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ElizabethScala1 BSN, MSN

psychiatry, community health, wellness
Member Member Writer Innovator Expert Nurse
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ElizabethScala1 is a BSN, MSN and specializes in psychiatry, community health, wellness.

As a keynote speaker, bestselling author and Nurse's Week program host, Elizabeth partners with hospitals, organizations, associations, and nursing groups to help transform the field of nursing from the inside out. In her bestselling book, ‘Nursing from Within‘, Elizabeth supports nurses to make those inner shifts that are required to more fully enjoy our nursing careers.

ElizabethScala1's Latest Activity

  1. Nursing can be difficult work. It's hard on the body, draining on emotions, and can be tiring to the soul. And still- we LOVE it! I'd imagine you would agree- we love being a nurse, but our joy of nursing can wax and wane, depending on our current career circumstances. Rather than allowing external influences to impact your Nurses Week- you have an opportunity. You can choose to enjoy your career and celebrate your nursing experiences thus far. Now, before we get to some practical strategies, I do think that taking time to pause and reflect can also empower us, nurses. I encourage you to think about the following questions Why did you go into nursing in the first place? What do you love about being a nurse? How has your nursing career made you a better human being? Spend time with these. Even journal your responses, as you approach this special time of Nurses Week. After you've had time to marinate on the above, I've also got some innovative strategies for a fun Nurses Week, whether your organization celebrates or not. Here are 3 ways for nurses to celebrate nursing during National Nurses Week Treat yourself like a dog. Yup, you read that right. In the book, Stop Nurse Burnout, I talk about the nurse superhero. We all know him/her. And let's be honest- we've all been him/her! You know the drill. Always volunteering when help is needed. Coming to a teammate's rescue during a chaotic shift. And even saying things like "I was just doing my job" when we receive any type of recognition or compliment. Well, this has got to stop! In fact, if you have a dog, cat, or other types of animal for a pet... you can use your interactions with them as a guide. Picture this. You get home from work and there is your cute puppy. He's wagging his tail furiously at the door, waiting for you to come over and say "Hello". As you approach, you start to smile and speaking in a high-pitched sing-song voice, you say: "Where's my good boy? You're such a good boy! Look how great you are today!!" You pet him, smile, and continue to whisper love notes in his ears. Now- what about you? Have you ever talked to yourself in this way? Have you ever come home from work, patting yourself on the back, saying how good of a job you did? Or looked in the mirror, telling you that you love yourself?? I doubt it! This type of self-recognition and praise is often difficult for us to do. We weren't taught these practices in nursing school, but they sure can come in handy. And here's what you can do to celebrate yourself and your nursing career this Nurses Week... From this point, going forward, keep a "Great Job" journal. Every time a nurse, patient, family member, or leader praises you for a job well done come home and write it down. In fact, you can even write experiences down without the formal praise from others. Keep track of the positive work days in a journal, notebook, or even placing single papers in a cubby or box. Then, each year during Nurses Week, take the box or notebook off of the shelf. Refer back to it and read through all of the kind words that you've noted throughout the year. Make this an annual ritual to reconnect you with the joy of the nursing job again. Bless your team Many nursing teams celebrate Nurses Week with a blessing of the hands. You can do this too and without bringing in a formal ordained minister or chaplain. In fact, I like to call this "Blessing of the Hands- With a Twist!" Here's what you do. Get your nursing team together and perform the "blessing of the hands" with each other. Gather in a circle and go around the room, passing the blessing clockwise throughout the group. Let the person to your right look at you, tell you something that they appreciate about you, and gift you with a short word, phrase, or mantra of encouragement. Then, you turn and do the same to the person on your left. Pass the blessing down and around until everyone in the group has experienced it. This is not only an energy booster for you- but a great way to have the entire team recognize and appreciate each other this Nurses Week. Enroll in your life curriculum Just a few weeks ago, I interviewed a fitness nurse on the Your Next Shift podcast. When I asked the question related to professional development and reaching career goals, she shared the most amazing practice! Think about it this way. During nursing school- what happens? You have a curriculum to follow, semester after semester until you've graduated. And then after nursing school? No more formal agenda with a professor or advisor telling you what to do. While this is very nice- to be out, enjoying the independence of your career- it also can cause us to fall behind. Most nurses are often lifelong learners. We want to read, study, and gain new information that will support us in our roles. Nurses become certified in specialties and attend conferences so that they can continue to develop and grow. Why not set up a routine that supports your professional growth and personal development? This is where a "life curriculum" could come into play. And Nurses Week is a wonderful time of year to remind us to do just that! So, going forward, each year during National Nurses Week you may reflect upon your current skills, training, and knowledge related to nursing. Then, as you realize gaps or opportunities for growth, you can set out to enroll in a course, read a new book, or get some other type of training that will support your nursing career. Trust me. In my work with the online Art of Nursing program, I have asked nurses what they want and do not want for Nurses Week gifts. The days of trinkets or unhealthy foods are over. Nurses want to be appreciated with meaningful recognition. And often, nurses prefer to learn and gain knowledge that will support their careers! Well, you can take ownership of that very easily. Make this time of year a habit. Look back on your growth as a nurse to where you are now. And figure out what else you'd like to learn about. Treat yourself to professional development and personal growth. Invest in yourself and set goals for your personal nursing career curriculum. As you continue to develop as a nurse, you celebrate the profession of nursing and the patients and families that you care for! What have you done to reflect upon and celebrate your nursing career? We'd love to hear from you! Be sure to drop us a line. Thanks for reading; and Happy Nurses Week to you! Be sure to check out more from the first issue of allnurses Magazine. About the Author Through her work on burnout prevention and career resilience, Elizabeth Scala, MSN/MBA, RN, supports nurses to reconnect to the joy of nursing. Additionally, Elizabeth is the creator and founder of the annual Nurses Week online program, The Art of Nursing. This will mark the fifth year that Elizabeth and nurses from across the country have celebrated professional development and personal growth during this very special time.
  2. ElizabethScala1

