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

Not to Save the World, But to Care, One Life at a Time

A nurse ponders the question of what makes her work matter.

Illustration by Janet Hamlin for AJN.

The Reflections column in AJN‘s August issue, “To Care When There Isn’t Enough,” is by Alison Stoltzfus, an obstetrics nurse at Evangelical Community Hospital in Lewisburg, PA. Stoltzfus describes her experience volunteering as a nurse at a medical clinic in the world’s largest refugee camp, the Rohingya refugee camp in Ukhiya, Bangladesh.

The work could be overwhelming at times. The camp she describes is a place where human illness and suffering often far exceed the capacities of available medical resources. She writes:

Some days the people would throng me in triage, pulling on my clothes and begging to be seen, desperation and longing in their eyes. A longing that at times I had to refuse.

Every day I would ask myself—“How can one care in a setting like this, and make a difference?” What good was it to make a difference to a few when there were so many lives I could not touch and so many problems we could not heal?

One life at a time.

The story centers around the author’s efforts to use the minimal medical equipment available to […]

The Power of Pictures in Therapeutic Healing

Sam was a 17-year-old who had been admitted following a major traumatic leg injury. The surgical teams were trying to save his leg.

A colleague asked me to ”pop in” on him, since he was having a hard time coping. Frankly, he was completely bummed out.

Sam and his mom were together in his room waiting to go to OR. I introduced myself as a nurse working with the pain management/spiritual care team. Conversation was stiff but polite. Sam made no eye contact with me at all.

Building relationships takes time.

photo courtesy of author

Following his procedure, I made a point of stopping by to visit almost every day. Mom had warmed up to me—Sam just a bit. It was an isolating time in the hospital. Visitors were not allowed, except for a single family member for pediatric patients, and the contacts with staff were often task focused and purposeful. One afternoon, I saw mom sitting in the hallway talking on her cell phone, crying. So I waited.

When she ended her call, I asked if she’d like some company. Our conversation found its way from the hospital to the kitchen, stopping along the way as we shared family and shopping tidbits. She laughed and we connected. I also learned a […]

Isn’t It Ironic: A Nurse Reflects on Her J&J Vaccination

Irony: a state of affairs or an event that seems deliberately contrary to what one expects and is often amusing as a result. -dictionary.com

Vaccine, by Julianna Paradisi

On a recent Saturday afternoon I received the Johnson and Johnson/Janssen COVID-19 vaccine. The following Tuesday, its further administration was put on pause, “out of an abundance of caution,” after reports that six women between the ages of 18 and 48 developed a rare but serious form of blood clot six to 13 days after receiving the vaccine. One of the six women died.

There is nothing amusing about the irony that people seeking protection from COVID-19 may have developed a life-threatening adverse reaction from the vaccine. For health care providers, and perhaps especially for nurses, such events are heartbreaking.

Lifting the J&J pause.

On Friday, April 23, the Centers for Disease Control and Prevention (CDC) and the FDA lifted the 10-day pause on the J&J vaccine, without restrictions, instead issuing a fact sheet to medical providers warning them of the potential for the extremely rare but serious blood clots.

When the pause was lifted, over 7 million people had received the vaccine, with additional confirmed cases of blood clots that had been reported bringing the […]

‘Right Under Our Noses’: Nightmarish Nursing Home Conditions During the Pandemic

As vaccinations increase and COVID-19 infection rates in nursing homes plummet, it’s easy to forget just how bad things got in many of them and how ill-equipped many were in the the early months of the pandemic to provide humane and effective care.

The following excerpt is from our March Reflections essay, “Right Under Our Noses: Nursing Homes and COVID-19,” which was written by a California nursing professor who volunteered to join a California Medical Assistance Team. The mission of her team was to bring aid to a skilled nursing facility where the coronavirus was rapidly infecting both patients and staff, a facility with little PPE available and many staff members refusing to come to work out of fear of infection.

The conditions I saw were shocking, even to an experienced nurse. I saw soggy diapers on the floor at the heads of many beds on most mornings. One day a bedbound patient needed the bedpan. I searched every closet and drawer but there were no supplies. I filled a basin with warm water and cut up a PPE gown to make washcloths to clean the patient. On the second day of my deployment I realized that many of the […]

Congress Adds a Nurse

U.S. Representative Cori Bush goes to Washington.

U.S. Rep. Cori Bush (D-MO). Photo courtesy of Cori Bush.

“It’s critical that nurses have a seat at the table when it comes to the policies coming out of Congress. Every single policy needs a nurse’s eye. We talk a lot about the social determinants of health, because it’s all connected . . . nurses see things in a different way.”

As described in this month’s Profiles column, U.S. Representative Cori Bush, RN, arrived in Washington, DC, in January, bringing with her a nurse’s eye and experience as an activist and pastor.

An election representing several firsts.

Her election marked several firsts: she is the first nurse and Black woman Missouri has sent to Congress, and she is also the first woman representative in her district in its almost 200-year history. Bush joins two other nurses in Congress, Representatives Eddie Bernice Johnson of Texas and Lauren Underwood of Illinois. […]

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