The Five Rs

Studies have demonstrated significant associations between higher psychological safety and objective patient safety outcomes, reinforcing the idea that the same conditions that enable learners to grow also contribute to safer care. At the same time, measuring patient safety solely as an absence of harm can complicate the interpretation (higher reporting may reflect more safety, not less), underscoring the importance of cultivating psychologically safe environments while refining outcomes assessment.

Impact and influence

A group of 22 organizations have made tangible strides in their efforts to strengthen the nursing workforce and address barriers that limit growth and representation. Grants in 2024 from the American Nurses Association and the National Commission to Address Racism in Nursing facilitated the development and implementation of these initiatives. Grantees used the funds in various ways—for education and training, advocacy and legislation, and opportunity and engagement.

Impact and influence

A group of 22 organizations have made tangible strides in their efforts to strengthen the nursing workforce and address barriers that limit growth and…

The Five Rs

Studies have demonstrated significant associations between higher psychological safety and objective patient safety outcomes, reinforcing the idea that the same conditions that enable learners…

Virtual reality simulation in the nursing skills lab

Nursing programs should prepare students for real-life clinical experiences, but several factors influence the amount of orientation time a novice nurse receives, including cost, time constraints, familiarity with electronic health records, and the ability to provide patient-centered care and perform…

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…

HPV Extragenital testing sites

The CDC reports that HPV infection is typically asymptomatic and commonly spreads between individuals without signs of infection. However, HPV infection can result in genital warts, respiratory papillomatosis, and cancer. According to the CDC, HPV is notable for being the…

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…

Current Journal

Lighting the path for future nurses

Gift giving and receiving in nursing practice

LGBTQ+ healthcare: A refresher

Celebrating excellence

Psychological PPE

I bring your attention to a feature article in this month’s issue titled “The five Rs: This point-of-care tool can help preceptors…

American Nurses Enterprise News, March 2026

2026: The Year of the Power of Nurses Celebrating 130 years of leading and advancing the nursing profession As part of a…

LGBTQ+ healthcare: A refresher

Most nurses are familiar with the needs of our LGBTQ+ patients and consistently provide compassionate care. However, a reminder of the challenges…

The Five Rs

Studies have demonstrated significant associations between higher psychological safety and objective patient safety outcomes, reinforcing the idea that the same conditions that…

Rapid Response

Organophosphate poisoning

A 32-year-old man with no significant past medical history experiences acute shortness of breath, watery eyes, and twitching while working in a soybean field. The triage nurse recognizes that the symptoms might indicate organophosphate poisoning and activates the rapid response…

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…

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…

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…

Organophosphate poisoning

A 32-year-old man with no significant past medical history experiences acute shortness of breath, watery eyes, and twitching while working in a…

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…

Webinars

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Simulation: Preparing for workplace violence

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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Continuing Education

Farmworker healthcare challenges

In addition to the health problems that everyone encounters, farmworkers also may experience pesticide exposure, long hours with few breaks, heat exposure and related illnesses, lack of water and sanitary bathroom facilities, injury, prolonged exposure to noisy equipment, and overexposure…

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

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

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…

Farmworker healthcare challenges

In addition to the health problems that everyone encounters, farmworkers also may experience pesticide exposure, long hours with few breaks, heat exposure…

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…

Practice Matters

A case study: CHF and depression

According to Jha and colleagues, a lack of consistent depression screening in patients with congestive heart failure can lead to poor prognosis and outcomes. Huang and colleagues report that depression, one of the most frequent comorbidities associated with heart failure, can increase the risk of heart failure by at least 20% and that the co-occurrence of the two conditions increases mortality.

Fostering a culture of innovation and quality

Study identifies actions to guide healthcare organizations. THE AMERICAN NURSES ENTERPRISE (ANE) has prioritized innovation and quality practices as necessary components of workplace culture.…

Stigma and liver transplantation

Bias associated with liver transplants reflects underlying practices within healthcare that shape how it emerges and persists. Since 2014, as noted by Pimienta and…

Mental health trailblazers

The mental health trailblazers podcast features the groundbreaking journeys of psychiatric mental health nurses in their quest to meet the urgent needs of under-resourced…

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…

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…

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…

From the Ethics Inbox

Gift giving and receiving in nursing practice

I'm a new nurse on a pediatric oncology unit. Many of my colleagues bring in gifts for their patients. Is this something that I should be doing? On the flip side, am I allowed to receive gifts from families? This…

