Nurses with Disabilities: A Skilled Workforce

Nurses with Disabilities: A Skilled Workforce

Nurses with disabilities find the nursing industry offers excellent career paths that help them fulfill their goals, regardless of disability. Whether nurses have a disability before they enter the workforce or become disabled after their licensure, they are needed to fill jobs and help broaden the diversity of the nursing workforce, says Karen McCulloh RN, BS, co-founder and co-director of the National Organization of Nurses with Disabilities (NOND).nurses-with-disabilities

Working with a disability might require accommodations to help you perform your job better or an open approach to different specialties. Being honest with yourself regarding your strengths and weaknesses will go a long way toward facilitating success,” says Donna C. Maheady, EdD, APRN-BC, founder of ExceptionalNurse.com.

McCulloh, who lost her vision over a 24-hour span, says her nursing skills were enhanced. Weve found that nurses with disabilities have a sense of compassion for patients and what they are going through because theyve been there,” she says. But for nurses who become disabled while already working as a nurse, McCulloh says theres often an adjustment phase. You think about, who am I now? What about my self-esteem, self-identity, self-worth, and self-confidence? Am I still the same person?’” 

Every Path Is Different

Sandra Nosek, MSN, RN, has been a nurse for over 30 years with experience in management, staff development, QA wound care, long-term critical acute care, hospice, and skilled nursing facilities. She had a hearing aid in her right ear but woke up with sudden bilateral deafness in 2015. It rocked my world and was very scary,” she says. Navigating without her hearing proved exceedingly challenging.

Nosek thought shed have surgery and be able to return to work quickly, but her path proved challenging. She obtained her MSN in nursing education (with a 4.0 GPA) in 2019 and, after receiving improved Bluetooth processors in 2021, sent out more than 400 applications with little result.

She landed a job at a skilled nursing facility that restored some of her self-confidence lost in the job search process, and she eventually began working in hospice, a nursing specialty she loves. She recently obtained an RN case manager position with a small hospice in her community. To other nurses with disabilities, dont give up,” she says. Continue to pursue options in your career.”

Kim Hickman, DNP, APRN, Adult PMHNP-BC, works as an adult psychiatric mental health nurse practitioner with the VA Health Care System and has more than 36 years of nursing experience, including in the Army Nurse Corp, as a lieutenant stationed at Walter Reed Army Medical Center (three years on active duty), and roles in medical surgical nursing, home health nursing, occupational health nursing, and volunteer work as a faith community nurse. But Hickman, who has a speech impediment of a stutter/stammer, almost didnt pursue this career.

I was unsure if I would be an effective nurse,” she says. I shared my concerns with my mother, an ICU nurse at the VA then. My mother paused for a few minutes before answering. She looked at me and said, Remember, its more important what you say than how you say it.’ Her confidence in me encouraged me to continue pursuing my nursing degree. From that point on, I focused on the content of my speech, making sure the information was accurate and relevant.”

Hickman says her stutter/stammer can fluctuate depending on the situation and her stress level. Learning to be patient with myself has been a tremendous achievement. I am learning to accept that my stutter/stammer is a part of who I am,” she says, noting that it has positive impacts. Stutter/stammering has allowed me to actively listen to others, to be patient with others, to be present, and to be compassionate and empathetic toward the suffering of others. It has also helped me recognize and value wordspower and importance. It has given me a chance to pause and decide if I want to say what I intended and time to decide if my comments add value or take away value to the conversation.”

Lois Taurman (who has a nursing degree, national certification as a poison information specialist, a masters in educational counseling, a jurist doctorate, and also represented the United States as a wheelchair athlete in the Paralympics Games in Seoul) had plans to work in the Navy as a nurse or as a pediatric nurse when a fall from a ladder just before graduation paralyzed her (she can move her arms, but has no finger movement). Taurman, who now works in Americas Poison Centers, a poison specialist in the Kentucky Poison Control Center of Norton Childrens Hospital, says that while she isnt doing hands-on nursing, her work fulfills her drive to help children.

That doesnt mean the role was anywhere on Taurmans radar. I didnt know poison center nursing even existed,” she says. This is a blessing for my career, but also to feel like I have valuable nursing skills.” Her employer has made adjustments and accommodations so Taurman can work, including adaptive technology and spaces. Still, she knows not all nurses have such proactive employers and may feel like they cant reach their dreams. Be persistent in looking for jobs,” she advises. Your skills may differ, but you can show them how to accomplish the job. It may not be how you envisioned it, but it is still possible. Disability isnt something that should hinder someone.”

PoisonCenters.org is available for all health care professionals to access assistance during a poisoning emergency, and nurses can also find job opportunities there. Always keep the Poison Help number 1-800-222-1222 with you.

