By Dan Munro
Released on Friday, the survey of 700 Registered Nurses at over 250 hospitals in 31 states included some sobering preliminary results in terms of hospital policies for patients who present with potentially infectious diseases like Ebola.
- 80% say their hospital has not communicated to them any policy regarding potential admission of patients infected by Ebola
- 87% say their hospital has not provided education on Ebola with the ability for the nurses to interact and ask questions
- One-third say their hospital has insufficient supplies of eye protection (face shields or side shields with goggles) and fluid resistant/impermeable gowns
- Nearly 40% say their hospital does not have plans to equip isolation rooms with plastic covered mattresses and pillows and discard all linens after use, less than 10 percent said they were aware their hospital does have such a plan in place
- More than 60% say their hospital fails to reduce the number of patients they must care for to accommodate caring for an “isolation” patient
National Nurses United (NNU) started the survey several weeks ago and released the preliminary results last Friday (here). The NNU has close to 185,000 members in every state and is the largest union of registered nurses in the U.S.
The release of the survey coincided with Friday’s swirling controversy on how the hospital in Dallas mishandled America’s first case of Ebola. The patient ‒ Thomas E. Duncan ‒ was treated and released with antibiotics even though the hospital staff knew of his recent travel from Liberia ‒ now the epicenter of this Ebola outbreak.
On October 2, the hospital tried to lay blame of the mishandled Ebola patient on their electronic health record (EHR) software with this statement.
Protocols were followed by both the physician and the nurses. However, we have identified a flaw in the way the physician and nursing portions of our electronic health records (EHR)interacted in this specific case. In our electronic health records, there are separate physician and nursing workflows. Texas Health Presbyterian Hospital Statement ‒ October 2 (here)
Within 24 hours, the hospital recanted the statement by saying no, in fact, “there was no flaw.”
The larger issue, of course, is just how ready are the more than 5,700 hospitals around the U.S. when it comes to diagnosing and then treating suspected cases of Ebola. Given the scale of the outbreak (a new case has now been reported in Spain ‒ Europe’s first), it’s very likely we’ll see more cases here in the U.S.
As an RN herself ‒ and Director of NNU’s Registered Nurse Response Network ‒ Bonnie Castillo was blunt.
What our surveys show is a reminder that we do not have a national health care system, but a fragmented collection of private healthcare companies each with their own way of responding. As we have been saying for many months, electronic health records systems can, and do, fail. That’s why we must continue to rely on the professional, clinical judgment and expertise of registered nurses and physicians to interact with patients, as well as uniform systems throughout the U.S. that is essential for responding to pandemics, or potential pandemics, like Ebola. Bonnie Castillo, RN ‒ Director of NNU’s Registered Nurse Response Network (press release)
As a part of their Health Alert Network (HAN), the CDC has been sounding the alarm since July ‒ and released guidelines for evaluating U.S. patients suspected of having Ebola through the HAN on August 1 (HAN #364). As a part of alert #364, the CDC was specific on recommending tests “for all persons with onset of fever within 21 days of having a high‒risk exposure.” Recent travel from Liberia in West Africa should have prompted more questioning around potential high-risk exposure ‒ which was, in fact, the case.
As it was, a relative called the CDC directly to question the original treatment of Mr. Duncan given all the circumstances.
“I feared other people might also get infected if he wasn’t taken care of, and so I called them [the CDC] to ask them why is it a patient that might be suspected of this disease was not getting appropriate care.” Josephus Weeks ‒ Nephew of Dallas Ebola patient to NBC News
The CDC has also activated their Emergency Operations Center (EOC).
The EOC brings together scientists from across CDC to analyze, validate, and efficiently exchange information during a public health emergency and connect with emergency response partners. When activated for a response, the EOC can accommodate up to 230 personnel per 8-hour shift to handle situations ranging from local interests to worldwide incidents.
The EOC coordinates the deployment of CDC staff and the procurement and management of all equipment and supplies that CDC responders may need during their deployment.
In addition, the EOC has the ability to rapidly transport life-supporting medications, samples and specimens, and personnel anywhere in the world around the clock within two hours of notification for domestic missions and six hours for international missions.
