The Universal Impact of Racial Disparities and Systemic Racism: It's Everyone's Responsibility
(Author's note: this article was originallypublished on LinkedIn on June 30, 2020)In these days of the globally devastating COVID-19 pandemic and the powerfully burgeoning Black Lives Matter movement, two crucial moments in human history are coalescing on the world stage in a striking overlapping pattern that seems unprecedented in scope.Racial disparities and the pandemic are hardly mutually exclusive, and the coexisting pandemic of police brutality against communities of color is not at all separate from the socioeconomic inequalities that are, to a large extent, exacerbated and informed by the egregious systemic targeti...
Source: Digital Doorway - July 2, 2020 Category: Nursing Tags: racism Source Type: blogs

Mindset is Everything in Your Nursing Career and Beyond
In my work as a holistic career coach for nurses, there's one thing I've noticed more than anything else: mindset matters to your nursing and healthcare career. From putting together a resume and writing a cover letter to sitting for an interview or reaching out to potential connections on LinkedIn, your mindset and its attendant attitude make all the difference. Photo by Olivier Rule on Unsplash.comI've worked with hundreds of nurse clients over the last decade, and I've seen everything from utter defeatism to those whose optimism and drive are quite something to behold despite tough odds, personal struggles, and a h...
Source: Digital Doorway - June 21, 2020 Category: Nursing Tags: career career development career management careers healthcare careers nurse career nurse careers nursing careers Source Type: blogs

Nurses, George Floyd, Racial Disparities, and the World We'd Like to See
At this unsettling time in the United States and around the world, racism is being confronted head-on by citizens who've simply had enough of the status quo. The knowledge of deep racial disparities in healthcare are nothing new, and the understanding that people of color are treated more poorly within the American healthcare system is also an old story that never seems to change.But now, amidst the  COVID-19 pandemic and rampant global fear, economic insecurity, and a population tired of lip service to diversity and inclusion, millions are saying, " No more! "We nurses are part of the conversation because w...
Source: Digital Doorway - June 8, 2020 Category: Nursing Tags: nurses Source Type: blogs

The Profound Meaning of Nurses' Week During a Pandemic: Nurses Show Up
Nurses'Week is upon us, and May 12th, 2020 is the 200th anniversary of the birth of the Florence Nightingale, the veritable progenitor of the modern profession of nursing. Meanwhile, we also find ourselves in the middle of the International Year of the Nurse and Midwife as declared late in 2019 by the World Health Organization (WHO), the healthcare arm of the United Nations. Add to this the impact of the COVID-19 pandemic, and we have a recipe for a very profound moment when it comes to nurses and the nursing profession in this global context.Photo by Anna Shvets from Pexels.comThe International Year of the Nurse and Midwi...
Source: Digital Doorway - May 11, 2020 Category: Nursing Tags: healthcare nursing nursing care nursing careers nursing history nursing practice nursing roles pandemic Source Type: blogs

Be Yourself, Nurses; Everyone Else Is Taken
Owning and stepping into your own genius as a nurse is important; and genius is, of course, relative for all nurses. At times, we can lose heart and feel that we just can't become the person or professional we thought we could be; however, seeking our own individual path is paramount when it comes to creating a career that feels tailor-made just for us, and not just a path someone else said was the best one to follow. Whether you feel like an impostor or your career has grown stale, there's nothing you can be other than yourself; and if you're trying terribly hard to be just like someone else (or do what others tell y...
Source: Digital Doorway - May 1, 2020 Category: Nursing Tags: career career development career management careers nurse nurse career nurses nursing nursing careers Source Type: blogs

Nurse Keith's 4-1-20 COVID-19 Roundup
In these days of the COVID-19 pandemic, it seems like the world is upside down and inside out. We are all reeling from the overwhelming disruption of most every aspect of human life: economics, work, and career; education across the lifespan, from preschool to post-doctoral research; faith communities; migrant workers; the undocumented; the frail, elderly, and vulnerable; transportation; small business; and the actual details of survival, including food, clothing companionship, and shelter.Other than those still living who experienced World War II, the Holocaust, or even the 1918 so-called " Spanish Flu " , none ...
Source: Digital Doorway - April 2, 2020 Category: Nursing Tags: coronavirus COVID-19 healthcare medicine public health Source Type: blogs

