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The pandemic has wrought incredible stress on nurses. We want to learn from you how nursing schools and nurse residency programs can better prepare nurses in the future.

As a nursing student: What strategies for resilience got you through the pandemic? How do you expect them to help you as a nurse? What do you believe is the most valuable and usable skill/practice/method/ you have learned?

As a nurse: What lessons from nursing school served you best during this healthcare crisis? What gaps exist from the challenges you faced versus what you learned in nursing school?

As an educator: What are the life/work lessons of resilience you feel are most important to share with your students/new nurses? How do you do that? What do you think are the gaps between what you teach and what nurses need to face the challenges they will confront?

 

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Responses

March 26th, 2021

Nursing student

Converting from classroom to totally online has been the most difficult thing for me having four kids and my classes almost got me depressed. But I have to bring myself to adjust to the changes. Prayers and positive affirmative keep me going and is still keeping me.

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March 24th, 2021

First Semester Nursing Student in a Pandemic

I think we can all agree that nursing school is not for the faint of heart, and the pandemic adds additional challenges to overcome. Personally, my family fuels my resilience and pushes me through the challenges I face during the pandemic. Their support motivates me to study and work hard to become the best nurse. When I am a nurse, my family will continue to motivate me to care for and comfort my patients and their families. I believe the most valuable and usable skill I've learned so far in nursing school is how to communicate and develop a relationship…

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March 24th, 2021

Student's Perspective

This time last year when the Pandemic started, I had the opportunity of leading 150 Sailors, Officers, and civilian healthcare workers in the Emergency Department of one of the Navy’s only trauma center’s. What worked for our teams was EVERYONE FELT HEARD, constant FEEDBACK WAS GIVEN/TAKEN, and there was a BALANCE as the tasks/assignments stacked up, every member of the team knew each other well enough to know when we had to lighten up or could press on. This worked in ensuring there were no cracks in our resiliency as individuals or as cohesive team on the floor that would…

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March 24th, 2021

Resilience in COVID-19

As a nursing student, studying and attending classes from home can be difficult. These days I have gotten so used to the idea of been at home that I struggle to go to the library to study. Honestly, although I have and know the strategies to build my resilience in this trying times, I still struggle with keeping to it. However, one of the strategies that got me through the pandemic was to adjust my thought process. It can be difficult to maintain an optimistic outlook during this times when everybody feels uncertain but thinking positively helps build hope that…

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March 24th, 2021

Family Support and venting

More than anything, support from my family has helped me the most. As a 1st semester nursing student who happened to experience some non-Covid related health problems about 6 months ago, having a supportive family to help me get through those surgeries and get through my pre-nursing education saved me. I think it is easy for some individuals to focus mainly on how Covid-19 has made their life inconvenient. However, some individuals have lost family members and friends, and some individuals with chronic conditions or emergent accidents have experienced more difficulty accessing care now due to overcrowded ICUs filled with…

Tags: Family support, Managing stress, Nature, Respite, Self-care

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March 24th, 2021

Challenges and opportunities in times of pandemic

Yes, I agree. Covid-19 pandemic cut short our practicum and clinical experience. My med-surg clinical rotation was mid-way when suspended. Next semester clinicals were really short around 4 to 6 wks. instead of semester long. Classes went virtual, no longer we had the leisure of having a unlimited communication time with our instructors and classmates. Motivation that was derived from seeing my classmates studying in library was gone.

Listening to the stories and news of frontline health workers bravely fighting the pandemic, made me question my self, should I just be within the four walls of my…

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March 24th, 2021

It Takes a Village - Nursing School

Since the beginning of the pandemic that has now fallen to over a year ago, it has taken some time to successfully adapt to the challenges faced between both students & faculty. I will first & foremost say although I may not be in the classroom with my fellow students the communication between my cohort never ended.

Whether we needed to vent, study in groups, or just talk about our week there was always someone willing to lend an ear for some time. Challenges in communication between the University & Students have occurred; understandable given the…

Tags: A great team, Communication, Managing stress, Nursing colleagues

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March 24th, 2021

Remember Your Mission

I graduated quite a few years ago. I work on a very busy med/surg unit and provide support as a charge nurse and preceptor. Bedside nursing is challenging on multiple levels- mental, physical and emotional. Coping mechanisms that I have developed over the years and have gotten me through this particular crisis include reaffirming my deep commitment to bedside nursing, acknowledging that change is inherent to nursing and remaining flexible, relying on my coworkers for help and support, and maintaining a work/life balance that I have found to work for me. Self care and compassion are big topics today in…

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March 23rd, 2021

Student Nurse

Before entering nursing school, I worked as a case manager for individuals with disabilities. The pandemic was especially hard for those I supported. With the quick, and at times hectic, transition from house visits to video call visits, I learned a lot about resilience. Feeling completely wiped out at the end of a workday was not normal for me before the pandemic. I learned that I could not pour from an empty cup. If I am unable to do things for myself to ensure my well-being, I cannot give my all to others. I learned when and how to give…

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March 23rd, 2021

Resilience in Nursing School

Although, the pandamic has been a major problem, I have found a way to manage as a student. One thing I have learned in life is that one must learn how to adjust to situations that are beyond their control. This applies in nursing and other areas of life. When the pandamic first happen and I had to stay home and not be in a classroom setting it was hard. After a while I learned to used the time that I would be commuting from my home (which is about 40 mins away) to studying and learning. I am glad…

Tags: Resilient

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March 23rd, 2021

Learning Resilience

As an educator and very experienced nurse, resilience is a term that has no 'stickiness' to the consumer until they have a need for it. Students don't know what they don't know...they only know their perception of what they think nursing practice is like. These inputs come from the news, from their experiences as a patient or perhaps as an NA while in school. The perceptions may come from other's who influence them. The point is, that as adult learners, they will learn the need for resilience when they are ready and have a need to know the information. As…

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March 21st, 2021

Nurse Resident

As a new graduate having to do my last year of nursing school during the pandemic was different because I learned best studying at the library but finding a quiet place at home help. Also, I think having sometime for yourself like watching Netflix or going for a small walk helps and I use it as a type of self care so I don’t get overwhelmed.