There are a number of fantastic nursing blogs on the internet. Whether you’re an aspiring nurse, a working nurse, or a curious patient, you are sure to be entertained by these sites. We have narrowed down a list of the top 100 nursing blogs online to give you plenty of reading material for the future. Prepare yourself for hours of education and entertainment.
Top General Nursing Blogs
The Nursing Site Blog
The Nursing Site Blog is just one of those sites that you have to read as a nurse. We love it because it constantly has new articles to read, from helpful advice to healthcare news and more. The blog is run by public health nurse Kathy Quan, RN. Kathy has been in the nursing industry for more than 30 years now, and you can see evidence of her experience on her site. Kathy has a Bachelor of Science in Nursing, and most of her working life has been spent in hospice and home health care. She shares her stories and lessons learned on her blog, along with other information that any nurse would love to read.
The National Nurse for Public Health
The National Nurse for Public Health is a blog run by The National Nursing Network Organization. This is an organization that is working hard to create a better working environment for professionals in the public health industry. The blog provides news updates for work that the organization is doing, as well as other news from the nursing sector. The commentary on here comes from doctors, nurses, and other important workers in healthcare.
Scrubs Mag is considered the “The Nurses Guide to Good Living.” The name may sound like a catalog for working attire, but the information within this site is far from that. Scrubs Mag offers a wide range of helpful articles for new, existing, and future nurses, including style secrets to keep you looking great on the job. There are a number of writers who work for Scrubs Mag, so you can see everything from career advice to personal stories on the site. You can even sign up for free giveaways to get cool outfits, accessories, and tools to use on the job.
Confident Voices in Health Care
Confident Voices in Health Care is a blog run by Beth Boynton. Beth is a published author and nurse consultant who specializes in communication and collaboration in the healthcare industry. What we love about Beth’s blog is the fact that it offers advice for patients and professionals alike to ensure that everyone works together in harmony. Many of Beth’s posts are about her medical improv workshops, where she helps healthcare workers become better speakers and listeners through improvisational training. Confident Voices also features articles from many a number of credible guest bloggers who share their insights into nursing and healthcare.
Nursetopia is a blog written for nurses by nurses. It is designed to honor these wonderful members of the healthcare world and showcase their influence on the modern world. The articles in the blog cover nursing news, career advice, business help, personal stories, art, freebies, and more. You always get a chance to see something different when you come here. Nursetopia is one of the most active blogs on our site, and it is one you will see in countless blogrolls from other bloggers on here. We’re subscribed to it for a reason.
Nurse Together is a fun and informative blog run by a team of nurses. The bloggers here range from nurse educators to RNs and beyond. While we may love the site for its blog-like articles, Nurse Together also offers a job board, nursing school guide, discussion panel, and much more. The Nurse Together Facebook page has more than 21,000 fans, showing just how much people love visiting this site. There are new blog posts on here every day, so you can always look forward to something new to read.
Lippincott’s Nursing Center
Lippincott’s Nursing Center is a site dedicated to helping nurses be the best workers they can be. The site is home to more than 50 nursing journals online, including the American Journal of Nursing, Nursing2014, Nursing Management and The Nurse Practitioner: The American Journal of Primary Health Care. In addition to these peer reviewed journals, Lippincott’s Nursing Center features more than 1,300 continuing education activities for nurses, making it easy to maintain a career as a nurse here. The authors on the site are mostly advanced practice nurses and registered nurses who share their career expertise with the world.
Off the Charts
Off the Charts is a product of the American Journal of Nursing. It mostly provides news updates and research study reports for the nursing community. With this in mind, you can also find a number of helpful career advice articles on this site. Some popular categories for posts on here include patient engagement, healthcare, medical prices, nursing research, nursing perspective, and more. Off the Charts is authored by a number of nursing professionals, most of whom have a graduate level education. The blog commonly highlights influential nurses from the past to inspire nurses of the future.