COVID-19, Nurses, and Staying Informed in Trying Times
Greetings from Nurse Keith Nation HQ here in Santa Fe, New Mexico, where I'm spending the majority of my waking hours monitoring the COVID-19 situation closely in order to inform myself and my online tribe of nurses and healthcare professionals. Like many others, I'm doing my best to stay up-to-date and use my various platforms (as well as good old-fashioned emails and phone calls) to educate and inform as many people as I can about the latest developments regarding this very real pandemic sweeping the globe.Image by Arek Socha from Pixabay The reality is that this is not going away any time soon, no matter how many p...
Source: Digital Doorway - March 18, 2020 Category: Nursing Tags: coronavirus COVID-19 healthcare medicine nurse nurses nursing pandemic Source Type: blogs

Seven Traits of Effective Nurse Leaders
(Source: Digital Doorway)
Source: Digital Doorway - February 26, 2020 Category: Nursing Tags: healthcare healthcare careers leadership nurse nurses nursing Source Type: blogs

Nurse Practitioners and Physicians Behind the 8-Ball
On June 8, 2019, an article was published in the New York Times that clearly stated something I've been thinking about for quite some time. The article was titled, "The Business of Health Care Depends on Exploiting Doctors and Nurses" , and the subtitle was "One resource seems infinite and free: the professionalism of caregivers" . It was written by Dr. Danielle Ofri, a physician at Bellevue Hospital in New York City.The article outlines the ways in which healthcare providers are exploited for their compassion and dedication to patients in terms of being asked to see more patients and do more work than ...
Source: Digital Doorway - December 30, 2019 Category: Nursing Tags: burnout doctors family nurse practitioners hospitals medical care medical ethics nurses nursing Source Type: blogs

Don't Let Your Nursing Career Go Dry
Like desert soil devoid of rain, a nursing career without direction or purpose can dry up, crack, wither on the vine, and leave you feeling barren, lost, and lacking direction. Do you want that to happen to your career? Of course not!Your nursing career is built on the soil of your interest, engagement, and authentic desire to continue to move forward. Skills can be learned, experiences can be created, but if the engines of willingness and passion aren't driving the bus, the fertile ground will become fallow sooner than later.If you want to keep your career fertile, there are any number of actions to take on a regular basi...
Source: Digital Doorway - November 4, 2019 Category: Nursing Tags: career healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

Is The Nurse's Glass Half Full?
It's no secret that there's a multitude of unhappy nurses out there in the world. From mandatory overtime to unhealthy nurse-patient ratios, I admit there are very valid reasons for this seeming epidemic of discontent. So, is the nursing glass half-full or half-empty? I guess it depends on who you're drinking with (and perhaps what you're drinking). Photo by Jana Sabeth on UnsplashReasons To Be Cheerful---Or NotThis blog post isn't really about the aforementioned multitude of reasons that explain nurses'rampant unhappiness. A new study mentioned recently on Twitter states that a full one-third of nurses...
Source: Digital Doorway - September 22, 2019 Category: Nursing Tags: nurse nurse identity nurses nursing nursing careers nursing identity Source Type: blogs

The Nurse, the Martyr, and the Oxygen Mask
(Source: Digital Doorway)
Source: Digital Doorway - September 3, 2019 Category: Nursing Tags: burnout prevention healthcare nurse nurse burnout nurse identity nurse self care nurse wellness nurse-patient relationships nurses health nursing nursing roles work-life balance Source Type: blogs

The Continuum of Nurse Career Growth
The growth of your career as a nurse can be consciously self-generated, or simply a result of happenstance and alaissez-faireattitude towards professional development. Neither of these options are necessarily bad in and of themselves, but a thoughtfully sculpted career is definitely fodder for a much richer, satisfying, and rewarding trajectory.Whereas employment can often feel like a means to an economic end (ie: survival), there is also the notion that work is an avenue to self-awareness, a sense of personal pride, contribution to community and society, and a more full engagement in life.Work, Fear and StruggleIt is true...
Source: Digital Doorway - March 25, 2019 Category: Nursing Tags: career nurse nurses nursing nursing careers Source Type: blogs

