Levels of Weariness Among Nurses

I imagine that nurses throughout the world are constantly being asked “How are things at work these days?”—with the implied question being “How are you holding up with your work situation?” While my colleagues and I in our pediatric hospital have not seen an overwhelming surge of COVID+ patients come through our doors, we have certainly seen some, with an uptick in our COVID+ census as the numbers throughout the country have increased.

When I pause at this point in the conversation, the usual response I get is, “Oh, that’s so good to hear. You’re lucky.” And I agree and reflect this back to whoever I’m speaking with. My heart hurts for my fellow nurses in other parts of the nation who have been utterly overwhelmed by COVID and its cruelty. I recognize that I am indescribably lucky.

At the same time, though it’s hard to articulate why, even nurses who haven’t been hit by the surges seen in other hospitals bear layers of deep weariness by this point in the pandemic. […]

An Intimate Glimpse of Community Health Nursing During the Pandemic  

Photo courtesy of Monica M. Finifrock.

We hear a lot about frontline nurses and the trauma they’ve endured throughout the year fighting the world’s deadliest pandemic in 100 years. Their stories are harrowing and heroic and shine a much deserved spotlight on the importance of the profession. And yet COVID-19 has touched not only those working in ICUs and EDs—but in every area of health care. Our December In the Community article, “Keeping Calm in the Buffer Zone,” is just one example of a nurse touched by COVID-19 in her daily work.

Community health as a ‘buffer zone.’

When the article opens, author Monica M. Finifrock is on her way to work at a community health clinic in Seattle. It’s April and the pandemic is beginning to take a toll.

I don’t consider myself on the front lines of the pandemic . . . I’m not watching patients take their last gasps of air or making hard decisions about who gets a ventilator and who doesn’t. I’m a community health nurse, and my role during the COVID-19 pandemic is to do exactly what I always strive to do—serve the community.

Calling her clinic a “buffer zone,” Finifrock argues that community health clinics are […]

‘What a Decade This Year Has Been’: Nurses Worldwide Double Down on Commitment to Care

The year nobody expected.

A mere dozen months ago, we were all set to celebrate the International Year of the Nurse and Midwife, poised to shine in the global spotlight with the spring release of the first State of the World’s Nursing report. There were plans to fete us with dinners and awards. “Give them ribbons, buttons and badges to wear,” one website suggested.

How quaint and frivolous that sentiment seems now in light of the continuing shortages of the masks, face shields, gowns, and gloves that we need to protect ourselves, our patients, our families and communities from COVID-19

Nurses in the spotlight.

The pandemic changed everything—except for the fact that nurses did land squarely in the spotlight this past year. Nurses—as always—were asked to multitask when the first confirmed cases led to sustained global transmission. We dug in even as we pivoted, attempting to prevent hard-won health gains from being reversed. For example, women still needed prenatal care. Lockdowns didn’t preclude families from requiring essential preventive and lifesaving treatments for countless infectious and chronic diseases—including malaria, HIV, TB, diabetes, and cancer—that suddenly took […]

Finally a Mandate for Masks in North Dakota-But What Will It Mean?

by Joanne Disch, PHD, RN, FAAN, former president of the American Academy of Nursing

On Monday, November 9, North Dakota governor Doug Burgum issued a new policy that allows health care workers who are COVID-positive but asymptomatic to continue working at hospitals and nursing homes. This is in response to a dramatic increase of COVID cases, with hospitals at near 100% capacity and a shortage of an adequate supply of nurses across the state.

And on Wednesday, November 11, the state set its eighth-consecutive daily record for active cases, reaching 11,656. According to the Associated Press, North Dakota continued “to lead the nation in daily new COVID-19 cases per capita . . . , with one in every 83 residents of the state testing positive for the virus in just the past week.”

Unsurprising result of state’s laissez-faire approach.

While shocking, this is not surprising: North Dakota has been one of the states that has consistently rejected mask mandates or social distancing practices and been slow to reduce elective procedures or limit the business hours of restaurants and bars.

Without having taken these preventive steps, the state now faces a significant crisis. It’s unconscionable that nurses […]

2020-11-17T13:01:05-05:00November 17th, 2020|health care policy, Nursing, Public health|0 Comments

Notes from the AIDS/HIV Epidemic for Nurses Working in the COVID Pandemic

The accounts of nurses working in the midst of this pandemic vividly remind me of my work as a nurse in the early days of the AIDS epidemic. I am reminded of the period when we did not know how the disease was transmitted, when we believed that caring for them involved great personal risk. I remember masking, gowning, and gloving every time I entered a patient room. I still recall the wonderful patients I had the opportunity to care for, and I understand that watching a patient die alone is the probably the most difficult experience that we will ever face as nurses.

I spent years on the front line of the AIDS epidemic and now am teaching future nurses. I am dedicated to helping nurses cope in times of crisis. We have chosen difficult work. Work that is more difficult than we could have possibly understood when we entered nursing school. Work that can also be extremely rewarding. I am proud to be a part of this noble profession, and I hope that it may be useful for me to share some of the things that I have learned.

1. It is extremely important to take care of your physical health.

I remember days I didn’t have […]

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