Off the Charts

Nurses: In the Face-Off With COVID, We’re Doing ‘Alright’

We did alright during the HIV/AIDS epidemic. We’ve done alright during Ebola. We’re doing alright during COVID. We’ve done alright through war, earthquakes, tsunamis, landslides, and typhoons. We’re neither politicians, nor business owners; we’re not in banking or finance (though some of us might have a side hustle or two).

We’re nurses, and we show up.

Let’s be clear, alright is not “OK,” it’s not “good,” and currently it’s “head barely above water.” Alright is persistence, though, and it’s perseverance. We’re all suffering. Those of us who have worked in past epidemics are having flashbacks, we still don’t have enough protective gear, and we’re scared to death of bringing COVID home to our loved ones.

Here’s a real gem, to boot: When COVID started and picked up exponential speed in the U.S., we were touted as heroes. And now as the waves of cases roll in again, because of the extraordinary financial hit that health care has taken we’re the first to be flexed off and furloughed.

“Hey hero, thanks for your service! We can’t pay you any longer. Good luck.”

Why we keep showing up.

But we’re doing alright, and this is why: There is a sense of profound meaning in the work that we do. As impossible as it is some days, when we provide […]

Guest Author2020-08-03T09:54:30-04:00August 3rd, 2020|COVID-19, infectious diseases, Nursing, nursing perspective, Public health|3 Comments

How to Know When to Go: One Nurse’s Approach to the Retirement Question

Many possible takes on ‘retirement.’

When I meet many of my nursing school mates from (too many) years ago, conversation inevitably turns toward talk of retirement. There are many angles to this, from “Are you going to retire?” to “Are you thinking of slowing down?” to “What are you going to do next?”

I have friends who couldn’t wait to retire and wanted nothing more than an empty schedule to be able to make spur-of-the-moment decisions about what they wanted to do or not do. Others I know also retired fully from nursing but now are docents in museums, driving meals-on-wheels, supervising exercise in an elderly day care facility. And of course there are many who just “cut back”—they work part-time or per diem, but “keep their hand in.”

Photo by Aaron Cynic.

But the decision on when to leave a full-time career can be a difficult one, as the author of the July Transitions column, “What Would Ellen Do?” (free until August 20), points out.

Ellen Elpern was an advanced practice critical care nurse at Rush University Medical Center in Chicago, a large urban academic medical center, loved the work and enjoyed working with her colleagues.

In making her decision to retire, she says, […]

Shawn Kennedy, MA, RN, FAAN, editor-in-chief (emerita)2020-07-31T09:55:24-04:00July 31st, 2020|career, Nursing, nursing career|1 Comment

August Issue Highlights: Experiencing Racism in Nursing, Promoting Publications by Nurses, Much More

“Six of the nurses quit when they found out I was coming on because they said they would not take orders from me . . .”—nursing leader Bernardine Lacey on encountering racism in her career, as described in this month’s Historical Feature

The August issue of AJN is now live. Here are some highlights.

Original Research: Understanding Nursing Home Staff Attitudes Toward Death and Dying: A Survey

In this multisite study, the authors surveyed nursing home staff to gain insight into their perspectives on end-of-life care and to identify needs in such areas as pain control and palliative care education and training.

PANDAS: Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infection

A review of the pathogenesis, clinical presentation, diagnosis, and treatment of pediatric neuropsychiatric disorders associated with strep infection, plus teaching points for parents and patients.

Historical Feature: ‘You Don’t Have Any Business Being This Good’: An Oral History Interview with Bernardine Lacey

This article details, in her own words, black nursing leader Bernardine Lacey’s experiences with racism in her childhood, education, and career.

[…]

Diane Szulecki, editor2020-07-29T09:27:02-04:00July 29th, 2020|Nursing|0 Comments

Building Back Better: Constructive Nursing Regulation

As governor of the first COVID-19 epicenter in the country, Andrew Cuomo challenged New Yorkers to think about how the state could “build back better” after the crisis. As registered nurses with experience in health law and policy, we have recommendations for transforming the boards of nursing. The manner in which nurses are regulated must be reformed, not just in New York, but throughout the country. It must begin by understanding the dangerous environments in which nurses are working.

Staffing, safety issues affect both nurses and patients.

In May, for example, Governor Cuomo reported that 12.2% of health care workers in New York city had been diagnosed with COVID-19. Nationwide, more than 164 nurses have died, often because they lacked adequate personal protective equipment. But COVID-19 is not the only dangerous situation. Long-term and psychiatric care facilities, as well as hospitals, are often dangerously understaffed, exposing nurses to violence. Nurses and other workers have been attacked and sometimes killed because they lack necessary resources and protections. Workplace violence is a growing threat which has not been adequately addressed by health care managers and administrators. Danger to patients occurs when nurses are expected to accept assignments outside of their areas of expertise. Nurses cannot care for […]

Guest Author2020-07-27T07:08:18-04:00July 27th, 2020|Nursing, nursing career, nursing perspective, patient safety|2 Comments

Every Frontline has a Backline: What Nursing Can Learn from Rugby

Photo credit: KJ Feury

Have you ever had a day at work that could only be fixed by an ice cream from your favorite creamery or by a hug from your best friend? Every shift during the height of the COVID-19 pandemic felt like this.

Unfortunately, because I work as an RN in a pediatric ICU at a large hospital in northern New Jersey, social restrictions that coincide with COVID-19 forestalled my usual comfort measures. After the start of the COVID-19 pandemic and during my reassignment in the COVID-19 ICU, I could no longer truly “leave” work. Work came home and walked with me throughout my day.

Dozens of IV pumps lining hallways, countless boxes of gowns, gloves, masks, and rubber shoes scattering the unit; ventilator alarms sounding; coworkers with surgical caps and masks, only identifiable by their eyes. The once medical–surgical unit transformed into a critical care unit equipped to care for COVID-19 patients.

After donning and doffing personal protective equipment (PPE), giving medication, adjusting ventilators, and updating families, you leave your 12+ hour shift wondering if you did your best. In the chaos of an unfamiliar unit, caring for patients with an unfamiliar virus, did I do everything to create the best outcome for my […]

Guest Author2020-07-22T10:18:03-04:00July 22nd, 2020|COVID-19, infectious diseases, Nursing, nursing perspective, nursing stories, Public health|3 Comments

Why we keep showing up.

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Many possible takes on ‘retirement.’

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Staffing, safety issues affect both nurses and patients.

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