COPD exacerbation

A 75-year-old man with a history of chronic obstructive pulmonary disease (COPD), hypertension, and a 20-pack-year smoking history, is transferred from the ED to a med–surg unit for continued monitoring after a COPD exacerbation. The provider orders 3 liters per minute of supplemental oxygen via nasal cannula. After 4 hours on the unit, the patient’s assigned nurse and training nurse notice changes in his condition.

Bereaved parents and perceptions of hope

Bereaved parental perspectives on hope during their child’s cancer journey can prove complex and subjective. Hope, which can alleviate distress, is difficult to define. In the face of good outcomes or a favorable prognosis, families direct hope toward a cure or remission. However, when confronted with poor outcomes, hope remains essential, but defining it becomes more challenging. Nurses may struggle to understand how to incorporate hope into care, regardless of patient outcomes.

COPD exacerbation

A 75-year-old man with a history of chronic obstructive pulmonary disease (COPD), hypertension, and a 20-pack-year smoking history, is transferred from the ED to…

Bereaved parents and perceptions of hope

Bereaved parental perspectives on hope during their child’s cancer journey can prove complex and subjective. Hope, which can alleviate distress, is difficult to define.…

HPV Extragenital testing sites

According to the Centers for Disease Control and Prevention (CDC), genital human papillomavirus (HPV) remains the most common sexually transmitted infection (STI) around the globe. The infection impacts 40% of people within 2 years of their first sexual intercourse and…

Nurse-driven frailty screening

Home-based primary care (HBPC) involves routine and urgent primary care provided by an interprofessional team to frail vulnerable adults who would otherwise lack access due to homebound status. Despite its demonstrated success, access to HBPC remains limited. This project fostered…

Oral care and hospital-acquired pneumonia

Many consider oral care an element of grooming, not an infection control measure. However, an association exists between poor oral care and systemic disease. For example, aspiration of oropharyngeal pathogens into the lungs can lead to pneumonia. Immobile or confined…

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…

How is Your Nursing Team Making a Difference?

American Nurse Journal is proud to announce the annual All-Pro Nursing Team Awards, to be published in the April 2026 American Nurse Journal.

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Gastrointestinal Whole-Patient Care

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Simulation: Preparing for workplace violence

Current Journal

Human-centered leadership: A movement transforming nursing

Valentines and kindness

Suicide left ventricle after TAVR: Prevention and intervention

Mental health trailblazers

Suicide left ventricle after TAVR: Prevention and intervention

Ms. Lisa Sloan*, a 75-year-old woman with a history of hypertension, type 2 diabetes, severe aortic stenosis, combined systolic and diastolic heart…

Trauma and its impact on health

Trauma changes us. This powerful emotional experience of terror or stress affects biology and immune function, reminding us of the connection between…

Loyalty vs integrity when making a professional endorsement

I'm in a social media group for nurse practitioners (NPs), and a recent discussion made me uncomfortable. One individual offered to write…

HPV Extragenital testing sites

According to the Centers for Disease Control and Prevention (CDC), genital human papillomavirus (HPV) remains the most common sexually transmitted infection (STI)…

Continuing Education

Trauma and its impact on health

Trauma changes us. This powerful emotional experience of terror or stress affects biology and immune function, reminding us of the connection between the mind and body. Learn about the connection between trauma and immune function and the implications for nursing…

Oral care and hospital-acquired pneumonia

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…

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…

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…

Trauma and its impact on health

Trauma changes us. This powerful emotional experience of terror or stress affects biology and immune function, reminding us of the connection between…

Oral care and hospital-acquired pneumonia

Many consider oral care an element of grooming, not an infection control measure. However, an association exists between poor oral care and…

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…

Education and Career Guide

Education can be the key to professional success. Whether you’re a new or experienced nurse, returning to school to get your BSN or another advanced degree can make the difference between thriving and stagnating in your career. Tap into the articles presented in this year’s education guide for tips and thoughtful advice on nursing education. The American Nurse Education and Career Guide, provides you with facts, figures, other nurses’ experiences, and tons of other resources to help you in your journey.

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Rapid Response

COPD exacerbation

Spontaneous pneumothorax

A 19-year-old man with no significant medical history develops sudden, sharp, left-sided chest pain while playing basketball. After 8 hours, his pain doesn’t improve with over-the-counter acetaminophen, prompting a visit to the emergency department. During auscultation of the patient’s lungs,…

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…

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…

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…

COPD exacerbation

A 75-year-old man with a history of chronic obstructive pulmonary disease (COPD), hypertension, and a 20-pack-year smoking history, is transferred from the…

Spontaneous pneumothorax

A 19-year-old man with no significant medical history develops sudden, sharp, left-sided chest pain while playing basketball. After 8 hours, his pain…

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…

Practice Matters

Stigma and liver transplantation

Ben Slater*, age 56, arrives in the emergency department (ED) with his sister. He reports fever, fatigue, abdominal pain, and bloody vomit (hematemesis). His sister adds that she’s witnessed recent confusion with episodes of irritability.

