Why Prospective Students Should Consider Nursing

Why Prospective Students Should Consider Nursing

As the school year starts up again, we thought we’d share why nurses love what they do to help inspire prospective students to pursue this rewarding career. We asked each nurse why it’s great to be a nurse right now and they gave us many different reasons, but they all agree on one thing: being a nurse rocks!

Here are seven reasons prospective students should consider nursing.

“2018 is a great time to be a nurse. I’m a Clinical Nurse Educator for patients with chronic granulomatous disease, a rare disease that only 20 people in the U.S. are born with each year, and my job takes me around the country to meet with them in person—but we can connect virtually as well. I’m able to build great, personal relationships with my patients—and, having four children myself—being able to be there for patients like that means the world to me. Additionally, the resources available are incredible: connecting my patients and their caregivers with online social communities and others in the rare disease community who understand their experiences is so helpful in ensuring that they feel less alone. Witnessing this positive impact on their outlook on their condition is extremely rewarding.”
—Brian Coyle, BSN, MBA, RN MSCN, Clinical Nurse Educator at Horizon Pharma

 

 “Nursing is future proof. A complex computer algorithm meant to replace nurse anesthetists like me for endoscopy procedures was recently pulled from the market, because robots can’t do this job. The ethical and bureaucratic hurdles have never been more challenging, so nurses feel useful and irreplaceable.”
Nick Angelis, CRNA, MSN

 

“The best part about being a nurse in 2018 is having access to the best education, technology, and resources available, which allows us to pinpoint clients’ needs and help them achieve their daily goals and a better quality of life.”
Eronmwon Balogun, RN, BSN, Skilled Home Care Nurse, BAYADA Home Health Care

 

“I’ve always had an overwhelming sense that I needed to help anyone I felt was in pain either physically or emotionally. I truly believe it’s within my soul—an innate gift. When I was an Army medic, I was in constant awe of my fellow soldiers—whether a medic, nurse, or MD—the camaraderie was powerful. I knew I wanted to pursue nursing as a career.

When I graduated nursing school, I began my journey in Oncology. Twenty-seven years later, I am still fortunate enough to be caring for the Oncology population. To this day, I still have that feeling in my heart and gut—the sense that has allowed me to become part of so many lives, and to help countless patients and families.”
—Kevin Flint, RN, BSN, MBA, OCN, Nurse Director, Vernon Cancer Center, Newton-Wellesley Hospital

 

“Today’s world is fueled by powerful women, and this is very evident in the nursing profession. You are never limited as a nurse because you can work anywhere you want—in a school, hospital, or even home setting. Nursing is an empowering profession that is in demand and can take you nearly anywhere you want to go.”
Pamela Compagnola, RN, Clinical Manager, BAYADA Home Health Care

 

“In our high-tech world, as a nurse I love that I am still able to give a personal human touch to people in need of care. For me, the person-to-person connection is why I went into this field and brings me simple joy every day.”
Lannette Cornell Bloom, BSN, RN, author of Memories in Dragonflies, Simple Lessons for Mindful Dying

 

“Nurses today have endless possibility and opportunity to really make a difference. We need to believe and be empowered that we do make a difference and that we are a big part of the health care system.”
—Rodilyn Glushchenko, RN, MSN, CCRN, CCNS, NE-BC, Nurse Director ICU, Hemodialysis and Cardiovascular Center, Newton-Wellesley Hospital

The Growing Need for Bilingual Nurses

The Growing Need for Bilingual Nurses

As increasing numbers of patients don’t speak English as their first language—or at all—the health care field is taking action. Here’s what’s happening and how you can become involved.

Imagine if you were in a hospital in a country where no one spoke English. ­Being in a strange hospital or other health care facility can be scary enough, but if you had no idea what was going on, it would make you more stressed—possibly making your health worse. You would feel incredibly vulnerable, as not knowing what was happening to you or if the workers could help you would be terrifying.

There was a time in the United States when that could happen. Although it shouldn’t happen, legally, anymore, as Allison Squires, PhD, RN, FAAN, explains, there is still a need for more bilingual nurses. “All health care facilities are required by law—including the Civil Rights Act and updated regulations in the Affordable Care Act—to provide patients who do not speak English with an interpreter,” says Squires, an associate professor at the New York University Rory Meyers College of Nursing. “The interpreter can be an in-person interpreter or a telephone or video interpreter to meet the requirements of the law.”

