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Nurse Burnout – The Silent Job Killer

Nurse Burnout – The Silent Job Killer

Nurse burnout was slowly killing my love for my job as a nurse. It was a silent killer that grew gradually day by day. It just seemed like I started to dislike my job more and more. I started to feel lethargic about coming to work. The utter joy and compassion that I had experienced in the beginning of my career started to fade day by day. This is dangerous because as nurses we are the symbol for compassion. Who wants to be treated by a nurse who just doesn’t care about them? I had to ask myself “What was happening to me?”

I began to feel hopeless. I began to fear that I hated my job. That’s when the panic set in. After all of the years that I had devoted to this profession, I was suddenly willing to leave it all in a heartbeat for something else. I was on the very edge. I didn’t want to give up so easily, however, I began to research what I was feeling in an attempt to save my love for my job.

Nurse burnout – The problem affecting nurses everywhere.

Burnout is categorized as physical, mental and emotional exhaustion, according to National Nurses United.  In addition to signs of exhaustion, the person with burnout exhibits an increasingly negative attitude toward his or her job and sometimes their own personal value.

Nurses and other practitioners in the human services fields are at great risk of burnout and vital exhaustion in part due to the high-stress work environments, and the emotional demands of their jobs.  With information, intention, and support you can assess your self-care practices, compassion fatigue, burnout, and vital exhaustion.

Dr. Rachel Remen, nuances our understanding with, “We burn out not because we don’t care but because we don’t grieve. We burn out because we’ve allowed our hearts to become so filled with loss that we have no room left to care.

With that being said what is the solution?

If you feel like you are affected by nurse burnout just like I was there may be a solution. As a Certified Advanced Holistic Nurse and Certified Hospice and Palliative Care Nurse. I’ve experienced these symptoms first hand. Long hours, too many patients to keep up with and the bureaucracy of some of the hospital and care systems was truly overwhelming. Over the course of 40 years working in a variety of settings, I’ve come to understand that nurses have to care for themselves as much if not more, than they care for their patients. I’ve grown over these past few years.

I’ve learned to take time out of my morning for meditation, exercise, and reflection before I start what I know will be a busy day. During the day I know that taking time, even if it’s just a few extra seconds to linger while washing my hands in between patients can benefit both me and the person I’m caring for. I’ve learned to get enough rest, eat well, and enjoy my time off.

I now have greater clarity and focus for practical and useful solutions that enable me to provide better patient care. I am a better teammate and colleague at work and a more loving mom.

All of this came as the result of creating this program to help nurses like myself. I’ve worked with a number of mentors  to hone this amazing program and I cannot wait to share it with any and everyone.

This VIP program is an excellent way to recover from or prevent burnout.  Using our own nursing process, you can empower yourself with interventions that nourish your well-being. The program encourages relationships, mutual learning, and provides a variety of tools for self-care. Maybe you will want to share your discoveries, thereby empowering not only yourself but others.

Here’s how the program works:

Individualized Mentoring: Biweekly individual phone support, mentoring and guidance with instructor.  
Self-Care:Your chosen self care tools are supported with weekly emailed readings and audio-visuals that stimulate reflection, inspiration and insights.
Virtual Community: 1.5 hour monthly group vitality circle- a place to come together for connection, support, and healing in community. (total 4.5 hours)

Wondering if you’re suffering from Burnout?
Click this link and answer these Questions to find out >: Is Burnout Affecting Me?
Developed from: PROQOL UPLOADS

RN’s and LPN’s who successfully complete the program can qualify for 39 CNE’s from the American Holistic Nurses Association which is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.


“This class took me from intellectually knowing what to do about

burn-out to actually practicing better self-care. ”

– TR, VA Hospital, Asheville, NC


“Before, I was exhausted. I have redirected energies to take care of myself which allows me the energy and ability to care for others and to hopefully pass this along to co-workers, clients, family and friends.”

– SC, Pardee Hospital, Hendersonville, NC


” I am so grateful to have participated in the VIP program. Not only am I finding more ease in the hospital working on a medical surgical telemetry floor, I’m finally able to feel more of a balance in my personal life.”

