In Times of Overwhelm as a Nurse and Citizen, Begin with One Intentional Act at a Time

Hui-Wen (Alina) Sato, MSN, MPH, RN, CCRN

With the recent devastation and loss around our local Los Angeles wildfires as well as our country’s political disarray, one of the most difficult things about trying to remain empathetic, engaged, and informed as an individual and a nurse has been a sense of utter overwhelmedness.

I think most nurses are both empathetic and action-oriented, traits which can be helpful—but also sometimes crippling when we see needs for help and advocacy everywhere and don’t know where to start. Any action feels like such a miniscule drop in the bucket.

I was carrying this emotional, mental, and spiritual heaviness into work with me a couple of days ago. I sat down to get report on my patient assignment. My patient was so sick, so complicated; she’d been teetering between life and death in recent days. Her parents had been on a roller coaster of the worst kind. ‘Two weeks into this hospitalization, are we still holding onto hope for recovery? Are we gathering relatives to say goodbye?’

I knew I was walking into a space that was very loaded for the parents. They had seen many nurses, respiratory therapists, and doctors come through their doors. For as long as they had been in our […]

Norovirus, a Formidable and Underappreciated Hazard: What Nurses Need to Know

Norovirus, a highly contagious virus that causes acute gastrointestinal illness, is making its presence known across the United States. Symptoms typically begin 12 to 48 hours after exposure and last one to three days and include diarrhea, vomiting, nausea, and abdominal pain.

During the last half of 2024, the Centers for Disease Control and Prevention (CDC) reported close to 500 norovirus outbreaks, a significant increase when compared to the same time period in 2023. These outbreaks have occurred in health care facilities, restaurants, schools, and cruise ships and are continuing to occur in 2025. Norovirus is also the leading cause of foodborne illness outbreaks in the United States, but it is not simply a foodborne or food contamination issue. In fact, norovirus transmission is more complex—and therefore often underappreciated in its impact on human health, including patients and health care workers.

The vulnerability of health care settings to norovirus.

Based on electron microscopic imagery, this illustration provides a 3D, graphical representation of a number of norovirus virions. CDC/ Jessica A. Allen

Let’s look at some of the reasons why norovirus […]

Continuous Glucose Monitoring and Time in Range: Improving Data for Diabetes Management

Nursing roles in diabetes management.

A continuous glucose monitor reader (or a smartphone app) scans the sensor attached to the patient’s body for interstitial fluid glucose level and can provide data such as average blood glucose level or percentage of time spent in a target range over a given period of time.

Knowledge is power. When a person with diabetes knows their blood glucose levels, they can better self-manage lifestyle choices and medications and be an active participant in preventing complications. Glucose information can be obtained through a variety of methods. The majority of people with known diabetes receive reports on their glucose from the health care provider who is able to do lab work to obtain fasting or random blood glucose level, hemoglobin A1c (HbA1c, or just A1c) level, and urine glucose.

Nurses play an integral role to partner with the patient about their diabetes and provide education on the meaning of glucose measurement. In the outpatient setting, nurses can help the patient adjust insulin dosages and work on glucose monitoring skills and interpretation. Inpatient, nurses oversee and utilize glucose results and help with self-management skills in anticipation of care at […]

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 […]

Why Nurses Assist Falling Patients Despite the Risk

A too-common scenario.

Joe opens his eyes and looks through the window of his hospital room. He has always been early to rise. Even at age 82, he can’t shake the habits he learned when he was young.

“I’m woozy again,” Joe thinks as he sits up in bed. His medication sometimes makes him feel that way. Joe presses the call light so a nurse can help him to the bathroom. The nurses have been reminding him to do that so he won’t fall.

Then he reconsiders. “I can make it on my own. I don’t want to bother the nurses. They need to help the patients who really need it.” Joe moves to the edge of his bed. His walker isn’t nearby, but he urgently needs to reach the bathroom. Still dizzy, Joe holds onto the bed for a moment to keep from falling forward. After a moment, he manages to stand up and walk to the bathroom. As he enters the room, his dizziness returns, and his legs suddenly feel weak.  A feeling of dread washes over Joe as he begins to fall…

Nurse Smith starts her rounds and is looking forward to seeing Joe. He is always up early to greet her with a smile and a joke. As she opens the door to his room, she sees him entering his bathroom without his walker. She moves quickly toward him, but he suddenly sways forward. She knows he is going to fall. Reacting immediately, she grabs him by the torso […]

Go to Top