Tags: COVID 19

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March 20th, 2021

Resiliency in Nursing School

The first year of nursing school being online has been nothing short of feeling almost impossible at times to stay afloat. However, the largest thing that has helped me to get through this and remain resilient would be genuinely taking care of myself. As a student, it can feel impossible to step away from the neverending amount of information we always have on our plates. But, as I experienced, burnout as a student is extremely real. If you are not taking care of yourself, this burnout will make schoolwork practically impossible. This very well leads to the stereotype of nurses…

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March 18th, 2021

Bedside Registered Nurse

Especially during the pandemic I have discovered 2 things which have personally helped me to "survive peacefully" and allow me resiliency in my work. As a preceptor and a mentor to new nurses, I have shared this hoping it would positively influence others.
Most nurses who are passionate about what they do have very high expectations for their work. Those are the nurses who always love to give 110%. During this healthcare crisis this became a stumbling block for myself. As workflow patterns were forced to change to meet the new damands in my job, I was required to…

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March 17th, 2021

Resilience through the Wreckage

As a nursing student, I am still figuring out strategies to get me through the pandemic. I found myself struggling this year, struggling with mental health, struggling with school, struggling with who I am. I have spent my whole life helping others, giving my time and energy and love to everyone, and that sustained me all the way up to this point. The lockdown opened my eyes to just how much that was sustaining me, as I was barred from being able to do that on a daily basis. And I found that without that aspect in my life, I…

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March 17th, 2021

Resilience

Whenever I have a moment when I feel that my resilience is starting to dwindle, I think back to who I am. I am a student, a daughter, a wife, a dog-mom, but most importantly a fighter. My parents always called me their little warrior and that is something that made me proud. Thus, when I feel that my resilience is starting to falter, I think about the little kid that used to refused to back down. That little kid that was always fighting forward to be the hero she envisioned. I stay resilient so that she can be proud…

Tags: Resilient

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March 17th, 2021

Prioritizing Values

Some strategies of resilience for me are writing down my top values and committing the top three to memory. I take some time to deeply think about why I value these things and ways I can promote these values. This helps guide my behavior and responses when my morals are being questioned.

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March 17th, 2021

Resiliency

I learned in nursing school during a pandemic that balance is really important. You may feel that you need to be all in at doing school work even when your eyes are burning from lack of sleep. Yet, realize when you take that 25 minute nap, you wake up feeling a bit freshened from when before. Or maybe it’s going to get dinner or drinks with friends over the weekend because you just needed that socializing after a crazy academic week.

Tags: Resilient

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March 16th, 2021

Resilence

I heard recently in a nursing podcast about resilience and how we are focusing on the wrong things- the top of the Maslow hierarchy and not the bottom. For the bedside nurse in the throes of the realities of taking care of patients in our current environment, we need to be asking 4 core questions:
Do you feel safe at work?
Do you feel you can deliver safe patient care?
Do you have time to recover from an emotional event?
At work, do you feel isolated/alone in a crowd (your co-workers)?

If…

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March 16th, 2021

Resilience as a New Nurse

As a new nurse, there are some shifts that are more challenging, more stressful, more emotional, more physical...just MORE, than others. A lesson is learned with each new experience, but you can also feel deflated, tired, stupid, and imposter syndrome can take away any confidence you had in your blossoming nursing abilities. Having a good team can help to make a perilous situation seem like a puddle instead of a tsunami. Being able to turn to someone with more experience, explain the situation, express your frustration and have them understand, share their own beginnings as a nurse, helps to validate…

Tags: A great team, Communication, Listening, Nursing colleagues, Speak up

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March 16th, 2021

Nozin

Prevent from MRSA and not another covid test , which patient often dislike, as it hurt so much.

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March 16th, 2021

Resilience

I have learned to take a deep breath when I am feeling overwhelmed. I have allowed myself to understand that I am one person doing my best and may not always be able to get my to do list done by the time assigned.
The unit I work on has been amazing. My co-workers are always offering to help when and if needed and I used to want to be superman and get it done on my own. I have realized that isn't always the best for me or the patients. Accepting help from your co-workers and offering…

Tags: Communication, Mindfulness, Self-care

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March 16th, 2021

Staying Resilient

I appreciate the support my fellow nurses give me, as well as decompressing after multiple shifts with my husband and friends. As a new nurse, I would offer to nursing students the advice to forgive yourself of the things you weren't able to accomplish, and take pride in the small daily victories. Becoming a nurse is a process and each day you learn new things.

Tags: Self-care

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March 16th, 2021

Nurse

When I was in nursing school I tried to not be so hard on myself. Life is stressful as it is, and I remember all too well how stressful nursing school was. I joke around and say it takes a village to raise yourself nowadays. You can only try your very best, so be be nice to others and most importantly yourself.

To answer the second question, I would say a lot of gaps exist because nursing school is not like real life nursing. All the more reason to be patient with yourself while in nursing…

Tags: COVID 19

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March 16th, 2021

Stress resiliance

One thing at a time. Solve the biggest problem now. Leave the work at work. Wear a mask.

Nursing school did nothing to prepare for a pandemic, but nothing really could.

Everybody warns against burnout and gives general advice on how to avoid it but when you're in the middle of it, just keep moving forward. Burnout will burn itself out eventually.

Tags: Burnout, COVID 19

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March 16th, 2021

New Nurse

I was at the end of my nursing school journey when the pandemic started and I think what helped me when I actually got into the work field was the tips we learned on how to cope with stress and the unknown of the crisis. I leaned in friends and family a lot during those times but there was definitely several gaps from what we learned to the real world. For example, it was a difficult time for everyone so everything was a bit uncertain and scary at first since upper management was also scrambling to figure out how to…

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March 16th, 2021

New Nurse and Resiliency

Becoming a nurse nurse during the pandemic has been challenging. Coming into a supportive team has been my saving! My coworkers are always asking if I need help or what they can do for me. They are always willing to help me with new skills and with building onto my clinical knowledge. My coworkers are always there when I am struggling.

Tags: A great team

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March 16th, 2021

Resilient as a new bedside nurse

I built resilience by been hands on on new skills as well as asking for clarification from more experience peers. The more I practice the more I become confident.