Not Nurse Ratched
Not Nurse Ratched is a wonderful nursing blog that has been around since 2007. The blog is run by a writer, nurse, and medical editor who enjoys “investigating ways to save time.” The articles on here fit into categories like applications, gadgets, technology, personal, medical, humor, and more. Most of the articles are written with a great sense of humor, which is sometimes hard to find in healthcare blogs.
Nursing Stories is a heartfelt blog about one woman’s experiences in nursing. Marianna Crane, the blogger, has been in nursing for over 40 years, and she now uses her blog to share her stories from the past and present. She has been a certified adult nurse practitioner since 1981, and she has a passion for writing that is evident in her blog posts. Marianna says, “My goal for this blog is to encourage nurses to boast.” You can get inspired to be a better nurse thanks to this woman and the great stories she shares on her blog.
The Nursing Show
The Nursing Show is more than just a blog. It is a compilation of entertaining videos about nursing. Each episode teaches a new lesson about this ever-changing career, from getting through college to dealing with tough patients. The episodes are included in short, easy-to-read articles that summarize what the videos are about. There are already more than 300 episodes of The Nursing Show for you to watch, so you don’t have to worry about getting bored on this site.
Advances in Nurse Science Blog
The Advances in Nurse Science Blog is tied to a nursing publication that comes out four times a year (appropriately titled Advances in Nursing Science). The blog allows readers to discuss big issues that are mentioned in ANS so that they can understand and expand upon these ideas. The ANS journal was founded back in 1978 by Peggy L. Chinn, RN, PhD, FAAN. It has been in publication ever since, but the blog was a much more recent addition to the ANS world.
Reality RN is a pretty interesting blog because it is run entirely by new nurses. You may not think these men and women have a lot to share about their experiences, but they convey what “reality” is like for people who are new to this profession. If you are a nursing student worried about what you might be getting yourself into, this blog should be able to answer all of your questions. Best of all, there is a great list of “must read” blogs on the home page that link to even more top nursing blogs online.
AllTop – Nursing
This site doesn’t exactly fit the “norm,” but we thought it was important to put it on our list. Essentially AllTop is just a directory for other websites, but it shows you the most recent posts from many nursing blogs online. It’s a one-stop-shop for nursing tips and news online, and it features the work of several other sites on our top 100 nursing blogs list. If you want to stay updated on other topics from around the web, AllTop has plenty of other categories for you to explore.
Diversity Nursing offers a number of helpful articles and services for nursing professionals. The blog on the site features news information and career tips for nurses, but the site as a whole has a job board, college guide, and much more. There is even a forum on the site where nurses, patients, and nursing students can discuss important issues in healthcare. Diversity Nursing started off as a basic job board back in 2007, but it has grown to be so much more since then. You can even use this site to post a resume so you might get a better job in the future. Here is a look at some memorable posts from the Diversity Nursing blog:
Nursing Ideas is a blog that covers a variety of variety of nursing related topics. The blog was started back in 2008 as an online resource for nursing students. Rob Fraser, the blog’s founder, began writing articles for the blog while he was an undergraduate nursing student at Ryerson University. In 2013, Rob refocused the blog to be more about professional interviews so that his readers could see what life is really like as a nurse in today’s world.
Soliant Health is a healthcare staffing company that offers some great advice for nursing professionals around the country. You don’t have to be a member of the Soliant Health network to benefit from the articles on their blog. Even if you already have a job as a nurse, you could learn from some of the news articles and tips on the blog. If you are in fact looking for a job, you can look through the job board on Soliant Health to see what opportunities may be available for you.
Nursing Daily is a fairly new blog, especially compared to other sites on our list. Nevertheless, it has already developed a great reputation in the nursing community, and we’re hoping it sticks around for years to come. Nursing Daily is dedicated to providing “nursing tips, advice, and humor” for anyone who wants to read it. Many of the posts on here are quick, simple images that will make you chuckle a little about life as a nurse.
The Nurse Path
The Nurse Path is a beautiful, entertaining, and inspiring blog that is dedicated entirely to nurses. The blog features a number of categories, including: nurse mind, nursing skills, health and fitness, technology, funnybone, and more. The motto for this site is “helping nurses find the way,” and every article here is evidently doing just that. You’ll find at least one new post a week on this blog to read and learn from, so this is definitely worth putting in your RSS reader.
