How to prepare yourself physically for winter


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Keep up with preventive screenings and checkups

Even if you’re feeling healthy, a regular checkup with your provider is a good way to validate your health or identify a problem in its early stages. Early detection of a medical issue is the best way to improve effectiveness of condition treatment and management. In addition, people without underlying health conditions appear to recover faster from, and have lower rates of complications or death from, COVID-19. So staying healthy is important this and every season.

Plan an indoor exercise routine

Regular exercise is good for your body and mind. It decreases your risk for heart disease and stroke, helps you maintain a healthy weight, improves the quality of your sleep and improves your mood. As we transition to more time indoors, research indoor fitness options, such as apps or videos, that you can do at home. Or dust off unused exercise equipment in your basement. Also, many gyms have reopened, and they can be a good option.

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Warm up to outdoor winter activities

You may have heard the phrase, “There’s no such thing as bad weather, only bad clothing.” Winter weather is more enjoyable if you have the proper equipment. This winter may be a perfect opportunity to invest in some new cold-weather gear and try a new winter activity, such as snowshoeing, cross-country skiing or ice fishing. With the proper outdoor clothing, your family can fully embrace the lower temperatures without running back indoors in five minutes. Your family also can try outdoor treasure hunts, hiking, cookouts, camping, photography, painting the snow or other winter activities. Visiting with family and friends outdoors, while still maintaining social distance, can be a safer way to interact with your loved ones.

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Map out a healthy meal plan

Meal planning is a great way to prepare for healthy dinners, simplify your shopping trip and save money. This also helps fend off the desire to reach for processed or fast food. Spend an hour listing 10 to 15 healthy dinner options and the necessary ingredients for each. Then incorporate these options into your weekly meal plan. You can always reuse meal plans and grocery lists to cut down on planning time. You may find that a two- or three-week seasonal meal plan provides enough variety for your family. And this type of planning eliminates the daily stress of what’s for dinner and makes the healthy choices easier.

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It folds up for easy storage and has pockets to hold a remote control and reading materials. Listed at $129, you may be able to get discounts with a code or holiday sale to get the price under $100."},{"_id":"D5MQJW7VCNGTVBESK3BHKNCLEU","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606920096695},"content":"2. Nurse and medical-themed subscription boxes – For the gift that keeps on giving, Hello Subscription offers a variety of subscription boxes for the nurse or medical professional in your life. Choose from gift options delivered monthly or quarterly, such as the Nurse Care Crate for monthly self-care, or the StatBox, which offers more practical tools of the trade that nurses can use on the job. Prices range from about $12.50 to $40 per month."},{"_id":"FZZLD75RIFC6JLKN4D43OIV4KQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606920096696},"content":"3. Personalized stethoscope – If you want to give something practical and fun, while also supporting a local Georgia business, Ultrascope, based in Doraville, provides hundreds of personalized stethoscope varieties, colors, and themes, from sparkly or outdoorsy, to abstract and artsy. Additionally, the stethoscopes, priced from $69.99 and up, are offered in several different models for various clinical needs and functionality."},{"_id":"SCFKQNOCJZEUPIQ4L3QABO7PNA","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606920096697},"content":"4. Meal delivery – One challenge many nurses share is being short on time, and they ALL need to eat, so you can’t go wrong with the gift of food! There are many different options for in-home meal delivery, so you may want to research the one that best suits the dietary preferences of the nurse in your life. However, some of the most popular home delivery options are Home Chef, which offers gift cards from $65 and up, which is enough to cover three meals for two people, according to their website. Other options for meal delivery kits include Blue Apron or Hello Fresh. If you think the nurse in your life would prefer meals that are completely ready-to-eat without any meal prep at all, you can also purchase gift cards for DoorDash or UberEats."},{"_id":"5J4SXLMQUZDLNMFWVE3YTSQDW4","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606920096698},"content":"5. Nurse coffee mug (or another beverage container) – If you need something universal but also on a smaller budget, choose a coffee mug with a nurse-related saying that’s funny or heartfelt, or a personalized mug with your favorite nurse’s name on it. You can find thousands of options and colors with hundreds of different nurse quotes or cartoons at Cafepress.com, Amazon.com, and many other retailers, starting at about $5. If your favorite nurse doesn’t drink coffee, there are also wine glasses, beer mugs, and YETIs for nurses."},{"_id":"ZYDD6G4Z4RHB7N2J4NM6X3YFFY","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606920096699},"content":"6. Nurse-themed jewelry – Although most nurses can’t wear jewelry at work, many enjoy donning some bling between shifts. If your favorite nurse enjoys wearing jewelry, there are many options for nurse-themed baubles and bangles. This beautiful charm bracelet from Alex and Ani is on sale for $16.80, normally $28, and they also offer this best-selling healthcare hero charm bangle. Pandora offers two different nurse charms, and most other popular jewelry brands also offer nurse- or healthcare-themed pieces, including these heartbeat necklaces from Kay jewelers, or these earrings from Zales. For less expensive jewelry options, Cafepress and Amazon offer a plethora of nurse-themed jewelry options as well."},{"_id":"XUPORZPOTJFPPE6RWCTZOA4U44","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606920096700},"content":"7. Weighted blanket – Another important necessity many nurses often lack is quality sleep. According to Healthline.com, weighted blankets may help to relieve a number of conditions including anxiety, insomnia, restless leg syndrome and more to help ensure healthier sleep patterns. Weighted blankets may be purchased from home goods stores, department stores, and just about any online shopping outlet. This YnM Weighted Blanket is the best seller on Amazon, but there are hundreds of options available. According to experts, ideally, a weighted blanket should weigh about 10% of the sleeper’s body weight, so it helps to know about how much your recipient weighs."},{"_id":"TDQA2DZQ6RFJTENIEPE2HBCTTA","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606920096701},"content":"8. Nurse-themed holiday ornament – A holiday ornament is another great gift option if you’re on a budget, and/or if you have multiple nurses for whom to buy holiday gifts. (You may want to confirm that your gift recipient celebrates Christmas or decorates for the holidays.) Many retail gift outlets that offer ornaments also offer personalization options, to help make your gift extra special. Most large retailers offer nurse-themed ornaments, including Hallmark, Zazzle, and Personalization Mall."},{"_id":"RI4D7R7NSRD57PHCPO74LFBNJU","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606920096702},"content":"9. Books and journals for and about nurses – If the nurse in your life loves to read, a book is a wonderful gift that lasts forever and is also easy on the wallet. “Inspired Nurse,” by Rich Bluni, RN is highly recommended by the NHCPS as a book all nurses should read, and there are hundreds of other books authored by, and written for, nurses. Additionally, many nurses have their own stories to share, and a journal may help them record and reflect on their journey as a nurse. Etsy offers a variety of unique, handmade journals for nurses such as Nurse Scrubs which is created by an RN and offers daily inspiration. This vegan leather nurse journal from Successories can be personalized and comes in five different colors. Another fun, relaxing option that’s budget-friendly is this coloring book for nurses for $8.99."}],"created_date":"2020-12-01T03:00:02.360Z","revision":{"revision_id":"DX52DPXVQJGYVCP3C3FNP5PQGQ","parent_id":"MWZLV6SDQNHDPIWI5GOZM2O64Q","editions":["default"],"branch":"default","user_id":"fiza.pirani@gmail.com","published":true},"last_updated_date":"2020-12-02T14:45:51.089Z","canonical_url":"/pulse/9-holiday-gift-ideas-for-the-nurse-in-your-life/VGXP6MZUIBDBTE755ZOI3WF4R4/","headlines":{"basic":"9 holiday gift ideas for the nurse in your life","mobile":"","native":"","print":"","tablet":"","web":"","meta_title":""},"owner":{"sponsored":false,"id":"ajc"},"content_restrictions":{"content_code":"free"},"address":{},"comments":{"allow_comments":false,"display_comments":false,"moderation_required":false},"workflow":{"status_code":1},"subheadlines":{"basic":""},"description":{"basic":"With the holidays upon us, it’s time to show our love and appreciation with gifts for the special people in our lives. 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Demand for acute care nurses is on the rise, for example, while some nursing jobs in isolated areas or smaller work settings have cut hours or seen facilities shuttered."},{"_id":"UROX53ABJRHLDBRYRYKY7FNLFA","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606751295516},"content":"But what about nurse pay? Many jobs in the field, like nurse practitioner, are still among the fastest-growing career categories that also pay well, according to the Bureau of Labor Statistics."},{"_id":"SEHJE7RZHBA5XFUTHAPV5LMJWI","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606751295517},"content":"And nurse salaries in general are healthy and sometimes even highly desirable in these days of high unemployment, Nurse.com found."},{"_id":"IOR4E3J3TRDUBDKOZOPE7G6DDM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606751295518},"content":"The online education company and career resource conducted its online survey amidst the pandemic, from February through May 2020, so the numbers are up to date."},{"_id":"2FFA6UX7KVF5DFEVC2O6FEXVVM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606751295519},"content":"It gathered data from 7,431 registered nurses, licensed practical nurses, and advanced practice registered nurses, with all 50 states represented. 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American Hospital Association Region 3, which includes Delaware, Kentucky, Maryland, North Carolina, Virginia, West Virginia and the District of Columbia raised its average to $72,000 from $66,435 in 2018. Region 6 nurse salary also climbed, reaching $64,480 in 2020 from $62,634 in 2018. That Midwestern region includes Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota and South Dakota."},{"_id":"5MI36HE6DJEP3EKJXZS773FZ6Y","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606751295523},"content":"All the other states maintained the same average between 2018 and 2020 or declined by just a few dollars."},{"_id":"ED6D4PFRDVGFXNYPJ4422S7KUE","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606751295524},"content":"Men are still making more money than women as RNs. This is despite “males reporting less education and being less likely to be certified,” Nurse.com noted."},{"_id":"PCUSQPI7OBAUNOBHMGESW35GTM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606751295525},"content":"For all RNs, the average was $73,000 primary salary and $15,000 secondary. For women RNs, the average primary salary came out to $72,703. Those primary averages were around 10% higher for male nurses, who reported $80,000. And males reported almost 50% more secondary salary on average, $22,000 compared to $14,000 for women."},{"_id":"LT25OVLSVBCSROXBE6UDZDFQNU","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606751295526},"content":"The males reported working one more hour per week on average than females (38 versus 37), but the “differences do not equate to differences seen in salaries,” Nurse.com said."},{"_id":"IH3AEVPWXZE65MHI5EQHM52XKE","type":"interstitial_link","additional_properties":{"_id":"V4XRRNLSRFGLVBHICJF7U243SA","comments":[]},"url":"https://www.ajc.com/lifestyles/health/not-just-for-recent-grads-why-nurses-need-linkedin-and-how-use/1zm14jce42PMh2Ry7BxFaO/","content":"Not just for recent grads: Why nurses need LinkedIn and how to use it"},{"_id":"3GM2GBUOY5A5DGMFLQNVFPTQBY","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606751295527},"content":"Asking for more money gets results. “For RNs, APRNs and LPNs/LVNs, there is a small correlation between higher primary salary and negotiating salary,” Nurse.com reported. “Participants who are more likely to negotiate salary also are more likely to be paid more.”"},{"_id":"MQ7US522DVBORJPHOSUFOJE2P4","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606751295528},"content":"Given that seven percent more men press for salary increases than women, according to data from the American Association of University Women, this discrepancy could also be part of the reason male nurses tend to make more than their female counterparts."},{"_id":"3SXJ2OGCBBDCPDRQE5HXDFEA3A","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606751295529},"content":"Bonuses would help. Nurses would like to get more bonuses than they’re currently receiving, according to the report. Asked for the benefit they want that they don’t already have, the top answer was bonuses, given by 32% of RNs, 28% of APRNs and 31% of LPNs."},{"_id":"VX7JJDU3F5D55ATKU7MA5SEE5U","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606751295530},"content":"Plenty of nurses are planning to leave. When Nurse.com asked respondents to give a simple “yes” or “no” about their intention to move on from the profession, around 11% of the total said yes. 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The doctor had noted redness in one ear but opted to hold off on treatment."},{"_id":"5VKVZZOJP5FPTJOFFU4O6VC7DU","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889462},"content":"To Gudgeon’s surprise, that’s not what happened. Instead, when she called, her son was referred to urgent care, a practice that has become common for the Edward Medical Group, which included her family doctor and more than 100 other doctors affiliated with local urgent care and hospital facilities. Because of concerns about the transmission of the coronavirus, the group is now generally relying on virtual visits for the sick, but often refers infants and young children to urgent care to be seen in person."},{"_id":"UR2AKELC6ZBHXJZLLVSU7HXYME","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889463},"content":"“We have to take into consideration the risk of exposing chronically ill and well patients, staff and visitors in offices, waiting areas or public spaces,” said Adam Schriedel, chief medical officer and a practicing internist with the group."},{"_id":"GGGBQJENUBATRO2YJVUQ75XVUQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889464},"content":"Gudgeon’s experience is not unusual. As doctors and medical practices nationwide navigate a new normal with COVID-19 again surging, some are relying on urgent care sites and emergency departments to care for sick patients, even those with minor ailments."},{"_id":"YWRL5YXPJ5F7BAE7GFJRPCDFBI","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889465},"content":"That policy is troubling to Dr. Arthur “Tim” Garson Jr., a clinical professor in the College of Medicine at the University of Houston who studies community health and medical management issues. “It’s a practice’s responsibility to take care of patients,” Garson said. He worries about patients who can’t do video visits if they don’t have a smartphone or access to the internet or simply aren’t comfortable using that technology."},{"_id":"IKQUXG4RZBHWNLNGHBZZCKJTHU","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889466},"content":"Garson supports protocols to protect staff and patients, including in some instances referrals to urgent care. In those cases, practices should be making sure their patients are referred to good providers, he said. For instance, children should be seen by urgent care facilities with pediatric specialists."},{"_id":"PYC52ENCBNCHTLWU3W2XIOBHDI","type":"interstitial_link","additional_properties":{"_id":"QOE4SDQ2PFDTHJCLVDU5JM5DSU","comments":[]},"url":"https://www.ajc.com/life/cdc-covid-19-complication-seen-in-kids-is-now-found-in-adults/JIIUCHFZ6NHFBGQNE2VUFSQVBQ/","content":"CDC: COVID-19 complication seen in kids is now found in adults"},{"_id":"VXKU3EVDXZBBJHW6JRFZNSACJY","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889468},"content":"Referrals for children have become so prevalent that the American Academy of Pediatrics came out with interim guidance on how practices can safely see patients, in an effort to promote patient-centered care and to ease the strain on other medical facilities as the peak of flu season approaches. The academy recommended that pediatricians strive “to provide care for the same variety of visits that they provided prior to the public health emergency.”"},{"_id":"GJ7GWYJSKZBLVE7JLYWMVWUJPU","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889469},"content":"The academy raises concerns about unintended consequences of referrals, such as the fragmentation of care and increased exposure to other illnesses, both caused by patients seeing multiple providers; higher out-of-pocket costs for families; and an unfair burden shifting to the urgent care system as illnesses surge."},{"_id":"QUQN5LDDEJD5REF7NDLET5JMZA","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889470},"content":"“I think this is all being driven by fear, not really knowing how to do this safely, and not really thinking about all of the sorts of consequences that are going to come as flu and other respiratory illnesses surge this fall and winter,” said Dr. Susan Kressly, who recently retired from her practice in Warrington, Pennsylvania, and authored the AAP guidance."},{"_id":"7ITABZ4BWBH6HA43QI56TGQF6Q","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889471},"content":"Fear is not unfounded. More than 900 health care workers, 20 of them pediatricians and pediatric nurses, have died of COVID-19, according to a KHN-Guardian database of front-line health care workers lost to the coronavirus."},{"_id":"ETJKGEL4G5D2DKLLPMI6BKMJ7E","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889472},"content":"For the Edward Medical Group, referrals are a safe way to treat patients by using all the resources of its medical system, Schriedel said."},{"_id":"GH4NMQ65QRDZBJL6KQ76KS7ZIU","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889473},"content":"“We can assure patients, regardless of COVID-19, we have multiple options to provide the care and services they need,” he said."},{"_id":"BZZQW5RXX5ABNEZNOAH426DVQM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889474},"content":"Besides urgent care referrals and virtual visits, doctors have been given guidelines on how to safely see sick patients. That might mean requesting a negative COVID test before a doctor visit or having staff escort a sick patient from the car directly to an exam room. Also, a pilot program is underway with designated offices taking patients with a respiratory illness that could be flu or COVID-19."