The ‘World’s Meanest’ Clinical Nursing Instructor

When I was growing up, my mother kept a short essay called “I Had the World’s Meanest Mother” displayed in our house. She really loved that essay. What I’m writing today is inspired by that essay. It’s not for mothers but for all those clinical instructors who continue to cultivate the next generation of nurses.

Student nurse giving a patient a metabolism test/Library of Congress

As I sit in the classroom and hear my colleagues talk about their clinical instructors, I remember my own and think to myself that I’m the one who had the meanest clinical instructor: She kept us in clinical for our entire allotted time. Not only that, but she frequently reminded us of the importance of our clinical rotation by saying things like “you are paying for an education,” “this will help you to be successful in your NCLEX preparation,” and “you will become a great nurse.”

In some ways that clinical instructor reminded me of Mary Poppins—she always carried a bag and she seemed to pull an endless number of items out of its depths: NCLEX questions with a list of rationales; an NCLEX blueprint (she had a few copies); concept map templates; a medication book; […]

2024-05-21T11:44:47-04:00May 21st, 2024|Nursing, Nursing education|4 Comments
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A Chorus of Nursing Voices and the Timeless Truths of Ancient Tragedy

Nurses’ yearning to be supported and seen as human beings.

Fluorescent lights flicker. A relentless symphony of beeps and alarms, the scent of disinfectant wipes seeping through the fibers of a surgical mask. Keystrokes on keyboards keep charts in check while medications are meticulously prepared: the science of nursing, a 24/7, 365-day dance of care. In stolen moments of quiet—in empty locker rooms or bathroom stalls—the weight of the workload settles. Tears well up in eyes etched with exhaustion under the crushing burden of impossible patient ratios, the sting of disrespect from colleague and patient.

Nurses are classified as hospital overhead, a line item on a spreadsheet, and our humanity is rarely considered. A stolen sip of water during a 12-hour shift is a luxury. Bathroom breaks are a gamble, the ever-present fear that a patient’s need, a monitor’s alarm, or a desperate call for help will erupt the moment we look away. We are the invisible safety net, the unwavering presence, the nurse at your bedside.

Behind our dedication to our profession lies many unspoken truths. We function within a system that depends on our commitment yet has not committed to us and seems to forget the high price we pay for such loyalty. Though we are expected to quietly […]

2024-05-08T09:27:02-04:00May 8th, 2024|Nursing|1 Comment
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Nurses’ Duty to Care: Recommended Reading in AJN’s May Issue

The May issue of AJN is now live.

“If nurses are expected to have a strong sense of duty to care and to report to work even in disaster situations, then it’s essential to understand what factors influence that sense, in order to foster and sustain a workforce ready to do so,” write the authors of this month’s Original Research article, “Exploring U.S. Nurses’ Perceived Duty to Care During the COVID-19 Pandemic.” Read the study here.

“The Mountain Model for Evidence-Based Practice Quality Improvement Initiatives” introduces a conceptual model that merges evidence-based practice and quality improvement principles into a unified framework with the goal of disseminating and sustaining EBPQI projects across health care. (CE credit available)

“Clinical Inquiry and Problem Identification,” the second article in our new Evidence-Based Decision-Making series, discusses optimizing clinical inquiry, using data to describe a clinical problem, and strategically developing a focused clinical question. A commentary on navigating clinical questions accompanies the article.

“Improving Medication Management for Inpatients with a Secondary Diagnosis of Parkinson Disease” describes how a nurse-led multidisciplinary team implemented a quality improvement project to identify patients with Parkinson disease and customize medication management in […]

2024-04-29T10:19:38-04:00April 29th, 2024|Nursing|0 Comments
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What’s Really Causing America’s Obesity Crisis?

Overeating doesn’t cause obesity. Obesity causes overeating.”
–Dr. Lee Kaplan, Harvard University

Obesity is a disease.

Image created by OpenAI’s ChatGPT with DALL-E.

We see it everywhere, the very real and ongoing obesity pandemic. This pernicious disease now affects nearly half of the adults in this country, including those on both sides of the hospital bed rails, bringing with it over 200 associated complications and morbidities.

Obesity first became common in America during the last decades of the 20th century; since then its prevalence has only accelerated. Our youth have not been spared, with one in six children and one in four adolescents currently affected.

Despite what we see, many fail to recognize obesity as a true disease with complicated origins. The misguided and reductive idea that behaviors such as eating too much and moving too little are the predominant factors in risk and causation of obesity perpetuates the belief that those suffering with this devastating disease have an underlying character flaw such as gluttony, laziness, or lack of willpower. This in turn propagates societal and medical bias, leading to patient shaming and delayed obesity interventions.

While there’s no standard definition of obesity, it can be aptly […]

2024-04-23T09:49:01-04:00April 22nd, 2024|Nursing, Public health|2 Comments
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Walking the Path of Service: DNP Students Provide Foot Care for the Unhoused

TCU nurse practitioner students. “The importance of foot care for this population cannot be overstated.”

In the heart of the Fort Worth, Texas, community, where the daily struggles of people without housing are vividly evident, a group of doctor of nursing practice (DNP) nurse practitioner (NP) students from Texas Christian University (TCU) has embarked on a journey to make a difference. Through the foot clinic initiative in partnership with True Worth Place, a day shelter for people without housing, they’ve established hope and healing with a compassionate service.

The initiative began in early 2018, following a vision from the leadership at True Worth Place. They conceived of a service where basic yet often neglected aspects of personal health—such as foot care—could be addressed. The idea evolved to include volunteers washing the feet of the guests, which extended to providing the guests vitally important medical services like foot assessments and nail care.

TCU faculty and NP students

Eager to serve, a handful of DNP […]

2024-04-15T11:02:29-04:00April 15th, 2024|Nursing, Public health, volunteering|1 Comment
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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