How Do You Feel When Your Patients Can’t Afford Care?

“Every day in the United States, nurses watch patients forgo beneficial treatment they cannot afford despite nursing’s moral standard to treat patients without regard to financial condition.”

How often have you been left, pretty much on your own, to figure out a way that your uninsured and/or homeless patients have access to something (anything!) that will maintain their health when you aren’t with them? Are there meds they can’t pay for? Do they need prenatal care that they can’t afford? Can they possibly function without home care of some kind?

Moral distress as a call to seek systemic change.

In “Ethical Issues: The Moral Distress of Nurses When Patients Forgo Treatment Because of Cost” in this month’s AJN (free to access until October 7), Douglas Olsen and Linda Keilman discuss the moral distress of nurses when we are unable to meet the needs of patients who don’t have the money to pay for care in our for-profit health care system. […]

2020-09-17T07:03:34-04:00September 17th, 2020|health care policy, Nursing, nursing perspective, patient experience, Patients, Public health|0 Comments
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School Nurses as the New Front Line in the Struggle to Contain COVID

School nursing services did not end when our brick-and-mortar buildings closed in March because of COVID-19.

School nurses continued to provide a full spectrum of care in the most innovative ways. We supported parents as they grappled with the enormity of the sudden pivot to remote learning and linked parents and students to community resources that school nurses know so well. We continued care coordination, working with our most vulnerable students and families; created pathways to provide virtual school nursing services; and provided health education. Certified school nurses became contact tracers, delivered meals to students and families, and explained the transition from in-person medical appointments to telehealth. And we continue to support our parents in scheduling much-needed physicals and immunization updates before school reopening.

The front line of our struggle with COVID will now be at school and school nurses will be the first responders. Students and staff with one or more COVID symptoms may be asked to isolate for a minimum of 10 days following department of health guidelines. There will be mass absenteeism of both staff and students, as close contacts for those who have tested positive will also have to quarantine for 14 days.

This information has not been communicated clearly and consistently on a statewide level to our school communities. Youth community spread of the virus is already here and we are in an ever-changing landscape in terms of COVID-19 containment—we are chasing this virus and the virus […]

2020-08-12T09:20:23-04:00August 12th, 2020|Nursing, Public health, school nurses|1 Comment
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Nurses Drawdown: A Global Climate Movement for Nurses

By Katie Huffling, RN, MS, CNM, FAAN

When a small group of nurses first got together nine months ago to strategize how we could harness the collective power of nurses to address climate change, we had no idea what changes 2020 would hold for the nursing community. We were excited for the Year of the Nurse and Midwife and Florence Nightingale’s 200th birthday. What better time to bring nurses together to address climate change, one of the most pressing public health challenges we currently face?

Still the most trusted profession.

Now here we are midway through 2020 and the world seems completely different, with much of the globe still in quarantine as we battle COVID-19. But one thing hasn’t changed, and in fact the response to the pandemic has only made it more apparent to the world: nurses truly deserve the title of the most trusted profession. We are now in the spotlight, showing the exceptional professionalism, caring, and passion that are hallmarks of our profession. It is these qualities we are hoping to harness with the new initiative, Nurses Drawdown. If we can be leaders in responding to the global pandemic, nurses can be leaders in supporting solutions to climate change.

Nurses around the globe are invited to participate in Nurses Drawdown. The initiative is based on the science of Project Drawdown, a “research organization that reviews, analyses, and identifies the most viable global climate solutions, […]

2020-08-05T10:30:58-04:00August 5th, 2020|climate change, environmental health, environmental health, Nursing, Public health|0 Comments
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Nurses: In the Face-Off With COVID, We’re Doing ‘Alright’

We did alright during the HIV/AIDS epidemic. We’ve done alright during Ebola. We’re doing alright during COVID. We’ve done alright through war, earthquakes, tsunamis, landslides, and typhoons. We’re neither politicians, nor business owners; we’re not in banking or finance (though some of us might have a side hustle or two).

We’re nurses, and we show up.

Let’s be clear, alright is not “OK,” it’s not “good,” and currently it’s “head barely above water.” Alright is persistence, though, and it’s perseverance. We’re all suffering. Those of us who have worked in past epidemics are having flashbacks, we still don’t have enough protective gear, and we’re scared to death of bringing COVID home to our loved ones.

Here’s a real gem, to boot: When COVID started and picked up exponential speed in the U.S., we were touted as heroes. And now as the waves of cases roll in again, because of the extraordinary financial hit that health care has taken we’re the first to be flexed off and furloughed.

“Hey hero, thanks for your service! We can’t pay you any longer. Good luck.”

Why we keep showing up.

But we’re doing alright, and this is why: There is a sense of profound meaning in the work that we do. As impossible as it is some days, when we provide patient […]

2020-08-03T09:54:30-04:00August 3rd, 2020|COVID-19, infectious diseases, Nursing, nursing perspective, Public health|3 Comments
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Every Frontline has a Backline: What Nursing Can Learn from Rugby

Photo credit: KJ Feury

Have you ever had a day at work that could only be fixed by an ice cream from your favorite creamery or by a hug from your best friend? Every shift during the height of the COVID-19 pandemic felt like this.

Unfortunately, because I work as an RN in a pediatric ICU at a large hospital in northern New Jersey, social restrictions that coincide with COVID-19 forestalled my usual comfort measures. After the start of the COVID-19 pandemic and during my reassignment in the COVID-19 ICU, I could no longer truly “leave” work. Work came home and walked with me throughout my day.

Dozens of IV pumps lining hallways, countless boxes of gowns, gloves, masks, and rubber shoes scattering the unit; ventilator alarms sounding; coworkers with surgical caps and masks, only identifiable by their eyes. The once medical–surgical unit transformed into a critical care unit equipped to care for COVID-19 patients.

After donning and doffing personal protective equipment (PPE), giving medication, adjusting ventilators, and updating families, you leave your 12+ hour shift wondering if you did your best. In the chaos of an unfamiliar unit, caring for patients with an unfamiliar virus, did I do everything to create the best outcome for my […]

2020-07-22T10:18:03-04:00July 22nd, 2020|COVID-19, infectious diseases, Nursing, nursing perspective, nursing stories, Public health|3 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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