    Get the Nursing Career You Crave

    Nurses enter the profession for a variety of reasons with the most common being a desire to help people. Another might include a nurse relative extolling the positive aspects of a nursing career: good wages, steady job, autonomy in most aspects of the job, variety of types of nursing jobs, ability to travel, and opportunity for good retirement benefits. What isn't often said is: the hours can be long, bedside nursing can take a toll on a nurse's health, patients with several comorbidities complicate nursing care, doctors and co-workers can have difficult personalities, family members may question everything the nurse is doing, patients and families sometimes believe the hospital is more like a hotel than a care facility, violence against nurses by patients occurs, and a perhaps the most dangerous aspect of all...high nurse to patient ratios. Topping all that off is nurses are often called on to do better patient care with fewer tools to accomplish it. With all that said, it's a wonder why so many students still enter nursing school each year that many schools have waiting lists, and we have a shortage of nursing faculty! So how can the advantages of nursing be weighed against some of the more unattractive aspects of the job so students and also veteran nurses get the nursing career they crave? Using the tips below, many preconceived notions could be mitigated before they lead to unhappy nurses in a job they feel was not what they expected. Craft Your Ideal Vision To know what you want and what you don't want in a nursing career, make of a list of each. The 'Don't Want' list is the easiest to write first as most people are fairly clear on what they do not want in their lives. When you think about yourself in your role as a nurse, what is it that you don't want to do and where don't you want to be doing it? Include work hours, work uniform (not all nurses wear scrubs), your surroundings, team members, and anything else you know you don't want in your career. Then make the 'Do Want' list. For every don't you listed, write a do. Use a "not that, but this" type of statement. This vision statement technique not only empowers you to attract the type of career you want, it helps you keep your list in the back of your mind. When faced with something you don't want, you'll recognize it immediately based on your list. Make a Timeline Not everything you want is going to be immediately available to you. Some of your wants may entail further education, and before you set your timeline, do your research. You may find that some of your wants become don't wants, if they lead you down a path that you don't want to travel. Reassess and adjust as needed. Grow Your Professional Network I can't stress this enough. With social media, this is much easier and faster than it was even 10 years ago. Other nurses can tip us off to opportunities we've never dreamed of and help us connect to nurse professionals nationally and even internationally. Want to work in a balmy climate and leave cold winters behind? Connect with other nurses online. You can already have a network of friends in the new area you move to. Social media has a variety of great channels for connections to people with like interests and occupations. Ask for Help Use social media or people you already know, but talk to others who have done what you want to do with your nursing career. Trust me, someone has traveled a similar, if not exact, path you want to go down. As the expression goes: don't reinvent the wheel. Pick up where someone else left off, and you'll be that much farther ahead. Tap into the wisdom, experience, and expertise of nursing career mentors, such as academic advisers, colleagues, and nurse leaders. Read, Read, Read Amazon and libraries carry a variety of books on nursing career guidance. There are nursing career books on every topic, and if you can't find one, start Googling. Google alerts will send you an email every time someone publishes on the topic, which can cut your research time and deliver the content directly to your inbox. Try Something On, First Many facilities offer shadowing opportunities where you can shadow a nurse in the type of role you want before making a change. Some facilities offer internships and also volunteer opportunities. Think of it as "a try before you buy" opportunity, to see if the job is a good fit for you. If you get these types of opportunities, go with a list of questions in mind to ask someone or to discover the answers through the experience. I wish you good fortune in getting the nursing career you crave. Let us know in the comments what you have done to get the nursing career of your dreams. Did we miss anything that could be helpful to others?
  3. ElizabethScala1