Living Sublime Wellness
Living Sublime Wellness is a blog dedicated to transforming the nursing community for the better. The blog is authored by Elizabeth Scala, an RN with an MSN/MBA and years of working experience as a nurse. Elizabeth is a public speaker who visits nursing associations, hospitals, and other healthcare organizations to teach people what they can do to make their working environments better for nurses. Living Sublime Wellness features a lot of great resources for current and future nurses, making it a great site to visit no matter where you are in your career.
RTConnections Nurse Blog
The RTConnections Nurse Blog is designed to connect all members of the nursing world so they can educate and inspire one another to do better in their careers. This blog is particularly beneficial for new nurses because they can read stories from experienced professionals that they may aspire to become. One of the big focuses on this blog is nurse bullying, which has become a hot topic of discussion over the last few years. You can learn ways to avoid and prevent bullying in the work place by reading some of the posts on RTConnections.
Dear Nurses is essentially a portal for several sites under the “Dear Nurses” umbrella. These sites are all focused on educating nurses through captivating illustrations. Dear Nurses combines simple graphics with helpful information to show nurses how to improve their skills and services. It also contains multi-part educational series that expand upon other posts they have on their sites. Dear Nurses has been online since 2006, and it has grown significantly in that time.
Your Career Nursing
Your Career Nursing is centered around the idea of helping nurses improve their careers. The articles here teach nurses of all stages about the skills and processes they need to succeed in this profession. There are several categories of posts to choose from here, including education, entrepreneurship, lifestyle, networking, nursing success stories, online learning, unique nursing jobs, and more. No matter who you are, you can find something to like here.
Making the transition to working nights may feel a bit intimidating, but many night nurses, myself included, have grown to love the position! It tends to be quieter and less chaotic because the patients are generally asleep, and there's a special camaraderie that develops between a team of night nurses. Put these tips into practice to survive, and even thrive, in your night shifts.
Stack several night shifts in a row: Rather than spacing out your night shifts during the week and having to switch between being up during the day and up during the night, try to put all your night shifts for the week in a row. That way, you can really get yourself onto a schedule of being awake during the nights you work and sleeping during the days in between.
Nap before work: As you transition from being awake during the day to being awake as you work at night, take a nap in the afternoon to help you go into your first night shift as rested as possible. Alternately, if your schedule allows, stay up later than usual the night before your first night shift and sleep in as late as you can the next morning.
Fuel up with healthy foods: While sugars may seem like they provide energy, they also come with a crash. Before heading into work, eat a filling meal with a healthy balance of carbohydrates, protein, and fiber. Then bring healthy snacks for the night that include protein and fiber to keep you going strong. Some options include yogurt, mixed nuts, hard boiled eggs, cheese cubes, or carrots with hummus dip
Plan caffeine carefully: It can be tempting to drink a cup of coffee anytime you feel sleepy, but you may develop an unhealthy dependence or be unable to fall asleep when you get home after your shift. Therefore, try to limit yourself to just one or two cups of coffee per shift, and drink your last one at least six hours before you plan to go to sleep.
Create a restful sleeping environment at home: The key to surviving night shifts in the long term is getting lots of restful sleep after each shift. Set up room darkening curtains and a white noise machine to help you block out signs of the day. When you get home, don't force yourself to go to bed right away. Instead, develop a routine that includes some time to bathe, read, and relax as your body winds down after work. Try to avoid bright screens, which block your body from releasing melatonin, the hormone that makes you feel sleepy.
With some attention to detail, you will probably find yourself really enjoying working at night. Many of the night nurses I know started out stuck on the shifts, but grew to prefer them. Plus, the pay differential doesn't hurt at all!
By PATTY WIGHT
Some of us are lucky enough to stumble into a job that we love. That was the case for Gabrielle Nuki. The 16-year-old had never heard of standardized patients until her advisor at school told her she should check it out.