},{"_id":"K4JCZ2PPMNFVDK5J7A7GCUCKIE","type":"interstitial_link","additional_properties":{"_id":"VVZAG4GNQFB3LELFYHRTEG5HUU","comments":[]},"url":"https://www.ajc.com/news/atlanta-news/covid-19-cases-among-children-surges-in-georgia/IACVGC5YIBAVZBNXMF7FOIDGPA/","content":"COVID-19 cases among children surge in Georgia"},{"_id":"CZL7TBATAVE4NCOWZWZUW7BAU4","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889476},"content":"It is a balancing act with some risks. In August, friends sent Kressly screenshots of parents’ online message boards from states such as Texas, Indiana and Florida that were seeing a summer spike in COVID-19 cases. Mothers felt abandoned by their pediatricians because they were being sent to urgent care and emergency departments. Kressly fears some patients will fall through the cracks if they are seen by several different providers and don’t have a continuity of care."},{"_id":"3HEENGDE6NCJPIVJDIIELKASPQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889477},"content":"Also, there’s the expense. Bryce’s case is a good example. Gudgeon reluctantly took him to an urgent care facility, worried about exposure and frustrated because she felt her doctor knew Bryce best. His exam included a COVID test. “They barely looked in his ears, and we went home to wait for the results,” she said, and got no medicine to treat Bryce. The next day, she had a negative test and still a fussy, sick baby."},{"_id":"E5DCMCM3ZRGUDMOGI4EFAGYZKI","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889478},"content":"Urgent care facilities across the country are reporting higher numbers of patients, said Dr. Franz Ritucci, president of the American Board of Urgent Care Medicine. His clinic in Orlando, Florida, is seeing twice as many patients, both children and adults, as it did at this time last year."},{"_id":"E4LYFMU3UVHRHJYSJKKH5V5U4Q","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889479},"content":"“In urgent care, we’re seeing all comers, whether they are sick with COVID or not,” he said."},{"_id":"MQSHV5H2JBD3HHMIZPOM3YMMQQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889480},"content":"Meanwhile, ERs are seeing far fewer pediatric patients than usual, said Alfred Sacchetti, a spokesperson for the American College of Emergency Physicians and the director of clinical services at Virtua Our Lady of Lourdes Emergency Department in Camden, New Jersey. Although adult emergency room visits have largely returned to pre-COVID levels, pediatric visits are 30% to 40% lower, he said. Sacchetti suspects several factors are at play, including fewer kids in daycare and school with less opportunity to spread illness and people avoiding emergency rooms for fear of the coronavirus."},{"_id":"Z4CUXQ45HBGUZO7XOAM2GVOD6U","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889481},"content":"“You see parents looking around the department and if someone clears their throat, you can look in their eyes and see the concern,” Sacchetti said. “We reassure them” that the precautions taken in hospitals will help keep them safe, he added."},{"_id":"YVFU37CIUJCSXHZEC3X2X43XSI","type":"interstitial_link","additional_properties":{"_id":"4QBKDHVSDRAQXID5F2VPPSVP5E","comments":[]},"url":"https://www.ajc.com/life/1-in-3-parents-willing-to-risk-covid-19-for-thanksgiving/YE37QXCXYNFUVDIXWUYKV7GBII/","content":"1 in 3 parents willing to COVID-19 for holiday gathering"},{"_id":"XBEOKOBMC5GC5P4CFDOQ4DAE2M","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889483},"content":"Gudgeon considered taking Bryce to an emergency room, but she felt increasingly uncomfortable both with the thought of exposing him to another health care facility and the cost. In the end, she called an out-of-state doctor she had seen often years before moving to Illinois. That doctor phoned in an antibiotic prescription, and Bryce quickly improved, she said."},{"_id":"HWIG6KE7RRDATEWVSY7QZE4Z5A","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889484},"content":"“I just wish he didn’t have to suffer for so long,” Gudgeon said."},{"_id":"HE3CNTJVXNA2VEZLC6J6NYRS6A","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889485},"content":"Kressly hopes doctors become more creative in finding ways to provide direct care. She likes the “Swiss cheese” approach of layering several imperfect solutions to see patients and offer protection from COVID-19: screening for symptoms before the patient comes in, requiring everyone to wear masks, allowing only one caregiver to accompany a sick child and offering parking lot visits for sick kids in their cars."},{"_id":"6J7YN7V6VBG4BLXS5MBYBYHPZE","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889486},"content":"Most important is good communication, Kressly said. Not only does that help the patient, it can also help protect the doctor from patients who may not want to admit they have COVID symptoms."},{"_id":"WJNCPZLD4FA2VKQ2DRPBK22I2Q","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606508889487},"content":"“We can’t create this barrier to care for uncomplicated, acute illnesses,” Kressly said. “This is not temporary. 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It shocked her and made her realize that what her Eritrean family and friends saw was happening to other communities of color, too. Asmerom came to believe that as a doctor she could help turn things around."},{"_id":"RROGH3C47ZGX5MAR6FPZK5SHUA","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606310661384},"content":"Faculty members and student activists around the country have long called for medical schools to increase the number of students and instructors from underrepresented backgrounds to improve treatment and build inclusivity. But to identify racism’s roots and its effects in the health system, they say, fundamental changes must be made in medical school curriculums."},{"_id":"2CPEN5RHGFEEVLNWSD5XUGDKYQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606310661385},"content":"Asmerom is one of many crusaders seeking robust anti-racist education. 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Some physicians claim it is useful to take race into account when treating patients; others argue it leads to bias and poor care."},{"_id":"PDOJ3ZBFYBBBXLSZME64P4S2H4","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606310661389},"content":"Those views have led to a variety of false beliefs, including that Black people have thicker skin, their blood coagulates more quickly than white people’s or they feel less pain."},{"_id":"BQ5WBSMWPRHVJBOE6XMJXPUACQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606310661390},"content":"When race is factored into medical calculations, it can lead to less effective treatments and perpetuate race-based inequities. One such calculation estimates kidney function (eGFR, or the estimated glomerular filtration rate). The eGFR can limit Black patients’ access to care because the number used to denote Black race in the formula provides a result suggesting kidneys are functioning better than they are, researchers recently reported in the New England Journal of Medicine. Among another dozen examples they cite is a formula that obstetricians use to determine the probability of a successful vaginal birth after a cesarean section, which disadvantages Black and Hispanic patients, and an adjustment for measuring lung capacity using a spirometer, which can cause inaccurate estimates of lung function for patients with asthma or chronic obstructive pulmonary disease."},{"_id":"WQHXYEJYU5HXLBGRKNJOM5PEHQ","type":"interstitial_link","additional_properties":{"_id":"YVM2AVFSMZHT7CMPOGATQOBHFA","comments":[]},"url":"https://www.ajc.com/news/amid-signs-virus-hitting-african-americans-hardest-many-see-pattern/ze7Ei0N5oCUp3b6FytYhvK/","content":"Amid signs virus hitting Blacks hardest, many see a pattern"},{"_id":"GRU3D3HM6RF3ZDSFW6OJUYYKPM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606310661391},"content":"In the face of this research, medical students are urging schools to rethink curricula that treat race as a risk factor for disease. Briana Christophers, a second-year student at Weill Cornell Medical College in New York, said it makes no sense that race would make someone more susceptible to disease, although economic and social factors play a significant role."},{"_id":"ZTFI3GYC5FBG3HXKYH7U3EKPFI","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606310661392},"content":"Naomi Nkinsi, a third-year student at the University of Washington School of Medicine in Seattle, recalled sitting in a lecture — one of five Black students in the room — and hearing that Black people are inherently more prone to disease."},{"_id":"OXO7W7YMOFDCBBFDIROFMSHTUI","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606310661393},"content":"“It was very personal,” Nkinsi said. “That’s my body, that’s my parents, that’s my siblings. 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Dr. David Acosta, the chief diversity and inclusion officer of the American Association of Medical Colleges, said about 80% of medical schools offer either a mandatory or elective course on health disparities. But little data exists on how many schools teach students how to recognize and fight racism, he said."},{"_id":"APVSIKHW5ZD3RLV43HF3C2X2UQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606310661397},"content":"An anti-racist curriculum should explore ways to mitigate or eliminate racism’s harm, said Rachel Hardeman, a health policy professor at the University of Minnesota."},{"_id":"WWFQPJIGRBDENAA7EF4VVHUIKE","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606310661398},"content":"“It’s thinking about how do you infuse this across all of the learning in medical education, so that it’s not this sort of drop in the bucket, like, one-time thing,” she said. Above all, the courses that delve into systemic racism need to be required, Hardeman said."},{"_id":"CA2UAZEULVCXVCTVNGRRIPYVVY","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606310661399},"content":"Edwin Lindo, a lecturer at the University of Washington School of Medicine, said medicine should embrace an interdisciplinary model, allowing sociologists or historians to lecture on how racism harms health."},{"_id":"ESW624YZNZG5BPHEKYA42DGUIQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606310661400},"content":"Acosta said the AAMC has organized a committee of experts to develop an anti-racism curriculum for every step of medical education. They hope to share their work publicly this month and talk to the LCME about developing and implementing these standards."},{"_id":"USBMDWXJD5DW3F24YDWBVS2W6Q","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606310661401},"content":"“Our next work is how do we persuade and influence the LCME to think about adding anti-racist training in there,” Acosta said."},{"_id":"GYRUP3IFCBHD3PYEBRPW4ZMWVM","type":"interstitial_link","additional_properties":{"_id":"ETKHXA5R2BGXHICHROHNZZSL54","comments":[]},"url":"","content":""},{"_id":"HOW3AV46NVFGHFSCIVBIUDDI5M","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606310661402},"content":"Activists especially want to see their institutions recognize their own missteps, as well as the racism that has accompanied past medical achievements. Dereck Paul, a student at the University of California-San Francisco School of Medicine, said he wants every medical school to include lectures on people like Henrietta Lacks, the Black woman who was dying of cancer when cells were taken without her consent and used to develop cell lines that have been instrumental in medical research."},{"_id":"ZV6I32L2JRCQ3GIWZ427SP3OIE","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606310661403},"content":"Asmerom said she wants to see faculty acknowledge medicine’s racist past in lessons. She cited an introductory course on anatomy at her school that failed to note that in the past, as scientists sought to study the body, Blacks and other minorities were mistreated. “It’s like, OK, but you’re not going to talk about the fact that Black bodies were taken out of graves in order to have bodies to use for anatomy lab?” she said."},{"_id":"HEXXZZ34RZBUXJMCAUOHSYMZNU","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606310661404},"content":"While Asmerom is glad to see her medical school actively listening to students, she feels administrators need to own up to their mistakes in the recent past. “There needs to be an admission of how you perpetuated anti-Black racism at this institution,” Asmerom said."},{"_id":"IFLDNKHCEVEVJGNJKRNASAAGFM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1606310661405},"content":"Asmerom, who is one of the leaders of the UCSD Anti-Racism Coalition, said the administration has responded favorably so far to the coalition’s demands to pour time and money into anti-racist initiatives. 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"We rotated holidays every year on my floor," she remembered. "If you worked Thanksgiving, you had Christmas off. It was the same with New Year's Eve and New Year's Day and Memorial and July 4. And then the following year it was all the reverse. We were a close-knit floor and regarded each other like family so we all wanted each other to have adequate family time.""},{"_id":"V2EC3HPU7BF4DJBFT73OIBKTLI","type":"text","additional_properties":{"comments":[],"_id":1606143332715,"inline_comments":[]},"content":"You may score an extra celebration. So what if the workplace Thanksgiving most closely resembles "A Charlie Brown Thanksgiving" with the popcorn and jelly beans? If you're a fan of holidays, you'll probably get the chance to celebrate twice. "We usually had a mini- Thanksgiving meal in the break room and would cover each others' patients to make sure everyone had a break," Binsfield added. 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If your family has agreed to postpone "the big meal" for a day or two or they will be meeting at your house after your shift, you may be able to bring free flowers or decorations from work. "Okay, so this may be a stretch and you might have to tussle with others over this one – but you can probably totally score all the sweet decorations for each holiday before they get taken to the garbage!" Advanced Travel Nursing noted. "We know you've been spying... that turkey centerpiece in the breakroom. Just ask around, you don't want to be known as the office Grinch.""},{"_id":"GESLQ362ZVCMXKGBBPE2XHWY7A","type":"text","additional_properties":{"comments":[],"_id":1606143332719,"inline_comments":[]},"content":"You can really enjoy Friendsgiving. Now that gathering with friends sometime near Thanksgiving, but not on it, is a thing, you won’t feel so left out if you miss Thanksgiving Thursday because you’re at work—even if you’re only gathering virtually! In the future, if you are fretting about not getting to make your famous yeast rolls or sip wine with your sisters on Thanksgiving, you can always move those observances to the Friendsgiving."},{"_id":"SXX2MNULWZBIPFW45IH6WY7TTM","type":"text","additional_properties":{"comments":[],"_id":1606143332720,"inline_comments":[]},"content":"You can avoid toxic relatives. Not trying to be cynical here, but some Thanksgiving meals revolve around family rivalries, judgmental relatives pushing unsavory political views and displays of substance abuse disorder. You'll avoid the whole circus, and even the most hard-headed family members understand, "It's hospital policy, I have to.""},{"_id":"LE42ZBXOAVFFBPYUH6JMDWNJV4","type":"text","additional_properties":{"comments":[],"_id":1606143332721,"inline_comments":[]},"content":"» RELATED: Volunteer group sings to Alzheimer's patients"},{"_id":"6WWXCXX6HVHY5I2V6IS5GJUT6U","type":"text","additional_properties":{"comments":[],"_id":1606143332722,"inline_comments":[]},"content":"You'll make more money. If you're thinking, "Shouldn't this be the first advantage?" well, no. Extra pay sometimes can't overcome missing time with family during the holidays. But it is definitely something to think about when you're deciding whether to volunteer for Thanksgiving shifts or are anticipating having to work them no matter what you'd prefer. "Your hospital almost certainly has some sort of monetary perk to working over Thanksgiving, Christmas and New Year's," according to Advanced Travel Nursing. "Check with your department to see what kind of extra incentives are offered by working on these days. You barely remember missing the first helping of cranberry sauce when your paycheck is fatter than a stuffed turkey.""},{"_id":"6IGW3X4Y7ZEATJKKOPO6V7W3WQ","type":"text","additional_properties":{"comments":[],"_id":1606143332723,"inline_comments":[]},"content":"You have a chance to give back. There are certainly career benefits of being seen as a team player by volunteering to work the holidays, and you may draw positive attention to your workplace by being a cheerful presence on Thanksgiving. But nurses who volunteer to work Thanksgiving or another holiday shift also turn the thoughts of deprivation around by considering the experience as a chance to gift co-workers, management and patients."For some people, working on a holiday can be a great gift they give to others who really want to have special family time, and for others, it's a total burden," Marsha Egan, a workplace and e-mail productivity coach, told Forbes. "It depends on your situation and your frame of mind. 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They are caring for patients with a mysterious illness, often for extended shifts, and some hospitals may not have resources in place to support them.”"},{"_id":"Y7PV34R255CDNJ7IVAIASDRRH4","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1602783914834},"content":"The safety measures that bar relatives from visiting end of life COVID-19 patients also factor in. “It’s part of our job as nurses to be there for dying patients,” Dwyer added. “But with this pandemic, many families haven’t been able to be in the room with their loved ones. They’ve had to say goodbye over FaceTime while nurses stand by. 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But Dutch philosopher Ciano Aydin describes a situation as traumatic when it ‘violates’ familiar expectations about someone’s life and world, sending them into a ‘state of extreme confusion and uncertainty,’” Scientific American explained."},{"_id":"5BYFZVJO3RHPVNC7KLJJT732BE","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1602783914836},"content":"SA went on to quote Wendy Dean, a psychiatrist and co-founder of the nonprofit Moral Injury of Healthcare. “In the case of this pandemic, prolonged uncertainty is compounded by the moral anguish health care professionals face when they do not have adequate resources to treat critically ill patients.”"},{"_id":"PLFY2R5Y5REBTJ4JJ7DUJ7HWYY","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1602783914837},"content":"According to Burger, part of the reason it’s so hard for nurses to recognize this medical condition is that the majority of them are women. “For many years in American history, the concept and diagnosis of PTSD was reserved for those brave men (and only men) who witnessed the horrific shock of war,” she said."},{"_id":"7ZZNLWFHVRED3DLELR27BWFAQM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1602783914838},"content":"Now though, the label has become more expansive, and nurses should be aware of the implications of that shift. “The diagnosis of PTSD now includes the aftereffects of trauma associated with domestic abuse, war-zone reporting, and vicarious trauma,” Burger added. “Loss of sleep, nightmares of the event, irritability, and frequent startling to minor noises are all well-publicized symptoms, which, if lasting more than six months, are considered diagnosable as PTSD.”"},{"_id":"RMI4ZYNPM5CVNMEO4B43A4P57E","type":"interstitial_link","additional_properties":{"_id":"X5LNHSWYJBAZDFINNC4KFWT2VM","comments":[]},"url":"https://www.ajc.com/lifestyles/health-med-fit/the-most-common-signs-nursing-burnout/xMXZ7MKMfWDhftwUphuz3I/","content":"The 5 most common signs of nursing burnout"},{"_id":"C3W245UOY5C43FR7SK3HJJ5VME","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1602783914839},"content":"Like other nurses, you may feel inclined to soft-pedal any emotional upsets you experience in these extra-traumatic pandemic days. But the opposite approach may be a lot more helpful to you. “Research has shown that nurses who take an active, problem-solving approach to stress are less likely to develop PTSD,” Dwyer said. “Reaching out for support when they need it is another positive coping strategy. On the other hand, those who deny their feelings, blame themselves, or turn to alcohol to cope with their feelings are far more likely to experience long-term effects of trauma.”"