Trust Your Gut: The Profound Implications of the Microbiome for Our Health

The transformative potential of the microbiome.

I’ve always considered the saying “trust your gut” to be a directive to respond to one’s innate instincts. However, as a gastroenterology clinical nurse specialist, I now recognize there can be a literal meaning to that phrase with the recent discovery of the microbiome and its implications for our health. The microbiome has yielded significant recent research discoveries for health promotion and has the potential to radically transform our diagnosis and management of disease and health disorders.

Microbiologists have actually suggested the microbiome be considered a human organ. Our CE article in AJN’s November issue, Current and Emerging Applications of Fecal Microbiota Transplantation, highlights how a disrupted microbiome, manifesting as Clostridium difficile (C. difficile) infection that is nonresponsive to first-line antibiotic treatment, can be effectively and quickly treated with transplantation of a diverse, microbiota-rich stool from a healthy donor.

But what is the microbiome?

The microbiome consists of the trillions of microorganisms […]

2023-10-30T10:43:42-04:00October 30th, 2023|Nursing|0 Comments

Military Environmental Exposures: Recommended Reading in AJN’s November Issue

The November issue of AJN is now live.

What should nurses know about caring for people who have been exposed to potentially harmful agents—such as air pollutants, chemicals, radiation, warfare agents, and materials containing asbestos and lead—during military service? Read “Military Environmental Exposures” to find out.

Our November CE article, “Recognizing Transfusion-Associated Circulatory Overload,” reviews the most current definitions of this adverse transfusion reaction and outlines its characteristics and management.

“What Health Care Staff Who Experienced Assisted Patient Falls Can Teach Us: Implications for Fall and Fall Injury Risk,” presents qualitative findings from a QI project aimed at improving guidance for staff on the risks of assisting falling patients.

“Nursing Research, Step by Step: Sample Size Planning in Quantitative Nursing Research,” one in a series on clinical research by nurses, describes how to determine an appropriate sample size for a quantitative research project, and introduces the concepts of error, power, and effect size.

In “Optimizing Blood Culture Collection Volumes,” the authors discuss a QI project they conducted to understand the causes of underfilled and overfilled blood cultures obtained by nurses and PCTs and to reduce their incidence.

See also the […]

2023-10-26T11:59:45-04:00October 26th, 2023|Nursing|0 Comments

Minimum Nursing Home Staffing Standards: A Good Start, But Not Quite There

Jasmine Travers

The pandemic shone a troubling spotlight on the unnecessary suffering resulting from substandard conditions in nursing homes. On Sep 6, 2023, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule for their widely anticipated minimum staffing requirements for long-term care facilities. A 2022 Nursing Home Staffing study that was convened to inform the development of these requirements followed an urgent plea from the Biden Administration and National Academies of Sciences, Engineering, and Medicine’s Committee on the Quality of Care in Nursing Homes for every nursing home to provide a sufficient number of staff so that the quality of care and safety in nursing homes might be addressed.

Tara Cortes

The proposed requirements.

An abundance of qualitative interviews, surveys, listening sessions, and comments from the public yielded the following staffing requirements:

  1. Minimum staffing hours per resident day (HPRD) for registered nurses (RNs)—0.55 HPRD—and nurse aides (NAs)—2.45 HPRD. Outside of these hours, sufficient additional nursing […]
2023-10-19T10:05:15-04:00October 19th, 2023|Nursing, Nursing homes|1 Comment

Navigating the Nursing Journey with Purpose

Nurses, what’s next?

As a labor and delivery nurse, I am part of one of life’s biggest moments for families I may never meet again. This calling requires a positive attitude and an ability to instill hope throughout each 12-hour shift. But at a certain point, I found myself feeling exhausted and disconnected from this work, and all my effort to maintain a cheerful demeanor and engagement only exacerbated the burnout. This toxic positivity, or pressure to exude optimism, had a pernicious effect on my well-being and I found myself at the polar opposite state from compassion.

I heard chatter in the break room and hallways from colleagues who were experiencing similar exhaustion, and although I was keenly aware of the tools and resources available from my organization—employee assistance programs, wellness calendars, etcetera—I didn’t know any nurses who used them, and I didn’t know how participating in these activities would alleviate my burnout.

Reconnecting to your purpose.

Photo by Heidi Fin on Unsplash

While pursuing my doctor of nursing practice degree, I began performing research on the impact of recognizing one’s purpose on job satisfaction and work engagement. Defining your purpose can be challenging. Simply saying “I am a labor and delivery nurse” doesn’t describe who […]

2023-10-16T14:58:02-04:00October 16th, 2023|career, nursing career, wellness|2 Comments

Nurse Burnout Recovery: Healing Ourselves to Better Serve Patients

Shedding parts of us that no longer serve us.

Photo by Javardh on Unsplash

A couple months ago, I shared my experience with burnout and lessons learned from it. This experience propelled me into a healing journey. This healing journey wasn’t just about a newfound appreciation for “self-care.” Guided by several mentors, coaches, and healers, it incorporated modalities such as energy healing, spiritual healing, mindset work, inner child work, meditation, breathwork, and journaling. Burnout had initiated an intense deconstruction and deprogramming process that made it clear it was time to shed the pieces of me that were no longer serving me.

During this healing journey I asked myself:

  • Why do I do what I do?
  • Why do I feel that I’m not good enough/smart enough/skilled enough to take care of my patients?
  • Why do I feel like I can’t prioritize myself and my own needs so I can take better care of my patients?
  • Why do I feel like it’s not safe to speak up if I have a concern?
  • Why am I afraid to fail?

After being brutally honest with myself, I realized I had to go back to where the programming began.

Confronting our fears.

As children, […]

2023-10-02T09:38:34-04:00October 2nd, 2023|Nursing, nursing perspective, wellness|1 Comment
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