"I was kind of shocked, and I was kind of like, 'Oh, is there actually something like this in the world?' "
Since Nuki wants to be a doctor, the chance to earn $15 to $20 an hour training medical students as a pretend patient was kind of a dream come true. Every six weeks or so, Nuki comes to Maine Medical Center in her home town of Portland, Maine, slips on a johnny, sits in an exam room and takes on a new persona.
Third-year medical student Allie Tetreault knows Nuki by her fictional patient name, Emma. A lot of teens avoid the doctor, so it's important for Tetreault to learn how to make them feel comfortable.
"What kinds of things do you like to do outside of school?" Tetreault asks.
"Um, I play soccer, so preseason is coming up soon."
Nuki preps weeks ahead of time for her patient roles. She memorizes a case history of family details, lifestyle habits and the tone she should present. "I've had one case where I was concerned about being pregnant. That was kind of like the most harsh one, I guess."
As Emma, Nuki's playing just a shy, healthy teen.
"How did school finish up for you this year?" Tetreault asks.
"Um, it was good. Yeah, school's been good. Um, yeah."
Emma's an easy role, Nuki says, but she ups the shyness factor because it poses a classic challenge to the medical student: how to get a teen to open up?
"Each case kind of has what's on paper, but then you can come in and kind of add another level," Nuki says. "Depending on how complex it is, you can add your own twist to it."
After asking Emma about her personal history, Tetreault moves on to the physical exam and listens as Emma takes deep breaths.
Tetreault gives Emma a clean bill of health and the practice appointment is over. But the most important part of Gabrielle Nuki's job is about to begin.
The 16-year old now has to evaluate the adult professional. She's smooth and tactful after lots of training on how to deliver feedback. Nuki tells Tetreault she did a good job making her feel comfortable.
"I also liked how you mentioned confidentiality, because for my age group, that's important to touch on," Nuki says. "And I think that maybe you could have had a couple more times where you asked me if I had any questions, but other than that I think you did a really great job."
It's communication skills versus acting skills that really qualify someone to be a standardized patient, says Dr. Pat Patterson, the director of pediatric training at Maine Medical Center.
"A lot of patients want to please their physician," Patterson says. "It's not easy for a patient to say 'That didn't feel right', or 'The way you asked that made me feel bad.' "
Gabrielle Nuki says working with medical students and being forthright about their performance has given her more confidence. In the future, she hopes to take on more complex roles — maybe someone with depression.
But she knows no matter what kind of patient she portrays, this job will prepare her well for when she reverses roles and one day becomes a doctor.
By DENISE LAVOIE Associated Press
If something good could come out of the Boston Marathon bombing, James Costello and Krista D'Agostino seem to have found it.
Sixteen months after the attack killed three people and injured more than 260, including Costello, he married D'Agostino, the nurse who helped him recover. The couple exchanged vows Saturday at the Hyatt Regency Boston in front of about 160 guests.
A photograph of Costello with his clothes ripped to shreds and parts of his body burned became one of the most recognized images of the 2013 attack. He met D'Agostino, a nurse at Spaulding Rehabilitation Hospital, while he was recovering from multiple surgeries for shrapnel injuries and serious burns that required pig skin grafts on his right arm and right leg.
After the couple became engaged, Costello said he believed he was involved in the tragedy in order to meet D'Agostino, whom he described as his best friend and the love of his life.
"One thing that she hates that I always say is I'm actually glad I got blown up," Costello said on the "Today" show in December. "I wish everyone else didn't have to, but I don't think I would have ever met her if I didn't."
Wedding planner Rachael Gross said she and the other vendors involved in the wedding donated their services.
"They are the most gracious, generous, kind, ... loving couple," Gross said. "They believe that they were meant to meet."
The wedding ceremony was held outdoors on the hotel's third-floor terrace, with blue and white hydrangeas all around. The reception was held in the hotel's grand ballroom.
"It was more like a classic Nantucket style, but without a literal nautical theme," Gross said.
Costello, of Malden, was gathered with friends near the marathon finish line, watching for another friend who was running when two bombs exploded within seconds of each another. Three of Costello's friends lost a leg, while other friends suffered burns and shrapnel injuries.