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March 16th, 2021

Communication

Knowing your resources and when to use them was a huge aspect of nursing school. I’ve found that it’s been easier said than done. Learning communication on all levels of care impacts every aspect. Increasing effective communication has impacted my day while being under a preceptor. In addition, to gaining my preceptors skills in communication and expertise in knowing when to follow through in using proper resources.

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March 16th, 2021

Nurse

What served me best from nursing school and helps with resiliency is to separate home and work. I leave work at work and home at home. I depend on my coworkers and support them as well. I take 30 minutes before each shift to shift gears.

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March 16th, 2021

Resiliency as a Nurse

Nursing school helped me with resilience by educating me on self care, nurse burnout, and conflict management. Nursing school did not prepare me for the public health crisis of the pandemic. Public health needs to be a bigger piece of nursing school especially in this time. A lot of stress surrounding the pandemic came from lack of knowledge in public health emergency preparedness.

Tags: Burnout, Support

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March 16th, 2021

Resiliency

Ask questions, don’t be afraid to ask for help, accept help, take a step back and just take a moment to deep breathe and reorganize yourself when needed. Know your personal limits and remember that you are trying the best you can even when it doesn’t feel like you are doing enough.

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March 16th, 2021

Heated nasal canula

Would be good if we were educated on heated nasal canula before suddenly having to use it.

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March 16th, 2021

Filling the gaps

Ask questions, do research, and have confidence.

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March 15th, 2021

Humanity

Nursing has always expected nurses to be superhuman. We need to learn to be able to accept our humanity, our weaknesses, our mistakes and avoid judgment. We need to stop expecting perfection and teach students the ideal vs reality so the don't feel demoralized when they can't be all things to all people.

Tags: Empowerment

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March 14th, 2021

Nursing Student

Strategies I used to stay resilient during the pandemic as a nursing student is time management and optimism. College in general is already difficult in itself, but being a nursing student during a pandemic made it ten times harder. I entered nursing school during a pandemic and it was all virtual. Being at home all day was something I needed to adjust to. I was easily distracted and had little motivation. Although it was very difficult at first, and at times still difficult now, time management and optimism helped me get through the tough times. Time management will allow me…

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March 11th, 2021

Resilience as a Nursing Student

The most useful strategies that have helped me during nursing school during the pandemic is practicing flexibility and determination. Adjusting to a completely online learning experience allowed me to develop focus and resolve to succeed in an environment that I was not use to. I expect they will help me as a nurse since flexibility will help me handle new everyday challenges and determination will allow me to maintain standards of practice and quality of care. The most valuable practice method would be to practice at any opportunity possible. Before in-person clinicals this semester, practicing constantly on friends and family…

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March 10th, 2021

Resilience as a Nursing Student

Some strategies I use to stay resilient as a nursing student include taking frequent breaks and remaining hopeful and optimistic for the future. As a nursing student, it is very difficult to find a balance between school and rest, however I try to incorporate it into every day to avoid getting too burnt out by the end of the week. It is a constant struggle especially as the material we learn gets more complex. However as long as I take at least one break each day, whether it's to go for a walk or to just listen to music for…

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March 10th, 2021

Nursing Student Resilience Response

Strategies that helped me through the pandemic were focusing on bettering things I have control over, practicing meaningful family communication, and sticking to a routine. Sticking to a routine is comforting to the brain and helps you not to overlook details in patient care. Practicing meaningful communication with your nursing team imparts knowledge and support. Moving forward in to the nursing role, I think focusing on improving those things under your control in particular is a valuable practice because there will be variables that are not under your control in the healthcare setting. The important thing to focus on in…

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March 10th, 2021

Nursing student

The strategies for resilience I used during the pandemic are staying optimistic and focused. I had more time for routine workouts, walks outside, and good sleep. It helped me to stay in regimen, and this strategy might help me as a nurse in the future. The skill of enjoying little things is a great coping strategy during unprecedented times.

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March 10th, 2021

Molly G response

Strategies that got me through the pandemic was staying very active, remembering that self care is critical, and spending as much time outdoors. I try to visualize that there will be an end to the pandemic and stay positive.
These strategies will help me as a nurse because I will be able to teach them to my patients who have stress. Visualization is very therapeutic and can help patients who are trying to see the end of when they can leave the hospital and return to their normal routine.
I think the most valuable skill I have…

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March 10th, 2021

Resilience in Nursing School

Adapting to the new changes and having a positive attitude has allowed me to manage school during the pandemic and be resilient. With my first semester of nursing school, I was already unsure of what to expect, but with the pandemic it only worsened my worry. Our generation has not lived a pandemic and it was a new thing for everyone. Apart from the pandemic, this is seen in the nursing profession either way. One must be able to manage unexpected situations professionally and efficiently. My biggest concern for online nursing school was having to teach myself most of the…

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March 10th, 2021

Brianna Galt

1) a lesson that I learned through nursing school is to just keep going and it will pay off even if it doesn’t seem like it will now in the moment
2) the gaps that exist is not having the face to face interaction with my peers and professors.

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March 10th, 2021

My Response

I am resilient because I am always adapting to the challenges and changes during this pandemic. This specifically applies to school, where I am usually unsure when work will be posted for me to complete, so it is very hard to budget my time accordingly. I have learned to roll with the punches and not let the little inconveniences bother me. My school supports my resilience by giving many opportunities for learning, in the form of many different resources. These include lecture, the textbook, learning labs, and office hours. It is nice to have a variety of sources for information…

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March 9th, 2021

Overcoming Obstacles of First Year Online Nursing School

My online nursing experience has been very interesting to say the least. I think first year nursing school is probably one of the most challenging obstacles that many of us have had to overcome (academic wise). Online learning is bit tough because we do not have many opportunities to interact with other students and clinical instructors. It also feels like nursing school is mainly self taught so that makes it difficult to apply it to real life situations and clinical scenarios.

The good thing is our clinical instructor does a great job with explaining things that…

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March 9th, 2021

What keeps me grounded?

There are no specific strategies that were perfect but self-care and having balance are the two key strategies that have helped me practice resilience during this epidemic.

Being a resilient nursing student during this crisis has given me the mental ability to adapt and overcome challenges we have faced so far. I expect these strategies to help me overcome something that seems so insurmountable also by thinking about the grit that you have to have to persevere despite the odds.

