Heart-stopping moments don’t just happen in the OR. As a nurse, you may be called upon in emergencies without access to an AED (automatic external defibrillator) or other equipment. Ensuring CPR certification means you are on hand with the knowledge to help save a life in or out of the hospital.
Debunking 5 Big Myths About CPR
Although most people know CPR and how it can save lives, wrong information often hinders effective aid. Do you think these, even to yourself?
Someone Around Me Will Know CPR
Most Americans know CPR increases survival rates for myocardial infarctions, but only 2 out of 5 would be willing to perform it. Why won’t people help with a procedure they know can be the difference between life and death?
The one reason cited for not rendering aid is a lack of confidence in proper CPR procedures. CPR certification addresses this issue and provides a way to save a life when others won’t step in.
The EMTs Will Render Aid When They Arrive
EMT arrival highly depends on traffic, weather, and location, with 1 in 10 people waiting more than 30 minutes for an ambulance. Even response times of fewer than 10 minutes may be too late when someone has suffered a heart attack.
Survival rates decrease 7-10% every minute CPR is delayed. Bystander help can double or triple survival, but you must act quickly. The rule of thumb is that you are the help until help arrives.
No One Dies From Heart Attacks Now
While increased efforts in prevention are laudable, they can promote the idea that heart attacks are not fatal in this modern age. But cardiac disease, including myocardial infarction, kills the most Americans every year compared to every other disease. Performing CPR is still the best way to respond and save a life.
Everyone Receives Equal Care and Help
Studies show that low-income and minority communities have much higher rates of death from heart attacks. This survival gap can be up to 19%, proving that CPR training is helpful and vital in disadvantaged areas. If you live or work in one of these areas, being confident in CPR and willing to assist is imperative.
Hospitals Have the Latest Equipment–We Don’t Need CPR
According to The Joint Commission, crash carts with missing or expired items make up the top three list of hospital problems. You cannot count on equipment to take the place of CPR training. When the AED fails, or the crash cart battery is dead, it is up to you to begin compressions immediately.
Why Certification is Crucial
You Forget What You Learned
You probably received CPR training in nursing school, but did you know that retraining and revisiting procedures are vital to rendering optimal aid? Your knowledge of methods and skills in administering CPR deteriorate as time passes since your initial training.
Procedures Are Updated Regularly
Also, remember that guidelines for CPR are updated as new research emerges, and you need to know what the latest findings advise to give the best help.
For example, in 2020, the American Heart Association released new guidelines on CPR for both in-hospital and out-of-hospital cases. Included are changes to the Adult CPR Algorithm and
Chains of Survival. If your training was before 2020, you must include these essential revisions.
But I’m not a cardiac nurse, you might say. According to specialist Diana-Lyn Baptiste, “every nurse is a cardiac nurse” because, quite simply, every patient has a heart susceptible to disease and infarctions. And crises can happen anywhere, in any ward.
Your Patient Outcomes Will be Better
Swiftly providing aid helps patient outcomes in the short run, but the effects don’t stop there. When nurses are certified in CPR, their patients exhibit improved outcomes from the time of the event to discharge.
Training also helps you stay calm when emergencies happen, and your attitude transfers to your patients, reassuring them amid what can be a terrifying episode.
Certification is Easier Than Ever
You used to have to spend hours at in-person training sessions or pay for expensive certifications. But now, you can get CPR certification online and even study on your mobile phone at home or when you have spare moments during the day.
There are no textbooks or manuals to buy, no taking time off to attend classes, and your workplace might even pay for your training. The convenience of online certification makes it a no-sweat, no-hassle way to level up your skills and resume.
What better way to contribute to the well-being of yourself, your patients, and your workplace?
Having CPR certification lets you act with speed and confidence in a crisis. Think about it this way: if you or a loved one were having a cardiac event, what kind of person would you want to help?
Radiology Nurses Day, also known asRadiological and Imaging Nurses Day, is celebrated annually on April 12 and was established to recognize the work that nurses do in the specialties of radiologic and imaging nursing.
The work of radiologic and imaging nurses is not only important for an accurate assessment and diagnosis, but it is also a skill set increasingly in demand. As radiology and imaging services such as MRI, CT scans, and ultrasounds are required for more careful diagnosis, the expertise of a radiology nurse becomes critical to accuracy. And as the technology for such imaging become ever more advanced, radiologic and imaging nurses need to remain up-to-date on using the equipment and assessing the resulting data.