},{"_id":"QTWMYQ4MBFFFPNODYFI4BKQFQQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1602783914840},"content":"Think you might be suffering from PTSD as a result of working as a nurse in a pandemic, or perhaps due to previous experiences? Here are some signs to watch for, according to Schuster and other experts:"},{"_id":"6ACH7OOXGFHW5CNDY624NG3LEY","type":"list","list_type":"unordered","additional_properties":{"comments":[],"inline_comments":[]},"items":[{"type":"text","content":"Intrusive thoughts about a traumatic event, or feeling like you’re re-experiencing it. “This includes thinking about the event at home and re-experiencing it when you walk into the room where it took place,” Schuster explained.","_id":"EX5TEO3TRNGARLRFKDP3KQUF6A","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{}},{"type":"text","content":"Avoiding any scenarios that might remind you of the event. You may find yourself unwilling to take care of the sort of patients who might “trigger bad memories,” Schuster added. In some cases, nurses with this symptom of PTSD leave the profession altogether.","_id":"Z46K2LFS6VCSVMWVPJVZVAC25Q","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{}},{"type":"text","content":"Negative feelings and thoughts that weren’t there before. These mental playlist might include anger, depression or feeling detached from family and friends, not just patients and co-workers.","_id":"KFYNNLXUKJD65KKMIC6T4ZPPFA","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{}},{"type":"text","content":"Hyper-arousal. “This is a constant feeling of being on edge, of feeling threatened when there’s no actual danger present,” Schuster noted.","_id":"36BBQVFNL5HL5CGQ2YFBSBEKKM","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{}},{"type":"text","content":"Hyper-vigilance. Burger said this is a less familiar symptom that could indicate PTSD, where “the nurse is hyper-focused on stable patients... irritable or frequently angry.”","_id":"6NIXOYLDKZEJJKSIQSEHCVMTCE","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{}},{"type":"text","content":"Being unusually down on yourself or questioning your nursing skills. “Another subtle symptom is the nurse with an exaggerated negative belief: ‘If I were a better nurse, then I would have caught that patient’s decline,’” Burger added.","_id":"CW66IK6JIZGWHHTZHSX5EFH5CM","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{}},{"type":"text","content":"Physical symptoms like difficulty concentrating, and “non-specific somatic complaints such as body aches, headaches, and lack of overall energy,” Burger noted. “Nurses with PTSD may be calling out sick more often as a protective mechanism.”","_id":"AXGOB3VYFRBNDCIAYZ4D45YB3Q","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{}}]},{"_id":"L4GHJ45JBBEVDDKK647DJPF2F4","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1602783914842},"content":"When reviewing your feelings and physical symptoms, don’t necessarily judge your reactions by what other nurses in the same situation have experienced. “It’s important to note that different people can have different reactions to the same event,” Schuster explained. “One nurse might find a patient experience traumatic while another may not.”"},{"_id":"WLYQDAZCXNFWVGH6CCN2G436HM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1602783914843},"content":"Other insights might also help nurses realize that their symptoms could spell PTSD. For one thing, it’s not just a matter of how traumatic the trauma was, or is, registered nurse and licensed marriage and family therapist Patricia Pearson told Trusted Health. “It is not just about the severity of the trauma experienced, but more about a person’s experience of multiple traumas over time that can have a significant effect on a person with PTSD.” For example, someone who is exposed to trauma at a job in critical care might be at higher risk if they experienced domestic abuse earlier in life."},{"_id":"7VKPJ3TTXZEQNNQF7NWZGURR6U","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1602783914844},"content":"If you do seek help, Pearson recommends going beyond the typical EAP clinician who probably isn’t “trained to recognize and treat trauma...If nurses suspect they have PTSD, they should seek clinicians trained in trauma therapy.”"},{"_id":"53NQPHJXEFHDBC65GOR4VLR4UA","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1602783914845},"content":"Even more importantly, throughout your potential diagnosis or treatment, keep in mind that this psychiatric disorder does not diminish you or mean you failed in some way. “PTSD is not a sign of weakness,” Pearson added. “It’s the brain’s way of protecting us from harmful experiences. The brain encapsulates the event, similar to how the body encapsulates a tuberculosis spore, yet any of our five senses can trigger the nurse to re-experience levels of the event.”"}],"created_date":"2020-10-15T17:45:14.053Z","revision":{"revision_id":"LZFNVN5TVFEIRESGKFSID6ETWA","parent_id":"X7JUAHKL45H2XFR4YEOPRWOSG4","editions":["default"],"branch":"default","user_id":"fiza.pirani@gmail.com","published":true},"last_updated_date":"2020-10-15T17:50:03.395Z","canonical_url":"/pulse/nurse-trauma-signs-you-may-suffer-from-ptsd/D4XFXOGCJ5FM7KMKUNWVYB5TNY/","headlines":{"basic":"Nurse trauma: Signs you may suffer from PTSD","mobile":"","native":"","print":"","tablet":"","web":"","meta_title":""},"owner":{"sponsored":false,"id":"ajc"},"content_restrictions":{"content_code":"free"},"address":{},"workflow":{"status_code":1},"subheadlines":{"basic":""},"description":{"basic":""},"language":"","source":{"system":"composer","name":"ajc","source_type":"staff"},"label":{},"taxonomy":{"sites":[{"_id":"/pulse","type":"site","version":"0.5.8","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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Top among the pandemic-inspired sleep-deprivation factors: increased anxiety and disruptions to already inconsistent personal schedules."},{"_id":"2V34WM4WVNBXJHTRHODJOKZ6RA","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129737},"content":"And if you feel like you have even more reasons to lose sleep than workers in non-medical professions, sad to say, you’re probably right."},{"_id":"FY7ODNAZ4VCKFNHN2FNCA2TKQY","type":"interstitial_link","additional_properties":{"_id":"6XDD6VJDEVDL3LNA26OW3JEX7Q","comments":[]},"url":"https://www.ajc.com/lifestyles/medical/better-sleep-tips-from-sleep-clinic-nurse-practitioner/RbcQ9GsR05R5PpxcPiIV1O/","content":"5 better sleep tips from a sleep clinic nurse practitioner"},{"_id":"JHNDS3N2Z5ETRJNKRK5QTZM7ZQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129738},"content":"A study of 1,563 medical staff in hospitals during the COVID-19 outbreak in China was published in Frontiers in Psychiatry in April 2020, for example. It found that more than one-third of the medical staff suffered insomnia symptoms during the COVID-19 outbreak."},{"_id":"GDZTT6W4GZDUZOPOX7SPTZH6TM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129739},"content":"“During a pandemic, concerns about personal safety, transmitting disease to family members, stigmatization from being infected, shift work, and interpersonal isolation coalesce to disrupt sleep health,” according to a letter to the editor of the Canadian Journal of Anesthesia from anesthesiologist Mandeep Singh, May 2020."},{"_id":"CV7MGIOGVZGLRGFGUYN4BKOQFM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129740},"content":"All that worry and drama can lead to “hyper-arousal states, as well as problems with anxiety and stimulus control,” the kind that make you think of your cozy bed as the place where you lay awake in panic, rather than drifting off to restorative slumber, Singh added. “Moreover, specific lifestyle modifications such as home confinement and self-isolation can also negatively impact sleep health.”"},{"_id":"EPUBUOUFAZERNND264ETIKL3W4","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129741},"content":"Those rising case figures and anticipating COVID-19′s effect on the economy are not nurse-specific worries, but they also take their toll, whether keeping you from falling asleep in the first place or waking you mid-sleep cycle with a nagging sense of dread. “Everything that’s going on right now can make people more vulnerable to insomnia,” Philip Cheng, a clinical psychologist and research scientist at the Sleep Disorders Center at Henry Ford Health System said."},{"_id":"JM3CMAULTNCMDID4Z4TLM3W35M","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129742},"content":"“It’s a vicious cycle: when you lose sleep, your emotions can feel more intense,” Cheng told the HFHS blog. “Your ability to regulate emotions can also become diminished, so existing stressors become more stressful, and the ability to calm down becomes more impaired. Also, as you become more stress sensitive, your own thoughts become a trigger for stress.”"},{"_id":"2TKBIIFI2VB6DEVYB4PD26ZQ7A","type":"interstitial_link","additional_properties":{"_id":"HG2OAD3CKVHM5B65KY6IXFVN6E","comments":[]},"url":"https://www.ajc.com/business/working-into-the-wee-hours/A2dJ5f7TW84PEcLpwR8Z9J/","content":"Sleep tips for nurses working into the wee hours"},{"_id":"WFYFUB6MP5AYBDS3GRXPCHSK6Y","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129743},"content":"Could this list get any longer? Well, yes, You and your wide awake self are also coping with the loss of daytime structure that “can upset nighttime sleep schedules,” according to board-certified clinical psychologist Lisa Medalie, a behavioral sleep medicine specialist at the University of Chicago Medicine. She wrote in the UChicago Medicine blog, “Inconsistent bedtimes and wake times can shift the pressure, or urge, to sleep, making the ability to fall asleep less predictable. Finally, depressed mood, more downtime and low energy can increase long napping, making it harder to fall asleep at night.”"},{"_id":"SWB76SWJIRBERK6L5XOU7YY6CQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129744},"content":"Ack! Maybe it’s some small comfort that you shouldn’t feel singled out. Fighting sleep right now is a natural reaction to both your work and after-hours situation. But like so many issues during the pandemic, this is not one you can afford to let slide. Nurses need their sleep!"},{"_id":"SAT7P4MX7BEJBLJBMG4HX6GSI4","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129745},"content":"“It’s not easy to function at our best without easy access to our usual coping skills (e.g., social support, exercise, etc.) while sheltering in place,” Medalie explained. “Adequate sleep can maximize your potential for having better days under these circumstances. Optimal sleep helps regulate mood, improve brain function, and increase energy and overall productivity during the day.”"},{"_id":"FHMTIBIWZJGFTHM37KJFX47LL4","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129746},"content":"Don’t think of this elusive sleep as one more thing to worry about and feel guilty that you’re not accomplishing, though. In fact, shedding that and some other ideas about “must do’s” can be a first step in getting better sleep in the days of COVID-19."},{"_id":"JBIAEIQWJFEKXBM6TLXUR7Y7HY","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129747},"content":"If you’re not getting what Cheng calls a “restful seven to nine hours of sleep,” give yourself a break. “Try not to get anxious about your sleep troubles, as worrying about insomnia will make sleep less likely,” he advised."},{"_id":"ZRKM3ATY55C55PWWCTP5Z3D2CU","type":"interstitial_link","additional_properties":{"_id":"TGQPII7RMBG4LNB7CUTFIVWG2U","comments":[]},"url":"https://www.ajc.com/lifestyles/health/rough-night-veteran-nurses-how-bounce-back-after-tough-shift/f8kHk8LAa2reXZYkPkb6yL/","content":"Rough night? Veteran nurses on how to bounce back after a tough shift"},{"_id":"EM67AYZNYVBJDA3A5N2A3U5TUI","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129748},"content":"And also try a few other tactics recommended by sleep experts. They’re all things you can do now, no need to wait for a vaccine, or vacation days, or cooperation from your school-age children or whatever else is keeping you awake. Read 'em and sleep, nurse!"},{"_id":"CXTE37XYBREFNAAQITEM2ACMZU","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129749},"content":"Stick to some structure. Sure, that’ll be easy (said no nurse ever). But to slay the no-sleep beast, it’s a good idea to “make sure you have a regular schedule and stick to your regular wake time,” said Cheng. That means even if the kids are doing virtual schooling in your living room or you’re picking up extra shifts when co-workers call out, you make every attempt to wake up and go to bed at the same time every day. That will encourage your body to anticipate when it’s time to sleep and time to wakey-wakey."},{"_id":"NYUV6DIXQNDPRLEBAZBJF673EI","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129750},"content":"And look at sticking to a schedule the rest of the day as much as possible, too, Medalie added. “Commit to daily activities (e.g., exercise, meals, socializing) at certain times to build structure to your days. This will support a regular bedtime and wake time,” she said. “Set cell phone reminders to anchor your schedule, and as a reminder to turn off screens an hour before bedtime.”"},{"_id":"3UIXKPWZ65CEVJAAXMET4ZCQWM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129751},"content":"Skip the naps, if possible. Even if you got little sleep the night before, try not to nap unless it would present a danger when you’re at work, Cheng advised. Without a nap, you’re more likely to be tired and able to sleep when your assigned bedtime rolls around."},{"_id":"HYVD3B5IKBHZ3NFYD5DXIBIOM4","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129752},"content":"Stay away from electronics close to bed, especially news updates. “People are spending every waking moment getting one last look at their screens (news updates, COVID-19 education, social connections),” Medalie added. “The blue light from these screens tells the brain to stop producing the sleep hormone melatonin, which can lead to trouble falling asleep.”"},{"_id":"RIHDNH3XQVFITMG5F2O7KSVTMI","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129753},"content":"According to Cheng, you can catch a little television before bed, as long as it’s far enough from your face that it won’t interfere with your circadian rhythm. But he means television, not phones and laptops held close to your face."},{"_id":"IBN777RH7JGWNGBWVH2KBFDX7I","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129754},"content":"Watch the bedroom temperature. Cheng recommends a dark room and the thermostat set between 65 and 70, ideally."},{"_id":"NXE7O62MAFD5JKQQNN74JTSL7Q","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129755},"content":"Exercise in the afternoon. Even if you struggle to find time or motivation to be active, don’t get inspired to do cardio right before you expect to go to sleep. It will raise your core body temperature, which will interfere, Cheng explained, recommending afternoon exercise instead. “Even more so than in the morning, there’s evidence that exercising in the late afternoon is helpful for deep sleep,” he said."},{"_id":"6R64NN42IRDJDLBEZUWHV6CTFE","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129756},"content":"Cut back on late shift caffeine. Ideally, you won’t have any caffeine in your system at bedtime, even from energy drinks or sodas that you might tend to pound near the end of your shift -- and way too close to bedtime. “Caffeine can stay in the body for eight hours, which is longer than most people think,” Cheng said. “I cut off my caffeine intake around 2 or 3 p.m.”"},{"_id":"HROQ7SDOCBFTJFCW5HLEFCIBT4","type":"interstitial_link","additional_properties":{"_id":"L76JV5MOPNGYBIVLA4SCVZEWKM","comments":[]},"url":"https://www.ajc.com/lifestyles/health/coffee-friend-foe-for-night-shift-nurses/haE9yorI8M5umuyRbo2jnI/","content":"Coffee, friend or foe for night shift nurses?"},{"_id":"X4VUHUUT3NC5NLELRKMA2LAHIQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129757},"content":"Avoid alcohol within three hours of bedtime. No one is going to wrest that glass of wine away from you! But even if you won’t be driving because you’re staying in more during safer-at-home restrictions, don’t drink alcohol too close to bedtime. While it may make you sleepy at first, it will wake you during your sleep cycle as you metabolize it and need to urinate."},{"_id":"MTY2RRRZYVDBHMCVZ772XVVPF4","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1601505129758},"content":"Don’t weaponize sleep. It’s important to remind yourself that while more sleep sure would be nice, you don’t have superpowers to guarantee that outcome. Try doing your best, but realize you might have to accept less than complete success. “While sleep is important, try not to fret about it!” Medalie advised. “Worrying about sleep just turns into more stress. Instead, just do your best to get to bed on time and follow these tips if there are problems. 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That study underscored the importance of knowing how to do water birth safely, and communicating this to hospitals and doctors. “Water immersion in labor is a very effective method of pain management, and it decreases the need for an epidural, but it’s not available to most women because hospitals just will not implement it,” she says."},{"_id":"ILCELF7665FX3AQIRGCJPK6MB4","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Amidst this important work, there’s one set of data and findings that drives Hall, that she says she’d “stand in front of a burning building” to talk about. She is committed to exploring and revealing “how women experience their own power during birth.”"},{"_id":"I74LC6LOMRAHXI3VCYCW5LPLVI","type":"interstitial_link","additional_properties":{"_id":"TMZ5OZ57ZVBTZH7HK3TZSFGKM4","comments":[]},"url":"https://www.ajc.com/pulse/pivoting-for-humanity-nurse-and-researcher-daniel-j-smith-on-the-pandemics-most-vulnerable/IZXX6TC7VNH7FADBNIV5FM2EZ4/","content":"Pivoting for humanity: Nurse and researcher Daniel J. Smith on the pandemic’s most vulnerable"},{"_id":"P2MTJSADHFH4VBEU2NEMZYGADQ","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"That idea covers both how women can have a say in creating the kind of birth experiences they need and want, and how each can feel like a person powerful enough to bring a baby out with her own strength of person, Hall says."},{"_id":"7TLH7K3MJRHRDCTD43HV4M7THM","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"“We have clear evidence that a sense of powerfulness contributes to a woman’s well-being after the birth, her relationship to the baby and her own definition of herself,” she adds. “The quality of the birth experience matters, and a woman’s expression of self matters. Since we tend to think of birth as medical, we tend to feel that if all the medical parts were taken care of, the woman is well. That is not the case.”"},{"_id":"MZRQ5MTR7VBOLORP5IBG3L7IFY","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"A big part of assuring more power for women during their birth experiences is making the benefits of midwife care better known, Hall asserts. “Culturally, there is such a focus on the risks of pregnancy, women might perceive they need a physician or that the person with the higher education level is better,” Hall says."},{"_id":"WQW7HGLEABHOBKDLMWBMX4LR6Y","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"To her way of thinking, “if a woman is healthy, she should have access to all the birth options that we know enhance a healthy birth, and not just choose from the hospital’s limited menu,” she says. “One of my fantasies is that women will just show up at the hospital en masse and say, ‘No, I don’t want that. I heard what you said. I still said no. I am not going to do that. Thanks for your advice. Not going to agree, don’t think I need that.’”"