I believe the most valuable and usable practice that I have learned is having…

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March 9th, 2021

Resilience in Nursing School

As I reflect on my experience in nursing school through the pandemic, I think about the struggles I had to face with the limited interactions with my professors and peers and online learning. What got me through the pandemic was knowing that my peers and I are in the same position and going through this change together. Although it was a struggle to make new friends or interact with my professors, utilizing office hours and getting to know my peers in group settings was very supportive for me. I also had to maintain confidence in my abilities in what I…

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March 8th, 2021

from sutdent to nurse to nurse educator

As a nursing student I was taught all the basic of nursing care. As a nurse, I was taught to refine my nursing care skills. As a nurse educator, I teach resiliency in nursing.
On my journey, I leared that we as nurses, need a community to share our experiences and stories with. We need one another in order to be resililent and remain not only at the bedside, but in nursing. This is how we learn and grow in our profession and as people.
The largest gap that existed for me was not knowing or realizing…

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March 6th, 2021

Resilience in Nursing School

Nursing school is notorious for being challenging and time consuming.. theres always more studying that could be done! When I realized my classes would be online for the foreseeable future I was filled with uncertainty. Although it could've been easy to just say I couldn't do it, I had to realize every nursing student was going through the same thing, and it isn't impossible! There will always be new things that come up and seem impossible in school, work, and life in general, but it is important to realize that hard things are not impossible when you set your mind…

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March 5th, 2021

Resilient by example

As an educator, I feel it is part of our duty to educate our students not only in the skills of nursing but in the skills of self-care that lead to too resilience in the face of stress or crisis. Whether in our private lives or in our careers, we will face trials that will challenge us as people and as nurses. When these challenges come, we need to dig deep down into ourselves, find our strength, and keep going. As nurses we find a way. The best way to demonstrate this to my students is tell my own story…

Tags: Family support, Managing stress, Resilient, Self-care

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March 3rd, 2021

Resiliency as a Student Nurse

Reflecting on my experience of going through nursing school while in a pandemic, I learned that practicing self-care is essential amidst all the changes going on every day and that reaching out for help is never a sign of weakness. I have found utilization of available resources such as TimelyMD and UHS Mental Health Services to be extremely helpful during times when stress can feel insurmountable. Talking to countless mental health providers equipped me with new perspectives that I have found very useful to stay afloat when school/life becomes overwhelming. I believe that one of the most valuable lessons is…

Tags: Managing stress, Resilient, Support

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March 3rd, 2021

Resilience

I have explored many different strategies to practice resilience during this pandemic. Yoga, meditation, embroidery, fostering kittens and taking daily walks have all been effective at different points in this program/during this pandemic. I do not think I would have explored these strategies without the presence of a pandemic, and I am grateful I have them now. The first couple of years of nursing are challenging as we try to get our footing, and they tend to be very stressful times. I believe I am more prepared for this phase of my life given my experience in this pandemic. The…

Tags: Mindfulness, Self-care

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March 3rd, 2021

Nursing School in a pandemic

You'd think going to school would be like being in a vacuum. You only have to focus on getting A's and passing the NCLEX. It's certainly more than that.

But you're certainly more than a student. Even though you want to think ahead, study ahead, plan ahead, remember to be in this very moment. Remember: where you were a year ago today, you were likely working your butt off to get right where you are right now. Celebrate you. Celebrate everything you've accomplished.

Find your resiliency in every accomplishment and choice that…

Tags: Managing stress, Mindfulness, Purpose/Meaning, Resilient

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March 3rd, 2021

Resilience

It’s funny that as a child we have soo much resilience but as we grow up we lose a lot of that resilience. Maybe it’s all the chaotic events in our lives that we forget to stop and smell the roses. As adults we need to take a step back and remember that there are many things we should be thankful and grateful for. Especially when the pandemic hit, I realize how important self care is. I think this is important as a nurse because when you feel stressed, you should take a breather and take care of yourself so…

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March 3rd, 2021

Resiliency During the COVID-19 Pandemic

Having a balance helped me stay resilient during the COVID-19 pandemic. With the transition to virtual classes, it was easy to stay logged in / doing school work from start to finish of each day. The natural breaks where you leave campus weren’t happening anymore. It has been important for me to make time for activities that I enjoy every day, even if it’s just an hour. I don’t compromise on this. Another thing that has helped me is our return to clinical. Having patient interaction is incredibly motivating. I am grateful that our school did everything they could to…

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March 3rd, 2021

As a student...

I think the time I take to do daily reflection has been the most prominent move that has helped me through the pandemic. I take time every night to decompress and release some of the load. As a nurse this will be particularly helpful because we bring a lot home with us after a shift. But the blurring of work and home life creates a larger environment of anxiety. I've seen the same thing happen during the pandemic as out work areas and home areas have merged. But by taking time to myself every night, I am able separate my…

Tags: Burnout

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March 3rd, 2021

Resiliency as a Student

Where to start! This is my second career and I was so looking forward to being in class and meeting a new set of people to call friends in my life. Sadly that only lasted a few months before we changed to pandemic normal. But I will say that the set of friends I made in those few precious weeks have helped me be resilient during this time. I also have had a great family support system from my husband, parents, and children. All four kids have had to make sacrifices to my nursing school time and they have all…

Tags: Family support, Resilient

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March 3rd, 2021

Resilience or commitment?

I am a JHU MEN nursing student, and when reflecting on my nursing school experience throughout the pandemic, what helped me get through nursing school was a sense of commitment and hope. When I started nursing school, I was committed to becoming a nurse regardless of what happened. What also kept me motivated to keep my grades up during nursing school in the pandemic was the promise of a good future as a nurse! I knew that a good job with clinical experience that I enjoy was in my near future, and I could see the light at the end…

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March 3rd, 2021

Student nurse

During the pandemic I've realized I need to really focus and take care of myself. Going to nursing school and trying to do well while the world was unraveling was really hard for me and my mental health. I had to start on an SSRI to get my anxiety under control. I realized I needed to put less pressure on myself and remind myself that a nurse with As vs a nurse with Bs and Cs is still a nurse and does not reflect how good my patient care is and how competent I am.

