Still a Nurse: A Shift in Professional Identity

Illustration by Jennifer Rodgers. All rights reserved. Illustration by Jennifer Rodgers. All rights reserved.

The June Reflections, “Making It Fit,” is a frank exploration of the ways health care professionals form separate cultures within each institution. It’s told by a newly minted advanced practice nurse whose previous job had been as a staff nurse in an ED. Now she’s taken a job as a psychiatric NP and finds herself on uncertain ground:

When I walked onto the unit my first day, expecting to be embraced by the nurses, I was dumbfounded and hurt that my own profession didn’t accept me with open arms. The inpatient unit is a melting pot of professions, and I found that I didn’t necessarily fit with the doctors, the social workers, or the staff nurses.

The author finds herself alone, neither nurse nor physician but instead something in between. As she describes her process of finding a new kind of nursing identity, she is very clear that this is not a case of nurses “eating their young.” Rather, it’s about finding a new normal. The short essay is an honest, smart look at career advancement and the associated challenges we hear less about, and is well worth a read.—Jacob Molyneux, AJN senior editor

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What’s That on My Stethoscope?

by rosmary/via Flickr

By Marcy Phipps, RN, whose essay, “The Soul on the Head of a Pin,” was published in the May 2010 issue of AJN. She’s a frequent writer for this blog.

The long shifts in the ICU are often chaotic. The days are packed with procedures, “road trips,” transfers, and admissions. The high acuity of our patients adds to the emotional intensity, and even the relatively smooth days are busy. Assessments, medication administration, and charting are all pressing and time sensitive, and there are a lot of strong personalities among us, resulting in occasional combustible strife.

Nursing is a high stakes occupation, no matter the unit, and the stress can be overwhelming. I’m grateful to work with a group of nurses who have excellent senses of humor. The levity provided by a quick laugh can be priceless, and sometimes a pointed stare or quick comment provides an essential release to a tense and pressurized situation.

Lately, along with our usual quips and sideways jokes, we’ve been inventing new nursing games with compelling names. They’re spur-of-the-moment games, usually inspired by whatever’s currently happening. My favorite, so far, is “What’s that on my stethoscope??” […]

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