Metacognition: Thinking About Your Thinking About Your Nursing Career
In the world of nursing and non-nursing education, metacognition is a common pedagogical concept for nurse educators to consider when working with students on the path to becoming licensed healthcare professionals. Metacognition is at its most basic the act of thinking about your thinking. Aside from its commonplace setting of education, metacognition can be also considered in terms of how we approach our nursing careers and professional lives. So let's stop and think about our thinking, shall we?Photo by Ricards Zalmezs on UnsplashMetacognition and the Earnest NurseWhen you think about your nursing career, ...
Source: Digital Doorway - February 18, 2019 Category: Nursing Tags: career career development careers healthcare careers nurse nursing nursing careers Source Type: blogs

Six Steps to Being a Better Nurse Communicator
One of the most important non-clinical skills for a nurse to develop is strong powers of communication. Nursing care is built on the foundation of communication -- both patients and colleagues figure largely in a nurse's world, and being able to listen well and speak your truth clearly is absolutely essential both on the job and in your daily life. Photo by Jason Rosewell on UnsplashConversations AboundThe work of a nurse in the clinical space -- whether in home care, dialysis, entrepreneurship, ambulatory nursing, or the assisted living facility -- is informed by communication and conversation. Nursing...
Source: Digital Doorway - January 28, 2019 Category: Nursing Tags: career career development career management careers healthcare healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

Nurses, Parachutes, Stools, and the Career You Truly Want
Being a nurse is a wonderful career and avocation. In the course of attempting to build an amenable lifestyle and workstyle, things can get confusing, but there are plenty of resources for the earnest nursing professional who wants support in taking their career to the next level.Photo by Lindsay Henwood on UnsplashWhat Color is Your Parachute? In 1970, author and career guru Richard Nelson Bolles self-published the seminal book,What Color is Your Parachute. In 1972, it was published by Ten Speed Press and has been consistently revised ever since and is now available in 22 languages.In the new edition u...
Source: Digital Doorway - January 16, 2019 Category: Nursing Tags: career career development career management careers healthcare careers job search jobs nurse nurse careers nurses nursing nursing careers Source Type: blogs

So You Want to be a Nurse?
Deciding to become a nurse and enter the worlds of nursing, medicine, and healthcare is a courageous act. If you want to be a nurse, doing your due diligence and truly understanding what healthcare and nursing are all about is definitely a smart preliminary strategy. Once you learn more, this momentous career decision may set you on the road to becoming a highly valued nursing professional.Add captionThe Allure of NursingNursing holds a certain allure in our society -- after all, nurses are ranked as the most trusted professionals in the United States year after year in the Gallup poll. This well-deserved esteem that the g...
Source: Digital Doorway - January 7, 2019 Category: Nursing Tags: career careers healthcare healthcare careers nurse nurse careers nurses nursing nursing careers nursing students Source Type: blogs

Be Yourself, Nurses -- Everyone Else Is Taken
Owning and stepping into your own genius as a nurse is important; and genius is, of course, relative for all nurses. At times, we can lose heart and feel that we just can't become the person or professional we thought we could be; however, seeking our own individual path is paramount when it comes to creating a career that feels tailor-made just for us, and not just a path someone else said was the best one to follow. Whether you feel like an impostor or your career has grown stale, there's nothing you can be other than yourself; and if you're trying terribly hard to be just like someone else (or do what others tell y...
Source: Digital Doorway - December 30, 2018 Category: Nursing Tags: career career development career management careers nurse nurse career nurses nursing nursing careers Source Type: blogs

10 Strategies for Feeding the Nurse's Inner Life
In managing their careers and busy lives, nurses can be very focused on the " outer " aspects of life and work: family, chores, shopping, resumes, job-hunting, pursuing education, social media, etc. But how do we keep the nurse's inner life fed and watered? Let's explore 10 strategies for cultivating that inner life and nurturing happiness, wellness, and personal/professional balance as 21st-century nurses with very full lives and careers to grow.(Note: please see this blog post's companion podcast,episode 186 of The Nurse Keith Show, for further exploration of this topic.)Photo by Atolu Bamwo on Nappy.coFinding ...
Source: Digital Doorway - December 24, 2018 Category: Nursing Tags: career career development career management careers healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