I…

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March 3rd, 2021

Resiliency in Nursing School

The emotional toll from the pandemic has impacted our patients from a clinical setting in ways that a textbook cannot describe. The gap from nursing school and clinical experience is stemmed from the emotional toll/psychosocial toll that occurs. As much as we are clinically equipped with the knowledge to bring the best care, it is important to be aware and navigate through the emotional challenges that someone faces that we, as nursing students, can solve their challenge but make it more bearable for the patient to endure.

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February 28th, 2021

Resilient Nurses

Making sure to prioritize self-care and time for activities that bring me joy have been instrumental in my getting through the pandemic. I believe starting these positive habits now during school will help me remember to utilize them once I work as a nurse. The most valuable and usable skill I have learned is how to compartmentalize my work life and personal life so that I don't take work home with me mentally. I think this is important because a bad day at work doesn't mean my whole day is ruined.

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February 28th, 2021

Being a Nursing Student During a Pandemic

The pandemic has taught me a lot about myself not only in a personal sense but also in the academic setting as well. I had to adapt to a online learning format in a manner of a couple of days while doing my prerequisite courses before attending Hopkins, and found ways that worked for me. One of the main strategies is used to acclimatize and contribute towards my resilience through this pandemic was to take utilize a daily post-it note system. I used it write out all the things I wished to accomplish that day and then I would prioritize…

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February 28th, 2021

Nursing Student

What helped get me through the pandemic was to focus on the present, what I could control, and to focus on goals I was setting for myself. While I found myself sometimes wishing for the pre-pandemic days, I did my best to accept our current reality but still find ways to move forward. I was able to continue moving forward with moving to Baltimore and going to nursing school, even if it looked differently than I originally expected. I focused on the positives of the situation, versus dwelling on the negative, and gratitude for what we had versus what we…

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February 27th, 2021

Nursing Student during a Pandemic

To help me get through the pandemic, I focused a lot on self-care and my own personal growth. I do believe these skills would be most fruitful in my future career as a bedside nurse. The hours are long, and learning to find time to care for yourself outside of others (especially patients) can be a struggle. As an accelerated MSN student, I do find it hard to step away from the books and relax. So whenever I do start to feel overwhelmed by the amount of studying/completing assignments by deadlines, I make time to cook and practice mindful eating.

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January 9th, 2021

Lara S.

what has been sustaining for me personally? oddly, seeing growth, in my team. not with all of them all of the time. but trying to frame this event in a historical context for them and naming the qualities that they are developing through this that will serve them in the future. working on supporting them and naming experiences and qualities that will see them through to the other side has been my mission and objective from the start.
what is most nourishing is the deepening of relationships. hearing a nurse tell you about holding a patients hand while…

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January 7th, 2021

Engaging Students

My primary role is nursing educator. As I have continued in this role through the pandemic, students are not engaged. They are not developing the strong relationships that include support and encouragement that we usually see.

I have attempted to connect with students virtually but it is not the same. I do believe that efforts to personalize online courses and to take time out of each virtual session to engage the students in dialogue has helped me to connect to my students.

I have used several tools to engage students and do not…

Tags: Communication, COVID 19, Listening, Resilient, Support, Supportive management

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(1)
January 5th, 2021

Burnout

A coworker said to me the other day "...pretty soon we are all just going to snap."

Nurses who have been at the bedside for less than a year are feeing burnt out. Working here is so challenging - mentally, physically, and emotionally. But we continue to work overtime so our patients can be safe and our coworkers aren't left hanging. But how long can we sustain this?

It is hard to not bring the emotions from work back home. Our traditional ways of coping and caring for ourselves aren't feasible when we…

Tags: A great team, Burnout, Mindfulness, Nursing colleagues, Patients/Families, Purpose/Meaning, Support

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January 5th, 2021

1/5/21

The word I continue to hear from our staff to describe how they're feeling is 'heavy' - I am worried that we are exhausting our human resources, and that we are carrying the weight of what we see with us at work and at home. I'm worried that the unfortunate, but sometimes necessary changes to the quality of care we provided due to crisis conditions will be have a lasting impact on our staff. I've gradually noticed a shift in myself and others toward leaning on their work community for support, because in many ways, those outside of our field…

Tags: A great team, Communication, Family support, Nature, Nursing colleagues, Resilient, Self-care, Supportive management

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Moderator Pick
January 3rd, 2021

Welcome 2021

What sustains me? My team?
- I am a nursing director of a 60 bed med surg unit; currently we have about 20 COVID patients.
- We developed a Kudos Program that allows staff to thank each other ... RN to RN ... CNA to RN .. or RN to CNA; a small card with a message is filled out To: "X" for "XX" , From: "X"; it's put in the Directors mailbox, presented at huddle with a small token of appreciation (donated items such as fabric masks and chocolate). A record of Kudos received are kept…

Tags: A great team

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January 3rd, 2021

A few important things....

Trust and transparency are everything.
National.
Institutional.
Interpersonal.
It doesn’t get any more elemental than being able to trust that the air that we breathe won’t kill us.
Confusing messaging (at all levels) breeds mistrust.
Mistrust breeds moral distress.

As a frontline worker, I need to trust the CDC's integrity and that it is the definitive voice of science as a public health emergency evolves.

I need to trust the integrity of my institution; I need to trust that the leadership is making the best,…

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December 23rd, 2020

Carol L.

What keeps me grounded is a daily gratitude journal, walking, prayer, and hydration. I am inspired by hearing other's recognition of gratitude and the acknowledgement that while we are not our best selves right now , we are striving to do our best.

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December 23rd, 2020

Leaning In

The team I work with and watching them grow inspires me to keep going. Seeing growth and mentorship successes help sustain me and give me the energy to face the next challenge myself. I especially like to hear about examples of how we face difficult situations head on to advocate for patient care. Hearing my team talk about how we got ahead of a problem, averted crisis by being proactive and really advocating for a patient or family make all the hard work worthwhile.

A recent example involved a very difficult patient care issues in one…

Tags: Communication, Courage

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December 18th, 2020

Building Resilience and Positivity

For me, keeping in mind that I make a difference every day, despite challenges, keeps me going. As nurses, we are privileged to have this opportunity to provide care to patients when they are at their most vulnerable and to make a difference in their lives.

