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Retired emergency department nurse Amy Dinaburg discusses her article “Lowercase PTSD: Why emergency staff are still hypervigilant.” Amy reflects on the relentless pressure of the COVID-19 pandemic where nurses were forced to …
Emergency nurses struggle to turn off survival mode after the pandemic [PODCAST]
Oh, how I remember this well: The wicked snowstorm that paralyzed many cities, year after year. I was driving my van to work as it slid on black ice and directed me down a hill towards a large church. I had no control and could only pray that I didn’t hit that large telephone pole. When my van finally came to a stop, I realized I had missed the telephone …
Essential personnel safety: the hypocrisy of hospital snow policies
After working close to 20 years in this medical-surgical ICU, I thought I was an expert. Infallible. I could do it all.
I left my ICU comfort zone, my lifelong nurse friends, and ventured out. Nothing could stop me.
For a different hospital system, I became a critical care resource nurse.
This very large hospital system would dictate what unit I would go to and for how long. I truly thought I could …
Why I left the surgical-trauma ICU: a nurse’s story of burnout
When I told ProPublica that it was too expensive to protect us, I was naming what every number in this piece confirms. The system made a calculation about what our lives were worth, and it got the math catastrophically wrong.
I have been a nurse for almost 20 years, working in emergency departments, intensive care units, and eventually the back of a helicopter as a flight nurse. I have watched the …
The shadow ledger: Uncovering the financial cost of nursing turnover
Emergency medicine trains clinicians to recognize patterns early, anticipate deterioration, and intervene before outcomes become irreversible. We pride ourselves on seeing what others miss. Yet we are repeatedly instructed, explicitly or implicitly, to ignore the largest pattern of all. Political decisions consistently and predictably shape who arrives in our emergency departments, how sick they are, and how unsafe the environment becomes for the people expected to care for them.
If political …
Alex Pretti’s death: Why politics belongs in emergency medicine
Every day, nurses make thousands of clinical decisions that directly shape patient outcomes, safety, and recovery. Yet in many hospitals across the country, these critical choices are still guided by experience-based models rather than current evidence. For a profession that defines itself as patient-centered and science-driven, this approach contradicts the very standard of care we strive to uphold. True excellence in nursing is not defined by technology alone or by …
Why evidence-based practice in nursing is a strategic imperative
A nursing student recently told me she had decided not to apply for bedside roles after graduation. Not because of her clinical rotations. Not because of faculty advice. Because of what she sees every night on TikTok. Her feed is filled with short videos describing unsafe staffing, emotional exhaustion, hostile workplaces, and nurses counting down the days until they can leave the profession. She knows these posts reflect real experiences. …
Social media’s impact on the nursing workforce and student enrollment
I wanted to be at the top. Clinical ladder 4 was the top. You couldn’t get any higher achievement as an ICU nurse than this.
There were many requirements to obtain this:
I checked all the boxes, every year. It was hard work. And tiresome. The compensation for …
Emotional abuse recognition: a nurse’s story
As a research scientist who is devoted to ensuring that immigrant nurses have successful U.S. careers, the issue of internationally educated nurses’ (IENs’) cross-culture language competence has recently been both a sensitive and front-and-center issue pervading my work. In my more than 30 years in the health care sphere, the topic is now reaching a fever-pitch as IENs increasingly enter the U.S. health care workforce and play a critical role …
The debate on English tests for immigrant nurses
An 18-year-old was admitted to our ICU with a questionable diagnosis. The drug screen did not reveal what he had taken. Our ICU intensivist speculated he ingested bath salts. Bath salts came to the U.S. around the 2010s. It was cheap and, even better, considered a “legal high” as it was not detectable in drug tests. Josh came to the emergency room psychotic, paranoid, and hallucinating, with hypertension and SVT. …
A nurse’s story of hospital bullying
My current feeling as a nurse is more closely related to those of a line cook than to what I imagined nursing would be. Patients arrive with complex medical needs, yet we are forced to see them as checklists to be processed before the next shift arrives. Turnover feels like moving products down a line instead of treating people with care and dignity. This is not a failure of individual …
Why we need national nurse-to-patient ratios
“Are you going to be wearing a white skirt and a hat from now?”
That was one of the first things I heard when I told relatives I had been accepted into nursing school. It was a joke — at least that’s how it was delivered. But the meaning behind it wasn’t funny.
In my South Asian community, nursing is seen as women’s work — important, but low-status. For a man to …
How a South Asian nurse challenged stereotypes in health care
As nurse practitioners, our professional licenses are more than credentials. They are symbols of trust, responsibility, and commitment. It is vital we never take them for granted, because when they are compromised, not only do we suffer, but our entire profession pays the price.
We must be vigilant: Safeguarding our licenses is on us alone
No one cares about our NP licenses as much as we do. They grant us the privilege …
Protecting what matters most: Guarding our NP licenses with integrity
After 35 years in health care, I thought I’d seen it all—until it happened to me.
We talk about burnout, compassion fatigue, and systemic issues in medicine. But there’s something more silent, more painful, and far more personal happening in hospitals and clinics across the country: Generational warfare.
The young eat the old. And the old? We’re expected to disappear quietly.
In my early years, experience was respected. Elders were mentors. Wisdom mattered.
Now, …
Voices from the inside: 35 years as a nurse in health care
As we near the end of Nurses Week, I can’t help but express my gratitude for our true health care heroes: nurses. Throughout my 20 years in medicine, I have worked with nurses on a daily basis. As an innocent, bumbling medical student, they would teach me how to place an IV or how to supplement potassium. In residency, they would teach the ins and outs of ICU care even …
Nurses are the backbone of medicine—and they deserve better
Since my training days in the Combined Internal Medicine and Pediatrics Residency at Ohio State University Medical Center and Columbus Children’s Hospital (1996–2000), to my days in private practice (2000–2008), to my days practicing as a hospitalist physician (2008–present), I’ve had the great fortune of working with, collaborating with, learning from, and befriending many nurses who roam this Earth and, especially, my surrounding community. With those thoughts in mind, I …
Why nurses are the true heroes of my 25-year medical journey
Dear new nurse graduate,
Welcome to a world unlike any other—a world brimming with happiness, sadness, confusion, self-doubt, defeat, and heroism. You’ve just stepped onto the first rung of a ladder that reaches into the unknown. Nursing is not easy, and there will be countless moments when you ask yourself, “What was I thinking?” or “Why did I choose this path?”
But nursing isn’t just a job; it’s a lifelong journey, a …
Wisdom for new nurses: lessons from a 30-year ICU veteran
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We discuss the transformative potential of a standardized affiliation agreement (SAA) in nurse practitioner education with Lynn McComas, CEO and founder of PreceptorLink. As a recognized expert in precepting nurse practitioners and advanced …
How a unified agreement could help the preceptor shortage [PODCAST]
I was on the phone with my sister when I thought I heard a knock at the door. Then another. My dogs barked, and I told her, “Don’t hang up.” My chest tightened. Nightmares of someone coming for me flashed through my mind—a stranger lurking in the dark.
After more than 40 years as a nurse, transitioning from the chaos of the ER to the intensity of the ICU, I thought …
The untold story of a nurse’s final shift after 47 years of service
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We explore the evolving landscape of health care data management with nurse executive Betsy Castillo. Drawing on her decades of experience, Betsy discusses the importance of timely registry data, the critical role of …
How technology can free up nurses for better care [PODCAST]
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