The Pitfalls of Being the ‘Nice’ Patient: A Nurse’s Perspective

Image Brent Keane/via Pexels

I have often heard health care professionals in various environments say, “If you’re nice to the nurses and doctors who take care of you, you’ll get better care.” As a bedside nurse myself, I understand the sentiment. No busy health care worker loves being met with antagonism or pressing demands that don’t strike us as critically urgent.

But when my husband and I both became patients with serious illnesses last year, we learned the clinical pitfalls of being the nice patients. I am left wondering how patients should be expected or permitted to advocate for their own care without worrying that they will be frowned upon or brushed off because they’re perceived as “difficult.”

First cautionary tale.

In early 2022, I discovered a small lump under my right breast that I initially wrote off as a cyst. Surely, I told myself, as a woman in her mid-40s with no risk factors for breast cancer, this had to be benign. A screening mammogram in May 2022 gave me an all-clear, and I went on my way.

But by November, I knew the lump had grown. I reached out to my PCP to ask for a diagnostic mammogram, and he emailed back a casual reassurance. “I know you’re worried, […]

2024-02-07T16:57:09-05:00February 6th, 2024|Nursing, nursing stories, patient experience, Patients|14 Comments
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Leveraging AI and Technology for Comprehensive Research: Tips for Researchers and Students

The research-to-practice gap.

Today’s rapidly changing health care settings require medical and nursing professionals and students to remain up to date on trending research, topics, and evidence for guiding practice. While this may sound fundamental for nurses, multiple barriers make this incredibly challenging. Factors such as limited time, large volumes of new research to sift through, and experience with reading and analyzing research contribute to what is known as the research-to-practice gap. This blog post will explore how to harness AI and technology to gain a high-level and comprehensive overview of a research topic of interest.

Define the topic.

Before leveraging AI tools, it’s critical to develop the focus of the topic of interest. It is helpful to frame or organize your topic or area of interest to ensure the search is thorough. For example, you could use the PICO format (patient/population, intervention, comparison, and outcomes) to phrase your question or area of interest.

Let’s say you want to learn more about skin damage related to external urinary devices for adult females. A good PICO question might be: Among adult females in acute care settings, what type of skin damage occurs when using external urinary devices compared to those who do not use these devices?

Search the literature.

Searching academic databases can be […]

2024-02-02T09:40:10-05:00February 1st, 2024|artificial intelligence (AI), Nursing, nursing research, Technology|0 Comments
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Nurses’ Experiences on Staffing Committees: Recommended Reading in AJN’s February Issue

The February issue of AJN is now live.

“Original Research: A Real ‘Voice’ or ‘Lip Service’? Experiences of Staff Nurses Who Have Served on Staffing Committees,” explores nurses’ perspectives on staffing committee participation—including how they perceive their committee’s effectiveness, and how these committees can benefit patients, nurses, and organizations.

In this month’s CE article, “Our Journey to Pass a Surgical Plume Evacuation Law,” the authors describe their experience leading a grassroots coalition to address surgical plume evacuation in Illinois, and outline strategies nurses can apply to their own advocacy efforts.

New series! “Cultivating an Evidence-Based Decision-Making Mindset,” the first article in a new series on how to teach and facilitate learning about evidence-based practice and quality improvement, offers educators the content and tools needed to prepare nurses to be evidence-based decision-makers.

Read “Improving the Timing of Acute Care Insulin Delivery” to learn about an initiative to reduce both time to insulin delivery and percentage of bedtime insulin doses withheld.

See also the extensive health care news sections, the Journal Watch and Drug Watch sections, an editorial on Black nurses’ contributions to health care, a Viewpoint column on empowering NPs to […]

2024-01-25T13:11:25-05:00January 25th, 2024|Nursing|0 Comments
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AI and Nursing: Are We Ready?

Three considerations about nursing and AI.

Lisiane Pruinelli

In my role as a nursing professor under the University of Florida Artificial Intelligence Initiative (ai.ufhealth.org) and in leading several national and international efforts, I apply what I’ve learned in years of clinical and educational experience to articulate the implications of AI for the nursing profession.

Doing so, I see three broad considerations that will affect the profession’s future. 1) The need to take into account the history of the nursing profession and the fact we are the most trusted profession in the US, 2) The question of how we can best incorporate new technologies and/or ideas into the care we deliver every day, and 3) The issue of how we can build the new generation of nurses while also training current nurses in order that they can play a role at the forefront of the AI/health care revolution while continuing to be strong advocates for safe and ethical care.

These three considerations are elaborated below:

2024-01-25T10:10:18-05:00January 16th, 2024|artificial intelligence (AI), Nursing, Technology|1 Comment
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Implementation Science: Systematic, Sustainable, Evidence-Based Change

By Cagkan/Adobe Stock

Reading the article by Russell-Babin and colleagues in the December 2023 issue of AJN made me grateful for all the work that went into developing the nursing implementation science (IS) program at Inova. As a nurse working at this health care system, I’d like to share how I benefited from being in the first cohort of nurses trained and engaged in IS over the last three years.

For the past eight years, I’ve been a clinical coordinator of two different disease-specific programs—first stroke and now sepsis. In these roles, I’ve been engaged in many different quality improvement (QI) projects and have become familiar with the tools and processes used to improve patient care and outcomes.

Towards more comprehensive and systematic evidence-based change.

However, as I was invited to step into the world of IS, I began to realize that a strict QI approach cannot alone bring about all the changes we desire within the complex systems of health care. The fact is that […]

2024-01-11T10:06:42-05:00January 11th, 2024|Nursing, nursing roles, Quality improvement|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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