As a faculty member and mentor, by respecting students and valuing their uniqueness, I believe I make a difference in their academic experience. Providing advocacy for and support to students can help them value themselves, cope with stress and increase their resilience. While some people are positive thinkers by nature, others…

Tags: COVID 19, Managing stress, Nature, Patients/Families, Purpose/Meaning, Resilient, Supportive management, Values

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December 18th, 2020

Counting My Blessings

It's tough to stay resilient and I have moments where I just can't stand the monotony of telework and living now in what feels like a goldfish bowl. Then I think about all the nurses on the front lines in hospitals and listen to their stories.

One young nurse told me how emotionally painful it is to care for patients who come in with what initially appear to be more mild COVID symptoms. They smile and chat with her, not realizing the worst is yet to come. A short time later, these same patients are put on…

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December 18th, 2020

Meaningful Recognition

As the VP for Nursing at The DAISY Foundation and as a faculty member teaching new nursing students on what nursing is as a profession, my work sustains me. Each day I am privy to all of the great, compassionate work that nurses do each day to support patients and their families.

When I am teaching, I am inspired by the passion that my students have for becoming a nurse---and it is with some jealousy that I often find myself wishing that I could push the 'do over' button and start my career again. Hearing the stories…

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December 14th, 2020

Team Support

All nurses are facing the same challenges since the beginning of the pandemic. Everyone needs to have a team to support each other either at home in your personal life or at work. When you have a team you can rely on each other to have someone there to talk with that can understand the problems you are experiencing and sometimes vice versa. Family usually practice the same religion and the beliefs can hold people over during trying times and give people something to believe in.
In order to recharge the mind, body, and soul we can go hiking,…

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December 14th, 2020

Faculty

I think what keeps me resilient is that I have always felt that I have a purpose. Deep down, this comes from my faith. Some may call it karma, but I believe that every moment, every situation serves a purpose. Things that keep me resilient are simple - the sun, the rain, a good cup of coffee, my husband, my friends, my family, my dog, my cat. The joy in simple things and feeling grateful that I can experience them.

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December 12th, 2020

Lean on a Solid Foundation

Ones resiliency depends on who or what she's leaning on that made her strong.At any point in our lives, pandemic or not, life will definitely brought us to toughest times.And its our way of coping that would define our resiliency.

2019 when me and my husband first step our feet in the soil of United States, leaving my 2 year old daughter back home in the care of my parents. With the assurance that after a year when we are already settled, we'll take her with us, and we can start our lives together here in US.…

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December 11th, 2020

Insomnia? Anxiety? Dread? Podcast to the rescue!

Being a nurse and a mother during this pandemic has been incredibly challenging all the way around, and I was feeling very burned out with being pulled constantly in so many directions. The quantity of information daily is like trying to drink from a firehose and was stressing me out so much with all the new things that I needed to know and all of the “what if’s” about the future that I wasn’t sleeping well either. My sister introduced me to a podcast called “Nothing Much Happens, Bedtime stories for grownups” and my sleep has never been better. The…

Tags: Burnout, Managing stress, Resilient, Self-care

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Moderator Pick
December 10th, 2020

I finally acknowledged my limits

Acknowledgment and faith sustain me. At this point, I have fully come to terms with the fact that it is not my strength alone that will get me through this challenging time. For whatever reason, I was in the habit of reserving God for the “BIG” things! This pandemic has reminded me of the importance to renew DAILY, to seek constantly grace and mercy. This has caused me to take a step back and reprioritize my self-care. Earlier in the year, life was hitting hard, fast, and I felt like my hair was on fire for about 2 months and…

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December 9th, 2020

"When God Winks"

My sister gave me this book by Squire Rushnell after our father passed 18 years ago, and from that time I looked at every challenge in my professional and personal life differently. It's been 36 years since I entered my nursing career and though the emergence of HIV was stressful, this year I will say tops them all. Though this year has been the most challenging, I couldn't have been more proud of my profession than this year. It was every challenging moment that I've experienced that has made me a stronger, more confident Nurse and allowed me to continue…

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December 9th, 2020

One foot in front of the other

Exercise has always been my method for reducing stress, letting go, and clearing my mind. However, when the rush of activity started in March and the workload felt overwhelming, I wasn't finding the time for exercise. I fell into bed exhausted mentally and physically, but turning off my mind was the most challenging step. I turned to meditations at night to help me fall asleep. After a few weeks, I understood that sleep was what my body needed most. Eventually, I was able to get back to exercising, but I found the exercise I previously engaged in was too much.…

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Moderator Pick
December 8th, 2020

Assistant Nurse Manager

Prior to my nursing career I was an infantry Marine--it was during this time of challenges, where I learned to rely heavily on the values of the Marine Corps and my personal values. My values have always been my azimuth and heading, of where to go--especially when reality sets in. Under the façade of life can be a very impressive scaffold, which if built properly can lend a robust and strong framework, but not exactly pretty. Our values are what keep us going and headed in the right direction--despite the façade being removed during times of struggle. Having said that,…

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December 7th, 2020

Team and Transparency

As an academic program director, I find incredible encouragement from the strength of my students and faculty. Academic settings do not face the stress of the bedside, but what seems like daily changes in teaching processes and clinical requirements create many challenges. I find comfort in the adaptability of students, who are nervous but flexible, and faculty who have transformed face to face teaching to quality remote learning experiences.
Teamwork is my key to resilience. Sharing feelings, emotions, successes and failures helps me to continue on.

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December 6th, 2020

A Greater Purpose

Less than a year into practice as a nurse, I would have never expected to be jumping head-first into a pandemic. Yet somehow, here we remain. When asked to provide input for the resiliency initiative, I had to take time to truly reflect on what constituted my own resiliency and personal integrity. I knew that my relationship with God was at the center, above all else. However, for some who may not hold similar beliefs or ideologies, simply stating that would prove difficult when it comes to connecting with others. It occurred to me that what grounds me personally, is…

Tags: Courage, COVID 19, Empowerment, Purpose/Meaning, Resilient, Values

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Moderator Pick
December 6th, 2020

Resilience

I recognize this is a challenge and one that will be taxing in different ways. I focus on my what makes me feel fulfilled, strong, and connected; my family and friends, my hobbies, and my work.

