Nurse Practitioners and Physicians Behind the 8-Ball

On June 8, 2019, an excellent article was published in the New York Times that clearly stated something I've been thinking about for quite some time. The article was titled, "The Business of Health Care Depends on Exploiting Doctors and Nurses", and the subtitle was "One resource seems infinite and free: the professionalism of caregivers". It was written by Dr. Danielle Ofri, a physician at Bellevue Hospital in New York City.

Nurses, The Holidays, and Work-Life Balance

There's no doubt about it, nurses; it's the holiday season, and many of us are feeling the pressure in our personal and professional lives. How do the holidays impact you, your mental and emotional health, your spiritual well-being, and your professional responsibilities as a nurse?

Doing Your Inner Work as a Nurse

Nurse clinicians spend a great deal of time providing care for others. Nurses give physical care (including that which is immediately life-saving), psychoemotional support, and spiritual succor, often in the form of motivational conversation and nurse-to-patient teaching.

What is a powerful way for us nurses to empower and elevate our understanding of human behavior, the human condition, and the nature of suffering? By assiduously doing our own inner work throughout a long lifetime of giving, loving, and feeling.

The Three-Dimensional Job Search

When most nurse job-seekers are in the market for a new nursing position, their job search process can be somewhat one-dimensional. From my perspective, a three-dimensional job search strategy is generally much more effective. And when it comes to career development, it's the same thing. One-dimensionsality breeds one-dimensional results -- why not try something more powerful?

Jump Aboard the Nurse Wellness Express

Once upon a time, I was talking on the phone with a colleague who is not a nurse himself but who interacts with nurses on a regular basis in his professional life. His comments about nurses and their self-care (or lack thereof) were extremely thought-provoking.

Nurse Be Nimble, Nurse Be Quick

The notion of pivoting in your nursing career isn't a new one, and that readiness to pivot can emerge from a nimbleness of mind and a willingness to read the tea leaves of your career. Nurse, are you nimble?

For Nurses, "Just" is a Four-Letter Word

If you're a nurse, when was the last time you said, "Oh, I'm just a nurse" or "I'm not really an expert--I'm just a nurse"? If you stop to think about it, what are you really saying when you deny your expertise? Words are powerful, and the words we use to describe ourselves can have far-reaching effects -- for others, and within our own psyches.

Don't Let Your Nursing Career Go Dry

Like desert soil devoid of rain, a nursing career without direction or purpose can dry up, crack, wither on the vine, and leave you feeling barren, lost, and lacking direction. Do you want that to happen to your career? Of course not!

Can You Return to Nursing After a Hiatus?

Many nurses come to me for advice and career coaching when they're ready to return to the nursing workforce after a hiatus. For some, it's just been a year or two, and for others it might have been 15 or more years of staying home to do the noble work of raising children. The question is, how do you break back into the nursing and healthcare universe after being gone so long? It's indeed possible, and there's a lot to do to get there. On the other hand, I will also share ideas of how to keep your hand in the game even if you're not fully employed.

Nurses Leaning Into Uncertainty

Throughout history, nurses have provided care to those in need despite the cultural circumstances or political scenarios at hand. Nursing care, like medicine, is a necessary service that simply needs to be provided in a society at all times. No matter that bullets are flying or elections are being disputed, nurses are there with their patients even as uncertainty rules the day.

What Is Your Nursing "North Star"?

Many nurses often refer to the profession of nursing as a "calling". Being a nurse can become and intrinsic part of our personal identity, and reporting for work can end up meaning much more to us than just a paycheck.

There are also nurses who approach their work like any other employed person, with no acknowledgment that there is anything more to be gained than a means to a financial end by fulfilling the tasks required of our position. There is no judgment of this approach to professional nursing, but this apparent dichotomy is worthy of our exploration.

Is The Nurse's Glass Half Full?

It's no secret that there's a multitude of unhappy nurses out there in the world. From mandatory overtime to unhealthy nurse-patient ratios, I admit there are very valid reasons for this seeming epidemic of discontent. So, is the nursing glass half-full or half-empty? I guess it depends on who you're drinking with (and perhaps what you're drinking). 

