A Pediatric ICU Nurse Finds Relief in Not Compartmentalizing Hard Emotions Like Grief

Editor’s note: Hui-wen Sato is a pediatric ICU nurse in California and a regular writer for this blog who has gone deeply into the topic of grief, her own and that of patients and their families. Her insights reverse our usual ways of understanding grief, finding a generative energy instead of a wasteland. Here is a key passage from a TED-style talk (see video below) she gave at the last End Well Project conference in November 2023. End Well is “a nonprofit on a mission to transform how the world thinks about, talks about, and plans for the end of life.”

“And so I realized that what I was going to need to learn how to do was not compartmentalize, but integrate all of my experiences into all of who I am. And as I started to learn how to integrate all of my experiences, there came a curious relief and freedom with this integration. Because I no longer had to pretend that I didn’t grieve for my patients. I could just grieve. And I could then get in closer and actually learn more about who they were, who their families were, and I could start to provide a kind of care I think I perhaps had always wanted to provide, but perhaps was a little too scared to get close enough to learn how.”

2024-03-28T14:03:14-04:00March 28th, 2024|end of life, Nursing, pediatrics|0 Comments
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The Pitfalls of Being the ‘Nice’ Patient: A Nurse’s Perspective

Image Brent Keane/via Pexels

I have often heard health care professionals in various environments say, “If you’re nice to the nurses and doctors who take care of you, you’ll get better care.” As a bedside nurse myself, I understand the sentiment. No busy health care worker loves being met with antagonism or pressing demands that don’t strike us as critically urgent.

But when my husband and I both became patients with serious illnesses last year, we learned the clinical pitfalls of being the nice patients. I am left wondering how patients should be expected or permitted to advocate for their own care without worrying that they will be frowned upon or brushed off because they’re perceived as “difficult.”

First cautionary tale.

In early 2022, I discovered a small lump under my right breast that I initially wrote off as a cyst. Surely, I told myself, as a woman in her mid-40s with no risk factors for breast cancer, this had to be benign. A screening mammogram in May 2022 gave me an all-clear, and I went on my way.

But by November, I knew the lump had grown. I reached out to my PCP to ask for a diagnostic mammogram, and he emailed back a casual reassurance. “I know you’re worried, […]

2024-02-07T16:57:09-05:00February 6th, 2024|Nursing, nursing stories, patient experience, Patients|14 Comments
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AI and Nursing: Are We Ready?

Three considerations about nursing and AI.

Lisiane Pruinelli

In my role as a nursing professor under the University of Florida Artificial Intelligence Initiative (ai.ufhealth.org) and in leading several national and international efforts, I apply what I’ve learned in years of clinical and educational experience to articulate the implications of AI for the nursing profession.

Doing so, I see three broad considerations that will affect the profession’s future. 1) The need to take into account the history of the nursing profession and the fact we are the most trusted profession in the US, 2) The question of how we can best incorporate new technologies and/or ideas into the care we deliver every day, and 3) The issue of how we can build the new generation of nurses while also training current nurses in order that they can play a role at the forefront of the AI/health care revolution while continuing to be strong advocates for safe and ethical care.

These three considerations are elaborated below:

2024-01-25T10:10:18-05:00January 16th, 2024|artificial intelligence (AI), Nursing, Technology|1 Comment
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Implementation Science: Systematic, Sustainable, Evidence-Based Change

By Cagkan/Adobe Stock

Reading the article by Russell-Babin and colleagues in the December 2023 issue of AJN made me grateful for all the work that went into developing the nursing implementation science (IS) program at Inova. As a nurse working at this health care system, I’d like to share how I benefited from being in the first cohort of nurses trained and engaged in IS over the last three years.

For the past eight years, I’ve been a clinical coordinator of two different disease-specific programs—first stroke and now sepsis. In these roles, I’ve been engaged in many different quality improvement (QI) projects and have become familiar with the tools and processes used to improve patient care and outcomes.

Towards more comprehensive and systematic evidence-based change.

However, as I was invited to step into the world of IS, I began to realize that a strict QI approach cannot alone bring about all the changes we desire within the complex systems of health care. The fact is that […]

2024-01-11T10:06:42-05:00January 11th, 2024|Nursing, nursing roles, Quality improvement|1 Comment
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Military Environmental Exposures: Recommended Reading in AJN’s November Issue

The November issue of AJN is now live.

What should nurses know about caring for people who have been exposed to potentially harmful agents—such as air pollutants, chemicals, radiation, warfare agents, and materials containing asbestos and lead—during military service? Read “Military Environmental Exposures” to find out.

Our November CE article, “Recognizing Transfusion-Associated Circulatory Overload,” reviews the most current definitions of this adverse transfusion reaction and outlines its characteristics and management.

“What Health Care Staff Who Experienced Assisted Patient Falls Can Teach Us: Implications for Fall and Fall Injury Risk,” presents qualitative findings from a QI project aimed at improving guidance for staff on the risks of assisting falling patients.

“Nursing Research, Step by Step: Sample Size Planning in Quantitative Nursing Research,” one in a series on clinical research by nurses, describes how to determine an appropriate sample size for a quantitative research project, and introduces the concepts of error, power, and effect size.

In “Optimizing Blood Culture Collection Volumes,” the authors discuss a QI project they conducted to understand the causes of underfilled and overfilled blood cultures obtained by nurses and PCTs and to reduce their incidence.

See also the […]

2023-10-26T11:59:45-04:00October 26th, 2023|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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