Clinical Journal of Nursing
When Care Becomes Content: The Ethical Conflict Between Professionalism and Digital Culture in Nursing
Tags: clinical culture ethics health media nurses nursing patient patients practice professional
Amarachi G. Nwakuche explores the ethical conflict nurses face when social media content creation enters clinical settings, examining risks to patient privacy, trust, and professional identity, and offering strategies for maintaining ethical practice in the digital age.
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The Intersection of Immigration Enforcement, Trauma, and Mental Health: Implications for Nursing Practice
Tags: care clinical fear health mental health nurses symptoms trauma
Immigration enforcement activities such as raids, detention, and deportation can have profound psychological effects on immigrant communities, contributing to increased anxiety, depression, and post-traumatic stress symptoms. Nurses and healthcare providers play a critical role in addressing these challenges by implementing trauma-informed, culturally responsive care.
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Nursing as a Profession — Why Do Nurses Still Unionize?
Tags: clinical labor nurses nursing patient patients profession safety staffing
Nursing is widely recognized as a profession requiring specialized education, ethical standards, and clinical expertise. However, many nurses continue to organize into labor unions. This article explores the structural, economic, and workplace factors that drive unionization in nursing.
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Individualized Risk Prediction of Hospital-Acquired Infections Following Median Sternotomy Cardiac Surgery: A Retrospective Cohort Study and Nomogram Development
Tags: blood cardiac care clinical diabetes heart failure infection patients perioperative pulmonary review risk risk factors study surgery thyroid training transfusion
This retrospective cohort study develops and validates a nomogram for individualized prediction of hospital-acquired infections following median sternotomy cardiac surgery, identifying key risk factors including surgery type, smoking, diabetes, NYHA class, and preoperative TSH levels.
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Exploring Estrogen-Related Atrophy Beyond the Genitourinary Tract
This paper proposes that estrogen deficiency during menopause may cause atrophy beyond the genitourinary tract, potentially affecting tissues such as the esophagus and oral cavity. Symptoms like dysphagia or throat burning may sometimes reflect estrogen-related tissue changes rather than GERD.
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Exploring Nursing Administration Practices: Insights from an Intensive Clinical Experience at Dr. Jose N. Rodriguez Memorial Hospital and Sanitarium
Tags: challenges clinical education health importance knowledge leadership medical nursing patient staffing study
A reflective analysis of nursing administration practices based on an intensive clinical experience at Dr. Jose N. Rodriguez Memorial Hospital and Sanitarium, exploring leadership, staffing challenges, advocacy, and systemic issues in public healthcare.
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Sustained Breastfeeding, When Possible: Nursing-Driven, Team-Based Care and Maternal–Infant Outcomes
Tags: assessment behavioral breastfeeding care clinical counseling health postpartum risk support
Sustaining exclusive breastfeeding requires more than early initiation. Nurses can improve duration by using a consistent definition, assessing milk transfer at the bedside, framing supplementation with a plan to protect supply, offering nonjudgmental counseling, and arranging timely follow-up.
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Exploring the Knowledge and Attitudes Towards Compliance with Medication Administration Protocol Among Nursing Students
Tags: adherence clinical education errors knowledge learning medication medication errors nursing nursing students patient practice simulation students study
This study examined how nursing students understand and carry out medication administration, focusing on their knowledge, attitudes, and compliance with safety protocols. Results showed that the students generally have strong theoretical preparation and hold positive views about patient safety. Their attitudes, particularly their sense of responsibility and awareness of risks, were more closely linked to their compliance than knowledge alone. Although overall performance was good, some areas—such as dosage calculations and handling high-risk medications—need further strengthening. The findings point to the value of combining classroom instruction with simulation, mentoring, and supportive clinical supervision to improve medication safety.
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Coping, Caring, and Staying Professional: Rethinking CNA Education
Tags: behaviors clinical nursing students
Teaching CNA students goes beyond clinical skills. This article explores how stress, diverse backgrounds, and professional expectations collide in the classroom, offering practical strategies for instructors including trauma-informed practices and coaching professionalism.
