evidence that we’ve cared and...
slow steady wins safety rush procedure

From our readers…Three elephants for safety

A familiar safety protocol in hospitals is the time-out. Mandated for many invasive procedures, this “work stop” ensures the right site, right procedure, and...
value skills nurse career job transition

From our readers…Value all your skills

Anyone who’s been a nurse for more than 10 years will agree with me: you can make big leaps from specialty to specialty and...

From the other side of the bed

How long has it been since you looked at the ambience of a hospital with a critical eye? If you practice there, have you...

From your ANA President

Nurses are natural innovators. Let’s recognize our strengths as innovators and share our ideas on multiple platforms.
safe staffing healthcare

From Your ANA President

HAVING WORKED in an emergency department for more than 20 years, I know what it’s like to have to think fast and move fast...
cpr cardiopulmonary resuscitation

From your ANA President

As healthcare professionals, we all know CPR to mean “cardiopulmonary resuscitation,” and we have all been trained in how to perform it. But CPR also...

From your ANA President and ANF Chair

ANA and the American Nurses Foundation are embracing the power of partnerships to advance initiatives that will benefit patients and nurses.
fund funding research nursing

Funding the future of nursing

What do ANA members Pamela Mitchell, Elaine Larson, Ann Rogers, and Dorothy Brooten have in common? Early in their careers, each received a research...

Fusing Magnet® and just culture

The author describes the beneficial alignment of just culture concepts Magnet® principles.

Genetic Information Nondiscrimination Act signed into law

The federal government bans genetic job discrimination; ANA backs the Kid Safe Chemicals Act.

Genetics and ethics in health care and nursing

Review these excerpts from  anew book on genetics and ethics in health and nursing.

Geriatric assessment: Essential skills for nurses

How to assess the integumentary and musculoskeletal systems, head, neck, face, and functional status

Get positive results with negative-pressure wound therapy

The author present tips to help you avoid pitfalls and ensure safe use of negative-pressure wound therapy, which applies subatmospheric pressure to accelerate the healing of complex wounds.

Get Savvy to syncope

Syncope is a common occurrence and is commonly benign. But sometimes a swoon signals a serious underlying condition. Learn what causes syncope and how to assess and intervene for a patient who has just experienced it.

Getting a grip on GERD

Most patients manage the heartburn, nausea, and belching of gastroesophegeal reflux disease with lifestyle changes and medications. But some may experience a dangerous symptom cluster that warns of more serious problems.
carbohydrate counting

Getting comfortable with carbohydrate counting

Teach patients with diabetes this essential tool for self-care.  Takeaways: Carbohydrate counting can be a challenging skill for both nurses and patients. Nurses have an...

Getting straight on low back pain treatment

Be sure you’re up to date on this common problem.

Getting the message out: Older adults need oral care

Despite its link to overall health, older adults often do not get the proper oral health care they need. “Affordable, accessible preventive care, including oral...

Getting to the root of the root-cause analysis problem

With national attention focused on the unacceptable prevalence of medical errors, the healthcare sector has turned to highly reliable industries, including aviation and nuclear...

Give patients more than lip service: Manage oral mucositis with evidence-based interventions

The most widely recognized side effects of cancer treatment are hair loss and nausea, but 40% of patients also experience oral mucositis (Beck, 2004),...
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