},{"_id":"RARQWE3GKVGN7M3ZTYBH3D6X7I","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"She hopes to work towards a world where individuals can “identify what is really important about the birth and work towards that,” she says. “If the plan needs to change, you should feel respected, included in the decision and have all the information you need to accept a new plan. There are moments in pregnancy when a woman is bleeding to death that a provider might bypass that kind of discussion, but those are rare, and for the most part, women should feel like they were full participants in the decision.”"},{"_id":"BML6QNBDMRC4VGIRYKYIIQHWSQ","type":"interstitial_link","additional_properties":{"_id":"LPKQD6K7HVHTNBVGX2RTPAT2WI","comments":[]},"url":"https://www.ajc.com/news/local/valdosta-nurse-helped-fight-covid-new-york-and-continues-the-fight-georgia/BBJKQtThxepIHLDTqMfxBL/","content":"Valdosta nurse helped fight COVID-19 in New York and continues the fight in Georgia"},{"_id":"KWIBGUSNCNHXZAKDK5DAGIOL3Y","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"A registered nurse and certified nurse midwife who earned a Doctor of Nursing in 2015, Hall has long known this was the profession for her. She was a little kid, 10 or so, when she started reading a series of books, sort of in the same vein as Nancy Drew or the Hardy Boys. Only this was a series about a nurse, Cherry Ames. “I read those books, and that was kind of it,” Hall says. “I thought, ‘I want to do this. I want to be a nurse.’ I liked her adventures. I liked her perspective on human beings. I liked what she was about and what she did for people. Those books really captured how nurses are concerned about the whole human being, in illness and in health. That caught my attention.”"},{"_id":"USPWE4G4T5DNVPUWHUHPFIJN5Q","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"The real-life role models she follows intently are all midwives working in the normal healthy birth area. “Shawn Walker is one of my friends who went out on a limb to try to study physiological breech birth, and when it is safe to birth a breech baby vaginally. This knowledge has been decreasing for the last 20 years, because breech birth moved towards a required Cesarean. Shawn started out doing breech births here and there, and now she runs a breech birth clinic.”"},{"_id":"OZQUXE6OARFSZIROLNT2UTRH6Q","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Another mover and shaker admired by Hall is Soo Downe, a researcher studying normal, healthy birth in the U.K. “She talks a lot about the medical culture that thinks of pregnancy as a risk waiting to happen, instead of an opportunity for growth and transformation in a family,” Hall notes. “She interviewed women who had positive birth experiences, and they talked about feeling ecstatic and blissful in labor and after that they felt a joy they had not experienced ever. She wants to know why we are not talking about that in the media or in the obstetrical space or in nurse-MD-midwife education.”"},{"_id":"C3LPBQEE3NC2LHHNYNSWJOWVEQ","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Hall says if Soo Downe’s ever offered a chance to work with her, “I would give up one leg and one eye.”"},{"_id":"GDQSTY3Y3NFL7DMIEEFTUKKLHM","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Her nurse education began with a bachelor’s from Biola in Southern California. She then became a midwife at University of Southern California back in the days when you could practice with just a certificate. When the requirements changed and midwives needed a master’s, she completed one at what was then the University of Philadelphia, participating in an innovative online program for practicing midwives who needed a master’s."},{"_id":"QIXPYF4WMRECNPP6EBC26DUDBQ","type":"interstitial_link","additional_properties":{"_id":"BFP6Z7YXBFCTRPLPKWCTMATWPE","comments":[]},"url":"https://www.ajc.com/lifestyles/health/could-phd-open-your-dream-career-path/biZ9L94C86ipGwKNesnIUJ/","content":"Could a PhD open up your dream career path?"},{"_id":"5LRUT3YCYJHQVERCFQ3FAH7QKI","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Pursuing a PhD, now such a meaningful part of her life, was incidental at first. A combination of odd circumstances unexpectedly left her without a spot at a school where she’d been invited to apply. She learned on social media that registered nurse and doctor of nursing Jennifer Foster had been funded to initiate a research project aimed at understanding men’s and women’s beliefs around public maternity and newborn services. Participants would be community workers and health providers in the Dominican Republic."},{"_id":"KGWEZMVCZVC6VE7MQB6JDPDCAA","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Hall wrote to Foster “out of the blue,” she says. She told the senior researcher how she’d worked in Latin America and spoke Spanish from the decade her family lived in Puerto Rico while her father worked there. “I’m fully bilingual and went to public schools there,” Hall explains."},{"_id":"DBHEYXTQLNBILNOWZCDNJROWSA","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Foster was interested, but she mentioned offhandedly, “Yeah, but you should be a PhD student if you’re going to work with me.”"},{"_id":"S3QBW3BFBNBR7LSU3MBBGYI7SY","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"So Hall applied and got accepted. At first she also took a midwifery position in a clinic, but she gave it up when it “didn’t go very well with grad school,” she says. “It was very busy there, and I don’t do well working like that. I really need to be able to sit down and ask my patients, ‘How are you doing? What’s been going on with you? Are you eating?’”"},{"_id":"EM3TYLRRHREN7FPG3O75ZYLSYM","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"She says she does miss having her “midwife mojo” and plans to complete the protocol of 15 supervised deliveries that will enable her to resume her certification later this year."},{"_id":"A7U3L77GMZC4NH3QW6AK45ELHQ","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Practicing or not, though, she wants fellow nurses to understand the important intersection of medicine and the women who give birth. “We need healthy women to have access to healthy birth care,” she says. “Women need to require, expect, and negotiate for care that respects their needs and wishes.”"},{"_id":"LKCYJWIEYJE3RFSOWSYPEEJBOY","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"So often, an individual woman enters a hospital with a birth plan and the fervent hope she can achieve their birth according to that plan. “And she encounters all kinds of resistance to what she wants,” Hall notes. “We need a system that considers a woman’s choices, wishes, desires and wants as a fundamental tenet of care and operates from that space.  She needs to feel like she is a full participant in her own care.”"},{"_id":"IJ2YVEAYT5HWDKKT6DB6JPPNOQ","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Hall also encourages nurses to see how their view and skills are needed in the world of academic research. “Medicine wants to fix the body in illness, or maybe prevent an illness,” she explains. “Public health wants to know how to help entire populations prevent illness. Nursing looks at the problems of health and illness closer to the patient: What is happening with the person, their family, their spirituality, their sleep, their eating, how much dust there is where they live... Where medicine wants to know what medicine will cure a disease, nursing wants to know what is going on when a lot of patients are non-compliant and won’t take that medicine properly.”"},{"_id":"SUR6GX5CVVDC7EXZ2VPZXI6XNU","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"It takes a toll to offer up your own time and work hours to deliver this valuable perspective, Hall admits. For her, the most difficult aspect of working in academia has been the utter lack of boundaries between life and work. “As a midwife, it’s a little easier. Oh, you’re still working long hours and sometimes holidays or being on call, but when you aren’t delivering a baby, you can go home.”"},{"_id":"NMFM3RPTLNE67JCJJFYPE3QYQI","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"She says she finds the culture of PhD pursuit “super, super excessively busy. It’s not right to be busy all the time. I’m on a campaign to point that out! If you’re expecting really good problem-solving from yourself or others, you need to not be fatigued and cranky and burned out.”"},{"_id":"SA4HXERSVNA3DNVR4EYKOE4XW4","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Hall says she was particularly grateful for her two sisters and two brothers during the stressful time when she was studying for her doctorate. “There is a lot of sanity in them, and they are very solid human beings,” she says."},{"_id":"MRUWPXSF7FA4BPXKC2K2Q7SROU","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"When the PhD process became difficult, they rooted for her. “They’re like, ‘You’re on your own pace, you’ll get this done, you don’t have to get it done tomorrow on someone else’s timetable.’”"},{"_id":"BVV24KIYARAL7CICL23RU544EQ","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"She particularly remembers stewing about not finishing a portion of her dissertation precisely when she’d planned. “It was unfolding,” she recalls, “but unfolding a little slow. My brother said, ‘You know, a cake has to bake so long. There’s no way to make it bake faster...’”"},{"_id":"OK2GABERTJED5DH2PSSVVTN2XY","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"At this point in her career, Hall has goals both personal and work-related. “Professionally, I would like to get as much out of this PhD as I can while maintaining balance, creativity and joy,” she says. “I want to collaborate with people I really like who laugh a lot, and have good, innovative ideas to study and make birth better for women. 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Starting any nurse job, any place, any day of the year is full of stress and anxiety."},{"_id":"IMRMLDBUBFEFLNGGLAZAVTQ5AA","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"But if you’re one of the nurses who started amidst the COVID pandemic, your “new kid” experience is all that times two, or four or maybe 100. The hardest-hit are those who work in areas that have been slammed in the pandemic, particularly critical care and home health."},{"_id":"BHA72QFJENCE5PTMWX7DHE5Z44","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Other newbie nurses may be feeling the extra strain, too. If you’re just getting started, there are ways to cope with the extra challenges. To begin with, recognize that this is, in fact, weird. 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He shared tips for all medical professionals as part of Harvard Medical School’s Learn Forward online community."},{"_id":"HUKQYHWKXRCPXGB73FRBCH3HLI","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Take it seriously. You may be a rookie who’s trying to fit in and be cool, but this is not time to be casual, advised Mitzi DeBusk, a registered nurse who holds a bachelor’s in nursing and works as a consultant for a home health agency in Williamsburg, Virginia. “Wear your protective gear,” she advised. “Please, please keep wearing a mask and gloves, and goggles or a face mask that protects your eyes. 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Keep your cell phone and personal items locked up when you’re working to avoid contamination that you’re not there to see. Wash your steering wheel before you get out of the car to enter your job, and wash it again when you get in the car to go home. Same with doorknobs.”"},{"_id":"D4UOE5RMNFDVBCGOPYM5Q3QJM4","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Be nice to yourself. “Start by being compassionate with yourself,” said Al-Hakim, who is also the author of a 2017 recharging how-to, “Physician On Fire”. “You are working in unusual circumstances under great stress and palpable fear. You have every right to feel frightened, anxious, and exhausted. You are in no way any weaker or less altruistic by having those feelings. Treat yourself kindly and acknowledge your feelings, don’t be guilty about them.”"},{"_id":"AO3GBFB3KRBRPL3FSUWK57MCFU","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Remember why you are a nurse. “Remind yourself why you chose this path,” Al-Hakim added. “We must learn to accept our present for what it is and have faith that everything happens for a reason,” he added."},{"_id":"IBXTAUJHAJGBNHPLPRX5CWNA5E","type":"interstitial_link","additional_properties":{"_id":"QD5W7PTVJBDKPPJNAJG3D42YD4","comments":[]},"url":"https://www.ajc.com/pulse/pivoting-for-humanity-nurse-and-researcher-daniel-j-smith-on-the-pandemics-most-vulnerable/IZXX6TC7VNH7FADBNIV5FM2EZ4/","content":"Pivoting for humanity: Nurse and researcher Daniel J. Smith on the pandemic’s most vulnerable"},{"_id":"2SED5NMMPVGODCBDN44BNWVSGQ","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Remind yourself of the career positives. It’s a grim consolation in light of the ravages of the pandemic, but new grads may have an edge over aspiring nurses who are still earning their credentials or would like to start. If you’re already out of school, for example, you beat the rush of students vying to get into nursing school in the near future."},{"_id":"WIX4IF3IQFFE3EUFX7TEDTV2LI","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Acceptance rates were already competitive, but even more applicants will be turned away from schools this next year. 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That’s not necessarily fun, but it could give you immediate insight into whether the critical care nurse career paths are a good fit for you, or if you might be happier in a position that’s a bit more removed from the hubbub, like IT or pharmaceutical nursing."},{"_id":"76C6SIGRHFCIZAYIKOWPPGMRWM","type":"interstitial_link","additional_properties":{"_id":"FKNDOL2U5NDMLHCPSNV4WW6UCE","comments":[]},"url":"https://www.ajc.com/news/coronavirus/","content":"Coronavirus in Georgia"},{"_id":"U6CUXFU66NELNOYL3OMVUTVILY","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Of course, those positions might not offer as much pay or job opportunity, but it’s nice to know where you stand as quickly as possible. 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Your job may even be slower than it was before March 2020, but you’re still faced with added social distancing and quarantining -- and every friend, family member, and newscaster constantly sharing opinions and asking questions."},{"_id":"MT46KDB64JBQTOGXFEAPEU2QFY","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747857945},"content":"To make it through the high-pressure workdays and the sheer stress of knowing how serious a pandemic is, it’s important for nurses to relax and recharge -- and forget about life for a while."},{"_id":"ZZSJTRS525GT3GGC7KR5ASXNSI","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747857946},"content":"Maybe you don’t have time to make that sourdough, but your nursing colleagues have some great suggestions for ways to wind down that are more manageable for medical professionals."},{"_id":"T3YEU5N7OFDX3ORALAAQ44KVGM","type":"header","level":2,"additional_properties":{"comments":[],"inline_comments":[],"_id":1599747857947},"content":"Here are their tried-and-true wind-downs for nurses during COVID:"},{"_id":"BX5VUBJRSBBHDGCUJ45HSYS77I","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747857948},"content":"Take it outside. Priscilla Hall is busy as a midwife researcher and senior instructor at Emory University’s Nell Hodgson Woodruff School of Nursing. At home, though, she’s on her own, and she says one day can start running into another. She has three pets, but her family lives far away. “I like being outside, I think that is helping,” she says. “I live close to a forest preserve, and I recently took my dog to Amicalola Falls.”"},{"_id":"5DLXA44RXZD55HDVF5PWKCGUQY","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747857949},"content":"Delaney McCann, a registered nurse who is currently a full-time nurse anesthesia student in South Carolina, concurs with the outdoors unwind. “After being cooped up for three or four or even five days a week between your job and your home, it’s nice to spend a day outside,” she says. “I like to plan a little day trip to a new place to hike if the weather is nice and maybe bring a picnic or some adult beverages to enjoy outside.”"},{"_id":"NU6TC62ATBH7VP7Z5GEMRKZTRM","type":"interstitial_link","additional_properties":{"_id":"CIFWYORO2VEULHTXYONSVQVEBU","comments":[]},"url":"https://www.ajc.com/lifestyles/health/why-nurses-should-spend-time-outdoors-every-single-day/c2a4f75Uxb4GaL8FD5NvBM/","content":"Why nurses should spend time outdoors every single day"},{"_id":"ONYHGRL4VBDWTB5AE6BHXUCAFM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747857951},"content":"Try to see your friends, as safely as possible. Hall and two good friends from work go out to dinner almost every Friday. They’re careful to go to a place where it’s never crowded. They wear masks up to the door, and then they enjoy complaining about their lives and laughing, Hall says. “It’s a little risky, but we always get a booth by ourselves, and it’s worth it.”"},{"_id":"G4KMMJWZI5B3JIJI5YXY6MODOA","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Break open a book. Since you can’t go out for entertainment nearly as easily as you did pre-pandemic, McCann urges her fellow nurses to unwind by finally getting some reading done at home.  A Pulitzer Prize Finalist’s memoir is her No. 1 reading pick for nurses who need to recharge. “When Breath Becomes Air” is neurosurgeon Paul Kalanithi’s first-hand account of his life as he experiences a stage IV lung cancer diagnosis as a patient."},{"_id":"SDVLZDL6XZG63BMMYTRZFCTZAI","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"And if you want to completely escape the medical scene, McCann recommends “Where the Crawdads Sing,” a first novel/murder mystery/coming of age story by Delia Owens."},{"_id":"RIIVNV4V6RDL3P6I4BJZDTPD5U","type":"interstitial_link","additional_properties":{"_id":"DQXPBWAUTRFL5PHPYNYRJTPXGI","comments":[]},"url":"https://www.ajc.com/lifestyles/meditation/why-every-nurse-should-practice-mindfulness-and-how/zku6oVAn9zFBtJHDIw8JRK/","content":"Why every nurse should practice mindfulness (and how)"},{"_id":"52XTWL4OFRDZ5NSD2EKS63DYQI","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Watch a funny show or listen to a hilarious podcast. McCann and a few friends think it’s “pretty fun” to get together virtually or to gather with social distancing and all watch edgy (adults-only) comedians from “Girls Gotta Eat” or Heather McMahan’s “Absolutely Not.” She says, “I have ‘quaran-teamed’ with two of my school friends so we could keep our sanity and not be totally devoid of all human interaction during COVID,” she says. “But you can also watch them from your own homes simultaneously if you aren’t comfortable going to each other’s houses.”"},{"_id":"DYXIKBKM3BGBDOCPEQ4MIFYK5Q","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Tie some knots. McCann has also picked up macramé as a pandemic wind-down recently. “To me, it is mindless but also productive,” she says. “I usually listen to podcasts while I do it or sometimes use it as my meditation time. I make plant hangers since I am also a dedicated plant mom. 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Fiona Crawford, a registered nurse who works in an ICU float pool in Chattanooga, is a big fan of the “long shower with face masks and body scrubs,” she says. “It also helps to cook nice meals or walk the dog.”"},{"_id":"SYXNBBTSPZA6ZL4B3KW6V4UPRA","type":"interstitial_link","additional_properties":{"_id":"PMQ7NZORQJDADDVOUZMGJ5PTA4","comments":[]},"url":"https://www.ajc.com/lifestyles/treatyourself-local-nurses-share-their-self-care-solutions/WfIbGGs0VkjCdh4ERsrC3J/","content":"#TreatYourself: Local nurses share their self-care solutions"},{"_id":"MXKIGULEDVELVKOUYQTNKTYMOQ","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Revel in simple household rituals. Some wind-downs are counter-intuitive, but they make sense once you try them. 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Whether you have a position in a hospital, tiny private practice or any of the many industries where nurses contribute, you may have left balancing the workforce up to management."