Being a Nurse, or When Did You ‘Grok’ Nursing?

How does one “become” a nurse, as opposed to learning nursing skills? What is “being” a nurse as opposed to “doing” nursing?

On our Facebook page last week, we posted this query: “Professional identity is more than what you do—it’s a part of who you are. What does being a nurse mean to you?” One of the responses we received was, “Caring providers that own it, do right, work together and solve problems with innovative methods to improve care methods and optimize outcomes.

The respondent’s use of “own it” resonated with me: from the thesaurus, to own something means “to possess, preserve, maintain, hold, profess, declare, accept, have possession of…” To me, it hints at holding onto something valuable, being mindful of it and not losing sight of it.

This original post came about because I had recently attended a meeting at the University of Kansas School of Nursing, where a group of about 50 invitees were asked to brainstorm how nursing students develop a professional identity—How does one “become” a nurse, as opposed to learning nursing skills? What is “being” a nurse as opposed to “doing” nursing? Most of us say, when asked what we do, “I’m a nurse,” not “I do nursing.” And some of us […]

2018-10-05T10:42:29-04:00October 5th, 2018|Nursing, nursing career, nursing perspective|1 Comment
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Medical-Surgical Nurses Modeling Resiliency

Resiliency is one way to address not only compassion fatigue, but also the change fatigue that can result from multiple new initiatives, our ever-increasing workload, and major reorganizations and mergers.

The 27th annual convention of the Academy of Medical-Surgical Nurses (AMSN), which took place in Orlando September 13–16, offered a wealth of cutting-edge educational presentations along with opportunities for networking and fun. On the second full day of the conference, Marisa Streelman, an AMSN Board member as well as a unit director at Rush University Medical Center in Chicago, led a town hall meeting on the subject of workplace resiliency.

Streelman started the session off by defining resiliency as “capable of withstanding shock without permanent rupture.” She reminded us that the benefits of resiliency include “bounce-ability”—the ability to come back from stress stronger than before—and a connection to workmates that helps us to be truly present at work. Resiliency is one way to address not only compassion fatigue, but also the change fatigue that can result from multiple new initiatives, our ever-increasing workload, and major reorganizations and mergers.

Ways to build workplace resiliency.

Streelman pointed out several ways in which we can build workplace resiliency:

2018-10-03T14:43:20-04:00October 3rd, 2018|Nursing|1 Comment
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A Black Nursing Professor’s Personal Calculus in Choosing a Birth Center

“I knew getting pregnant meant that regardless of my socioeconomic status or education, as a black woman I was more than three times as likely to die during labor or in the weeks afterward compared to my white counterparts.”

Recent news stories have drawn attention the dismaying medical experiences of black women during and after childbirth, with even celebrities like Serena Williams and others finding their concerns about potentially life-threatening symptoms going dangerously unheeded by nurses and physicians. The statistics about maternal death from pregnancy or childbirth complications among black women tell us that such stories aren’t isolated examples but part of a larger pattern.

Illustration by Annelisa Ochoa.

A thoughtful professor weighs her options.

All of which makes the personal story told by Sheria Robinson-Lane, an assistant professor of nursing at the University of Michigan, in this month’s Reflections essay (“Birthing by the Numbers“) particularly timely. And yes, nuanced. She knows the numbers and she knows the stories about communication issues experienced by black women with their providers. However, she’s also affiliated with a respected major medical center.

So when she gets pregnant with her second child at age 39, what’s her best course of action in deciding where to have her child? […]

2018-10-01T08:20:40-04:00October 1st, 2018|Nursing, nursing perspective, patient experience|0 Comments
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October Issue: Treating Hemorrhagic Shock, Pain Management and Opioid Use Disorder, Workplace Violence, More

“Violent behavior seems to be an . . . increasingly frequent occurrence in hospitals and nursing care facilities. More and more, such violence is the result of intentional harm.” —editor-in-chief Shawn Kennedy in her October editorial

The October issue of AJN is now live. Here are some of the articles we’re pleased to have a chance to publish this month.

CE: The Use of Resuscitative Endovascular Balloon Occlusion of the Aorta in Treating Hemorrhagic Shock from Severe Trauma

Efforts to prevent death from hemorrhagic shock have resulted in the emergence of a new tool—resuscitative endovascular balloon occlusion of the aorta (REBOA), a less invasive option for controlling hemorrhage in noncompressible areas of the body. This article outlines REBOA, describes its evolution, and discusses various considerations, pitfalls, and nursing implications.

CE: Perspectives on Palliative Nursing: Acute Pain Management for People with Opioid Use Disorder

The authors of this article—one in a series on palliative care developed with the Hospice and Palliative Nurses Association—discuss how to manage acute pain effectively in patients receiving medication-assisted treatment for opioid use disorder, which incorporates methadone, buprenorphine, or naltrexone.

Original Research: Journalists’ Experiences with Using Nurses as Sources in Health News Stories

The authors of a 2018 replication of the 1997 […]

2018-09-28T10:05:14-04:00September 28th, 2018|Nursing|0 Comments
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A Mother and a Nurse

Kristy Rodriguez, BSN, RN, works as a nurse in Florida.

As a mother and a nurse, I have often found myself with the dilemma of whether to inform others in a health care setting that I am a nurse. I say this because it can go either way: some look at it as a blessing that they can easily explain things to you using medical terminology, while other nurses may take it as a threat. And I understand these concerns. As a nurse I have come in contact with both attitudes—the helpful and the threatening—among family members and patients who work in health care. It has been helpful to have a family member or patient who understands at least the basics and is eager to learn. Then, on the other hand, it can be a nightmare with the patient or family member who uses the statement “I’m a nurse” as a kind of threat.

A son’s troubling symptoms.

My story all started about three years ago, a day that my son’s life would forever be changed, and mine with it. It was the spring of 2012 and my son was 12 years old and developing as a normal boy should develop. A stomach virus had recently swept through our house and sickened my son and […]

2018-09-28T14:34:00-04:00September 27th, 2018|Nursing|2 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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