Off the Charts

Time to Stop Proving Burnout Exists and Start Researching Real Solutions

“Put simply, we know burnout exists and we know it’s getting worse. Let’s leave it at that and move forward. Let’s focus on what we know might mitigate burnout…”

That’s from this month’s Viewpoint, “Burnout Research at a Crossroads,” by Tim Cunningham and Sharon Pappas. Some readers may find it a relief to have this stated so baldly: let’s move on to solutions, say the authors. Let’s put research dollars, time, and energy behind the search for clearer information about what works and what doesn’t.

A two-pronged approach.

The authors see a crucial and legitimate place for investigation of what works and what doesn’t in wellness initiatives to support “personal resilience” through self-care (an increasingly nebulous term in itself).

But they caution against shifting the responsibility onto nurses’ shoulders and ignoring real systemic issues.

With this in mind, they call for research that first of all examines systemic factors:

“It’s only commonsensical that burnout and work experience are intimately tied. It’s time to look more closely at staffing, work hours, team nursing, equitable pay, and other work environment factors that may decrease burnout.”

[…]

Jacob Molyneux, senior editor/blog editor2022-04-29T15:08:45-04:00April 28th, 2022|Nursing, nursing research, safe staffing|1 Comment

May Issue: Addressing Nurse Burnout, New Chest Pain Assessment Guidelines, More

“This is the third Nurses Day celebrated since the start of the pandemic and nurses’ work has gotten more recognition than ever. But is that recognition enough?”—AJN senior clinical editor Christine Moffa in her editorial, “Honoring Nurses Where They Need It”

The May issue of AJN is now live. Here’s what’s new. Some articles may be free only to subscribers.

Original Research: Combating the Opioid Epidemic Through Nurse Use of Multimodal Analgesia: An Integrative Literature Review

This review presents strong evidence on the benefits of multimodal analgesia in reducing opioid use for pain management in the acute care setting.

CE: Chemicals in the Home That Can Exacerbate Asthma

The authors describe how the use of cleaning and disinfectant products may affect asthma and asthma-related symptoms and report the findings of a recent study they conducted that identified how these products could reduce asthma control in older adults.

Effective Holistic Approaches to Reducing Nurse Stress and Burnout During COVID-19

This quality improvement project evaluated the use of serenity lounges—dedicated rooms where nurses can take workday breaks to relax and rejuvenate—and massage chairs on nurses’ anxiety, stress, and burnout.

[…]

Diane Szulecki, editor2022-04-25T09:32:36-04:00April 25th, 2022|Nursing|0 Comments

Use of an App for Improved Documentation During a Code

A code or rapid response announced over the hospital PA system typically leads to a flurry of activity and a swarm of people responding to the patient’s needs. Many steps of the ACLS algorithm happen rapidly and concurrently, and can be difficult to track with accurate timestamps by the person assigned the role of scribe.

Clear and accurate documentation is critical for post-event analysis to demonstrate the team did everything according to standards and determine if things could have gone better. Many facilities use a code sheet kept on or near the crash cart and others use real-time charting in the EHR. Often the details are written on scrap paper and added to a document later. All of these methods are cumbersome and can lead to inaccurate data collection.

Using an app for documentation during code events.

This month’s Cultivating Quality article, “Improving Accuracy in Documenting Cardiopulmonary Arrest Events,” describes the use at one hospital (Beth Israel Deaconess Medical Center in Boston) of a handheld electronic device for code documentation that makes it simpler and more organized to capture this information.

The project took place on four medical–surgical pilot units, where nurses were trained in the use of a documentation app for live cardiopulmonary arrest events. The American Heart Association’s […]

Christine Moffa, PhD, APRN, PMHNP-BC2022-06-15T14:10:43-04:00April 21st, 2022|Nursing|0 Comments

Do Unto Others: Caring for Patients with Traumatic Brain Injuries

When I was 12 years old, my dad had an “accident.” I remember the day it happened so very clearly. My sixth grade teacher told me I would be going home with one of my very best friends, Madison, to stay the night at her house. I was as excited as any preteen is when they learn they get to have a sleepover on a school night!

When we got home from school, I asked Madison’s mom why we got to have a sleepover. “Your parents are taking a little siesta,” she said. I simply thought this meant that they had gone on vacation without us. Instead, siesta was a code word. My dad was in a coma after suffering a traumatic brain injury (TBI).

The long road to rehabilitation after a TBI.

If you have any experience with TBIs, you know the recovery is often just as traumatic as the injury itself. I think of the accident often, especially when I start my shift. I sit in the parking lot remembering what it was like to be on the other side of TBI rehabilitation.

All […]

Guest Author2022-04-18T18:07:02-04:00April 18th, 2022|Nursing|0 Comments

Finding Effective Means of Rest as a Nurse and Mother

When I had my first of two children almost nine years ago, I switched from full time (three 12-hour shifts per week) to part time (two 12-hour shifts per week). With my husband working four 10-hour days per week, this arrangement has allowed our family the incredible privilege of not needing childcare outside of the family.

That said, the arrangement also means that I as a nurse and mother have very little opportunity to rest. When I’m at work, all cylinders are operating on high alert in every way—mental, physical, social, emotional, and spiritual. When I’m home, I am keeping tabs on everyone’s physical, social, emotional and spiritual needs. I’m managing the housework, trying to keep track of groceries, struggling with creative and healthy meal prep, and caring for a complicated dog and two less complicated tortoises. My husband and I are deeply involved in our church community and trying to faithfully maintain friendships. I have various speaking engagements to prepare for. Life is incredibly full.

In the midst of life’s ongoing demands, I’ve had to become smarter about approaches to downtime and venues of rest that are actually restorative.

Beware of default mode.

As much as I find cleanliness and organization in my home to be refreshing and calming in their […]

Hui-wen Sato, MSN, MPH, RN, CCRN2022-04-13T13:02:18-04:00April 13th, 2022|Nursing|0 Comments

A two-pronged approach.

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Using an app for documentation during code events.

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The long road to rehabilitation after a TBI.

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Beware of default mode.

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