Work Options

Nurses must assess their interests and how they work when thinking about a nursing path. Consider the specialties you enjoy working in, determine how fast you can work or prefer, and what accommodations youll need to know whats possible.

According to Maheady, the career options available for nurses with disabilities are very wide and include the following partial list:  

  • Teaching nursing online
  • Parish/faith-based nursing
  • Case management
  • Quality assurance
  • Telephone triage
  • Diabetes nurse educator
  • Nursing informatics
  • Pharmaceutical or insurance company (Nurse Line)
  • Legal nurse consultant
  • Home health nurse
  • Infection control
  • Poison control hotline

Technology is changing the options available to nurses with disabilities. Some apps help nurses with color blindness, and assistive technology will read out information for those who cant see it.  

Accommodations

As a nurse with a disability, the Americans with Disabilities Act protects you from having to disclose your disability, but if you need accommodations, then you will need to disclose. Nurses with visible disabilities (such as amputation or paralysis) will likely address their needs earlier in a job search than those with invisible disabilities (such as anxiety or fibromyalgia). Nurses who an organization already employs could become disabled and will need to determine the next steps.

Despite the tendency for some nurses to not want to reveal any disability for fear it could impact their job, Maheady says sometimes that approach backfires. Undisclosed invisible disabilities can provide a privacy shelter for some nurses,” she says. However, it may not serve the nurse or institution well.” Colleagues and supervisors might not know about the disability and could make hurtful comments about not looking sick or faking symptoms to struggling nurses.

So, when is a good time? McCulloh says once you have a job offer, you should consider the need for any accommodations. But before that even happens, youll want to think about precisely what youll need to do the job best. Even the most accommodating human resources department cant guess your needs, so having a detailed plan will help get you what you need and help human resources make the best plan.

When you have the job offer, approach the topic with your natural enthusiasm for the position, the new opportunity, and the skills youll bring. And then relay having a disability and needing specific accommodations to perform the job. Put everything in writing, says Maheady. See this Sample Language for Accommodation Request Letters from JAN – Job Accommodation Network. 

Work with HR

The more specific you can be and the more resources and examples you can offer, the better your chances for getting the accommodations you need, says Maheady. Do you need a sign language interpreter? If so, provide your employer with a list of resources in your community that provide sign language interpreters,” she says. Offer to start a sign language club for staff to help staff learn basic sign language to work better with you and patients with hearing loss.”

She says that if you need frequent breaks, be specific about how often you need a break and for how long. Suggest to your employer ways you could be covered for breaks specific to your clinical setting/area of practice.

Nurses with mobility issues might need a scooter to navigate long hallways, so they can help their employer by providing resources for purchasing new and used scooters. Show the cost-benefit of purchasing a scooter compared to the cost of hiring a new nurse or travel nurse for your position,” says Maheady.

Despite awareness around nurses working with disabilities and the protections of the ADA, not all employers are receptive. If you are met with a negative response, dont take no for an answer,” says Maheady. Ask, Who else can I talk to?’ ‘What else can I provide you with to help me be successful?’”

Role Modeling

Nurses with disabilities also reflect the diversity in a patient population and can show people that their life doesnt stop after a disability. Nurses can share resources with patients and act as important mentors to other nurses. I can share in an hour what took me ten years to learn,” says McCulloh. 

Nurses are needed to help guide policy, and the information is particularly validating to listeners when it comes from a nurse with a disability. Nurses with disabilities are transforming healthcare and patient care practices,” says McCulloh. The priority with every nurse is to ensure patient safety. And because of the critical eye toward us, we have direct awareness of that requirement.”

Nosek, who eventually found a role in a specialty that is meaningful to her, says that all nurses must realize that no one is protected from having or developing a disability. To all nurses, I strongly suggest obtaining some experience in an office-type position at some point in your career to be able to fall back on if you were to become disabled,” she says, noting that her extensive education and management experience wasnt enough of a buffer to prevent roadblocks in her path to finding a job that would fit her needs.

There should be more care and compassion by healthcare administrators to ensure healthcare staff can continue to work no matter their disability,” she says, noting industry-wide changes for additional skills training and compassion from health care administration when faced with a nurses disability are needed. I would have gone right back to work had I had the support and training to do another job within nursing,” says Nosek.

Hickman advises nurses to embrace their differences, acknowledge their strengths, work on their weaknesses, and not hide behind a disability. You are more than your stutter/stammer or any other disability you may have,” she says. Above all, love, respect, and be patient with yourself and teach others to love, respect, and be patient with you. You truly are unique! You inspire and motivate someone because you have decided to be courageous, present, and speak up!”

