‘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 a […]

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 and […]

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 time […]

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. […]

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 to […]

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