Nurse Specialist or Nurse Generalist?
Nurse specialists and nurse generalists are both common within the nursing profession and  21st-century healthcare, and both serve important purposes in patient care as well as non-clinical settings. What does it mean to choose to be a specialist or generalist? What are the repercussions for your nursing career? And how can one accomplish both?Note: pleaseclick here to listen to this blog post's companion podcast episode.Photo by wang dongxu on Unsplash.comNurse Specialists MatterIn both medicine and nursing, generalists and specialists both serve many important purposes. Choosing which one to be can be difficult but ...
Source: Digital Doorway - December 10, 2018 Category: Nursing Tags: careers healthcare careers nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

5 Actions for Overcoming Nursing Career Attention Deficit Disorder
In the midst of a fast-paced, 21st-century life, it's possible for a hard-working nurse to experience what I call Nursing Career Attention Deficit Disorder (NCADD). In this context, the nurse in question loses sight of her goals and dreams, instead becoming scattered and distracted by life's myriad responsibilities and demands; she's pulled in multiple directions and feels like she's running around like a chicken with her head cut off. Can NCADD be turned around? Can our distracted minds be tamed in the interest of developing a more satisfying nursing career?Photo by chuttersnap on UnsplashAn Understandable ...
Source: Digital Doorway - November 26, 2018 Category: Nursing Tags: career career development career management careers healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

What's On Your Nursing Career Runway?
Your nursing career can feel like a busy airport, a marathon, a bus terminal, a rickshaw ride, or a taxi careering the wrong way down a one-way street. If your nursing career is an airport, and you're readying your plane on the runway in order to take flight, what's on your runway and who's behind the controls?Photo by Josue Isai Ramos Figueroa on UnsplashWho's in the Cockpit? In terms of your nursing career airplane that's ready for take off, who's in the pilot seat? Who's the co-pilot, and who are the flight attendants?Is your inner career co-pilot a critical mother or overbearing father? Are you...
Source: Digital Doorway - November 11, 2018 Category: Nursing Tags: career healthcare healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

Nurses, Nursing, and the Nature of Suffering
In the course of many nurses'healthcare careers, witnessing the illness, suffering, and death of others is commonplace. From dialysis and med-surg to home health and the ICU, nurses create therapeutic relationships with patients and their families, providing spiritual and emotional comfort, compassion, and expert skilled care based on many decades of nursing science and evidence-based interventions.Aside from witnessing the challenges faced by others, nurses are themselves human beings with their own life experiences, victories, and suffering. How a nurse navigates their own personal suffering plays a role in determining h...
Source: Digital Doorway - November 4, 2018 Category: Nursing Tags: healthcare nurse nurses nursing Source Type: blogs

Are You Feeling Spooked by Nursing?
Are you feeling spooked by your nursing career? It's Halloween week, and it seems natural to examine our careers for skeletons in the closet, ghosts that haunt us, and old stories that just don't fit anymore. Are you ready to dive in and see what we can see?Photo by NeONBRAND on Unsplash The Ghosts That Haunt YouAre there ghosts that haunt your nursing career? Are there patients, colleagues, errors, or miscalculations that still populate a painful place in your mind and heart? Are there things from the past that cause you emotional, psychological, or spiritual pain?Sometimes we need to let go of the pas...
Source: Digital Doorway - October 29, 2018 Category: Nursing Tags: nurse nurses nursing nursing careers nursing identity Source Type: blogs

10 Steps to Nurse Entrepreneurship
I recently attended the 2018 annual conference of theNational Nurses in Business Association(NNBA) and I was reminded that many nursing professionals would like to be business owners but aren't sure how to get started. That lack of business acumen is both prevalent and understandable.While I'm not specifically a business coach for nurses, my career coaching practice and experience as a nurse entrepreneur has taught me a thing or two about getting a business up and running.Photo by rawpixel on UnsplashWhat Does A Business Do? Before we get to my top tips for launching your nurse-run business, let's talk ...
Source: Digital Doorway - October 22, 2018 Category: Nursing Tags: entrepreneurship National Nurses in Business Association NNBA nurse entrepreneurs nurse entrepreneurship nursing Source Type: blogs