Teens and cyber victimization

Cyber victimization (CV) among teens is characterized by targeted aggression in an electronic context. This phenomenon, including cyberbullying, cyber fraud, and cyberstalking, has serious…

Alleviating nurse fatigue

Today's nursing workforce spans multiple generations, each with distinct needs, strengths, and challenges. Addressing generational differences as healthcare evolves remains essential for mitigating nurse…

Mental Health access

A culture shift from stigma to support Being a nurse is one of the most meaningful professions. Each day offers the opportunity to heal,…

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.…

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…

We want you! Professional writing in nursing

Professional writing plays a vital role in nursing. By sharing clinical expertise, innovative strategies, and critical perspectives, nurse authors make meaningful contributions…

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…

From the Ethics Inbox

Loyalty vs integrity when making a professional endorsement

I'm in a social media group for nurse practitioners (NPs), and a recent discussion made me uncomfortable. One individual offered to write a positive endorsement for other group members in exchange for a positive endorsement from them on a public…

Fostering a workplace where nurses can flourish

I’m the Nurse Manager for a 34-bed medical–surgical unit and pursuing my DNP in nursing leadership. My school has a strong focus on ethics, and I want to incorporate the Code of Ethics for Nurses (Code) into my schoolwork and…

Everyday ethics: Interconnected care in a changing world

It seems like the revised Code of Ethics for Nurses, with the addition of Provision 10, is taking us beyond the bedside and our…

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…

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…

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…

Loyalty vs integrity when making a professional endorsement

I'm in a social media group for nurse practitioners (NPs), and a recent discussion made me uncomfortable. One individual offered to write…

Fostering a workplace where nurses can flourish

I’m the Nurse Manager for a 34-bed medical–surgical unit and pursuing my DNP in nursing leadership. My school has a strong focus…

Everyday ethics: Interconnected care in a changing world

It seems like the revised Code of Ethics for Nurses, with the addition of Provision 10, is taking us beyond the bedside…

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.…

Perspectives

An appeal to the American people

Beyond the metrics: The human work of leading from the middle

Where leadership meets the work: Lessons from my first year as a nurse leader

The silent epidemic: Social isolation is harming our seniors

An appeal to the American people

The ongoing nursing shortage puts a significant strain on the healthcare system. At a time like this, our nation needs no “Act”…

Beyond the metrics: The human work of leading from the middle

Middle leaders, especially nurse managers, live at the intersection of strategy and lived experience. We’re close enough to feel every shift in…

Where leadership meets the work: Lessons from my first year as a nurse leader

When I stepped into my first nursing leadership role, I thought I understood what leadership meant—to coordinate, organize, and support. Yet within…

The silent epidemic: Social isolation is harming our seniors

The last time Mrs. Gates spoke to another person was 5 weeks ago. At 70, she’s lived alone since her husband died…

Community

Transitions as literary signposts: Powerful guides for the reader’s journey

Classifying AI use in writing for publication

Strengthen health systems worldwide: Invest in nursing professional development

Healthcare workers are the bedrock of an effective healthcare system and nurses comprise nearly 60% of the global healthcare workforce. Despite this…

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…

News

ANA “deeply disturbed” by Minnesota shooting death of ICU nurse Alex Pretti

New federal loan limits will worsen America’s nursing shortage and leave patients waiting longer for care

Limiting access to graduate nursing education: A policy shift that threatens workforce stability and public health

The pathway into nursing is rarely straightforward. I grew up in a working-class family, and college felt out of reach, but with…

Excluding nursing from professions list limits graduate loan eligibility

Proposed regulations before the U.S. Department of Education would exclude nursing from the list of graduate programs eligible for up to $200,000…

My Nurse Influencer

What honors code taught me about teaching

Until recently at my institution, each student signs a paper honor code at the start of an exam. The back of that sheet doubles as scratch paper. While proctoring, I began to notice something curious. Some students who finished early…

Transitions as literary signposts: Powerful guides for the reader’s journey

Even with GPS, drivers still need signposts to know where they’re going on their travels. Similarly, readers need signposts to guide them on their reading journey. Transitions are essentially “literary signposts” that make it easier for readers to move from…

The Gifts We Do Not See

The holidays may be behind us, but this blog by Fidelindo Lim, DNP, CCRN, FAAN, offers some critical insights into the enduring humanism of…

Gratitude and meaning can keep nurses going

Research continues to affirm what many of us intuitively know: gratitude is good and good for our health. A study has shown that people…

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:…

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…

What honors code taught me about teaching

Until recently at my institution, each student signs a paper honor code at the start of an exam. The back of that…

Transitions as literary signposts: Powerful guides for the reader’s journey

Even with GPS, drivers still need signposts to know where they’re going on their travels. Similarly, readers need signposts to guide them…

The Gifts We Do Not See

The holidays may be behind us, but this blog by Fidelindo Lim, DNP, CCRN, FAAN, offers some critical insights into the enduring…

Gratitude and meaning can keep nurses going

Research continues to affirm what many of us intuitively know: gratitude is good and good for our health. A study has shown…

Mental Health

New study reveals insight into prevalence of mental health conditions in young mothers

A study recently published in the Journal of Adolescent Health examined the prevalence of mental illness in young mothers (younger than 21).…

Processing trauma: 5 suggestions

How can nurses and other healthcare professionals support their patients in the aftermath of a national tragedy? An individual might not be…

Critical Care

ICU Diary: The Gift of Care™

As an ICU nurse you’ve probably encountered the critically ill patient who is experiencing hallucinations, delusions, and confusion. Healthcare providers are learning…

Study: Decriminalization of marijuana increases pediatric ED admissions

A study in the Annals of Emergency Medicine found dramatic increases in children requiring medical intervention in states that decriminalized marijuana, although…

Pediatrics

FDA approves Topamax for migraine prevention in adolescents

On March 28, the U.S. Food and Drug Administration approved Topamax (topiramate) for prevention of migraine headaches in adolescents ages 12 to…

Take Note – April 2007

A monthly round-up of clinical, practice, and career news, updates, and alerts.

Cardiology

Take Note – August 2007

Good news for younger women taking estrogen Estrogen therapy may have cardioprotective effects for women who start taking it in their 50s.…

Therapeutic hypothermia after cardiac arrest

Cardiogenic pulmonary edema

Albert Jones*, age 65, is admitted to the progressive care unit from the emergency department when he tests positive for sepsis, secondary…

American Nurse TV

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

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