Latest Entries Journal of Nursing

The Vagina :Bringing the Vagina Back to Life After Menopause Non-Hormonal Treatment Approaches for Atrophic Vaginitis and Chronic UTIs in Estrogen-Restricted Women In honor of the women who have suffered in silence

This paper is dedicated to the many women I have had the privilege of treating for atrophic vaginitis during menopause. Atrophic vaginitis—characterized by vaginal dryness, tissue thinning, and the involution of the vagina, labia, and urethra—is primarily caused by estrogen deficiency. I reflect on the voices of women whose needs have been unmet due to contraindications for estrogen therapy, often stemming from a history of cancer or other medical concerns. This work seeks to explore evidence-based, non-hormonal alternatives to manage atrophic vaginitis in menopausal women who cannot undergo estrogen therapy. Atrophic vaginitis does not affect the vagina alone—it also compromises the urethra, labia minora, labia majora, and the vaginal introitus (Faubion et al., 2017). Many of my patients have expressed frustration and distress as they navigate these symptoms without access to estrogen treatment. Their suffering and pleas for relief fuel the urgency of exploring and validating safe, effective, and estrogen-free therapeutic options.

All the Hats We Wear: The Soul of a Nurse

Tags: compassion nurse support nurse well-being

This article explores the many roles that nurses take on- mentor, leader, advocate, caregiver- and highlights how the essence of nursing goes beyond clinical expertise to the heart of human connection. As new generations enter the profession in a post-COVID, increasingly virtual world, many lack opportunities to develop crucial interpersonal skills. The piece emphasizes the importance of mentorship, modeling compassion, and preserving the "old-school" art of nursing to ensure the soul of the profession endures.

The Effect of A Neurological Training Module On The Competency of Neurocritical Care Staff Nurses

Tags: Brain EMERGENT training nurological care nurse training stroke

In this study, the competency training module had an effect in the post-test in the aspects of cognitive and affective domains only; thereby, accepting H1 and H0 was rejected. The training module did not affect the psychomotor domain. Based on the results of the study, H2 was accepted, there was no significant difference between the staff nurses’ profile with the results of the post-test; therefore, H3 was rejected. In this study, the competency training module had an effect in the post-test in the aspects of cognitive and affective domains only; thereby, accepting H1 and H0 was rejected. The training module did not affect the psychomotor domain.

Silenced and Overlooked: The Impact of Societal Norms on Women’s Mental Health Care

This article examines the ongoing influence of societal norms and gender bias in the treatment of women’s mental health. Despite advances in medical understanding, many women continue to face dismissal, misdiagnosis, and emotional invalidation within clinical settings. Drawing on contemporary research and lived experiences, the paper sheds light on issues such as medical gaslighting and diagnostic overshadowing, emphasizing how these challenges impact trust, access, and outcomes. It calls for greater awareness among healthcare providers, particularly nurses, and advocates for a more compassionate, inclusive approach to mental health care that validates the experiences of all patients.

The Effect of A Neurological Training Module On The Competency of Neurocritical Care Staff Nurses

In this study, the competency training module had an effect in the post-test in the aspects of cognitive and affective domains only; thereby, accepting H1 and H0 was rejected. The training module did not affect the psychomotor domain. Based on the results of the study, H2 was accepted, there was no significant difference between the staff nurse's profile with the results of the post-test; therefore, H3 was rejected. In this study, the competency training module had an effect in the post-test in the aspects of cognitive and affective domains only; thereby, accepting H1 and H0 was rejected. The training module did not affect the psychomotor domain.

A Retrospective on Nursing During the 2014 - 2016 Ebola Outbreak

The 2014-2016 Ebola virus disease (EVD) epidemic in West Africa was one of the most severe global health crises of the 21st century. Nurses, as the largest group of direct care providers, faced extraordinary risks and responsibilities during this outbreak. This document explores the multifaceted role of nurses in EVD management, emphasizing the dangers they faced, the leadership they provided, and the public’s shifting perception of their work. The document also addresses how Ebola’s transmission dynamics and containment measures affected nursing practice, and how the epidemic evolved into a complex humanitarian emergency (CHE). Through analysis of documented experiences, media coverage, and global responses. This document illustrates the essential contributions of nurses during the EVD crisis and underscores the need for better support and recognition of nursing roles in future epidemics.

