The Complex Working Relationships Between National and Expatriate RNs on Humanitarian Missions

Photo via Flickr / Andrew Smith

Each summer, many nurses and nursing students join humanitarian aid missions, traveling to countries where health resources are scarce in order to work in medical clinics, on surgical teams, or as part of a public health brigade to serve impoverished communities. They work alongside local health workers, often under crisis conditions. We tend to take for granted that there are no downsides to these efforts. But how do local nurses feel about working with (and usually under the supervision of) nurses from other countries?

In 2014, nurse Debbie Wilson worked in an Ebola treatment unit in Liberia. It wasn’t her first overseas medical mission. But under the particularly intense conditions of the deadly Ebola outbreak, she worked very closely with the Liberian nurses in the unit—nurses whose own family members, friends, and coworkers had died of the disease. (Read about Wilson’s experience here.) Over time, these nurses shared with Wilson their stories of positive and negative experiences working with other expatriate nurses in the center.

Since that deployment, Wilson has teamed up with her Liberian colleague Darlington S. Jallah to formally explore the working relationship between expats and local nurses. They share their findings in Exploring Working Relationships Between National and Expatriate RNs on Humanitarian Aid Missions: The Perspectives of Liberian Nurses in the June issue of AJN.

Wilson and Jallah led focus groups with Liberian […]

2019-06-19T10:54:55-04:00June 19th, 2019|Nursing|2 Comments
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‘Worth Its Weight in Gold’: The Small, Unexpected Triumphs of Nursing

“Nursing is a job that sometimes finds you investing emotionally in things you never expected to care about.”

How many times have you waxed enthusiastic at work about something that people who aren’t nurses would find weird, or even downright gross? Eyeing a patient’s Foley bag and exclaiming about how great her urine looks…praising a young man for coughing up gobs of sticky sputum….

Illustration by Pat Kinsella for AJN.

The challenge of obtaining a specimen.

In this month’s Reflections column, “Worth its Weight in Gold” (free until July 7), visiting nurse Jonathan Robb describes his efforts to obtain a urine sample for culture from an elderly woman who has minimal bladder control.

Most of us are familiar with the balancing act of obtaining a specimen under conditions that cause discomfort or embarrassment to a patient. We cajole and gently press for whatever has to be done, trying to maintain a relaxed atmosphere while hiding any urgency about completing the task that we might feel. This delicate pas de deux has the potential to be very stressful for both parties.

Robb’s sometimes comical descriptions of the contortions necessary to meet his particular challenge will ring true to nurses.

“…despite the […]

2019-06-17T10:16:20-04:00June 17th, 2019|Nursing, nursing stories, patient engagement|0 Comments
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In Nursing, Empathy Is a Practice to Cultivate

Empathy as one reason nurses are so widely trusted.

Last December, nurses were named the most honest and trusted profession in the U.S. for the 17th year in a row. In order to build trusting nurse-patient relationships that can help improve health, nurses must understand the needs and circumstances of patients, families, and communities. One way nurses arrive at an understanding of these needs is through practicing empathy. This may explain why nurse empathy has been found to be a major factor in hospitalized patients’ satisfaction with their care.

photo credit: EKGTechnicianSalary

The word empathy is not very old, as words go. It appears to have been a translation into English, using a combination of Greek roots meaning ‘in’ and ‘feeling,’ of an early 20th century German psychological term, Einfűhlung (‘feeling-in’).

In health care, we generally define empathy as the ability to enter a patient’s frame of reference (thoughts, emotions, circumstances, etc.) and sense the meaning in her or his inner world, as the concept was described by Carl Rogers, one of the founders of humanistic psychology. 

Are we becoming less empathetic?

These days, empathy can often seem to be in short supply. Much-publicized study findings suggest that […]

2019-06-13T07:49:55-04:00June 13th, 2019|Nursing|1 Comment
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Approaching Ostomy Care with Confidence

A first experience of as a nursing student.

I encountered my first stoma as a nursing student and the incident is seared into my memory. It was in the first semester of my medical–surgical nursing course. The patient was a middle-aged man three or four days post-op after a colon resection. I was very nervous, but figured my instructor would know what to do. My stomach dropped when she confessed that she was not all that familiar with stoma care but was confident we’d figure it out with some help from the staff.

Fortunately, the head nurse of the surgical ward (I’m dating myself: yes, it was a ward and yes, her title was head nurse, not nurse manager or patient care coordinator) was very experienced with new ostomy care. She helped both of us gather the correct supplies and briefed us on what to assess and do. We were able to competently change dressings, change the ostomy appliance, and make the patient comfortable. However, I don’t think I encountered another patient with an ostomy until a few years later. By then my knowledge had faded. I had to seek a refresher.

Stoma assessment and common complications.

Photo by Amelie-Benoist / BSIP / Alamy.

I am very pleased that Susan Shelton […]

2019-06-11T11:56:29-04:00June 11th, 2019|Nursing|0 Comments
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AACN: Going Strong After 50 Years

Once again, the American Association of Critical-Care Nurses (AACN) proves it knows how to host a gathering—especially when it’s celebrating its own birthday.

Around a kitchen table in Nashville.

It was in 1969 that nurse Norma Shephard invited several nurses to a meeting; sitting around her kitchen table in Nashville, Tennessee, they formed what has become one of the largest and most successful nursing specialty organizations in the world. Five years later, in 1974, the AACN held its first annual National Teaching Institute (NTI) in New Orleans (I was there!). Today, the AACN numbers over 200 chapters and 100,000 members.

Its annual May NTI meeting is one of the largest nursing meetings, and this year’s meeting in Orlando was no different, with about 8,000 attendees, 200 educational sessions, and 400-plus exhibitors of products, educational and health care organizations, and recruiters. It takes about two days to really “do” the NTI exhibit hall.

From ‘nursing as hospital expense to nursing as investment.’

“Our Voice Our Strength” was the theme chosen by AACN President Lisa Riggs, […]

2019-06-06T12:11:05-04:00June 6th, 2019|Nursing|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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