Jennifer M. Manning

Due to a growing and aging Population, palliative medicine has become a essential component of health care delivery. Advance Practice Nurses ( APRNs) have historically played a vital role in addressing gaps in healthcare access and meeting the needs of the population.AS demand for palliative care continues to grow, APRN's are positioned to expand access to these services. APRNs advance clinical training, and holistic approach provides the necessary tools to high-quality palliative care.

In an era of global health crises, rising misinformation, and increasing scrutiny of expert sources, journalists face a critical challenge: producing health coverage that is accurate and socially relevant. Yet despite their central role in healthcare and their consistently high public trust, nurses remain significantly underrepresented in media coverage worldwide. This paper examines the structural, cultural, and professional reasons behind this absence and explores the journalistic opportunity in changing it. Drawing from international literature, media studies, and trust metrics, the article situates nurses within journalism’s responsibility to reflect diverse, credible, and frontline voices. It outlines the unique value nurses bring to reporting—translational expertise, on-the-ground insights, and community-based perspectives—and the barriers that have historically kept them out of the news cycle, including newsroom routines, institutional hierarchies, and gendered assumptions. As nurses increasingly receive media training and prepare to engage publicly, journalists have an opportunity—and a responsibility—to reimagine their sourcing strategies. Including nurses not only deepens the quality of health stories but also reinforces journalism’s public service mission. This paper offers a framework for integrating nurses into health coverage and encourages a global shift in sourcing norms.

Background: Bispectral Index (BIS) monitoring was introduced in the 1990s to assess the depth of sedation in operating rooms. It is a valuable tool that requires sensor placement on the patient’s forehead, setup of the monitor, and subsequent monitoring by a trained health care professional. In recent years, registered nurses have used BIS monitoring in critical care units to assess patient sedation levels. Compared with its use in the operating room, there is limited research on BIS monitoring in critical care settings. More research is needed to validate the safety and effectiveness of BIS monitoring in critical care units. Objective: Using a narrative review research design, the authors analyzed the current literature investigating the application of BIS monitoring by registered nurses in critical care settings. The study aimed to provide an overview of the current state of knowledge on the application of BIS monitoring in critical care units and identify gaps in the current literature. Methods: A narrative review research design was used, yielding 244 articles following the initial keyword search. Two reviewers independently reviewed the relevant titles and abstracts to determine which articles met the inclusion and exclusion criteria. Further analysis yielded 10 articles for further review. Results: An evidence table was organized, including 10 articles. The source details, findings, and evidence ranking using the Oxford Level of Evidence Scale were described for each article. The evidence synthesis of published research studies revealed 3 themes. First, when used as an adjunct to Richmond Agitation-Sedation Scale, BIS can reliably identify deep sedation in intubated, sedated, and critically ill patients. Second, current research suggests that the integration of BIS monitoring in critical care settings is associated with decreased medication use and lower costs. Third, BIS monitoring use is linked to a reduction in medical complications such as respiratory depression, aspiration, delirium, and prolonged critical care stays arising from oversedation. Discussion: The current literature supports the incorporation of BIS monitoring into the sedation monitoring and assessments of adult critical care patients. Registered nurses can competently use BIS monitoring in the intensive care unit with proper training and education. Key advantages of BIS monitoring include the accurate measurement of patient sedation, reduced sedation medication use, lower health care costs, and a decrease in patient complications related to oversedation. Future studies using experimental designs and systematic reviews are recommended to measure the benefits of BIS monitoring and assess the impact of its use, thereby further supporting its application in critical care units. Conclusion: The findings suggest that integrating BIS monitoring in critical care units may benefit patient outcomes by improving reliable sedation assessments. Future research using experimental designs is needed to enhance the generalizability of the findings.

The United States has poorer population health outcomes compared to similar developed nations despite higher healthcare spending. Multiple factors contribute to this problem, including high healthcare costs, insurance coverage limitations, and a lack of focus on preventive care and wellness. Clinical Nurse Specialists (CNSs), primarily known for their impact in acute care settings, increasingly demonstrate their value in outpatient settings like home healthcare. CNSs possess graduate-level training, equipping them with the skills and expertise to develop and implement strategies that improve population health outcomes in home health settings. CNSs provide clinical leadership and support to staff while remaining at the forefront of ensuring the organization delivers high-quality patient care. Understanding the specific skills and competencies of the CNS to support the patient, family, staff, and organization is necessary to improve outcomes for patients in outpatient settings. The CNS delivers care through direct patient care, supporting nurses and nursing practice, and improving organizational systems. This unique skill set allows CNSs to influence home healthcare outcomes across various levels of care positively. This article sheds light on how CNSs enhance patient outcomes in outpatient settings like home healthcare.

Background: As the largest segment of the healthcare workforce, nurses have a unique opportunity to increase the visibility of the nursing profession's contributions to healthcare services and clinical outcomes across population groups by participating in media interviews. Although a media interview can be intimidating, there are steps one can take to ensure optimal media engagement. Nurses should collaborate with the media by becoming familiar with the elements of good reporting. Objective: This article describes several tips and techniques all nurses can implement before, during, and after a media interview to ensure the audience receives a clear message. Procedure: Techniques include thorough preparation before the interview, careful self-management during the interview, and follow-up after the interview. Conclusion: Nurses can conduct a successful media interview and pave the way for future nurse interviews using media training tips and techniques.