A Message from Frontline Nurses: Let’s Keep the Real Enemy in Sight

The recent protests against stay-at-home restrictions across the country are painful to watch for nurses most affected by the pandemic, those caring for COVID-19 patients. Four RNs working in hospitals in New York City who are graduate students at the Lienhard School of Nursing at Pace University decided to work together with one of their professors to share their thoughts on behalf of nurses on the front lines.

There are refrigerator trucks filled with bodies outside our hospitals. Many of us have to pass by them when we go into work, knowing that among those bodies are the patients we cared for yesterday and when we leave 12 hours later, some of the patients we cared for today will join them. Even harder to handle is the knowledge that among those bodies may be a colleague or friend, fellow nurses who caught COVID-19 while caring for others. It is heartbreaking and terrifying because we know that we too could end up in a body bag shelved in a refrigerator truck.

So, it is no wonder that the sight of people protesting protective measures generates such strong emotions for us—anger, fear, sadness. Anger that in choosing to ignore restrictions, or insisting on the right to risk their own health, […]

2021-01-21T11:07:20-05:00April 29th, 2020|infectious diseases, Nursing, nursing perspective, Public health, students|7 Comments
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True Grit: A Core Nursing Attribute?

‘Seeing things through.’

In the popular movie named after the attribute, a young girl searches for a man with “true grit”—someone with courage, fortitude, and determination to see things through. She needed someone to find her father’s murderer and believed only someone with true grit would be able to persevere against the odds.

The concept of grit is a good one to describe attributes that a good nurse should possess. How often do we get through challenging days—with short staff and patient crises, for example—just by sheer grit, by having the willpower to soldier on and do what needs to be done?

Helping nursing students develop grit.

In this month’s issue of AJN, Linda Koharchik reflects on the need for grit in nursing and believes nursing faculty can help students develop it. In her article “Helping Students to be Gritty,” she cites several sources that describe ways for clinical instructors to help students. One way is to assign challenging patients or situations, so students can benefit from the instructor’s guidance in handling particularly difficult circumstances.

I agree. As a nursing student, I gained most of my clinical experience in a large municipal hospital that was often underequipped, with basic supplies sometimes hard to come by. We learned to problem-solve and improvise […]

2019-01-16T15:57:20-05:00January 16th, 2019|Nursing, nursing students, students|2 Comments
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That Capstone Time of Year

Is that paper ready for prime time?

nurse typing on keyboardIt’s almost that time of year when graduate students (and some baccalaureate students, too) are preparing final papers. A lot of blood, sweat, and tears are involved, and understandably so—after all, these capstone projects and the resulting reports often determine whether one graduates. If done correctly, some papers might be worth submitting for publication. Faculty might even be encouraging you to do so—kudos.

I wrote a blog post a couple of years ago, suggesting some things that perhaps faculty neglect to mention along with their encouragement. As I noted in the post, we want you to be successful:

“…we need nurses at all levels to write about their work, and not enough of them do so. And the responsibility for nursing’s scholarly work cannot rest solely with academics and researchers; clinicians have the firsthand knowledge about care processes and outcomes, and they need to document their work. They need to communicate to the public about what it is that they do so that nurses’ work becomes more visible; they need to communicate to colleagues about what works and what doesn’t so that we can replicate successful quality improvement initiatives.”

Some Things You’ll Probably Need to Know to Get Published

So, before you get too far along in developing the paper, here’s that blog post, along with some […]

2018-03-28T09:25:47-04:00March 28th, 2018|Nursing, students, writing|0 Comments
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When a Family’s Faith in Healing Collides with a Busy Hospital Unit’s Pressures

Illustration by McClain Moore for AJN/all rights reserved.

What happens when a family of strong religious faith is determined to continue praying for a young father’s healing even after he dies of a terminal brain tumor in the MICU? The room is needed for other patients; a nursing student and her preceptor cared for the patient during his final hours of life and are now expected to provide postmortem care.

It’s a tricky, somewhat tense situation, and initial reactions among the nurses in the hospital vary. Melody Sumter, the author of this month’s Reflections  (“A Place for Faith: My First Experience of Cultural Competence in Nursing“), was the nursing student assigned to the patient, who left behind a young wife and 10-month-old child.

Looking back on the event, Sumter recalls her competing sympathies at the time, and the way she was gratified to learn that the nursing staff at last found a way to honor the wishes of the patient’s family and also see to their responsibilities to other patients. Writes Sumter:

Seeing this family practice their faith was encouraging for a young nursing student like myself—as was the nursing staff’s acceptance and […]

2017-03-15T11:40:38-04:00March 15th, 2017|narratives, Nursing, nursing perspective, nursing stories, students|0 Comments
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Nursing Ethics: Helping Out on the Unit vs. Teaching Nursing Students Crucial Skills

By Jacob Molyneux, AJN senior editor

scalesJust as no two hospital units are exactly alike, rarely are two ethical conflicts exactly alike. There are too many variables, too many human and situational differences. This month’s Ethical Issues column, “Teaching Crucial Knowledge vs. Helping Out on the Unit,” explores potential ethical and practical issues faced by a clinical instructor who must balance the duty to teach essential skills to nursing students against the staff’s need for help in meeting patient care needs.

Will there be an easy, cut-and-dried answer? Probably not. In the course of their analysis of a hypothetical scenario, the authors make the following point:

Because new situations arise all the time, and every situation varies in its ethically relevant aspects, rigid rules often cannot guide ethical action. Instead, analytic skills and transparent negotiation are crucial for resolving conflicts between values as they arise in day-to-day interaction—and for supporting the solutions we choose.

While people skills may be as important as abstract ethical analysis in dealing with real world situations, determining which ethical principles or priorities are coming into conflict may provide us with a certain measure of clarity in our approach. The authors frame the conflict described in the article in the following way:

[…]

2016-11-21T13:01:59-05:00September 23rd, 2015|Ethics, Nursing, nursing perspective, safe staffing, students|0 Comments
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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