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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
Tags: blood clinical health management patients sexual women
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.
Read More →The Effect of A Neurological Training Module On The Competency of Neurocritical Care Staff Nurses
Tags: care clinical Competency knowledge management nurses nursing patient study training
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.
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Cross-Cultural Nursing Leadership: A Comparative Reflection On Managing Healthcare Teams In The Philippines And Abroad
Tags: clinical education leadership managers nurses nursing
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.
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Revolutionizing Nursing Education: The Impact of Virtual Reality and Simulation Technologies
Tags: challenges clinical critical thinking decision-making education experiences nurse nursing nursing education patient patient safety practice simulation students
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.
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The Elusive Lessons of Encephalitis Lethargica
Tags: autoimmune diseases clinical COVID-19 disease infection neurologist
Encephalitis Lethargica (EL) emerged as a deadly pandemic in the early 20th century, leaving many permanently disabled. Though rare today, its cause remains unknown. EL has two forms—dyskinetic (children) and Parkinsonian (adults). Researchers suspect links to influenza and COVID-19 due to shared neurological effects. Treatment is limited, and future viral pandemics could trigger EL’s return.
Read More →Assessing Clinical Outcomes at Discharge with the Modified Rankin Scale (mRS) for Burn Patients
Tags: burn Burn Patients clinical Modified Rankin Scale outcome
Burn injury is a significant health problem that presents various challenges to the patient and healthcare providers. Each year in the United States, an estimated 486,000 burn injuries require medical attention, of which 40,000 require hospitalization (American Burn Association, 2016). Of these 40,000 around 30,000 are admitted to specialized burn centers, specializing in burn care and management. Statistics reveal that the common causes of burns are due to fire/flame at 43%, scalds 34%, contact 9%, electrical 4%, chemical 3%, and other 7%. (American Burn Association, 2016). The most common place of occurrence was in the home at 73%. Burns occur in children and adults, affecting 68% of males and 32% of females. Also reported by the American Burn Association (ABA) was a survival rate for all cases at 96.8% (2016). Furthermore, a reported survival rate of 96.8% for all cases by the ABA (2016), underscores the importance of comprehensive care for burn patients, which begins at the time of injury and extends throughout the rehabilitation process. An optimal outcome is achieved when the patient is reintegrated back into society at a functional preinjury level (Herndon, D. 2017).
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What Can We Do to Promote Professional Socialization in Nursing?
Tags: clinical mentoring nursing faculty perioperative professional socialization student nurse transitioning working together
Transitioning to a new work setting is challenging for many nurses regardless of the time spent in practice. Promoting professional socialization, through mentoring and precepting, helps to facilitate a smooth transition. Effective mentoring, using role play, reflective exercises, and debriefing, provides the transitioning nurse the opportunity to self-actualize his or her potential in the new work environment. The use of Benner’s Novice to Expert Theory and Duchscher's Stages of Transition Theory as a basis for mentorship enhances safety and quality in the provision of care.
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Post-Fall Care Nursing Algorithm
Tags: clinical Clinical Education fall care fall prevention falls nursing
Post-Fall care practices are an integral aspect to patient care. As we care for older adults it is important to consider post-fall care practices.
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Improving the Clinical Experience of Working with Undergraduate Nursing Students: A Team Approach
Tags: clinical clinical experience nursing school nursing students preceptorship student nurse students teamwork undergraduate working together
This article emphasizes the value of working together in training the future nurses, and suggests strategies and tools to assist in the process. Bringing quality and safety to nursing education in the classroom and clinical is of high importance. Staff nurses play a key role in the clinical preparation and success of the student nurse. Faculty, preceptors, students and the system at large can be more successful if working together to reach the learning objectives and goals. Designated educational units (DEU) are an example of improved clinical teaching/learning environments, but every clinical unit can participate and practice quality regardless to the formal structure and protocal of an established DEU. Understanding that the staff nurse plays a significant role in mentoring the future nurse generation is a reason enough to see working with students is a necessity rather than a burden.