Sign up now to get your free digital subscription to Minority Nurse

Meet Nicole Reid, Poison Control Nurse

Meet Nicole Reid, Poison Control Nurse

Nurses don’t always find the exact specialty that fuels their passion when they start out on a nursing path. Nicole Reid, BA, RN/BSN, EdM, CSPI, DABAT, now the managing director of the National Capital Poison Center in Washington, DC, didn’t expect her early career work in geography would lead her to a nursing career that she loves. Career opportunities and connections brought her to work as a poison control nurse, and Reid realized she found her place. The career has helped her grow professionally and has also helped her manage to continue to work through health setbacks.

Here, she shares some of her story about being a poison control nurse with Minority Nurse.

Please tell me a little about your background. How and why did your career path lead you to poison control nursing?

I took a roundabout path into poison control nursing. After graduate school, I started out as a geographer and a researcher working for fair housing non-profit organizations. I worked in that sector for three years until 2004 when I was hired by the American Association of Poison Control Centers as a Research Associate. Until that point, I had never had any contact with Poison Centers. As part of my new role, I had the opportunity to visit the National Capital Poison Center (NCPC) in Washington, DC and observe how the Poison Center nurses performed their work and how a poison center operated. I was hooked! The nurses and pharmacists on the phones were true experts in their field and were helping people who were scared or sick or both. At that time, I formed a relationship with the center director and about 18 months later, she helped me form a plan to become a Registered Nurse and work my way into my position at NCPC as a Specialist in Poison Information (SPI).

After a year spent working as a SPI, I sat for my national certification exam and became a Certified SPI. At the time, this exam required the candidate to have worked 2000 hours on the phones and manage 2000 human exposures in order to qualify. It was a whirlwind but I learned so much! Once I was certified, I spent the next six years managing cases over the phone, advising the public and healthcare professionals about how to manage poisonings and suspected poisonings. Thus far in my career, I have assisted 36,000+ callers with their poisoning exposures. I really feel like I have made a positive impact in the lives of others, which makes the work so rewarding.

During those six years, while working on the phones, I also worked on becoming a leader in my field. I gave lectures and created webinars for healthcare professionals; I trained new specialists and created new teaching and orientation materials; I published several journal articles; I had the opportunity to travel to national and international toxicology conferences to present my research and take specialized toxicology courses to enhance my knowledge; I took on a large amount of administrative work at NCPC and worked hard to build my leadership skills.

Seven years into my poison center career, I became credentialed to sit for a board certification exam from the American Board of Applied Toxicology. This exam is open to nurses and pharmacists (but it is mostly geared toward pharmacists) who want to become leaders in the field of toxicology. It usually requires 5-10 years of study and portfolio-building to qualify. With the support of my colleagues at NCPC, I was able to qualify and I passed the exam in 2014 on my first attempt. I am currently the only Registered Nurse in the country to possess this credential.

At this point I was promoted to an administrative position as clinical operations coordinator. Think of a “charge nurse” for the poison center and that is a good approximation of my role. I was responsible for scheduling, shift coverage, producing monthly metrics reports for my team, writing staff evaluations, training, and of course, continuing my work on the phones.

In 2018, I was promoted to my current role of managing director of NCPC. At this time, I transitioned to a more intense administrative role. I became responsible for supervising all of our clinical personnel, for maintaining funding for the center (a 501-c3 not-for-profit organization, maintaining national accreditation of the organization and the clinical staff, optimizing our complex hardware and software and the use of technology in providing our core poison center functions, performing 24/7 toxicosurveillance to search for public health threats in the DC metro region, and taking on anything else that comes up in order to keep the center open and functioning efficiently.

What are some aspects of your nursing role that you didn’t expect?

I became a liaison to several community and regional health organizations, including the DC Health and Medical Coalition whose primary responsibility is to prepare to cope with natural or man-made disasters that may impact the healthcare systems of the Washington DC region. This was rather eye-opening, as it takes an enormous amount of work and collaboration necessary to pull together a functional disaster preparedness plan. I met so many amazing people who donated their time and expertise to the project. I never expected to become an expert on the toxicology and treatment for weapons of mass destruction, chemical and bio-weapons, and radiation-induced injuries, but that was a major focus of the Coalition and my role in particular. I was able to translate this new expertise into training courses NCPC provided for clinicians in our region.

I have been particularly fortunate that NCPC’s leadership has always been dedicated to embracing new technology. Back in the old days, we were one of the first poison centers to develop a website! That was a bit before my time though. During my career, I have had the opportunity to learn the details about how to set up a state-of-the-art call center telephony system and how to rapidly transition to a functional remote poison center model with our staff distributed across three states and the District of Columbia in response to the pandemic. I have learned more about IT support than I ever thought I would have to know as a nurse.