    5 Tips to Handle Stressful Times as a Nurse

    Great question. So, you can delegate what is appropriate to unlicensed professional staff. For example, asking them to help a patient get out of bed. Or taking a blood pressure reading. It does depend on where you work and what people are able to do in their scope of practice. I would check with your nurse educator, nurse manager, or preceptor for examples of specific delegation in your practice area.
  4. ElizabethScala1

    5 Tips to Handle Stressful Times as a Nurse

    I totally agree. These are great points. Work is work and there will be stress. Although, it should not be so stressful that it is unbearable. And good to hear that you have experienced both the pros and cons when it comes to coworkers. These experiences will help you as you relate to others in the workplace. And also help you know where you do not want to work and why!! Thanks for sharing your thoughts. Appreciate it!
  5. ElizabethScala1

    5 Tips to Handle Stressful Times as a Nurse

    Great one, I love this technique!
  6. ElizabethScala1

    5 Tips to Handle Stressful Times as a Nurse

    Awesome additional strategies, thank you for sharing!
  7. ElizabethScala1

    5 Tips to Handle Stressful Times as a Nurse

    We already know that caring for patients comes with a tremendous amount of stress. Nurses are regularly charged to be the calm face in the room with patients, family members, and even doctors. Who among us hasn't had to remain steady and focused when faced with a daunting task or emergency event that would cause a non-nurse to curl up in a ball on the floor? So how do nurses remain that tower of strength in stressful situations? Is it built-up callousness because we've seen so much? Perhaps for some, but others may use something deeper, more meaningful so patients and family members feel they can put their faith in the nursing staff -- the staff who remain so strong when others feel their worlds crumbling down around them. From my own experience and that of nurse friends and colleagues, I've pulled together a list of tips and techniques for nurses to use in those moments where high anxiety may threaten our resolve, but where we must keep ourselves together. Call on your spirituality One of the strongest tools, no matter our belief system, is our spirituality. This belief that there is a force bigger than ourselves that connects us to our fellow humans can help us lower our stress levels in moments of great crisis in nursing. Our spirituality gives us hope, which we can then pass on to patients and family members through calming words and presence. Keep a talisman in your pocket One of my nurse friends had a "worry stone", a polished stone with a slight groove in the middle of it, that she holds in her hand when she has to have a difficult talk with a patient or family member. She says the cool, smooth surface of the stone helps ground her and no one ever sees how nervous she may be. Use essential oils In one Planetree Hospital where a nurse colleague works, the nurses use a few drops of lavender essential oil on cotton balls placed around the room instead of always using Ativan to calm patients. The same can work for nurses with a few drops of lavender on the inside of a scrub top or on a cotton ball pinned to the inside of the scrub. Body heat will naturally carry the scent upward. Any essential oil with a pleasing scent that calms can be used discreetly. There are also beautiful aromatherapy necklaces, bracelets and earrings that allow the scent to rise, but not mushroom around you so others will not inhale the fumes. Build your support team Have you ever worked with a fellow nurse who appeared not to have one friend on the nursing team? That's a tough way to practice nursing. Your support team will not only step in to help you with a patient when needed, but also be there to build you up and stay strong during stressful times. A cardiac care nurse I know says she thanks the heavens for her team when there is a code blue because she's nervous every time. She knows she can lock eyes with one of her nurse friends on the unit enabling her to keep herself together and focused during the code. Knowing which people are going to have your back, not simply to assist with tasks, but also give you that emotional support when needed, gives nurses a sense of security in knowing they are not alone. Focus on the joy and privilege of nursing This isn't always easy, especially when nurses are in an active code, in the middle of a surgery that's not going well, or in any other life and death situation, but focusing on the amazing privilege we have to affect someone's life... to touch so many lives in a meaningful and deep way, can help us call upon that part of us that patients and families look up to for help. Not everyone can do what we do. Not everyone has the dedication to learn ALL that we must learn AND keep learning in order to care for patients. Not everyone has the resolve to keep caring, day after day, year after year. But we have that. We have those incredible gifts. And they are not small gifts. Sometimes knowing how much we are needed and that we have these things to share with our fellow human beings that could change their world helps us build our own resolve in this incredibly stressful and rewarding career. Let's hear from you! What would you add to the list above? What's one thing you can share with everyone reading, as another tip for dealing with stressful situations? Leave your comment below, and as always, thanks for reading!
  8. ElizabethScala1

