Understaffing: A Policy Oblivious to the Unforeseen Swerves of Life and Nursing Shifts

The Roads of Life and Nursing 2019 by Julianna Paradisi

Neither life nor nursing shifts develop in a linear fashion. Both roads are full of unforeseen swerves. I was reminded of this over the weekend while sitting with a relative in an emergency department. Our weekend plans had been put on hold to accommodate this unforeseen swerve in health.

An ED staff under stress.

I couldn’t help but notice the emergency department staff were experiencing their own set of unforeseen curves this particular shift. Although it was early in the evening, to my experienced nurse’s eye they were already exhausted.

When we arrived, the triage nurse was being verbally accosted by two people who’d walked in off of the street, ranting and high, until a trio of security officers intervened. Another nurse hustled between triage and the bay area. A photograph of her young daughter on the reverse side of her ID badge dangled from the lanyard around her neck. Everyone looked tired.

The tricky ambiguities around nurses calling in sick.

Once my relative was confirmed as stable, I revealed to the other nurses that I was a nurse and said I’d noticed how busy they were that shift. […]

NPR Syndrome

Julianna Paradisi, RN, OCN, writes a monthly post for this blog and works as an infusion nurse in outpatient oncology.

calligraphy, 36" x 24," mixed media on vellum, 2007,  by julianna paradisi calligraphy, 36″ x 24,” mixed media on vellum, 2007, by julianna paradisi

Compassion fatigue is a syndrome commonly known to nurses and other professionals involved in patient care. It is the result of constant exposure to traumatic events occurring to others. Its effects on the psyche of nurses are widely studied, recognized as a factor in burnout and self-medication, and sometimes result in nurses leaving the profession.

My clinical practicum as a nursing student, nearly 30 years ago, was in oncology. There I saw patients succumb to cancer. Many were young adults. One left behind a grieving husband, and an infant. It was heartbreaking. I asked my preceptor, a skilled, compassionate, and uncannily jolly nurse, how did she avoid burnout? I did not know about compassion fatigue yet.

She wisely replied, “You need to develop a happy, fulfilling personal life outside of nursing. You have to shut it off when you leave the hospital.” It was good advice.

I took it to heart, and over the years developed a happy, fulfilling personal life. However, turning it off when leaving the […]

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