},{"_id":"EY6TV5E7BBGNBLNITULFWNGAMM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233094},"content":"But any nurse, with any job description or at any pay level, can help expand diversity in the profession. Why would you want to? The reasons run the range from moral to practical."},{"_id":"ZU2HCHJWPJBUJCIZCE5DY65Z7Q","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233095},"content":"Easing the projected nursing shortage in coming decades demands diversity, for example. “It’s easier to recruit workers into a profession that rewards its members for their hard work, education, and performance,” Walden RN and oncology certified nurse Pamela Walden wrote in an editorial for the journal Nursing Made Incredibly Easy. “An environment of respect, inclusion, and acceptance is a key component in establishing and maintaining a diverse workforce.”"},{"_id":"EJTLXAOQKNH67O5QPPW5UBUOPM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233096},"content":"Patient populations would undoubtedly benefit, too, with a diverse workforce translating into more open acceptance of diverse patient populations, Walden added."},{"_id":"BXWMSUXBBVFXPHVNEVO2TQB25U","type":"interstitial_link","additional_properties":{"_id":"PJKFZVYC7RE5NMROKMQ6LC4CLI","comments":[]},"url":"https://www.ajc.com/pulse/what-white-nurses-can-do-to-help-combat-racism-in-nursing/GBESA6KPYFEUDBYJ2Y2QQIMBMM/","content":"What white nurses can do to help combat racism in nursing"},{"_id":"CFM5QI3G4VES5BYK4PYFJYQSQ4","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233098},"content":"Kelly Hancock, a registered nurse, doctor of nursing practice and executive chief nursing officer of the Cleveland Clinic Health System, said more diversity would help the nursing workforce “provide more customized, culturally-sensitive and safer care” and “better assess, accommodate and cater to the healthcare needs of different minority groups.”"},{"_id":"NXDXVFAOBNCRDB4OCSYZCONXLQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233099},"content":"And then there is the positive impact on the nursing profession itself. Including a range of nurses from different backgrounds draws in new experiences and new best practices. “Collegiality, cooperation, and innovative ideas from different people add to our wealth of information and experience,” Walden said."},{"_id":"DLAPPEBC5JCGPMHGJZLMRQ2HVE","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233100},"content":"The challenge extends far beyond getting students from diverse backgrounds into schools or hiring more nurses from minority populations, Walden emphasized. “To increase our cultural diversity, we not only need to encourage diversity in our nursing student population, but we also need to create an accepting environment for our coworkers. Studies have shown that even when minority nurses enter the workforce, they have a higher than normal rate of leaving nursing in the first few years of practice.”"},{"_id":"VOC6MLGDQRGGRLZQMSZPMJLPU4","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233101},"content":"That’s where individual nurses can really help."},{"_id":"USOEKRBBB5HGRHDTI3EN4GO2X4","type":"header","level":2,"additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233102},"content":"Want to do your part? Here are some suggestions from nurse leaders and diversity experts:"},{"_id":"NTMOON6PRFGQJALCTG64WPF46U","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233103},"content":"Broaden your definition of diversity. Along with drawing in people from different racial and ethnic backgrounds, establishing an inclusive workforce also means encompassing LGBTQ nurses and individuals with disabilities."},{"_id":"VHN45FNWT5DJ7EHIHV626H7JXQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233104},"content":"In addition to making sure you’re including all parties in your definition, it’s important not to tag an individual as being diverse. “When we refer to a person as ‘diverse,’ we reinforce dominant identities as ‘normal’ or ‘accepted,’ and we implicitly position other non-dominant identities as abnormal or insignificant,” explained Culture Amp co-founder Sarah Saska."},{"_id":"5TLTUGV2SBCSFCUIFDCOQDX4UU","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233105},"content":"Instead, think of your colleagues from different backgrounds as those who “bring a diverse range of experiences--from appearance to thought, likes or dislikes, and identity,” Saska added. “Diversity of identity may relate to socialized and visible race, gender identity, religion, nationality, body shape or size, age, or sexual orientation, to name a few.”"},{"_id":"DDMNXFPFDNEYLKQHBPWCEKNOCQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233106},"content":"Make new friends. Overt or subtle racism at a workplace can thwart any efforts at establishing diversity. One way to combat that? Get to know more people of color, at work and other places, advised Dana Brownlee, a senior contributor to Forbes. “Fear is often the root of bigotry and one of the best antidotes for erasing fear is knowledge and familiarity,” she said. “The saying is, ‘Know me, like me, trust me’ and that trust-building process starts with simply knowing people better. It’s so much easier to fall victim to bigoted thinking and stereotypes when you don’t personally know people from that community and are completely ignorant of their culture, so get to know more people of color.”"},{"_id":"AOHYMUWIL5BU7MUQPG24G7BE5I","type":"interstitial_link","additional_properties":{"_id":"HEKCX3IFQZBGRMATBCIEW4D4PQ","comments":[]},"url":"https://www.ajc.com/news/racism-against-black-nurses-historic-problem-that-still-exists-today/WXgpiNAYHIuIKnoZRdZnxI/","content":"Racism against Black nurses is a historic problem that still exists today"},{"_id":"BM6URWA54VHW7IHOEZRFKPDLJQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233108},"content":"Join the diversity committee at your workplace or in your community. “If there isn’t one, start one,” Brownlee added. “If you’re struggling to step outside your comfort zone, this is an easy way to take action. It doesn’t take much effort to join a diversity committee at your workplace, but it does send a signal to those around you that you have some level of empathy and interest.” This participation will also give you a chance to get to know new people and “begin to see issues from a different perspective,” Brownlee said."},{"_id":"FUZ7LN6BQJHW3GDLZKDVWDQJIE","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233109},"content":"Be the diversity watchdog during colleague interactions. According to gender, diversity and technology expert Catherine Ashcraft, the diversity destroyer known as unconscious bias easily slips “into team meetings and informal interactions. For example, most people have been in meetings where one or two team members dominate the conversation or someone gets credit for an idea voiced earlier by someone else,” Ashcraft, a senior research scientist at the National Center for Women & Information Technology, wrote in Fast Company. “These dynamics are exacerbated when one is a minority in a particular environment.”"},{"_id":"7S5WPOP6F5HLXGSIRHDPDI47VI","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233110},"content":"Shifting these toxic interactions simply and directly is a matter of “soliciting the opinions of quieter members, making sure that a variety of voices are heard, and ensuring that individuals get credit for their ideas and their work,” Ashcraft added. “As an added bonus, these strategies are relatively inexpensive to implement.”"},{"_id":"KWUHU4TSXZEKBIFD3QUP2JCK7A","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233111},"content":"Start a conversation with your kids about race. This benefits diversity now and down the road, Brownlee said. “One of my friends said that she grew up in a white neighborhood with one black family, and race was not really discussed in her household. She said she didn’t even find out about the Holocaust until they taught it in school when she was 16 and then was so traumatized learning of the injustices that she ended up missing several days of school and ultimately skipping the class altogether. She recalls it as a real trauma in her childhood particularly because she didn’t have adults around her to help her process it. Indeed, too many white (and Black) kids grow up in their own little bubble with little understanding of the complexities of the outside world.”"},{"_id":"YKBVKT2YGZA43MEQ3BD36CTLCQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233112},"content":"Make sure you’re not omitting this aspect of your children’s upbringing. “It’s critically important that kids begin to learn about issues of race and equity early, in an age appropriate manner, so they can begin to develop their own awareness of injustice,” she added. “When their brains begin to think that way when they’re young, they’ll tend to make similar values based life decisions as they mature.”"},{"_id":"5ZSRGBXSYBBVFLDTAA74PFJKTM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233113},"content":"Be open to feedback. Ilsa Govan, co-founder of the coaching company Cultures Connecting, focuses her advice on combating racism, but it also applies to working with colleagues who bring other different experiences to the nursing workforce. “One aspect of white culture is to look for the measurable outcome,” she explained. “We want to focus more on what we do than who we are. Yet reducing our own microaggressions makes a huge difference in the everyday lives of people of color. Instead of trying not to make any mistakes, we can get better at staying open to feedback and using it as an opportunity to learn, rather than shutting down.”"},{"_id":"EIEJOPWG4FCJPA7F5VR2SIZTQI","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233114},"content":"When someone with a background different than your own protests a “microaggression” from you, be that a remark or an incident, it’s important to monitor your response, Govan urged. The minute you respond with “That’s not what I meant,” or “It was just a joke,” you begin to cut yourself off from others who might give you useful feedback in your quest to support diversity in nursing. “This becomes a self-reinforcing cycle, where we may not believe there are any problems with race in the workplace because we haven’t demonstrated openness to receiving how we contribute to these problems,” Govan added."},{"_id":"HZQGXOY7RZF45N2SRCODOGQPOE","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233115},"content":"Strive for inclusion. Registered nurse Eileen P. Williamson describes inclusion on Nurse.com as “an important and somewhat newer aspect of diversity. Simply put, inclusion is not just being present, but being part of things.”"},{"_id":"7WFPJFP2GNAIDHPWLP6W73OT5U","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233116},"content":"This is different from mere representation, said Williamson, who holds a master’s of nursing and was formerly chief nurse executive at OnCourse Learning. “When we include someone, we’re saying we value that person and his or her contributions. Inclusion celebrates each person’s uniqueness and value. It’s not something we give to or do for individuals of diverse groups; it’s what we do to push the nursing profession forward and improve patient care.”"},{"_id":"2QDAZA57S5G6PB3WF653VMNMYY","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233117},"content":"Understand that diversity benefits everybody. Adds Williamson: “It’s not enough to focus on what organizations can do for diverse employees; organizations must understand and appreciate what diverse employees can do for them. Making diversity and inclusion priorities has created new opportunities for professionals from diverse groups; it has increased access to care for diverse populations; it has improved care quality for many patients and it is changing the face of our healthcare system.”"},{"_id":"IPAJ4JIB4BDTZEU47UDKZMCTBM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1599747233118},"content":"Inclusion is the best outcome of diversity efforts. “Inclusion underscores that when we hire someone from a diverse group we do so because we want what he or she offers, not because we have a certain employee mix to meet,” Williamson added. “Inclusion means we want to make them part of us because we will be better off when they are.”"}],"created_date":"2020-09-10T14:13:51.896Z","revision":{"revision_id":"5FD72SBA3NA3TKCMFSE6UNJKAQ","parent_id":"AN56KLQOLBG4JDWG26RBTBNK7Q","editions":["default"],"branch":"default","user_id":"fiza.pirani@gmail.com","published":true},"last_updated_date":"2020-09-10T14:14:42.402Z","canonical_url":"/pulse/how-white-nurses-can-help-promote-diversity-in-nursing/E34SDOGQWJBM5IW3THUL3LB2RI/","headlines":{"basic":"How nurses can help promote diversity in the industry","mobile":"","native":"","print":"","tablet":"","web":"","meta_title":""},"owner":{"sponsored":false,"id":"ajc"},"content_restrictions":{"content_code":"free"},"address":{},"workflow":{"status_code":1},"subheadlines":{"basic":""},"description":{"basic":""},"language":"","source":{"system":"composer","name":"ajc","source_type":"staff"},"label":{},"taxonomy":{"sites":[],"tags":[{"text":"ajcpulse","description":"ajcpulse","slug":"ajcpulse"},{"text":"spcontent","description":"spcontent","slug":"spcontent"},{"text":"rct-content","description":"rct-content","slug":"rct-content"}],"sections":[{"_id":"/pulse","_website":"ajc","type":"section","version":"0.6.0","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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Individuals who need legal advice should contact a nurse attorney or attorney in their state. Hahnah Williams practices law in Georgia at Hahnah Williams, Attorney at Law, P.C., www.hahnahwilliams.com "},{"_id":"7PBHQV65DFHOPEXCJ4VKMGADMQ","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1598453028819},"content":"As a Georgia attorney, Hahnah Williams represents health care professionals in all aspects of professional license matters, including licensing board investigations and complaints that might involve professional misconduct, drug diversion or abuse or substandard patient care."},{"_id":"IFNRZKS7PFH4VBKWTSP7MDNZ3A","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1598453028820},"content":"A licensed registered nurse with years of experience in ICU and as a travel nurse, Williams feels a special connection to her nurse clients. "I've been in those shoes," she says. 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Her work was already entirely virtual pre-pandemic, but she says COVID-19 has inflicted a whole new set of concerns on nurses in regards to their professional licenses and susceptibility to being reported to the Board of Nursing."},{"_id":"IDTUHKXIEJANZGVDSDQUE3OMZE","type":"interstitial_link","additional_properties":{"_id":"X47ARGNDIVHFRD6TNVMBCXRWSM","comments":[]},"url":"https://www.ajc.com/pulse/pivoting-for-humanity-nurse-and-researcher-daniel-j-smith-on-the-pandemics-most-vulnerable/IZXX6TC7VNH7FADBNIV5FM2EZ4/","content":"Nurse and researcher Daniel J. Smith on the pandemic’s most vulnerable"},{"_id":"6QLZOOIANVBQFKKY4VJQ57Z6KI","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1598453028824},"content":"Initially nationwide, in March and on into late May, nurses and other health care professionals were concerned about having proper personal protection equipment. 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This didn't used to be the case. But as of July 1, 2014, a state law dictates that "Any nurse (this includes nurse administrators, nurse supervisors, nursing colleagues or other nurses) is required to report the name of any nurse (licensed practical nurse, registered nurse or advanced practice registered nurse) if there is reasonable cause to believe that the other nurse has violated any of the grounds for discipline provided in the Nurse Practice Act (O.C.G.A. 43-26-53)." "},{"_id":"ERKYRZXBAVDJ3MNF4EJDKL2HWA","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1598453028829},"content":"Others, too, are required to report "evidence that a nurse has violated any of the provisions of the Nurse Practice Act," including those who employ nurses and state agencies that license, register, or certify hospitals, nursing homes, home health agencies, or other types of health care facilities, according to the Georgia Board of Nursing."},{"_id":"54I3BUVPEBB6VKMTDKJCVMKD3E","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1598453028830},"content":"Understand the two different types of claims that might be brought against you. Medical malpractice is addressed in state court, and your employer may insure you in case of those claims. But being reported to the licensing board is another matter entirely, and the reasons vary from that same medical malpractice to being reported for some other alleged professional misconduct or providing substandard care."},{"_id":"2NZRPOONXJD5THGZ6FAW6NIMU4","type":"interstitial_link","additional_properties":{"_id":"HYVD3J3MRVAUTM2Q536VMVXGNA","comments":[]},"url":"https://www.ajc.com/news/how-nurses-can-help-their-colleagues-the-covid-front-lines/C7LfQPFFSkFmFkfrtvL3fN/","content":"How nurses can help their colleagues on the COVID-19 front lines"},{"_id":"BYCAORVDF5EM7FTCMFSKINECKI","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1598453028832},"content":"Learn your employer's chain of command and policies. "You need to know that in case you're ever put in a situation where your license is threatened," Williams adds, "and you should be familiar with this information long before you ever need it. If you don't know it by heart, that's fine, but know where you can find this information, either in hard copy or online.""},{"_id":"LPBLJZMAB5GTHKZD3QYGHXX24Q","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1598453028833},"content":"Nurses in 2020 especially need to know about confidentiality policies and what they can and can't post on social media. "You may think you know it, but have you read it?" Williams warns."},{"_id":"SXQI35MI6JHKHKZPX4E2CHPFCI","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1598453028834},"content":"Also, take the time to get familiar with your hospital's COVID policies, she urges. "Your license protection should always be a priority," Williams says, "because it drives your ability to make a living.""},{"_id":"2HWGR6HNGFEY3ILMFQYQZDDQDU","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1598453028835},"content":"Learn what regulations govern nursing practice. You can do this by taking continuing education courses that focus on professionalism, nursing laws and Board of Nursing investigations."},{"_id":"2LJ2LUW3KBGKHEDUPTB4HOJ7HE","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1598453028836},"content":"Get the insurance. Each nurse should have an individual insurance policy with license protection benefits, in Williams’ opinion. “Most employer policies only cover professional negligence claims resulting from care that the nurse provides at the employer’s facility,” she notes. “Employer policies typically do not provide license protection benefits. License protection policies can cover the cost of an attorney, up to a certain amount, so you can have an attorney defend your nurse’s license if you are reported to the Board of Nursing.” "},{"_id":"6AO2DKEQJFGXFGJFZGWB45JJXE","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1598453028837},"content":"Such policies can be as low as $150-$200 a year. Williams says she considers license protection insurance to be money well spent at a time when nurses could potentially face far more expensive legal battles to keep their licenses."},{"_id":"G2MWARV3X5FC7KUDMOM2BXKDRI","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1598453028838},"content":"Some nurses will pay more for coverage, she notes. "It's like car insurance; they might upcharge you if you already have Board complaints on your record or other risk factors." 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But your skin, especially where you wear a mask seemingly 24/7, can't hide the damage."},{"_id":"WZSVUGYERVH2NMEUT3LQWFMTTE","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"You probably already have the extra chafing to contend with. One nurse, Gwen, told CNN Underscored she likes to call this chafing "hero wounds," also known as the skin irritations at the points where your mask molds against your face."