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, the concussion plan, the missed classes, the headaches that linger, and parents still trying to understand how an ordinary ride changed so much. That is why “Are you ready to ride?” must mean more than having permission to leave the driveway.

I have been a nurse for more than 30 years, the last 11 of them as a school nurse. I am not usually the nurse at the crash scene. I am the nurse who sees what comes next. I see the student navigating hallways on crutches. I see the child who insists the headache is gone because they are tired of missing gym or practice. I see the parent coordinating appointments, transportation, schoolwork, and recovery while wondering when life will feel normal again.

Outside our schools, the change arrived silently. Dismissal once meant the rumble of buses, parents calling through open car windows, and the rattle of bicycle chains. Now students glide away with a quiet electric hum, heading to practice, work, friends’ homes, and the growing independence every generation of teenagers has […]

2026-08-12T15:41:12-04:00August 12th, 2026|Nursing, Public health, school nurses|0 Comments
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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 the stress in her voice as she described her admiration for her preceptor and her feeling of being overwhelmed with the steep learning curve during orientation. I couldn’t help but wonder how she defined a “good nurse,” and whether that definition was realistic or oppressive.

This prompted me to ask the question in my social media circles, “How would you describe a good nurse?” I wanted to hear from both health  care workers as well as people who were not.

There were a lot of responses, but one that stood out to me from a friend who is not in health care was this:

“Delights in their work and does it with excellence.”

This stood out because I rarely hear nurses talk these days about delighting in their work. After all, I remember my own recent response to a good friend when she casually asked me how work was going. I paused as I always do when trying to answer that question. After a few moments, my response to her was, “It’s always hard to know how to answer that. . . […]

2026-08-03T14:43:12-04:00August 3rd, 2026|Nursing, nursing perspective, Patients, pediatrics|2 Comments
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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 the treatments for thyroid cancer, finished my DNP degree, and was starting a postdoctoral fellowship. Life was great, and I was excited to build my career. I had no idea the challenges I was about to face.

An unexpected shift in personality.

I have always been a laid-back, quirky person. When I was not working, you could find me sewing and crafting. I am even-tempered and not easily angered. Then my usual calm demeanor began to change; I started getting annoyed and angry about things that normally wouldn’t have bothered me. My thoughts became a loop of negative commentary: “You are not good enough,” “You don’t belong,” “Nobody really likes you,” “Everything would be better without you.”

Slowly, I started feeling physically unwell. I was tired, and not a normal tired; no amount of rest would alleviate the fatigue. It became difficult to drag myself out of bed each morning. My body felt sore and stiff, and every muscle ached. I was constantly freezing, even in the summer heat. I had a nagging, throbbing headache, and […]

2026-07-27T10:15:19-04:00July 27th, 2026|Nursing, patient experience|0 Comments
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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 month’s cover shows a mother changing her child’s burn dressing. As Manman Sun and colleagues discuss in their Original Research article, primary caregivers of children with burn injuries are at high risk for traumatic stress. “The psychological well-being of caregivers is not only linked to their personal quality of life but also serves as a critical determinant in the child’s rehabilitation trajectory,” the authors write. Read “Posttraumatic Stress in Caregivers of Burn-Injured Children: A Cross-Sectional Study” to learn more about prevalence and contributing factors. (Open access) 

A recent national survey found that most U.S. RNs have personally experienced workplace racism. The August CE article, “Racial Microaggressions in Nursing: A Scoping Review,” explores the literature on such experiences and their impact on nurses and patients.

Another open-access Original Research article, “Sleep Worry Among Clinical Nurses: A Cross-Sectional Study,” aimed to investigate the prevalence and correlates of sleep worry (also called sleep anxiety) among nurses in order to guide the development of targeted interventions and management strategies.

This month’s AJN Reports, “Health Hazards in ICE Detention Centers,” […]

2026-07-23T10:35:45-04:00July 23rd, 2026|Nursing|0 Comments
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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 depending on their experiences, backgrounds, cultures, and moral commitments. Some may disagree with parts of the answer I eventually reached. That is okay. My purpose is not to provide a final oath for all NPs but to invite reflection on what kind of health care professionals we aspire to become.

My journey into nursing was quite personal.

Image via Shutterstock

When my friend and I were nine years old, he died of relapsed lymphoma. He spoke of the compassion that nurses, physicians, and other health care professionals demonstrated as they cared for him. After he died, I realized that I wanted to honor God and my friend by identifying with one of the most trusted healing and caring professions—nursing. During my graduation ceremony, I swore to uphold the Nightingale Pledge. This solidified my identity as a nurse.

Years later, after practicing pediatric critical care as both a nurse and NP, I found myself returning to a question: What moral vision should guide my NP practice?

Physicians have long looked to the Hippocratic Oath. Nurses have the

2026-07-21T10:56:23-04:00July 21st, 2026|Ethics, Nursing|1 Comment
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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