My newest project that combines advanced technology with clinical expertise is webPOISONCONTROL. This is an innovative, free, online triage tool and app that guides users faced with a poison emergency through a series of simple questions to determine the next steps they need to take. It helps you decide what to do when substances are swallowed, splashed in the eye or on the skin, inhaled, or injected.

The tool collects brief, targeted information from the user and provides a recommendation of whether it’s safe to stay home, if the emergency department is warranted (for very serious exposures), or that further guidance from Poison Control (a phone call to 1-800-222-1222) is needed. When it’s safe to stay home, the user is also given information on specific symptoms that are likely to occur and not of concern, and symptoms that should trigger a call to Poison Control or an ER visit, if they develop. The tool also provides automated follow-up to the user and has the capability to provide further triage recommendations based on the interaction with the user during follow-up. webPOISONCONTROLwas developed and is maintained by a team of board-certified medical and clinical toxicologists. Since 2016, webPOISONCONTROL has assisted almost 800,000 people worldwide with their poisoning exposures.

Can you tell me a little about your disability and how that had an impact on your nursing career as a poison control nurse?

I have Idiopathic Pulmonary Arterial Hypertension (IPAH), a rare lung disease that ultimately leads to heart failure and death. Untreated, the average life expectancy was two years. With optimal treatment, the average life expectancy was about seven years. This was the average prognosis in 2015 – but no one has an expiration date stamped on them. There is no cure, but new treatments continue to emerge so I am hopeful. I suffered with symptoms for many years before getting a diagnosis. By the time I was diagnosed at 40 years old, I was in heart failure and was pretty close to death, but as is pretty typical for most nurses, I still showed up to my shifts everyday even though I was exhausted and dragging myself in to work.

After that fateful doctor’s appointment, I immediately went on sick leave and then short-term disability. I was fortunate enough to work for an organization that had these benefits in place. My supervisor valued me enough to work with me to allow me to work part time from home while I was on disability (this was pre-COVID when most people were not working remotely). This was extremely important to my mental health since I had worked very hard in my career and felt that my illness was stealing it away. Also, work served as a distraction from my devastation at being diagnosed with this brutal disease.

After six months of intense cardiopulmonary rehab, and challenging medication and dietary regimens, I decided that I was going to live like I was going to keep living, instead of living like I was dying. I started the process of returning to work. I had recently become a board-certified clinical toxicologist at that time and because of my experience and credentials, I was able to negotiate a return-to-work plan with temporarily reduced hours and more importantly, regular hours instead of shift work.

I had initially thought my career was over, but once I started feeling better I found I could still meaningfully contribute to the mission of the Poison Center. A new chapter began where I assumed more administrative duties and reduced my clinical practice. In 2018, I became the managing director of the Poison Center and along with my co-director, we have run the organization ever since. I am now seven years out from diagnosis and my life and career are still going strong. I continue to lead the organization, publish research, and develop new problem-solving skills. I am extremely grateful for the support of my colleagues and my board of directors. I could not have done it without them.

Have you worked with accommodations or found anything in particular that has helped you succeed in your role?

By 2022, I was working full time in my leadership role when I contracted COVID and became seriously ill. My IPAH made me especially vulnerable and after managing to avoid COVID for two and a half years, it was finally my turn. I developed bilateral pneumonia and was hospitalized but thankfully not put on a ventilator. I spent five days in the hospital and was discharged home on oxygen. I was able to take another five months of disability leave to recover.

I was still fairly frail when I returned to work, so I was able to negotiate with our disability office to allow me to have flexible hours (flexible start and end times, longer or more frequent breaks during the day)to allow me time to rest. They also granted me the ability to work remotely from home most of the time for a period of six months.

I am feeling much better these days and am working full time again. I am still in cardio-pulmonary rehab (rehab is for life y’all) and though my six-month period of accommodation is nearly over, I have been able to negotiate a plan for continued flexibility. This allows me to continue to be productive in my work while I maintain my health and go about all the activities of daily living. In August I will be taking on a new leadership role within my organization that will help facilitate this flexibility and help me maintain my quality of life.

What would you like other nurses to know about working as a poison control nurse?

Working in poison control is my passion. It’s a hard job and there is a lot to learn but it is so rewarding. Most of what we do as a poison control nurse, we do not learn in school or even on-the-job in a hospital environment. If you enjoy an academic setting and are a life-long learner, this may be a great option for you. Poison center nurses usually have at least two years of experience working in an ICU or an Emergency Department, but nurses in other specialties such as pediatric, geriatric, or transplant nursing can successfully make the transition into toxicology. The most important thing is that you are willing to study and learn.