– AL, Park Ridge Hospital, Hendersonville, NC

Owner and Creative Director, Padma Dyvine, is a Certified Advanced Holistic Nurse and Certified Hospice and Palliative Care Nurse. Applying over 40 years working in a variety of settings, Padma inspires with loving support, nurses in all work settings to embrace their authenticity as they move forward in their careers finding balance in their personal and professional lives and organizations in their support of their most valuable asset, their nurses.

Wondering if you’re suffering from Burnout?
Click this link and answer these Questions to find out >: Is Burnout Affecting Me?
Developed from: PROQOL UPLOADS

5 Ways to Get Unstuck, Open to Opportunity and Choreograph Your Dance

Now is a great time to begin reflecting upon the past year, the challenges you have risen to, those you avoided and the goals and opportunities calling you in the new year. In the last 20-30 years nurses have been developing new specialties such as nurse coaching, end of life doula services (separate from hospice employment), expert witness services for litigation, in addition to APRN’s hanging out their own shingles. Today there is wonderful business support for and by nurses for those who decide to make the leap for independence. The health care industry is exploding with expanding technologies while the internet and social media are opening new doors beyond the traditional nurse work venues – hospitals, clinics, military, airlines, camps, universities etc. Nurses everywhere bring diverse skill sets, re-purposing them for innovation and improvements that benefit not only nurses, but those we serve. Change is the operative word in the world we live in these days. What are you doing for yourself and those you serve to manifest your creativity and joy?  Are you holding yourself back and if so what habits and thoughts do you engage to keep you stuck? How do you approach the change, if you are to become unstuck?

Whether or not you are considering moving out of the traditional venues of practice, facing your personal obstacles to change is the critical first step. In taking care of your essence and your spirit, your soul is required for making healthy decisions.  If your brain is in a food fog, or a drug fog, if you are not getting enough sleep, if you are angry and unhappy at work more than you’d like to be, if you are not communicating effectively with your colleagues or you have been procrastinating maybe this will be the year you develop your keystone practices so you can show up for yourself and those you love.

5 Ways to Get Unstuck, Open to Opportunity and Choreograph Your Dance

1. Don’t believe everything you think. (The mind thinks all sorts of contradictory thoughts.)

2. Recognize perfectionism as a form of procrastination.

3. Change offers expanded vision and refreshing growth, though it may not be comfortable.

4. Curiosity shifts you from the restricting habits of criticism and judgement.

5. You will bloom in community~ get the support you need from those who believe in you.

I used these 5 steps recently. I was considering going to the National Nurses in Business Association (NNBA) conference. The loud  voices in my head were  saying such things as, “you are too new, you  need to hone your business skills more, you need to get more skilled with social media… etc.” Not believing everything I think, committed to living with my felt experiences of discomfort and moving beyond my comfort zones at work and at home, I realized the fears I felt were from old mindsets and a longing for comfort. With the insightful questions and the support of friends and my business coach, the power of curiosity took me to a new and interesting space. I began to wonder who would be there, how I could move INS forward to reach more nurses, helping them to heal and prevent burnout. The criticisms and judgments, obscurations of fear, shifted. Empowered by curiosity and open to adventure (and the expectation of a visit to the Gulf of Mexico), I booked a flight and a room in sunny St. Petersburg to attend the 2017 NNBA conference. Upon arrival I discovered many gifted, empowered, generous and inspiring nurses. (Generally that is who we are though, right?)  Nurses with established successful  businesses (some 6 figures) guided and educated their colleagues by their sharing tips, strategies and recipes for success.  There was mutual support in developing business ideas and ways to pursue creative solutions to all sorts of health care situations, patient and staff needs.

Whether or not you are interested in becoming an entrepreneur, it is so important to find a community to support you in articulating and manifesting your dreams. A community who with kindness and gentleness challenges your desire for comfort and your habitual thoughts, encouraging you to be and do your best. It is important to spend time with yourself so that you can nourish your creativity and your spirit to find the wisdom that resides within you. Becoming curious whenever you notice yourself judging or criticizing yourself or another will open your own colorful horizons of love, peace as you become increasingly intimate with yourself. Accepting yourself where you are, knowing that you are always doing your best which looks different on different days is a huge step towards moving away from the saddle of procrastination and its harness of perfectionism towards participation in the wild dance of your life.

