Differentiating Nurse Burnout From Boredom

Julianna Paradisi, RN, OCN, writes a monthly post for this blog and works as an infusion nurse in outpatient oncology.

BarriersToAccussParadisi

Nurses frequently discuss burnout. Sometimes it’s called compassion fatigue. Regardless of which term, nurses are at risk because our work requires complex technical skills, an expanding knowledge base, physical endurance, and critical thinking, since a patient’s symptoms often do not present in a manner described in the textbooks studied in nursing school.

Above and beyond this, nurses are expected to display warmth and caring towards their patients, even ones who are rude and argumentative. This alone requires character and self-discipline. Add inadequate staffing ratios to the mix, and it’s easy to understand that at some point, a nurse may become susceptible to burnout or compassion fatigue.

Nursing school graduation and passing NCLEX don’t make you a nurse. These milestones earn you a place at the starting gate. It’s up to the individual nurse to navigate her or his career towards growth and longevity. I clearly remember, several years into my practice, recognizing that I’d reached a point of expertise in which I might not know exactly what to do in any emergency, but whatever intervention I chose would be safe and maintain a patient until the doctor or code team arrived. This was around the same time I stopped feeling nauseous every time I […]

The Heart of a Nurse

By Diane Stonecipher, BSN, RN. The author lives in Texas. Her forthcoming Viewpoint essay in the October issue of AJN, “The Old Becomes New,” will consider aspects of nursing that may be obscured or lost due to overreliance on technology.

Heartstudy by James P. Wells, via Flickr Heartstudy by James P. Wells, via Flickr

I am somewhat embarrassed to admit that my initial interest in nursing came as a 10-year-old Yankees baseball fan. I could not get enough of The Mick, Elston Howard, or Mel Stottlemyre on my transistor radio, during televised games, or in my baseball card collection. I decided that I could be the team nurse—take their vital signs, set their broken bones, assess their injuries, and best of all, travel with the team.

This rather irrational desire was solidified when my aunt had a face lift. I was 14 at the time, and she recovered at our house, specifically in my room. She was swollen like a prize fighter, with bloody bandages that needed changing, pain medication to be dispensed, meals to be fed—I was hooked. I am not sure I even knew what a nurse really did, but my heart was stirred.

I sailed through high school, graduated with honors, and left for one of the three […]

2018-03-28T10:30:20-04:00August 14th, 2013|career, nursing perspective|17 Comments

‘Incompatible With Life’

Shirley Phillips has a doctorate in physical therapy and currently works for a federally funded research and development program studying human performance in aviation. She was an airline pilot prior to her daughter’s birth.

AshleyAndShirley Ashley and Shirley

The pediatrician was working with a medical student when Ashley had another of her 105 degree fevers. The remnants of a birthmark on her forehead glowed crimson beneath the fringe of bangs I used to conceal it. It always seemed like a warning sign designed just for me, her mother.

I sat quietly while the pediatrician asked for permission to share some information about Ashley’s rare genetic condition with the medical student. Given her intellectual disabilities at the age of two, she was probably not going to understand a word he said, but I instinctively reached to cover her ears.

This resulted in the pediatrician saying, “See how her ear canals are curvy? And her ears are set low on her head? Notice her wide nasal bridge, and her barrel-shaped chest. I am certain when Ashley was born they knew right away that genetic testing was needed. Three or more abnormalities, like the club foot, the wide nasal bridge, the . . . ”

“Wait just a minute,” I said, hardly recognizing my own voice as I stammered out my dismay, interrupting the sage and […]

House of Death, House of Life: Reflections of a Hospice Volunteer

Perhaps the fundamental requirement for hospice volunteers is an open mind. Assumptions and first impressions rarely predict reality. I met a soft-spoken woman who was once a nun, then later became a theme park belly dancer. I met an ex-Marine officer and small-town police chief, a self-described “soldier by nature,” who denounced all wars after 1945 as senseless bloodbaths. I met a former civil rights activist upset that minorities were moving into his neighborhood.

lllustration by McClain Moore. All rights reserved. lllustration by McClain Moore. All rights reserved.

That’s from the August Reflections essay in AJN, “House of Death, House of Life.” The author, Ezra Ochshorn, explores the moments of tragedy and levity he encounters in his work as a hospice volunteer, the powerful impression made on him by people who are either at peace or full of “bitterness and regrets” as they approach death, his realization that his most important task is to be in the “here and now” with each person—and then to do his best to take this lesson back into his own life.

But why not read the entire short essay, since it’s free? Just click the link above.—JM, senior editor

Nursing Editors Talking Shop in Ireland

By Maureen Shawn Kennedy, AJN editor-in-chief

Seaside at Lehinch Seaside at Lahinch

Last week I was in Cork to attend the annual meeting of the International Academy of Nursing Editors, also known as INANE (yes, I know, and the name was created with full awareness; this is not a group that takes itself seriously—decisions happen by consensus and any work is done by volunteers; if funds are needed for something, we pass the hat).

I met editors from Ireland, the United Kingdom, Australia, New Zealand, and from as far away as Hong Kong and Israel. I’m amazed at the number and variety of nursing journals. Whatever the size of the journal, the issues and editorial priorities are similar. We all struggle with getting “good manuscripts,” that is, papers that are well written, supported by evidence, and speak to the concerns of the readers. Moody Connemara scenery Moody Connemara scenery

We heard a whirlwind 10-minute history of Ireland and a wonderful presentation on nursing in Ireland by Kathleen MacLellan, nurse advisor, Department of Health and Children, Dublin. We spent a lot of time discussing ethics as well as how to deal with submissions from students who need better guidance from faculty. (See my previous blog post on this topic.)

I always come away with new insights, helpful information, new contacts, and new ideas. And of course, there were a couple of social events to […]

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