},{"_id":"ALENLKR2NZFOPONB5LWZGJJWEI","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"The summer heat can exaggerate all these reactions, whether you’re masking up at work or on your own time. “Skin irritations from rubbing, friction and pressure are likely to be exacerbated by sweat, which can make the skin more vulnerable to irritation similar to chafing in the summer,” New York dermatologist Dr. Hadley King told CNN Underscored."},{"_id":"X6YLAKYIBVDXXHX3HUBRVF7QHM","type":"interstitial_link","additional_properties":{"_id":"3OG2PYCB3NHSXMH2ERFWTCJIX4","comments":[]},"url":"https://www.ajc.com/news/coronavirus/","content":"Coronavirus in Georgia"},{"_id":"Y43UU6NLTVADFNZ5XFLYW62AOY","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Dermatologist and Lancer Skincare Founder Dr. Harold Lancer also warned of a summertime moisture change in facial skin. “Besides irritations and reactions to mask materials, the heat factor will cause a moisture change in the skin that is covered by the mask,” he explained in CNN-U. “This can lead to problems in pore structure and congestion, blemishes and excessive oil retention, which may lead to yeast overgrowth and a worsening of rosacea.” Also expect something that’s akin to heat rash."},{"_id":"CAGW3B6D2ZCCZB3YSOG5VGI3ZA","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"And there’s no denying stress takes its toll, and nursing is all about stress right now. “The brain and skin are intimately connected,” New York City dermatologist Joshua Zeichner, M.D. told Better Homes and Gardens. “The way our bodies naturally respond to stress is meant to be a defense mechanism, but that response can have negative effects on our skin.” "},{"_id":"7EIWRQY7IFF6VBLZ5KJVPHU6AY","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Essentially, your body produces more of the hormone cortisol under duress, which results in breakouts, BHG added. Cortisol can also “weaken your skin’s protective barrier, leaving it vulnerable to moisture loss and outside irritants, plus cause inflammation,” it said."},{"_id":"CDIKJ2YBLZG33FSFN3IJJT6OHI","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Your skin's reaction to this summer's heat, combined with wearing a mask all shift long, may seem like just another frustrating annoyance. But this is one hazard of working as a nurse during COVID that you can actually do something about."},{"_id":"OKACM5ITM5AN7PUPA7O6GQGWX4","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Even if you're not super concerned about how your skin looks, minimizing the skincare woes created by the heat, mask and stress may help you keep your energy up and reduce the inevitable pain of wearing PPE. And nurses are so important to their families and the patient base that if there's something you can do to make life easier, why not?"},{"_id":"2MKTQCCL4ND5HNS4B6TSGZKKPQ","type":"header","level":2,"additional_properties":{"comments":[],"inline_comments":[]},"content":"How can you care for your skin in the blistering heat when you wear a mask almost constantly? Dermatologists shared these tips:"},{"_id":"UYGHRDZCVNH57GZM3EKZEQMSUM","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Wash your face before and after. “Polishing, cleansing and nourishing the skin daily will ensure skin barrier maintenance and repair,” Lancer added. “Normal cleansing is important at this time, as it removes natural debris, but the antibacterial component creates an added barrier of safety. Make sure to have a post-cleansing thorough rinse.”"},{"_id":"SC4RAT4OZRCC5BXMRJTAUJ35TM","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Use a patch to heal blemishes more quickly. “When we’re stressed, we’re more likely to pick at blemishes,” Zeichner, who is director of cosmetic and clinical research in dermatology at Mount Sinai Hospital in New York, added."},{"_id":"PGIIRPH7Y5ANDLKTLWUUW7HNWA","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"It may seem like you have your face covered all the time, but those pimples you’ve picked tell a different story. Willpower is overrated in this situation, especially when putting your fingers on your face is a subconscious action. It’s far better to use a stick-on patch instead, like the Alba Botanica Acnedote Pimple Patches available from Target."},{"_id":"5XMIMS47LBAORG7SY3FHR4Z4TI","type":"interstitial_link","additional_properties":{"_id":"H5VJO7R2QFBZZD2QST3ZPMCBJI","comments":[]},"url":"https://www.ajc.com/life/new-study-looks-at-the-most-and-least-effective-face-masks/TWUWLWQEGBBF7HLNDNNLAO7GVM/","content":"New study looks at the most (and least) effective face masks"},{"_id":"MMLNBLPTXRBZBP6E6SSXBQBJ4I","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Treat light abrasions or cuts with healing ointment. If your mask comes off and you spot small cuts or abrasions, wash “the area with a gentle cleanser and water, followed by an ointment to help the skin heal,” King added. Aquaphor Healing Ointment is one good choice. "},{"_id":"6NOX7BVK45GMDBAF3HWK4LCVOU","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Prevent oily-skin breakouts with special cleansers. "Switching your face wash can be a simple and effective way to manage oily skin," BHG noted. "},{"_id":"FA7A6JMRXJDKPGBDEXIDR4CF4I","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Look for cleansers with salicylic acid, noted for being able to disband oil that accumulates on your face. It’s also an “excellent comedolytic, or pore-clearing, ingredient because it exfoliates the stratum corneum (the surface of the skin) and penetrates pores to remove sebum,” King explained. “This helps to prevent pores from becoming clogged and can help remove clogs that have already formed.”"},{"_id":"RWRS3XNJOFHBBPLGFVM5SMOVW4","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Consider gel moisturizer. According to the American Academy of Dermatology, when you have oily skin or the weather is hot and humid, you can prevent breakouts by selecting a gel moisturizer for skin that will be covered by a mask. "},{"_id":"EYUXGFHXVVAZFEOQ7J5C2UYL74","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Skip makeup beneath the mask. "Beneath a mask, makeup is more likely to clog your pores and lead to breakouts," AAD warned. "If makeup is necessary, use only products labeled 'non-comedogenic' or 'oil free.'""},{"_id":"237UFEGZRFBLBJD7PRVD2LZMQI","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Create a routine and stick with it. Try to think of caring for your skin in the heat and during stressful times as a nice thing you do for yourself, not a chore. 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"I love to make chicken pie and country ham biscuits," he says, "though not necessarily at the same time! I'm still a nurse, and I try to eat healthy. The key thing for all nurses during this pandemic is to take time to not work! Those things you liked before the pandemic hit? Make sure you're still doing them.""},{"_id":"MM32IGVVRVF6JKMNC65XMI23OU","type":"text","additional_properties":{"_id":1597840790780,"comments":[],"inline_comments":[]},"content":"Smith did have an aunt who was a nurse, but he came to the profession himself in a roundabout way. He was pursuing a dual major in biology and applied Spanish at University of Carolina-Charlotte and scored a study abroad trip to Cuba, coincidentally led by one of the school's nursing professors."},{"_id":"4E5GQ4PUPFDABBANYQUTPV4CI4","type":"text","additional_properties":{"_id":1597840790781,"comments":[],"inline_comments":[]},"content":"The two got to talking, and by trip's end Smith said he knew what he had to do. 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For white nurses, this is a time to do what you can to combat racism at your workplace, even if you have to stray far from your comfort zone or dredge up unwanted feelings to do so."},{"_id":"UO4PU3FU4FBJLD7DPO5SOT7MNE","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"“The community at large can be our allies by calling people out on their racist behavior towards others and standing with them in solidarity,” 20-year nursing veteran Shantay Carter, founder of Women of Integrity, told Minority Nurse in coverage published July 2, 2020. “BIPOC nurses would appreciate their friends and colleagues to stand up for them. We have to come together as one in the face of adversity. Just because you are not a BIPOC nurse, doesn’t mean you can’t fight against what’s morally and ethically wrong.” "},{"_id":"CGC4JFDWEFBV7F5WAYM2UFVCDM","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"According to a YouTube video and accompanying text titled “Open Letter on Race” from strategy advisor and Columbia University lecturer Kai D. Wright, this won’t be comfortable. “As many individuals struggle with how to have thoughtful and deeply meaningful conversations about race in America, or look on from abroad, expect exchanges to be as uncomfortable, unsettling, and troubling as watching the videos that have jolted new protesters to the streets,” he said. "},{"_id":"X57LNNTLPRC4XNFUUQNQRYXY7Q","type":"header","level":3,"additional_properties":{"comments":[],"inline_comments":[]},"content":"To combat racism as a nurse, try these tactics from Carter, inclusion advisors and workplace experts:"},{"_id":"INPUCXKHBVCJFEGEK6AZBUGAUI","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Remind yourself that racism is not “a thing of the past” in nursing. Just one example: “I had instructors accuse me of cheating on tests or tell me that I would never become a nurse,” Carter remembered. Early in her career, she said, “I had patients say that they didn’t want a ‘colored’ nurse taking care of them…I have had patients call me the N-word or threaten to hit me…I also experienced medical providers speaking down to me because they assumed that I am dumb.[Or I got asked,] ‘Are you the nurse?’”"},{"_id":"YH4NWWF6I5FJBKROEGGN3PNLWQ","type":"interstitial_link","additional_properties":{"_id":"TWJL4CR32BHP7JAHOYC4DGHCWA","comments":[]},"url":"https://www.ajc.com/news/ways-nurses-can-improve-cultural-competency-work/TEOAwEouVnLtYDX6u6Me6O/","content":"6 ways nurses can improve cultural competency at work"},{"_id":"H7XON5IETRCX5PSNIMSKE6ZYEA","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Don’t approach Black co-workers and friends with your curiosity. According to inclusion and diversity strategist Amber Cabral in Fast Company, “Right now, everyone is curious about either the civil unrest or George Floyd’s death. The instinct is to ask Black friends and colleagues for help and perspectives, but that’s not the best step. The best approach is to do your own research to understand what is happening in the world.” "},{"_id":"YC5ZCN6UC5ETZLAGAQNMZYNRSA","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Why not go to the most accessible source, aka that Black nurse working near you? "The Black community is presently feeling overwhelmed with questions because so many people had their eyes opened to the depth of systemic racism in the U.S. and want to know more," Cabral explained. She encouraged people to take "control of their own learning through research on the internet, ordering and reading books, and watching relevant programming to learn.""},{"_id":"AWDSPCZANFF5FFIBVVMG2ZWUKQ","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Ilsa Govan, co-founder of the coaching company Cultures Connecting, summed up another tough-to-absorb idea in the publication Diversity Best Practices. “It is not People of Color’s job to teach White people about racism. We ask a lot of our colleagues [and] expect them to take responsibility for all of our education as their second, unpaid job,” she said. “For example, there is no reason Black women should have to tell people not to touch their hair and/or be expected to prove this is a phenomenon that is real in their lives and different from what White women with curly hair experience. There are decades of articles, blog posts, videos and even a book by Phoebe Robinson entitled, ‘You Can’t Touch My Hair.’”"},{"_id":"HXNKTIWUQRGTDNN2KR2AXKCVJI","type":"interstitial_link","additional_properties":{"_id":"SUPLAIRSTFAGBBD2XTRRIYEJ7I","comments":[]},"url":"https://www.ajc.com/news/how-nurses-can-help-their-colleagues-the-covid-front-lines/C7LfQPFFSkFmFkfrtvL3fN/","content":"How nurses can help their colleagues on the COVID-19 front lines"},{"_id":"U4T3NASTMJA5HJ3FA76X4V3GQU","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Skip the phrase “I don’t see color.” “Many White people can’t tell you what it means to be White or say we don’t see ourselves as White,” Govan said. “Part of our privilege is being able to see ourselves as individuals unaware of our experience as a collective racial group,” she said. “When we say, ‘I don’t see color,’ to People of Color we’re essentially saying, ‘I see you as White.’”"},{"_id":"62SPHCCH4BBMTEWBDNZXV7I6NU","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Cabral added a further word of caution. “Comments such as ‘I don’t see color’ discount a critical aspect of a person’s identity,” she said. “Respect means ‘I see you and I will treat you well no matter your unique identity.’”"},{"_id":"B6MJOUDRURCBNOBYKLC3XW3C2E","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Talk about race with other white people. “When we have difficult conversations about what it means to be White with other White people, we can better name unearned advantages we’ve gotten in the workplace,” Govan added. “This helps to create an environment where inclusion doesn’t mean those who don’t fit the norm have to assimilate.” "},{"_id":"EKZQ5OF4FBCWTASCIEKJXY6MIM","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Be specific with offers of help. When reaching out to Black friends, acquaintances, or co-workers in these troubled times, resist the urge to ask “Are you okay?” or “How can I help?” No matter what you intend with those queries, they can “feel painfully out of touch right now,” Cabral added. “As racial injustice in this country is a centuries-old problem, broad questions like this can feel lazy instead of supportive.”"},{"_id":"JF6JXEBYD5CNHBCOJU2LM4YJIY","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"The better way to signal your support is to come up with a concrete suggestion and then deliver it. Cabral suggested explicit statements like, “Would you like some support on this project?” if you’re a co-worker and that’s in your realm of job duties. “This does not put the burden on the person impacted to provide a solution,” she added. “Ask yourself what you can offer that might be useful and extend that as a choice instead of issuing blanket statements that may require emotional wherewithal for someone who is already emotionally impacted.”"},{"_id":"G47WTBZIK5DM5PVJT32CZMRWO4","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Don’t expect one Black person to act as a spokesperson. “One Black person can’t tell you how all Black people feel or think right now or in general,” Cabral said. “It is also unwise to assume what anyone needs or thinks based on what you may have seen or read online. Respecting someone means that you interact with them politely, responsibly, and without any pretenses or assumptions about their identity or needs.”"},{"_id":"TBFU36XDX5CFRK7C6IMQK7PMOU","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Be open to feedback. This might be excruciatingly uncomfortable for a white nurse, but it’s a critical step to combating racism, Govan explained. “One aspect of White culture is to look for the measurable outcome,” she explained. “We want to focus more on what we do than who we are. Yet reducing our own microaggressions makes a huge difference in the everyday lives of People of Color. Instead of trying not to make any mistakes, we can get better at staying open to feedback and using it as an opportunity to learn, rather than shutting down.”"},{"_id":"XLHWDPCZJVGN3IASRJDNFBVHPA","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"If someone, white or Black, does point out an example of your white privilege or what Govan calls a “microaggression” you’ve committed, there are two go-to answers that don’t help at all. “The minute we respond ...with, ‘That’s not what I meant,’ or, ‘It was just a joke,’ People of Color are likely to stop approaching us with useful feedback,” Govan said. “This becomes a self-reinforcing cycle, where we may not believe there are any problems with race in the workplace because we haven’t demonstrated openness to receiving how we contribute to these problems.”"},{"_id":"2JECKGHVTVESXAF5JLTPHIKPOQ","type":"interstitial_link","additional_properties":{"_id":"UBUYUBBBJFDGXBRXEJDPLC7AOI","comments":[]},"url":"https://www.ajc.com/lifestyles/health/the-biggest-issues-nurses-face-today/VqTuozcXCWShGbh0yLEH1L/","content":"5 of the biggest issues nurses face today"},{"_id":"ISCOZEWOR5B2DIIHPS25R3WGKY","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Support people of color in meetings. According to Dana Brownlee, a senior contributor to Forbes, “Real change happens when we are willing to stick our neck out and say something publicly–not whispering in the break room or sending private chat messages on the conference call. So the next time you’re in a meeting and you can tell that the one or two people of color can’t get a word in edgewise or their comments seem to be easily minimized, offer support.”"},{"_id":"2VEB6UB725ENLKWJELLLGYPNKM","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"How might that sound? “‘Jeff, if you don’t mind before we move on, I’d like to revisit Leon’s idea. I think that’s an innovative approach that we hadn’t thought about and it would be smart if we spent a bit more time unpacking that,‘” is one suggestion from Brownlee."},{"_id":"4EO5LLL635DFFIZ4T2K2QEW7MA","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"As for any white nurses who are also managers, Cabral added the suggestion to practice mindfulness, meaning “you are aware of the current climate and you consider it as you behave,” she said. “The current climate is one of heightened emotion, fear, and exhaustion. Now isn’t an ideal time for passing light conversations and small talk. Many Black people are emotionally exhausted by the news coming out of Minneapolis, consumed with supporting family members affected by the COVID-19 pandemic, or overwhelmed with figuring out how to best show up in support of the many causes that have arisen since George Floyd’s death. Being aware of the climate can help managers communicate responsibly in light of the circumstances.”"},{"_id":"4JTMFJPYQJCO5GGVUANGAJIZMI","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Most importantly, white workplace leaders should remember this: “It’s not about how you feel,” Cabral asserted. “You may very well feel fine. Good leadership is about being able to consider the impact the protests are having on those you support and communicate from that place.”"},{"_id":"Z5OJVCKQ4FCS7CWKYEDYRN7ORM","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"And those white individuals who work in nursing at any level should work to actively combat racism, Brownlee added. “Let me be clear for anyone who wants to pat themselves on the back for forwarding a racially-conscious social media meme in recent days. It’s not a profile in courage to comment on a horrific video, then just continue on with business as usual. 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Now that she's back in Georgia, she can resume the "me time" she says is so important to nurses. "I get my dogs and go swim in the pond," she says. "Every day I make sure I'm outdoors. Every day, I'm outside touching the ground, barefoot, what some people call 'earthing.' I'm an outdoors person.""},{"_id":"E7WBGASO2RFMXLGFDS5GN5FN5M","type":"interstitial_link","additional_properties":{"_id":"Q6FBMHHSENAWRDXSBCKHCEOXWU","comments":[]},"url":"https://www.ajc.com/news/nurse-mitzi-debusk-personal-tragedies-lead-cardiac-advocacy/ZKGIlnchXNO0Ngi7jPz4aO/","content":"Nurse Mitzi DeBusk's personal tragedies lead to cardiac advocacy"},{"_id":"4UT7FXVQX5CCZDHQKFIK6OBUL4","type":"text","additional_properties":{"comments":[],"_id":1595520443064,"inline_comments":[]},"content":"But as the pandemic started ravaging a faraway big city, she was drawn there. "I felt like my years in the ER and my training for disaster and pandemics and craziness in general prepepared me for that call. I knew I needed to help people in some way. I felt like I was just being pulled.""