Sharing is a way of setting up  accountability for yourself. Last year I committed to my community that INS would offer the VIP program (Vitality in Progress program) 4 times and I would write a blog every week. Well, we offered the program 3 times and ran it once. Realizing we need to market more, I have written 43 blogs, made a vlog, hosted 3 guest blogs, wrote a guest blog, hosted 51 Self Care for Vitality phone calls, 2 radio interviews all to market INS so we can serve you. We want to support you in developing your keystone habits, preventing burnout and assisting you in your healing journey if you are experiencing vital exhaustion. Not too bad for just starting out and next year will be even better! The VIP program needs more marketing and you can help us by getting the word out about how much you have gained from the program, which we will add to our testimonial pages.  We will continue to offer content by writing more blogs, providing more VIP programs, more radio shows and we are adding speaking engagements to support you and your colleagues.

Please join us in sharing your challenges from this past year and how you met them. Count us as part of your community support. Inspire yourself as you inspire us by stepping up to share with us your dreams and goals for the next year.


 Vitality in Progress: Healing and Preventing Burnout for Nurses the 9 week program that supports nurses in developing their own personalized keystone practices of Self care.  With successful completion, you receive 39 ANCC approved CNE’s in addition to meeting wonderful peers and receiving bi-weekly mentoring! Check us out, as the next series starts in January 2018 and there is an early bird discount.

In the meantime, if you want to see what we are like, join our  Free Virtual Connecting Weekly Call-in for Nurses  

 Self Care for Vitality             Phone 712-775-8968                Pin 177444
There is a guided relaxation, followed by a short time for silence in community and optional sharing. We present tips and strategies for Self care on a variety of topics such as:
Setting boundaries, balance, healing, self love, vulnerability, and other topics as they arise.
You can join in with a share or just listen in.           
Wednesdays 6:30-7:00 pm EST


Have a beautiful week in reflection, contemplation, getting unstuck, opening to opportunity, visualizing your goals and successes for the coming year choreographing your own dance!

With love, Padma

Nature Humbles

Every once in a while we like to share a blog that we found very moving. This week our guest blogger is The Nature NurseThank you for reading and enjoy.


By now most of us have witnessed the catastrophic damage that Mother Nature has wielded on our planet with ferocious hurricanes in the United States and a deadly monsoon in Asia.  As I watched the destruction, loss of life, and cries for help, a question entered my mind. I wrestled with it in my soul for days.  How can I profess that nature heals when all of this is happening?

I hold the intention to blend the art of caring with the healing power of nature.  That is the mission of The Nature Nurse platform I created.  This question created inner conflict swirl inside me. I let it swirl inside, as I jumped in to try and help the nurses on the front line of Hurricane Harvey as best as I could. by creating social media discussion aimed at sending them support and resources.  I believe if we want to help the people in these disasters, we need to keep their healthcare team strong.

The nurse heroes selflessly volunteered to step in and care for patients in need, leaving their own families and the unknowns behind.  They remained steadfast for days without relief and sometimes without coffee, water, or needed supplies.  Throughout it all, they posted a few pictures of their team with huge smiles and words of gratitude that they were going through this experience with the most awesome team possible.  They cheered when relief nurses from around the country arrived via military black hawk helicopters.  When the waters finally started to recede, they acknowledged the stress and exhaustion as they headed home to assess their own situations- if home was still there.

One might think that what would follow is their list of complaints.  Perhaps there were, but I didn’t see any sign of that.  Instead I saw nurses who made it through the storm with a new set of eyes.  A deeper appreciation of what mattered.  An excitement and expression of people coming together regardless of color, status, and gender to help other people selflessly, often risking their own lives.

​That is when my ‘aha moment’ came-Nature Humbles.  That is how, in this situation, nature is healing.  Healing the rifts in our society.  Proving deeper meaning to our lives.  Giving us a greater sense of purpose and appreciation.