TheAssociation for Radiologic and Imaging Nursing (ARIN) leads the day honoring nurses in this specialty. Radiology nurses are an essential component of a holistic patient care team. Radiology nurses become skilled in preparing patients for and guiding them through radiology procedures. These tasks include explaining the procedure clearly, possibly administering an IV for medications or dyes, monitoring them and assisting them as they undergo a procedure. Some patients may need to ingest medications by mouth as well for monitoring digestion, for example.
Radiology nurses are able to keep patients informed of each step of a procedure and to let them know what is happening and why. For instance, an MRI’s loud banging noise and small space that can cause jitters. Because they can work with patients of all ages and with those who are coming for a routine screening or a serious illness, they need to be agile in navigating the details of medical conditions and the emotional stress patients might have.
As they use high-end, sensitive equipment, radiology nurses must develop highly specific skills to use the machines for the best results and in the safest manner for patients and team members. They have patient safety as a goal at all times, so must be aware of everything in their surroundings that could impact how an imaging procedure could go. For instance, the magnetic power of an MRI machine requires that no loose metal be nearby and that patients have removed all jewelry or metal. Radiology nurses will ensure that they ask patients all required questions to help ensure their safety. If they are working with a patient having a series of X-rays, they will need to position the patient properly while also ensuring they are protected from any unnecessary radiation.
To stay current, radiologic and imaging nurses will want to consider certification in their specialty. With certification, they will have the latest evidence-based practices to provide the best care possible. They can also read the Journal of Radiology Nursing and attend conferences to connect with other radiologic and imaging nurses and professionals.
Radiologic and imaging nursing is an exciting specialty and one that only promises to increase in complexity. If you are a radiologic or imaging nurse, celebrate today to honor your important work.
According to the AACA, in 2022, 80% of nurses in the United States were white/caucasian. With nurse burnout already a problem nationwide, being a minority in the industry can create even more unique challenges. That includes things like racism from patients or co-workers, discrimination, and even economic hurdles depending on your background and where you grew up.
All nurses must care for themselves and infuse wellness into their daily work. However, it might be even more essential for minority nurses to integrate holistic approaches into their careers.
With that in mind, let’s explore the importance of a holistic approach in healthcare and provide actionable insights you can use to enhance patient well-being and improve overall nursing effectiveness.
What Is Holistic Nursing?
As a nurse, you may be tempted to scroll past the ideas of holistic healthcare practices. But, holistic practices have been used for centuries to help people look inward for physical and mental wellness. Holistic nursing combines Western medicinal practices alongside complementary and alternative care solutions. Holistic nurses go beyond the physical and physiological aspects of medicine and focus on the values and beliefs of their patients. Nurses who practice holistic care also hold themselves to an extremely high standard and lean into five core values of practice:
Holistic philosophy and education;
Holistic ethics, theories, and research;
Holistic self-care;
Holistic communication;
Holistic caring process.
Paying attention to a person’s entire being can make a big difference in how they feel, especially when in a compromising medical situation. It’s one reason more midwives are taking holistic approaches to pregnant women. A holistic nursing approach can also help to improve your entire department, especially if you’ve been struggling with issues as a minority nurse. When holistic practices are implemented, people will start to look at you as a whole person and value your well-being rather than focusing solely on race identity.
Planning Healthy Holistic Practices
If you want to integrate more holistic practices into your career, it starts by leading a more holistic lifestyle yourself. Changing lifestyle habits and career practices, as well as even influencing your department, can feel overwhelming at first. One of the best ways to start taking a holistic approach to your work and life is to set goals for yourself. SMART goals can keep you motivated and help you recognize when you’ve hit milestones and achievements. SMART goals are:
Specific;
Measurable;
Attainable;
Relevant;
Time-Bound.
For example, if you want to focus on specifics, ask yourself what you want to achieve with holistic practices. Why is it essential to make a change, and who will you involve?
You’ll be able to measure your goals through achievements. Maybe you’ll start to feel better, personally. Perhaps you’ll see a change in work culture or the challenges you typically face as a minority. You might even begin to see your patients differently, which can help you fight back against burnout and find more joy in your daily interactions.
As you set goals and develop a strategy for holistic approaches, keep in mind that holistic medicine doesn’t have to somehow diminish your medical knowledge. Rather, it should serve as a complementary approach beyond basic treatment. A holistic approach to healthcare can inspire you to integrate more holistic practices into your daily routine on and off the clock.