Colorectal Cancer in Younger Adults: A Growing Concern and a Call to Action

Tags: cancer symptoms colon cancer Colonoscopy Colorectal cancer Genetic testing

Colorectal Cancer in Young Adults, Early Detection Methods, Warning Signs to Look For

More Than Evidence: How Experience and Reflection Shape My Epistemological Stance in Nursing

Tags: empirical knowledge ethical principles in nursing Nurse Education nursing epistemology Patient-centered care

This paper explores the author's personal epistemological stance in nursing, emphasizing the integration of both empirical evidence and experiential knowledge gained through clinical practice. Drawing on Barbara Carper’s four patterns of knowing, empirical, personal, ethical, and aesthetic, the author highlights how meaningful nursing care requires more than scientific knowledge; it also demands relational understanding, critical reflection, and empathy. A fictional case study is used to illustrate how these ways of knowing intersect in real-life decision-making, particularly when caring for marginalized patients. The paper ultimately argues for a holistic, patient-centered approach to nursing that honours both objective data and the lived experiences of patients.

Patient Autonomy

Tags: healthcare ethics Informed consent Nurse-patient communication Patient autonomy Patient-centered care

An article discussing honoring patient autonomy while maintaining professional obligations.

A Nurse has a Baby

Tags: labor nurse healthcare nurse pregnancy pregnancy

An article about having a baby from the perspective of a nurse.

From Classroom to Chaos: A Concept Paper on Transitional Dissonance in the Nursing Profession

Tags: challenges nurse burnout Nurse Education

This concept paper explores transitional dissonance experienced by newly licensed nurses as they move from academic training to clinical practice. It identifies key factors contributing to this dissonance, including the gap between theoretical preparation and real-world clinical demands, role ambiguity, inadequate organizational support, emotional labor, cultural challenges, and rapid technological changes. The paper highlights how these interconnected issues lead to stress, burnout, job dissatisfaction, and high turnover, ultimately impacting nurse well-being and patient care quality. Understanding the causes and effects of transitional dissonance is critical for developing targeted interventions that support nurses’ professional adjustment and improve healthcare outcomes.

Rebuilding Community and Resilience: Establishing a Wellness Committee to Support Nurses' Mental Health Post-Pandemic

Tags: menal health nurse mental health nurse support wellness

The COVID-19 pandemic significantly exacerbated burnout and emotional distress among nurses, eroding workplace cohesion and well-being. Recognizing the limitations of existing mental health resources, one nursing unit established a wellness committee focused on fostering community, inclusivity, and mental health support. This article describes the committee’s initiatives—including social events, support during local Pride parades, care packages for new mothers, and promoting wellness tools—and highlights measurable outcomes. In just the first year, the unit’s survey revealed a 25% increase in staff reporting that their mental health was being addressed and a rise in staff feeling able to be their authentic selves. These findings emphasize how grassroots efforts can play a critical role in restoring resilience and connection among nurses, contributing to better retention, morale, and patient care outcomes.

Addressing the Global Nurse Migration Crisis: Strategies for a Resilient and Equitable Healthcare Workforce

Tags: ethical values migration nurse retention nursing shortage

This article is about the global nurse migration crisis caused by disparities and instability, which worsens shortages in poorer countries. It proposes a framework of Protection, Equity, and Collaboration to address these issues ethically and sustainably. The approach supports the UN’s goals for equitable and resilient healthcare systems worldwide.

Using Virtual Reality Simulation as a Tool to Improve Clinical Competencies

Tags: Nurse Education virtual learning virtual professor

Simulation has long been recognized as an effective instructional method in nursing education. The use of virtual reality simulation as compared with traditional simulation, adds a new dimension to the complexity of simulated patient care. In this study, students’ perceptions of improved clinical competencies such as confidence, priority setting, delegation, time management, and communication were evaluated using a post simulation survey and reflective journaling. Results demonstrated an improvement in clinical competencies.