This is not to say that there wasn’t major loss, especially loss of life.  As of this post, at least sixty people have lost their lives due to Hurricane Harvey.  We even lost one of our own nurse tribe members, Colette Sulcer, a 41 year old surgical nurse who drowned while her three year old daughter clung to her.  Her daughter was rescued.

​The tremendous energy exchange that occurs when a hurricane is formed is intended to cool the ocean.  Nature is only trying to repair the global warming damage that scientists believe we humans have caused.  So it stands to reason, if we want nature to rebalance in a less violent way, we need to work together to heal her.

Empower Your Self by Addressing Your Eating Issues

For some of us Self care around food and eating creates a conundrum. Competent and successful in most  areas of life, if you cannot stop eating when you are full… or despite knowing a lot about nutrition, you are unable to apply that information, you may have an eating disorder and you are not alone. According to the ANA Healthy Nurse, Healthy Nation website, there are 3.6 million nurses, and we “are less healthy than the average American. Research shows that nurses are more likely to be overweight, have higher levels of stress, and get less sleep.”  Self care supports your ability to respond rather than react to the circumstances of your life. It enhances your sense of integrity with yourself, nourishes your sense of well being and may be reflected in positive self-esteem, having energy, and feeling connected to others. Is self care around the topic of nutrition a huge challenge for you?  If you experience discouragement, shame, confusion and depression related to your weight, if you cannot eat like “normal people” and your weight is unhealthy for you, you may have an eating disorder, and you are not alone.

Eating disorders are now recognized to be both medical and psychiatric and serious health issues. Eating disorders affect men and women, can occur at any time in the life span and the symptoms can be quite varied. It is beyond the scope of this blog to go into the details of the various manifestations eating disorders other than to say Eating Disorder Not Otherwise Specified (EDNOS), has been revised and refined in the DSMV to Other Specified Feeding and Eating Disorder (OSFED). It is applied when an individual’s symptoms cause significant distress but do not fit neatly within the strict criteria for anorexia, bulimia, ARFID , Binge Eating Disorders (BED) or Compulsive Overeating. For most people, admitting to having an eating disorder is difficult and emotionally painful. For some, their eating disorders may be or will become addictions. However, knowing that it is not just a matter of willpower, self control or a moral issue can remove some of the stigma. You have a treatable disease and you are not alone. With support in living with the disease of an eating disorder, you can get help in applying all of the accumulated information you have about healthy eating. You can recover. Your recovery is Self care.

I remember sneaking back to the break room to get more of whatever was in there. I remember staff gatherings where I was paying more attention to the food on the table than to my interesting and caring colleagues who brought in their favorite specialties.  I sensed something was wrong with me because I could not stop eating once I started. I tried many diets and eating behaviors to try to gain control of my intake. Puzzled by this, I eventually began to experience shame as I could no longer manage not only my eating but the weight. Years later, I came to understand that I had an eating disorder.

Here are some of the symptoms of Compulsive Over Eating, BED and OSFED:

  • Regularly eating large amounts of food and unable to stop when you feel full- experiencing a lack of control.
  • A constant concern about food and weight, restricting food and obsessing about caloric intake.
  • Do you meet the diagnostic criteria for anorexia nervosa, but your weight is in the normal range?
  • Meet the diagnostic criteria for anorexia nervosa, but still having your period.
  • Chewing food and then spitting it out, or vomiting to maintain a normal body weight.
  • Eating normally with others and then eat more when you are alone.
  • Sneak eating.
  • Eating quickly so that you can eat more before feeling full.
  • Experiencing embarrassment, guilt, disgust, depression and/or shame over your inability to control your eating after an episode of over eating.
  • Obese and at risk for the consequent health issues of heart disease, diabetes type II, joint and muscle pain, cancer, osteoarthritis etc. and unable to get a handle on getting to a normal weight.
  • Feeling like you are alone with your eating issue.


If you think you might have an eating disorder, you have a number of options. You can discuss this with your primary care provider.  You can check out Over Eaters Anonymous which despite the name, welcomes all who have issues with food by working a 12 Step Program which is “a spiritual solution to a physical problem”, you can do nothing about the issue and of course you will continue to explore the issue until you find a solution that works for you.

