AJN Off the Charts: Eight Enduring Blog Posts from 2020

In a 2020 largely defined since early March in the health care field by the all-consuming COVID-19 pandemic, we published many powerful and timely posts on this blog.

Some of them were very much of the moment as writers tried to sort through the unknowns and knowns about this unfamiliar virus, address the crisis faced by nurses thrown up against it with inadequate evidence or material support, and raise their voices in favor of sane policies to bring some order out of seeming chaos and mixed messaging.

The most striking and wrenching of these may have been the first one below, a powerful post from last April by a young ICU nurse working under frightening conditions during the first bewildering surge of the virus. Reading it may remind us of just how disorienting the early days and months of this pandemic were for everyone, especially ED and ICU nurses.

Other authors share historical contexts that help us understand our current situation or timeless wisdom that nurses can apply now to staying inwardly whole and sane during the pandemic and later when the going gets tough in other ways.

There are many many other posts that could have gone on this list. If any of these resonate for you, we hope you’ll share them. If you’re not already familiar with this blog and like what you read, we hope you’ll consider subscribing (see the right-hand sidebar) to receive each new post as an email in your inbox. We publish two to three times a week.

 

Memories of Beginning Nursing School

I just finished a visit with a longtime friend. Of course, we reminisced about nursing school.

We met the first week of nursing school, over 40 years ago (OMG, when did that happen?), when we and some other classmates went to buy books. She took one look at the crowd and came up with an organized and efficient approach to getting what we needed in the overcrowded college book store. She would grab four biology texts, I’d get the lab manuals, Betty would pick up the history texts, Kathy would head for the English section—and then we’d all meet at the cashier. We were in and out in no time.

During nursing school, we had many late-night tea parties, grilling each other on med/surg questions. Pharmacology was the class we all feared—it was largely a matter of memorization; we shared mnemonics and tricks for remembering drugs and dosages, and the night before the final pulled an “all-nighter” with lots of coffee, pacing up and down and citing drug facts out loud.

And when some of us had doubts, after a hard semester, if nursing was really a good choice, we bucked each other up. […]

Secrets to Staying Safe and Sane on the Night Shift

Shawn Kennedy, MA, RN, interim editor-in-chief

I recently sent my sister Jean, who works as a night nurse, an article called “Six Ways to Make Working the Night Shift Less Hazardous to Your Health.” The article noted recent research suggesting that shift work could increase your risk of everything from depression to obesity to cardiovascular disease. It also made a few simple suggestions: be consistent, nap before you work, don’t use caffeine (!!!), don’t take melatonin, change your lights, and eat a healthful diet. Here’s what my sister had to say about the article:

Yes, I do agree with the article. I am a night nurse and I always feel like I can’t get enough sleep. The days  I am off I tend to sleep too much. I have also suffered from depression and am on Cymbalta. The best way I found to cope is to try to maintain a “night” routine even when I am off. I go to bed at 2 am or 3 am and sleep until 11 am.  I also do not eat a lot on nights. At  work, I try to eat by 9 pm, and then if I am hungry I will have cereal or fruit. The nights I am off, we eat dinner at 7 pm. My house is quiet during the day as my children are older. If it is the weekend I sometimes wear ear plugs. I keep my bedroom dark. I sometimes take an Ambien to sleep if I work back to back. […]

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