The Perception Treadmill: Has Nursing’s Status Really Gone Anywhere?

a Treadmill

By Margaret Gallagher, BSN, RN. Margaret is a cardiovascular nurse currently working in Georgia. Her last post for this blog was “Return on Investment: A Mother Makes Her Wishes Clear.”

Usually, it’s nice to share stories among friends you haven’t worked with in a while. However, I haven’t been able to let go of one such recent conversation.*

“You want to know what really burns me?” asked Lisa, a long-time nurse, as I sipped my coffee. “The rumors had been going around for a while that the residents get an incentive if the patients’ coag levels stay within therapeutic range. You know that John and I go way back; I decided to just flat out ask him.”

I listened attentively, expecting that Lisa and John’s friendship wouldn’t keep the attending MD from laughing her out of the ICU for this one.

Lisa glowed like an electric oven coil. “John told me it was true, and with a straight face! How dare they! All the residents do is click on ‘heparin protocol’ in the computer when the patient’s admitted. We draw the labs, follow the protocols, and titrate the drip around the clock until the patient is transferred, but they get the bonus. Does that stink or what?”

I couldn’t help but think back to my very first code. It was three states away and nearly three decades ago. For those who’ve never worked in a teaching […]

Thoughts After an INANE Editors Conference

By Shawn Kennedy, AJN editor-in-chief—I just returned from 10 days out of the office, a long time for me. The first three days were in San Francisco at the annual conference of the International Academy of Nursing Editors (or INANE), a group that steadfastly declares itself a non-organization, with no officers, no dues, and no bylaws.

Begun almost 30 years ago, the group depends on the goodwill of its 200+ members, who volunteer for Web site operation, take turns organizing the annual meeting, and contribute when needed to support small expenses like mailings, Web site fees, etc.

It’s simple and it works. This year’s conference covered things editors of nursing journals find interesting—copyright, impact factor, ethics, and the like (see INANE’s blog, From the Editor’s Pen—“Cherry Ames” blogged from the conference!), plus a lot of great networking. (Full disclosure: the conference was sponsored by the specialty nursing journals of Lippincott Williams & Wilkins, AJN’s publisher.)

I’m always struck by the breadth and variety of nursing knowledge among the members of this group—there’s everything from skin and wound care and infusion practices to broader topics like oncology and home health. (Not to mention a few broad-based journals, like AJN, that cover all of nursing.) The editors of these journals are passionate about meeting the needs of their readers—for some association journals, this means meeting members’ needs […]

Compassion for Those Among Us: Recent Poems in ‘Art of Nursing’

By Sylvia Foley, AJN senior editor

In Carolyn Scarbrough’s poem “A Rose By Any Other Name” (Art of Nursing, August), a nurse sees an “opaque rose, unfurling” on a CT scan of an infant’s brain. Recognizing this as “evidence of violent acts,” she knows the outcome will almost certainly be tragic. Yet when she looks from the scan to the exhausted young father, another memory shifts her thoughts from “trauma to love.” With each reading, this poem reveals more about the intertwining of outrage and compassion. (Art of Nursing is always free online—just click through to the PDF file.)

“I try / to meditate on emptiness, // receive the next lungful, ignore / my prattling mind,” says the narrator of Risa Denenberg’s poem “Three-Part Breath” (Art of Nursing, July). The poem’s title refers to a yoga breathing practice, one built on trust; as the yoga teacher says, “There will always be // another inhalation.” […]

2016-11-21T13:12:09-05:00August 12th, 2011|nursing perspective|2 Comments

Return on Investment: A Nurse’s Mother Makes Her Wishes Clear

By Margaret Gallagher, BSN, RN. Margaret is a cardiovascular nurse currently working in Georgia. This is her first post for this blog.

Fly Away / jenny.nash712, via Flickr

My parents believed it was their obligation to educate their children. My sister and I both walked out with a college diploma and no debt. Susan went to a state university for her pharmacy degree, but I fell in love with a private nursing school. So my mother spent her inheritance on her own alma mater’s archrival because it was where I wanted to go. Mom got what she paid for, however, as I graduated with a BSN that has done more than just keep the roof over my head.

Shortly after I passed my boards, I planned a trip to visit my parents. I got report for my last shift, then walked in on a shouting match. My patient lay comatose between his two adult sons. Awareness of my presence brought a thick silence, followed by the younger son muttering an “excuse me” as he bulldozed his way out. After a pause, the remaining son searched my face as he began to speak.

“The doctors just told us today that Dad’s never going to get better than this. They asked us how far we wanted […]

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