 Vitality in Progress: Healing and Preventing Burnout for Nurses is a 9 week program that supports nurses in developing their personalized Self care plan. Some participants have chosen to address their eating patterns in the program. With successful completion of the program, you also receive 39 CNE’s! Check us out, as the next series starts in January 2018 and there is an early bird discount.


In the meantime, Join our  Free Virtual Connecting Weekly Call-in for Nurses

Self Care for Vitality

Phone 712-432-3066                Pin 177444
There is a guided relaxation, followed by a short time for silence in community and optional sharing. We present tips and strategies for Self care on a variety of topics such as:
Setting boundaries, balance, healing, self love, vulnerability, and other topics as they arise.
You can join in with a share or just listen in.           Wednesdays 6:30-7:00 pm EST

Please share with us your experiences of your challenges with healthy eating and the solutions you have found.


Have a beautiful week taking good care of your precious Self by eating healthy foods in moderation.

With love, Padma

Other Resources:

Nurses and Addictions: https://www.drugrehab.com/addiction/nurses/

A Nurse’s Guide to Eating Disorders  http://onlinedegrees.bradley.edu/nursing/dnp/a-nurses-guide-to-eating-disorders/



Take Refuge in Your Professional Ethics

Your professional ethics support you when you lean on them with skillful speech. Professional behavior takes you on the “high road” by employing integrity. As a professional you are honest, do no harm, competent, accountable, and self-regulated. As health care budgets are cut and more work is expected of fewer nurses, speaking up for justice and ethical behavior is not always easy.  3.6 million nurses strong, the profession has resources to keep you on track to have a strong ethical voice when it comes to health care issues.

Comparing current events to the rise of Nazism and Fascism in the 1930’s, Yale Professor Timothy Snyder reminds us in On Tyranny: 20 Lessons from the 20th Century, “when political leaders set a negative example, professional commitments to just practice become more important…. If members of professions think of themselves as groups with common interest, with norms and rules that oblige them at all times, then they can gain confidence and indeed a certain kind of power.”  (p. 40) In 2015 the ANA took an unequivocal stand on the issue of incivility and bullying in the work place. Nurses are required to “create an ethical environment and culture of civility and kindness, treating colleagues, co-workers, employees, students, and others with dignity and respect.” Similarly, nurses must be afforded the same level of respect and dignity as others (ANA, 2015a). The ANA has also taken a thoughtful and strong stand on health care reform.

Although there are no federal standards that require workplace violence protections, several states have enacted legislation or regulations aimed at preventing workplace violence.  What does your state have in place? You need strength and clarity to stand up for yourself and others when in a toxic situation of incivility or bullying. The 4 Gates of Speech will guide and support your ethical behavior when you are told the situation is exceptional, or you are asked to do something that is immoral and puts your license at risk.

4 Examples:

  1. I was a hospice nurse in a rural area. The company was having many different economic and staffing difficulties. My census was increased to way beyond what was safe or reasonable.

With some trepidation, I explained to my supervisor that I could not take the next admission because it was not safe for me or for the patient. The admission was given to  another team.  Safe RN ratios have been proven to improve the quality of care and nurse recruitment and retention in California hospitals which is the only state that has mandated nurse/patient ratios. My experience of speaking up to my supervisor was very empowering. It also was a good example to my peers.

     2.  An APRN colleague recently relayed the following experience: After her report in the monthly meeting, the supervisor criticized her in front of the team such that she felt “shamed, embarrassed, humiliated and undermined”. The APRN later went to the supervisor. She explained to her that if she had a criticism, she should tell her privately. The supervisor has not humiliated the APRN since, but continues her uncivil and bullying behavior with others.

Our  beautiful profession of nursing is about reducing suffering and building on strengths towards increased well being for nurses as well as those in our care. Using the 4 Gates of Speech you can confront difficult situations with clarity and confidence.

Is it true?         Is it necessary?                  Is it kind?                           Is it the right time and place?