Nursing Jobs, Cost of Living, & Where to Hang Your Hat
In my work as a career coach for nurses and healthcare professionals, I frequently witness those who work in nursing struggling with decisions related to finding work and the relative cost of living in terms of where they live or where they might move.Making decisions about your workstyle and lifestyle can be fraught with anxiety and concern about the future -- let's unpack that conundrum.Photo by Joey Csunyo on UnsplashWorkstyle and LifestyleFiguring out where to live and work can be a difficult choice. On the one hand, you want to earn up to your potential and receive the highest possible wage according to...
Source: Digital Doorway - October 1, 2018 Category: Nursing Tags: advanced practice nurses career career development career management careers healthcare careers job search nurse careers nurse practitioners nursing nursing careers Source Type: blogs

Day Shift vs. Night Shift: A Consistent Nursing Dilemma
As a career coach for nurses, I receive a lot of questions and complaints about nursing careers, and one of the most contentious and confusing issues for many nurses is whether to work days or nights. Perhaps you, dear Reader, have experienced such confusion yourself.Days vs. nights is an old nursing puzzle that so many nurses face:Do I work nights and get the differential while ruining my social life, or do I work days and run my tail off when the residents, surgeons, NPs, and doctors are on hand all day to send me running with new orders and admissions?When I was decided to go to nursing school, my wife was very supporti...
Source: Digital Doorway - September 24, 2018 Category: Nursing Tags: career career development career management healthcare careers nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

Nurse, Throw Your Hat Over the Wall
In your nursing career, have you ever wanted to get something done but never had the gumption to make the commitment and just do it? Well, there's an old Irish proverb that says, "When you come upon a wall, throw your hat over it and then go and get your hat. "In the context of your nursing career, I like to think of this saying in terms of you putting some skin in the game and making a commitment to do what needs to be done, no matter what obstacles may appear to be in your way. What are you avoiding? What are you waiting for? Is there a deep end you just need to dive into?The Deep EndMany of us have a history o...
Source: Digital Doorway - September 17, 2018 Category: Nursing Tags: career career development career management careers healthcare careers nurse nurses nursing nursing careers Source Type: blogs

Are You a Nurse Job Hopper?
Nurses leave jobs for innumerable reasons, and sometimes circumstances cause those of us in healthcare and nursing to only stay at a string of positions for relatively short periods. Job-hopping has generally been frowned upon in human resources circles, but generational changes and new attitudes about work and careers are slowly altering the landscape. However, job-hopping continues to have its ups and downs, and being a nurse job-hopper still comes with significant career liability.Photo by Gary Bendig on UnsplashThe StatsAccording to the Bureau of Labor Statistics, the average time employees remain in any...
Source: Digital Doorway - September 10, 2018 Category: Nursing Tags: career career development career management healthcare careers nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

Six Reasons to Love Millennial Nurses
The Millennial generation (those born between approximately 1980 and 2000) are the new majority in the 21st-century workforce (see thisPew research study identifying this cohort as 35% of the overall workforce), and Millennial nurses are on their way to dominating the nursing profession.As one generation wanes and the other rises, power changes hands, and this is happening at this very moment as Generation X and the Baby Boomers reach retirement age and leave the workforce in droves.Every generation is disparaged and criticized by the generations that came before, and Millennials are no exception. However, I hypothesi...
Source: Digital Doorway - September 3, 2018 Category: Nursing Tags: healthcare medicine nurse nurses nursing Source Type: blogs

Your Nursing Career and The Skill of Writing
When we think of the skills that make a nurse a nurse, writing is not the first one that may come to mind. PICC lines, wound care, ventilators, IVs, and physical assessment are the kinds of things we think of, but the power of the pen, as it were, is definitely not in the running (except, of course, for basic nursing documentation). However, I'll posit that writing is a skill that can serve your nursing career in both mundane and powerful ways throughout the years. What's your level of skill as a writer, and do you want to improve?Photo by Thought Catalog on UnsplashCareer Development 101In terms of career d...
Source: Digital Doorway - August 27, 2018 Category: Nursing Tags: career career development careers healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

