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Genetics in the clinical setting

What nurses need to know to provide the best patient care.


  • Today, practicing nurses must understand the relationship of genetics and genomics to health, prevention, screening and treatment.
  • Nurses need the skills to gather family history, identify hereditary risk, and make appropriate referrals for genetic consultation and testing.
  • During the genetic assessment process nurses can help patients understand test results,  provide support, explore implications for family, and encourage compliance with screening and treatment recommendations. Continue reading »
hurricane season harvey ant

What I learned during the 2017 hurricane season

Nurses’ values and skills shine in times of crisis.

By Lillee Gelinas, MSN, RN, CPPS, FAAN

I watched with great pain the damage, and for many the devastation, created by Hurricanes Harvey and Irma. I was reliving August 29, 2005, when Hurricane Katrina destroyed my hometown and changed normalcy for my family forever. Twenty-six of my New Orleans family members—stripped of incomes, homes, schools, familiar medical and dental services, normal daily schedules, and social networks—called our Southlake, TX, home their home for many months. Continue reading »

las vegas response

American Nurse Today sends Heartfelt Condolences to Innocent Shooting Victims

The staff at American Nurse Today send thoughts and prayers to the victims of the horrible violence in Las Vegas. Once again, in extreme circumstances, nurses, physicians, paramedics, police officers, fire fighters, and other first responders performed heroic acts of rescue and care. As did the other concert-goers who helped the injured around them. Our hearts go out to everyone affected by this senseless act of violence.

Lies and the lying liars who tell them

The impact of lying on individuals and society.

By Leah Curtin, RN, ScD(h), FAAN

While human history is rife with evidence of lying, never has lying been writ so large as it is today. This is, indeed, the season for crafty and seasoned liars! What’s so amazing is that never before has it been so easy to find out if what people say is accurate. With cameras virtually everywhere—on our phones, in stores and homes, and on street corners—we have instant access to what people have said, and professional fact-checkers abound. One would think that lying is—or ought to be—a dying habit. Instead, people—particularly those in high-profile public positions—are lying or, at the very least, not checking the accuracy of what they’re saying. Moreover, many of the lies being told are egregious whoppers told by some of the most important people in our country. Continue reading »

CNOs and CFOs partner to reap benefits of acuity-based staffing

How to build a case that creates improved patient outcomes.

By Janet Boivin, BSN, RN

In this new, unpredictable healthcare universe, chief nursing officers (CNOs) and chief financial officers (CFOs) are jettisoning preconceived notions of their individual roles and finding innovative ways to work together to create better outcomes. Continue reading »

diabetes ribbon cardiovascular disease deadly duo

Diabetes and cardiovascular disease: A deadly duo

Learn about the vital education patients need to improve their outcomes.


  • Both type 1 and type 2 diabetes can lead to multiple complications.
  • The most common complication of diabetes is cardiovascular disease.
  • Nurses should use patient-centered communication when educating patients about the risks and challenges of diabetes.

Continue reading »

Characteristics of nursing excellence

What’s behind Magnet®-recognized organizations?

By Lillee Gelinas, MSN, RN, CPPS, FAAN

I’ve learned a lot through the years about the characteristics of healthcare organizations whose nursing excellence is evident, even palpable. As I sat in the 2016 American Nurses Credentialing Center (ANCC) National Magnet Conference® and connected with organizations that have earned their third, fourth, and fifth Magnet recognitions, my interest in nursing excellence sustainability grew even more. Fewer than 9% of all hospitals in the United States achieve Magnet recognition, and an even smaller number achieve it three or more times. Are they lucky? Is it just a fluke? I don’t think so. Continue reading »

patient care after transcatheter aortic valve replacement

Caring for Patients after Transcatheter Aortic Valve Replacement

Understanding options for patients helps you be a more effective caregiver.



  • Transcatheter aortic valve replacement (TAVR) is an alternative to surgical aortic valve replacement for some patients.
  • Understanding TAVR approaches, post-procedure monitoring, and potential complications will help nurses better care for patients undergoing TAVR.

By Kelly Haight, MSN, APRN, ACNS-BC, PCCN

For many years, surgical aortic valve replacement (SAVR) was the gold-standard treatment for severe, symptomatic aortic stenosis (AS). For eligible patients, this procedure can improve symptoms and extend life. But it has a major drawback: Whether the surgical approach is open (using a full sternotomy) or less invasive (using a ministernotomy or minithoracotomy), SAVR requires cross-clamping of the aorta and cardiopulmonary bypass.

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Opening the lines of communication about HPV

Opening the lines of communication about HPV

human papillomavirus (HPV) vaccineWhen parents resits the HPV (human papillomavirus) vaccine, be prepared to listen and educate.


  • Patients and parents may have misconceptions about the purpose of the HPV vaccine.
  • Nurses have an opportunity to provide education that encourages parents to allow their children to be vaccinated against HPV.
  • Nonjudgmental listening and calm explanation of the facts aid in increased acceptance of the HPV vaccine.

By Michelle Speidel, MSN, RN, Ned Continue reading »

center disease control gudieline prevent surgical site infections

New CDC guideline for the prevention of surgical site infections

A new format and structure allows for timely updates and distribution.


  • The 2017 updated Centers for Disease Control and Prevention Surgical Site Infection Guidelines was released in May.
  • The new guideline format includes a new high-volume, high-burden procedure section.
  • The new guideline format can be updated as soon as new evidence becomes available without rewriting the entire document.

By George Allen, PhD, RN, FAPIC, CIC, CNOR Continue reading »

Advantages of altruism: Volunteering has positive impact on nurses’ well-being

Volunteering has positive impact on nurses’ well-being

By Susan Trossman, RN

It’s been said that it’s better to give than to receive. While it may be difficult to say that one truly edges out the other, research shows there are health benefits associated with altruism.

Nurses also agree that volunteering has a positive payoff when it comes to their overall well-being, although that’s not what ultimately drives them to help. What follows are some of their experiences and perspectives on volunteering and its rewards. Continue reading »