According to Squires, the increase in patients who haven’t developed English skills comes from two situations: the post-WWII legacy in which U.S. citizens came here as immigrants, and the most recent wave of immigration, which has matched or surpassed the immigration numbers of the early 20th century. “According to the Pew Research Center, one in five households in the U.S. speaks a language other than English at home. More communities are also becoming refugee resettlement cities across the U.S., which means increasing linguistic diversity in places that have historically only had English speakers,” says Squires. “The demand for nurses who speak another language is at an all-time high.”

Location, Location, Location

While all the sources whom we interviewed agree that Spanish is the most prevalent second language needed for ­patients, they also say that other languages are vital as well, depending on your region of the country. “Spanish is the priority language nationally. Other languages depend on where you live and who is ­migrating there,” says Squires. “For example, in the New York City and New England regions, there are now large numbers of Russian speakers. These individuals often come from former Soviet Union states where Russian was the official language. Other parts of the country, like Texas and Louisiana, have large numbers of Vietnamese speakers who came to the U.S. as refugees or ­immigrants. Other than Spanish, language demand is often specific to a local health care service area.”

“Spanish is the language in highest demand, particularly in Texas, California, Florida, and Illinois. In California, bilingual skills are needed for Spanish, Chinese, Vietnamese, and Russian,” says Terry Mort, who is manager of talent acquisition for VITAS Healthcare, the nation’s leading provider of end-of-life care. In the 14 states and the District of Columbia in which they provide care, VITAS Healthcare has also found the need for Mandarin, Cantonese, Tagalog, Hmong, Korean, and Creole.

“We constantly have to look at demographics of the communities we serve and pay ­attention to how they’re changing over time,” explains Mort. “Take California as an example. At one time, South Central Los Angeles was primarily an African American community, whereas today it’s predominately Hispanic. And as our services move into outlying areas of Los Angeles County, our needs change again because we encounter more families that are Filipino, Asian American, or Hispanic American.”

Currently, in South Florida, several VITAS hospice teams are solely Spanish speaking to appropriately serve their patients’ and community’s needs. “In California, a trilingual nurse—someone who speaks English, Spanish, and other language—would be in high demand,” says Mort.

Although particular languages may be needed to serve certain populations, there are also instances in which unexpected languages may also be required. For example, when there was a recent influx of patients from Puerto Rico at the University of Maryland ­Baltimore Washington Medical Center who needed health care after Hurricane Maria, there were more Spanish-speaking patients, says Edith Lopez Dobbins, RN. Dobbins is a JET Nurse, which stands for Just Excellent Timing and means that she is a full-time nurse who serves as supplemental staff for different nursing units throughout the hospital. As a result, she has noticed an overall increase in patients who speak Hindi and Korean as their first language.

“In the hospice profession particularly, we also have the challenge of end-stage dementia patients, who may revert to their language of origin as their disease progresses. We had a Russian patient who reverted to speaking Russian, but the family indicated he had not conversed in that language for more than 20 years. If that happens, it requires us to update our care plan so that our nurses and staff members can communicate effectively with these patients in a language they understand,” explains Karen Peterson, senior vice president and chief nursing officer for VITAS Healthcare. “The more languages our staff members can speak, the easier our job is.”

Benefits to Being Bilingual

Bilingual nurses on staff help open everyone up to another world as well as another set of patients to care for, says ­Vivian Carta Sanchez, DNP, ARNP, from Tenet Florida Physician Services. “Nurses who are bilingual can also serve as translators to communicate very important information from physicians who do not speak the language,” says ­Sanchez.

Squires says that if you work in a hospital, home care, long-term care, or rehabilitation, there are four key times when interpreters are needed—­admission, patient education, consent, and discharge. “­Using an interpreter during these times can help reduce your patient’s risk for readmission and ­complications,” explains Squires.

