Acute Care Nurses: An Endangered Species?

Our acute care settings are in crisis—staff are physically and emotionally exhausted. And many have decided they can’t take it anymore.

“At the virtual conference of the American Organization for Nursing Leadership (AONL) in July, researcher Peter Buerhaus reported preliminary findings of his study on the impact of the pandemic on the nursing workforce. He reported that a phone survey of over 800 AONL members conducted in May revealed that more than 50% of hospital chief nurse officers were seeing “increased retirements, sick leave, and early exits, including among younger nurses.”— AJN Editorial, September 2021

It’s been no secret that the hospital work environment has been problematic for nurses and patients alike—we know stressed and worn-out clinicians make more errors, and patient care suffers. In 2004, the Institute of Medicine released Keeping Patients Safe: Transforming the Work Environment of Nurses, which discussed workplace staffing and processes as intrinsic to ensuring patient safety. More recently, the National Academy of Medicine published Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being (2019), which noted, “The job demands placed on clinicians are often greater than the job resources available to them; this imbalance can lead to burnout.”

The Power of Pictures in Therapeutic Healing

Sam was a 17-year-old who had been admitted following a major traumatic leg injury. The surgical teams were trying to save his leg.

A colleague asked me to ”pop in” on him, since he was having a hard time coping. Frankly, he was completely bummed out.

Sam and his mom were together in his room waiting to go to OR. I introduced myself as a nurse working with the pain management/spiritual care team. Conversation was stiff but polite. Sam made no eye contact with me at all.

Building relationships takes time.

photo courtesy of author

Following his procedure, I made a point of stopping by to visit almost every day. Mom had warmed up to me—Sam just a bit. It was an isolating time in the hospital. Visitors were not allowed, except for a single family member for pediatric patients, and the contacts with staff were often task focused and purposeful. One afternoon, I saw mom sitting in the hallway talking on her cell phone, crying. So I waited.

When she ended her call, I asked if she’d like some company. Our conversation found its way from the hospital to the kitchen, stopping along the way as we shared family and shopping tidbits. She laughed and we connected. I also learned a bit […]

Children’s Mental Health Crisis Reveals Holes in System

You don’t have to look far for evidence that the mental health of children and adolescents has been entering a crisis in recent years, one exacerbated by the unusual conditions imposed by Covid-19.

The June 18 Morbidity and Mortality Weekly Report (MMWR) from the CDC reported:

During February 21–March 20, 2021, suspected suicide attempt ED visits were 50.6% higher among girls aged 12–17 years than during the same period in 2019; among boys aged 12–17 years, suspected suicide attempt ED visits increased 3.7%.

Photo by Yasser Chalid/Getty Images

As noted in a recent Washington Post story, “Emergency departments have meanwhile become a tattered safety net for adolescent mental health care.”

In this month’s AJN, Betsy Todd summarizes some of the current issues seen by school nurses and other health care professionals like nurse practitioners (NPs), who often feel overwhelmed by the intensity of the suffering and need they are now seeing in many children.

Systems pushed to their limits.

Todd notes that existing systems are proving woefully inadequate to the growing need, with wait times increasing to see child psychiatrists, therapists, and other experts, and pediatric hospitals in several states reporting “sharp increases in ED visits for anxiety, depression, substance […]

AJN September Issue: Ischemic Stroke, A New Approach to Fall Prevention, More

“Pain is a complex experience. Offering patients an opportunity to express their feelings, listening to their words, looking into their eyes and sensing their uncertainty are all part of the compassionate side of healing.”—Barbara Wukovits in her September Reflections column, “My Pocket of Care”

The September issue of AJN is now live. Here’s what’s new. Some articles may be free only to subscribers.

CE: Acute Ischemic Stroke

A review of ischemic stroke pathophysiology; risk factors; presentation; and the evidence-based treatments, nursing assessments, and monitoring protocols that are critical to patient recovery.

CE: Reimagining Injurious Falls and Safe Mobility

This article by the author of the Hendrich II Fall Risk Model proposes a new approach to fall prevention—one grounded in evidence-based protocols known to positively impact the health of older adults.

AJN Reports: The Troubling State of Public Health

How underfunding, attrition, and COVID-19 are affecting the nation’s public health agencies and nursing workforce.
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2021-08-27T08:48:20-04:00August 27th, 2021|Nursing|0 Comments

School Nurses During COVID-19: Still Holding the Line

Anything but the normal school year we’d hoped for.

The 2021-2022 school year is upon us and it is anything but the normal year many of us had hoped for. For some kids, it will be the first time going back into the classroom after 18 months at home. As a mom of two kids under 12 who cannot yet be vaccinated, it is a time of anxiety as I send my kids into school with a more contagious COVID-19 variant. Despite the mitigation efforts put in place, I wonder if it will be enough.

In parts of the country, cases are still skyrocketing and hundreds of kids have already had to quarantine or switch to remote learning. Some states have layers of mitigation in place in their schools, while in others, governors are fighting to keep schools from instituting mask mandates. And through this all, the person at the front line is the school nurse.

School nurses on the front lines as the rules keep changing.

In our August issue, AJN Reports highlights how school nursing has changed amid the current pandemic. Adding to the many other challenging tasks that school nurses already have is

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