Navigating the Nursing Journey with Purpose

Nurses, what’s next?

As a labor and delivery nurse, I am part of one of life’s biggest moments for families I may never meet again. This calling requires a positive attitude and an ability to instill hope throughout each 12-hour shift. But at a certain point, I found myself feeling exhausted and disconnected from this work, and all my effort to maintain a cheerful demeanor and engagement only exacerbated the burnout. This toxic positivity, or pressure to exude optimism, had a pernicious effect on my well-being and I found myself at the polar opposite state from compassion.

I heard chatter in the break room and hallways from colleagues who were experiencing similar exhaustion, and although I was keenly aware of the tools and resources available from my organization—employee assistance programs, wellness calendars, etcetera—I didn’t know any nurses who used them, and I didn’t know how participating in these activities would alleviate my burnout.

Reconnecting to your purpose.

Photo by Heidi Fin on Unsplash

While pursuing my doctor of nursing practice degree, I began performing research on the impact of recognizing one’s purpose on job satisfaction and work engagement. Defining your purpose can be challenging. Simply saying “I am a labor and delivery nurse” doesn’t describe […]

2023-10-16T14:58:02-04:00October 16th, 2023|career, nursing career, wellness|2 Comments

Driving the Nursing Profession Forward with Continuous Professional Development

A challenging few years.

The last few years have been especially challenging for the nursing profession. We fought a virus that wreaked havoc on our patients, families, and on ourselves. We struggled with equity, diversity, and inclusion issues and we had to adjust how we educate nursing students, moving from in-person to hybrid and online models. Faced with inadequate numbers of competent staff, we developed innovative workforce and care models while focusing on fostering resiliency.

Through it all we recognized the need to acquire new knowledge and skills through continuing professional development to keep up with the demands of the evolving health care paradigm.

‘Every day we learned something new.’

Investment in professional development is essential so that we are prepared to care for our patients and ready to help shape and lead the future of health care. Every day during the pandemic we learned something new about caring for patients with COVID-19. Learning new skills, investing in new knowledge and education, challenging ourselves to think differently about situations, and being mindful can all help propel and focus our nursing journey. […]

2022-05-16T10:08:47-04:00May 16th, 2022|career, Nursing, nursing career|0 Comments

What’s a Preceptor’s Duty When a New Nurse Doesn’t Fit the Unit?

Challenges and joys.

square peg, round hole

Precepting new graduate nurses is challenging but also exhilarating. To guide a new nurse to a point of safe, confident, independent patient care requires a different level of critical thinking and relational skills. How do I delegate tasks and responsibility to my preceptee safely? How do I teach in a way that connects well with my preceptee’s learning style? How do I reassure the patient and family that they are safe in the care of these new hands under my watch?

Despite the challenges, it is inspiring to play an integral role in someone’s growth. I experience pride and joy watching my preceptees evolve from nervous trainees to skilled and compassionate novice nurses.

While I am always seeking to build up the new graduate nurse I’m precepting, the ultimate goal is always patient safety. There are rare times when new nurses have not not found the ‘right fit’ in our unit. We are a pediatric ICU unit in a level one trauma hospital. We care for very sick patients, are very fast-paced, and rarely have lulls in our census.

When a preceptee struggles.

I recently had a preceptee who struggled with the basics in caring for even our most stable patients. […]

2019-01-09T12:17:49-05:00January 9th, 2019|Nursing|4 Comments

There from the Start: A Hospice Nurse Looks Back

A painting of Dianne Puzycki, RN, hangs in Connecticut Hospice in New Haven.

At age 82, Dianne Puzycki has yet to retire from nursing—she still works the night shift once a week at Connecticut Hospice in Branford, where she’s been employed since the organization’s inception in the 1970s. Founded by Florence Wald, it was the first hospice in the United States.

Puzycki started her career in 1955 at Memorial Hospital in New York City, caring for patients with cancer at a time when death and dying wasn’t openly discussed. “We weren’t allowed to talk about that. It really haunted me for years,” she told AJN in a July profile. Several years later, she encountered two influential women: Dame Cicely Saunders, who founded the first modern hospice, and Elisabeth Kübler-Ross, who introduced the concept of the five stages of grief in her groundbreaking 1969 book On Death and Dying. Seeing them speak piqued her interest in the hospice movement, and she began volunteering for Connecticut Hospice, which eventually led to a full-time job.

Throughout the decades, says Puzycki, she’s witnessed hospice care constantly change and improve. She recalls that in the past, more patients used to stay […]

2017-07-26T09:35:44-04:00July 26th, 2017|Nursing, nursing career|1 Comment

Establishing the Evidence for Clinical Ladder Programs

Nursing Advancement Before the Clinical Ladder

When I took my first job as a hospital staff nurse, pretty much the only path to advancement in the clinical setting was moving into an administrative position. Nurses moved up by becoming nurse managers, then supervisors, and eventually nursing directors. It was considered unusual for someone to stay at the bedside for many years.

Benner’s Novice-to-Expert Model

Then along came the clinical ladder—a way for nurses to advance clinically. Patricia Benner’s landmark work on identifying the hallmarks of novice-to-expert practice laid the foundation for identifying the different stages of acquisition of skills (see her article on the topic published in AJN in 1982; free until May 22).

Evolving Competencies Require New Paths to Advancement

But while the competencies nurses need to practice effectively are vastly different today, many hospitals haven’t updated their clinical advancement programs to reflect the knowledge, skills, and attitudes (KSAs) that nurses need to practice effectively in today’s complex health systems. Moreover, there’s been little research to provide the evidence for identifying the various competencies and the associated KSAs. Our original research article in the May issue provides that evidence.

Creating an Evidence-Based Progression

The authors of “Creating an Evidence-Based Progression for Clinical […]

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