During his two-week stay at Massachusetts General Hospital, Costello was among patients who met President Barack Obama. He was later transferred to Spaulding.
Costello and D'Agostino, both 31, are honeymooning in Hawaii.
By Meaghan O'Keeffe
Sometimes, being part of the nursing profession can feel exactly the same as being part of a family. You love it dearly, you can’t imagine your life without it, but there are lots of things about nursing (and family) that can drive the most balanced person completely nuts.
Deep down, you love nursing, even with all of its vein-popping, blood pressure elevating quirks.
Here is Scrubbed In’s list of things about nursing that drive nurses absolutely nuts, but we deal with anyway.
1. Call lights: Of course the purpose of call lights is to enable patients to get help when needed, but it’s hard not to get annoyed at the call light itself. It’s blinking, beeping, and taunting you because you just sat down to document. (See #2)
2. Documentation: For the love of all things nursing. Documentation is our greatest tool and the bane of our existence, all wrapped up into a flowchart, and an I&O’s chart, a nursing note, an incident report, a pre-anesthesia evaluation form, a…
3. (For our guys) Being called “male nurse:” For the men in our nursing community, hearing someone refer to them as a nurse, without “male” automatically attached, would be a breath of fresh air.
4. Body fluids: Nurses deal with body fluids all the time. It’s par for the course. But it’s not exactly something one wishes for. We don’t need to name them all. You’re well acquainted with most. They can really dampen your day. Pun intended.
5. Waving your ID to get into your bathroom at home: Many healthcare facilities have areas where you need to scan your ID to unlock the door. When you’ve tried that to get into your bathroom at home, it might be time to take a vacation.
6. Trying to use your fingerprint at the ATM: If you regularly use your fingerprint to get into medication and supply stations, you might find yourself trying to do the same at the ATM screen. Just hope that no one saw you.
7. Hearing a patient-alarm-like sound (outside of work): You’re out and about and someone’s cell phone ring sounds uncannily like an O2 sat alarm. Before you’ve had a chance to process, your pulse has quickened and you’re on high alert. Calm down, nervous system; you’re off duty today.
8. Patients who don’t take the full course of antibiotics: When a patient gaily reports that they stopped taking their antibiotics because they feel sooo much better, there’s a specific protocol you must follow. It involves closing your eyes, taking deep breaths and counting to 10 before calmly explaining the rationale behind completing the course in full.
9. Waking up at 5 a.m. on your day off: Finally, finally you can sleep in. You’ve been looking forward to it for days. But your brain seems determined to wake up as if you need to work today. At least you can stay in bed with your feet up.
10. Bringing a coffee to work, then drinking it cold four hours later: A hot cup of coffee at the start of your day is one of the simple pleasures of life. But did you really think you were going to drink it? You might at some point, it just may be more like iced coffee by then.
What drives you nuts about nursing?
By Vickie Milazzo
A huge thank-you to everyone who took our survey “Are You Way Too Stressed Out?”
A remarkable 3,312 of you took the time out of your busy day to complete the survey, and this high response rate highlights the seriousness of this issue to the nursing world.
The results of the survey reveal the dangerous levels of stress that RNs pervasively live with, both at work and in their personal lives. Lack of sleep, 12-hour shifts, night shifts, poor diets, unrealistic workloads, lack of authority at the workplace and unsupportive management are just some of the key contributors to the stress being experienced by RNs today.
RNs are neglected by a system that overworks, under-appreciates and marginalizes the experience of individuals who are the most connected to patients.
Respondents had the opportunity to answer the question, “What are some of the things that stress you out the most?” Many of you were brutally candid, and I cringe at what you continue to put up with on a daily basis. These five responses are representative of the thousands received.
“People who have never done your job telling you how to do it. People who have lost sight of the patient — the focus is the $$.”
“Not having the authority to take care of the things that need to be done, but being responsible for it.”
“Long hours (12-hr shifts), working nights, poor pay, poor benefits that are dependent on maintaining hours to prevent losing the benefits, lack of PTO to cover sick/vacation days.”