Words as a Barometer of Your Nursing Career
At no matter what point you find yourself in your nursing career, the words you use are powerful. How you talk to your patients and colleagues says a lot about you, and how you talk about your career, your work, and your life says even more. And we also need to consider how you talk to yourself. Are you choosing words that are empowering, positive, and indicative of your passion, expertise, and professionalism? Or are you stuck in a negative and defeatist loop?We all have bad days, and we also need to be careful when we're at risk of falling into negative language traps that paint us into corners filled with bad feelings, ...
Source: Digital Doorway - August 20, 2018 Category: Nursing Tags: career career development careers healthcare careers nurse nurse career nurse careers nurses nursing nursing careers resumes Source Type: blogs

Your Nursing Job: The Same Old Bed of Nails or a Comfortable Old Shoe?
Some of us have nursing jobs that are feel like a bed of nails, and some of us nurses have jobs that feel like comfortable old shoes. Have you ever fallen into either of these categories in terms of your work experience as a nurse? I posit that either one can be detrimental to your career in the long run.The Old Shoe Nursing JobIf you've been working at a decent enough nursing job for a number of years, it can begin to feel like an old worn shoe: comfortable, fraying at the edges, and perhaps less supportive than it used to be.Photo by Christian Ro ßwag on UnsplashPerhaps you've had a work experience t...
Source: Digital Doorway - August 13, 2018 Category: Nursing Tags: career career development career management careers healthcare healthcare careers job search nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

Defining Nursing Career Success on Your Own Terms
Every nurse and healthcare professional has the opportunity to define success in their own way. However, how many of us allow our nursing careers to be defined by someone else. How can we seize control of our careers and define success on our own terms?Photo by Jamie Street on UnsplashBeyond a Cookie Cutter CareerAt this time in your life, your definition of success may mean earning your Masters in Nursing by the time you're 35 and your PhD or DNP by the time you're 45. For one of your nurse colleagues, success may mean getting a BSN and finding a job that will pay the bills and put a child through college. ...
Source: Digital Doorway - August 6, 2018 Category: Nursing Tags: career career development career management careers healthcare careers nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

Making the Case For Your Nursing Expertise
In nursing job interviews and other high-stakes career-related interactions, it's your responsibility to make the case for why you're an amazing nurse and the perfect fit for a particular position or healthcare organization. How do you make the case for who you are and what you bring to the table?Own Your Personal BrandThe first thing to understand is that you represent your own personal brand. In that context, when you're in the nursing and healthcare job markets, you're standing up and proclaiming the power and worth of your brand.Every nurse or healthcare professional has a brand whether they know it or not, and the sav...
Source: Digital Doorway - July 30, 2018 Category: Nursing Tags: career career development career management healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

When Nurses Receive Their Due
Most nurses will readily admit that they didn't choose nursing because of the astronomically high paychecks. Sure, nursing can be a relatively remunerative career, but there are plenty of other professions that are significantly more financially rewarding (and free of some of the challenges that nurses face on a daily basis). So, what if nurses were paid a whole lot more in exchange for saving ---and otherwise improving---the lives of a grateful public?Photo by Thought Catalog on UnsplashMultimillion Dollar PlayersWe all know that entertainers and athletes make a lot of money, whether it's deserved or not. N...
Source: Digital Doorway - July 23, 2018 Category: Nursing Tags: healthcare nurse nurses nursing Source Type: blogs

Nurse, What's Your Personal or Professional " Everest " ?
(Source: Digital Doorway)
Source: Digital Doorway - July 16, 2018 Category: Nursing Tags: career career development career management careers healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

APRNs and 21st-Century American Healthcare
Advanced Practice Registered Nurses (APRNs) are an increasingly important fixture within the 21st-century American healthcare system and nursing profession. Full practice authority is a central key to APRNs ’ ability to fulfill the needs of the American public, and it’s time for such authority to be granted nationwide.My APRN StoryIn my own experience as a nurse, Advanced Practice Registered Nurses have figured largely. In the early years of my nursing career in Western Massachusetts, I was lucky enough to work with several teams of gifted nurse practitioners. These particular NPs were blessed to work alongside...
Source: Digital Doorway - July 9, 2018 Category: Nursing Tags: APRN APRNs family nurse practitioners healthcare healthcare careers healthcare delivery healthcare policy nurse practice nurses nursing Source Type: blogs

