Content That sirI Likes

sirI, MSN, APRN, NP Admin 79,276 Views

Joined Jun 24, '05. Posts: 101,473 (17% Liked) Likes: 26,471

Sorted By Last Like Given (Max 500)
  • Oct 21

    I don't think that this article was intended just to sell a product, I think it was introducing the idea that as a professional group nurses need to be a bit more financially aware of what we need to do to prepare for retirement (to which I wholeheartedly agree).

    I appreciate that the author included the story about this child in the beginning which was nice. I also appreciate the suggestion of the book to read as well. The only constructive criticism I have is that I would have liked to see a little more content introducing some key terms and concepts about retirement investing.

    I, for one, am a novice when it comes to retirement investing, I know it's important. I'm a young guy and I have always just invested as much as I can in my 401k or 403b and hoped for the best. I'm sure better options exist out there but I'm not sure where to get started. I don't think I'm alone in this boat.

    I think that this article introduced the topic and any future articles can dig deeper and provide further detail.


  • Oct 21

    Diversity, in markets
    hard metal purchase of silver and gold
    minimize debt, pay off plastic......
    saving account of 10-20% of your earning

    my plan and it appears solvent

  • Oct 21

    For your information.............allnurses will be very upfront about sponsored topics. They will always say......SPONSORED TOPIC.

    If you think a post is solicitous, it is better to report it rather than making an assumption and acting on it in such a rude way. This is not the way to make new posters welcome to allnurses.

    If you don't like the post, please by-pass it and refrain from negative posting.

  • Oct 21

    Okay guys lets give it a break and I'll explain: this is NOT a paid advertisement at all. This is a man who approached AN with the sincere desire to just provide some info for nurses as a payback for care that his child received.

    Nothing more....and the book he is talking about is NOT his book its simply a reference to someone else's book.

  • Oct 2


    The profession of nursing carries with it a high risk for burnout and compassion fatigue. While these two terms may seem synonymous, there are some significant differences. These differences aside, however, the issue of how nurses can successfully cope with the potentially debilitating emotional and physical exhaustion that come with the close and intense contact with the emotions of patients and their families as we provide nursing care, needs to be addressed. There are a number of tools and techniques available, but are we making the most effective use of them?

    This signage, in the current context, begs the question of, “Where is the safe haven for nurses?" It’s a question, the answer to which, nurses must be seeking from the administrators of acute and long term care facilities alike.

    Compassion Fatigue and Burnout

    Compassion fatigue and burnout may seem to be interchangeable concepts, and have some similarities, but they are separate and distinct. In both cases, we see “added coping and adaptational demands on nurses” (Boyle, 2011). The most significant distinction lies in their acuity, with burnout occurring over time and compassion fatigue presenting more acutely (Boyle, 2011). Additionally, burnout is generally a reaction to stresses experienced in the workplace, while compassion fatigue is a consequence of the experiences of the pain and suffering nurses are exposed to while caring for their patients (Boyle, 2011). In terms of those with a tendency to suffer from compassion fatigue, older nurses (≥ 50 years of age) seem to suffer less from compassion fatigue than do their younger co-workers. This may be attributed to their greater clinical and life experience (Sacco, Ciurzynski, Harvey, & Ingersol, 2015). Regardless of age and experience, compassion fatigue can have leave its mark on any nurse or other member of the patient care team. So, what can we do to make that “safe haven”? That place where we can take the time to recover our spent energies, our emotional and spiritual equilibrium?

    Building a “Safe Haven”

    There are three key components to creating the safe havens nurses and other members of the healthcare team need to foster recovery from the stresses leading to compassion fatigue. These are prevention, assessment and mitigation of the consequences that can arise while caring for acutely and critically ill patients.

    Work-life balance is a crucial aspect of this process, as it provides nurses the time and opportunity to take time to establish and follow a plan of self-care so that they can effectively care for their patients (Boyle, 2011). But this plan must be scrupulously and “relentlessly carried out in an attempt to enhance a calm state” (Boyle, 2011). This latter point, in my mind however, seems to be self-defeating. How can one achieve a measure of calmness, serenity and equanimity through such relentless pursuit? Mindfulness and diligence are more appropriate for this endeavor.

    As care givers, we have to recognize a very fundamental fact: we simply cannot face the suffering of patients and their families on a daily basis and remain unscathed by that experience (Boyle, 2011). Such an expectation is unrealistic at best and self-deceiving at worst.

