Dia De Los Muertos: Thoughts On Life, Death, Nursing, and Time With Our Families

I discovered she died the way I typically learn a patient I’d navigated for died: the tiny abbreviation “dcsd” appeared next to her name on my computer’s patient list. Although her passing was not unexpected, I felt a deep sadness at the loss of her beautiful soul. From my desk, I sent a silent prayer of remembrance, and then another asking comfort for her family.

She was about the same age as my daughter, and like her, married to a devoted husband, the mother of young children. She was also an only child like my daughter, and feeling this connection, I grieved for her mother too. I wondered if there were things she would have done differently if she’d known their time together would be cut short.

Nursing doesn’t stop for the holidays.

Dia de Los Muertos. Illustration by Julianna Paradisi

We are entering the holiday season, and nurses begin scheduling their holidays off, and on. Not everyone will get what they desire. Perhaps it’s not coincidental that ringing in this season is the Latino celebration, Dia De Los Muertos (Day of the Dead, Oct. 31-Nov. 2), which is […]

2019-10-30T09:58:35-04:00October 30th, 2019|Nursing, nursing career|0 Comments

Giving Feedback: Good and Bad

Most organizations require annual employee evaluations, which are often tied to how an employee is rated and influence future promotions and salary adjustment. For many employees, that’s the only formal feedback they receive about their performance. But that’s no longer thought to be the most effective way to manage and develop staff.

Beyond the traditional employee evaluation model.

In “The Art of Giving Feedback” (free until October 1) in AJN‘s September issue, author Rose Sherman describes the other types of feedback that managers should be doing routinely:

  • appreciation feedback, which acknowledges an employee’s work and effort
  • coaching feedback, which focuses on performance and developing employee skills

It’s easy to give feedback to a stellar employee, the one who consistently exceeds expectations. It can get uncomfortable for many managers when they need to give feedback to employees who need to improve in some areas. Some managers let things go, hoping the employee will improve over time or work around the issues.

The costs of avoidance.

But avoiding the issue can have consequences for everyone, according to Sherman:

“ . . . when problematic behavior is not addressed, it lowers the morale of the team and erodes trust in the leader. A failure to address performance issues on your team can have serious ramifications. When […]

Thinking About Writing? Here Are the Next Steps

Been procrastinating?

We’re entering August, when many people take at least a few days for vacation before the busy school year begins. For those of you who’ve been procrastinating on writing that article you swore you would write over the summer, and for those who will face writing a capstone paper in your next semester, now’s the time. Here are some suggestions and resources that may help.

At www.ajnonline.com, under the Collections tab at the top, you can access our “Writing Resources” collection, where you’ll find our award-winning step-by-step series, Writing for Publication. It’s a free four-part series that guides you through the writing process. Also listed under the Collections tab is another step-by-step series, Writing Systematic Reviews.

The process of writing: set aside small regular time increments.

Forget trying to churn out a paper in one weekend—it’s a stressful and unfulfilling way to write, and the end product will fall short. If you want to really become a good writer, you need to write. It takes practice, like any other skill.

Commit to set aside a bit of time for writing. It doesn’t have to be a lot; start with 30 minutes, maybe three times a week, and get started writing. Commit to that time faithfully—make an appointment with […]

Addressing Health Care Worker Trauma with an Off-Site, Overnight Workshop

Everyone experiences loss and other personal trauma, but those of us who work in health care are obliged to cope with our own personal grief and stress as well as witness the suffering and pain of our patients. Do these words ever describe you at the end of a shift at work?

” . . . angry . . . anxious . . . hopeless . . . stressed . . . depleted . . . depressed . . . frazzled . . . “

One health system gets serious.

There’s a lot of talk these days about addressing clinicians’ burnout, and in some workplaces staff now are offered a meditation room, or aromatherapy or massage.

But since 2013, Montefiore Health System in Bronx, New York, has seriously invested in their staff’s mental and emotional health by offering a two-day, off-site experiential and educational workshop twice a year. And by paying for the program, retreat center, and meals for all participants so that staff can attend for free.

In “Helping Care Providers and Staff Process Grief Through a Hospital-Based Program” in the July issue of AJN, Ronit Fallek and colleagues share their experiences in developing this program along with their analysis of feedback about its effectiveness. They offer enough detail to […]

2019-07-25T11:18:15-04:00July 25th, 2019|Nursing, nursing career, wellness|0 Comments

One in 4 Million: The Nurse Who Mentored Me

Hostility among nurses is a well-documented topic of discussion, a phenomenon studied by both academics and hospital administrators wanting to create functional teams. Perhaps the remedy for healthy nurse–coworker relationships isn’t found by studying dysfunctional relationships but by observing the successful ones.

I was lucky to have one.

I excelled as a student, even with balancing the role of nursing student with the role of mother to a preschool-aged daughter.

However, academic success and my talent for multitasking did not prepare me for the reality shock of a new-grad nurse.

Thrown into the deep end.

There was a nursing shortage. I was hired to a pediatric unit before graduation, skipping the two years of adult medical-surgical nursing before entering a specialty that was customary for new grads at the time. I began my first job, pending successfully passing state boards, with an interim permit.

It was an era before nurse residencies or comprehensive orientations. My orientation consisted of accompanying a day shift nurse while she managed her patients.

After two weeks, I began night shift on a 30-bed pediatric unit during the height of the respiratory infection season.

Night shifts were staffed with up to three RNs, overseeing certified nursing assistants. Often the CNAs came from agencies, possessing varying amounts of skill. As a new grad overseeing […]

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