News for the Registered Nurse


AJN The American Journal of Nursing - Current Issue
AJN The American Journal of Nursing - Current Issue
AJN is the oldest and largest circulating nursing journal in the world. The Journal's mission is to promote excellence in nursing and health care through the dissemination of evidence-based, peer-reviewed clinical information and original research, discussion of relevant and controversial professional issues, adherence to the standards of journalistic integrity and excellence, and promotion of nursing perspectives to the health care community and the public.

Putting 2019 Behind Us
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What We Have to Lose: Prevention vs. Intervention in Obstetric Care
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The Top Health Care Stories of 2019: A Sense of Urgency Heading into an Election Year
Negative trends intensify for key measures of population health and access to care.
The Top Health Care Stories of 2019: Cyberattacks and Hospital Data Security
Responses to a growing threat fall short.
The Top Health Care Stories of 2019: A Changing Climate and the Elimination of Protections
imageThe health consequences could be significant and long lasting.
The Top Health Care Stories of 2019: Women's Reproductive Health
imageU.S. maternal mortality rate continues to rise; women's abortion rights are challenged.
The Top Health Care Stories of 2019: Society in Distress
A year marked by upheaval and increasing social disparities.
The Top Nursing News Stories of 2019
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The Top Clinical News Stories of 2019
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Stories to Watch in 2020
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The Global Year of the Nurse and Midwife
imageA closer look at the impetus for this designation and implications for U.S. nurses and midwives.
AJN On the Cover
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AJN On the Web
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Hepatitis C and Compensated Cirrhosis Drug Approved for Eight-Week Treatment
imageThe antiviral combination drug Mavyret (glecaprevir–pibrentasvir), used to treat patients with hepatitis C virus and compensated cirrhosis, is now approved for a treatment duration of eight weeks in treatment-naive adult and pediatric patients.Changes to the product's labeling regarding the shortened length of therapy are based on preliminary data from the EXPEDITION-8 trial.
New Drug for Type 2 Diabetes
The glucagon-like peptide-1 receptor agonist semaglutide, previously approved to treat type 2 diabetes as a subcutaneous injection under the trade name Ozempic, is now available as an oral tablet under the trade name Rybelsus.
First Drug Approved for Rare Lung Disease
Nintedanib (Ofev) is the first drug approved for the treatment of SSc-ILD, a rare interstitial lung disease associated with systemic sclerosis or scleroderma. This is a new indication for nintedanib, which was previously approved for idiopathic pulmonary fibrosis.
Using Aquablation to Treat Lower Urinary Tract Symptoms in Benign Prostatic Hyperplasia
Editor's note: This is a summary of a nursing care-related systematic review from the Cochrane Library. For more information, see
Intimacy of Water
No abstract available
CE: Original Research: The Recruitment Experience of Foreign-Educated Health Professionals to the United States
imageBackground: In 2007 AcademyHealth published a landmark report on the U.S.-based international nurse recruitment industry. This article provides an update to that report, describing the current state of recruitment of foreign-educated health professionals (FEHPs), in particular foreign-educated nurses (FENs), to the United States. Areas covered include the regulatory landscape, economic issues, recruitment industry changes, and current demographic and migration trends. Purpose: To learn more, CGFNS International, Inc., formerly known as the Commission on Graduates of Foreign Nursing Schools, and its Alliance for Ethical International Recruitment Practices division conducted a study designed to elicit qualitative and quantitative data that would further illuminate the recruitment experience. Methods: Researchers conducted a survey of FEHPs, recruited from those who used VisaScreen services between 2015 and 2017, designed to assess their recruitment experiences. They also conducted interviews with a smaller sample of FENs and recruiters to elicit greater detail. Results: While there was evidence of progress relative to the ethical recruitment of FEHPs, issues such as high breach fees, inadequate orientation, and misalignment of expectations regarding work environment and location were also revealed. Conclusion: Given that FEHP migration to the United States is likely to continue its upward trajectory, better strategies to implement market-wide practices that ensure the safe, orderly, and ethical recruitment of FEHPs are needed.
1.5 CE Test Hours: Original Research: The Recruitment Experience of Foreign-Educated Health Professionals to the United States
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CE: Assessing and Managing Spiritual Distress in Cancer Survivorship
imageABSTRACT: More than 67% of people diagnosed with cancer in the United States are alive five years after receiving the diagnosis; but even if they are cancer free, the effects of the disease and its treatment will remain with them for the rest of their lives. Distress, which can be of a psychological, social, physical, or spiritual nature, is common among cancer survivors. Spiritual distress is a broad concept that is not necessarily associated with any specific religious beliefs, practices, or affiliations. Both religious and nonreligious people may have a strong sense of spirituality and may experience spiritual distress at various points throughout cancer survivorship. But clinicians often neglect to explore the spiritual components of distress, and despite the well-established association between spiritual well-being and quality of life, few of the instruments designed to assess the care needs of cancer survivors address spiritual needs. Through a composite clinical case, this article illustrates how nurses can incorporate into practice evidence-based recommendations for assessing and managing spiritual distress in cancer survivors.
1.5 CE Test Hours: Assessing and Managing Spiritual Distress in Cancer Survivorship
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Book of the Year Awards 2019
imageThe most valuable texts of 2019, as chosen by AJN's panel of judges.
Concentration and Volume: Understanding Sodium and Water in the Body
imageNurses need to have a firm grasp of normal and pathophysiological mechanisms of sodium and water balance to fully understand assessment findings and establish a rationale for a patient's plan of care. While multiple mechanisms control sodium and water balance, antidiuretic hormone and aldosterone are the most important hormonal influences. This article, the first in a new series designed to improve nurses' understanding of the physiological abnormalities underlying many disorders, reviews the common etiologies and symptoms of hyponatremia and hypernatremia, as well as the role of nursing care in patients with imbalances of sodium and water. Case studies guide the reader through relevant medical history and examination findings to an understanding of both the nursing and medical plans of care.
Urinary Incontinence in Older Adults
imageThis article is part of a series, Supporting Family Caregivers: No Longer Home Alone, published in collaboration with the AARP Public Policy Institute. Results of focus groups, conducted as part of the AARP Public Policy Institute's No Longer Home Alone video project, supported evidence that family caregivers aren't given the information they need to manage the complex care regimens of family members. This series of articles and accompanying videos aim to help nurses provide caregivers with the tools they need to manage their family member's health care at home. The articles in this new installment of the series provide simple and useful instructions that nurses should reinforce with family caregivers. This article is the first of two that provide an update on urinary incontinence and its management in older adults. The second article will contain an informational tear sheet—Information for Family Caregivers—that contains links to the instructional videos. To use this series, nurses should read the articles first, so they understand how best to help family caregivers, and then encourage caregivers to watch the videos and ask questions. In this article, the videos can be found in Resources for Nurses.
The Elements of a Nursing Malpractice Case, Part 3B: Causation
imageThe chain of causation can be broken if an independent actor intervenes between the defendant's negligence and the resulting injury.
A Patient's Final Freedom
imageDespite end-stage COPD, she is able to make a graceful final exit on her own terms.

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