    Five Nursing Myths... Untruths Disproved

    Thank you for your comments. The point I was making was that nurses do SO MUCH MORE than the tasks that the general public or those not associated with nursing know about. When a person who is unfamiliar with nursing hears the term "nurse" they think that they do only those things and not others. Nurses do A LOT!! In and outside of the hospital setting. Thank you!
  9. ElizabethScala1

    Five Nursing Myths... Untruths Disproved

    Awesome! Way to hear of all of the variety you experienced. Thanks for reading and sharing!!
  10. ElizabethScala1

    Five Nursing Myths... Untruths Disproved

    Awesome, thanks for sharing that you do have a variety in your role as an APRN! And yes... This is definitely one of the BEST perks of being a nurse. So much opportunity! Thanks for reading.
  11. ElizabethScala1

    Five Nursing Myths... Untruths Disproved

    It is hard to believe that is has been two years since the 2015 Miss America scandal. If you are a nurse, you know the one. Daytime television hosts from the show, 'The View', mocked Miss Colorado and the fact that she was wearing a stethoscope on stage. So, it was no surprise that after these comments were aired, nurses were in an uproar about the profession of nursing and the value nurses bring to healthcare. In fact, nurses across the country came together in an unprecedented way. The#NursesUnite hashtag blew up on social media and nurses from all over shared photos of themselves, proudly wearing the stethoscope at work. And even though I felt so inspired by my nursing colleagues, I wondered... are we leaving something out? Yes, nurses do wear stethoscopes at work. But not all of us do. You see, nurses are found in places beyond hospital walls. Nurses work at jobs outside of the doctor's office. Nurses are involved with more than reading orders and passing meds. So let us remember that there is so much more to nursing. And when we are out in the public, talking about what a nurse does... let's be mindful of the myths about nursing. Speak up to squash these false perceptions! Here are 5 Myths about Nursing We Can Educate the Public On Nurses only work in hospitals, emptying bedpans and following doctors' orders As we know, this is not true at all. Nurses are business owners, researchers, speakers, and authors. Nurses can work in prisons, schools, religious institutions, and any branch of the military. Nurses can own nonprofits, volunteer on voyages abroad, work with computers, and even patent medical devices. Nurses are everywhere! Nurses are people who were not smart enough to become doctors As we know, this is totally false! In fact, many of the nurses that I have interviewed on the Your Next Shift Nursing Career podcast, tell me that they actually did consider medical school. And guess what? It was not the training required or the educational milestones that turned them away. It was the fact that they chose nursing because they saw it as a career that would allow them to do MORE for their patient. They felt that by becoming a nurse, and not a doctor, they would actually get to impact patient lives on a much larger scale. Nurses are tired, unhealthy, stressed out people No way! I see more and more nurse coaches, nurse fitness instructors, and nurses who are yoga teachers than ever before. Nurses are online teaching the public the importance of healthy eating. Nurses lead meditation classes and teach mindfulness workshops. In fact, organizations are starting to hire nurses (both in healthcare and non-healthcare settings) to help their employees be happy and healthy too! Nurses do not have emotions and can handle it all While a nurse is a very resilient being, they too feel things. When a patient dies, a nurse may mourn. When a new life is born, a nurse might see it as the most beautiful thing on earth. A nurse has feelings and needs downtime to recharge. In fact, recent studies on compassion fatigue and secondary trauma syndrome tell us that, like 'non-nurse' people, a nurse needs time to process what they are seeing at work and deal with their emotions. Nurses have feelings too! Nurses wear scrubs Sure, nurses who work in certain patient care settings will wear scrub uniforms. And you will also see a nurse wearing a lab coat. In fact, if you are treated by an Advanced Practice Nurse, such as a Nurse Practitioner, they may wear professional clothes with a white lab coat (just like a doctor may). So be careful when judging a book by its cover and stop with the Halloween nursing costumes. Nurses do not look like that! Have you ever heard of a myth about nursing that was not true? What did you do to educate the public on the profession of nursing?
  12. ElizabethScala1

