Archive for June, 2010

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Do You Have to Like People To Be a Good Nurse?

June 10, 2010

When I began nursing school I was confident that I’d enjoy being a nurse because I already liked being a waitress. I imagine that you’re already groaning, but hear me out. I had traits that served me well when I put food and drinks on the table: I was smart and organized, I learned quickly, I was usually able to rescue disastrous situations, and I liked people and wanted to make them happy.

That last characteristic is a secret that most of us nurses keep to ourselves as we emphasize the more cerebral nursing traits—the critical thinking, the autonomy, the professional skills.

That’s the start of an essay called “Nurse, Where’s My Lunch?” by the accomplished nurse and writer Christine Contillo in the June issue of AJN. It’s about some of the human pleasures of being a nurse, the deep human encounters you remember many years later. Is there a temperament best suited for nursing? And how do you define competence? Is it all just a matter of mastering “cerebral” technical skills? Or is there more?



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What Nurses Told Us About How They Relax

June 9, 2010

by nugunslinger/ via flickr

We recently posed the following question on AJN’s Twitter page: “RNs: we want to know: how do you relax?” Some of the answers are below. Exercise is one biggie, at least among those who answered. (Are Twitterers more exercise-prone than non-Twitterers? Hmmm….) Anything you’d like to add to our unscientific list of ways to relax? (If for any reason you mind us citing your Twitter self here, please let us know and we will remove your comment!)

Safety4Nurses @AmJNurs I was recently reminded by my 6 month old puppy that play time and naps are important for relaxation!

ErinRN @AmJNurs relax with hot bath, alcohol, reading, and favorite tv show (not all at once, ha!)

lydiasmith@AmJNurs Prayer, music, going out dancing, and cooking. Psychosociospiritual and physical modes! Practice what we preach.

andrealgilmore @AmJNurs: #1 getting off the floor & outside if possible. #2 balancing work with family & me time. #3 exercise and last but not least, TEA.

WendyGlosser @AmJNurs I jump in my pool but also have a photography business on the side that allows me to escape a few times a week.

superjenie RT @AmJNurs: RNs: we want to know: how do you relax? –LOL do we nurses ever relax?? :) )

LiveLaughLetGo @AmJNurs The best way for me is to run, but also hanging with friends and family.

ThaRizz0 @AmJNurs As an RN I find time to exercise and push my body. Nothing relieves stress more than a vigorous session in the gym

momofjl @AmJNurs as a nurse manager, I dont

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International Recruitment of Nurses: A Look at the Industry and Voluntary Codes of Ethics

June 7, 2010

By Shawn Kennedy, AJN interim editor-in-chief

Pasig River, Manila, Philippines, by ibarra_svd / Bar Fabella, via Flickr

A significant number of foreign-educated nurses (FENs) come to the United States each year to work; although the exact number is unknown, consider that in 2009 alone, more than 14,000 FENs passed the NCLEX exam for licensure to practice here. Many come because they’ve been actively recruited by firms acting as agents for hospitals and nursing homes; others come on their own. Some are recruited from developing countries that, because of severe internal nursing shortages, can ill afford to send qualified nurses abroad. And some FENs learn that what they expected—or were led to expect—doesn’t match what they actually find when they arrive.

In the June issue of AJN, you’ll find a comprehensive study examining the international nurse recruitment business, an industry that’s gone through rapid growth in the last decade. Supported by a grant from the John D. and Catherine T. MacArthur Foundation, Patricia M. Pittman and colleagues conducted interviews with industry executives and focus groups with FENs. Read the rest of this entry ?

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Nursing Is Hazardous to Our Health

June 4, 2010

By Shawn Kennedy, AJN interim editor-in-chief

Courtesy of the American Journal of Nursing archives

We all know that our nursing jobs expose us to various hazards—back and joint problems, needlesticks and other means of exposure to infectious diseases, traumatic injuries from encounters with violent patients or their family members, just to name some common ones. And as if that’s not enough, the psychological toll taken can result in burnout and even PTSD, which wreak havoc on retention. Heart disease and depression should probably also be on the list.

You may have seen news reports about a study with Danish nurses, published in the May issue of Occupational and Environmental Medicine. The researchers found that nurses younger than 51 years at baseline who perceived their workplaces as highly stressful were significantly more likely to have ischemic heart disease during the 15-year follow-up. Now, as the Journal of Clinical Psychiatry reports, a Finnish study has found that nurses and physicians who work in overcrowded acute care units have “twice the risk of sickness absence due to depressive disorders” compared with colleagues working in less crowded areas. And Health Policy reports on a study revealing that, among Canadian nurses, “Depression is a significant determinant of absenteeism for both RNs and LPNs.”

Is anyone surprised? Not nurses, for sure, and probably no one who’s worked at or been a patient in a hospital recently. With few exceptions, hospitals are generally terrible places to work. Yes, the Magnet Recognition Program and initiatives like Transforming Care at the Bedside (TCAB) and others are gradually improving this. (You can read more about TCAB in AJN’s special report and 12-part series.) But is it enough? Are nurses who experience job-related injury or illness the proverbial canaries in the coal mines, harbingers of an increasingly common and serious problem? What will it take for hospitals to revamp their environments to make them less stressful and more life-sustaining for nurses?

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Rapid Response Teams Seen Through the Nurse’s Eyes: What A New Study Reveals

June 3, 2010

By Sylvia Foley, AJN senior editor

How do nurses who activate a call by their facility’s rapid response team feel about the experience? And why does it matter? These questions lie at the heart of a qualitative study by nurse researcher Susan E. Shapiro and colleagues, who report on their findings in this month’s CE feature (for optimum reading, open the PDF version). For the study, which was funded by the Robert Wood Johnson Foundation, Shapiro and colleagues interviewed 56 staff nurses from 18 hospitals in 13 states; all of the nurses had participated in at least one rapid response team activation. Based on the data, the researchers identified three categories, posed as questions, that best described the nurses’ experiences:

  • Why was the team activated?
  • What did the team bring to the bedside?
  • How did the activating nurses feel about the experience?

Nurses tended to activate the rapid response team when a patient had signs and symptoms “that were either unexplained or significantly different from baseline,” when the nurse had a “gut feeling” that something was amiss, or when the nurse felt a patient needed urgent attention and couldn’t get the treating physician to respond. Overall, the activating nurses appreciated the added expertise and resources that rapid response team members brought to the bedside. As one nurse said, “You don’t have to figure it out; there’s going to be other minds there to work through it.” Read the rest of this entry ?

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Nurses Take On Big Tobacco: The Nightingales Fight the Good Fight

June 2, 2010

by Christine Contillo, BSN, BS, RN-C

Nightingales Nurses Julia Buss and Carol Southard at 2010 PMI shareholders' meeting, NYC

Last month I joined three other nurses from across the country at the annual Philip Morris International (PMI) shareholders’ meeting in New York City. Wearing lab coats to represent the fact that we’re committed health professionals, we each used our two minutes of the question-and-answer period to confront PMI Chairman and CEO Louis Camilleri about the company’s questionable practices in targeting new (and often underage) smokers in developing nations. With patient advocacy, science, and education on our side, we challenged the heavily advertised and misrepresentative claims of Big Tobacco (PMI currently owns seven of the 15 top-selling cigarette brands worldwide). Read the rest of this entry ?

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