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

Frontline Nurses Speak Out – A Health Care Crisis That ‘Didn’t Have to Be This Way’

Themes of heartbreak, heroics, exhaustion, sadness, and anger.

Previously on this blog, I posted about the Frontline Nurses WikiWisdom Forum, an initiative AJN joined back in March to bring forth the experiences and thoughts of nurses working at the point of care during the COVID-19 pandemic. Together with Cynda Rushton (Johns Hopkins School of Nursing & Berman Institute of Bioethics and AJN editorial board member) and Theresa Brown (nurse, author, and AJN contributing editor) and the folks at New Voice Strategies, we solicited stories from nurses from around the country. Of the many who visited the site, 463 nurses joined and shared their experiences.

Forum moderator Cindy Richards, a professional journalist, worked with four “thought leaders” from the nurses to organize the themes and recommendations from the rich content posted by the nurses.

And while we recognize that the pandemic is far from over (United States cases as of September 20 were over 6.7 million, approaching 200,000 deaths and still on the rise), we felt we had reached a critical mass of content. The stories echoed repetitive themes of heartbreak, heroics, exhaustion, sadness, and anger.

“Nurses often put their patients’ needs before their own. That didn’t change during the pandemic. What did change is that nurses saw […]

How Do You Feel When Your Patients Can’t Afford Care?

“Every day in the United States, nurses watch patients forgo beneficial treatment they cannot afford despite nursing’s moral standard to treat patients without regard to financial condition.”

How often have you been left, pretty much on your own, to figure out a way that your uninsured and/or homeless patients have access to something (anything!) that will maintain their health when you aren’t with them? Are there meds they can’t pay for? Do they need prenatal care that they can’t afford? Can they possibly function without home care of some kind?

Moral distress as a call to seek systemic change.

In “Ethical Issues: The Moral Distress of Nurses When Patients Forgo Treatment Because of Cost” in this month’s AJN (free to access until October 7), Douglas Olsen and Linda Keilman discuss the moral distress of nurses when we are unable to meet the needs of patients who don’t have the money to pay for care in our for-profit health care system. […]

Verified: Nurse Media Influencers

Responsible science communication can literally be the difference between life and death. Mass media, especially the news, as well as social media sites such as LinkedIn and Twitter, have a significant influence on people’s health beliefs and actions. As nurses we have a critical role to play in how the media reports on health issues and public health policy and on what messages the public and policy makers receive.

As clinicians, researchers, educators, public health practitioners, policy makers, and more, nurses need to use our expertise and voices to bring about change. At no  other time in our recent history has this been truer than during the current pandemics of COVID-19, racial injustice, and health inequity.

But nursing is a field often misunderstood by the public and the media. Most people think of nurses solely as clinicians at the bedside who do nothing more than take orders from physicians. But nurses are highly trained subject matter experts who work in a wide range of specialty areas including public health, social justice, law, history, research, education, school nursing, and more.

Nurses rarely recognized or ‘verified’ as experts.

Yet, the field of nursing is rarely recognized by the public, journalists, or even social media sites for this expertise. Open up any news article, or turn on any news […]

2020-08-20T09:49:34-04:00August 20th, 2020|career, Nursing, nursing perspective|3 Comments

Many in Health Care Have Made Sense of COVID Through Art or Poetry

By Hayley Jasper. All rights reserved.

Since March, AJN has been inundated with COVID-19–related manuscripts from around the world, ranging from prospective feature articles to submissions for this blog as well as our Reflections and Viewpoint columns. Not unexpectedly, we are also seeing many visual art and poetry submissions to our Art of Nursing column as we all try to make sense of this pandemic experience.

Art of Nursing selections.

In the July issue, we feature a drawing and two poems that reflect the times, as well as a reprint of a recent post from this blog.

The drawing, Behind the Front Lines, is by Hayley Jasper, an award-winning artist who is a junior in high school. Hayley’s piece was inspired by her mother, who is an ICU nurse in a COVID-19 unit.

The poem “Alone, surrounded” was written by Dublin geriatrician Shane O’Hanlon. Behavioral health nurse Marianne Broyles wrote the poem “Using Time Wisely During COVID-19.” Here’s a brief excerpt:

And I feel very small, like a field mouse.
It is all I can do to
Blend in and hope the great
Horned owl will pass me over…

We hope both poems will invite […]

2020-08-07T09:58:10-04:00August 7th, 2020|Nursing, nursing perspective|0 Comments

Nurses: In the Face-Off With COVID, We’re Doing ‘Alright’

We did alright during the HIV/AIDS epidemic. We’ve done alright during Ebola. We’re doing alright during COVID. We’ve done alright through war, earthquakes, tsunamis, landslides, and typhoons. We’re neither politicians, nor business owners; we’re not in banking or finance (though some of us might have a side hustle or two).

We’re nurses, and we show up.

Let’s be clear, alright is not “OK,” it’s not “good,” and currently it’s “head barely above water.” Alright is persistence, though, and it’s perseverance. We’re all suffering. Those of us who have worked in past epidemics are having flashbacks, we still don’t have enough protective gear, and we’re scared to death of bringing COVID home to our loved ones.

Here’s a real gem, to boot: When COVID started and picked up exponential speed in the U.S., we were touted as heroes. And now as the waves of cases roll in again, because of the extraordinary financial hit that health care has taken we’re the first to be flexed off and furloughed.

“Hey hero, thanks for your service! We can’t pay you any longer. Good luck.”

Why we keep showing up.

But we’re doing alright, and this is why: There is a sense of profound meaning in the work that we do. As impossible as it is some days, when we provide patient […]

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