Having a nurse who is ­bilingual, rather than using a family member to translate, can be crucial. “Let’s say that I take five minutes to explain something in detail to a patient, and the family member who translates what I said to the patient takes about 30 seconds. I can tell that my patient isn’t hearing the same thing that I said—and that’s a risk to the patient, because they’re not getting complete information,” says Peterson. “It’s one of the reasons we prefer not to use family members as translators because they are part of the unit of care and also dealing with psychosocial issues associated with end of life.”

Another advantage to staffing or being a bilingual nurse is that when you are speaking the same language as a patient, the work you are doing will take the same amount of time that it does as when you are talking with an English-speaking patient, says Squires. There’s no need to be concerned about waiting for an interpreter to arrive or to have to deal with any issues that can occur when using an interpreter by phone. In addition, communicating with family members may also be easier. “That being said, as a bilingual nurse, if you are the first language nurse to work with the patient when they access health services—be they in the hospital, home care, or primary care—sometimes you spend more time with them initially because the patient is so happy to have someone who speaks their own language,” states Squires. “You find out all this other stuff that the patient held back because of the language barrier or issues with interpreter services. Another advantage of being a bilingual nurse is that you can quality check video or phone interpretation.”

Culture Comfort

Speaking to patients in their native language isn’t only about the words; it’s also about their culture. Dobbins says that while they use “language phone-lines” to keep at patients’ bedsides so that they, their families, and the health care workers can communicate—which is certainly helpful—the phones can also make talking more impersonal. “It makes patients and their families uncomfortable—­possibly because it’s not just about language, it’s about culture. Most of the time, we use peers in the health care team who speak the same language as the patient for better communication and overall quality of care,” says Dobbins.

“Bilingualism is even more imperative in the hospice profession because there’s a lot of emotion and psychosocial aspects of language surrounding the dying process. Each person might have a different opinion or thought process around the issues related to dying. It’s unique in that people may have difficulty conveying their thoughts and feelings, even in the same language, simply because it’s about death,” explains ­Peterson. “Some ­patients or family members can’t even say the word ‘hospice,’ so they find a way not to say it. But when our nurses, families and patients understand each other’s language and cultural nuances, we’re more confident that patients are making the right decisions and receiving the best possible care because everyone understands each other.”

Knowing about patients’ culture has become so important that the Chamberlain University College of Nursing began offering a Hispanic concentration on its Phoenix, AZ campus in May 2016. Pam Fuller, EdD, MN, RN, the Phoenix campus president, states that this concentration doesn’t aim to attract Hispanic nurses, but rather to appeal to nurses who want to care specifically for this culturally diverse group. This concentration is offered to anyone who is enrolled in the university’s pre-licensure BSN program. Because of its ability to logistically provide clinical experiences for students who are enrolled in the Hispanic concentration, the Phoenix campus volunteered to pilot it. “The local hospitals and health care centers currently serve Hispanic patients and families every day, and Chamberlain helps provide nurses and care to these local communities,” says Fuller.

“Providing nursing care requires not just an appropriate educational degree and a license, but also crosses boundaries of human dignity and respect. Many, if not all, hospitals and care centers are challenged to communicate more effectively with their ­patients, regardless of cultural background. Chamberlain specifically launched the ­Hispanic concentration based on information from hospitals in our local markets,” explains Fuller. “When a patient is in pain or in need of health care, they tend to revert to what is comfortable to them, culturally. If you are culturally more comfortable with your own language and traditions, if there is someone who can speak—at least a little bit—the language you speak, it makes the care that much more effective and personal.”

“Chamberlain’s Hispanic concentration is not a ­language program. This concentration exposes students to the Hispanic language and culture and allows for 25% of their clinical experience to be placed with a Hispanic patient. This gives them real-time experience in serving the Hispanic population,” says Fuller. “Any student—­regardless of their personal cultural background—may enter this ­concentration…The goal of the Hispanic concentration is to educate students and expose them to the culture and language of the ­Hispanic community to provide an improved level of care to this ­population.”

Attracting Appropriate Personnel

How can facilities go about recruiting bilingual nurses? Squires believes that a combination of actions could help. Nursing schools need to ­recognize local demand for bilingual services and restructure curricula to help ensure the success of English as a ­Foreign Language (EFL) students, says Squires. “Even now, EFL students have lower pass rates on the NCLEX-RN exam, and that’s not helping to meet our need for more bilingual nurses. Schools need to change how they teach and support EFL students so they have the same success rates as English speakers,” Squires says.