Holistic Practices That Can Make a Difference
When you look within to begin your holistic integration, it starts with self-care. Again, this is essential for all nurses. But, when you face some of the unique challenges of being a minority nurse, self-care becomes even more necessary to maintain your mental and physical well-being. Thankfully, these practices don’t require much extra time or effort. Integrate some of the following into your everyday routine:
Prioritizing sleep;
Eating a healthy diet;
Journaling;
Connecting with colleagues;
Deep breathing;
Showing self-compassion.
Daily affirmations can also make a difference, especially when you’re heading into a long shift or dealing with difficult co-workers. Say things like, “I choose to trust my skills and abilities,” or “I know I am a skilled and compassionate nurse.” It might take some time to get comfortable with affirmations, but they will go a long way in improving your overall mindset. When you are kind and compassionate with yourself, you’re more likely to pass on that care to your patients.
Practicing mindfulness is another excellent way to lead a more holistic life and career. Mindfulness can help you manage stress and anxiety and keep you focused on the present. You’ll be less tempted to think about something a patient or co-worker might have said that bothered you or worry about the “what ifs” of your next shift.
There is no question that being a minority nurse comes with a few obstacles. However, by integrating holistic approaches in your life and career, you can reduce personal stress, improve patient care, and change the course of your department and practice.
Did you know your next vacation might offer insight into your next career move? Travel opportunities give you a chance to see how other nurses might work in the field– in a location thousands of miles from your home or even in a different country.
If you have ever entertained “what if” thoughts about a new area, travel can give new perspectives to see what’s available. You might just want to find out more about the location and what it offers or you might be looking for a career switch. Maybe you’re thinking of an advanced degree and want to see what the campus is like or visit a faculty member.
Set aside a few hours on your next trip to learn more. Here are a few ways to start the process.
Start with the Research Decide what your primary goal is and work from that. Maybe you’re a nurse up in New England wondering what it would be like to work in a warmer climate. A trip to south to sunny Anna Maria Island in Florida or west to San Diego, Calif. can give you a perspective on working with a seasonal community. Before you travel, start looking at a few job listings to get a sense of what’s available and where. Do you want to be in a nearby city like Sarasota or on the island with a smaller population? Is the San Diego area what you expected or do you want to look at the surrounding communities? What are the housing options like? What else does the area offer?
Visit a Workplace If you are looking for a job change and thinking a new location is in the cards, take the time to find out if it’s really as appealing as it seems. As you look at job openings and organizations, build in time to visit an organization that’s particularly appealing. Maybe you want to visit a major hospital or a small healthcare facility. Get a sense of the populations served and the top community health needs.
Make a Connection
Not really sure what your next steps will be but just want information? Find a nursing organization in the area and get in touch. The importance of a community can’t be overstated, so finding someone who can give you important details like how hot it really gets or what the population shift in the winter is really like is important. The Florida Nurses Association is like other state-based organizations and is an excellent resource for nurses. In San Diego, the San Diego National Association of Hispanic Nurses can offer resources and perspectives that are essential to hear about.
Soak Up the Environment
This is a vacation, after all, so you’ll spend most of your time just enjoying your time off. But pay attention to what your gut tells you. Maybe your vacation was a break to figure out what you need to do next. With just an afternoon, you can take in a few important details that can help with your decision.
Kendra Coles, DNP, RNC-OB, C-EFM, NEA-BC, is a seasoned nursing leader with over 20 years of experience in the field. For 17 years, she has been dedicated to women’s services and has a wealth of knowledge in managing inpatient and outpatient obstetric care. She also has a knack for communication and team empowerment. Coles is known for optimizing performance and outcomes for obstetric and neonatal populations, achieved through fostering collaboration and building multidisciplinary teams.
Since 2019, Coles has been Director of Women’s & Children’s Services at the University of Maryland Baltimore Washington Medical Center (UM BWMC). In this role, she oversees a team of 125 FTEs across various units, including Labor & Delivery, Postpartum, Pediatrics, and Special Care Nursery. Coles is responsible for strategic planning, equity, diversity, and inclusion initiatives and developing nurse leaders. She is committed to achieving organizational goals while maintaining fiscal responsibility and ensuring the highest quality and safety standards for patients and staff.
She’s highly skilled in change management and program development, which has been critical in introducing obstetric and newborn care services. Her expertise and leadership have made her a trusted figure in the field.
