Compelled by Professionalism

Julianna Paradisi, RN, OCN, writes a monthly post for this blog and works as an infusion nurse in outpatient oncology.

ParadisiThanksIllustration“Ah, Julianna.”

This greeting from a physician marked my arrival at work. I assumed he was about to give me information or an order about one of our patients. I prepared myself for the forthcoming shift—”Ready or not, here it comes.”

Instead, he did something completely unexpected. Quickly retreating to his office, he reappeared, extending towards me a bright blue envelope with my name neatly written on the back.

It contained a greeting card. Not the generic kind hospitals provide managers in bulk for staff recognition. Not the “You’ve Been Caught Doing Something Fabulous!” quarter page–sized certificates available in the staff lounge for coworkers to fill out in recognition of their peers. This was a genuine, bona fide greeting card, the kind you have to go to a store and select from a rack and purchase. Inside, he’d addressed it to me again, with a personal note in handwriting, shattering the long-held belief that physicians cannot write legibly in cursive.

Being thanked by a physician for an act of nursing I had provided for his patient isn’t what caught me off guard. During my years of practice, many physicians have verbally expressed appreciation for my nursing skills. A half-dozen have even apologized for disagreeing with an assessment of mine (only to find out […]

2016-11-21T13:04:52-05:00April 30th, 2014|career, nursing perspective|1 Comment
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Preventing Delirium, The Luxury of Time, Things We Get Right, More: Nursing Blog Roundup

By Jacob Molyneux, senior editor

Here are a few recent posts of interest at various nursing blogs:

karindalziel/ via Flickr Creative Commons karindalziel/ via Flickr Creative Commons

In the throes of nursing school: An intriguing little pastiche of a poem (does it qualify as a ‘found word’ poem?) can be found at a newish blog, adrienne, {student} nurse, in a short post called anatomy of a bath. In another post, she makes the following observations: “In nursing school, you are not driving the train…You absolutely must keep telling yourself that there is nothing wrong with you.”

Preventing delirium in the ICU: At the INQRI blog (the blog of the Interdisciplinary Nursing Quality Research Institute), a post summarizes some recent research on implementing a “bundle” of practices to increase mobility and reduce sedation in the ICU, all in order to prevent patient delirium, which is known to have many short- and long-term negative effects.

The luxury of time. At Love and Ladybits, the author gets a tantalizing glimpse of the quality of care she’d be able to provide if she had more time to spend with each patient. Of course, this “alternative reality” can’t last, but perhaps it can serve as a touchstone of sorts during […]

2016-11-21T13:05:16-05:00March 7th, 2014|career, healthcare social media, nursing perspective|1 Comment
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Giving Thanks for Meaning in a Nonclinical Setting

Julianna Paradisi, RN, OCN, writes a monthly post for this blog and works as an infusion nurse in outpatient oncology. The illustration of this post is by the author.

NiceNurseSome Thanksgiving seasons, it feels like the only specific nursing thing to be thankful for is the overstocked larder of the staff lounge, marking the advent of The Season of Eating.

I’m being facetious. Actually, there’s lots to be thankful for in nursing, including a regular paycheck, which is not taken for granted. However, most nursing units remain understaffed, despite hoards of nursing school graduates desperately seeking jobs—creating a no-net gain on the gratitude side of the ledger.

Ethical issues and long hours also make finding gratitude a challenge. It’s not the gifts from patients of flavored popcorn and boxes of chocolates in the staff lounge that warm a nurse’s heart so much as the handwritten cards accompanying them, thanking us for their care. For nurses, finding meaning in what we do goes hand in hand with gratitude.

This season, however, I was surprised by an opportunity to find meaning as a nurse outside of a clinical setting, and I want to share the experience.

One afternoon, a neighbor came to my door asking for help. She is the mother of two small children, and her toddler had accidentally burnt his hand in the kitchen. She’d taken him to the emergency department and […]

2018-03-28T10:27:41-04:00November 25th, 2013|career, nursing perspective|6 Comments
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Oh for a Thimbleful of Gratitude!

By Christine Moffa, AJN clinical editor

I had surgery 12/28 and spent four days on med-surg afterwards. I literally spent 3/4 of my time sleeping (bliss! oh rapture unforseen!), but *every single time* anyone came into my room for any reason (meds, IV change, turn off the freaking IV alarm, phlebotomist, housekeeping, whatever), I said “thank you.” I got the feeling I was abnormal. . . . So. How often do your pts say thank you, and does it come as a surprise when they do?

It’s been a few years since I’ve worked directly with patients, but in the past when I had a particularly tough day I would tell people that “nursing is a thankless job.” I’m talking about the kind of day when you barely had time to use the bathroom, never mind eat something, and the only feedback you heard from patients and administration was about what you didn’t get done. So when I saw a post (excerpted above) called “How often do your pts thank you?” at Allnurses.com, it hit a nerve.

The responses to the post were mixed, with some saying it’s common to be thanked by patients and others arguing the opposite. Maybe it’s regional—I’ve only worked on the East Coast, and in my experience complaints seem to get more air time than gratitude. Or maybe it’s just the times we’re living in. Either way, I’m sure most nurses would say they didn’t choose this career in the hope […]

2016-11-21T13:19:44-05:00January 29th, 2010|nursing perspective, patient engagement|7 Comments
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