What Happened to Wonder? A Nurse Looks Back

This month’s Reflections essay is by Britni Busfiield, who is an RN on the progressive care neuro/trauma unit at Portsmouth Regional Hospital, Portsmouth, New Hampshire. In this one-page essay, she writes about an experience during her last year of nursing school in which she observed a cerebral angiogram conducted on a patient with a suspected aneurysm.

While very little happens in the essay in any dramatic sense, we felt that we should publish it because it touched on a range of experience that is easily forgotten by those who work in health care, and by everyone else as well.

Wonder: easy to forget, difficult to convey.

The best word for this type of experience might be wonder—when technology illuminates the hidden structures of a complex and often mysterious organ like the brain; when a medical team works with seamless coordination as the patient whose fate may rest in the balance lies shrouded at their center and the physician speaks to her as he threads a catheter into her brain. She writes:

The screen lit up. Bright white fluid leaked slowly into the intricate map of vessels across the display. The dye flooded in like a drop of paint in water, dancing its way through each […]

2022-06-20T11:40:41-04:00June 20th, 2022|nursing students|0 Comments
Read More

The Heart of a Nurse

By Diane Stonecipher, BSN, RN. The author lives in Texas. Her forthcoming Viewpoint essay in the October issue of AJN, “The Old Becomes New,” will consider aspects of nursing that may be obscured or lost due to overreliance on technology.

Heartstudy by James P. Wells, via Flickr Heartstudy by James P. Wells, via Flickr

I am somewhat embarrassed to admit that my initial interest in nursing came as a 10-year-old Yankees baseball fan. I could not get enough of The Mick, Elston Howard, or Mel Stottlemyre on my transistor radio, during televised games, or in my baseball card collection. I decided that I could be the team nurse—take their vital signs, set their broken bones, assess their injuries, and best of all, travel with the team.

This rather irrational desire was solidified when my aunt had a face lift. I was 14 at the time, and she recovered at our house, specifically in my room. She was swollen like a prize fighter, with bloody bandages that needed changing, pain medication to be dispensed, meals to be fed—I was hooked. I am not sure I even knew what a nurse really did, but my heart was stirred.

I sailed through high school, graduated with honors, and left for one of the […]

2018-03-28T10:30:20-04:00August 14th, 2013|career, nursing perspective|17 Comments
Read More

What Can’t Be Taught in Nursing School

JanuaryReflectionsBy Jacob Molyneux, senior editor

The January Reflections essay in AJN, “A Special Kind of Knowledge,” is a revised excerpt from a forthcoming book, Crossing the River Sorrow, One Nurse’s Story, by Janet L. Richards. (The book will be published in June by Vantage Press.) In the essay, the author remembers an encounter she had several decades ago as a nursing student caring for a newly paralyzed young woman. Here’s a paragraph from near the start:

I stood by Carrie during those first harrowing hours in the ICU as she awaited surgery, everyone still hoping for the best. As a brand-new student, I was a silent observer, unsure of how to participate. Her young husband also watched, slumped against the heater under the window at his wife’s bedside. His eyes blazed, wild with fear and disbelief as he struggled to make sense of his sudden immersion into the alien world of disability. I could identify. Pressure sores, urinary catheters, bowel programs, and spasms—these were now part of my new and ever-expanding medical vocabulary. A spinal cord severed at C6 meant life as a quadriplegic. Suddenly this book knowledge seemed all too real.

And here’s a few lines from near the end, to give a sense of the crucial insight the author gained as she struggled to bridge the gap between herself, her patient, and the patient’s husband:

Pain can be palpable as it moves across the space between two people, molten, […]

2016-11-21T13:08:32-05:00January 17th, 2013|nursing perspective, students|3 Comments
Read More

One Instructor’s Updated Nightingale Pledge

Editor’s note: This post by Lorita Renfro, BSN, RN, proposes an updated version of the Nightingale Pledge. The author is a clinical nursing instructor in the ADN/VN programs at Kaplan College in San Diego and is currently working toward an MSN with an educational focus. Let Lorita know what you think. Would your version differ in any way?

Florence Nightingale in Crimean War, from Wikipedia Commons

As the science of nursing evolves, one aspect of nursing remains the same: the art. We see it when we are inspired to do the best for our patients, develop higher standards, and provide care from our hearts. This inspiration is the basis of all good nursing practice.

The science of nursing is seen in the interventions that provide comfort and protect our patients from harm. In the past, this protection often meant cleaning floors and carrying bed pans. My father believed until the day he died that what I did was to “help the doctors” heal the patients.

This may still be true at times, but the science of nursing is now also represented by innovation, intuition, strength, and the responsibility of being a team member who collaborates in the delivery of […]

2016-11-21T13:09:36-05:00July 31st, 2012|career, nursing perspective|20 Comments
Read More

Are Job Prospects Improving for New Nurses?

Image via Wikimedia

Back in 2010, we ran a post by our then clinical editor, Christine Moffa. It was called “Prospects for New Nurses: Thoughts On Graduating During a Downturn” and it generated quite a few comments. Below is a sampling of excerpts. Some people were pretty distressed, wondering whether they should take jobs that separated them from their families, facing criticism from people who expected they should find a job easily. After all, they were nurses! And we all know they are always in demand.

We’ve been hearing anecdotally that the prospects for new nurses are getting better overall. Is this your experience?—JM, senior editor

“It costs a lot of money to train nurses, especially new grads. Many employers want experienced nurses. The best piece of advice given to me was to stay with same healthcare system/unit floor I worked with as a student nurse. Even that prospect, however, seems to be circling the drain for the same reason I hear over and over again: EXPERIENCE REQUIRED!!! Relocation may not be an option for some people….I’m sure I will eventually get a job, but it’s the uncertainty of my future that frustrates me. It’s quite aggravating to have worked so hard in school only to be disappointed in the end.”

“I just graduated in March and am really worried about getting a job. Thankfully I will be able to stay at my current job as a RN- I worked there as a LPN for almost […]

2016-11-21T13:10:05-05:00May 17th, 2012|students|1 Comment
Read More

Comment ground rules

1. Please be respectful.
2. We moderate all comments.

Content disclaimer

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.
Go to Top