Coles’ contributions to the nursing field have earned her a spot in the Champions of Nursing Diversity Series 2024. This series highlights healthcare leaders who are prominent figures in their organizations and making significant changes in the nursing field.
Meet Kendra Coles, DNP, RNC-OB, C-EFM, NEA-BC, Director of Women’s and Children’s Services at the UM BWMC.
Talk about your role in nursing.
As the Director of Nursing for Women’s and children’s services, my responsibilities include the operations of obstetrics, newborns, and pediatric care. In this role, I have the honor of impacting the care that women receive during pregnancy and delivery, a newborn’s early days of life, and sick children who require hospitalization. The role requires leading health initiatives such as hypertension and hemorrhage management, safe sleep, and pediatric respiratory illness management.
As a health equity leader and advocate, I have led initiatives to reduce maternal morbidity and mortality and served on the Anne Arundel County Maternal Infant Health Task Force. I co-chair the Equity, Diversity & Inclusion Council at UM BWMC and train other nursing teams in leadership, communication, and staff empowerment to optimize performance and patient outcomes.
How long have you worked in the nursing field?
I have over 26 years of nursing experience and have been a nursing leader for 20 years. My clinical experiences include caring for patients in Labor and Delivery, Mother, Baby, and Nursery. I also have expertise in the operations of inpatient and outpatient care.
Why did you become a nurse?
I became a nurse because I genuinely wanted to care for others. I was raised in a family of five kids and watched my mom always care for someone in the home or family. Nursing is a noble and humbling profession that allows interpersonal reward.
What are the most important attributes of today’s nursing leaders?
Resilience, compassion, innovation, and grace. Today’s nurse leaders must be resilient as they face daily changes in healthcare. Compassion is needed to care for the patients, but it is also required for the care of the staff caring for others. Nursing leaders must develop and embrace new technologies and advances in clinical practices in a rapidly evolving healthcare system. As the nursing leader supports innovation, it’s through grace that you allow forgiveness and create an environment where learning occurs for team members. Grace can also be given to patients who desire to improve their health status and may not always have the resources to make the healthiest choices. We offer our patients new opportunities to be informed and empowered in their care through grace.
What does being a nursing leader mean to you, and what are you most proud of?
As a nursing leader, my task is helping others to help others. Nursing leaders can ensure our patients have the best outcomes by leading a team of professionals to their highest potential and encouraging their growth as caregivers. Nursing leaders drive changes that change lives. I’m most proud of starting an obstetric program at UM BWMC in 2009 and participating in its ongoing growth to improve maternal and newborn care in Anne Arundel County.
Tell us about your career path and how you ascended to that role.
My nursing career started in 1997 at the University of Maryland Medical Center, the University of Maryland Medical Systems’ academic hospital in downtown Baltimore, serving in Labor & Delivery. I simultaneously worked at another hospital in the region in the Mother Baby Unit. I found myself excited about the nursing profession and joined a nursing agency where I took on a variety of nursing contracts caring for obstetric and newborn patients. My interest in leadership began as a charge nurse at UMMC and grew into a senior clinical nurse role. I was offered an opportunity for frontline leaders to obtain a Master of Science in Healthcare Leadership & Management. I completed my Master of Science in Nursing in 2009 as UM BWMC started recruiting for their new OB program leadership and staff. As a brand-new manager, I recruited a phenomenal team to open the Pascal Women’s Center. In 2018, following the retirement of the director at the time and a national recruitment effort, I was chosen to advance into the Director of Nursing role.
What is the most significant challenge facing nursing today?
The most significant challenge facing nursing is staffing shortages. Like many industries, especially health care, COVID-19 changed the workforce. Nurses experienced compassion fatigue, burnout, and difficulty finding work-life balance. They began to leave the bedside, searching for a less stressful environment or more profitable opportunities. Subsequently, the nursing shortage grew, and we continue to rebuild the nursing workforce.
As a nursing leader, how are you working to overcome this challenge?
Developing and introducing new nurses into the profession is an ongoing challenge. As a nurse leader, I have embraced programs such as the Academy of Clinical Essentials, an initiative developed and spearheaded by the UMMS Chief Executive Officer, which allows nursing students to partner alongside one of our experienced nurses and have early exposure to the art of nursing. We have modified our nursing preceptor program to enable our most experienced nurse to focus on a core group of new hires. We have customized our nurse residency program for the OB, Neonatal, and Pediatric specialties. We have integrated simulations as a core training component in team building and communication skills in high-risk situations. To help our teams address fatigue and burnout, we offer flexible staffing, relaxation rooms, and RISE support resources.
