A Journey Through the Alps: Insights and Strengths for Nurses

Photo courtesy of the author. All rights reserved.

Last summer, I embarked on a transformative 12-day hike through the rugged and breathtaking
French Alps. Over the course of 70 miles, I traversed daunting mountain peaks, serene valleys, and
unyielding landscapes that tested both my physical and mental endurance. But in addition to the
physical challenge, the journey provided me with invaluable insights that I now see reflect so many
of the trials and lessons faced by nurses every day.

The Steep Terrain: Critical Thinking in Action

As the trail began, the path was rocky and steep, each step demanding thoughtful precision. There were times when the ground beneath me seemed unstable, and the risk of a fall felt imminent. My choices—where I placed my feet, how I balanced my body, and when to adjust my pace—required quick, critical decisions. The physical landscape demanded that I pay attention to my environment, evaluating each move carefully, and I realized how closely this mirrored the work of nurses in the clinical world.

Every nurse, like a hiker on a treacherous path, must assess each situation with care and precision. A misstep—whether in clinical judgment or action—can have serious consequences. Nurses are […]

2025-04-08T09:52:36-04:00April 8th, 2025|career, Nursing, nursing career, wellness|0 Comments

Grieving the Words: When Language Becomes a Battleground

Language is deeply personal. It reflects our values, identities, and professional contributions. Losing the words that have shaped our work can feel like erasure—like being forced to abandon principles we hold dear.

Yet, language evolves. It always has. We have witnessed this in every sphere of life. Once, it was acceptable for me to label my patient as “CPMR” (cerebral palsy with mental retardation). Just typing that phrase now makes me cringe. Today, we use person-first language, recognizing the dignity of individuals with intellectual or developmental disabilities.

As a Black woman, I have seen this shift in my own identity. We have been Negroes, Afro-Americans, African-Americans, and now—once again—Black. We have always been Black. In the 1970s, we were told to say it loud and proud, yet even today, some hesitate to use the term.

But something feels different about this current evolution of language. This shift is not happening organically, on our own terms. It is being forced—politically, legislatively, and strategically. I will admit that I have gone through a grieving process because of it. Kübler-Ross’s stages of grief remind me that loss, whether of a loved one or the language that defines the essence of one’s body of work, can evoke denial, anger, bargaining, depression, and […]

2025-03-31T09:28:27-04:00March 31st, 2025|Black nurses, Nursing, Public health|1 Comment

New RNs’ “Reality Shock”: And Other Recommended Reading from AJN’s April Issue

On this month’s cover is a prototype for Horizon Hospital—a “sustainable hospital of the future”—created by Gensler, a global design and architecture firm. Read “On the Cover” to learn more.

The April issue of AJN is now live.

This month’s CE article, “Nursing and Climate Mitigation: Decarbonization,” reviews climate change causes and what is required to mitigate greenhouse gas pollution, outlines actions nurses can take in all practice settings, and discusses the roles of nursing education and professional nursing organizations in tackling this critical challenge.

“While the academic–practice gap in nursing is widely acknowledged, substantive research exploring it from the perspective of new graduate RNs’ transition into practice is lacking,” writes Amy Zipf, the author of “The New Graduate RN Speaks, Again: A Mixed-Methods Study.” Learn about her study—which explores the specific gaps experienced by new graduate RNs working in medical–surgical hospital-based settings—here.

AJN Reports: The Shadowy Middlemen Shaping Drug Prices” takes a close look at the role of pharmacy benefit managers in determining how
much consumers pay at the pharmacy counter and influencing which drugs they use.

“Gamified Interventions for Obesity and Overweight Prevention and Treatment: A Scoping Review” explores, maps, and investigates gamified tools to address obesity […]

2025-03-27T11:45:11-04:00March 27th, 2025|Nursing|0 Comments

The Intersection of Human Trafficking and Health Care

Human trafficking (HT) is a global humanitarian and public health crisis. It is a crime that is happening in plain sight with its victims walking among us. Sadly, HT goes grossly undetected because of a lack of understanding, misperceptions, and lack of knowledge about its identification. Although addressed on social media, news outlets, and portrayed in Hollywood films, HT’s reality is often quite different from the sensationalized ways (chains and ropes, abductions by ‘white vans’) in which it is depicted. Victims of HT are frequently held captive through psychological restraints and coercive manipulation rather than overt force, even as they endure egregious acts of abuse that result in levels of trauma equivalent to that of war veterans.

Photo by Rae Angela on Unsplash

Sparing no age, gender, race, socioeconomic status, or geographic location, HT infiltrates all nations and facets of life. It is a financially motivated crime, globally yielding approximately $350 billion dollars annually, an enormous profit that is tax-free and generated off the sale of human cargo.

Human trafficking defined

HT, also known as modern slavery, is a crime against a person for labor or services which compels that individual through use of force, fraud, or coercion. It is the exploitation of […]

2025-03-24T09:58:13-04:00March 24th, 2025|Nursing, Patients, women's health|0 Comments

How Two ‘Sister Hospitals’ Achieved a Zero Vacancy Rate in the Emergency Departments

The Mount Sinai Morningside (MSM) and Mount Sinai West (MSW) hospitals are sister hospitals in a seven hospital enterprise in New York City. As with many hospitals and emergency departments (EDs), staffing levels have been a significant concern since the COVID-19 pandemic. In 2021 the national registered nurse (RN) turnover rate was 27.1%. This rate remains elevated, despite a decrease on a national level to 18.4% in 2023.

A story of progress and stability.

In 2021, the MSM ED had a turnover rate of 27% and MSW ED a turnover rate of 21%. These rates have since trended down, ending 2024 at MSM ED with a 12% turnover rate and MSW ED 7.25%. Today, in 2025, both sites are boasting zero vacancies. This is credited to strategic planning, talent development commitment, and strong partnerships.

A different approach to utilizing travel RNs.

MSM and MSW strategically utilized travel RNs to bridge staffing gaps. However, instead of viewing them as temporary fixes, leadership integrated them into the department culture, ensuring collaboration with permanent staff. A certain percentage of travel nurses ultimately converted to full-time roles, drawn by MSM and MSW ED’s supportive environment and strong team cohesion.

To help strengthen workplace loyalty, […]

2025-03-17T10:00:25-04:00March 17th, 2025|nurse staffing, Nursing, Quality improvement|1 Comment
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