    5 Tips to Halt Nurse Burnout in Its Tracks

    Great point!! Thanks for adding this to the discussion.
  13. ElizabethScala1

    5 Tips to Halt Nurse Burnout in Its Tracks

    Sure, normal stress reactions are just that... normal stress. However, when you get beyond what is normal (like a downward spiral into a quicksand type feeling of not getting out of it), then we are in trouble. There is "normal" stress. And there is burnout. Both are real. Just not the same thing.
  14. ElizabethScala1

    5 Tips to Halt Nurse Burnout in Its Tracks

    Glad to hear that it helped a lot!! What would you like to be doing next in nursing?
  15. ElizabethScala1

    5 Tips to Halt Nurse Burnout in Its Tracks

    As nurses, we know that nurse burnout pervades the profession. Insufficient staffing, long work hours, phone calls to come in to work on your days off, and a growing nursing shortage all contribute to nurse burnout. Sounds ominus, doesn't it? So given the cards that are stacked against nurses, is it inevitable for every nurse to suffer from nurse burnout in their career? Below are some tips and tricks to halt nurse burnout in its tracks before it gets a firm hold on you! Stop with the Brave Face and Admit There is Something Wrong When nurses are on the job, we put others' needs before our own; frequently not even stopping to go to the bathroom. But when we constantly push down our needs for a break or won't admit to ourselves (or others) that we're overworked and overstressed, we're setting ourselves up for failure. Nurses in direct patient care face tough jobs at the bedside. Stretched thin through insufficient staffing, nurse-to-patient ratios that are unsafe, patients with so many co-morbidities that it's impossible to address them all -- nurses' stress levels don't just put nurses' mental and physical health at risk, they also put the patient at risk. The most effective way to deal with burnout before it becomes a problem is to talk to someone. The department manager or nurse supervisor is the first stop. Yes, they have heard complaints about nurse staffing before, but management can't help a nurse suffering from burnout unless it's known to them. Every facility handles nurse burnout differently, and some, unfortunately still have no programs in place to help alleviate the burnout problem. The first step in addressing the problem, in any case, is to speak up. Second Line of Defense: Relationships with Coworkers In the event that a facility lacks a program, plan, or resources to alleviate nurse burnout, the relationships that nurses have with their co-workers can often relieve some of the more detrimental effects of nurse burnout. A nurse friend of mine never dreamed she'd ever been a person that fished (yes, I mean with a fishing pole and a tackle box), but after learning that so many of her coworkers got together on off days to go fishing and raved about how much of a stress reliever it was, she decided to give it a try. She said that dark cloud she felt constantly hanging over her head at work was suddenly not so dark after all. All the normal work stressors were still there, short staffing, sicker patients, but she didn't feel they weighed so heavily on her because she felt closer to her co-workers. She felt there were people who had her back. Engage in mindfulness and take a pause When work and life in general becomes too stressful and nurses know they are burned out, it is time to take a pause and look at the big picture. Quiet time -- when there is no "mind" noise from technology, family, patients, but just time to breathe in and out and be quiet -- creates a space to be able to see problems, possible solutions and even long-held desires for the nursing career you'd dreamed of having. It may take some practice to see what you wanted when you began your nursing career and what you need to do in order to get it back on track. Approach the situation looking for possibilities. The path to get to the goal(s) may be reveal itself in time, or you may know immediately the steps to take to get there. Let go of what no longer serves If you've been a night shift nurse your entire career and now you need to transfer to the day shift, ask to be switched. If you've had your fill of your nursing specialty and think a change may refresh you, check the job board at your facility. If your normal stress relieving activities are no longer working, try new tactics. Even simply taking up a new hobby or sport can refresh your mind and stop the overwhelm from overtaking you. In the same vein, if you haven't had made time to engage in your favorite hobbies or activities, schedule them on your calendar like an appointment. And then, keep the appointment. You'd do it if it were a doctor appointment or one with your child's school, right? Give appointments with yourself the same respect and reverence. Watch ants I don't mean that you have to literally watch ants, just observe nature. Whether it's watching ants build an anthill -- something you may have done as a child -- or a spider build a web, or simply noticing the different shapes clouds make. When you're observing this amazing planet, it's tough to think about all the stressors at work. Taking a few minutes or hours in nature helps us slow down the world a bit and take a look around. I'll bet there may be a few places that you used to go and enjoy spending time in that you haven't seen for a while. Could you schedule a date on your calendar to revisit one? Take a friend or loved one who has never been there and make a new memory. Sometimes in all the stress swirling around us, we forget to notice some things that have been missing for a while. Reconnecting with nature or a favorite place helps us fortify ourselves against burnout and as stated above, helps stop it in its tracks. OK, so what did we miss? If you were talking to a nurse who was looking for answers on how to deal with stress what would you tell them? What are some other ways to cope with and shift nurse burnout?
  16. ElizabethScala1