“Organizations should give bonuses to people who are bilingual to encourage better communication,” says ­Sanchez.

As for becoming bilingual, Squires says that to achieve the level of fluency to be able to effectively and safely communicate with patients about health issues, nurses would be required to undergo years of study or at least a six-month immersion in a country where the language that they want to learn is spoken. “Having just a few words or phrases can be helpful for recognizing when a patient is in pain or [has] toileting needs, but when it comes to the complex communication needs that go with admission for services, patient education, consent, and discharge, you really need to have what’s called sociolinguistic competence in a language. That’s something that your employer should help you certify or do it on your own to make yourself more marketable,” says Squires.

At the end of the day, being bilingual or having bilingual nurses on staff is all about patients’ safety and comfort. “As a nurse, many of my most rewarding moments have to do with going the extra mile to help a Spanish-speaking family during their hospital stay,” says Dobbins.

How Having a Good Credit Score Can Boost Your Nursing Career

How Having a Good Credit Score Can Boost Your Nursing Career

Having a good credit score can provide you with a lot of benefits—we hear that all the time. Did you know, though, that it may also help you with your nursing career?

We didn’t either. So we went to April Brissette, Chief Credit Officer of Bankers Healthcare Group. She took time to explain how good credit can influence your career and how to make sure that you have it (or fix it if you don’t).

Please explain why having a good credit score can boost your nursing career. Can it help you get a better job? Do employers now look at credit scores before hiring or promoting?

A lot of employers do background checks, particularly those hiring for professional level positions, and your credit score can be part of the background check. No one can pull your credit without your permission, but that is often in the fine print of the background check you sign off on. Of course, you can decline a background check if you’re concerned about your credit score, but that might be a red flag to the employer.

Your credit score can be viewed as a reflection of your character. Someone with good credit illustrates being trustworthy and responsible; someone with poor credit can paint a very different picture. If an employer sees that you have public records (for example, bankruptcy or tax lien) or you’re past due on accounts, it can tell a story about your financial history.

For temporary positions, like a traveling nurse, background research has a tendency to go up. Why? Because when you’ve had numerous employers for a short period of time, they may not be viewed as strong references.

As a representation of your financial health, your credit score can open or close a lot of doors—not just for financing approvals, but for even getting a job.

How can a nurse find out what his/her credit score is?

Sign up for CreditKarma.com—it’s a free app/website where you can access your credit score as many times as you want, and you pay absolutely nothing. (Advertisers use the site to market to people, which is why it’s free.)

It’s incredibly important to know your score; it’s a laborious process to get things removed, so you’re better off being informed about what your report says. Check it regularly. When you’re doing a self-inquiry—checking your score yourself, also known as a soft pull—it does not impact your score, and nobody will know your credit is being looked at.

CreditKarma alerts you about anything that affects your score and gives you recommendations on how to improve it, as well as approval odds for different financing options, tailored specifically to you.

Suppose nurses don’t have good credit scores? What can they go about doing to raise them?

The best way is to keep your accounts current: Pay everything on time.

Reduce or eliminate the amount of inquiries you have. Only have your credit hard pulled if it’s absolutely necessary. For example, when buying a car, you don’t want to have three dealers pull your credit—because dealers then send it to their banks and before you know it, a ton of people have accessed it and then your score drops.

Keep your revolving availability at least 50%, ideally 75%. Let’s say your available limit on your credit cards is $10,000 total; you want to ideally keep your balance at $2,500 or less, but never past $5,000. The lower your availability, the more your score goes down, and that can be an indication that you’re struggling, from a lender’s perspective.

It takes time to improve your score. The most derogatory credit items can remain on your report for 7 to 10 years. They will have the largest impact on your score when they first appear. Over time, the impact it has on your report decreases. If you’re coming back from a terrible life event, you just have to take time to work toward improving it—but it’s important to use that time to get your score back up by doing everything right.