Should I Quit This Darn Nursing Job?
Have you ever wondered when it's time to quit your nursing job and move on? Are you stuck in a job, uncertain where to go next as a nurse? Or do you just need a change of scenery? It's all about timing, self-care, finances, lifestyle and workstyle, career development, and other factors that impact how long you stay and when (and why) you go.Photo by Bernard Hermant on UnsplashReady to Move On or Not? Making the choice to move on from a nursing job you've had for a while is not always an easy choice. There are multiple reasons to move on, just as there may be a myriad of reasons to hang in there.What has...
Source: Digital Doorway - July 2, 2018 Category: Nursing Tags: career career development career management healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

Nurses: Come Out of the Woodwork
Although Nurses Week is long over, the public face of nursing still needs a regular shot in the arm so that the public knows what nurses actually do. As nurses, do we describe our work in a way that gets the point across? Does the public know that we're more than the media makes us out to be?Photo by Dmitry Ratushny on UnsplashA few years ago, I reviewed the documentary, "The American Nurse" on this blog, andthat post (and our interview with the filmmakers onRNFM Radio) affirmed that this film contributes greatly to broadening the view of who nurses are and what they do. From birthing to home care,...
Source: Digital Doorway - June 25, 2018 Category: Nursing Tags: healthcare healthcare delivery nurse nurses nursing nursing identity Source Type: blogs

The Tapestry of Nurse Collaboration
Collaboration among nurses and other healthcare professionals is central to the delivery of patient care. According to Merriam Webster's online dictionary, collaborate is defined "to work jointly with others or together especially in an intellectual endeavor " . This particular definition is perfect for our purposes where the work of nurses is concerned.Collaboration and cooperation are a hallmark of human society. While many of us humans don't exactly play nice, many human endeavors couldn't possibly happen without collaboration.Could a skyscraper be built if the carpenters, plumbers, and welders didn'...
Source: Digital Doorway - June 18, 2018 Category: Nursing Tags: nurse nurse collaboration nurse-doctor relations nurse-nurse relationships nurse-patient relationships nurses nursing Source Type: blogs

Non-Traditional Nursing Careers: Where There Is No Box
Ask just about anyone what a nurse does and where a nurse works, and the general response is, "Oh, she works in a hospital. " Apropos of that statement, when I tell someone I'm a nurse, they generally say, "So, do you work at the hospital? " I have nothing against hospital nursing, but there's more to our profession than meets the eye, and many of us are waking up to the multiplicity of non-traditional opportunities just waiting to be grasped by the savvy nurse.Non-traditional nursing careers are multifaceted, and in this new century many nurses are realizing that they can leverage their skills in myria...
Source: Digital Doorway - June 11, 2018 Category: Nursing Tags: business nursing career nurse nurse entrepreneurs nurse entrepreneurship nurse identity nurse professionalism nurses Source Type: blogs

Nurses, the Best Selfie is Internal
At a time in history when " selfies " are dominant in the depiction of our lives (and the potential measurement of our worth), the most important selfie for a nurse to take is on the inside, not the outside.Selfies are part of our 21st-century culture, and there's no denying their popularity. In essence, it's our way of presenting a self-portrait to the world just like Van Gogh or Rembrandt would, except we can  effortlessly make dozens per day that can potentially be seen by hundreds or thousands of people. We can instantly photos of ourselves having dinner with friends, walking on the beach with our dog, o...
Source: Digital Doorway - June 4, 2018 Category: Nursing Tags: career nurse nurses nursing self development Source Type: blogs

New Grad Nurse Confidence: Stoking the Flame
Graduating from nursing school and becoming a new nurse is a remarkable accomplishment that can generate excitement, fear and loathing, anxiety, joy, and all manner of both positive and negative emotions.With new nurses abandoning their nursing careers within the first 1-3 years at alarming rates, the nursing profession itself needs to wake up and smell the coffee regarding how crucial it is to support, nurture, and grow our new nurses into seasoned and confident professionals.New grads need to pass the NCLEX, of course, and when that hurdle is accomplished, landing and starting a first nursing job is the order of the day....
Source: Digital Doorway - May 28, 2018 Category: Nursing Tags: career career development healthcare nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