    When You Can't Stop Thinking About Work

    No matter how hard you try, there will be times when a nurse just can't stop thinking about work. We've all taken that ride or drive home and replayed our entire shift, or last several shifts, in our heads. It plagues us during dinner, our shower, and even interrupts our sleep -- if we're able to sleep at all. If a lobotomy could erase just the last shift, we'd sign up to get one! Short of a drastic measure involving surgery, check out the tips below to put work out of your mind, so you can enjoy the present more! Give Yourself a Time Limit Just telling you to leave work at work and that's that, isn't empowering you. But allowing yourself time to replay the day, while also setting some parameters to do so, allows you some time to sort out issues, strategize if needed, and then file it away until further action is required -- if it's necessary at all. Whether it's the time it takes to get home, or just until you hit the shower, set a time limit of an hour, tops. The shorter the better, but make certain that you can really retire the subject and feel good enough about the time limit, so you're not constantly trying to work in "just a few more minutes and then I'm done... no seriously, I'm done... wait I forgot about....." Thinking about work when you're not actually there creates nurse burnout because you never truly leave the job. There is a point at which done needs to be done, because the rest of your life is waiting. Replace Negative Thoughts with Positive Truth Statements Constantly thinking about work can put us in a negative frame of mind. Whether we consider a negative interaction with a patient or staff member or our overall feelings about the job, negative thinking impacts our personal and professional satisfaction with our lives. If we can reframe our negative feelings with some positive truth and value statements about work, e.g., "I'm so happy to have the opportunity to make a positive impact on patients' lives", "I'm happy that my profession gives me job security and helps me provide for my family", we start to look at our workplace with gratitude instead of dread or animosity. Check out this article from Forbes, "Positive Thinking Doesn't Always Work, But Negative Thinking Does: The Power of Truth Statements" to learn about replacing negative thinking with truth statements. Move that body! Get some fresh oxygen into your brain and body with an aerobic activity. You don't have to jump around. Even rigorous housework or gardening can be aerobic, and if done long enough, those feel good endorphins will kick in and immediately pick up your mood. When you engage in an activity that feels good, who wants to think about something that drains energy? I'd rather be in my garden or hula hooping than thinking about some negative experience at work, because the garden and the exercise make me feel better. Remember, It Will Be There Tomorrow There will always be a next shift and another chance to work out whatever is plaguing you about work. Whenever you have a shift where you feel like a "bad nurse" (and with the demands on a nurse's work day, we've ALL had those types of days), remember that another nurse will pick up where you left off and patients will be cared for. When you leave work there is nothing you can do to change anything until your next shift, so leave it there. You punched out. You are no longer required to be "at work," you'll get another chance to change things, readdress an issue, or simply regroup and reframe your feelings about the job. The only thing you can do about work is to think about it once you're off the clock. I'm betting you can probably find a few activities more worthy of your time and attention and that they'll be a lot more enjoyable! Let's hear from you. What would you add to the list above? How do you leave work where it belongs? What are some ways that you deal with stress in nursing?