Posts Tagged ‘essay’

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When Do You Know You’re Really a Nurse?

August 18, 2011

There’s an imaginary line that one crosses when becoming a nurse. This line divides the floundering nursing student from the confident and experienced nurse. After four months of nursing, I found myself wondering where it could be found so I could cross it. Everybody around me already accepted me as a bright and talented nurse, yet I had doubts. I could manage patient care assignments calmly and efficiently, but I sensed that nursing wasn’t as superficial as checking off items on a list. Sooner or later, I’d face a more complex situation, with no instructor nearby to give me confidence.

That’s the first paragraph of the August Reflections column, “The Letter,” which was written by Melanie Patterson, a mental health supervising RN at a hospital in the Pacific Northwest. It’s about making the extra effort for a patient who might otherwise have been forgotten in his isolation.

Was there a moment, an event, a time when you began to feel confident in whatever your nursing role might be?—JM, senior editor

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The Sacraments of Nursing

May 26, 2011

At the center of Sister Thecla’s demonstrations was an old manikin that lived all its days on the hospital bed at the front of the classroom. I can still see its chipped, painted face—the trust in the eyes, the unreadable thin lips. I can see Sister Thecla turning that manikin on its side, taking care so the blanket wouldn’t slip and expose any imagined privates. And Sister Thecla’s hands—how they were all tenderness, and how somehow, right before our eyes, they transubstantiated the cotton backside of that manikin into the feverish, aching flesh of a real sick person.

Every month, as you may know, we publish a personal essay inside our back cover. This month, our Reflections essay is by Madeleine Mysko, the coordinator of that monthly column. Madeleine, a novelist and poet who teaches writing in the Johns Hopkins Advanced Academic Programs, is also a nurse. She helps us find potential writers and reviews most Reflections submissions. I edit all accepted submissions before publication, but I sometimes call on Madeleine for another point of view, especially if I’m stuck or if I sense I’m missing something crucial. She invariably has suggestions that make the essay flow more elegantly and cleanly—and strike home more powerfully.

The excerpt above is from her piece in the May edition of AJN. “The Sacraments of Sister Thecla” (for best reading, click through to the PDF version) describes a kind of mystical visitation from a teacher Madeleine had back in nursing school in the 1960s. Clearly, teachers do make a difference.—Jacob Molyneux, senior editor/blog editor

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‘I Can Still See the Fear in Her Eyes’: An ICU Nurse Faces a Surprising Reversal of Roles

October 9, 2009

It was a typical day in the ICU. I was wrestling with the numerous tasks I had yet to do, wondering how I would get them all done. I had three patients, I needed to draw blood gases and give my afternoon medications, and the charge nurse had just informed me that I needed to transfer one of the patients to the step-down unit-we were in a crunch for beds, and patients were waiting in the ED.

I still had a total bath and bed change to do, but the family members were in the room of the patient I needed to bathe. I had politely asked them to step out for a few minutes so I could finish my work. Now I gathered my supplies and went to the room, hoping they would take the hint.

I can’t remember her name, but I can still see her face and the fear in her eyes—and in the eyes of her family every time her cough triggered the alarm or she grimaced in obvious respiratory distress. She was on the ventilator—and much too young to be dying of breast cancer.

OctoberReflectionsSo begins the Reflections essay in the October issue of AJN. The essay is about how quickly roles can reverse themselves. It’s also about trying to strike a balance between efficiency and compassion; many nurses, we imagine, face some version of this challenge, if not so extreme, on a daily basis. Do you?

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A Girl, a Suitcase–a Nurse Who Can’t Forget

September 8, 2009

SeptReflectionsScreen2If I had known how much anguish it would lead to, I might have been tempted not to answer my pager when it went off on that quiet Sunday morning in May. Instead, I innocently dialed the number.

“Cafeteria,” said the voice that answered.

“Hi, this is the nursing manager. Did you page me?”

“We need you right away. A child’s alone down here.”

In the cafeteria I approached the bevy of workers huddled by the phone. “The little girl’s over there,” one of them said, pointing.

A small child was sitting quietly at a table halfway down the room. She had a round face and light brown hair pulled back with a pink barrette, soft curls falling below her ears.

Read the full Reflections essay from the August issue here. As author Joan Greland-Goldstein concludes, “Gina must be in her 20s today, but I still see her as the little girl sitting quietly at the cafeteria table waiting for someone to come back to her.” May ”Gina” someday find that someone.

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