Build a Firewall Against Negative Nurse Syndrome
As nurses, we see the good, the bad, and the ugly of life, society, and humanity. In the course of our nursing careers, we can encounter belligerent patients, impatient families, nurse bullies, arrogant surgeons, uncaring managers, and generally miserable nurse peers. So how do we stay positive amidst such negativity? How do we protect ourselves against those who would prefer to drag us down with them -- including other nurses?Photo by Makhmutova Dina on UnsplashNegative Nurse SyndromeNegative Nurse Syndrome (NNS) is a widespread condition that infects a large number of nurses and nursing students. No matter...
Source: Digital Doorway - May 22, 2018 Category: Nursing Tags: career career development career management careers healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

Your Nursing Career: Attention and Intention
As a career coach for nurses, I frequently hear from nurses who feel they've been ignoring their own nursing career development for far too long and they're ready to give it the attention it deserves. Do you regularly give your nursing career focused intention and attention? If not, how can you begin?Photo by Olloweb Solutions on UnsplashEnergy Flows Where Attention GoesIt's kind of a cliche to say that energy flows where attention goes, but sometimes cliches are undeniably true and simply overused to the point where they lose some of their power and meaning.If you spend your working hours focused on how dys...
Source: Digital Doorway - May 14, 2018 Category: Nursing Tags: career career development career management careers healthcare careers nurse nurse career nurses nursing nursing careers Source Type: blogs

Change, Personal Agency, and Wellness -- Celebrating Nurses Week 2018
As Nurses Week begins, what does the idea of nurses and nursing conjure for the majority of people when they think about nurses? Obviously, the public trusts us immensely (the Gallup Poll confirms that every year), so there's a lot behind who we nurses are and why we're so special.Photo by Aditya Romansa on UnsplashThe Heroism of NursingClinical nursing may be largely task-based, but I'll add that it's very much touch-based. From the care of premature newborns to the midwifery of the dying in hospice, nurses'ability to physically touch their patients is central to both nursing identity, nursing practice, and...
Source: Digital Doorway - May 7, 2018 Category: Nursing Tags: career healthcare National Nurses Week nursing nursing careers Source Type: blogs

Nurses Take DC 2018: Nurses' Voices Matter
This articlefrom January 2018 on AllNurses lays it all out, and Bethexplains moreover on her website, NurseCode, including what actions you can take to support the movement by lobby for the legislation that we believe is most promising.California is the only state in the U.S. that has legislatively mandated ratios, and reports from that state are demonstrating that it's working. Although far from perfect, California nurses'experience seems to show us that having a mandated limit on the number of patients a nurse can care for on various units allows nurses to do their jobs more efficiently and safely.Unfortunately, the Amer...
Source: Digital Doorway - April 30, 2018 Category: Nursing Tags: healthcare nurse nurses nursing Source Type: blogs

Your Nursing Career's Differential Diagnosis
In medicine, nursing, and healthcare, a differential diagnosis refers to the process of differentiating between two or more conditions sharing similar signs and symptoms. In the context of your nursing career, this process can be equally elucidating. Is there a careful career examination in your future? If so, what would your differential diagnosis be?Photo by rawpixel.com on UnsplashIt All Begins With AssessmentWhether you're examining a patient or dissecting the state of your own nursing career, you always begin with an assessment. The gathering of data is the first step in the nursing process, of course, ...
Source: Digital Doorway - April 16, 2018 Category: Nursing Tags: career career development careers healthcare careers nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

Nurses: Moving at the Speed of Trust
Seeking a career in nursing could be characterized as an exercise in trust. We nurses willingly endure a grueling educational experience; place ourselves in the hands of nursing professors and professional nurse preceptors; and otherwise trust that the blood, sweat, tears, and expense of pursuing our goal is worthwhile. In essence, we move at the speed of trust as we enter the universe of a nursing career.Photo by Alternate Skate on UnsplashTrusting OurselvesThe first act of trust intrinsic to our nursing journey is trust in the self. Even while our peers, colleagues, friends, or family may caution us agains...
Source: Digital Doorway - April 9, 2018 Category: Nursing Tags: career career development career management careers healthcare healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs