Adapting to the Emotional Toll of Nursing

take2refectionsillustrationsept2016New nurses may find themselves confronted with great human suffering, enormous technical challenges, and the norms and pressures of the nursing profession and the individual workplace.

Most eventually learn the skills and knowledge they need to succeed in the profession. But some may struggle more than others with the emotional intensity of the work. A question that seems to come up a lot when nurses write about their work goes something like this: How do you keep caring as a nurse and not get burned out? How do you develop a resilient professional persona?

This month’s Reflections essay, How I Built a Suit of Armor (and Stayed Human),” by Jonathan Peter Robb, enumerates the challenges faced by a sensitive new nurse and the ways he found to protect himself over time. Here Robb, a district nurse for the National Health Service in London, England, describes one kind of challenge he faced:

The weight of being responsible for a person’s health wasn’t one I had prepared for. Sitting in lectures doesn’t train you for the moment when you’re standing at the end of a bed looking at a patient who is struggling to breathe, semiconscious (but who just last week was sitting up and talking), and thinking: Did I miss something? Is this my fault?

As Robb writes, “caring hurts.” […]

On the 15th Anniversary of 9/11, Lingering Pain

Skywards by aussiegall / Louise Docker, via Flickr. Skywards by aussiegall / Louise Docker, via Flickr.

Yesterday was the 15th anniversary of the September 11 attacks.  On my way to work in Manhattan on Friday, I listened to a radio program about the lives of some of those who were involved one way or another in the tragedy of that day.

I heard the shaky voice of a Boston airport ticket agent who had assisted one of the hijackers to get on one of the flights that struck the World Trade Center. He’s met some of the victims’ family members and say that he still feels tremendous guilt and suffers from bouts of depression, especially on anniversary dates. He now works for Homeland Security. […]

To Boldly Go . . . In Search of Nurses

By Beth Toner, MJ, RN, senior communications officer, Robert Wood Johnson Foundation

Nurse Christine Chapel, original Star Trek series/via Wikipedia Nurse Christine Chapel, original Star Trek series/via Wikipedia

Inaccurate Representations in Popular Culture

Many critics and fans delighted in the release of the “reboot” Star Trek in 2009; the film, after all, breathed new life into the franchise, and introduced a whole new generation to its beloved characters—including Kirk, Spock, and the inimitable Dr. McCoy, better known as ‘Bones.’ A lifelong Trekker (I was born just weeks after the series launched in 1966), I was delighted, too. Yet I was exasperated at the notable invisibility of a minor recurring character: Nurse Christine Chapel.

Many of you may be asking: “Really? What does a fictional science fiction nurse have to do with real, professional nurses?”

Symptom of Broader Invisibility

The lack of emphasis placed on Nurse Chapel’s character is symptomatic of what I believe is a larger problem: the absence of nurses’ voices in key positions—not just in pop culture, but more importantly in boardrooms, community and nonprofit organizations, and in policy making. Furthermore, where nurses are present, there is a general misunderstanding of what it is nurses do every day—and how our presence is vital to building a society in which all have the […]

2016-11-21T13:00:58-05:00September 8th, 2016|Nursing, nursing perspective, Public health|1 Comment

All Unhappy Patients Are Not Alike

illustration by the author illustration by the author

The first sentence from Leo Tolstoy’s novel Anna Karenina is one of the most famous in literature:

All happy families are alike; each unhappy family is unhappy in its own way.”

It can easily be applied to patients. Happy patients tend to love their doctors, feel they received the best possible care, and consider their nurses invaluable.

Unhappy patients are unhappy in their own way. The challenge for busy nurses is resisting the temptation to turn a deaf ear or feign listening, in effect reducing patients’ concerns to “waa, waa, waa.”

A common thread among unhappy patients is unmet expectations.

Sometimes the patient’s expectations are unrealistic because they’re based on incorrect assumptions—but they do not know this. Responding requires a willingness to listen and the patience to tease out why a patient is unhappy with their care. Let patients tell their stories. Most bedside nurses have limited time; it’s okay to enlist help from a case manager, social worker, or nurse navigator if necessary. However, investing time up front to improve communication with a patient may pay off in dividends by smoothing the rest of your shift.

Begin by listening. Sometimes, I’ll take a seat, and write what the patient says while they talk. This simple act conveys their […]

AJN News: Whole Grains, Antidepressant Use, Global Stroke Burden, More

AJN’s monthly news section covers timely and important research and policy stories that are relevant to the nursing world. Here are some of the stories you’ll find in our current issue (news articles in AJN are free access):

The more whole grains, the better, but even moderate increases help. Photo © Thinkstock.

Eating Whole Grains Can Reduce Disease, Mortality Risks

In a new study, researchers who sought to quantify the relationship between whole grain intake and the risks of coronary heart disease, cardiovascular disease, cancer, and premature mortality found that increasing the daily intake of whole grains by 90 grams (equal to three servings) was associated with reduced risk for all of those conditions.

Are Nurses Being Nudged Out of Policymaking?

Setbacks in the representation of nurses in policy roles are raising concerns—particularly in the United Kingdom, where the Department of Health’s nursing, midwifery, and allied health professions policy unit is being eliminated, and within the World Health Organization, which has seen a drop in the percentage of nurses on staff in professional or higher categories.

Evidence Weak for Antidepressant Use in Children […]

2016-11-21T13:00:58-05:00September 2nd, 2016|Nursing|0 Comments
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