Ask to be added as an authorized user/signer—perhaps a parent or spouse can add you to use their credit card or to just have you added to the account. It doesn’t make you the authorized payer, but it goes onto your credit report and history. Just be warned that if the actual signer is late, it will also affect your score.

What are some tips to create a good credit score?

The number-one common mistake that young professionals make is opening a ton of credit card and store card accounts. This increases the number of inquiries and hits your credit score. They think it’s helping build their credit because creditors want to give them a card, but it won’t help get your score up. Ideally, you should limit your inquiries to 1 to 2 times a year. Every six months, try to establish credit with an institution—a credit card, auto loan, etc. And remember, make all of your payments on time and don’t go over 50% of your limit.

Pay off your balances in full on your credit card every month if you can. There’s a misnomer that if you don’t carry a balance, it won’t help your score—but it’s actually the opposite. Pay off in full if you can.

Don’t over-borrow. There are a lot of lenders that will give you more than you should borrow. Be smart, and don’t borrow something if you can afford to make the full monthly payment comfortably.

What are some things that nurses absolutely should do or shouldn’t do with their finances to keep a good credit score?

Do not pay anything late, no matter what it is.

If you can make even the minimum payment, do it, because if something is late, it’ll show up on your credit report. Credit cards should be used as a tool rather than a crutch. Use them to get your rewards or in an emergency situation.

Put everything on autopayments. This is a great way to make sure your payments are never late. It’s a great safety net; it won’t get your balance down unless you schedule to pay it off in full, but it can reduce the stress in that you never have to worry about incurring a late fee. A lot of lenders will offer you a discounted rate if you set up auto-payments—just ask.

Do not co-sign for someone else. In our experience, what we see is a lot of borrowers will co-sign for their children for auto-loan/school loan, and their child doesn’t make the payment—then their credit score can suffer. There is a misunderstanding that as a co-signer, not the main borrower, you’re less of a risk or free from it, but it’s not true.

Should they see a financial advisor for help? If so, what should they look for in one?

I don’t think it ever hurts. Seeing a financial advisor might not do anything for your credit, but they can help you take control of your finances.

Do your research—choose someone who is a certified financial planner. The credentials prove they’re educated and certified.

Is there anything that you think is important for readers to know?

You wouldn’t want to miss out on the perfect career opportunity because you haven’t protected your financial health.

Working with Rural Communities: One Nurse’s View

Working with Rural Communities: One Nurse’s View

Every workplace has its challenges. But, on the flip side, each has its advantages as well. We asked Beverly A. Ely, APRN, FNP-C, who works as a Family Nurse Practitioner in Harrogate, Tennessee, about what it’s like to see patients in a rural area.

Beverly A. Ely, APRN, FNP-C

What kind of work do you do? 

I currently am a Family Nurse Practitioner and work with Lincoln Memorial University/DeBusk College of Osteopathic Medicine. We have 2 clinic locations that serve the University and the public. In the clinic, I see patients of all age groups from newborns to the elderly.

Working in a rural area is quite different from what most nurses do. Have you worked in a more urban or suburban area before this? If so, how does working in a rural area differ from those places?

My career spans over many decades and regions. I began a career in nursing in the late ‘80s. I graduated from Lincoln Memorial University with a degree as an Associate Nurse. I chose to begin my nursing career in Knoxville, TN and commute back and forth. Working in a suburban area, I encountered larger volumes of patients in which needs were very different than those in an urban location.

The urban area is different than the area where I first began my career. Coming back to it was a different experience, but one that has proven to be the most rewarding. I help them meet the simplest of everyday needs and assist them with coping skills to understand a diagnosis—this is rewarding. That is what I cherish about rural health and the people of the Appalachian area. I can now say that I can give back and serve the people that have given me so much.

Why did you choose to work in a rural setting? What kinds of patients do you tend to see? How are they different from those you saw in a more urban setting? 

I chose to work and serve in the rural area of Appalachia because the needs are so great. I completed 29 years as a suburban nurse and saw many different classes for people. The common denominator for both is survival.

What have you learned from working as a nurse in a rural area? 

I have learned to be patient and compassionate. I have learned that there is very little that we truly need in order to survive.

What are the biggest challenges of working in a rural setting? 