},{"_id":"VINHUDSYWRA7NIQPH4PI33AOJ4","type":"text","additional_properties":{"comments":[],"_id":1595520443065,"inline_comments":[]},"content":"She also had a full time job that was supportive, allowing her five weeks of leave for both the work and the subsequent quarantine on returning to Georgia. "They just knew, too. I was like, 'Guys, I gotta go.' They pulled together for me, covered my work here so I could be there.""},{"_id":"6TU6FVGT3BGARJRZFKJZT4V3BQ","type":"text","additional_properties":{"comments":[],"_id":1595520443066,"inline_comments":[]},"content":"The experience reaffirmed her beliefs that nurse practitioners could be providing much-needed services if their work wasn't so restricted. "I feel like we're getting there, but we're behind," she says. "If they had loosened up the regulations on what duties NPs could perform even slightly, we would have more hands on deck, especially in rural areas. Prescribing medicine, calling time of death, I did that all the time in New York. That's something I'll never get to do in Georgia unless they change the law.""},{"_id":"52I7B5QQHBBWJH5SZ2OXFRHZ74","type":"text","additional_properties":{"comments":[],"_id":1595520443067,"inline_comments":[]},"content":"It wasn't that she merely wanted the experience of being in charge, she's careful to explain. "Freeing up a physician to go do something else and not having to be there, to, say, call time of death, that was really helpful in New York.""},{"_id":"BVIQM6GC7NCHXNIMAPEUSCZCBQ","type":"text","additional_properties":{"comments":[],"_id":1595520443068,"inline_comments":[]},"content":"She also felt an added level of respect she'd never encountered before. "In New York, I was able to practice freely, and that was an experience in and of itself," she says. "I'd never worked as a provider in a state that allows you complete freedom. I felt so much more respected by the physicians. It was not, 'This peron is above this peron.' We were all a team.""},{"_id":"HOFBPK4K3FHI5IMGMNZ2GCMWDI","type":"text","additional_properties":{"comments":[],"_id":1595520443069,"inline_comments":[]},"content":"And she says she would do it again, oh how she would leap at the opportunity. She didn't want to leave when her 21 days were up. Her services may be required in Texas, for example, and new hot spots are emerging constantly. She says she will respond when she can, and she knows other nurses will do the same. "It's on to the next one, it's what you do," she says. "That's our calling. If we stop doing it, who's going to?""},{"_id":"WLOSP3DKEJCWNFEUE57BF35RQY","type":"text","additional_properties":{"comments":[],"_id":1595520443070,"inline_comments":[]},"content":"The New York COVID-19 response experience makes Scruggs one of the few in the world who has seen the pandemic do its worst in a major city, and will now work on the frontlines as it hits smaller communities in Georgia. When she left for New York in early April, COVID-19 had reached Valdosta. "It was always here," she says. "But we live in a rural area of the state so the numbers here weren't increasing at the time like they were in New York City. 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For example, you could get the laundry done if this nurse on the front lines lives in your household, take over some childcare or transportation or help that nurse get quality sleep whenever possible."},{"_id":"XAAROI24DFB4ZME724BTMJ7AFQ","type":"text","content":"But there are also unique efforts you can make as a fellow nurse who's not on the front line. Not only do you have an insider's understanding of the pressures of nursing before COVID-19 made an appearance, you're also often entitled to some of the same freebies. And you're in the loop on your employer's policies, even though you're not personally affected."},{"_id":"GXTGSIARRRD6FJ5HSSGQ4EKB3Y","type":"text","content":"» RELATED: Coronavirus in Georgia"},{"_id":"NAWVG5AU3FGZXKUTGZ5D34TKNY","type":"text","content":"A lot of the support strategies you may have used when the pandemic first reared its ugly head in the U.S. are just as appreciated now -- maybe more so, since people's efforts tend to wane as the pandemic continues and they let more time go between contacting friends enmeshed in pandemic care. And if you haven't been able to lend nurses on the front lines extra support previously, you may realize that you're in a better position now. Here are some ideas to get you started."},{"_id":"FJEQEANUWFAXFOTTZ6TZUIXKU4","type":"text","content":"Provide modest perks. Delaney McCann is now in grad school as part of the University of South Carolina School of Medicine's Nurse Anesthesia Class of 2022, but she hasn't forgotten her former colleagues who are now embroiled in the pandemic response. Her top means of supporting those nurses is to send them unexpected extras. "I have been Venmoing my nurse friends money for coffee, pizza at work, or to use however they need," she says. "I know money is tight right now for everyone, but when I was working as a nurse, just knowing that other people were thinking of me really helped me get through some hard shifts, like flu season, which pales in comparison to this!""},{"_id":"LVOONGCJ2NBEDGVMCAONTLBYHA","type":"text","content":"» RELATED: Nurse shares things she won't do even when isolation ends"},{"_id":"CWURLBWD7REZFPRQ7LVLVC5FHI","type":"text","content":"Research the freebies and enroll your nurse friend. Even though many of the promotions for nurses working during the pandemic have expired, including Crocs and Starbucks, there are still lots of promotions, discounts and freebies floating around in cyberspace. The thing is, nurses overwhelmed by working the ICU or other front line locations may not have the time or energy to collect their due. Since you're also a nurse, you're in a great position to track down the freebies and register both of you. (Hint: A good place to start is Krispy Kreme's promotion for healthcare workers that allows them to buy a dozen glazed donuts and get a second dozen for $1 through Labor Day 2020.) To make this truly effective and supportive, go as far as you can on tapping into the benefits before involving your nurse friend. Instead of texting to say, "Hey, Uncle Nearest Premium Whiskey has free masks!" go ahead and get the email address and all the information needed, and forward it so your friend can just take a second or two to claim the freebie. And there's no law against you accessing the same perk and passing it to a front-line nurse, if the promotion has been extended to all medical professionals and you qualify."},{"_id":"ZU56NVRKQ5FKNJPBS5XZ3AU3JU","type":"text","content":"Find out how your employer might help stressed nurses. As a fellow employee, you're in a unique position to learn about your company's offerings for mental health services, medical coverage for different level employees and numerous other benefits or programs. If you've got time, create a short list of what's available and how to access it. And then let your front-line worker pals know that you've done the research and have a pretty good idea of what services are available and where they can start if they need help. Sometimes those suffering PTSD or compassion fatigue find it extra hard to access the programs that could help with anxiety or depression, because, well, they're anxious or depressed. You can be a helpful bridge here, if you're willing."},{"_id":"EELCVF27IVHD7MJJGMKDM2SJ44","type":"text","content":"» RELATED: A coronavirus resource list for Georgia and Southeastern nurses
"},{"_id":"2KNCD7BIUFBOFJUQAGPSIWNBZM","type":"text","content":"Reach out. As the pandemic wears on, it's way too easy for the rest of the world to forget about the nurses toiling in ICUs and other areas stretched to the limit by COVID-19. Make up for that by being sure to text or email your favorite front-line worker, or even someone you're not all that fond of that you know can use the support. Be sure to tailor the check-in to that person's communication style. No fair emailing people who never check their email, or posting something charming on Facebook when you're not sure your fellow nurse uses social media often."},{"_id":"N7YLH54AY5BRXNQBJP2ZZAZDHE","type":"text","content":"Don't forget the night shift. Some of the front-line heroes are night-shift nurses, which can involve too much isolation even at the best of times. If you also work nights, make sure to reach out to this oft-ignored group with well wishes, encouragement and maybe a coffee gift card or two. If you're on a different shift, pick a time you could both talk, or Zoom, or take a socially-distanced walk together. Just having someone inquire about their schedule can really give those nurses a boost. Keep it simple. Ask, "What's a good time to reach you? Can we drop off breakfast after your next shift?""},{"_id":"QLA22AMOYJC4VJYUQ2VLDO6N4U","type":"text","content":"Multiply and conquer. If you work in a close-knit group or have friends and family who have always supported nurses, be a leader and get others involved in your efforts. Technology is your friend here, especially apps and programs like Meal Train. It lets you organize support and meals for friends who are sick or just had babies, so why not  do the same for those who are working to battle COVID-19 in very stressful situations? If you get a calendar or reminder system set up, you'll be much more likely to follow up on your good intentions. And face it, these gestures may be needed for a long time to come."},{"_id":"SYMLYCKWIRGE5I57PLG3OYPF4E","type":"text","content":"» RELATED: What nurses should know about the coronavirus pandemic"},{"_id":"GDU7CU55OJFP7JLMW2JHIFWODY","type":"text","content":"Wear your mask and practice social distancing. Unless you've been hiding out at home this entire pandemic, you know that not all nurses abide by CDC guidelines in their off-hours. If you're one of that group, consider boosting the morale of your front-line nursing compatriots by vowing to up your safety observances whenever you're in public. Sure, it's inconvenient. But when emergency, ICU, respiratory and other nurses must face the daily stress and sadness of caring for COVID-19 patients, donning a mask in public seems like a way to respect their efforts and support them. And for Pete's sake, if you are going to ignore distancing and mask precautions, don't post the evidence on social media where your frontline friends can see it and feel that slap in the face."},{"_id":"PHTO2FIL3FFCBDNVFGKDM7WYNQ","type":"text","content":"» RELATED: How to protect yourself against the coronavirus"},{"_id":"2ZURFSGNKBB2JJ5PVY76FDGGAU","type":"text","content":"Chalk up the walk. Registered nurse Melissa Waggoner, a director of surgical services in Florida, was tickled to find a positive message chalked onto the sidewalk near where she and the rest of the crew enter to work at the hospital. Because of pandemic restrictions, non-medical professionals wouldn't have access to such areas. But as a fellow nurse at the same hospital, you could most likely take the time to encourage your front-line colleagues while maintaining safety precautions and social distancing. Remember, it's also important to look out for yourself during this pandemic and all the societal and family pressures that come in its wake. You don't have to feel guilty or try to stay invisible just because you're not on the front lines: Any time you work as a nurse you're providing valuable services to vulnerable populations, and you deserve perks and support too."}],"created_date":"2020-07-10T15:56:08.092Z","revision":{"revision_id":"QO5LZF5JE5F2XEITKXIDFHLOZ4","parent_id":"QCWSLE53TZBEFALKRR5SNEMRPU","editions":["default"],"branch":"default","published":true},"last_updated_date":"2020-07-12T20:52:43.395Z","canonical_url":"/news/how-nurses-can-help-their-colleagues-the-covid-front-lines/C7LfQPFFSkFmFkfrtvL3fN/","headlines":{"basic":"How nurses can help their colleagues on the COVID-19 front lines","meta_title":"Nurses on COVID-19 front lines: How to help colleagues"},"owner":{"id":"ajc"},"content_restrictions":{"content_code":"free"},"comments":{"allow_comments":true,"display_comments":true},"workflow":{"status_code":4},"subheadlines":{"basic":""},"description":{"basic":"While the headlines change and the numbers of those infected and dying dip and surge, most nurses on the frontlines of COVID-19 care are experiencing steady levels of stress, challenge, exhaustion, and perhaps despair."},"taxonomy":{"tags":[{"_id":"rct-content","text":"rct-content"},{"_id":"rct-content-fp","text":"rct-content-fp"},{"_id":"natworld.ajc","text":"natworld.ajc"},{"_id":"spcontent","text":"spcontent"},{"_id":"sp-pulse","text":"sp-pulse"},{"_id":"pulsejobs","text":"pulsejobs"},{"_id":"ajcpulse","text":"ajcpulse"},{"_id":"coronavirus","text":"coronavirus"}],"primary_section":{"_id":"/pulse","_website":"ajc","type":"section","version":"0.6.0","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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However, since then, the U.S. has gained just 4.9 years of life expectancy, while comparable countries have gained 7.8 years on average," according to Health System Tracker."},{"_id":"MTUWYRHNDBFSJI4EXNR3TVG4YU","type":"text","content":"An American’s life expectancy at birth is 78.6 years, but the average of comparable countries is 82.3 years."},{"_id":"7Y4B4OBHPVBEHPLZMHP4PA7224","type":"text","content":"» Study finds vitamin K might help you live longer"},{"_id":"MRKHH7DRKRAYJKQX7UWP63BCAE","type":"text","additional_properties":{"class":["p"]},"content":"The study, published in the Proceedings of the National Academy of Sciences, used nationally representative data from 13,611 adults in the U.S. Health and Retirement Study. The test subjects were 52–104 years old, with an average age of 69.3. 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In that same time, she has coped with a heaping helping of similar life experiences, including a cardiac event in 2018 that took the life of her daughter, Brittany, who was 23."},{"_id":"YMFPL3RGGJEWPNY4QADOOOSLDQ","type":"text","content":"Somehow, though, DeBusk is still standing — and working, taking photos and enjoying her grandkids. While she does feel sad or helpless occasionally, most of the time she's intent on giving her best at her job as a consultant for a home health agency in Richmond, Virginia, and giving her all to make the public aware of cardiac event warning signs in young people."},{"_id":"XHQJBU6JOVFRRBQQCDRGULE3MY","type":"text","content":"» RELATED: Standing by in Delivery: Nurse Kinsey Close offers comfort with care"},{"_id":"X223NZPWEVB2RMMEQ73CJALPYM","type":"text","content":"Brittany was a stay-at-home mom with twin toddlers and an infant. She'd experienced a syncopal (fainting) episode about two months before her death, and she had been to the emergency room just the day before and sent home. Neither incident revealed the congenital cardiac arrhythmia that would cause her to collapse and suffer five cardiac events followed by a massive coronary event. What she knew from being a nurse didn't help during the event, DeBusk wrote in a wrenching account for the Love What Matters blog. Though Brittany wasn't taken off life support for days, "I knew my daughter had died before she hit the floor in her home," DeBusk says."},{"_id":"WS3Y4YKK2BFAJK7XLBSF33D5PM","type":"text","content":"The one positive in the whole tragedy was that Brittany had signed her organ donor card. Both her kidneys and liver were successfully transplanted, and she became the first donor in North Carolina history to donate both her hands. As of January 2020, DeBusk wrote, "Britt’s hands are functioning – they are feeling and touching and holding that wonderful [transplant recipient’s] own grandchildren. Prayers answered!""},{"_id":"XKLXR34YMNAIDLMBIAZAAYLXBU","type":"text","content":"She is left wondering, always wondering. Why? "Brittany was just 23," DeBusk wrote in LWM. "Completely healthy. Active. A loving mother...She had two cesarean sections in the last 16 months. She was in the ER twice within two months before her death. Why was this not seen during any of those medical appointments? Why did this happen? I cannot get past the anger nor the grief.""},{"_id":"LE7HDPLVVVF7TCO6SR2YMYD4OQ","type":"text","content":"The path that led DeBusk to nursing was not direct. She got married straight out of high school and had two kids, deferring her dream of veterinary school to work in hotel management for 15 years."},{"_id":"Y3C6L5DVWJB45HDNX2D2MP36LU","type":"text","content":"When her mom spent nine months in the hospital, a nurse school chum of her dad's reconnected with the family at the hospital and later figured out a way to assist DeBusk with a scholarship for nursing school. After she earned her bachelor's degree in nursing, she returned to the Williamsburg, Virginia, hospital to work in ICU."},{"_id":"INGBMNI6H5BIRPQVI7WNDM2EFE","type":"text","content":"Two years into her nursing career, DeBusk was diagnosed with stage 4 Non-Hodgkin’s lymphoma. At first, the bulge that showed even through loose-fitting nursing pants was diagnosed as cat-scratch fever. When the lump was finally scheduled for removal, DeBusk insisted on staying awake for the surgery. "I wanted to see it, see what they took out," she says. "I knew it was cancer.""},{"_id":"GFH47TPI4VEHXOQLNUAE6GLIAY","type":"text","content":"» RELATED: Meet Mabel Magowe, a nurse midwife and leader for our times"},{"_id":"UNQ6DNJRLZEENNCQKOOZNQSPFE","type":"text","content":"Eight years of slugging it out against that cancer followed, with DeBusk working as a nurse most of the time. Finally, there was "no more chemo left," she says. "I planned my funeral.""},{"_id":"FTQM3STDWJH6PGTM65HEQ7EIIU","type":"text","content":"And then the odd thing happened. There was one more possibility, an experimental drug. Being in the four-person trial gave DeBusk such harsh side effects she told her doctors, "I can't. Just let me die." Her oncologist was having none of it. "He never gave up on me," she remembers, and then adds in the straight talk she's known for. "He said he was going to put his foot up my ass if I didn't get a better attitude.""},{"_id":"KOIL2KBFVBF6POPCQ6C56V4D44","type":"text","content":"The other participants didn't have side effects and each one of them died during the trial. DeBusk, though, was stage 4 when she started the trial and at its conclusion in 1999 had a cardiac internal medicine scan, and then another. "They couldn't find anything," she remembers, marveling."},{"_id":"KSNGKOA62NBOZJKOPYQ2M7XXUU","type":"text","content":"She's been in remission since. Still, she's been told and recognizes she's got the "kind of cancer that can come back at any time," she says. "It could be in the form of leukemia, bone, or lung cancer.""},{"_id":"O2LKBZUKQFALTKBR34AKHARFFM","type":"text","content":""I'll tell you, with cancer, I only have one regret, and that's finding out who my friends were and who my friends weren't," she says slowly. "Those I thought were my friends had nothing to do with me. That's what cancer does to people, it makes them scared. They don't know what to say or how to act. So they avoid you.""},{"_id":"OCYDZBNX7ZCBPH74Q7AVRIHMRY","type":"text","content":"Others, though, filled in the gaps, especially nurses, making sure her boys had everything they needed, that DeBusk knew she was never alone. "One co-worker was new and worked a different shift. I didn't really know her except to say, 'Hey Cathy, here's a report.’""},{"_id":"K6S4AG52NVCANDMOO3WHCQDNCY","type":"text","content":"That changed when DeBusk was sitting in radiology, drinking "that awful stuff" in preparation for a scan. "She showed up, and I thought, 'What are you doing here?' She took that drink out of my hands and took a sip. I said, 'Stop, what are you doing?' She told me, 'I want to know what you're going through.' We became very close.""