About Jacob Molyneux, senior editor/blog editor

Senior editor, American Journal of Nursing; editor of AJN Off the Charts.

Time to Stop Proving Burnout Exists and Start Researching Real Solutions

“Put simply, we know burnout exists and we know it’s getting worse. Let’s leave it at that and move forward. Let’s focus on what we know might mitigate burnout…”

That’s from this month’s Viewpoint, “Burnout Research at a Crossroads,” by Tim Cunningham and Sharon Pappas. Some readers may find it a relief to have this stated so baldly: let’s move on to solutions, say the authors. Let’s put research dollars, time, and energy behind the search for clearer information about what works and what doesn’t.

A two-pronged approach.

The authors see a crucial and legitimate place for investigation of what works and what doesn’t in wellness initiatives to support “personal resilience” through self-care (an increasingly nebulous term in itself).

But they caution against shifting the responsibility onto nurses’ shoulders and ignoring real systemic issues.

With this in mind, they call for research that first of all examines systemic factors:

“It’s only commonsensical that burnout and work experience are intimately tied. It’s time to look more closely at staffing, work hours, team nursing, equitable pay, and other work environment factors that may decrease burnout.”

[…]

Psych Nursing: When the Goal Becomes ‘Simply Caring, Not Curing’

“As nurses we all care. It’s what we do. We care until our hearts hurt like an overused muscle. To find myself presiding over a void of trapped souls was not what I thought I was getting into…”

Ben Blennerhassett/ Unsplash

The above passage is from the Reflections essay, “The Suffering of Simone,” in the April issue of AJN. The author, Eileen Glover, is a psychiatric RN in New England, and her one-page essay reflects on the arc of her relationship with a patient who much of the time seems unreachable.

The essay brings to life the question of how a nurse, trained to heal or at least to soothe, can find an attitude of acceptance with patients whose psychiatric disorders defy all treatments and—most of the time—prevent meaningful contact between nurse and patient. […]

We Need Your Help in Improving AJN as a Journal

Dear AJN Off the Charts reader,We are reaching out to subscribers and all the other readers of the American Journal of Nursing (AJN) to better understand how the journal is meeting your information needs (and whether and when it holds your interest, keeps you coming back, engages you and enlivens your understanding, or fails to do so).

This survey, which takes less than 10 minutes to complete, is your opportunity to help us improve the journal and ensure that it continues to assist you in your daily practice. The responses you provide will be taken seriously. As a small token of our appreciation for your time, you will be entered in a drawing to win one of ten $100 Amazon gift cards. Click below to take the brief survey. SURVEYOn behalf of AJN and Wolters Kluwer, we thank you in advance for your time and insight. We really want to know what you think as we prepare to respond to a rapidly changing world in nursing, health care, and beyond.

 

 

An ICU Nurse Reflects on ‘Returning Home from COVID Island’

“It’s hard to remember my job before all this began,” writes critical care nurse Deirdre McNally in this month’s Reflections essay, “Returning Home from COVID Island.” As the pandemic abates, she finds herself searching for a coherent narrative to understand what she’s experienced. But it’s not so simple. Memories of patients, moments, stray images from many months before slip unbidden into her head.

The difficulty of making sense of the past two years.

What does it mean to ‘make meaning’ from such an all-consuming experience? Maybe the answer will come with time. For now, she suggests, there are too many events, too many emotions and impressions to really absorb as things slowly resume a semblance of greater normalcy:

“For many health care providers,” she writes, “I think this is a protective mechanism meant to shield us from experiences too difficult to absorb.”

[…]

If Nurses Are War Heroes, They Deserve Real and Lasting Support

Matthew Waring/Unsplash

The rhetoric of war is regularly applied to health care, whether we’re talking about a patient “fighting” cancer or “frontline” workers like nurses engaged in a “battle” or a “war” against a new infectious disease. This is a habit beloved of speech makers, academics, and journalists, and it’s likely to continue.

With strong metaphors comers real responsibility.

Rather than decrying this practice in favor of a more purely accurate use of language, the author of this month’s Viewpoint, Lorri Birkholz, DNP, RN, NE-BC, an assistant professor of nursing at Chatham University in Pittsburgh, argues that the choice to use such language comes with responsibility.

“If war language is going to be used to define this pandemic and the nurses caring for patients, then legislation must ensure care for their acute and long-term physical and mental well-being.”

Birkholz notes that federal COVID-relief legislation limited provisions for frontline workers to temporary hazard pay and mandated sick leave—far short, by way of comparison, of that received by 9/11 first responders or returning war veterans. […]

2022-01-24T09:56:24-05:00January 24th, 2022|Nursing|0 Comments
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