Lost and Found in the Bronx

Before I could say another word, Mr. Smith cut me off. “I’m so happy you called. I’ve been so worried. I brought my wife to a hospital in Queens on Thursday night and I hadn’t heard from anyone since. But, wait—you’re telling me she’s in the Bronx now?” His tone seemed to shift from gratitude to anger as this fact sunk in. I looked at the date on the computer screen in front of me. It was Tuesday. 

Lost and Found in the Bronx” is the title of the Reflections essay in the June issue of AJN. Author Kristopher Jackson is an acute care NP at UCSF Medical Center in San Francisco and spent two weeks as a volunteer in the Bronx in New York City during the height of the pandemic. He centers his essay around his care of a frail, elderly woman on a COVID unit.

In an effort to determine whether she would want to be intubated or not, he reaches out to her husband, who apparently has been wondering if she is alive or […]

Revisiting Psychedelic Drugs for Therapeutic Use

Renewed interest in psychedelics to treat depression and PTSD.

An MDMA therapy session is conducted by researchers Marcela Ot’alora, MA, LPC, and Bruce Poulter, MPH, RN. Photo courtesy of the Multidisciplinary Association for Psychedelic Studies.

As the saying goes, “everything that’s old is new again,” and that apparently applies to the exploration of using psychedelic medications as part of mental health therapy. That’s the topic of one of our feature articles in the June issue.

When I was an ED nurse in the early 1970s, we often saw patients who were brought in because they were on a “bad trips” from illicit use of psychedelic drugs: acid (LSD, lysergic acid diethylamide), but also mescaline (3,4,5-trimethoxyphenethylamine, a hallucinogen derived from the peyote plant), or “magic mushrooms,” which contained psilocybin.

While these drugs were used in in psychiatric research as early as the 1950s (see the AJN article from 1964, “Supporting the Patient on LSD Day,” free until the end of June), they were later banned for use in the 1970s under the Controlled Substances Act after they became popular illicit drugs in the counterculture of […]

Summertime: Rest, Relax, and Write

With summer stretching ahead, I hope many nurses will take some well-deserved time off—rejuvenating bodies and spirits, processing emotions that were put aside, and reflecting on the long and difficult past year. But time off is also good for doing those “other things”—items that have drifted to the bottom of a to-do list. Perhaps writing is one of them.

As I noted in a 2014 editorial, there are various perspectives on how one should approach writing, and I list some from editors and scholars. I also offer what works for me:

First, spend some time thinking about what you want to say before you start writing. Know what you want to tell readers—the purpose of your paper—so that you can say it clearly.

Next, sit down and start writing. Write anything you want to say about the topic; you can go back and organize later. (Contrary to what many of us were taught, you don’t have to outline first. Some writers write this way, but many don’t.)

Third, leave the work alone for a while. Take a walk or do something else.

And fourth, go back and start shaping and polishing your piece, paying attention to organization and transitions. Aim for a logical flow of ideas. Weed out the jargon, too.

AJN has a collection of writing resources for nurses—we’ve made them free to access through September 1. You’ll also find some great resources at Nurse […]

Writing as Another Tool for Coping as a Nurse

“I recall wondering where this process had been all my life. Of course, it had always been there. It simply hadn’t occurred to me that writing could be such an effective tool for examining, reflecting, processing, and learning.”

‘Like a girl playing dress-up in a nurse uniform.’

by hannah olinger/unsplash

At age 19, I graduated with an associate’s degree in nursing, passed my boards, and went to work in a regional hospital near my college, in the city where I grew up. My geographical radius was as puny as the range of my life experience. I feigned excitement about the new job, but I was overwhelmed. I knew I needed more of everything: experience, education, tools for coping. Eventually, I discovered one of the missing tools was writing.

I entered every shift with anxiety, certain I would walk in on a patient or situation I was ill-equipped to handle. At night, I tossed with worry. When sleep came, dreams became nightmares of IVs running dry and patients coding.

I had only myself to blame. As a teen, I wasn’t ready to decide what to do with my life. I knew nursing was a noble profession, and my parents nudged me toward a program that was economical, efficient, and allowed me to live at home. At age […]

Caring for Caregivers—We Need More Than Self-Care and Resilience

Mural painted by critical care unit staff to honor patients who contracted COVID-19. The stars represent those who succumbed to the illness and the flowers those who were discharged from the hospital. Mural by the MedStar Montgomery ICU Team; photo by Cherri Walrath.

Self-care is not a panacea.

Since the start of the pandemic, AJN has received many manuscripts and queries related to self-care and resilience to prevent burnout. It’s not surprising, given that this has been a harrowing year for nurses.

But while self-care and resilience are important, and such articles are needed, all the self-care in the world can’t fully address the root of the problem—the systemic issues that lead to burnout. At some point health care administration needs to step in and become part of the solution and offer staff the help they need.

A CE feature in our May issue, “Providing Care for Caregivers During COVID-19,” highlights one hospital system’s efforts to do just that. The Care for the Caregiver program, which existed prior to the pandemic, was created to support ‘second victims,’ defined by the Center for Patient Safety as “healthcare providers who are involved in an unanticipated adverse patient event, medical error and/or a patient related injury and become victimized in the sense that the provider is traumatized by […]

2021-05-27T09:19:17-04:00May 27th, 2021|Nursing|0 Comments
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