Also, you need to possess or develop an excellent telephone presence. Most of the work is over the phone. You cannot see your patient directly. You have to picture yourself in the room with them and ask the critical questions that will reveal the heart of the matter and quickly translate the answers into a coherent plan for the patient. Sharp listening and clinical skills are a must. A strong rapport with the caller is necessary to get them to open up and tell you what is happening – even if those things might be embarrassing or even illegal. And I should mention, this all has to happen within about three minutes!

A career in poison control is really what you make of it. Some of our nurses have spent their entire career working on the phones and have helped thousands of people during their career. The clinical focus is their passion and they are dedicated to excellent patient care. Others have a more academic focus and enjoy publishing their research and presenting it at national conferences. Still others prefer the administrative route and work their way into leadership positions. Seek out the opportunities and develop your role.

What additional training, education, and/or professional organization memberships have been helpful in your career as a poison control nurse?

I consider myself a life-long student. I have always enjoyed learning which is what made this field perfect for me. The knowledge base and standards of care are constantly changing and you have to take an active role in staying up-to-date.

The American Association of Clinical Toxicologists has been a great support in guiding the scope of my career and providing high-quality continuing education programs. Their national conference has provided the opportunity for me to present my research and participate in larger conversations about toxicology and patient care.

America’s Poison Centers has informed my awareness of the national Poison Control landscape, especially about challenges that poison centers encounter such as remaining relevant in the face of rapidly changing technology and information (e.g., the advent of artificial intelligence), increasing utilization of our services to prevent and mitigate poison injuries, and obtaining funding to support our mission. It has allowed me to connect with many of my colleagues across the country and develop supportive relationships and facilitate the sharing of ideas to improve efficiency and the quality of our services.

7 Tips for Nurses with Disabilities Going Back to Work

7 Tips for Nurses with Disabilities Going Back to Work

Going back to work after a disability can be tough for anyone, and especially for nurses whose jobs are incredibly demanding. Returning to work can seem like an insurmountable obstacle on bad days, but don’t think about hanging up your stethoscope quite yet. There are plenty of legal and social resources for you to fall back on if you’re a nurse with a disability. Read on to  discover seven strategies for nurses with disabilities who wish to return to work.

1. Know the Americans with Disabilities Act well.

Passed in 1990, the Americans with Disabilities Act (ADA) is designed to protect individuals with disabilities from discrimination in a variety of settings, including jobs, schools, and transportation. (Additional amendments went into effect in 2009.) Many different conditions may qualify as a disability if they significantly impair your ability to engage in one or more major life activities. Categories of disabilities include neurological, musculoskeletal, respiratory, cardiovascular, digestive, immune, circulatory, lymphatic, skin, endocrine and more. In the U.S., the ADA is the single most important law for dictating how employers can treat employees during and after the hiring process, so study up on the ADA and get intimately familiar with what it means for you.

2. Learn your employer’s benefits package.

Beyond the ADA, your employer might also have certain benefits or protections that are relevant to employees with disabilities. For starters, see if your employer offers any short-term or long-term disability insurance. Your employer might also provide Family and Medical Leave Act (FMLA) and/or stay-or-work or return-to-work policies in the context of employees with disabilities. If you have questions about what your employer does and does not provide, the HR department should be able to answer your questions. If you need accommodations in the workplace as a result of your disability, such as the use of a wheelchair, you’ll also need to discuss that with HR (they have a responsibility to work with you on accommodations under the ADA).

3. Seek out other nurses with disabilities.

No one will be able to understand your challenges quite like another nurse with disabilities. Even if they have a different disability from you, they’ll still be able to empathize about issues such as working with an employer to get necessary accommodations or understanding the ins and outs of the ADA. Ideally, you’ll be able to find an experienced nurse or two who can serve as a mentor and help guide you through the transition of returning to work with a disability. Even if the nurses aren’t experienced enough to serve as your mentors, you will still benefit greatly from building connections with others who know what you’re going through.

4. Build a support network for yourself.

Your connections shouldn’t stop with other nurses with disabilities. Other nurses, especially your immediate coworkers, can be a huge help as you transition back to your job. Of course, this depends on how supportive your company culture is, but your coworkers might be able to help you brainstorm small changes that you all can make together to make your return to work more seamless. (And if you need any accommodations or other changes, you’ll need to discuss them with your supervisor for sure.) If you have a spouse, partner or roommate, they can also help you with non-work tasks—like cooking and cleaning—to make your return to work less stressful as well.

