Time to Take a Walk

via Wikimedia Commons

“We are bombarded with political ads on television, radio, and social media, and receive an onslaught of annoying robocalls on our phones. And no doubt after the elections are over, we’ll be subjected to endless analyses of the results. I find this constant ‘news awareness’ stressful.”

I wrote these words two years ago for the editorial, “Finding a Peaceful Place,” in the December 2018 issue. I could have written them today, or actually, any day these past few months.

The simple medicine of taking a walk, in the forest or not.

But I also wrote about a way that I find helps me tune out and relieve stress—the simple act of taking a walk. This year, because of the pandemic, my walks have mostly been confined to a few miles around my suburban neighborhood; I don’t think it qualifies as ‘forest bathing,’ but it still refreshes me. Seeing the pure joy of my dog to be out and about is a delight. […]

2020-11-04T09:29:27-05:00November 4th, 2020|personal health practices, Public health, wellness|0 Comments
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How Do Nurses Feel About Assessing for and Promoting Safe Gun Storage?

My grandfather and uncles were hunters, and they always looked forward to their forays into Michigan’s Upper Peninsula during deer hunting season. But while I was well aware of their activities, they never brought their guns into our house. So I never gave any thought to gun safety issues, even after I became a nurse—not even after caring for one memorable patient, a young man my own age who had been accidentally shot by a companion during a hunting trip.

What can nurses do?

“…a child finds an unlocked loaded gun and accidentally shoots themselves or someone nearby, a despondent teenager makes a rash decision to end their life with the family gun, a homeowner mistakes a family member for an intruder.”

It seems that we read about tragedies like these every day. Can nurses help prevent them? The American Academy of Nursing has recommended that health care professionals “assume a greater role in preventing firearm injuries by health screening.”

In “Nurses’ Knowledge and Comfort with Assessing Inpatients’ Firearm Access and Providing Education on Safe Gun Storage” in the September issue of AJN, Kimberly Smith Sheppard and colleagues report on their original research study, which examined nurses’ knowledge and comfort with assessing patients’ access […]

2020-10-05T10:43:01-04:00October 5th, 2020|Nursing, nursing research, Public health|0 Comments
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Frontline Nurses Speak Out – A Health Care Crisis That ‘Didn’t Have to Be This Way’

Themes of heartbreak, heroics, exhaustion, sadness, and anger.

Previously on this blog, I posted about the Frontline Nurses WikiWisdom Forum, an initiative AJN joined back in March to bring forth the experiences and thoughts of nurses working at the point of care during the COVID-19 pandemic. Together with Cynda Rushton (Johns Hopkins School of Nursing & Berman Institute of Bioethics and AJN editorial board member) and Theresa Brown (nurse, author, and AJN contributing editor) and the folks at New Voice Strategies, we solicited stories from nurses from around the country. Of the many who visited the site, 463 nurses joined and shared their experiences.

Forum moderator Cindy Richards, a professional journalist, worked with four “thought leaders” from the nurses to organize the themes and recommendations from the rich content posted by the nurses.

And while we recognize that the pandemic is far from over (United States cases as of September 20 were over 6.7 million, approaching 200,000 deaths and still on the rise), we felt we had reached a critical mass of content. The stories echoed repetitive themes of heartbreak, heroics, exhaustion, sadness, and anger.

“Nurses often put their patients’ needs before their own. That didn’t change during the pandemic. What did change is that nurses saw the […]

2020-09-22T09:47:24-04:00September 22nd, 2020|COVID-19, infectious diseases, Nursing, nursing perspective, Public health|0 Comments
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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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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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