AJN’s Top 5 Guest Blog Posts of 2021

One of my roles as a senior editor at AJN is to edit and maintain AJN’s blog. We try to publish a new post two to three times each week.

A percentage of these are original first-person nursing stories and perspectives by nurses in various specialties, from critical care to community health to oncology to school nursing. I often think of these as the lifeblood of the blog, the posts that can really reach people at the feeling level, and I am always grateful to receive them—from regular or first-time authors. These posts can be heartbreaking or gently humorous, or both. The range of styles and voices is wide.

Other equally important posts are those by nurses with an argument to make about an urgent issue in practice or policy. Some of these give rise to a certain amount of debate and stimulate further discussion in the nursing community.

In addition, a fair number of short posts are by AJN editors, in some cases bringing to bear their own clinical or personal experience as they address a matter of concern like nurse staffing, or providing essential context about why they think you should read an article found in that month’s issue.

As we’ve done in the past near the start […]

2022-01-19T10:38:00-05:00January 19th, 2022|Nursing|0 Comments

Not Until Cairo: A Flight Nursing Tale

Worsening signs.

The author’s flight path circled the globe

The cabin of the Learjet is dark, the heart monitor a metronome over the drone of the engines and pulse of the mechanical ventilator. I’ve been watching my patient’s cardiac rhythm, with ominous hackles rising on the back of my neck while my partner naps. Over the course of the journey the man’s inherent tachycardia has slowly shifted into a sinus rhythm that might seem like normalization on a paper medical report, but feels wrong. After all, this patient is dying. He is returning to Egypt to die amongst family after last-ditch cancer treatments in America have failed.

“Not on this flight,” I think to myself. “Not until Cairo.”

The plane banks as it descends into the Newfoundland night. The cabin vibrates with turbulence; St. John’s may be the most easterly North American fuel stop, but its position on the Atlantic all but guarantees unpredictable weather. The lights of the town sparkle below as my partner rouses, pops his ears, and stretches.

“Look at his heart rate,” I say, quietly. “Pressure’s okay, though.”

“Yeah,” he says. There’s an unspoken accordance between us. We’ve flown together enough—been trapped in small planes for countless hours, evaluating and collaborating—that we […]

The Top 10 AJN Blog Posts of 2017

As is our tradition in the final weeks of the calendar year, we’d like to share the 10 most popular AJN blog posts of 2017. Most of these posts are by nurses who somehow find time to write in the midst of busy nursing and personal lives. One or two are by AJN editors. Not all, but most, are written by nurses.

What are the posts about? A few discuss aspects of notable health care topics covered by AJN in the past year. But most tell stories from personal experience or explore issues of importance to nurses in their careers. The nurse’s daily enounter with the physical and emotional needs of patients is a frequent subtext, as might be expected.

How to Support the Nurse in Your Life
“A job this intense isn’t so easily contained in a separate professional box. For nurses to live healthier, more integrated lives, we need space for our experience, and this is how our friends and family can help.”

A Nurse Takes a Stand—and Gets Arrested
“Nurses everywhere can draw inspiration from Alex Wubbels and her confidence and use the incident as a lens for self-reflection on our own behavior in difficult circumstances—and as a model for how to behave in the future.”

A Closer Look at the […]

We Want You, or Someone You Know! Tell Us About Nurses Making a Difference

Uncle_Sam_(pointing_finger)Nurses in all settings are doing important work and making a difference, and we want to highlight them and the good work they do. AJN’s Profiles column highlights the diverse ways in which nurses contribute their leadership, compassion, and talent to enhance patient care directly in their institutions or through innovations in policy, research, or education that have had far-reaching impact.

Our profiles include:

We’re inviting suggestions for nurses to feature in Profiles. If you know of a nurse who is doing great work, let us know. Or if you have developed an interesting or unique program, tell us about it. […]

2016-11-21T13:01:32-05:00January 25th, 2016|Nursing|0 Comments

On Its Own Terms: An ICU Nurse Considers Human Adaptability

By Marcy Phipps, RN, a regular writer for this blog. Her essay, “The Love Song of Frank,” was published in the May (2012) issue of AJN. Some of the patient’s identifying details in this post have been changed to protect privacy.

by ashraful kadir/ flickr by ashraful kadir/ flickr

I caught an airing of The Shawshank Redemption the other day. It’s one of my favorite movies—full of irony and rich with messages of hope and perseverance.

There’s one line from the movie, in particular, that I love:

“Get busy living, or get busy dying.”

It’s one of my favorite movie quotes, and one that plagued me at work recently as I took care of a woman who’d suffered such a high-level fracture to her cervical spine that her injury was compared to an internal decapitation.

Her doctors had talked with her and her family at length about her injuries and prognosis, and although she’d initially indicated that she wanted to withdraw aggressive care, as time passed her directives became inconsistent—she’d tell her husband one thing, her medical team something else. On the day I was her nurse, she looked at me and very clearly mouthed the words “I don’t want to die,” then shut her eyes tight, ending our brief conversation as effectively as if she’d stood and left the room.

I think that most of the time, at least in the ICU where I work, people aren’t “getting […]

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