Use of Structured Educational Programs Directed to Healthcare Providers to Improve Patients' Adherence to CKD Medications.

Tags: Kidney Disease Nurse Education public health

Chronic Kidney Disease (CKD) presents a significant public health challenge due to its progressive nature, associated comorbidities, and increasing prevalence in the United States. One of the critical barriers to effective CKD management is poor patient adherence to prescribed medication regimens. This Doctor of Nursing Practice (DNP) project aimed to assess the effectiveness of a structured educational program for healthcare providers in a South Florida medical center to improve medication adherence among CKD patients. Guided by Patricia Benner’s Novice to Expert Theory, the project utilized a pre-posttest quasi-experimental design to evaluate changes in provider knowledge and perceived confidence in managing medication adherence. The intervention included an evidence-based educational PowerPoint presentation targeting healthcare professionals—physicians, nurse practitioners, physician assistants, nurses, and medical assistants—who care for CKD patients. Participants (n = 21) completed a pretest to assess their baseline knowledge, attended the educational session, and then completed a posttest to evaluate the improvements. Data analysis showed a marked increase in posttest scores and self-reported confidence, with 81% of participants demonstrating enhanced understanding of CKD medication adherence strategies. Results support the efficacy of provider-directed educational programs in promoting adherence behaviors in CKD patients through improved communication, individualized care planning, and consistent follow-up. The project underscores the importance of providing education in addressing non-adherence medication and serves as a scalable model for other chronic disease management initiatives. Findings were disseminated to institutional stakeholders and prepared for publication to encourage broader implementation. Keywords: Chronic Kidney Disease, medication adherence, healthcare providers, educational intervention, DNP project, Patricia Benner, structured education, patient outcomes

From Classroom to Community: Teaching Stress First Aid

Tags: first aid mental health Nurse Education Stress among Nurses wellbeing

This narrative describes an initiative to teach nursing students the Stress First Aid model to promote mental wellbeing and resilience in nurses. Students found the value in SFA, they taught older adults stress management skills they learned.

The Challenges of a CVICU Nurse and The Toll of Burnout: The Bedside Nurse Perspective

Tags: menal health nurse burnout nurse well-being

The Cardiovascular Intensive Care Unit (CVICU) represents one of the most challenging healthcare positions due to the overall demand for exceptional clinical expertise, both in advanced clinical abilities and emotional resilience. CVICU nurses manage severe cardiac health crises while executing difficult medical interventions and making critical decisions during emotionally intense situations. Recent research shows that more than 40% of ICU nurses experience burnout, which leads to significant impacts on their personal lives and mental health, as well as patient care and outcomes. The article investigates the fundamental causes of burnout in CVICU nurses and its extensive impacts while providing actionable personal and organizational solutions to tackle this escalating problem. The elimination of burnout represents both a moral duty and the key to maintaining top-notch patient care and nurse retention.

The Old Machine Shop

This story of The Old Machine Shop is one of the reasons why I am so dedicated to the field of Hospice Nursing.

Cross-Cultural Nursing Leadership: A Comparative Reflection On Managing Healthcare Teams In The Philippines And Abroad

This reflective journal explores cross-cultural nursing leadership as experienced by Filipino nurses working in diverse healthcare systems—specifically in the Philippines, the United Kingdom (UK), the United States of America (USA), and the Kingdom of Saudi Arabia (KSA). Drawing from our multifaceted roles as bedside nurses, educators, and administrators, we examine the interplay between cultural expectations, leadership styles, team dynamics, and systemic structures. This reflection identifies common values, contextual differences, and lessons that can be applied to shape resilient and culturally responsive nursing leadership education in the Philippines. Through critical introspection grounded in personal and collective experiences, this journal aims to contribute to the cultivation of globally competent, ethical, and adaptable Filipino nurse leaders.

Nurse Burnout: Am I The Only One?