What nursing leader inspires you the most and why?
Rose L. Horton, MSM, RNC-OB, NEA-BC, FAAN, the Founder and CEO of #Notonmywatch Consulting Partners, inspires me. She is a Women & Infant health care executive leader at Emory Decatur Hospital, who believes nurses can change maternal morbidity and mortality. Horton called nurses to action by encouraging them to use their voices to support and advocate for others. She has been a strong influence for improving care during her tenure as the Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN) president and while serving on the Synova leadership Board of Directors. I’m really inspired by her dedication to raising awareness about issues compounding black maternal health and how she successfully advocates for change.
What inspirational message would you like to share with the next generation of nurses?
No matter how hard your shift may seem, never forget why you became a nurse. Take every opportunity to serve and care for someone else because you never know the difference you make.
The stigma around mental illness is slowly ebbing, but it is by no means gone. Days like World Bipolar Day, held annually on March 30, offer excellent opportunities to spread awareness about this condition including symptoms, treatment, medications, and resources.
World Bipolar Day opens the door for people to share their stories and for others to learn how they can get help for themselves or for a loved one. According to the International Bipolar Foundation (IBPF), this awareness day is a initiative shared by the IBPF and in collaboration with the Asian Network of Bipolar Disorder (ANBD) and the International Society for Bipolar Disorders (ISBD).
Bipolar disorder is easily confused with other mental illness as it can present with mood symptoms that are so similar. The National Institute of Mental Health (NIMH) says, “bipolar disorder is a mental illness that causes unusual shifts in mood, energy, activity levels, concentration, and the ability to carry out day-to-day tasks.” But to find the right treatment, it helps to make an accurate diagnosis as soon as possible. Fortunately, tools like the IBPF’s Mood Disorder Questionnaire helps people identify the nuances between different conditions.
According to the ISBD, bipolar disorder is a brain disorder and isn’t rare. More than 60 million people worldwide (and 5.7 million American adults) are impacted by this condition. It is frequently diagnosed in late adolescence or early adulthood, and as more people become educated about bipolar disorders, the stigma around it lessens.
As the general public gains knowledge and understanding about bipolar, it helps dispel any misunderstandings about the disorder, what causes it, and what helps it. And as more people learn about bipolar and realize they are experiencing some symptoms, they will be able to get the help that will make a difference in their lives.
As bipolar disorders are talked about more freely, people who are affected by the condition are able to connect with others so they can build a community. If someone has bipolar symptoms and either doesn’t know others who have the same life experiences or is unaware of the extensive resources available, they can feel especially isolated. Isolation frequently worsens any kind of illness, so having a supportive community–whether online or in person–can make an enormous difference for someone living with bipolar disorder.
Nurses can use this day to help raise awareness about this disorder and to ensure that patients have access to information if they need it. Nurses can learn to recognize some of the signs and symptoms so they are able to identify it or flag the potential of it emerging.
People with bipolar disorder may think symptoms will go away and while the intensity of symptoms will fluctuate, they are generally something that will require lifelong treatment. Various options for treatment, including therapy, medication, and behavioral strategies, can help people manage symptoms and learn to recognize when they are worsening or improving. And finding the right treatment can prevent years of unnecessary suffering–a great reason to help spread awareness on World Bipolar Day.
Whether you know it or not, you have a brand. Like it or not, YOU ARE THE BRAND! One way to check out your personal brand is to google yourself and see what pops up. You may be surprised. If you do not create your brand, it may develop on its own.
Research demonstrates that 94% of recruiters will search for a candidate online. Career Builder found that 70% of employers said they use social media to screen their candidates and are less likely to interview a candidate they cannot find online. There are many definitions of a brand. However, the simplest explanation is how people perceive you. To sum it all up in one word, brand is your “reputation.”
What do you want to be known for? And why should you care?
Nurses should prioritize personal branding as it allows them to distinguish themselves in a competitive job market, enhancing their visibility and desirability to employers. A strong personal brand communicates professionalism, expertise, and dedication to patient care. The reality is a brand can assist nurses in attracting rewarding career opportunities and advancement prospects.
