Nurses spend more time with patients than most other types of providers and have unique insight into patient care and the the healthcare system.

Beyond ‘Leaning In’: Pull Up a Chair for Others

A commitment to ‘always be at the table.’

Many years after reading Sheryl Sandburg’s 2013 book, Lean In: Women, Work, and the Will to Lead, and watching her Ted Talk, “Why We Have Too Few Women Leaders,” the phrase “sit at the table” sticks with me.

At the time I read the book I was working for a hospital system, overseeing a large research team. I often sat in interdisciplinary meetings where the doctors would occupy the seats at the table and the support team members, often early career professionals and nurses, would sit on the periphery of the room. These seats were not assigned—it was just how people sat themselves. In her book, Sandberg observed that those who sit at the sidelines of decisions are more often seen as spectators instead of as active participants or decision-makers.

After finishing the book, I made a commitment that I would always be at the table because I refused to believe that my experience, knowledge, or opinions were any less valuable than those of anyone else in the room.

Bring a chair for someone else.

I now work in a nursing academic setting that seeks to offer an environment of belonging and inclusivity for faculty, students, […]

2024-08-12T13:36:16-04:00August 12th, 2024|equity, Nursing, nursing perspective|1 Comment

What Nurses Say About Nursing, and What Should Change

A novel AI-assisted approach identified issues and developed recommendations.

There have been many articles about the current challenges in nursing and what might be done to improve nurses’ workplaces and retain nurses. While nurses have proven to be resilient long before, during, and since the COVID-19 pandemic, without changes by the systems in which they work, even the hardiest of nurses will become burned-out.

A recent report notes that the RN vacancy rate is almost 10% and the national turnover rate among hospital nursing staff  is 20%. Surveys cite the familiar reasons: high and intense workload, insufficient staffing, bullying, and lack of support.

Since 2021, the R3:Resilient Nurses Initiative of Maryland has been creating and providing free resources to support nurses and nursing students as they deal with the stress and challenges in health care. Recently the initiative used a unique platform, Slow Talk, to elicit discussions with nurses about their perspectives on nursing and what they think needs to happen so nurses are able to practice in ways that reflect their education and commitments. (Click here to listen to a related podcast discussion about the Slow Talk platform and its value as a place for frontline workers to […]

Nurse Burnout Recovery: Healing Ourselves to Better Serve Patients

Shedding parts of us that no longer serve us.

Photo by Javardh on Unsplash

A couple months ago, I shared my experience with burnout and lessons learned from it. This experience propelled me into a healing journey. This healing journey wasn’t just about a newfound appreciation for “self-care.” Guided by several mentors, coaches, and healers, it incorporated modalities such as energy healing, spiritual healing, mindset work, inner child work, meditation, breathwork, and journaling. Burnout had initiated an intense deconstruction and deprogramming process that made it clear it was time to shed the pieces of me that were no longer serving me.

During this healing journey I asked myself:

  • Why do I do what I do?
  • Why do I feel that I’m not good enough/smart enough/skilled enough to take care of my patients?
  • Why do I feel like I can’t prioritize myself and my own needs so I can take better care of my patients?
  • Why do I feel like it’s not safe to speak up if I have a concern?
  • Why am I afraid to fail?

After being brutally honest with myself, I realized I had to go back to where the programming began.

Confronting our fears.

As children, […]

2023-10-02T09:38:34-04:00October 2nd, 2023|Nursing, nursing perspective, wellness|1 Comment

Unseen Struggles: When the Pain of Chronic Illness Meets Disbelief

A friend’s desperation.

Photo by Ben Blennerhassett on Unsplash

It was early in the morning when I received a call from my best friend, who was crying and
distraught. She frantically rattled off her symptoms: “My stomach is on fire, I can’t sleep, nothing is relieving the discomfort, and I’m in excruciating pain.” Although she’d been feeling discomfort for the previous two weeks, at first she’d thought the intensity of her current symptoms might be from food poisoning. Given her not always healthy diet, which she and I had discussed in the past, I too at first thought she might have eaten something that set the symptoms off.

“It hurts so badly I don’t think I can take it anymore,” she told me over the phone. “I can’t stop going to the bathroom.”

She said that despite the severity of her pain, her family just thought she was being dramatic. I could sense her desperation as she sobbed over the phone. Even though she did not want to seek medical attention, I begged her to go to the nearest clinic or hospital and told her I’d meet her there.

Crohn’s disease: When nurses doubt a patient’s pain.

In the emergency department (ED) where she […]

Why I Practice Dying: A Nurse’s Perspective

author Diane SolomonI’ve been fascinated by death as long as I remember.

Just before I turned eight, my Grampa Lewis died. The event left a lasting impression on me. He had gone to the hospital, puffy and deteriorating from kidney disease, at age 56. I remember that Dad parked the station wagon with faux wood paneling in the hospital lot and we all got out and stood there in cold December sunlight. Strict visiting hours prevailed then, and no kids were allowed, period. Dad pointed up to Grampa’s window, where he waved down at us through the glaring glass as we waved back. The youngest of four children, I was too embarrassed to admit I couldn’t locate him in the anonymous grid of windows.

At the funeral, I grappled with whether or not to look into the casket. Both available options seemed horrible—be forever haunted by a vision of dead Grampa, or guilt-ridden because I hadn’t respected him enough to look.

As a parent, I know no child should feel alone with that type of decision. But this was the 60s, when feelings weren’t discussed. Although neither an open casket or an embalmed body are traditionally Jewish, Granny must have decided she wanted it this way. At the last minute, as I […]

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