The biggest challenge is compliance and understanding of their illness.

What are the greatest rewards? 

Seeing people feel better and the smiles on their faces.

What would you say to someone considering moving to work in a rural area? What do they need to be willing to do or deal with?

I would voice that rural health is the most rewarding field that you can chose. It requires you to have compassion and patience.

Is there anything else about working in a rural area that is important for people to know?

Yes. Do I plan to continue here? The answer would be YES. It is the most rewarding of my 30 years as a nurse that I could have ever imagined. I’m compassionate and love the people of Appalachian and desire to see them live life to the fullest.

Why Now is the Time to Consider Being a Nurse

Why Now is the Time to Consider Being a Nurse

Being a nurse is a great career! Whether you’re caring for patients, assisting physicians, or talking with families, no day is ever the same. We polled nurses on why it’s a great time to consider a career in nursing in 2018, and here’s what they had to say.

“At the end of every day, I know I made a difference in someone’s life—every single day. I love being a nurse practitioner.”
—Yudelka Garcia, MS, RN, FNP-BC, Clinical Instructor, Columbia Doctors Primary Care Nurse Practitioner Group

“I love being able to help people recover or maintain their health while still being able to apply critical thinking skills and a knowledge of medicine. It’s always gratifying to have patients express their appreciation to me for taking care of them.”
—Paul Wohletz, BSN, RN, CCRN

“The health of the American nursing profession is as strong as ever in 2018. As an African American male nurse functioning in the role as a Nurse Practitioner, I stand on the shoulders of African American giants in nursing such as Beverly Malone, Elizabeth Carnegie, Mary Mahoney, Sojourner Truth, and Harriet Tubman, to name a few. It’s an amazing time to be a nurse and NP in 2018 because the profession and roles are making positive gains and are ever evolving and expanding. The nursing profession is so dynamic, and nurses along with their patients and stakeholders are moving at light speed to eliminate artificial barriers to create a more inclusive, collaborative, collegial work environment without professional constraints or perceived glass ceilings.

Nurses and Nurse Practitioners are not only serving as Chief Nurse Officers, but are also serving with pride and distinction in other capacities including: Chief Executive Officers, Chief Operating Officers, Nurse Scientists, Deputy Surgeon General of the United States Public Health Service, Chief Medical Officers, and many more.

The Gallup survey reports nursing as the “most trusted” professionals in the U.S. because of very high honesty and ethical standards. It is our time, right here, right now!”
—Captain James Dickens, DNP, RN, FNP-BC, FAANP, AANP Board Member-Elect, Manager of the Office of Minority Health, U.S. Department of Health and Human Services

“It is great to be a nurse because I get the privilege [of] caring for people in their most vulnerable times…and I get to wear pajamas (scrubs) to work!”
—Jordan Kaczor, RN, BSN, PCCN, University of Kansas Health System

“You have the opportunity to help others who are in need.”
—Moonja Shin, RN, High Focus Centers, Ambulatory Detox, Paramus

“Now more than ever before, nurses are proving to be forces of change in the health care industry. Traditionally, the nurses’ role was limited to the four walls of the hospital. Now, nurses are taking their role as patient advocates to the next level by letting their voices be heard across multiple disciplines. Nurses are increasingly participating at the legislative level through federal lobbying, as well as getting involved in industries including technology, pharmaceuticals, education, and law. Nurses are even playing a larger role in fashion by designing scrubs, and in architecture by helping to design hospital units. It’s an exciting time for nurses as they expand their responsibilities both within the hospital and in their communities, working to affect lasting change in health care. It’s critical our nurses are able to apply their valuable firsthand experience as caregivers and feel empowered to influence leadership.”
Aparna Bala, MSHI, BSN, RN, Clinical Transformation Consultant, AirStrip

“Nursing is the most fantastic career opportunity of which I am aware. With multiple entry points and endless possibilities ranging from the daily heroism of bedside nursing care to amazing research opportunities, leadership roles, management roles, and my personal favorite: academic nursing. A career in nursing means being surrounded by brilliant, caring people engaged in endlessly fascinating pursuits.”
—Robert Muster, PhD, RN, Regional Dean of Nursing Rasmussen College