Nurses can cultivate trust among patients, colleagues, and healthcare organizations by strategically shaping a personal brand. Personal branding can lead to greater career fulfillment and success in the dynamic nursing field. Are you ready to learn how you can shape your brand?
Here are 5 Steps to Create a Standout Personal Brand for Nurses
1. Define Your Unique Value Proposition
What sets you apart from other nurses?
Reflect on your strengths, skills, experiences, and passion in nursing.
Determine what makes you unique as a nurse.
What attributes do you want to be known for? (empathy, communication skills, clinical expertise, or leadership abilities)
]What is your purpose?
2. Create a Professional Online Presence
Establish a strong presence on professional on LinkedIn!!
Optimize your profile with a professional photo, compelling headline, and detailed summary highlighting your expertise and achievements.
Engage with other healthcare professionals and join relevant groups to expand your network.
3. Develop a Consistent Brand Image:
Ensure consistency in how you present yourself both online and offline.
Dress to impress or at least have a stand-out style
Be yourself as much as possible so people will be able to recognize you in person when they meet you and remember YOU!
4. Showcase Your Expertise Through Content Creation
Demonstrate your expertise and thought leadership by creating content related to nursing topics.
Write articles/blog posts, record educational videos, or host webinars on topics that align with your expertise and interests.
Establish yourself as a trusted authority in your field.
Just Start! Do not worry about the equipment or lighting! Get out of your head!!
5. Seek Opportunities for Professional Development/Recognition
Invest in professional development by pursuing advanced certifications and attending conferences/ workshops.
Showcase your expertise, such as speaking engagements at conferences, guest lectures at nursing schools, or writing articles for publications.
Seeking recognition and advancement within the nursing profession, you can further enhance your brand and position yourself as a leader in the field.
When you earn a nursing degree — an ADN, BSN, MSN, or beyond — you signal to the world that you’re a professional who values education and advancing your career. Consistently reaching for increased expertise is a goal for individuals working in almost any discipline, and nurses are no exception.
Beyond your formal education, you have other opportunities to expand your knowledge, and certifications are one such avenue for demonstrating dedication to having the most up-to-date, evidence-based information possible in your area of nursing practice.
Why Get Certified?
If you haven’t yet pursued nursing certifications, now may be the time to consider the possibility. Certification can serve many purposes, each of which holds value for you and your career.
Validated commitment to mastery: Your potential capacity to grasp the subtleties of your chosen nursing specialty is limitless. There’s no end to how much you can learn by digging deeper and deeper into the nuances of a particular branch of nursing and the clinical judgment that comes with it. Many certification processes are no walk in the park, and if you want validation of being the best you can be, certification can accomplish that goal.
Enrich your marketability and earning potential: In the job market, you need every advantage to stand out from the crowd. Certification shows a potential employer that you’re serious about your career and have gone above and beyond. Being certified could be the thing that gets your resume noticed. You may also enjoy increased earning potential.
Augment your sense of pride and empowerment: Some nurses rest on their laurels, others keep learning, and your accomplishments say a lot about your ambition to be the best you can be. As you gain knowledge, skill, and expertise, you can be proud of who you’ve become, and having those extra letters after your name is something you earned by going the extra mile.
Other benefits of certification include the respect of your colleagues and the benefits experienced by patients in the care they receive.
Popular Certifications
There’s an enormous and growing list of certifications available to nurses. Remember that to sit for certification exams, you’ll need to have logged a certain amount of clinical experience in that specialty, so research is essential.
Here are a few popular certifications for your consideration:
Pediatric Advanced Life Support (PALS) can be attained through the American Heart Association, the Red Cross, and several other organizations.
Certified Emergency Nurse (CEN)is available through the Board of Certification for Emergency Nursing (BCEN). Two years of emergency experience is recommended but not required.
Critical Care (CCRN) from the American Association of Critical Care Nurses (AACN) is geared towards those working as intensive care and critical care nurses. There are specific clinical hour requirements in direct critical patient care before sitting for the exam: 1,750 hours during the previous two years, with 875 of those hours in the most recent year, or 2,000 hours in the last five years, with 144 of those hours in the most recent year.
Oncology Certified Nurse (OCN) requires a minimum of 2,000 hours of adult oncology nursing practice (clinical, administration, education, research, or consultation) in the previous four years, two years of experience as an RN, and 10 hours of continuing education in oncology in the last three years.