5. Keep your license and certifications up to date.

State boards vary in terms of what certifications they require from disabled nurses, so look up your state’s guidelines and make sure that you’re in compliance with them. Wherever you leave and whatever the state requirements are, make sure that you renew your nursing license while you’re on active duty and that you keep up with any and all continuing education requirements. Keep in mind that sometimes additional training or refresher workshops may be necessary before you can renew your nursing license. Keeping your license current is important because you don’t want anything to jeopardize your standing with your employer and everything that goes with it (insurance, paycheck, etc.).

6. Get involved in professional organizations.

There are many professional organizations available for nurses, including the National Organization of Nurses with Disabilities (NOND), which works to promote equality for people with disabilities and chronic health conditions in nursing through education and advocacy. Beyond NOND, there are plenty of other associations for just about every nursing specialty and issue available, so there’s bound to be something that connects with your interests. Participating in these organizations will help you build your network and advocate for nurses with disabilities within the profession. This network will be critical if you decide that you need to make a career change because of your disability (see the next tip).

7. Explore new specialties to find your niche.

No matter how accommodating your employer is, after returning to work with a disability, you might decide that it’s in your best interest to make a career change. If that describes your situation, start exploring other options. Perhaps you can find a job where you don’t have to be on your feet as much, or you can transition to a lower-stress unit that won’t cause your symptoms to flare as often. Reach out to your fellow nurses, especially those who also have disabilities, and ask them about the pros and cons of their positions and how accommodating their employers are. If you don’t feel like you have the right experience to make the career change you want, you can also consider going back to school for additional certifications or even an advanced degree to help you make the leap.

Putting on your scrubs and returning to nursing work after a disability can be daunting, but thankfully there are resources available for nurses in this exact situation. Do as much research as you can about the ADA and your employer’s policies, and don’t be afraid to ask for help or advice if you need it. Plenty of nurses with disabilities do meaningful work and take care of their patients very successfully, and even if you need accommodations, we know you can do the same.

Double Minority: Mental Health Attitudes and Discrimination in Nursing

Double Minority: Mental Health Attitudes and Discrimination in Nursing

The end of the year was dreamlike. Not only was I accepted into an accelerated nursing program, the school also selected me as a recipient for a prestigious scholarship award. The honor of being among an elite group chosen to represent the ideal future “face” of nursing leadership was an incredible sensation. But those exciting days quickly spiraled into a nightmare.

Many of us belonging to ethnic and racial groups experience disturbingly disparate health, educational, and economic outcomes, and we have committed ourselves passionately to improving the well-being and quality of life of individuals from populations from which we ourselves are drawn.

My faculty advisor for the scholarship program was so impressed with my curriculum vitae and scholarship application essay that she strongly encouraged me to pursue scheduling a meeting with the director of the Ph.D. program to discuss a seamless progression from a B.S. to an M.S.N. to a Ph.D. One week later, I met with my faculty advisor again to discuss some initial temporary feelings of anxiety I had about the program. I sought to proactively inquire about accessing resources and strategies to succeed in the program, with my diagnosis of depression and anxiety disorder. The next day, in a meeting with my advisor and one of the school’s deans, I was urged to voluntarily withdraw my admission and cancel my acceptance.

The experience was unfathomable; literally within a week, I went from being encouraged to complete all levels of nursing education at the school to being told “this is a very intense program,” “we want you to be well,” “there are other seconddegree programs,” and “when one opportunity closes another opens.” A week after the scholarship orientation and on the fourth day of classes, they concluded that I lacked the emotional fortitude to handle the rigors of the intense, accelerated program. Additionally, when I called several weeks later to honor my end of the scholarship contract with the organization, I was informed that the school had already contacted the organization the day after my withdrawal and requested that the scholarship funds be given to another fi nalist. Along with the frustration inherent in the situation, I was very disappointed with the enduring stigma of mental illness, so pervasive that my health condition superseded the accomplishments that resulted in my selection as a prestigious scholar.

About a month after the experience, I traveled overseas for a service mission trip. An uncanny experience served to maintain my resolute desire to be a nurse, in spite of the indignant and vilifying event.

As the service team of approximately 60 volunteers waited to begin our five-day service mission, the warm community residents greeted us individually. One young girl caught my attention, as she was wearing a bright pink shirt, decorated with the word “princess” (printed in English) and a rhinestone-studded tiara. It reminded me of something I would have worn at her age. Speaking in Spanish, I said, “I really like your shirt.” She tilted her head, her eyes downcast. Her facial expression indicated that she heard me, but she didn’t respond to my compliment. I then proceeded to tell her how pretty it was and called her Princess. Again, I received no response and little eye contact. I finally asked her if she understood me, as I didn’t rule out the possibility that my Spanish was rustier than I realized, but she answered “yes.”