},{"_id":"IKOHBPM4OZGSDAXT7BNUGK3IVI","type":"text","content":"As for why she's alive, why she’s still here, DeBusk has ideas about that. She borrows some of her words from a series of Calvin and Hobbes cartoons. "I'm still here because the devil doesn't know what to do with me, and God hasn't figured out where I fit in," she says.”I can see the Evil One going, 'Oh no, she would rule down here.' And I can see our precious Lord saying, 'I'm not really ready for her yet. Not sure what to do with her.'""},{"_id":"SMZVD3Y6SFCCRODBX3QEJGASJA","type":"text","content":"» RELATED: Atlanta nurse now works where she was treated for cancer as child"},{"_id":"FI22FVAVPZDDLN2K4DXVGYWLOQ","type":"text","content":"So DeBusk has decided what to do with herself. She's become an ambassador for Heartfelt, a nonprofit organization dedicated to saving lives from sudden cardiac arrest."},{"_id":"IMIU6LJIWBE6HGXYNEKZEQ7X74","type":"text","content":"And she practices gratitude, even after her daughter's unseemly and untimely death. "I have so much to be thankful for," she says. "I truly believe my [second] husband, Jeff, was heaven sent at a low point in my life. My support team throughout my cancer were physicians who took me under their wings and supported me to improve my outcome. I've really only had one nursing job where I was so unhappy I had to leave.""},{"_id":"RSAERE7AMJEYFFWCHKMC4RBGOY","type":"text","content":"She considers her current job as another blessing. "Oh my God, I can take care of my grandkids and get my laundry done. I totally work at home but I can still make a difference. If I couldn't make a difference, I wouldn't still be working.""},{"_id":"NEZ7WPWDHFBVJF7WGFVSHNWY3M","type":"text","content":"For her fellow nurses the world over, DeBusk has one plea: Advocate for cardiac screening for children and young adults. "Put the word out," she urged. "Any child of any age who is going to partake in any type of sporting event, when they go for that required school physical, make it be about more than taking vital signs, weight, height and asking, 'How are you doing?' Since the physical is required, why can't cardiac screening be required, too? My whole thing is that Brittany's cardiac event, and so many like it, are totally preventable.""},{"_id":"5EFIAGR4LJHQ5A5JV5VRQSI77A","type":"text","content":"Nurses with children should absolutely be proactive, she added. "Here's the other thing, EKG and echocardiograms don't cost that much and they're not invasive. Or even arrange for your child to wear a cardiac monitor for a week. Look out for your kids: Don't wait for something to happen.""},{"_id":"QLIDPPYCLRG2POWEHUV5YNZO4Q","type":"text","content":"For DeBusk, sparing even one other family this horrific outcome might be a way for her to make a tiny bit of sense of the tragedy. "I could sit here and permit this life-altering event to overwhelm me and allow my anger to totally take over," she wrote in LWM. "But it keeps coming back to me that no one, no one, should feel this sorrow...I want to educate and empower people. I want everyone to ask questions, mandate EKGs or echocardiograms for athletic screenings, and listen to the symptoms when a young person seeks medical attention. Do not assume there is no concern for a cardiac reason or diagnosis due to age, gender, or physical appearance.""},{"_id":"VJ75W6J7YZFSFBWPIE5TPRC24I","type":"text","content":"» RELATED: Meet Roxana Chicas: Immigrant, nurse, scientist"},{"_id":"RVTWOMGYWJFIJKKKOO6AARNFNA","type":"text","content":"In May 2020, DeBusk's father Frank Edwards died at age 82. He'd been so proud of her nursing career, she says, her biggest fan. "So many people told me after his death how he raved about me and my career in nursing," she says. "He saw me struggle as a single mom, balance chemo and work and just keep going.""},{"_id":"IYHL353X6BHN5BGWFI5GH2GR2Q","type":"text","content":"But because of COVID-19 restrictions, no one was at his side when her dad breathed his last. "He had a stroke the morning after Easter and was found by himself; that killed me," DeBusk said."},{"_id":"OOMSQMULMRGWJAHLVQCWACS2VI","type":"text","content":"Like so many of the harsh events in her life, she's worked through some of the sadness and frustration by encouraging others to help people avoid similar fates. In this instance, she makes a plea to fellow nurses to do what they can to make patients' lives more bearable. "Give your patients a hug, they need to feel that human touch," she said. "They need to feel that touch and it can't come from others outside the hospital. 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And so they've become masters at getting a message across in posts, podcasts, and webinars. Of course, some of these thought leaders have maintained a powerful online presence for many years, while others are newly emphasizing the virtual aspect of their communication abilities. There are literally too many online nurse thought leaders to mention, but here are five nurse speakers and authors making a name for themselves online in 2020."},{"_id":"IZFNVRQMVNARLNWTZCMHPUDSSI","type":"text","content":"» RELATED: From the bedside to the boardroom: 6 tips from CNOs on the journey to leadership"},{"_id":"LD74XDBNZJG7DDOT2LLSY3ALCE","type":"text","content":"Innovation in nursing thought leader Rebecca Love RN, MSN, FIEL"},{"_id":"DQI7OS5CFJAUJIICRIW6U3VRFE","type":"text","content":"Creds: Love is widely considered a thought leader on innovation in nursing. She serves as a vice president at OptimizeRx, an enterprise platform for digital health communications. She was the first nurse to present on Ted.com. As a volunteer, she is the founder and serves as president of SONSIEL, the Society of Nurse Scientists, Innovators, Entrepreneurs & Leaders. She is keeping pace with the demands of communicating virtually during the pandemic, appearing as a featured expert on Johnson and Johnson's live "Road to a Vaccine" episode in May 2020 and the Amplify Nursing podcast of the University of Pennsylvania Nursing School. She has nearly 10,000 followers on LinkedIn and has exchanged a free flow of ideas there with articles like "Elevating Nurses as Innovative Changemakers Ahead of 2020.""},{"_id":"4FZBB5ETV5CPTF6BVTQ2CY3AWA","type":"text","content":"Recently: Love was featured in a March 20, 2020, ABC News Nightline episode, "Communities help collect medical supplies as coronavirus threatens shortages," in her role with SONSIEL. Here's what she had to say: "So many of our peers, the healthcare troops, from the ranks of doctors and nurses and every role on a team, are seriously affected by and at risk due to this dire shortage of protective gear. We cannot lose our healthcare workers to sickness as a result of exposure to this invisible enemy. With all of your help, with the efforts of active and retired nurses, military veterans, tech workers in Silicon Valley, tradespeople in our neighborhoods, shop owners, co-workers, our family and friends, with all of your help, SONSIEL is locating and delivering PPE where it is needed, as fast as we are able, at no cost, until the country's manufacturing and supply chains can adjust to the new PPE production levels demanded in today's war against the virus.""},{"_id":"A6FQBJFGFNEBXP3JKWWTNQD3GU","type":"text","content":"The Inspiration Nurse Donna Cardillo"},{"_id":"2KTFAELUEVCPNBNVEN75G6IC5I","type":"text","content":"Creds: Based in Sea Girt, New Jersey, Cardillo is a registered nurse, certified speaking professional, Fellow in the American Academy of Nursing, and veteran retreat leader. Her core work revolves around in-person speaking engagements internationally, but she also has an accessible online message with a popular blog and more than 10,000 followers on LinkedIn."},{"_id":"GDKVPBPJOVEXDAWXVOZTHCXVW4","type":"text","content":"Her clinical background is rich and varied, including stints with emergency and psychiatric nursing. She rounds that out with a background in professional singing and a writing ability that resulted in her being the original Dear Donna columnist at Nurse.com and a published book author. She wrote the indie book "Falling Together: How to Find Balance, Joy, and Meaningful Change When Your Life Seems to Be Falling Apart.""},{"_id":"GG44L6VQ7NB57KOSYRL4DJMMX4","type":"text","content":"Recently: Cardillo's viewpoint and current outreach are evident on her COVID-related post on her Nurse Power!™ blog, "The Lessons of Scarcity," which takes as its subject paper napkins."},{"_id":"FO2O4PCNLRDW7HACU63JC5W3IM","type":"text","content":"Her May 28, 2020, post on LinkedIn is a shoutout to her nursing colleagues: "Reminder: #Nurses are skilled in problem-solving, organizing, planning, and analyzing. We're detail oriented, innovative, and resourceful. We're both analytical and creative. Give us a job that needs to be done, and we get it done with the time and resources available, regardless of how scarce. And talk about managing multiple priorities — nurses are masters at this." Her next in-person gig is a conference and retreat Empowered Nurse, Enlightened Practice™ at"},{"_id":"OGYMTODSVJBKJA7D37PH3KTNSA","type":"text","content":"Canyon Ranch Resort & Spa in Lenox, Massachusetts, this August."},{"_id":"ESIYHHS6NFFIFKPRQ7SN7PL76M","type":"text","content":"» RELATED: The future of nursing: Where are we now?"},{"_id":"IKHOUTAMXBBFHCENRXRDQH5G5A","type":"text","content":"Career coach, blogger and podcaster Keith Carlson, BSN, RN, NC-BC "},{"_id":"OTHKV47JG5COTPUW4WYTNWU4RM","type":"text","content":"Creds: Based in Santa Fe, New Mexico, Carlson has been a nurse since 1996, with roles varying from home health and public health to education. At points in his career he's held positions such as chief nursing officer and director of nursing. Now he also hosts a podcast, The Nurse Keith Show, aimed at giving nurses work-life inspiration and support. He's also the author of successful books including "Aspire to Be Inspired: Creating a Nursing Career That Matters." The pandemic hasn't slowed down the Nurse Keith podcast. Rather, the host is doubling down by issuing more coverage and interviews that focus on nurses versus COVID-19."},{"_id":"7QOT4E6SVNBJHBR3R5T2PLMAUE","type":"text","content":"Recently: Nurse Keith published a blog post titled "The Profound Meaning of Nurses' Week During a Pandemic: Nurses Show Up" on May 12, 2020. His memorable core message:"What we need at this time in history is 3 million Florence Nightingales on steroids. We need nurse advocates; nurse members of Congress; nurses running for local and state office; nurse journalists; nurse truth-tellers; nurse filmmakers; and nurses willing to be assertive, outspoken, and unafraid to speak their truth.""},{"_id":"LWBK5ISPDFHUXPF6BGKUXBYRXE","type":"text","content":"Renee Thompson, registered nurse and founder of The Healthy Workforce Institute"},{"_id":"LFF25FE7TBEH7K3ST72LSRRFDE","type":"text","content":"Creds: Thompson, who also holds a Doctorate of Nursing Practice, is best known as a health care workplace bullying expert. She was tapped as one of the LinkedIn Top Voices in the health care category in 2018, one of 10 "must-follow voices helping to drive the conversation on LinkedIn." Her speaking engagements include keynote at the International Forensic Nurses Conference 2019 and speaker at the 2019 National Nurses in Business conference in Las Vegas. She's author of the e-book "Nurse Bullies and How to Tackle Them Head On" and has nearly 10,000 followers on LinkedIn."},{"_id":"ZZDCBVEFCVBBXNCDU7WTNAAXXI","type":"text","content":"Recently: On May 27, 2020, Thompson shared her article "Reducing Physician Incivility Using Hard Data" on LinkedIn. The Healthy Workforce Institute has also recently created a series of scripts for health care leaders aimed at "8 Ways to Stop Unprofessional Conduct.""},{"_id":"6ZZTBF52CRGETIC7LZ4HQ4A5H4","type":"text","content":"Brittney Wilson, aka The Nerdy Nurse blogger and keynote speaker"},{"_id":"MD7MGEWZMRFULKW5VUUEMV5FLM","type":"text","content":"Creds: The shift to even more reliance on telecommunicating in the age of coronavirus is simpler for Wilson than most. The Nashville-based millennial blogger is also an Informatics RN and the author of "The Nurse's Guide to Blogging" and "The Nerdy Nurse's Guide to Technology.""},{"_id":"YBGZR5YOZFCXFOYY3H6ZO6NIJ4","type":"text","content":""When I worked on the floor, I saw that the technology nurses used was frustrating for them and I wanted to fix that, so I started working in informatics where I could make an even bigger difference by improving the lives of nurses, and through them the patients they serve," she told Nurse.org. "I had an opportunity to take it to the next level by joining a company that develops the healthcare workforce and has a presence in around 70% of hospitals. It's a great fit and allows me to use the skills I've learned both in nursing and technology.""},{"_id":"RTJAZVL5P5HHPCJLSRBADX4N44","type":"text","content":"She also told Nurse.org she began blogging as a way to cope with residual stress from being bullied as a floor nurse and to help others do the same. Today, the Nerdy Nurse has more than 20,000 followers on Facebook and has been a speaker at conferences nationally and internationally."},{"_id":"43EQU452ZVAQLHFZR6VTZKJ4QQ","type":"text","content":"Recently: She shared this classic quote on LinkedIn on May 28, 2020: "To know even one life has breathed easier because you have lived; that is to have succeeded." --Ralph Waldo Emerson"}],"created_date":"2020-06-30T22:52:38.785Z","revision":{"revision_id":"IKMCYA6GKVGINFCWW4FFT2GSCQ","parent_id":"PWFEDVCW45BWNB75GA36ILMTAU","editions":["default"],"branch":"default","published":true},"last_updated_date":"2020-07-10T05:39:47.358Z","canonical_url":"/news/nurse-speakers-and-authors-making-name-online/jvHgCOp0h9cmcUZ3CS6LoL/","headlines":{"basic":"5 nurse speakers and authors making a name online","meta_title":"5 nurse speakers and authors making a name online"},"owner":{"id":"ajc"},"content_restrictions":{"content_code":"free"},"comments":{"allow_comments":true,"display_comments":true},"workflow":{"status_code":4},"subheadlines":{"basic":""},"description":{"basic":"There are too many online nurse thought leaders to mention, but here are five nurse speakers and authors making a name for themselves online in 2020."},"taxonomy":{"tags":[{"_id":"pulseresources","text":"pulseresources"},{"_id":"ajcpulse","text":"ajcpulse"},{"_id":"rct-content","text":"rct-content"},{"_id":"rct-content-fp","text":"rct-content-fp"},{"_id":"spcontent","text":"spcontent"},{"_id":"sp-pulse","text":"sp-pulse"},{"_id":"pulsejobs","text":"pulsejobs"},{"_id":"natworld.ajc","text":"natworld.ajc"}],"primary_section":{"_id":"/pulse","_website":"ajc","type":"section","version":"0.6.0","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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But if you consider history and anecdotal evidence, it's a safe bet that you or a high percentage of your nursing colleagues have these pangs of guilt."},{"_id":"2WCJQCWEJJBBDN46R27HQSUTF4","type":"text","content":"» RELATED: The 5 most common signs of nursing burnout"},{"_id":"OZFVBITLZNB4HIKBK4X7QWS5ME","type":"text","content":"According to a report in Wired, "health care professionals willingly expose themselves to the pandemic every day. They don't begrudge the threat to their own well-being, but many are concerned about transferring that risk—and, potentially, the novel coronavirus itself—to those around them: their coworkers and patients, yes, but also the families and friends waiting for them at home. With limited official guidance, health care workers have been making tough calls about how and how often it's safe to move between hospitals and clinics and homes full of people who might otherwise never be exposed to the disease.""},{"_id":"VKPLGZIQUBE2RK4L5NER4T4DTQ","type":"text","content":"And while the work and nursing culture may be different in Asia, a "Qualitative Study on the Psychological Experience of Caregivers of COVID-19 Patients" published by researchers from the Henan University of Science and Technology and its School of Nursing did find that the 20 nurses studied in January and February 2020 all fretted about their "patients in an isolated environment with relatively few caregivers and many patients.""},{"_id":"GKGZEHDOL5CY5JUIZ2OPDZDSWM","type":"text","content":"And while only some of the 25- to 40-year-old nurses in the study lived with elderly or children family members, all "expressed concern about the impact of the outbreak on the health of their families. They also said that their families were also worried about their health," according to the researchers, who named "concern for patients and family" as one of the four core psychological experiences of nurses caring for COVID-19 patients."},{"_id":"ET6SOPMGTNAB7AX7ZRSTJM7CBY","type":"text","content":"» RELATED: #TreatYourself: Local nurses share their self-care solutions"},{"_id":"PRKYUED5EVCDDOXFOHQT4D4UYQ","type":"text","content":"If you're one of the nurses experiencing guilt about potentially exposing family members to COVID-19, how can you handle those unwelcome feelings on top of all the other swirling emotions in this mental health epidemic?"},{"_id":"XPMOPVXWW5BC5PVEMZPGDXU75M","type":"text","content":"Licensed marriage and family therapist Rachel McCrickard has some down-to-earth suggestions for nurses. In addition to her work as a therapist, McCrickard is CEO of Atlanta-based Motivo, a HIPAA-compliant video platform connecting pre-licensed therapists to clinical supervisors. Here are her tips:"},{"_id":"YJH4WY2MHVFDJBS5IL4XWMBZJM","type":"text","content":"Reframe the feeling. "Instead of naming this feeling 'guilt,' consider reframing it as a 'great responsibility,'" McCrickard suggested. "Guilt implies shame and front line workers do not have anything to be ashamed of. Rather, they are exhibiting brave, hero-like behavior in their selfless work. Instead of feeling guilty for possibly exposing your loved ones to the virus, consider saying to yourself, 'This is a huge responsibility and I have the opportunity to take precautions to ensure my loved ones are protected. Here are the things I will do to limit my loved ones' exposure to the virus...'""},{"_id":"ZQM46KUIXNALXG74XNVBMUKTYY","type":"text","content":"Recognize why this conflict is fairly inevitable. Nurses, like most members of the helping professions, tend to be "Type Twos" on the Enneagram scale. "A Type Two is known as 'The Helper'," McCrickard added. "Helpers are amazing resources in times of crisis because of their high level of empathy and desire to serve others. However, this can sometimes create a conflict for the Helper when trying to care for two different groups of people. Nurses likely feel conflicted about how to care for both their patients and their families. It's important to acknowledge the conflicting feeling, while also recognizing that it is a heavy weight to serve the needs of everyone.""},{"_id":"4KKAAH2BIVHUZEWREAJP5ED3KA","type":"text","content":"Complete an exercise in establishing boundaries. McCrickard suggested this exercise to bat back some of the unreasonable demands being placed on nurses during COVID-19. "List the things that are within your power, such as your cleaning routine once you enter your home, how close you allow yourself to get to loved ones, etc. and the things that are not within your power, such as the actions of others," she said. "This can provide you with some emotional boundaries that help you make it through this time.""},{"_id":"2CX57IALT5FAFAGDVS2RB7C3GI","type":"text","content":"Nurture yourself. It's no news to nurses that they often put themselves last, but that's not helpful in the current conundrum, she explained. "It's important to remember to prioritize your own self-care as a caregiver. Consider developing a routine for your day-off during which you focus on your own needs. This could help you remember that your life is just as important as the lives of your patients and your loved ones.""},{"_id":"JDTDU3FHCZHEBMACLYRKYVZWRM","type":"text","content":"Emergency physician Adam Levine offered more advice in Stat, based on his work as an emergency responder in another health care crisis, the Ebola outbreak in 2014. "At work, you will be a hero. Perhaps Time magazine will someday recognize you, like it did the Ebola fighters, as its Person of the Year," he said. 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