Posted in Self-written Articles

So What about stress?

In a previous article, I wrote about the importance of stepping back and taking a break every once in a while. For nurses, this replenishes and helps to prevent burnout. However, that does not mean we have to avoid stress altogether. In fact, maintaining a level of stress can be quite beneficial. The challenge comes from recognizing the bad vs. Good stress and using the latter to invigorate and keep us on our toes.

I can think of a couple examples where good and bad stress came into play in my life. Reflecting on the stress I experienced during nursing school a few years back, that actually proved beneficial. Meeting deadlines for assignments, encountering new situations during clinicals and preparing for the ominous N-CLEX  exam, all felt grueling at the time. It was hard work that left me questioning how I would get through it. However, the stress led to hard work, motivating me to do a good job with my best work and to keep pushing forward through all the presented challenges.

When it came to bad stress, living with a close family member dealing with a severe illness years ago, it left me anxious and not taking good care of myself.  That included lack of sleep, not eating very much and sinking into some unhealthy coping. Fortunately, with bad stress, we can intervene and take steps to decrease it. The first step is giving ourselves permission;  giving the ok to take a break from what is affecting our wellbeing or stepping away from it all together. What can we give to anyone if we can’t take care of ourselves? If the stress can’t be left entirely, setting limits, groundedness, and reminders that we can only do so much, also helps.

On the flip side, even as we can turn bad stress around, good stress can do the same thing by going too far. A good example is studying for an exam to the point where we have an IV running a bolus of coffee and stay up all night. Or, getting so enmeshed in our work that we neglect those close to us and the stress begins to affect how we respond to other people, such as angry outbursts, etc. I find that what has helped many people, including myself, is recognizing the stress and getting into movement. We have stress hormones in our bodies, such as cortisol, that ages ago motivated us to run from saber tooth tigers. Now, with a more sedentary culture, we have all of these stress chemicals in our bodies that need a release. Exercise and whenever possible, get moving in a way that speaks to you.  Whether it be dancing, jogging, kick-boxing or climbing mountains, It certainly will make all the difference. Combine that with moments of escape, close relationships and some R&R, you have the perfect recipe for joyful living.

Posted in Self-written Articles

A Little Change Never Hurt Anybody

Several weeks ago I had a meeting with the nurse educator, Judy, to go over the specifics of a new acronym used by my hospital to reinforce mindful rounding. The acronym supports the fact that nurses should do rounding that addresses many aspects of what a patient may need every hour throughout the shift. This includes a level of awareness, observation, and consideration which allows the patient feel like those caring for them are paying attention. Though none of these areas were anything new, many did bring forth important reminders. As I continued talking to Judy, she brought up an important point. Some nurses who have been practicing for many years get set in their ways and at times, this makes it challenging to accept any suggestions or a change in routine. A remark I’ve even heard in the past is “You can’t tell me how to do my job I’ve been doing this for 20 years.”  So it made me think, how can we as experienced nurses, open ourselves up to adding more to the routine or even shifting it all together?

As we grow in the field of nursing and become more confident in our therapeutic approach, a system develops. This system is used day to day and we stick with it most of the time because it works. “If it ain’t broke, don’t fix it” we say.  But what if we could adapt our system to make it better and possibly discover improved outcomes for patients. I believe that it first starts with willingness and taking initiative, to research why a different or adapted method could have a better outcome. Then if it doesn’t make sense or we’ve found too many weak areas that could make any difference, no need to pursue. However, the importance comes from realizing different areas always have room for improvement which advances toward a better level of care. Wouldn’t it be a shame if Universities or business institutions kept the same models and textbooks used from 1977? Or if we used the same archaic equipment in hospitals? An aspect of moving forward and even applying evidence-based practice, warrants mixing things up a bit and embracing change when necessary.

Posted in Self-written Articles, Uncategorized

Let’s Get Spiritual

Several years ago as a nursing student, I took a class in spirituality; figuratively and literally. Through the University, I had Dr. Miron as an instructor. His hope was that we would not shy away from those conversations with patients that could deal with the bible, God or what lies beyond death. We had discussions in class about religion, and how that can play a key role in a patient’s care, especially palliative. Throughout the semester we took walks in the park, went to a cemetery and visited a catholic church.  Through it all, I gained a greater appreciation for the fact that adapting to a patient’s views on spirituality and using it to start a dialogue can provide more comfort and hope. With those severely ill, it can truly make all the difference.   Continue reading “Let’s Get Spiritual”

Posted in Self-written Articles

Instilling Hope

How many times have we been in complete shock by a beautiful outcome that seemed so hopeless in the beginning? At times, whether it’s dealing with a severely ill patient or a loved one who’s situation appears so far gone beyond repair, staying optimistic can seem impossible. As nurses, we try to do the opposite, comforting families and patients amidst trying periods and keeping hope alive. Patients especially take comfort in that, noticing our positive outlook and being influenced by it. Continue reading “Instilling Hope”

Posted in Self-written Articles

A shift in perspective

When I reflect on my first year of nursing school, I think about how bright eyed I was about entering a career that was stable, fun, purposeful and flexible. Just like many others, I went into nursing feeling as though I could make a difference. The elation I felt after getting hired to my first nurse position, something that paid way more than the accustomed minimum wage, was indescribable. It seemed I had climbed a mountain and everything I could see from the top appeared perfect. For the first couple of months during my orientation, it felt that way. Continue reading “A shift in perspective”

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Let’s Get involved!

A couple months ago one of my nursing colleagues commented about how the world needs more people to act on important issues. Her exact words, “Pick an issue you’re passionate about and get to work!” Granted, I think most of the time we get tired and what energy is left goes to taking care of important errands or chores at home; even worse if you have kids. On the flip side, I think the rewarding nature of taking steps to make a difference even in our own communities, especially as nurses, give those extra hours worth. Continue reading “Let’s Get involved!”

Posted in Self-written Articles

Close but not too close

From time to time I get to care for a patient that involves a lot of attention and I can’t help but feel empathetic toward them or develop a connection. Of course, this is a major part of nursing but the danger comes when we get too emotionally invested. I’m sure we’ve all heard  romanticized stories of the nurse who falls in love with a fallen soldier during a time of war. I can’t remember the term for that but it exists! Though we usually don’t want to marry many of our patients after taking care of them, there is a thing as becoming too compassionate  where we leap over that professional boundary. Continue reading “Close but not too close”