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Scope of Advanced Practice for Nurses in the United Kingdom
Tags: advanced practice apn clinical critical care ICU nursing leadership united kingdom
A 3,500 word article which critically discusses advanced practice for nurses within the United Kingdom. This was originally written for an MSc in Advanced Practice.
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Rising to the Challenge of Nursing Education
Tags: clinical clinical experience education future of nursing healthcare system nurse shortage nursing faculty students teaching
As the nursing shortage and nursing faculty shortage continue, it is imperative that we look to innovative measures in order to increase the number of available baccalaureate prepared nurses. At the same time, it is crucial that we do not neglect the quality of education required to receive the Bachelor of Science in Nursing degree. This paper examines potential solutions to the ongoing nursing shortage.
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Clinical Decision Support Need for Standardization
Tags: CDSS clinical clinical decisions decision-making patients
Clinical Decision Support System (CDSS) is interactive software that assists physicians in decision-making about their patients. The system utilize data from pharmacy, laboratory, radiology, and other patient monitoring systems to help physicians in enhancing patient care. Statistics show an increase in the number of medical institutions adopting CDSS in pursuit of reducing errors, improving the nursing documentation and improving patient outcomes. This paper discusses errors arising from the use of CDSS and ways of preventing them.
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Remember When We Were Nursing Students
Tags: clinical clinical rotations nursing school nursing students stress student students violence
I remember, as most nurses can, their days in nursing school, feeling anxious and scared going to clinical rotations to take care of real living patients and not just the mannequins in the lab. Most us can also recall how the floor nurses treated us as students engrossed in our clinical rotations. There were nurses who made a positive impression on us and unfortunately there were nurses who did not make a positive impression. Terms such as “Incivility”, “Bullying”, “Vertical Violence” and “Internal Violence” have become too familiar in today’s nursing literature. As an Associate Professor of Nursing, it is a shame to have to include such terms in nursing lectures and worse of all trying to explain reasons this may be happening among nurses and just may happen to them as nursing students. According to Luparell (2011) “Because today’s student are tomorrow’s colleagues, conversations regarding incivility and bullying should include specific aspects of nursing academia and the preparation of new nurses”.
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Effect of Evidence-Based Method Clinical Education on Patients Care Quality and Their Satisfaction
Tags: chemotherapy clinical Clinical Education clinicals Evidence-based nursing patient care patient education patient satisfaction student nurse students
Nowadays, evidence-based education with a serious purpose, explicit and rational than the best current evidence to decision-making in nursing education has been addressed. This study aimed to assess the effect of clinical evidence based on the quality of patient care was performed Usual care based on traditional evidence-based care training has been under almost identical. Student feedback questionnaire data, patient satisfaction and quality of care were collected and then were analyzed with descriptive and inferential statistics. This study suggests that the use of evidence-based education in nursing care is not only effective as traditional education. But also knowledge and skills and promote high quality of care and the patient's hospital stay and costs were reduced.
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The Management of Crohn's Disease in Adults and Young People
Tags: abdominal pain adults best practice children Chron's clinical Crohn's disease disease treatment treatment options Young People
The guideline offers best practice advice on the care of adults, children and young people with Crohn's disease. These are the first evidence-based clinical and cost-effectiveness guidelines for Crohn's disease in the United Kingdom.
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Clinical Nursing: Keeping Your Skills In-Tune
Tags: advocate clinical clinical experience dermatitis health care medical technology student nurse
The primary duty of every nurse is the assessment of a patient’s physical and emotional well-being. This basic-skill learned in the very first nursing class is the one skill and primary duty the nurse will use every day with his and/or her patients.
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Keeping a Positive Outlook: My Clinical Experience as a Student Nurse
Tags: clinical clinical experience health care nursing students preceptorship student nurse
A student nurse shares their ICU preceptorship experience and explains how a positive attitude transforms clinical experiences for nursing students.
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