Using these gates let’s unpack  the APRN’s situation. We don’t know if the criticism was true or was necessary. However, the supervisor clearly chose the wrong time and place and was not kind. The APRN spoke her truth to establish her professional boundaries and consequently was teaching the supervisor how to behave professionally. She did not share her feelings of being undermined, shamed and embarrassed. (Under other circumstances sharing feelings might be useful.) The APRN found a place that allowed for privacy but we don’t know if the time was mutually satisfactory. The APRN spoke in a way that was professional, which is, kind and beneficial. Her speech and action set an example to prevent future occurrences of incivility to herself and others.

3. In the 1980’s I worked in a small city hospital that began to change its identity from a neighborhood hospital to a corporate model. Nurses’ benefits were cut and nursing positions were eliminated in addition to other cost cutting efforts at the expense of patient care.

It was the nurses’ professional behaviors- how we spoke to each other, what we said, where we said it, and the actions that followed that convinced reluctant nurses to reconsider their positions. Taking the “exceptional” stance: “just for now and the situation will change”, the cuts continued. The nurses discovered that advocating for their patients, they were also speaking on their own behalf. Eventually a nurses union was voted in and the nurses had a voice at the bargaining table and negotiated improvements on behalf of themselves and their patients. At the end the nurses remarked what an empowering learning experience it was for all.

4. More recently remember  the arrest of University of Utah Hospital nurse Alex Wubbels on July 26, 2017. She was defending her patient’s right to not have his blood drawn without consent. It would have been an ethical breach to not have done so.  Having to speak up to law enforcement officials, which can be difficult given their positions of authority and power, her actions have given everyone an excellent and extreme example of advocacy.

The bottom line is that if your license is at risk, you are facing an ethical dilemma.

When you see something that is not professional or right, do you deny it, turn away or stand up? What gives you that strength and courage to stand up for yourself and others?  As you reflect on your career, please share with us your experiences of professional risk and how you handled it.

90 day program, participants strengthen their advocacy skills with 3 Self-care habits,
sharing in an accountability community and with individualized mentoring.
With successful completion, the nurse also receives 39 credits!

Free Virtual Connecting Weekly Call-in for Nurses
Phone 712-432-3066       Pin 177444                  Wednesdays 6:30-7:00 pm EST
Join us- in a short guided relaxation,  a short time for silence
in community and optional sharing.
We present tips and strategies for Self care on a variety of topics such as:
Setting boundaries, balance, healing, self love, vulnerability, and other topics as they arise.
It’s free to all and you can join in with a share or just listen in.

Talking to Your Best Friend

What you think and how you talk to yourself may not be audible to others, but does influence your deeds and words affecting not only you but others.“Don’t forget to turn off the lights, Honey”, read my friend’s note to herself at the  door. The aha for me was that I could talk to myself the same way I talk to her, and it has been a rewarding process.  The Sufi, Buddhist and the Yogic traditions offer us the 4 Gates of Speech to help us before we speak to ourselves and to others. I visualize these gates as sieves for effective communication that separate what is kind, true, necessary and beneficial from what is not.

  1. Is it true?
  2. Is it necessary?
  3. Is it kind?
  4. Is it the right time and place?

Do you talk to yourself the way you talk to your best friend? After all, you are part of your kindness, caring equation. When you make a mistake- do you speak kindly to yourself or do you call yourself names?  Do you put yourself down? What is the tone of your inner voice to yourself? Is it kind, understanding and compassionate, or scolding and judging? Remember feelings may truly be there, but they may not be the truth of the matter.  Do you tell yourself the truth about yourself?  You may experience embarrassment or shame, but that does not mean you are bad or shameful.  Strong feelings can be difficult to feel and can cause you to say things that you regret. So pausing and checking in with the 4 Gates of Speech can help you to not hurt yourself or others.

Mahatma Gandhi the great peace activist said, “speak only if it improves upon the silence”. Pausing before going through the 4 Gates of Speech, increases your awareness of your inner dialog which is a strong step in reducing suffering in you and in others. Like everything, it takes practice, so if you goof up saying something you regret you can use the 4 Gates to correct the message and without people pleasing. Like feathers out of the pillow, you cannot take the words back, but you can make your next words reflect having passed through the 4 gates. The gates are useful for recognizing not only content and time, but to whom you need to apologize.

