The Pain Left Behind: Reflections on a Medical Mission and an Island’s Overwhelmed Nurses

“My family left after the volcanic eruption,” Sister said to me with a heavy heart. “But I asked myself, who will take care of my fellow Montserratians who stayed behind?”

These poignant words reflect the resilience and dedication of the nurses I encountered during my recent medical mission to Montserrat. During my time on the island, I collaborated with cardiologist Icilma Fergus Rowe of Mount Sinai Medical Center in New York City, who returns each year to provide much-needed cardiac care. The team serves over 100 patients in just five days, providing essential cardiac consultations, follow-up visits, and diagnostic echocardiograms, as well as referrals for further treatment or testing in Antigua or sometimes the United Kingdom (UK).

Local nurses under strain.

While many patients waited all year for consultation with our team and our presence was met with gratitude, local nurses who facilitated this care also revealed to me that our visit placed additional strain on the already overwhelmed nursing staff. Now, as I reflect on the benefits brought by medical missions like ours, I remain aware of the poignant reality that when you leave, you leave behind hurting colleagues whose pain stays with you.

The lasting effects of a devastating volcano eruption.

This small island in the Caribbean 25 miles southwest of Antigua, once a thriving community, has faced […]

2025-01-08T10:20:14-05:00January 8th, 2025|COVID-19, disaster preparedness, Nursing, Public health, volunteering|0 Comments
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One Hospital and Community’s Rock Garden of Hope

In March 2020, Mount Sinai Queens, like many other hospitals, was overrun with patients with COVID-19. Despite layers of PPE, plus anxiety, exhaustion, and communication overload, the will to not only survive but thrive sustained the breath behind every mask. Heroes of all types were saving and soothing lives, and still are.

Outside the big front door of our hospital is a bustling ED ramp. To the left were two 18-wheel refrigeration trucks, the sight of which could take your breath away. To the far right were two 30-foot inflatable enclosed tents propped up to help the ED off-load abundant overcrowding inside. These were constant reminders that we were living through a once-in-100-year-pandemic.

An ER nurse’s creative response to a grim time.

The health care workers at the hospital weren’t the only ones subjected to these grim sights; so were our Astoria neighbors, who lived on the same block facing the ED ramp. We’ve always prided ourselves on the collaborative work we do for and with this community, including health fairs, screenings, and partnering with them on community boards. So one of us, an ED nurse named Fionnuala Quiqley (Nuala), decided to do something about it.

Nuala is a skilled and passionate ED nurse with more than 14 years of experience. She is […]

2022-12-08T10:19:25-05:00December 8th, 2022|COVID-19, Nursing|1 Comment
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School Nurses: A ‘Hidden Health Care System’ Finds a Voice

A blog is born.

Five years ago, I attended a blog writing workshop at the National Association of School Nurses (NASN) annual conference. It was led by Margaret Cellucci, the former director of communications for NASN. The hands-on workshop was a primer on blogging and included an assignment that the participants needed to submit a blog post about their conference experience before the end of the event. That is how The Relentless School Nurse blog was born. Five years, 818 blog posts, and almost 400,000 views later, I can say with confidence that school nursing is a vibrant and innovative specialty practice.

Amplifying the voice of school nursing.

My aim has been to amplify the voice of school nursing. At first, I focused on sharing stories from my health office. But soon I wanted to spotlight school nurses from around the country who were doing amazing things but did not have a national platform to share their experiences. As my readership grew, so did my reach and within a short time, I was highlighting school nurses from coast to coast.

To tell our own stories—not to boast but to educate.

Recognition in school nursing, like in most nursing, has been hard-fought, both within our own walls and outside as well. So many […]

2022-05-11T10:32:27-04:00May 11th, 2022|COVID-19, Nursing, school nurses|1 Comment
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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.”

[…]

2022-03-17T11:47:07-04:00March 17th, 2022|COVID-19, Nursing, nursing career, nursing stories|0 Comments
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Who Cares for the Nurses Who Care for You?

‘An epidemic of nonstop.’

According to Provision 5 of the American Nurses Association (ANA) Code of Ethics, “the nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth.” Yet all too often, nurses are viewed as heroes, and this heroization, while perhaps well-intentioned, may exacerbate a reality in which nurses put caring for others ahead of caring for themselves.

Amid the COVID-19 pandemic, we saw a worsening of an issue that has long plagued the nursing profession: “an epidemic of nonstop” in which the lack of basic self-care such as bathroom and meal breaks has become the norm and nurses literally “work until they drop.” The many stressors associated with the COVID-19 pandemic further heightened the need for nurses to care for themselves.

Workplace benefits and financial protections vary widely for nurses.

Approximately three-quarters of all health care workers, including nearly 90% of nurses, are women. COVID-19 brought to light the gaps in benefits among these workers.

In order to support nurses whose ability to work had been affected by the pandemic by providing them with direct financial assistance through emergency grants, the American Nurses Foundation partnered with

2021-11-10T10:41:13-05:00November 10th, 2021|COVID-19, Nursing, nursing career, women's health|0 Comments
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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.
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