Nursing Jobs, Cost of Living, & Where to Hang Your Hat

In my work as a career coach for nurses and healthcare professionals, I frequently witness those who work in nursing struggling with decisions related to finding work and the relative cost of living in terms of where they live or where they might move.

Making decisions about your workstyle and lifestyle can be fraught with anxiety and concern about the future -- let's unpack that conundrum.

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Nurse, Throw Your Hat Over the Wall

In your nursing career, have you ever wanted to get something done but never had the gumption to make the commitment and just do it? Well, there's an old Irish proverb that says, "When you come upon a wall, throw your hat over it and then go and get your hat."

In the context of your nursing career, I like to think of this saying in terms of you putting some skin in the game and making a commitment to do what needs to be done, no matter what obstacles may appear to be in your way. What are you avoiding? What are you waiting for? Is there a deep end you just need to dive into?

Are You a Nurse Job Hopper?

Nurses leave jobs for innumerable reasons, and sometimes circumstances cause those of us in healthcare and nursing to only stay at a string of positions for relatively short periods. Job-hopping has generally been frowned upon in human resources circles, but generational changes and new attitudes about work and careers are slowly altering the landscape. However, job-hopping continues to have its ups and downs, and being a nurse job-hopper still comes with significant career liability.

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APRNs and 21st-Century American Healthcare

Advanced Practice Registered Nurses (APRNs) are an increasingly important fixture within the 21^st-century American healthcare system and nursing profession. Full practice authority is a central key to APRNs’ ability to fulfill the needs of the American public, and it’s time for such authority to be granted nationwide.

Nurses: Come Out of the Woodwork

Although Nurses Week is long over, the public face of nursing still needs a regular shot in the arm so that the public knows what nurses actually do. As nurses, do we describe our work in a way that gets the point across? Does the public know that we're more than the media makes us out to be?

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Non-Traditional Nursing Careers: Where There Is No Box

Ask just about anyone what a nurse does and where a nurse works, and the general response is, "Oh, she works in a hospital." Apropos of that statement, when I tell someone I'm a nurse, they generally say, "So, do you work at the hospital?" I have nothing against hospital nursing, but there's more to our profession than meets the eye, and many of us are waking up to the multiplicity of non-traditional opportunities just waiting to be grasped by the savvy nurse.

Nurses, the Best Selfie is Internal

At a time in history when "selfies" are dominant in the depiction of our lives (and the potential measurement of our worth), the most important selfie for a nurse to take is on the inside, not the outside.

Selfies are part of our 21st-century culture, and there's no denying their popularity. In essence, it's our way of presenting a self-portrait to the world just like Van Gogh or Rembrandt would, except we can  effortlessly make dozens per day that can potentially be seen by hundreds or thousands of people. 

We have the habit of posting photos of ourselves having dinner with friends, walking on the beach with our dog, or relaxing on the hammock with a book and a glass of wine. In terms of our personal development and how we see ourselves as nurses and human beings, what if we shifted to taking "selfies" of what's going on inside of us? Rather than focusing on the outward appearances of our lives and careers, what if we delved more deeply into our motivations, fears, and joys? What if that which made us tick -- rather than the brightness of our smile or our curated life -- became the measure of our lives as nurses, human beings, and citizens?

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Change, Personal Agency, and Wellness -- Celebrating Nurses Week 2018

As Nurses Week begins, what does the idea of nurses and nursing conjure for the majority of people when they think about nurses? Obviously, the public trusts us immensely (the Gallup Poll confirms that every year), so there's a lot behind who we nurses are and why we're so special.

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Nurses Take DC 2018: Nurses' Voices Matter

On Thursday, April 26th, 2018, I had the distinct privilege and pleasure of speaking in front of the United States Capitol Building at the annual Nurses Take DC Rally for Nurse-Patient Ratios. With the iconic Capitol dome in the background and the Washington Monument directly in front of me as I spoke to hundreds of fired up nurses, it was a powerful moment for me as a nurse and as a motivational public speaker.

Nurse Innovators and Trailblazers: An Embarrassment of Riches

I recently spoke with a nurse career coaching client who's thoughtfully searching for what she should do next with her nursing career in order to more fully reach her potential as a healthcare professional.

As I've previously discussed on both this blog and my podcast, the sky's the limit in terms of what nurses are capable of, even though nursing schools (and by extension many of your nursing colleagues) will lead you to believe that acute care is the only place where "real" nurses choose to make their professional nest.

