Nurses, Dying, and Who Gets to Decide

by Ramon Peco/via Flickr

On Wednesday, a California court declared the state’s right-to-die law unconstitutional. The End of Life Act (AB-15) was passed in 2016 in a special session called by Governor Gerry Brown, and permitted physicians to prescribe medications to a patient “for the sole purpose of ending his or her life.” California was one of just a handful of states that had such legislation. Reports note that an appeal is likely.

And also last week, Australian scientist and right-to-die advocate David Goodall, who was 104 years old, flew to Basel, Switzerland, to take advantage of its right-to-die law and end his life. According to the New York Times, Goodall, whose health had been deteriorating since a fall, said, “One wants to be free to choose his death when death is at the appropriate time.” Mr. Goodall lamented that his home country didn’t allow him to die there.

An ongoing debate.

These events last week underscore the struggle over whether people have a right to choose to end their lives and who should decide that. It’s also why we are very pleased to highlight this important topic in the current issue of AJN.

In “Assisted Suicide/Aid in Dying: What Is the Nurse’s Role?”, ethicist Ann Hamric and colleagues report […]

What Would You Do If You Weren’t a Nurse?

“The further away I get from direct patient contact, the less I enjoy being a nurse.”

Last week was Nurses Week, and on its Facebook page, the American Journal of Nursing posted the question, “What would you do if you weren’t a nurse?”

It was not surprising to me that many nurses commented something to the effect of, “I don’t know. I like being a nurse.” Others, though, posted a variety of career choices, often unrelated to nursing, many of them in creative fields.

I did not grow up wanting to be a nurse.

The List Inkjet, collage, and water media on paper, by Julianna Paradisi 2018

When I was three years old, I wanted to be a horse. Once I realized it was impossible, I settled on becoming a ballerina. However, the small community where I grew up did not have a dance studio or classes, so this aspiration also fell to the wayside.

In junior high school, I decided I would become a writer. I already knew I was an artist; I’d known that before I wanted to be a horse. I’ve always drawn, and still do, nearly daily. I began writing and keeping journals in elementary school.

A librarian’s intuition.

When I was 15, our […]

The Continuing Invisibility of Nurses in the Media

Nurse Jackie aside, how visible are nurses in the media today?

Nurse Jackie was supposed to put nurses “on the map” in the sense of portraying the real world of nursing. After all, here was a modern, gutsy, “take no guff” nurse who stood her ground and stood up for patients. (Sure, she had a drug problem, traded sex for drugs, and her marriage came apart—but one can’t have everything.) At least, there was a nurse character on television who wasn’t relegated to only saying “Yes, doctor,” or standing silently behind an OR mask.

The show portrayed a dynamic, compellingly complex nurse character. But what did the show, or what could any such fictional drama, do to change how people think about nurses and their place and value in health care? It certainly didn’t change the media’s thinking—in 2018, reporters rarely consider getting nurses’ views on stories about health care.

The 1998 Woodhull Study on Nursing and the Media: ‘dismal’ results.

In 1998, Sigma Theta Tau International commissioned a study—the Woodhull Study on Nursing and the Media—to examine how the media portrayed nursing. (You can read AJN’s summary (free until May 28) of the study in the December 1998 issue.) The results were dismal—after examining over 20,000 articles in newspapers and magazines, the researchers found that nurses were mentioned in only four percent of articles about health care.

A Moment of Mindfulness: A Nurse’s Mosaic to Remember Patients

A Moment of Mindfulness © 2018 by Tilda Shalof

Noted author Tilda Shalof spent 28 years as an ICU nurse at Toronto General Hospital in Toronto. Over the years, she collected the discarded plastic medical packaging—including medicine caps, tube connectors, and vial lids, all of it sterile. At the suggestion of friend and artist Vanessa Herman-Landau, they used the plastic pieces to create this 4 ft. by 9 ft. mural, which is featured on AJN‘s May issue Art of Nursing page (click through to the PDF version for the best image).

[…]

From Staff Nurse to CEO

Regina Cunningham, PhD, RN, NEA-BC, FAAN, and Kevin Sowers, MSN, RN, FAAN, both started their nursing careers as staff oncology nurses. Today, Cunningham is chief executive officer of the Hospital of the University of Pennsylvania in Philadelphia; Sowers is president of the Johns Hopkins Health System and executive vice president of Johns Hopkins Medicine in Baltimore, Maryland.

As they told AJN in our May Profiles article, neither necessarily envisioned themselves as high-level leaders. So how did they get to where they are today, and what can fellow nurses learn from their experiences?

TAKING CHANCES

After getting a master’s degree in nursing administration, and while earning a doctorate, Cunningham (photo at right) worked her way into progressively larger leadership roles within oncology nursing. Her experiences as a nurse manager and a nursing director led her to become the chief nursing officer at a New Jersey cancer center. Then, after serving as senior director for cancer nursing at Mount Sinai Medical Center in New York City, she worked in nursing leadership at the Hospital of the University of Pennsylvania.

It was there, when the hospital’s chief nurse retired, that Cunningham took a chance she wasn’t sure about by applying for the […]

2018-05-10T14:55:24-04:00May 9th, 2018|nursing career|1 Comment
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