Tags: mental health nurse burnout nursing

A narrative style piece commenting on burnout in the nursing profession

Community Service: Undergraduate Nursing Students Perspectives on Participating in a RAM Clinic 

An article on the experience that senior nursing students experienced while engaging in the Remote Area Medical (RAM) clinic. The senior nursing students were able to utilize their various skills, including nursing care, assessment, communication, education, and clinical judgment. The ability to interact and function as a nursing student enhanced their self-confidence and strengthened their perception of the significance of real-world community service.

Emergency Room Nurses Gave Gunshot Victim’s Drugs To Police: No Violation of Patient’s Rights.

The emergency room nurses were not working for the police, but were following hospital protocols for gunshot victims in the E.R.

Finding Purpose in Survival: A Second Chance to Inspire Others

Sean faced heart, kidney, and respiratory failure at 55—but survived against all odds and found his purpose in nursing. His story is one of resilience, gratitude, and second chances.

How Concept Maps Facilitate Learning in Nursing Education

Concept maps are visual tools that help nursing students organize and connect complex information. They promote critical thinking by encouraging analysis and synthesis rather than rote memorization. In both classroom and clinical settings, concept maps support deeper understanding and better care planning. They also enhance collaboration and peer learning. Overall, concept maps strengthen cognitive skills essential for effective nursing practice.

Enhancing Inpatient Care Through Interprofessional Collaboration: The Nurse's Impact

This essay explores the pivotal role of nurses within the context of interprofessional education (IPE) and interprofessional collaborative practice (IPCP) in hospital settings. It emphasizes the importance of effective teamwork in dynamic, high-pressure environments and highlights the Camden Coalition's healthcare hotspotting initiative, which provides comprehensive care to high-cost, high-needs patients through interprofessional teams. The identifies key vulnerable populations that “may fall through the cracks”, such as justice-involved or homeless individuals, and underscores the essential role of nurses in identifying and coordinating care for them. It also calls for more robust research to examine the links between nurse-driven IPE and patient-reported experience measures, focusing on patient safety indicators and team efficiency metrics.

Healthcare Reimagined: The Transformative Impact of Artificial Intelligence

Artificial Intelligence (AI) is revolutionizing healthcare by enhancing diagnostics, personalizing treatment plans, and optimizing hospital operations. It empowers medical professionals with tools for early detection of diseases, predictive analytics, and robotic-assisted surgeries. AI-driven innovations are also improving patient experiences through virtual health assistants, streamlined administrative processes, and telemedicine advancements. While challenges such as ethical concerns and data privacy remain, the ongoing integration of AI promises to reshape healthcare into a more efficient, accurate, and patient-centered industry.

Maternal Mortality Among Black Mothers in Massachusetts

This is an op-ed about the need for further attention and funding to combat the rising rates of maternal mortality of Black and Haitian mothers in Massachusetts.

Revolutionizing Nursing Education: The Impact of Virtual Reality and Simulation Technologies

The rapid evolution of virtual reality (VR) and simulation technologies is transforming nursing education by enhancing clinical training, improving decision-making skills, and fostering experiential learning. These advanced tools provide immersive and interactive environments that simulate real-world clinical scenarios, allowing nursing students to develop critical competencies in a safe and controlled setting. This paper examines the integration of VR and simulation technologies in nursing education, focusing on their impact on clinical skill acquisition, critical thinking, and patient safety. Additionally, it addresses the challenges of adopting these technologies, including cost, accessibility, and the need for faculty training. By exploring current innovations and future directions, this paper highlights the transformative potential of VR and simulation in preparing future nurses for complex healthcare environments.

Empathy vs. Emotional Reasoning -What is the Difference?

It is mind reading when one person proposes to know what another person is thinking or feeling. Emotional reasoning is defined as "a cognitive error whereby a person who is nervous or anxious resorts to emotional reactions to determine a course of action. Nurses need to be aware of this in treating patients.

Rolling Away

Tags: aging elderly care nursing community

This heartfelt article recounts a humorous yet poignant moment at a long-term care resident council meeting, where a lighthearted suggestion about putting weed in breakfast muffins sparks laughter and deeper reflections on autonomy. Through the lens of an Ombudsman, it highlights the importance of listening not just to complaints, but to the joy, imagination, and desire for choice that still thrive in residents' lives.