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UPDATED: Monday, April 30, 2007

Beyond Florence Nightingale

Posted on Monday, April 30, 2007
 

By Wendy J. Meyeroff
THE ERICKSON TRIBUNE

What do the following have in common: forensic science, law, architecture, computer science, and home care? Answer: These are just a few of the areas in which nurses now practice their skills.

“I have worked in intensive care, pediatrics, community health, and with an architectural firm to create better healing environments for both patients and  personnel,” says Jaynelle Stichler, D.N.Sc., R.N., associate professor of nursing at San Diego State University. “In my career, I have been a clinician, an executive, an educator, and a consultant.”

“I have been nursing for 34 years and the changes have been dramatic. We have gone from being seen as someone who was ancillary to the doctor to  being important collaborators with physicians,” says Kathleen Stone, A.P.N., a nurse practitioner working at Cedar Crest, a New Jersey community built and managed by Erickson.

“I would like the American public to understand the depth and scope of what nurses do and the importance of nursing in American health care.”

‘Hub of the health carewheel’
Stone describes nurses as the “hub of the health care wheel, the epicenter.”

 “When you are in the hospital, the doctor is there for about 15 minutes. The nurses are there 24/7,” says Jerry Lucas, R.N., emergency room supervisor at Jewish Hospital & St. Mary’s Health Care in Kentucky. He also publishes the online magazine, www.MaleNurseMagazine.com.

“Nurses are the coordinator of your total care. The nurse is the only person who interacts with everyone—the doctor, the pharmacy, your family. Your nurse coordinates all your tests, and is responsible for planning your discharge,” Stichler adds.

Nurses in home care
Before coming to Cedar Crest, part of Stone’s career involved home care, an increasingly important area of nursing. “You have to remember when working in someone’s home you are a privileged guest,” she says.


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Many older people are dealing with losses—losing friends, losing some of their sensory capabilities [like hearing and taste]. You need to help them deal with that,” says Phyllis Zimmer, N.P., president of the Nurse Practitioner Health Care Foundation (NPHCF).

The role of nurse practitioners
The rise of nurse practitioners (NP) is another change in nursing. The NPHCF says there are now 141,209 NPs in the country. In many rural or under-funded areas, the nurse practitioner is the only qualified health professional providing care and may even be trained in a specialty, like cardiology.

“We act as primary care providers,” Zimmer says. “We can diagnose and treat illnesses, order lab tests, make referrals, coordinate care with other services, and provide wellness care [like flu shots].”

What it takes to be a nurse
If you haven’t guessed by now, it takes a wide variety of skills to be a good nurse. “You need an inquisitive mind. You also have to enjoy excitement; if you like the same routine every day, forget it. Nursing isn’t for you,” Stichler says.

“You have to be assertive. The days of nurses being intimidated by, or subordinate to, doctors are over,” Stone adds. Even a nurse working in a seemingly independent position, like at home with a patient, needs to be able to function as part of a team. “People are living longer, with multiple conditions. Given the complexity of care, we have to work better across disciplines. No  one discipline can do it all,” says Zimmer.

Rising respect, but shortage still exists
There is good news and bad news regarding nursing. The bad news you have probably heard: a desperate shortage of qualified personnel. There were over 100,000 vacant positions in 2005, and by 2020 it is estimated the shortage of registered nurses (RNs) will be 800,000.

The good news: The government estimates RNs top the list of occupations with the largest projected job growth through 2012—the first time RNs have ranked first. Specifically, the number of RNs will rise from 2.3 million in 2002 to 2.9 million in 2012.

And men are beginning to choose nursing as a profession. Today, men make up about 6% of the nursing population. “I was a combat medic in the ’80s, went into nursing, and there isn’t anything I would rather do,” says Lucas.

“Nurses are highly educated men and women who make a tremendous  difference. I think it is one of the richest professions there is, giving people a continuum of career options,” Stichler says.



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