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,…

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…

Gift giving and receiving in nursing practice

I'm a new nurse on a pediatric oncology unit. Many of my colleagues bring in gifts for their patients. Is this something…

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…

Perspectives

Prepared enough? A new FNP’s honest look at training, quality, and patient safety

Asking “What’s the point?”: A pivotal moment in a nursing career

From structure to outcomes: Applying the Donabedian Model to achieve nursing excellence

Quality improvement initiative to enhance nurse engagement in antibiotic stewardship

Prepared enough? A new FNP’s honest look at training, quality, and patient safety

As the healthcare system confronts a growing shortage of primary care physicians, nurse practitioners (NPs) have become increasingly essential to meeting the…

Asking “What’s the point?”: A pivotal moment in a nursing career

At some point in their careers, many nurses quietly ask themselves a difficult question: What’s the point? Asking this doesn’t signal disengagement,…

From structure to outcomes: Applying the Donabedian Model to achieve nursing excellence

Professional nurses make meaningful contributions to quality outcomes for patients, communities, and organizations. The American Nurses Association maintains that “nurses have a…

Quality improvement initiative to enhance nurse engagement in antibiotic stewardship

A systematic analysis by the Antimicrobial Resistance Collaborators estimated that 4.71 million deaths worldwide were attributable to antimicrobial resistance in 2021. From…

Community

Video abstracts: A powerful dissemination tool

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

Classifying AI use in writing for publication

As with nearly all fields, the use of artificial intelligence (AI) in writing is controversial and evolving. Part of the challenge is…

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…

News

Millions of CT scans are done every year – most leave important data behind

Lisa Bonfield cradles her newborn daughter, Adele, at home in New Orleans on Dec. 12, a few days after their first home visit from a nurse with the Family Connects New Orleans program. ( Rosemary Westwood/WWNO )

New Orleans Brings Back the House Call, Sending Nurses To Visit Newborns and Moms

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

The American Nurses Association has issued a statement saying it is “deeply disturbed and saddened” about Saturday’s shooting death of Alex Pretti,…

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

There is growing need for nurses in the United States – but not enough nurses currently working, or students training to become…

My Nurse Influencer

Building the evidence base to integrate ‘Food Is Medicine’ principles into cardiovascular care: Q&A with Dr. Bunmi Ogungbe

The Food Is Medicine movement has been gaining momentum as a commonsense approach to cardiovascular care for some time. The goal is to complement, not replace, pharmacological interventions. With regard to heart disease, health systems and policymakers are finally recognizing…

Maximize dissemination of your published article

Once an article is published, it’s tempting to pat yourself on the back, accept colleagues’ accolades, and move on to the next project. But before you do, take time to promote your work so that it reaches the widest possible…

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…

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:…

Building the evidence base to integrate ‘Food Is Medicine’ principles into cardiovascular care: Q&A with Dr. Bunmi Ogungbe

The Food Is Medicine movement has been gaining momentum as a commonsense approach to cardiovascular care for some time. The goal is…

Maximize dissemination of your published article

Once an article is published, it’s tempting to pat yourself on the back, accept colleagues’ accolades, and move on to the next…

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…

Mental Health

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…

And the music plays on…

In the mid-1970s, I was a graduate nurse starting my career at a large, urban hospital. One of my patients, an elderly…

Critical Care

When nurses speak up, they pay a price

Leah Curtin discusses the effects of whistleblowing on nurses’ lives

Polymyalgia rheumatica: A possible cause of pericardial effusion

Suspect polymyalgia in patients who continue to decline after treatment for pericardial effusion.

Pediatrics

Pediatric ear assessment Guidelines for general-practice nurses

Even if you don’t often work with pediatric patients, it’s worth your time to learn pediatric ear assessment techniques.

Trending jobs | School nurse

School nursing is an independent specialty practice that combines the best of public health and pediatric nursing. School nurses are responsible for…

Cardiology

Peril on Periphery

Peripheral arterial disease is all too common – and all too often goes unrecognized.

Postoperative atelectasis

Early recognition and prompt action achieve a positive outcome. Atelectasis occurs in 90% of patients who receive general anesthesia. Partial or complete…

American Nurse TV

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

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HealthCom Media, the publishers of American Nurse Journal, the American Nurses Association and Al Roker Productions collaborated to bring a few shining examples of the exemplary work being done by nurses in today’s very challenging healthcare environment to the American public.

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