Certified Diabetes Care and Education Specialist (CDCES) is a specialization that gives the successful applicant the tools to work with patients facing the challenges of life with diabetes. Applicants must have two years of RN experience, at least 1,000 hours providing diabetes care and education in the previous five years, with 20% of those hours in the most recent year.
At this point, it’s important to note that all areas of advanced nursing practice (family nurse practitioner, pediatric nurse practitioner, adult-gerontological nurse practitioner) are considered specialty certifications, and NPs trained in one area of practice can take an exam and receive post-graduate certification in another advanced practice discipline at their discretion.
Since many certifications require significant experience in the designated specialty to sit for the exam, some employers will support and pay their nurses to become certified once they have sufficient experience. Certain employers may even make pursuing certification within a set period a part of your contract.
Of course, paying for your certification and recertification is a significant benefit, although paying for the process yourself wouldn’t be the end of the world. Nothing stops you from getting the certification if you want to demonstrate your commitment and sharpen your expertise. Train yourself in the interest of your professional development and career.
The nursing certifications list is long, and you can decide what makes sense for you. The validation of your expertise that certification confers is real, as is the increased marketability. Certification is a powerful avenue to accomplishing that goal if you take pride in your nursing specialty and want to take your knowledge and skill as far as you can.
Are you the tech-savvy nurse on the unit? Do your colleagues seek you out with questions about the quirks of your electronic health record (EHR)? If so, consider turning that know-how into a career in nursing informatics.
A background at the bedside is critical for a successful nursing informatics role. “There’s typically some kind of clinical experience involved before jumping into an informatics role,” said Christy St. John, MSN, RN, NI-BC, CPHQ, president of the American Nursing Informatics Association (ANIA), in an interview. “To come straight from your studies into informatics is fairly rare.”
A combination of clinical nursing experience and education in informatics is essential, according to Melinda L. Jenkins, PhD, FNP, associate professor and director, nursing informatics specialty, Rutgers School of Nursing. Experience with patient care in the clinical setting is essential to the nursing informatics role because this role is the connection between the clinical setting and the technology piece of healthcare, says Lori Martone-Roberts, DNP, RN, CHSE, director of simulation and professor of the practice of nursing, Wheaton College.
Although training and hands-on experience with technology is important, Michael Mickan, chief nursing informatics officer at Memorial Hermann Health System, looks for experience using the tools on hand and a natural curiosity that leads to self-teaching. He feels that a nurse with that kind of informal experience is usually more successful as a nurse informaticist than those who wait to be formally trained before exploring a new technology.
Range of Skills
You’ll need to bring many skills to a nursing informatics role. Mickan outlines a variety of abilities:
Communications: Nurse informaticists must be able to provide “translation” of patient care, and clinician needs to technology partners as well as technology concepts and requirements to clinical users and communicate with various disciplines.
Problem-solving: Informaticists must be able to identify the real problem with astute observation and critical thinking encompassing people, processes, and technology.
Change management: Nurse informaticists must understand change management strategies and be comfortable facilitating, guiding, and managing change.
Project management: Often, a nurse informaticist facilitates collaboration between clinical and technology partners to solve problems and support the optimal use of technology. To do this effectively, proficiency in project management is a must.
Data analytics: Nurse informaticists must have a solid grasp of the data that validates the problems to be solved and provides the baseline for measuring progress.
Day-to-Day Projects
What kind of work will you do on a daily basis? An example, notes Martone-Roberts, could be to evaluate workflows or improve usability and streamline processes, leading to improved functioning and efficient data capture.
She notes that nurses in the nursing informatics role will work with EHRs in various ways, including managing information and troubleshooting issues when healthcare professionals use the system. Other projects involve training, validating, and reporting data and ensuring the collected data is useful.
She suggests that one example of a project could involve using chatbots to keep a patient engaged and decrease re-hospitalization. Similarly, Mickan outlines workflow analysis and optimization projects, working with clinical decision support systems and EHR implementation and optimization.
Growing Field
When it comes to future demand for nursing informaticists, “I see it as a growing sector,” says St. John.
“I think sometimes it’s a matter of being a little bit more broad in the way we think about nursing informatics,” she notes. Instead of simply searching for the term on a job site, a job search can be more about “opening my eyes to things that might include AI, analyst, or health informatics roles. I think nurse informatics roles will be more in demand in the bigger picture of health technology.”
