One in 4 Million: The Nurse Who Mentored Me

Hostility among nurses is a well-documented topic of discussion, a phenomenon studied by both academics and hospital administrators wanting to create functional teams. Perhaps the remedy for healthy nurse–coworker relationships isn’t found by studying dysfunctional relationships but by observing the successful ones.

I was lucky to have one.

I excelled as a student, even with balancing the role of nursing student with the role of mother to a preschool-aged daughter.

However, academic success and my talent for multitasking did not prepare me for the reality shock of a new-grad nurse.

Thrown into the deep end.

There was a nursing shortage. I was hired to a pediatric unit before graduation, skipping the two years of adult medical-surgical nursing before entering a specialty that was customary for new grads at the time. I began my first job, pending successfully passing state boards, with an interim permit.

It was an era before nurse residencies or comprehensive orientations. My orientation consisted of accompanying a day shift nurse while she managed her patients.

After two weeks, I began night shift on a 30-bed pediatric unit during the height of the respiratory infection season.

Night shifts were staffed with up to three RNs, overseeing certified nursing assistants. Often the CNAs came from agencies, possessing varying amounts of skill. As a new grad overseeing […]

Amidst Nursing’s Daily Challenges, a Longing for Enduring Meaning

Early ideals, current reality.

I recently co-facilitated a breakout session at a national nursing conference in which we had the participants reflect upon life experiences that sparked their initial desire to go into nursing.

Some knew from a very early age that they were drawn to providing care for others. Others, like myself, were second-career nurses who had spent time in other professions before making our way into nursing.

We spent time talking about our early idealism about the profession and the various experiences or issues that have challenged our ideals over time. I was struck by the deep and broad range of emotions in the room: pride, frustration, hope, discouragement, cynicism, and longing.

‘An almost palpable ache.’

It is the longing that stood out to me the most.

The nurses I met in that room, and nurses I meet everywhere, certainly express longing for better staffing, improved systems that facilitate smoother workflow, and a supportive work environment. But these are all longings that tie into one deeper longing, which is a longing for enduring meaning in our day-to-day work—as hard as some days may be—and a broader […]

Nurses Week: A Time to Reflect on the Incredible Work Nurses Do

The Nurses Week theme this year as set by the ANA, “4 Million Reasons to Celebrate,” points to our numbers. I appreciate the concept, but I’m not in love with this theme—I don’t think our numbers are what make us worth celebrating.

What really matters.

What we should celebrate is nurses’ continued commitment, day after day, to making people’s lives better. Sometimes, that takes effort that goes above and beyond. That’s the focus of my May editorial, “The Unwavering Courage of Nurses.” It’s also depicted in the May issue cover photo (for background, read “On the Cover“): nurses literally running for their lives and the lives of their patient, just ahead of flames from the deadliest fire in California’s history. And it’s what makes some Red Cross nurses so special: see this article by Debby Dailey and Linda MacIntyre (listen to the podcast of my conversation with the authors, too).

I think Nurses Week is important, not so much for the public who, judging by their votes in the most recent Gallup poll, already think highly of us (a good reminder for […]

Daughter or Nurse? Caught Between Roles When a Father Is Hospitalized

“Word moves quickly that a patient on the unit has a daughter who is an RN.”

That’s from this month’s Reflections essay, “The Other Side,” in which a nurse struggles with her own mounting helplessness as her father’s hospital stay following surgery is unexpectedly prolonged.

On the other side.

The author finds herself in an uncomfortable in-between position, one that may be familiar to other nurses who have had family members in the hospital.

“I am an outsider, a family member on the other side. I know there is information not shared with me, information the health care team keeps to themselves. These conversations take place in whispered voices outside the room—conversations I have been a part of in the recent past, on my unit.”

[…]

May Issue: Assessing a Child’s Pain, Handling Work-Related Stress, Stop the Bleed, More

“Nursing takes a steely courage that many people don’t possess. We deal with raw emotions on a daily basis, taking in the grief and loss and pain and hopelessness of patients and families who look to us to make them feel better.”—AJN editor-in-chief Shawn Kennedy in her May editorial

The May issue of AJN is now live. Here are some highlights.

CE: Original Research: Work-Related Stress and Positive Thinking Among Acute Care Nurses: A Cross-Sectional Survey

In the first U.S. study to evaluate acute care nurses’ use of positive thinking in managing work-related stress, the authors found that positive thinking skills are being used to cope with such stress, and that nurses’ use of these skills can be improved through training.

CE: Assessing a Child’s Pain

This article discusses the factors that can influence a child’s report of pain, describes components of a comprehensive pediatric pain assessment, and reviews appropriate pain assessment scales for children of different ages and levels of cognitive development.

Nursing and the Sustainable Development Goals: From Nightingale to Now

The authors explore how nurses can contextualize the United Nations 17 Sustainable Development Goals within their daily practice and create holistic plans of care for patients, families, communities, and nations.

Leading the Effort to Promote Bleeding Control in Our Communities

This […]

2019-04-29T08:16:17-04:00April 29th, 2019|Nursing|1 Comment
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