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The Nurse, the Martyr, and the Oxygen Mask

Over the years, I’ve known a lot of different nurses. I’ve known new nurses, seasoned nurses, frightened nurses, burned-out nurses, and nurses who were so jaded they couldn’t even see their patients if they were right in front of their noses. I’ve known nurses who clocked out at the end of their shift and never looked back, and I’ve known others who consistently clocked out two hours late and then were up all night hoping their patients were OK. It takes all kinds.

The Quixotic Nurse

As a nurse writer and blogger, I often use metaphor as a way to express deeper ideas about nursing and healthcare. In the past, I've explored the myths of Sisyphus and Hercules as they relate to nurses and the nursing profession, and my nature continues to point me towards metaphor as a tool for understanding.

I've recently been considering the figure of Don Quixote as another metaphor related to our often beleaguered profession; although much has been written about Quixote and the author Miguel Cervantes, I don't believe anything has been written about the potentially quixotic nature of nurses. So, my friends, I give you the notion of "The Quixotic Nurse".

(Note: this post is much longer than my usual 500-600 words. Please bear with me and consider this long-form post as a necessary means to my desired literary end.)

Your Nursing Career and a Latte?

Just the other day, I was drinking a latte (decaf---I'm an unapologetic caffeine lightweight), and I realized that there's a very appropriate metaphor related to nurses, nursing, and a perfectly brewed latte. It may sound silly, but it may be more apt than you imagine at first.

Be Your Very Own Nursing Career Detective

If you're an older nurse, you might remember TV shows and movies with a private eye or detective carrying a magnifying glass as he or she doggedly searched for clues to solve a perplexing case. You might remember Columbo, The Rockford Files, or any number of shows or movies. If you're a younger nurse, you might be more likely to think of Sherlock with actor Benedict Cumberbatch.

When it comes to your nursing career, you need to be your very own private eye or detective because good ol' Sherlock or Columbo won't be able to help you with this particular case.

The Three R's of Nursing

There are some very basic things that nurses look for -- and deserve -- in the course of their nursing careers. It's clear that this list could probably be expanded to include many other ideas as well. I posit  that there are "Three R's" of nursing, and I identify them as respect, remuneration, and recognition.

Elevate Your Nursing Job Interview Skills

Job interviews are a source of stress for many job-seekers, and nurses are no exception. Nursing can feel like a rough and tumble profession when it comes to the high-stakes interview process, and for those nurses who are unsure how to articulate their value, the interview can seem like an insurmountable hurdle.

Your Nursing Career Mitochondria

We all know that mitochondria are the energy-producing powerhouses within each cell of our bodies, synthesizing ATP (adenosine triphosphate) for us around the clock. In terms of your nursing career, what are the mitochondria that power your engine? What impetus, desires, goals, or motivations drive you forward? If you need to stoke the fire of your nursing career, the spark cannot be created in a vacuum.

Hey Nurse; Got Resistance?

Have you ever found yourself resisting change? Has your nursing career stalled because you're afraid of taking a risk or doing something different? Change is indeed the only constant in the universe (aside from death and taxes), so it's something that we simply need to get comfortable with---over and over again!

Nurses Week: Giving Thanks

Well, this is it, folks. This is the week that's set aside for nurses to be praised, thanked and stroked. Gratitude goes a long way in this world, so this is a week when clear and heartfelt gratitude for nurses can be found in many places, both expected and unexpected.

Nursing Career Change and the Soul

When a nurse needs a career change, the reasons can be myriad and multifaceted. However, when we only reach for the money or for career "advancement", we may miss a golden opportunity for a different kind of personal and professional blossoming to take place.

The Five Rights Of A Healthy Work Environment

I recently gave a presentation at a northern California nursing conference on the subject of healthy work environments for nurses. During my preparations, I spent a great deal of time pondering aloud about the scourge of nurse bullying and lateral violence, as well as why healthcare workplaces lend themselves so readily to unhealthy work conditions.

There are many reasons that bullying and unhealthy workplaces have become so common, and I’m sure that you, dear Reader, can rattle off a few without even thinking too hard.

Lions, Gazelles, and Nurses

Nursing has a hierarchy of power and experience just like any other profession; in fact, it also has a hierarchy that sometimes feels akin to the laws of survival on the savanna or in the jungle.

Have you ever observed that the less experienced and more vulnerable nurses frequently get left on the outside, often falling prey to bullies and "predators"? This is the herd mentality at its worst, and many novice nurses are taken down by bullies and power-hungry colleagues who eat them alive when they're demonstrating the slightest weakness.