When I walked off I watched the young girl and noticed she was aloof from the other girls and women who were waiting to enter the clinic area. I had two initial thoughts: first, this young girl needs to see a provider and feels shame or embarrassment, or she is extremely shy. Several hours into the afternoon, I saw her again and asked her age. She clearly responded with her head lifted, making eye contact: “16.” Then she became reticent to speak again, and I watched her from a distance and noticed that she remained aloof.

I asked one of the missionaries of a partnering organization about the average age of parity and the familial structure. He said couples are usually partnered anywhere from 12 years to adulthood. I asked our pharmacy manager if we had pregnancy tests. We didn’t.

I saw the Princess again for the third time in the late afternoon but didn’t find an appropriate opportunity to speak with her in an inconspicuous manner. The next day, I spoke with the pediatrician about my assumption, and when I spotted the young lady, I discreetly pointed her out. My hope was that she could be examined and referred to the permanent clinic, about a 30–40 minute walk, to receive the care I believed she needed. A few minutes prior to leaving for my service project worksite, I greeted her with a wave and a smile and it was reciprocated with a partial wave and smile. The next day, I discovered that a teenage girl was seen by one of our providers and that she indeed thought she might be pregnant but was afraid her mother was unaware of her potential pregnancy.

I shared my experience with my student mentor assigned to me at the time of my admission offer to the scholarship program. She expressed her concern about the information I revealed and reasoned that as a black female ostensibly entering a predominately white women’s profession, disclosing my mental health condition might not have been the action of my better judgment. I respectfully, wholeheartedly disagree.

Not only does concealment fuel stigma, but carrying this unnecessary burden hinders one’s ability to achieve a complete and whole state of wellness. Additionally, I candidly shared with her that my father was a physician, trained in the ’70s, who labored under the stigma and shame of his depression for 30 years, unbeknownst to most of his colleagues. Out of fear of losing his medical license and the respect of his colleagues, he concealed his illness and failed to receive the appropriate level of treatment he needed during a crisis episode. As a result, his lifelong battle with depression ended in suicide. His family, friends, colleagues, fellow community members, and former patients were absolutely devastated and angry that he never reached out for adequate help.

My very considerate and compassionate student mentor addressed a relevant and poignant concern, one I also believe has been inadequately examined in society: in a country that professes a desire for diversity, but where racial prejudice still exists and opportunities to render a racial/ ethnic minority as incompetent can be exploited, how does one handle a having a mental illness?

While this question should by no means be ignored, I’ve debated my decision to disclose my mental health history and the physical manifestations that I experienced. My conclusion? I unequivocally have no regrets. One of the main roles of a nurse is to be a patient advocate. I believe that if I can effectively advocate for myself, I’m well qualifi ed to be a uniquely effective advocate for a patient.

Finally, to my father, I’m so very proud of you for dedicating your life, service, and passions to helping others, even as you did your best to address your own struggles and challenges. Thank you for giving me the resiliency and courage to pursue my passions and dreams amidst obstacles and adversity. I love you.

If you are struggling with depression and/or anxiety, we encourage you visit the National Alliance on Mental Illness website at www.nami.org or the National Institute of Mental Health at www.nimh.nih.gov.

Congratulations, Minority Nurse Scholarship Winners!

Another year, another record-breaking number of applicants, and another group of nurses and soon-to-be nurses that overwhelmed us with their determination, dedication, compassion, and intelligence. Choosing our scholarship winners has always been a difficult task, and this year was no exception. But after much deliberation, we are so proud and thrilled to introduce our winners to you! We hope their stories resonate with you just as they did with us.

And just as we reveal this year’s winners, we invite you to send in your applications for next year’s scholarship. To apply for the Minority Nursescholarship, you must:

  • Be a racial or ethnic minority.
  • Be enrolled (as of September 2013) in either the third or fourth year of an accredited B.S.N. program in the United States or an accelerated program leading to a B.S.N. degree (such as R.N.-to-B.S.N. or B.A.-to-B.S.N.) or an accelerated master’s entry program in nursing for students with bachelor’s degrees in fields other than nursing (such as B.A.-to-M.S.N.). Graduate students who already have a bachelor’s degree in nursing are not eligible.
  • Have a 3.0 GPA or higher (on a 4.0 scale).
  • Be a U.S. citizen or permanent resident.

We encourage you to apply for the 2013 scholarship and look forward to reading your application!

First-Prize Winner, Shylisa Hicks

Born in San Diego, Shylisa Hicks now lives in Bastrop, Louisiana, and attends Grambling State University. She belongs to a litany of nursing associations, volunteers her time, and has bright plans for the future.

But it is Shylisa’s life story, one of overcoming seemingly crushing adversity, that truly inspires. Her father was killed when she was five years old. Child Protective Services removed Shylisa from her mother’s home at 10 years old. She went to live with her grandmother, then aunt and uncle, where she stayed.

