Year-End Reindeer Dreams

By Peggy McDaniel, BSN, RN, infusion practice manager

As a long-time pediatric nurse who’s spent many a Christmas at the hospital, I have special memories, many of which still make me smile years later. Some of these are bittersweet, as suffering and pain do not stop for such days. One of my favorite shifts involved a little boy and some reindeer antlers. 

I was working a 12-hour night shift as a traveler in a small community hospital. We got a call from the ED to admit a four-year-old boy who was extremely anemic due to unknown causes. When this child arrived, I realized he was very ill and probably would only spend Christmas Eve night with us. He needed to be stabilized, then would move on to a regional children’s hospital for further diagnosis and treatment. […]

2016-11-21T13:14:30-05:00December 29th, 2010|nursing perspective|2 Comments
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The Slow Old Days

Christmas cards with angels, scandinavian “nis...

By Maureen “Shawn” Kennedy, interim editor-in-chief

On this past Monday at Slate, writer Kate Julian, lamenting that her mailbox was devoid of cards this season, asked, “Did Facebook Kill the Christmas Card?” She went on to detail all the ways people can connect online nowadays, making a case that the traditional “here’s what I’ve been doing all year” card is going the way of the little black address book and pocket calendar.

I’m not so sure we can put all the blame on Facebook. In my own case, I was (and still am) unprepared. I just know Christmas came earlier this year—I don’t know how they did it, but somehow the calendar seemed to do one of those Star Wars hyperspeed jump things, where lights whiz by and you’ve jumped light years ahead. I remember Halloween, and then there was Thanksgiving . . . but wasn’t that just last week?

Or maybe it only seems that way because with technology we can now work more efficiently and be more productive in less time. But where IS all this time I’m saving with technology?

This time of year makes me think of childhood Christmases, but not so much my own. My mother grew up in a small New England town during the 1930s; it was always cold and snowy. It was a mill town and no one had money […]

2016-11-21T13:14:34-05:00December 22nd, 2010|Nursing|2 Comments
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‘The Birthplace’: Showcasing a Collaborative Practice Model

By Sylvia Foley, AJN senior editor

Photojournalist Alice E. Proujansky reports in AJN this month on The Birthplace, a collaborative care practice model at Baystate Franklin Medical Center in Greenfield, Massachusetts, where a team of five nurse midwives, three obstetricians, and 35 nurses attend some 400 to 500 births annually. Except for preterm and other higher-risk deliveries, the nurse midwives manage all deliveries and monitor fetal and maternal health. Patients complete detailed birth plans that afford them various care options. Physicians are called in only when necessary; as one nurse midwife told the author, “There’s an awful lot that we can do on our own.”

How well does the model work? The Birthplace has lower-than-usual rates of medical interventions such as episiotomy, epidoral anesthesia, and cesarean section. The patients have greater autonomy and decision-making capabilities. And the practitioners “relish the collaborative approach,” says Proujansky, who interviewed several clinicians and patients for the article; her photographs appear alongside the text and on the December cover. Proujansky’s last piece for AJN, a photo essay on a Dominican maternity ward, appeared in our December 2008 issue; read it here.


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2016-11-21T13:14:38-05:00December 21st, 2010|Nursing, patient engagement|0 Comments
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‘At the Night Camp’: How Assumptions About Patients Can Blind Us

The entire time he was with us he kept looking around, eyes darting back and forth and toward the truck he’d driven, which he told me wasn’t his own. He shifted uneasily in his chair, and I felt the impulse to try to comfort him and tell him we could help.

That’s an excerpt from “At the Night Camp,” the December Reflections essay in AJN. The essay, by Meg Sniderman, a student in the MSN program at Emory University School of Nursing in Atlanta, takes a wry, honest look at the ways we can imagine whole lives for those around us based on their cultural identifiers, yet often miss the most obvious things about these patients . . . the things that make them just like us, despite apparently vast cultural differences.—JM, senior editor/blog editor

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2016-11-21T13:14:39-05:00December 17th, 2010|nursing perspective, patient engagement, Public health, 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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