Your Nursing Career Report Card

Remember the days when you'd run home with your report card to show your parents how you did in school? Or were you the kid who hid it at the bottom of your bag so they wouldn't see it? Well, your nursing career deserves a report card, too. How've you been doing and what grade do you think you deserve?

5 Ways to Build Your Network of Nursing Career Allies

In the course of your nursing career, you need allies who can help you elevate and advance your journey as a professional nurse. Allies are easier to come by than you think, but so many nurses don't think strategically about this important aspect of nursing career development.

Since such a large number of nurses seem averse to consciously and purposefully building a professional network, here are five ways to build your network of nursing career allies.

The Continuum of Nurse Career Growth

The growth of your career as a nurse can be consciously self-generated, or simply a result of happenstance and a laissez-faire attitude towards professional development. Neither of these options are necessarily bad in and of themselves, but a thoughtfully sculpted career is definitely fodder for a much richer, satisfying, and rewarding trajectory.

The 10,000-Foot View of Your Nursing Career

A few weeks ago, I was speaking with a career coaching client, and we were discussing how scary it can be to make a big change. In talking about the minutiae as well as the big picture, I encouraged her to always come back to the 10,000-foot view. "However," I said, "while the 10,000-foot view is a great thing to keep in mind, it can also give you vertigo."
 

Clouds, thousands of feet over Santa Fe, NM

Feeding Your Nursing Career

Your nursing career is a lot like your body; it needs to be fed, watered, exercised, and well-rested in order to function optimally. What kinds of nutrition does your career need? What nutritional deficits does your nursing career demonstrate? Are you willing to feed your career as well as you feed your own body?

Genius is Relative, Nurses!

Are you a nurse who sometimes beats herself up because you've focused so much on your specialty practice area that you've lost touch with other aspects of nursing? Are you highly skilled at reading ECGs but couldn't interpret an ABG (arterial blood gas) if your life depended on it? Are you a nurse business owner completely removed from the clinical world? There are all kinds of nurses out there, and you really can't know everything, even if you're a real life nurse polymath. Genius is relative, and we all have our own unique brilliance and gifts to bring to the table.

Metacognition: Thinking About Your Thinking About Your Nursing Career

In the world of nursing and non-nursing education, metacognition is a common pedagogical concept for nurse educators to consider when working with students on the path to becoming licensed healthcare professionals. Metacognition is at its most basic the act of thinking about your thinking. Aside from its commonplace setting of education, metacognition can be also considered in terms of how we approach our nursing careers and professional lives. So let's stop and think about our thinking, shall we?

Photo by Ricards Zalmezs on Unsplash

Six Steps to Being a Better Nurse Communicator

One of the most important non-clinical skills for a nurse to develop is strong powers of communication. Nursing care is built on the foundation of communication -- both patients and colleagues figure largely in a nurse's world, and being able to listen well and speak your truth clearly is absolutely essential both on the job and in your daily life. 

Photo by Jason Rosewell on Unsplash

Is Your Nursing Career on Autopilot?

Nurses, do you ever feel that your nursing career is on autopilot? Are you coasting, resting on your laurels, or otherwise sitting in the back seat of your career? This can work for a while, but it can eventually lead to boredom, ennui, and even burnout and an abandoned career. If you're on autopilot right now, would you like to get back in the pilot's seat?

Nurses, Parachutes, Stools, and the Career You Truly Want

Being a nurse is a wonderful career and avocation. In the course of attempting to build an amenable lifestyle and workstyle, things can get confusing, but there are plenty of resources for the earnest nursing professional who wants support in taking their career to the next level.

Photo by Nicolas Tissot on Unsplash

The "Shoulds" and "Coulds" of Your Nursing Career

In the world of nurses and nursing, it can feel like we are told what we “should” do with our careers much more often than what we “could” do. While the difference can seem subtle, it is actually something that can have a serious impact on the career path we choose and the subsequent satisfaction that we derive from our choices.

So You Want to be a Nurse?

Deciding to become a nurse and enter the worlds of nursing, medicine, and healthcare is a courageous act. If you want to be a nurse, doing your due diligence and truly understanding what healthcare and nursing are all about is definitely a smart preliminary strategy. Once you learn more, this momentous career decision may set you on the road to becoming a highly valued nursing professional.

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