What Do You Wish You’d Learned in Nursing School?

Dietetics class for nurses, 1918/Cornell University Library/via Flickr Dietetics class for nurses, 1918/Cornell University Library/via Flickr

By Christine Moffa, MSN, RN, clinical editor

While I was going through nursing school I imagined that our clinical rotations would prepare us for the reality of working in a hospital. I was very eager to graduate and get my first job. Had I known that I was in for the hardest year of my life, I probably would have changed majors. I was hired to work the night shift in the float pool of a children’s hospital. That is a bad idea right there and I wish someone was there to talk me out of it. But on top of that, I found it difficult to express by opinion when residents and nurses with more experience did not heed my concerns about patients who were decompensating. And calling the attending in the middle of the night did not seem like a good option. I wish I had been told in nursing school that the nurse supervisor is a great resource to go to in times like these.

We often hear stories of what a shock it is for a nurse to finally start a nursing job after finishing school. Is there anything nursing schools could do to change this? What do you wish you’d learned?

Bookmark and Share

2016-11-21T13:21:50-05:00October 8th, 2009|nursing perspective, students|10 Comments
Read More

The Next Nurse: Generation Gaps in the Workplace

By Peggy McDaniel, BSN, RN

by futureshape/via Flickr

I recently read an article (“Time for ‘Dr. Next’?”) that focused on the differences between Baby Boomer physicians and Generation X physicians. The two groups apparently have a lot of angst about each other. While recognizing the younger doctors as collaborative and tech savvy, many older doctors express frustration with what they perceive to be less dedication to medicine. The younger physicians seek a healthier work–life balance, but the Baby Boomers remember putting in extremely long hours as students and also when starting their practices. Bringing these two groups together, often in the same practices, has highlighted their differences.

As it turns out, the same issues come between generations of nurses. This article from NurseWeek has some excellent advice and, although it’s from 2001, remains timely. It discusses different generational views about job security, technology, self-assertion, and other issues. One passage in particular jumped out at me:

Unlike many workaholic baby boomers who define themselves by what they do and how much they work, younger generations tend to see work as only a part of their lives. Generation X and Y nurses say the flexible hours and schedules of hospital nursing attracted them to the profession in the first place. To cope with the intensity of their jobs, they say, they need time to relax and pursue other interests.

If you’re a nurse manager and a member of the Baby Boomer generation, how do you deal […]

2016-11-21T13:21:51-05:00October 7th, 2009|career, nursing perspective, students|10 Comments
Read More

Nurses to Obama: “Don’t Love Us – Just Put Us at the Table”

Mason told the conference that she was disappointed in the remark because “that’s not what nurses need.” Nurses need to be respected for what they know and for what they do, and then they need to be given a seat at the policy table when strategies for changing the health care system are being discussed.

2016-11-21T13:21:56-05:00October 6th, 2009|career, health care policy, nursing perspective|2 Comments
Read More

Administering Drugs through a Feeding Tube—Are You Sure You’re Doing It Right?

Drug Administration through an EFT

By Sylvia Foley, AJN senior editor

Research indicates that a “surprising number of nurses”  fail to follow guidelines for preparing and delivering drugs through an enteral feeding tube. (Do you find this surprising? Tell us in the comments!) This can result in medication error and tube obstruction, reduced drug effectiveness, and an increased risk of toxicity.

In this month’s CE feature Drug Administration Through an Enteral Feeding Tube, author Joseph I. Boullata describes the factors to consider before doing so and examines the gap between recommended and common practice. He also explains what the most recent guidelines from the American Society for Parenteral and Enteral Nutrition (ASPEN) recommend and why.

The ASPEN guidelines include:

  • Do not add medication directly to an enteral feeding formula.
  • Administer each medication separately though an appropriate access site.
  • Liquid dosage forms should be used when available and if appropriate; only immediate-release solid dosage forms may be substituted.
  • Dilute the solid or liquid medication as appropriate and administer using a clean oral syringe.
  • Avoid mixing medications intended for administration through an EFT.

For the complete guidelines, check out Table 1 in the article. And for more on this and other aspects of  enteral nutrition, visit ASPEN to read the full 2009 Enteral Nutrition Practice Recommendations. (ASPEN guidelines are free, but site registration is required.)

Bookmark and Share

2016-11-21T13:21:58-05:00October 5th, 2009|nursing research|2 Comments
Read More

Marketers Honing In On Online Nurses

Internet Splat Map (jurvetson/via Flickr)

Nurses, you’re being watched: a marketing Website has an article on the growing influence of nurses online. Let us know what you think. Here’s an excerpt:

. . . Manhattan Research recently released a report about nurses online noting that approximately three out of four U.S. nurses recommend health websites to patients. The study notes that the average nurse spends eight hours per week online for professional purposes, which is just as much time as physicians, and almost all of them use the Internet in between patient consultations. Nurses are also proactive in researching medical product information specifically online – over eighty percent have visited a pharma, biotech, or device company website in the past year.

In addition to the prevalence of the Internet as a research and patient communication tool, nurses are continuing to find their unique voices online through a growing number of prominent nursing blogs such as Codeblog and Emergiblog which both share powerful stories of healthcare from the nurses’ point of view.

Also found today on the Web: […]
2016-11-21T13:22:00-05:00October 2nd, 2009|health care policy, healthcare social media|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