Education and Certification
According to Martone-Roberts, you’ll need an RN and BSN to serve in a nursing informatics role. Also, she says, a nurse with a master’s degree in healthcare informatics, nursing informatics, or data management will be better positioned to succeed.
Although one of the more technical roles in nursing, nursing informatics still has patient care as the end goal. “At the end of the day, what we’re after is better outcomes for the populations that we’re serving, whether that’s in the inpatient setting, whether that’s in an ambulatory setting, whether that’s in our communities,” says St. John.
Nurse burnout continues to hinder the healthcare system across care settings. Hospital margins are thinning, and allocating resources to nurse retention and engagement is imperative to offset the cost of losing nurses. The average cost of turnover for one bedside RN is $52,350 – which can add up to expenses between $6.6M-$10.5M, according to a recent retention and staffing report stating “each percent change in RN turnover will cost/save the average hospital an additional $380,600/year.” In skilled nursing facilities, regulated staffing levels will likely impact quality care scores and reimbursements in the future. Staffing and reducing turnover are top of mind for healthcare leaders everywhere, even more so as they continue to look ahead to 2024.
Overcoming Nurse Burnout
While the industry challenge of nurse burnout is clear, the right approach to ease nurses’ burden is harder to decipher. Staffing leaders must balance competing priorities, such as investing in expensive agency labor versus racking up internal hours and offering nurses more flexibility to choose the best shifts while ensuring every shift is filled.
Three themes are among the top strategies to address nurse burnout: improving communication, increasing flexibility, and supplementing staff.
1. Improving Communication Between Nurses and Managers
Many organizations need help in traditional staffing workflows, tediously tracking multiple spreadsheets or using one-by-one phone calls or text messages to make scheduling adjustments and fill last-minute openings. This approach is not just time-consuming; it’s disruptive, siloed, and does not take advantage of widely accepted and expected technology.
With healthcare workforce software to deploy one-to-many communications, nurse leaders can post shifts, set rules for shift selection, and relay scheduling needs quickly – for example, by implementing a first-come, first-served open shift approach or shift bidding based on seniority or other factors. This respects nurses’ time and frees up time for nurse leaders to focus on their team’s growth and development, supporting operations, and improving patient care.
2. Giving Nurses More Flexibility
More shifts are not the answer to nurse burnout – but more scheduling options could be. With real-time scheduling available at their fingertips, nurses have the necessary flexibility. More choice empowers them to select schedule changes that best fit their work-life balance. It gives nurses the freedom to trade shifts or take on open shifts and makes them feel like they have control over their schedule, motivating them to do their best work.
Greater scheduling flexibility can reduce the likelihood of no-shows or call-outs and reengage nurses in their work, preventing turnover. Meanwhile, nurse leaders can ensure these individual choices are made with commitment rules in mind by defining scheduling rules that make their staffing software work with their team’s unique needs.
3. Supplementing Staff with Agency Nurses
For some healthcare leaders, agency staff can be an expensive response to reducing burnout and attrition. However, it could be the more affordable option in the long run. Compared to the cost of losing a nurse and the time it takes to hire a new nurse, the investment in supplemental agency staff could greatly outweigh the costs of staff turnover. If managed well, agency staff becomes an extension of the team – used as needed, but not the immediate response to every open shift.
At the core of all these decisions is data and using available technology. Schedulers must have confidence in who is doing what, when it’s happening, and where it’s taking place. Clear, at-a-glance staffing data differentiates between taking a one-size-fits-all approach and making appropriate staffing adjustments based on an organization’s most significant contributors to burnout and resignations.
Accessible staffing data revenue objectives and organizational goals empower healthcare leaders to take a holistic approach. They can weigh their options and resources from a united front and choose investments to target specific challenges while understanding the impact this may have on another aspect of the organization.
Smarter Planning Leads to Reduced Stress, Higher Satisfaction
While there are many options to address nurse burnout, one thing is clear: better staffing management is necessary. In fact, 57% of nurses planning to leave the workforce would reconsider returning to their position if their workplace implemented a more flexible approach to scheduling and shift management.
With data and a smart workforce management solution, staffing leaders can make thoughtful, more informed choices that fluctuate seamlessly with day-to-day, real-time scheduling needs. Nurses can impact their schedule and sign up for shifts that give them the best work-life balance through technology customized for their practice. Managers can refocus their time to make strategic staffing decisions. And ultimately, patients get high-quality, uninterrupted care.
