Healing Words: A Critical Care Book Club

I was always a reader. The days of the Scholastic book fair during elementary school were among my favorites. Although it doesn’t appear in my CV, my first job was working in the school store. With every shift I worked, the smell of blank sheets of paper, the thrill of a pencil awaiting to be sharpened to that perfect point, or the ballpoint and ink pens in a rainbow of colors stole my hard-earned quarters.

‘Is it on the NCLEX?’

But reading novels during nursing school was just plain hard. There were competing priorities, a brain brimming with vital information, and sheer exhaustion at the end of the day. Assigned readings presented an overwhelming amount of contextual information. And then there was the constant attention to evidence, protocols, and clinical practice guidelines. The “need to know” information took priority; the sheer pleasure of losing oneself in a story—whether novel or memoir—was lost.

During my senior year, in an advanced illness course, my professors assigned a novel-style memoir, Bed Number Ten by Sue Baier. To this day, I can remember the reactions to the assignment: “A book? Who has time for that?” “Are we going to be tested on this book?”

Or, most importantly: “Is it on the NCLEX?”

The influence of a patient’s story […]

Daughter or Nurse? Caught Between Roles When a Father Is Hospitalized

“Word moves quickly that a patient on the unit has a daughter who is an RN.”

That’s from this month’s Reflections essay, “The Other Side,” in which a nurse struggles with her own mounting helplessness as her father’s hospital stay following surgery is unexpectedly prolonged.

On the other side.

The author finds herself in an uncomfortable in-between position, one that may be familiar to other nurses who have had family members in the hospital.

“I am an outsider, a family member on the other side. I know there is information not shared with me, information the health care team keeps to themselves. These conversations take place in whispered voices outside the room—conversations I have been a part of in the recent past, on my unit.”

[…]

Mental Health Nursing: Transcending the Limitations of Words

When I met Dorothy, she was always counting. Her chapped lips moved nonstop as she chanted random numbers. She’d increase the speed, as if that would help her to reach the end quickly—but since the numbers didn’t appear to be in any sensible order, this loomed before her like an impossible task…

The challenge of mental health nursing.

Illustration by Pat Kinsella. All rights reserved.

This month’s Reflections column, “Dimensions of Dorothy,” begins with this harrowing look at a woman in the grip of a mental health crisis. Author Maureen Bonatch goes on to poignantly describe how this illness can “steal someone’s identity and overwhelm their self-control.”

As a new nurse at the state psychiatric hospital, Bonatch definitely had a “new normal” to adjust to at work. As she observed the manifestations of severe mental illness, she also developed insight into why some had so few visitors: “It had to be difficult,” she writes, “to helplessly observe as an illness crept in to hold the person you knew and loved hostage.”

An inadequately valued area of […]

2018-11-20T10:07:55-05:00November 20th, 2018|mental illness, narratives, Nursing|0 Comments

The Thin Flat Line Between Life and Death

Illustration by Jennifer Rodgers.

A patient has died. His nurse begins postmortem care.

“I tell myself the things I always do—it was his time, we did everything we could. I can hear someone crying outside the room.”

In this month’s Reflections essay, author Kassandra August-Marcucio shares her feelings as she performs the steps of this protocol after a failed resuscitation attempt. We are reminded of each task, of the feelings of guilt that can arise (“I was his nurse and he died!), of the last contacts with the patient’s family.

“The exaggerated zip of the bag is final.”

Almost every nurse has cared for a patient after the patient dies. Sometimes the nurse and patient have barely met; sometimes the patient is well-known to the staff. Many nurses (most, I hope), whatever their religious or spiritual beliefs, approach postmortem care with some sense of the gravity of the moment of someone’s passing. The “routine” tasks involved take on a slightly different aura than the other tasks of our days. Still, it’s hard not to rush through postmortem care to attend to the pressing needs of other patients.

[…]

2018-06-28T10:04:41-04:00June 27th, 2018|narratives, Nursing|3 Comments

The Top 10 AJN Blog Posts of 2017

As is our tradition in the final weeks of the calendar year, we’d like to share the 10 most popular AJN blog posts of 2017. Most of these posts are by nurses who somehow find time to write in the midst of busy nursing and personal lives. One or two are by AJN editors. Not all, but most, are written by nurses.

What are the posts about? A few discuss aspects of notable health care topics covered by AJN in the past year. But most tell stories from personal experience or explore issues of importance to nurses in their careers. The nurse’s daily enounter with the physical and emotional needs of patients is a frequent subtext, as might be expected.

How to Support the Nurse in Your Life
“A job this intense isn’t so easily contained in a separate professional box. For nurses to live healthier, more integrated lives, we need space for our experience, and this is how our friends and family can help.”

A Nurse Takes a Stand—and Gets Arrested
“Nurses everywhere can draw inspiration from Alex Wubbels and her confidence and use the incident as a lens for self-reflection on our own behavior in difficult circumstances—and as a model for how to behave in the future.”

A Closer Look at the […]

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