These 4 Gates of Speech are protections that enhance your esteem. Becoming thoughtful about what you think and say and how you think and say it, you engage truth, kindness and sensitivity which  decreases gossip and makes for friendlier personal and professional worlds for you.

I now write notes to myself with kindness.  The alarm that reminds me when it is time to get ready for bed says, “Time to wind down, Dear.”

Healthy self talk is empowering and kind.   

In the Vitality in Progress: Healing and Preventing Burnout for Nurses participants choose 3 keystone habits to practice. The topics of communication, boundaries, compassion and kindness are personalized through reflection, mentoring conversations and sharing circles.  Participants explore their self talk and are encouraged to notice any negative self talk or behaviors.



In the meantime,  join us on Wednesdays 6:30-7:00 pm EST

Self Care for Vitality
Free Virtual Connecting Weekly Call-in for Nurses
Phone 712-432-3066
Pin 177444
There is a short guided relaxation, followed by a short time for silence
in community and optional sharing
We present tips and strategies for Self care on a variety of topics such as:
Setting boundaries, balance, healing, self love, vulnerability, and other topics as they arise.
It’s free to all and you can join in with a share or just listen in.
Have a great week speaking kindly to yourself and others~
With love, Padma

Facing Your Biases For Better Nursing and Self Care

The nurse role offers you a wonderful way of deepening your experience with others and yourself as you meet your self care needs. “Back in the 1980s, Salman Rushdie wrote that the defining figure of the 20th century was the migrant.” A few month’s ago the institution I work for offered a diversity training which began my awakening to my own unconscious biases. Recently combining HeartMath and a 21 day challenge to increase my experience and understanding of inclusion sponsored by Kindspring.com , I discovered that inclusion involves an intimacy with my own biases.  

Surprised to discover subtle prejudices despite having worked over 40 years with people of many cultures and abilities, I was uncomfortable and also realized that moving out of my comfort zone meant growth. Self care includes the usual physical options such as improving diet, sleep, and exercise, and taking care of emotional and mental education and well-being. More aware of personal biases, I now listen to the news differently and relate to my colleagues and patients with greater sensitivity, showing up with greater authenticity and kindness as a result.

As a nurse you are responsible for knowing, meeting and advocating for your needs. This means dealing with your fears, concerns and biases which can show up as emotional and mental attitudes that reduce the quality of your patient care. The intellectual knowledge that you are helping, can obscure subtle biases, but these times require us to provide optimum care to everyone. We all have biases, and often they are unconscious. There is evidence that when health care providers are not aware of  their biases,  they actually decrease the quality of the care provided. Hospitals and other health care organizations are now required to offer diversity training. The vision of the CMS OMH (Centers for Medicare & Medicaid Services Office of Minority Health) is to eliminate disparities in health care quality and access through the development, implementation and evaluation of programs and policies that incorporate the needs and voices of the populations they serve.  I encourage you to participate in diversity trainings that are offered because they can be illuminating though perhaps initially uncomfortable.

If you don’t have access to diversity trainings, you can discover some biases by honestly exploring your own thoughts and behaviors as you answer the following questions:

Do you speak about people/patients who are not like you, differently when you are in their presence as opposed to outside their hearing?

What are your feelings about a wall between the US and Mexico?

Do you offer your nursing care with an open heart?  What does being open hearted mean for you?

What are your feelings about the LGBTQ people?

What are your feelings about transgender people serving in the military?

What are your feelings about Deferred Action for Childhood Arrivals?

Are you educated about institutional and systemic racism, oppression and white supremacy?

How comfortable are you talking about these issues with others?

You can also learn more about these topics by checking out the following on line sites:

As a nurse you protect those you care for from all forms of harm as if they are a members of your family. Remember, your inner state, your core beliefs make a difference in how you relate to the world and your work. We all act out our unconscious inclusion issues.  Nowadays, in this global community, we in fact are one human family.

If you are experiencing any discomfort, please take time to be kind to yourself and work with it. I invite you to join me in taking the 7 day Bias Cleanse in the next week.