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Nurse Bullies: A Plague On Our House

Sadly, there appears to be a desperate need for a continued conversation about bullying within the nursing profession. One would hope that the dawning of the 21st century would have seen a decline in such old school behaviors, but there are obviously those among us who haven't yet learned the lesson that collaboration and cooperation are the true keys to success.

Escape Velocity

There are many of us who desire change during the course of our nursing careers, but change can be hard to manifest for a variety of reasons: boredom, ennui, limiting beliefs, lack of imagination, low self-esteem, difficult life circumstances, finances, burnout, or perhaps a rut so deep that we can't dig ourselves out.

In order to break free of the earth's gravitational field, a rocket must reach 25,020 miles per hour. Is your needed escape velocity equally daunting? If you were to gain the momentum needed to make a change, what is the escape velocity you would need to actually make it happen?

A Soft Landing for New Nurses

In speaking with large numbers of new nurses over the years, I consistently hear that novice nurses are not often given the guidance, nurturing, and mentoring that they truly need to move from surviving to thriving in their new nursing careers. New nurses need a "soft landing" as they enter the field, and it's up to us seasoned nurses to make sure they get it.

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Common Questions About Nurse Entrepreneurship

Nurse entrepreneurship is exploding in the 21st century, and many nurses ask me for advice about nursing-based business. So, let's dig into some of the most common questions that nurses have about potentially launching a business or entrepreneurial endeavor.

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Nursing Trends and the ANA, Part 2 of 2

One of the premier nursing organizations gathering information about nurses is the American Nurses Association (ANA). In my previous post, we delved into the results of a 2017 ANA survey based on responses from approximately 6,000 nurses. Today we're going to dive back in for part 2 of our 2-part series.

Nursing Trends and the ANA -- Part 1 of 2

In the November and December 2017 issues of American Nurse Today, the ANA revealed the results of a survey of almost 6,000 nurses. This nursing survey explored the state of the profession in relation to trends in nursing salaries, the makeup of the nurse clinician workforce, and workplace culture and environment. Let's explore some of what they found -- we'll explore more in next week's blog post.

Hispanic Nurses On Fire

I recently spent an incredibly inspiring and powerful weekend with 100 Latino nurse leaders who gathered in San Antonio, Texas for the inaugural National Association of Hispanic Nurses Leadership Institute. This spirited group of forward thinking nurses of all ages clearly demonstrates that unity, organizing, critical thinking, and planning for the future are part and parcel of enlightened 21st-century nurse leadership.

Nurses, Gallup, and Amplifying Your Voice

Well folks, nurses did it again. According to the newly released Gallup poll, we're still the most trusted professionals in the United States! Let's face it - the nursing profession rocks.

The BSN Requirement -- A Legislative Sea Change

Do you believe that nurses should be required by the government to have a BSN? Well, the tide is turning and a massive sea change is inexorably underway since New York State Governor Andrew Cuomo signed such legislation into law on December 19th, 2017. It's called "BSN in 10", and the consequences will be widely felt by the nursing profession in the wake of this controversial move that was 14 years in the making.

Mass Shootings and Trauma -- the New Normal

Mass shootings and similar tragic events are so frequent here in the United States that they appear to be the new normal. There were apparently more than 250 mass shootings in the U.S. in the first 9 months of 2017. As nurses and healthcare professionals, how do we cope, respond, and prepare for such seemingly commonplace yet traumatic events?

Are You A Nurse Stress Cadet?

Just the other day, I heard the term "stress cadet" for the first time, and I was struck by how very apropos those two words are when considering the average 21st-century professional nurse. Are you a nurse stress cadet? If not, do you know one?

The Crucial Nature of Nurse Volunteerism

As the United States grapples with the aftermath of Hurricane Harvey, I am reminded of how nurses' collective and individual dedication to volunteerism and community service are central to the fabric of society, as well as to the notion of who we nurses are and what we are capable of. Nurse volunteerism serves many purposes, and its importance is worthy of intensive discussion.

A Utah Nurse Bullied By Police

On July 26th, nurse Alex Wubbels was working a shift at the University of Utah Hospital. She was tending to a patient who was in a coma; he was the victim of a drunk driver and was badly burned. The course of Nurse Wubbels' shift changed dramatically when the police arrived.

"The Nurse's Story" by Carol Gino

Please enjoy this republication of a previously published review of The Nurse's Story by my beloved colleague, Carol Gino.  

In the ER.......

The following story was published here on Digital Doorway in July of 2010. The issues of nurse burnout and compassion fatigue have not changed in the last seven years, and this anecdote from the ER is as salient today as ever.