An Intimate Glimpse of Community Health Nursing During the Pandemic  

Photo courtesy of Monica M. Finifrock.

We hear a lot about frontline nurses and the trauma they’ve endured throughout the year fighting the world’s deadliest pandemic in 100 years. Their stories are harrowing and heroic and shine a much deserved spotlight on the importance of the profession. And yet COVID-19 has touched not only those working in ICUs and EDs—but in every area of health care. Our December In the Community article, “Keeping Calm in the Buffer Zone,” is just one example of a nurse touched by COVID-19 in her daily work.

Community health as a ‘buffer zone.’

When the article opens, author Monica M. Finifrock is on her way to work at a community health clinic in Seattle. It’s April and the pandemic is beginning to take a toll.

I don’t consider myself on the front lines of the pandemic . . . I’m not watching patients take their last gasps of air or making hard decisions about who gets a ventilator and who doesn’t. I’m a community health nurse, and my role during the COVID-19 pandemic is to do exactly what I always strive to do—serve the community.

Calling her clinic a “buffer zone,” Finifrock argues that community health clinics […]

2020-12-10T08:42:36-05:00December 10th, 2020|COVID-19, narratives, nursing stories, Public health|0 Comments
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AJN in October: Oral Treatments for Breast Cancer, PAD in Older Adults, Research or Not Research, More

The October issue of AJN is now live. Here are some articles we’d like to bring to your attention.

CE Feature: “A Review of Common Oral Treatments for Breast Cancer: Improving Patient Safety in Nononcology Settings”

According to the National Cancer Institute, more than 3 million women in the United States are currently living with a breast cancer diagnosis. Many seek care in nononcology settings for treatment, acute symptoms and complaints related to their cancer diagnosis, or unrelated concerns. Yet many nononcology providers are unfamiliar with the various oral agents used to treat breast cancer and their possible adverse effects and drug interactions. This article provides an overview of the most common oral treatments for breast cancer and discusses common adverse effects and management.

CE Feature: “Assessing Pain, Agitation, and Delirium in Hospitalized Older Adults“

In the acute care setting, pain, agitation, and delirium (PAD) often occur as interrelated parts of a syndrome rather than as separate entities. Because the three facets of PAD may be similar in presentation, it is often difficult for clinicians to recognize the syndrome and to assess and treat it. The challenge is particularly great in older patients. This article provides an overview of each aspect of PAD, […]

2016-11-21T13:00:54-05:00October 4th, 2016|Nursing|0 Comments
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AJN News: A Role for Nonmedical Workers, Adult Vaccinations Revisited, Teen Pregnancy Drop, More

AJN’s monthly news section covers timely and important research and policy stories that are relevant to the nursing world. Here are some of the stories you’ll find in our current issue (news articles in AJN are free access):

A community health worker meets with a patient in Baltimore, Maryland. Photo by Francis Ying / KHN.

Nonmedical Workers: A Growing Asset to Communities

Outcomes improve, costs drop, and nurses’ workloads benefit when nonmedical community health workers are available to serve as liaisons between health systems and patients. Programs to train more of these workers are gaining attention in states across the country.

Revisiting the Adult Vaccination Schedule for Tetanus and Diphtheria

Results of a new study reveal that most adults remain protected from the two diseases for 30 years without booster vaccination—and call into question the potential benefits of a modified adult booster vaccination schedule.

Teen Pregnancies, Births, and Abortions Slow

Two new reports show that the birth rate among U.S. teens has dropped to its lowest point in three decades; the percentage of teen pregnancies ending in abortion also reached a historic low. Researchers attribute the downward trend to teens using birth control more often and waiting […]

2016-11-21T13:01:06-05:00July 7th, 2016|Nursing, nursing perspective, nursing stories|0 Comments
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Storytelling as a Vital Source of Knowledge and Connection in Nursing

I’m not saying that nurses should abandon the quantitative and evidence-based practices that we know have saved many lives. But we should also seek to balance and contextualize this approach through humbly listening to the stories of those we care for. Some of my greatest learning has come from individual client stories and from the rich meaning of their experiences. Stories from clients about their lives can have both a tangible and an intangible effect on the care we provide. A story may create an atmosphere of openness, closeness, and warmth that is both soothing and healing during the most trying times.

Lascaux cave painting/via Wikipedia Lascaux cave painting/via Wikipedia

That’s an excerpt from “He Told Me a Dream of Animals Leaving His Heart,” this month’s Viewpoint essay by Mary Smith, a nurse practitioner and PhD student who writes of caring for a traditional healer as a community health nurse working in a First Nation community in an isolated northern area in Canada.

Smith discusses the many roles storytelling can play: it’s a way to inspire nursing students and explore ethical issues, a source of knowledge about patients and communities, a way to bridge cultural differences, and much more. The piece is direct, short, and written with clarity and insight. Give it a read and see if it gets you thinking or speaks to your own experience.—Jacob Molyneux, senior editor

 

2017-05-27T10:30:57-04:00December 5th, 2014|Nursing, patient experience|2 Comments
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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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