I have a few family members left and I have mailed them notes or cards and books that I have read. The notes do not say anything particularly earth shattering but they might say.... well we started the fall semester yesterday and I am teaching this course or that course....Yes we speak on the phone and "Zoom" but the Zooms…

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December 5th, 2020

What is working?

I assure myself healthy. Specially worked for my nutrition, exercise and resting. I have eating healthy, drinking plenty of warm water, taking necessary vitamins and minerals. I do a hour exercise, 30 minutes meditation and stretching my body when I'm day off. Also, ensure I have sleeping 8 hours and hot bath to relax my body stress.

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Moderator Pick
December 5th, 2020

It turns out you actually cannot pour from an empty cup...

Every nurse, doctor, and health care worker on this Earth has heard the terms "self-care", "resilience", and "mindfulness" more in the last nine months than - I would argue - ever before. As it turns out, there's really something to it!

As a bedside hospice nurse, death is no stranger to me. Admittedly, I felt invigorated by the "challenge" SARS-CoV-2 presented at the beginning of this pandemic (from a physiological perspective, anyway). However, I quickly sobered up to the realization that the grief and loss patients, families, AND staff are experiencing is next-level.

Tags: Managing stress, Nature, Resilient, Self-care

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December 5th, 2020

My Faith keeps me

First let me say that I love being a nurse. I have been a nurse a for 12 years now, with the last 6 years being in the ICU.

The last 7 months have been crazy, I have never seen so much burnout in my nursing career. Covid-19 has changed the way we practice for sure. I allowed my stress and anxiety levels to max out in the beginning, but then I had to have a little talk with Jesus to help me relax -- well more than one talk. From then on, my faith has…

Tags: Mindfulness

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December 4th, 2020

Resiliency

I am a newly single father this year and have been navigating the waters at home with four beautiful children (5, 7, 8, 11).

Along with the stress at home with virtual learning, healing from a loss, I have managed to come to work each week since the Pandemic began and maintain some semblance of Peace within to care and provide for patients and their families. I am always in the constant state of worry about bringing Covid home, more so now with the impending surge. I smile, laugh, play and sometimes bark at my children but…

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December 3rd, 2020

Mindfulness for nurses

The only way I have made it through this pandemic year is by the Grace of God. My work is a calling, so I never hesitate. God gives me joy, hope and resilience.

I am very careful to take care of myself - I do yoga, or powerwalk, every day that I am not working. I spend my days off with my husband, dog and grandchildren whenever possible.

I am grateful that the Lord has brought me to the front lines.

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December 3rd, 2020

RN MSN

I find my strength through my Lord, Jesus Christ. I believe my talents and support is though Him. Validation has been through the eyes and holding of hands of patients and their families that I am were I am suppose to be in life.
My endurance through the years have more than a career but a vocation. I am naturally drawn to give aid and comfort to those in need.
The joy of feel from nursing overflows into my personal life. In caring and loving my family and friends who vigilantly pray for my safety and my…

Tags: Courage

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December 3rd, 2020

RN

I am fortunate to work with a great team in labor and delivery. We have low covid cases and no acutely ill patients on our unit. I do yoga everyday when I am not working. I do live alone with two dogs and enjoy going to work and seeing my friends.

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December 3rd, 2020

Resilience

What’s working for me? Though I struggle with this, I’ve chosen (most of the time) not to pick up the neverending overtime shifts I’m inundated with requests to take. I work hard to remind myself every day that I can only do my part, and I need to stay healthy to do any part. I try to keep my daily meditation and prayer practices up, exercising on my days off, taking part in JH’s zoom support groups, and finding joy wherever I can. And I stay grounded in my core values daily, so that, no matter what’s going on around…

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December 3rd, 2020

Collaboration

Having clinical sites limited with COVID, we had to create more remote simulations. So this semester we partnered with Living Legacy to do a virtual Simulation on Communication with our Junior (Fundamental) nursing students. Although Living Legacy deal with organ donation, they also partner in varying scenarios. Rather, we had their standardized participants act as family members, while our students had to communicate to them via remote technology. It was quite amazing and the learning outcomes are profound. Also, we used grant funding for this. So truly a win win for all.

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December 3rd, 2020

Assitant Professor

The face-to-face classes that I taught in 2019 shifted quickly to synchronous online courses. I have spent time learning to foster engagement and interaction with my students. This seems to be working somewhat. I strive to improve the learning environment as I learn more about the platform and the tools that are available for us. I have met the challenges through teaching myself about online teaching and the support of my colleagues as we adapt to these new challenges.

I manage stress by keeping a work schedule similar to what I had before I moved to a…

Tags: A great team, Communication, Nursing colleagues, Self-care

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December 2nd, 2020

R.N.

What keeps me grounded is that I know that I am in the right place at the right time. I and many other nurses are uniquely qualified to give this gift (the gift of nursing) in these troubling and difficult times. I wake up grateful and thankful for another day to serve!

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Moderator Pick
December 2nd, 2020

My Thoughts on Resilience.

1. I'm new to being a bedside nurse. What is working for me is being able to ask for help even though I'm off orientation. The fact that these nurses have been doing this for years and still showing so much care for their new nurses makes me eager to do the same when I'm in their shoes.

2. I know I'm going to be there for 12.5 hours regardless of how the day goes. That is how I remind myself that I must remain present throughout the shift and let it go once I'm home.…

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(1)
December 2nd, 2020

CAPT Belsito

The ability to work remotely and still contribute to our mission which is to Protect, Promote and Advance the Health of our Nation. This has been an unprecedented year and our response to the Pandemic is ongoing.

My daily challenges are the fact that sometimes it feels like groundhog day. Being an athlete I make sure I get outside everyday, walk, ride a bike, work in garden. Exercise and strength training has always been my outlet for stress management, and during this year, my ability to help others with providing a safe space to train, has been…

Tags: Purpose/Meaning

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December 2nd, 2020

Reflection

What keeps me grounded is the practice of reflection. For me, reflection is a tool that encompasses sharing my own experiences and listening to life experiences of others including my colleagues, my patients, my family and friends.

