AJN Off the Charts: Eight Enduring Blog Posts from 2020

In a 2020 largely defined since early March in the health care field by the all-consuming COVID-19 pandemic, we published many powerful and timely posts on this blog.

Some of them were very much of the moment as writers tried to sort through the unknowns and knowns about this unfamiliar virus, address the crisis faced by nurses thrown up against it with inadequate evidence or material support, and raise their voices in favor of sane policies to bring some order out of seeming chaos and mixed messaging.

The most striking and wrenching of these may have been the first one below, a powerful post from last April by a young ICU nurse working under frightening conditions during the first bewildering surge of the virus. Reading it may remind us of just how disorienting the early days and months of this pandemic were for everyone, especially ED and ICU nurses.

Other authors share historical contexts that help us understand our current situation or timeless wisdom that nurses can apply now to staying inwardly whole and sane during the pandemic and later when the going gets tough in other ways.

There are many many other posts that could have gone on this list. If any of these resonate for you, we hope you’ll share them. If you’re not already familiar with this blog and like what you read, we hope you’ll consider subscribing (see the right-hand sidebar) to receive each new post as an email in your inbox. We publish two to three times a week.

 

COVID-19 Vaccines Explained

As we in the U.S. struggle to set up systems for the rapid administration of SARS-CoV-2 vaccinations, what do nurses need to know about these vaccines?

Two vaccines have received emergency use authorization (EUA) in the U.S.—one manufactured by Pfizer/BioNTech, the other by Moderna. (A third, manufactured by AstraZeneca, is likely to receive EUA by April.) New, more efficient vaccine technologies along with a huge financial investment by the U.S. government have produced these products in a much shorter time frame than has been typical for other vaccines.

Currently available vaccines.

The two vaccines that are available now are messenger RNA, or mRNA, vaccines. This type of vaccine has been developed and studied for decades for possible use in preventing influenza, Zika, and other infectious diseases. Human mRNA is a strand of genetic material used for cell building and maintenance. For SARS-CoV-2 vaccines, mRNA based on part of the SARS-CoV-2 genome is synthesized and standardized in a lab.

When administered in a vaccine, this mRNA delivers to our cells the instructions  to replicate a “spike protein” found on the surface of the SARS-CoV-2 virus. (Important to know and tell patients: The mRNA never enters the nuclei of our cells, and can’t be incorporated into our own DNA.) After a cell follows these instructions and “posts” the spike protein replica on its surface, the immune system recognizes it as foreign […]

Getting Our House in Order

Nurses Address Structural Racism

In a webinar hosted by AJN, participants discussed nursing’s history and what nursing can do to eliminate structural racism in the profession. The first female dean of the George Washington University School of Law, along with nursing deans, educators, and clinicians offered  their insights and recommendations.

These are well worth considering as we pause to honor the legacy and work of Dr. Martin Luther King on Monday. We hope you’ll take a listen. (It’s free and you can earn CE credit. If the above link doesn’t work for you, try this one to register and view the webinar.)

The Unsung Heroes of Hospice Are Family Caregivers

Nurses who find their vocation in hospice may be among the most understanding people on earth. As a nurse who has helped many, perhaps hundreds of patients transition into palliative care and hospice, I thought that I would be prepared to handle placing my father into home hospice after a stroke. At 90, my father had vascular dementia due to chronic infarctions. The call from his provider informing me that he had had an embolic stroke with a hemorrhagic component was not completely unexpected. After his anticoagulation was reversed, I knew that he was likely to have another stroke soon.

Walking the tightrope: daughter, nurse, caregiver.

I guess that’s the curse of the nurse. No false hope for me. As the nurse in the family, I walked the tightrope of caregiver, support person, and grieving daughter. The help from the hospice team was extraordinary, but the overall care and responsibility was placed on the family. It was a bit of a shock to me. I can’t imagine how families without members in health care manage.

My father did not pass his swallow test, and he had left-sided paralysis; however, he was initially able to communicate, with some effort. In fact, the priest who saw him on the first day was obviously curious as to why […]

2021-01-14T11:15:10-05:00January 14th, 2021|family caregiving, family caregiving, Nursing|2 Comments

A COVID-Era Telehealth Appointment Drives Home the Fragility and Strength of the Therapeutic Relationship

The Reflections essay in this month’s AJN is by LaRae Huyck, a psychiatric mental health NP. In this one-page story with a dramatic COVID-era twist, she explores her years accompanying a young counseling patient from suicidal depression during adolescence to joyful engagement with life as she heads out into the world on her own. Writes Huyck:

The time I spent with her seems so short, but in actuality it made up nearly a fourth of her life. We had traveled though the awkward adolescent years, the landmine of her parents’ divorce, the loss of a beloved grandmother, and a failed relationship that ended her dreams of a prom date.”

The healing power of a therapeutic relationship.

The Importance of Time” adroitly summarizes this journey, revealing the author’s compassion for this young woman and her hopes for her as well. It’s a story of healing and growth that reveals the good that therapeutic relationships coupled with medication can do for some patients. […]

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