An Intimate Glimpse of Community Health Nursing During the Pandemic  

Photo courtesy of Monica M. Finifrock.

We hear a lot about frontline nurses and the trauma they’ve endured throughout the year fighting the world’s deadliest pandemic in 100 years. Their stories are harrowing and heroic and shine a much deserved spotlight on the importance of the profession. And yet COVID-19 has touched not only those working in ICUs and EDs—but in every area of health care. Our December In the Community article, “Keeping Calm in the Buffer Zone,” is just one example of a nurse touched by COVID-19 in her daily work.

Community health as a ‘buffer zone.’

When the article opens, author Monica M. Finifrock is on her way to work at a community health clinic in Seattle. It’s April and the pandemic is beginning to take a toll.

I don’t consider myself on the front lines of the pandemic . . . I’m not watching patients take their last gasps of air or making hard decisions about who gets a ventilator and who doesn’t. I’m a community health nurse, and my role during the COVID-19 pandemic is to do exactly what I always strive to do—serve the community.

Calling her clinic a “buffer zone,” Finifrock argues that community health clinics are […]

2020-12-10T08:42:36-05:00December 10th, 2020|COVID-19, narratives, nursing stories, Public health|0 Comments
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Community-Acquired Pneumonia: New Antibiotic Guidelines, Essential Nursing Management

“Pneumonia is an excellent example of an illness in which nursing measures (and not simply drug treatments) are very clearly central to a patient’s rapid and full recovery.”

In these pandemic times, a patient with signs and symptoms of pneumonia is assumed to have COVID-19. But of course other types of pneumonia continue to occur both in the hospital and in the community, and people with COVID-19 can develop secondary bacterial pneumonias as well.

Abandoning old pneumonia categories in determining antibiotic use.

click to enlarge

Until recently, pneumonia was routinely classified as either community-acquired or health care–associated, and the category determined treatment. Health care–associated pneumonias were more often caused by resistant organisms, while someone with no recent exposure to hospitals or nursing homes was thought likely to have a more “benign” infection. But now, a 2019 guideline developed jointly by the American Thoracic Society and the Infectious Diseases Society of America offers new recommendations for the initial treatment of pneumonia.

As described in a CE article “Community-Acquired Pneumonia:  A Review of Current Diagnostic Criteria and Management” in the December issue of AJN, the new guidelines recommend abandoning the use of categories of pneumonia to determine antibiotic coverage.

Instead, treatment decisions should be based on local epidemiology (what is […]

2020-12-08T09:54:11-05:00December 8th, 2020|Nursing|0 Comments
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‘What a Decade This Year Has Been’: Nurses Worldwide Double Down on Commitment to Care

The year nobody expected.

A mere dozen months ago, we were all set to celebrate the International Year of the Nurse and Midwife, poised to shine in the global spotlight with the spring release of the first State of the World’s Nursing report. There were plans to fete us with dinners and awards. “Give them ribbons, buttons and badges to wear,” one website suggested.

How quaint and frivolous that sentiment seems now in light of the continuing shortages of the masks, face shields, gowns, and gloves that we need to protect ourselves, our patients, our families and communities from COVID-19

Nurses in the spotlight.

The pandemic changed everything—except for the fact that nurses did land squarely in the spotlight this past year. Nurses—as always—were asked to multitask when the first confirmed cases led to sustained global transmission. We dug in even as we pivoted, attempting to prevent hard-won health gains from being reversed. For example, women still needed prenatal care. Lockdowns didn’t preclude families from requiring essential preventive and lifesaving treatments for countless infectious and chronic diseases—including malaria, HIV, TB, diabetes, and cancer—that suddenly took a backseat […]

2020-12-04T10:33:26-05:00December 4th, 2020|COVID-19, Nursing, nursing perspective, nursing roles, Public health|0 Comments
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The Legacy of the Asthma Nurse Who Really Listened to a Five-Year-Old

My mum tells me that when I was two years old, I would regularly go blue, particularly when I was walking my sister to school on a cold, windy day. Alongside this, I coughed incessantly. My parents took me to the doctor’s surgery multiple times, and their concerns were dismissed by the GPs, or a course of antibiotics given.

One day when I was particularly unwell, my mum was unable to get a doctor’s appointment but was able to see one of the practice nurses. The nurse identified intercostal recessions and immediately got a doctor to examine me. The doctor asked my mum how long I had been asthmatic; that was the point at which I finally received the diagnosis that linked me into a nurse-led clinic for long-term monitoring.

The nurse was Mr. Pierce*, a man who initially seemed to me scary, authoritative, and old. His voice boomed and filled his modest consulting room. He always pushed open the door to the patient waiting room with considerable energy and vigor, loudly announcing patient names, a habit which made me jump without fail.

Trusting the patient’s expertise.

Mr. Pierce was very much ahead of his time in terms of acknowledging patients’ expertise in their own health. He listened to my account of symptoms, asking my parents to […]

2020-12-02T10:58:37-05:00December 2nd, 2020|Nursing|0 Comments
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Finding Ways to Be Thankful

As we near Thanksgiving, I increasingly find myself looking for positive things—things to help diminish the sadness over the mounting COVID-19 deaths…

So begins my editorial in the November issue of AJN.

As a former ED nurse, I recall working many Thanksgivings. Though I missed holiday dinners with my family, the stark reality of what my patients and their families were dealing with always put things into perspective.

This year, though I won’t be working, I will still be missing my family on Thanksgiving. My husband and I usually host a large dinner, which we’ve cancelled this year in following recommendations to avoid such gatherings. I know many others are doing the same. […]

2020-11-25T10:09:39-05:00November 25th, 2020|Nursing, wellness|0 Comments
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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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