You are welcome to join our Wednesdays
6:30-7:00 pm EST
Free Virtual Connecting Weekly Call-in for Nurses

                   Self Care for Vitality
Phone 712-432-3066          Pin 177444
On this weekly phone call there is a short guided relaxation, followed by a short time for silence
in community and optional sharing
 We present tips and strategies for Self care on a variety of topics such as:
Setting boundaries, balance, healing, self love, vulnerability, and other topics as they arise.
It’s free to all and you can join in with a share or just listen in.

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With love, Padma

American Horror Story: “Ratched”

  • “Sandy Summers and the “Truth About Nursing” have provided information about the planned Netflix series reviving the image of “nurse Ratched,” once portrayed in the infamous film “One Flew Over the Cuckoo’s Nest.”  Sandy Summers is the leading voice on nursing and the media, and her analysis of what is in the works is a “must read.”  So head on over to her post now to learn the facts, and about important ways to participate in activism on nursing and the media.”   https://nursemanifest.com/
  • September 8, 2017

Netflix and Ryan Murphy plan two-season TV origin story for one of the most damaging anti-nurse stereotypes in history

September 7, 2017 – Today media sources reported that Netflix bought the new Ryan Murphy project “Ratched,” which will be an origin story based on the archetypal battle-axe nurse character from Ken Kesey’s novel and Milos Forman’s film One Flew Over the Cuckoo’s Nest (1975). The New York Times reported that Netflix has committed to at least two seasons and 18 episodes of creator Evan Romansky’s show. Production is planned to begin in 2018 and trace the title character’s “evolution from a low-level nurse into the severe, manipulative tyrant who terrorizes mental institution patients in Ken Kesey’s 1962 novel.” Varietyreported that the story would start in 1947, and that longtime Murphy collaborator Sarah Paulson would play the title character. Among the producers is Hollywood star Michael Douglas, who was one of the producers of the original Cuckoo’s Nest film. Unfortunately, Nurse Ratched embodies the enduring battle-axe stereotype of nursing, the idea that any female nurse in authority must be a repressed maternal tyrant bent on torturing patients and emasculating innocent, freedom-loving men in order to resolve some unseen psychosexual damage in her own life. Michael Douglas and Saul ZaentzDeeply misogynous in its linking of female power with insidious oppression, the two-dimensional portrayal has spawned countless copies and variations in ensuing decades, right up to recent television shows like Grey’s Anatomy. Needless to say, it would take extraordinary skill and care to make a show about this character and not have it cause serious damage to nursing. Is that likely? Ryan Murphy’s track record on nursing does not inspire confidence; consider his damaging misportrayals on Glee (2). Of course, it would be a mistake to assume this is just another example of the blatant misogyny that appears to have overrun too much of the nation’s discourse over the last year or so, although we suppose that might help the show find an audience. Murphy has done thoughtful work and shown some concern for women’s issues and experiences. His aesthetic seems to reflect an interest in powerful, gloriously damaged females, for example in American Horror Story and Feud. But even if viewers need another hilarious portrait of twisted female malevolence, nursing does not. The battle-axe and other female-oriented media stereotypes have played a key role in the global nursing shortage that takes countless lives, especially through under-staffing; the world needs millions more nurses than it has been willing to pay for. In fact, nurses as a class are not sociopathic monsters, but college-educated science professionals of all genders who monitor, evaluate, educate, advocate for, and save patients in a wide variety of settings, such as university hospital burn centers where a critically injured patient might go after a vehicle crash. Researchshows that too few nurses increases patient mortality–and that popular media stereotypes play a role in undermining nurses’ claims to respect and resources. Please join us in urging Ryan Murphy, Netflix, and all involved to consider whether “Ratched” can be done without reinforcing a devastating stereotype of a life-saving profession. If it happens despite our objections, please urge them to reduce the damage by introducing some nuance in the title character — it’s possible: Nurse Jackie was fatally flawed and supremely talented — and featuring other nurse characters with some of the positive traits of real nurses, such as expertise, courage, decency, and so on. Thank you.

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