Future Nurses Have Their Say

By Maureen Shawn Kennedy, AJN editor-in-chief

I spent part of last week in Pittsburgh, attending the National Student Nurses Association (NSNA) annual meeting. This one was special—the 60th anniversary of the organization.

Despite the celebratory air (not only because of the anniversary, but because the organization had exceeded its membership goal of 60,000 members), the 2,700 attendees seemed very serious about the work of the organization and about learning skills to help them in their careers—there were few slackers in this crowd.

The approximately 500 students who represented their states in the house of delegates dealt with some 40 resolutions, on such diverse topics as increasing awareness of the effects of third-hand smoke on children to supporting the “BSN-in-10” movement (a push for legislation requiring all new nurses to get bachelor’s degrees within 10 years).

For me, the best part is meeting future nurses and speaking with them about career plans. I met many students in the exhibit hall, where I was demonstrating AJN’s new iPad app. Unlike last year, when jobs seemed to be scarce, many of the seniors I spoke with this time around had already secured jobs—and those who hadn’t seemed confident they would.

Finish this sentence . . . I asked several of those about to start their nursing careers to finish the following sentence: “I’m excited about starting my nursing career because . . .” You can listen to their comments in this short podcast.

 

2018-03-28T10:37:45-04:00April 17th, 2012|career, students|0 Comments
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A Role to Live Up To

By Kinsey Morgan, RN. Kinsey is a nurse who lives in Texas and currently works in the ICU in which she formerly spent three years as a CNA. Her previous posts on working as a new nurse can be found here.

Now in my sixth month as a new nurse, I find every day that there is something new to learn, figure out, or adjust to. The constant stimulation and challenge is part of what makes me love being an ICU nurse.

Recently I was exposed to the simple yet powerful fact that being a “unit nurse” carries more weight than I’d thought. During a code blue on the medical–surgical floor a few weeks ago, I was performing CPR when it became necessary to initiate a dopamine drip to support a failing blood pressure.

One of the medical–surgical nurses spiked the bag and connected the tubing and proceeded to tap me on the shoulder and ask me if he had correctly entered the dosage of dopamine into the IV pump. Time stood still for a split-second while I contemplated the weight of this question. Though my mind and body quickly returned to the task at hand, the implications of that question haven’t left me yet.

The nurse who asked has been an RN for several years and has a lot more experience than I have. In reflection, I am honored and humbled by his trust. Not having encountered vasoactive drugs very often in his practice, this nurse […]

2016-11-21T13:10:35-05:00February 28th, 2012|career, nursing perspective|1 Comment
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On Euphemisms and Learning to Be Present

By Alicia Marie Hinton, who is a BSN student at the College of New Rochelle School of Nursing in New Rochelle, NY. This is her first post for this blog.

My senior year preceptorship was an assignment on a palliative and acute care unit at a busy medical center. When I received the assignment, I prayed that no patient of mine would die during my time on the unit. Every nursing student is afraid of their first patient death. Simulation and course work prepare students in various ways for this experience, but nothing can really prepare you for the emotions you’ll feel. Some students experience a patient death during an undergraduate nursing program, but for others it may not happen until their first year or two working as an RN. I hoped to never endure it, but knew it was inevitable.

During report, working alongside my preceptor, I listened anxiously to the status of the various patients. Since my first day on the unit, I’d practiced my therapeutic techniques and researched different cultural needs pertaining to the death of a patient. I felt culturally competent and well informed about what a nurse should do when a patient dies, but I couldn’t shake my fear. What would I say to the family? Would they value […]

2016-12-09T11:57:13-05:00November 28th, 2011|career, students|7 Comments
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Physician-centric vs. Patient-centric?

By Shawn Kennedy, AJN editor-in-chief

Last week, we posted here a piece by AJN’s clinical managing editor Karen Roush, decrying the use of the term “physician extender.” It reminded me of a recent article from the New York Times on nurses with doctorates, which reported that if some physicians have their way and their legal strategy succeeds, they will be the only group permitted to use the honorific “doctor.”

Degrees vs. licenses. This borders on the ridiculous, as the title is an academic title that signifies achievement in a field of study; it is not a license. Doctoral degrees are awarded in just about every field of study, from astronomy to zoology. Physicians are awarded a doctor of medicine, dentists are awarded a doctor of dental science, and so it goes. In health care, there are dentists, psychologists, social workers, physical therapists, pharmacists, and yes, nurses too, with doctoral degrees. Nurses have been earning PhDs and EdDs (doctorates in education) and the DNSc (doctorate in nursing science) for years, and now there’s a new nursing doctorate degree—a DNP, doctor of nursing practice—that’s specific to nurses in clinical practice. They are still licensed as nurses, as that’s what they are.

This parochial thinking is held by those physicians (not all, but far too many) who still adhere to the […]

2016-11-21T13:11:25-05:00November 16th, 2011|career|3 Comments
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Nurse Practitioners Are Not ‘Physician Extenders’

By Karen Roush, MS, RN, FNP-C, AJN clinical managing editor

“Physician extender.” It’s way past time to kill that term.

A study published in the October issue of Surgery found that adding an NP to the surgical team decreased the number of unnecessary ED visits by 50% and increased the use of visiting nurse, physical therapy, and occupational therapy services. A Medscape article (registration required) on the study explained the importance of the findings in this way: “According to the researchers, physician ‘extenders,’ such as NPs, help maintain continuity of care while resident work hours are kept at a maximum of 80 per week. . . .”

Sure enough, the stated purpose of the study was to determine if “integrating this physician extender into the surgery team” would improve outcomes and resource allocation. Ouch.

Experts in our own right. Nurse practitioners are not physician extenders. We are highly skilled and educated nurses who provide evidence-based care grounded in the nursing model. We are not “extensions” of anyone. We are colleagues and collaborators, independent clinicians and experts in our own right. Our purpose is to provide comprehensive care, promote health, educate, and advocate. It is not to relieve interns, supplement physician education, or be the low-cost alternative when physicians have to “do more with less,” as Medscape quoted one […]

2016-11-21T13:11:27-05:00November 11th, 2011|career, nursing perspective, nursing research|6 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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