To me, every life experience is valuable and it gives me a context to appreciate the strength and resilience I endure everyday as well as the challenges and vulnerabilities we experience as humans.

I tear up, laugh out loud, walk, spend time on things I enjoy doing such as visit the home decoration section in my favorite…

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December 2nd, 2020

Choices

I find that understanding my purpose, knowing my 'why', and having a positive mindset is a great way to manage stress and anxiety. Practicing self-care, I make conscious choices and choose how to best channel my energy.

I choose to channel my energy in a positive way. I find it helpful to stay away from Facebook, and social media. I choose to turn off broadcast media. I choose to be immersed in nature which helps me focus and changes my perspective, allowing me to remain positive.

For me, it comes down to the choices…

Tags: Nature, Purpose/Meaning, Self-care

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(1)
December 1st, 2020

Stress relief

A few tips that help relieve stress. Laughter can truly be the best medicine. I enjoy watching 30 minute sitcoms for 1 episode before I go to bed. Take time for yourself and leave work behind you. Glad to go to work and glad to go home.

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Moderator Pick
December 1st, 2020

The right place at the right time

Last year around this time, I was truly excited to be returning to the bedside. I had left my previous med-surg job during the summer, convinced I was all burned out of direct patient care, when really I was in need of new challenges and more robust stress reduction strategies. After spending some time working in research, taking classes toward my MSN, and learning to value and invest in my own health and well-being, I accepted another job as a med-surg nurse, nervous but happy to return to the bedside. I started my new job in December 2019. I had…

Tags: Purpose/Meaning

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December 1st, 2020

Nurse Manager

Staying true to my values is easy, but I have to work on letting others help me along the way. I have a wonderful leadership team that is so amazing and inspiring. They get me through the tough times. My staff have been pushed hard this past year, and the worst is yet to come but knowing we are in it together helps me. I work daily at preserving myself, taking care of myself, and ensuring my own health - You can't pour from an empty cup.

Tags: A great team

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(1)
December 1st, 2020

Stress Management

There are so many ways I find helpful in managing stress. For me, exercise is key. I find that running or a simple walk in nature is the perfect remedy. Music and dance are also a part of my self-care. "Dance like there is nobody watching" and if you are like me and cannot dance very well, you will find yourself laughing. This is yet another perfect remedy for stress.

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Moderator Pick
December 1st, 2020

The Art of Self-Care

According to Ray & Turkel (2004), in order for nurses to achieve compassionate caring, one must realize the value of self-care. One cannot fully care for another without knowing how to care for one’s self. How can we practice self-care? I have come to a realization that I have to turn myself off when I am not a work. I need to focus on what is in front of me and leave (not worry) what is behind me. I also practice gratitude which helps me foster resiliency at work. I do gratitude in the morning, while at work, and before…

Tags: Mindfulness, Self-care, Values

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Moderator Pick
November 30th, 2020

Covid

Talking to my fellow co-workers, nurses, respiratory therapists, patients and their families about how they are managing their daily struggles, not only gives me strength, but also gives me a renewed gratitude for my own struggles. Which often seem so insignificant when compared to others.

We all can find ways to help each other during this time, by being flexible and understanding of others.

I am managing my stress by spending more time with my family and grandchildren. I have also picked up a new hobby of knitting hats for our NICU, which seems…

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(1)
November 30th, 2020

Finding my priorities

Being at home and walking in the woods. Eating healthy food and cooking with my daughter is giving me strength. Working less but being energized when I do work is helping myself and my patients.

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November 30th, 2020

personal choice

Nurses need to feel personally safe in the work environment. Proper PPE and choices of PPE must be optional as well as available. This is without question and there are no excuses. Feeling safe helps you to be able to continue to work. Period. Hospital and workplaces need to support nurses now more than ever.

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November 30th, 2020

Strengthening My Prayer Life

I am diving more deeply into my prayer life as a strength. Finding and sharing the inner power that comes only from faith. Online Bible study via Zoom helped me reach beyond my usual circle of friends and learn that other generations have suffered more than we are enduring with grace. It is not easy and some days are tough but my coworkers are a wonderful resource and together we lift one another up.

I stay informed but have found that for me, I must limit my time on social media and the news to stay grounded.

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Moderator Pick
November 30th, 2020

Resilience is not enough anymore - or maybe mine is just wearing thin

At the beginning of the pandemic, I was one of the more vocal community members. I gathered other crafty friends and began a mask making initiative, read and shared articles from reliable sources, and was tentatively hopeful about the pandemic’s ability to unite what was an increasingly divided community. That is how I managed my stress then, and as I make masks for the sanitation workers around town, that is how I manage my stress now.

I did not expect the politicization amongst the community to bleed into my workplace. I never expected to be treating…

Tags: Burnout, COVID 19, Family support, Managing stress, Mindfulness

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November 30th, 2020

Resiliency Looks Different

I imagine that resiliency in nursing looks different for each of us and look forward to reading other posts on this topic.

How I manage stress? Running and prayer. I also keep to a schedule which helps me keep stress and what I have to accomplish each day to a manageable level. Using a perspective of gratitude in all things is helpful for me too.

How do I meet challenges I face everyday? I begin with prayer. I am also quick to reach out for help and ask questions.

Tags: Exercise, Managing stress, Nursing colleagues

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November 25th, 2020

Students Inspire Me

Every day I go to work to help nursing students have wonderful experiences and become the kind of nurse that they daydream of becoming. Students often have stories of a nurse they met who cared for them or a family member, and they remember something about the care they received that was tender and helpful.

Every nurse wants to become the best nurse they can possibly be, and I find it intensely meaningful to work with students as they prepare themselves in ways they never imagined.

Tags: Patients/Families

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November 25th, 2020

What keeps me grounded?

Taking the time to go outside for a walk in the woods and notice the simple things keeps me grounded. Whether it is something I see or feel, I take it in and take time to be aware of it.

Yesterday, I watched a maple leaf fall from a tree. I am not sure why it caught my attention, whether it was the colors (red/orange/yellow) or its journey. This leaf was rather large and I was able to watch it spin counterclockwise all the way to the ground and land stem first. It made a distinct sound…

Tags: Nature

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