Ignorance May Be Bliss — But It’s Certainly Not Professional

By Christine Moffa, MS, RN, AJN clinical editor

A few weeks ago I attended an orientation provided by the New York City Department of Health for a school-based H1N1 vaccination program. Years ago I worked as a school nurse here in New York and I thought participating in the program would be a great way to keep up some clinical skills and spend time with patients. A physician from the bureau of immunization gave an informative lecture reviewing the epidemiology, signs and symptoms, prevention, and treatment of influenza.

There were about 100 nurses in attendance, many of them new graduates who were unable to find full-time work. During a break one of the new grads said to me, “why do we have to sit through this irrelevant lecture?” I couldn’t believe it. If you’re administering a medication, I told her, of course you’d want to understand how it works and why you’re giving it. In addition you need to be able to explain it to the patient or their parent. She rolled her eyes and walked away. And I thought, once again: this is why nurses are not taken seriously as professionals.

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2016-11-21T13:20:57-05:00November 25th, 2009|career, nursing perspective, students|10 Comments
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“Pitiable Indeed” – AJN Archives Reveal Nurse’s Firsthand Account of 1918 Flu

1918LetterDoSomething
The above is an excerpt from a North Dakota nurse’s vivid and painful letter to the editor about the Spanish influenza, published in the December 1918 issue of AJN. To read the entire letter, click here (and then click on the PDF link in the upper right corner of the page) or click on the excerpt itself. We’ve combed through our archives for articles dealing with various influenza epidemics and threats of epidemics, and found some fascinating material that puts what we’re currently going through in some perspective. To see the entire collection of articles, covering 1918 to the present, click here. (Note: some articles are free and some are accessible only to AJN subscribers. The older articles are available only in PDF format.)

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2016-11-21T13:21:26-05:00October 28th, 2009|career, nursing perspective|1 Comment
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The eICU: Big Brother or Team Member?

Virtual Reality Headset Prototype (circa 1968). Photo by Pargon, via Flickr.

By Peggy McDaniel, BSN, RN

There is an intriguing new technology available to hospital ICUs. It’s called an eICU.  At Alegent Health in Omaha, Nebraska, the “software feeds real time data for roughly 100 patients, including vital signs, laboratory tests, cultures, and pharmacy data,” to nurses and a doctor monitoring the eICU from off site. Using the data, the software sets off alerts that are noted by the eICU staff and passed on to the bedside staff. The bedside clinicians have said that the extra help has allowed them to focus on bedside care.

About two years into its use, an interesting side benefit of this remote monitoring system was noted by the hospital’s director of infection control. She realized that the eICU allowed her to monitor and promote compliance to practice bundles as well as to compile data to promote better antimicrobial measures.

The article reports that the staff initially felt a bit concerned about being watched by “big brother.” However, the hospital promoted the idea of the eICU as a “part of the team” instead of an intrusion, an approach that appears to have been successful.

As a nurse who works to improve compliance to best practices that reduce hospital-acquired conditions, particularly bloodstream infections, I feel this presents an amazing opportunity to promote patient safety.  For example, when I perform hospital audits, I see poor compliance to hand washing and the cleansing of IV access ports. These two practices are proven to help decrease the spread of […]

2016-11-21T13:21:39-05:00October 19th, 2009|career, nursing perspective|4 Comments
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The Next Nurse: Generation Gaps in the Workplace

By Peggy McDaniel, BSN, RN

by futureshape/via Flickr

I recently read an article (“Time for ‘Dr. Next’?”) that focused on the differences between Baby Boomer physicians and Generation X physicians. The two groups apparently have a lot of angst about each other. While recognizing the younger doctors as collaborative and tech savvy, many older doctors express frustration with what they perceive to be less dedication to medicine. The younger physicians seek a healthier work–life balance, but the Baby Boomers remember putting in extremely long hours as students and also when starting their practices. Bringing these two groups together, often in the same practices, has highlighted their differences.

As it turns out, the same issues come between generations of nurses. This article from NurseWeek has some excellent advice and, although it’s from 2001, remains timely. It discusses different generational views about job security, technology, self-assertion, and other issues. One passage in particular jumped out at me:

Unlike many workaholic baby boomers who define themselves by what they do and how much they work, younger generations tend to see work as only a part of their lives. Generation X and Y nurses say the flexible hours and schedules of hospital nursing attracted them to the profession in the first place. To cope with the intensity of their jobs, they say, they need time to relax and pursue other interests.

If you’re a nurse manager and a member of the Baby Boomer generation, how do you deal […]

2016-11-21T13:21:51-05:00October 7th, 2009|career, nursing perspective, students|10 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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