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- Off the Charts
Food for Thought: Could You Recognize a Foodborne Illness?
An infant presents with constipation, poor feeding, sluggish pupils, diminished suck and gag reflexes. His mother also reports that his cries are unusually…
- Off the Charts
Recognizing Perimenopause: And Other November Issue Highlights
The November issue of AJN is now live. Here are some highlights. Some articles are open access or temporarily free; others will require log-in for access. On…
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The Other Side of Labor and Delivery: Reflections on Burnout, Loss, and Compassion
As I sit in my taxi home watching the sunrise, I reflect on my shift from last night. This feels like my 100th “24hr day” since I started NP school, and I can…
- Off the Charts
Unit Consciousness, the Unseen Hands of Nursing, and the Environment of Care
One afternoon, in the first few years of my practice in the operating room, a spine surgeon asked me to tidy up the room in the middle of a major case. Some…
- Off the Charts
Nurse Voting, New Grad Bullying: And Other October Issue Highlights
The October issue of AJN is now live. Here are some highlights. Some articles are open access or temporarily free; others will require log-in for access. On…
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The Personalities of Veins: What Thousands of IV Starts Have Taught Me
The grape. “I have rolling veins.” I’ve heard some version of this warning hundreds of times before placing an IV. When a patient tells me their veins roll, I…
- Off the Charts
Community Hospital Closures: Raise Your Voice
In my Ohio county, two of our three hospitals have closed since 2025. Here’s what happens when first responders are stretched beyond their limits. In June…
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One Question That Can Change the Diagnosis: Why Travel History Matters
A college student presents to the emergency department with fever, nausea, vomiting, and diarrhea after returning from a spring break humanitarian mission trip…
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‘Brain Rot’ in Nursing Students: And Other September Issue Highlights
The September issue of AJN is now live. Here are some highlights. Some articles are open access or temporarily free; others will require log-in for access. The…
- Off the Charts
E-Bikes and Kids: Permission Is Not Preparation
When a student returns to my middle school after an e-bike or e-scooter crash, the emergency may be over, but the injury is not. I see the cast and crutches…
- Off the Charts
Is It Possible to Delight in the Work of Nursing?
siyam ensari/unsplash In a recent conversation I had with a very young nurse, she shared about her hope and deep desire to “be a good nurse.” I picked up on…
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A Nurse Practitioner’s Lesson in Grace
Photo by Katie Moum on Unsplash It looked as though I had life figured out. I was working my dream job as a nurse practitioner in primary care. I had completed…
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Workplace Microaggressions, Sleep Anxiety, and More August Issue Highlights
The August issue of AJN is now live. Here are some highlights. Some articles are open access or temporarily free; others will require log-in for access. This…
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From the Nightingale Pledge to a Nurse Practitioner’s Oath
What virtues should shape nurse practitioner (NP) practice? It is a question I have wrestled with for years. I suspect that NPs will answer it differently…
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Dengue Cases Are Rising: Why Every Nurse Should Be Paying Attention
A patient presents to the emergency department with fever, headache, nausea, and severe muscle pain after returning from a Caribbean cruise. A few years ago…
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The Discomfort of Trying to Create Change in Health Care and Beyond
In complex systems, change takes persistence. Over the years, coworkers have often described me as “the dog with the bone.” Once I become invested in…
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Men in Military, Psychiatric, and Anesthesia Nursing: A Historical Continuity
A history obscured by titles Unidentified Civil War male nurse at Mt. Pleasant Hospital, Washington, D.C., in uniform Men were not absent from nursing’s…
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250 Years of American Nursing—and More AJN July Issue Highlights
The July issue of AJN is now live. Here are some highlights. Some articles are open access or temporarily free; others will require log-in for access. A…
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Rethinking Nurse Identity and Burnout Using Structured Coaching Spaces
Nurses have become fluent in the language of “burnout.” We use the word to describe a range of internal states such as exhaustion, disengagement, frustration…
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What ‘Stronger Than Chemo’ Means
During a safety huddle, one of my colleagues, an oncology nurse and breast cancer survivor, spoke honestly about what cancer felt like to her. “Every day…
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Beyond Environmental Services: Common Cleaning Gaps in Patient Care
During rounds in an outpatient clinic, I noticed staff cleaning vaginal ultrasound probes between patients with a quaternary ammonium disinfectant wipe (a…
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The Missing Decade: Nursing Informatics Can Shape the Future of Menopause Care
A fragmented documentation model and episodic care. Perimenopause and menopause are not isolated events. They are dynamic physiologic transitions that can…