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

Preventing Violence Against Nurses

shawnkennedyWhen I graduated from nursing school, my first job was as an ED nurse at Bellevue Hospital in New York City. We’re talking about the 1970s, when drugs were plentiful and plenty of young people used them, especially hallucinogenic drugs like LSD and mescaline. Many times these patients were violent because of “bad trips” or because as the drugs wore off, they “crashed.” Sometimes these patients were accompanied by friends who were just as stoned as they were. I often experienced situations in which patients or visitors became disruptive and sometimes violent, usually because they didn’t understand what was happening to them or because they were scared and paranoid. We had no strategy or guidelines for proceeding—it was pretty much trial and error. Sometimes reasoning worked, but often it didn’t, and then we called security.

Dan Hartley.

Violence in the ED and hospital setting hasn’t gone away. In fact, I just learned from Dan Hartley, an epidemiologist with the National Institute for Occupational Safety and Health (NIOSH), that according to data from the Bureau of Labor Statistics, between 2003 and 2010 the health care and social assistance industry […]

The End of a Blogging Era?

By Jacob Molyneux, senior editor/blog editor

EmerblogScreenshotFrom August 2005 until August 2013, Kim McCallister ran a blog called Emergiblog, one of the first nursing blogs to gain a certain prominence among nurses on the Web. She told it like it was in her corner of the nursing world, and you didn’t have to always agree with her opinions to embrace her honesty and directness.

If I recall correctly, Emergiblog was one of the three exemplary nursing blogs mentioned in a lunchtime presentation given at our office by health care journalist and social media wizard Scott Hensley. (Hensley is now the writer and editor of the National Public Radio health care blog, Shots.) His excellent presentation, itself given I believe in the form of a newly created blog, gave me just enough know-how to be able to create and launch this blog from scratch on WordPress. […]

Differentiating Nurse Burnout From Boredom

Julianna Paradisi, RN, OCN, writes a monthly post for this blog and works as an infusion nurse in outpatient oncology.

BarriersToAccussParadisi

Nurses frequently discuss burnout. Sometimes it’s called compassion fatigue. Regardless of which term, nurses are at risk because our work requires complex technical skills, an expanding knowledge base, physical endurance, and critical thinking, since a patient’s symptoms often do not present in a manner described in the textbooks studied in nursing school.

Above and beyond this, nurses are expected to display warmth and caring towards their patients, even ones who are rude and argumentative. This alone requires character and self-discipline. Add inadequate staffing ratios to the mix, and it’s easy to understand that at some point, a nurse may become susceptible to burnout or compassion fatigue.

Nursing school graduation and passing NCLEX don’t make you a nurse. These milestones earn you a place at the starting gate. It’s up to the individual nurse to navigate her or his career towards growth and longevity. I clearly remember, several years into my practice, recognizing that I’d reached a point of expertise in which I might not know exactly what to do in any emergency, but whatever intervention I chose would be safe and maintain a patient until the doctor or code team arrived. This was around the same time I stopped feeling nauseous every time I pulled […]

The Heart of a Nurse

By Diane Stonecipher, BSN, RN. The author lives in Texas. Her forthcoming Viewpoint essay in the October issue of AJN, “The Old Becomes New,” will consider aspects of nursing that may be obscured or lost due to overreliance on technology.

Heartstudy by James P. Wells, via Flickr Heartstudy by James P. Wells, via Flickr

I am somewhat embarrassed to admit that my initial interest in nursing came as a 10-year-old Yankees baseball fan. I could not get enough of The Mick, Elston Howard, or Mel Stottlemyre on my transistor radio, during televised games, or in my baseball card collection. I decided that I could be the team nurse—take their vital signs, set their broken bones, assess their injuries, and best of all, travel with the team.

This rather irrational desire was solidified when my aunt had a face lift. I was 14 at the time, and she recovered at our house, specifically in my room. She was swollen like a prize fighter, with bloody bandages that needed changing, pain medication to be dispensed, meals to be fed—I was hooked. I am not sure I even knew what a nurse really did, but my heart was stirred.

I sailed through high school, graduated with honors, and left for one of the three […]

2018-03-28T10:30:20-04:00August 14th, 2013|career, nursing perspective|17 Comments

‘Incompatible With Life’

Shirley Phillips has a doctorate in physical therapy and currently works for a federally funded research and development program studying human performance in aviation. She was an airline pilot prior to her daughter’s birth.

AshleyAndShirley Ashley and Shirley

The pediatrician was working with a medical student when Ashley had another of her 105 degree fevers. The remnants of a birthmark on her forehead glowed crimson beneath the fringe of bangs I used to conceal it. It always seemed like a warning sign designed just for me, her mother.

I sat quietly while the pediatrician asked for permission to share some information about Ashley’s rare genetic condition with the medical student. Given her intellectual disabilities at the age of two, she was probably not going to understand a word he said, but I instinctively reached to cover her ears.

This resulted in the pediatrician saying, “See how her ear canals are curvy? And her ears are set low on her head? Notice her wide nasal bridge, and her barrel-shaped chest. I am certain when Ashley was born they knew right away that genetic testing was needed. Three or more abnormalities, like the club foot, the wide nasal bridge, the . . . ”

“Wait just a minute,” I said, hardly recognizing my own voice as I stammered out my dismay, interrupting the sage and […]

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