    On an individual level, it requires mindfulness of our own internal states, and the knowledge to recognize the signs of our own compassion fatigue…

    Table. Symptoms of Compassion Fatigue
    Avoidance or dread of working with certain patients
    Reduced ability to feel empathy towards patients or families Frequent use of sick days
    Lack of joyfulness
    Mood swings Restlessness Irritability Oversensitivity Anxiety
    Excessive use of substances: nicotine, alcohol, illicit drugs Depression Anger and resentment Loss of objectivity Memory issues
    Poor concentration, focus, and judgment,
    Digestive problems: diarrhea, constipation, upset stomach Muscle tension
    Sleep disturbances: inability to sleep, insomnia, too much sleep Fatigue
    Cardiac symptoms: chest pain/pressure, palpitations, tachycardia

    Source: (Lombardo & Eyre, 2011)

    At the organizational level, we see Employee Assistance Programs (EAP) and Pastoral Care providing support for nurses coming up against the wall that is compassion fatigue (Lombardo & Eyre, 2011). These, however, seem to be more reactive than proactive strategies. More proactive strategies would include having EAP counselors available on site for those nurses facing an emotionally challenging patients and/or families; debriefing sessions to aid in identifying stressors nurses face in caring for patients; making time for support groups during working hours to aid nurses in coping with the emotional fallout; and interventions to aid in bereavement for those patients who passed and making space on the unit or other space in the facility where nurses can find that safe haven (Boyle, 2011).


    Dealing with compassion fatigue requires effort…proactive effort…on the part of individual nurses and the organizations they work for. On the individual level, we need to be mindful of our internal state and diligence in following a process by which we care for ourselves so that we can better care for our patients. We must, in this process, be gentle with ourselves. We will make missteps and mistakes in the process, the expectation of perfection is both unrealistic and counterproductive (Chordron, 1991). We must be proactive instead of reactive. At the organizational level a proactive stance is essential to prevent and ameliorate the effects of compassion fatigue for nurses and other caregivers. If organizational support is limited, or difficult to obtain, nurses need to step up and insist on having that “safe haven”. Our health, and that of our patients, depends on it.


    Boyle, D. A. (2011). Countering Compassion Fatigue: A Requisite Nursing Agenda. The Online Journal of Issues in Nursing, Vol. 16, No. 1. Countering Compassion Fatigue: A Requisite Nursing Agenda

    Chodron, P. (1991). The Wisdom of No Escape and the Path of Loving-Kindness. Boston, MA: Shambala.

    Lombardo, B., & Eyre, C. (2011, January 31). Compassion Fatigue: A Nurse’s Primer. The Online Journal of Issues in Nursing, Vol. 16, No. 1, Manuscript 3. Compassion Fatigue: A Nurse’s Primer

    Saakvitne, K. W., Tennen, H., & Affleck, G. (1998). Exploring Thriving in the Context of Clinical Trauma Theory: Constructivist Self Development Theory. Journal of Social Issues, Vol. 54, No. 2, 279-299. Retrieved from Exploring Thriving in the Context of Clinical Trauma Theory: Constructivist Self Development Theory - Saakvitne - 1998 - Journal of Social Issues - Wiley Online Library

    Sabo, B. (2011). Reflecting on the Concept of Compassion Fatigue. The Online Journal of Issues in Nursing, Vol 16. Reflecting on the Concept of Compassion Fatigue

    Sacco, T. L., Ciurzynski, S. M., Harvey, M. E., & Ingersol, G. L. (2015). Compassion Satisfaction and Compassion Fatigue Among Critical Care Nurses. CriticalCareNurse, Vol. 35, No. 4, 32-43. Retrieved from Critical Care Nurse

  • Sep 28

    If your interested, there is a forum on here for just school nurses. You could find lots of help there. Its under the specialties section.

  • Sep 28

    Quote from dakotadenise
    If your interested, there is a forum on here for just school nurses. You could find lots of help there. Its under the specialties section.

    Yes, Hi ladies, I requested that the mods move your post to the School Nurse Forum.

    You will get more answers.

  • Sep 27

    Here's to you, cats meow, and to all of us. Thanks to sir1 for the emoji!

  • Sep 26

    this should be fixed now

  • Sep 25
  • Sep 25

    Attachment 23057
    1940s school of nursing. Me wearing it in may for nurses day. That's my cap.

  • Sep 25

    I trained in the UK in 1986 and a cape was issued as part of the uniform and I still have it.

    Oh oh and my mum trained as a nurse in the army back in the early 1960's and I have her cape somewhere also

  • Sep 20

    I've asked the moderators to move your post to the School Nurse forum.

  • Sep 17

    The people that get upset over stuff like this, to put it in a nice way, place disproportionate emphasis on their person as opposed to their role. Speaking for myself (and I'm sure most folks), I seek validation through my patients outcomes given the circumstances they present with and the endorsement, affirmation and honest constructive criticism from my physician and advanced practice colleagues.

    I tell my patients and their families that I'm the nurse anesthetist. Some say nothing, and to those that ask, I give a simple explanation without sounding like a political campaign ad.

    I don't misrepresent myself, I don't use patients to advance a political agenda and I do not allow anyone to be confused as to who I am or what I do with vague ambiguities. To this end I do not allow nurses training for advanced practice roles to use the term "resident" when introducing themselves.

    I have a religion, and it isn't advanced practice nursing.

  • Sep 17

    I don't hear the words physician extender and midlevel provider here where I work. While we are addressed appropriately as NP's, we have a collective group of all NP's, PA's, CNM's, and CRNA's in the medical center and we are represented by an administrator (currently an NP) in terms of institutional issues and policies. As a collective group, we are referred to as Advanced Practice Providers.