A Pediatric ICU Nurse Finds Relief in Not Compartmentalizing Hard Emotions Like Grief

Editor’s note: Hui-wen Sato is a pediatric ICU nurse in California and a regular writer for this blog who has gone deeply into the topic of grief, her own and that of patients and their families. Her insights reverse our usual ways of understanding grief, finding a generative energy instead of a wasteland. Here is a key passage from a TED-style talk (see video below) she gave at the last End Well Project conference in November 2023. End Well is “a nonprofit on a mission to transform how the world thinks about, talks about, and plans for the end of life.”

“And so I realized that what I was going to need to learn how to do was not compartmentalize, but integrate all of my experiences into all of who I am. And as I started to learn how to integrate all of my experiences, there came a curious relief and freedom with this integration. Because I no longer had to pretend that I didn’t grieve for my patients. I could just grieve. And I could then get in closer and actually learn more about who they were, who their families were, and I could start to provide a kind of care I think I perhaps had always wanted to provide, but perhaps was a little too scared to get close enough to learn how.”

2024-03-28T14:03:14-04:00March 28th, 2024|end of life, Nursing, pediatrics|0 Comments
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Improving Patient Throughput: Recommended Reading in AJN’s April Issue

The April issue of AJN is now live.

How can an acuity-adaptable model improve patient throughput and care? This month’s Original Research article, “Breaking Through the Bottleneck: Acuity Adaptability in Noncritical Trauma Care,” evaluates the implementation of such a model on a 20-bed noncritical trauma unit, examining the pre- and postimplementation metrics for throughput efficiency, resource utilization, and nursing quality indicators. (CE credit available)

Read “The Occupational and Environmental Hazards of Uncovered Toilets” to learn about the potential exposure risks associated with toilet plume aerosols—and how nurses can address these risks.

Crowdsourced registries have been used to quickly gather information, especially during emerging public health concerns. In “Developing Crowdsourced Clinical Registry Studies,” the authors describe the process of planning, developing, executing, and evaluating the crowdsourced COVID-19 and Invasive Cryptococcal Disease Registry, and highlight the use of a project management approach to successfully implement the resulting study. […]

2024-03-28T11:11:15-04:00March 25th, 2024|Nursing|0 Comments
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Involving Nurses in Hospital Staffing Decision-Making

A qualitative study that looks at the experiences of nurses who have served on staffing committees.

When I am faced with challenging situations and issues that involve multiple stakeholders, I seek guidance or information from others to make the most informed decisions. This is a practice many health professionals and researchers emulate, and it makes sense to do this, yet when it comes to the topic of nurse staffing in hospital settings, nurses are not usually involved in the process. If they are involved to some degree, it is likely because of a hospital’s pursuit for nursing excellence recognition through shared governance and/or the external pressure of state laws, like mandated nurse staffing committees.

Nurse autonomy and engagement means better care.

Over the years, research has shown how increases in nurse autonomy and engagement can positively benefit patient care and support nurse retention, yet how do these concepts apply to nurse staffing? In what ways are those concepts translated into practice or policy efforts? These were the questions that initially guided me.

Seeking a real voice in nurse staffing policymaking.

In a survey exploring the concept of staff nurse involvement in hospital staffing policymaking, most nurses described feeling powerless. with little […]

2024-03-20T10:15:39-04:00March 20th, 2024|nurse staffing, Nursing, nursing research, patient safety|0 Comments
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Holistic Admissions Criteria in Prelicensure Nursing Programs

Photo by Christina via Unsplash

As a high school student, Gaby worked nearly full-time to support her family. She also helped care for her grandfather who was in failing health, giving him daily insulin injections and attending to his care. She dreamed of going to nursing school after graduation. Still, her classroom grades, which suffered because of her other commitments, were insufficient for admission to the nursing program of her choice.

Philip, a high school athlete, was captain of a championship basketball team. He had the passion and personality to be a great nurse and wanted to follow in his mother’s footsteps in the profession. Unfortunately, his grade point average (GPA) was below the cutoff for admission to his local nursing program.

Dreams of joining the nursing profession were halted for both of these potentially excellent nurses, both of them first-generation Americans and members of populations underrepresented in nursing. Some prelicensure nursing schools use a comprehensive approach for admission, but far too many still use academic achievements and standardized test scores as the sole criteria for accepting students into their program. Admission to nursing schools in the United States remains far from standardized, even though all nurses must pass the same national licensing exam […]

2024-03-20T13:47:18-04:00March 6th, 2024|Nursing, nursing students|1 Comment
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Disaster Care, Brain Drain, More: Recommended Reading in AJN’s March Issue

The March issue of AJN is now live.

“Nurses play a critical role in disaster preparedness, response, and recovery,” says Linda M. MacIntyre, PhD, RN, PHN, FAAN, chief nurse of the American Red Cross (see On the Cover). Two articles in this month’s issue address disaster care:

Brain drain is increasing in health care. “Original Research: Nurses’ Attitudes Toward Brain Drain and the Associated Factors” explores the attitudes of Turkish nurses, nurse academics, and nursing students toward this problem in the nursing profession.

In this month’s CE article, “Beyond PICO—A New Question Simplifies the Search for Evidence,” the authors present the framework for an alternative to the PICO question—PPCO, or problem, population, change, outcome—that provides a universal approach to question development for evidence-based practice QI initiatives and for all nursing issues that need addressing.

Read

2024-02-26T09:29:37-05:00February 26th, 2024|Nursing|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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