Originally two grades behind her peers, Shylisa persevered and eventually graduated high school early as an honors student. She continued her honors course work at Grambling State.

Bubbly and laughing, Shylisa says she calls her aunt and uncle mom and dad. “I wouldn’t be anywhere with out my parents,” she says. “I appreciate it all.” She also credits her success to her supportive husband—also her high school sweetheart. She hopes to one day have two children of her own.

“I really wanted a big family,” Shylisa says, and she grew up with three siblings. “I love kids . . . especially to make them feel better when they’re sick.” She currently treats children and families in their homes. “I just fell in love with it,” Shylisa says.

Shylisa plans to obtain a doctoral degree and become a certified Sexual Assault Nurse Examiner (SANE). “Somebody has to do it,” she says. “I want it to be me….I’ve had a rough life myself.”

“It’s been a bumpy road, but I love it,” Shylisa says of her nursing education. She is excited for the future, and she intends to go back to school to become a Nurse Practitioner, eventually going on to establish a pediatric clinic.

Runner-up, Sandrine Nankap

Now living in Winchester, Virginia, where she attends Shenandoah University, Sandrine Nankap grew up in Cameroon, on the West coast of Africa. Hundreds of people in her country live in poverty and die of AIDS due to lack of knowledge and resources, she says. Though she volunteered with children and teens to teach them about HIV/AIDS prevention, Sandrine wanted to do more.

The fourth of seven children, Sandrine says her parents could only afford to send one of them to school. “They put all their money on me,” she says. “They did their best to encourage me in everything I wanted to do.” In her culture only men are thought to deserve schooling, to lead a family, Sandrine says. “I had a lot of pressure to be a successful woman.”

Ranked high in her secondary school class, Sandrine wanted to educate others and make a difference in their lives, so she went to nursing school, graduating in 2004. In 2008 she was “blessed with the opportunity to come to America,” hoping to become a nurse educator, combining two professions in which she believed strongly.

But upon arriving in America, Sandrine found she did not have enough money to support the continuing education needed and her two young children. “As a single mom, I started to work as a coffee maker at Dunkin Donuts for almost one year.” She was promoted to assistant manager. “Working with that company, I kept some money that allowed me to go for my nursing assistant training.”

Within two months, Sandrine took a job as a nurse assistant. It was one of her lucky breaks, she says. The other nurses counseled her, taught her. “They helped me achieve my dreams,” she says. “I passed [the NCLEX] on the first try and today, after all this struggle and tears, I am proud to be a registered nurse.” She still wants to become a nurse educator, teaching both in the United States and Cameroon.

In five years, she’ll be pursuing her doctorate, Sandrine says, and she’s starting her master’s course work next year. “I like to learn. I love knowledge,” she says in a soft yet steady voice. “I worked so hard for everything that I have….I have a lot of ambition.”

Sandrine says she wants to send her younger siblings to schools as well. She sends them whatever money she can so they can come to America too. Sandrine also wants to return to Cameroon to help other young women become nurses. “I’m really grateful for this opportunity to be what I want to be in life,” she says.

Runner-up, Cerilene Small

“Every morning I wake up and begin my daily rituals of feeling the left region of my face,” says Cerilene Small. She keeps her eyes shut, afraid she will open them and be unable to see. It’s happened in the past, and because she has multiple sclerosis, it could happen again. Cerilene was diagnosed in 2009.

A competitive African dancer, Cerilene first knew something was wrong when she lost feeling in her body—but her mother thought it was due to her dancing all night. Then, after months of inconclusive tests, she learned she had MS.

“It was really hard” going into senior year, Cerilene says. She was scared of going anywhere, hopeful but cautious of what her future might hold. Originally from Brooklyn, Cerilene applied to New York University undecided, but after spending a month in the hospital, she says she realized she wanted to become a nurse. “My nurses really had a strong impact on my recovery,” Cerilenesays—so much so that she redid her college applications.

Now enrolled at NYU, Cerilene started classes in February 2011, and she had her first MS “flare up” not long after. She says she has about one flare-up each semester, but she’s trying and adjusting to the effects of a new treatment.

Being an honors student, a high school valedictorian, and a first-generation student, they all pale in comparison, Cerilene says, to being able to take advantage of every day “as a leader.” She mentors other first-generation students and one day hopes to open a youth health center offering free clinical services. She aspires to pursue a five-year dual degree (B.S.N./M.S.N.) in pediatric nursing.

Become familiar with the population you want to serve, Cerilene advises soon-to-be nurses. “Try to get involved before clinicals.” Know that the work is hard, but learn to “be a leader on your own.” After that, just “have faith,” she says. “You’ll do fine.”

Ad