“Overwork with no relief in sight, working for $3 to $5 dollars less than average city wages …”
“Corporate chaos, lack of support, unrealistic expectations, being put in possible license jeopardy due to corporate greed and mismanagement.”
The system is broken! The very people treating patients are sick and in need of healing themselves. This is crazy.
The stress placed on RNs is eventually going to cause many of them to quit. Our nursing system is already grappling with an aging workforce and an aging general population. While the nation will need an increased number of RNs, we’re likely hurtling toward a nursing shortage. Stress leads to mistakes and errors, and hospital errors are already the third leading cause of death in the U.S. Put it all together, and we may be headed for a national healthcare crisis.
This is a report you will not want to miss. Download the full PDF report below and click through the SlideShare presentation, and share your own experiences with stress as an RN in the Reply section below. I want to hear from you!
Download the Report
View the SlideShare
By S.L. Page
ESFP personality types are very compatible with many areas of nursing. As an ESFP, you’re full of energy and a zest for life. You genuinely enjoy being around people, and you are a true people-person. In fact, some people call your type the “parties,” as you always seem to be looking for a new social event to attend. When there, you can talk for hours and you enjoy being the center of attention. Other personality profiles refer to your type as the “Entertainer” or “Artisan.”
ESFP Overview: What is an ESFP Personality?
An ESFP is one of the main 16 personality types. An ESFP will have scored the following dominant characteristics on a personality assessment: Extroverted (E), Sensing (S), Feeling (F), and Perceiving (P). The breakdown and description of each of these dominant characteristics is listed below:
Extroverted (E): As an extrovert, you enjoy a lot of external stimulation. You love hanging with friends, meeting new people, or engaging in external things that stimulate your mind. When you’re isolated for too long at home, you’ll soon begin saying to yourself, “I’ve got to get out of this house!” In fact, you may say that after only one day alone at home!
You probably have a wide circle of friends, and you love getting together for a meal, hanging out, or just striking up a conversation with a random person. Because extroverts tend to enjoy talking and engaging in social situations, they often get labeled as “social butterflies.” You may have even been called a “people person” or “outgoing.” In fact, introverts sometimes get a bad rap due to extroverted people, as people often quip, “Why does that introvert keep to themselves so much? I wish they were more talkative and outgoing.”
You probably dislike writing or reading too much, and you’d much prefer to pick up the phone and make a call as opposed to writing an email. Some extroverts loath writing, although not all feel this way. Some extroverts make great writers, but most prefer face-to-face communication if given the choice. Some extroverts tend to have difficulty expressing their ideas in written form, as their minds are wired to work while engaging. ESFPs can spend a lot of time text messaging contacts, however, because they love to keep up with their friends and acquaintances.
Being an extrovert doesn’t mean that you dislike alone time, it’s just that it tends to suck the life out of you after a while. You get energized and feel most comfortable around other people, especially many friends or family members.
You think better while talking, as opposed to writing or thinking alone. In fact, some of your best solutions or ideas have probably come to you while talking to others. You also tend to blurt out the answer if asked a question. In contrast, introverts hate being put on the spot, and prefer to mull over a question before replying.
Sensing (S): As a sensing person, your mind tends to think of more rigid “here and now” concepts. You generally tend to think about the “what ifs” only rarely. You tend to notice minor details that other people may overlook. In fact, some people are quite shocked at the fact that you can sometimes make really keen observations. This can be a big benefit in nursing, as you may notice that a patient suddenly doesn’t look so well.
To illustrate how a sensing person things, consider an example of a large container sitting on the edge of a counter. You would probably look at the large container of fluid and think, “That’s an interesting color. I wonder what this fluid is?” You may also examine the lettering used for the logo, and so forth. You’d probably read the details on the packaging and think about those things.
This type of thinking is in direct contrast with people who have the “intuitive” characteristic. Using this same illustration, an intuitive person may look at the same container you looked at and think thoughts like, “That may fall down. Then it could make a mess. Someone could slip and fall and hurt themselves. We could even be sued.”
That’s not to say that sensing people can’t have moments of intuition, or that people with intuition won’t see more concrete details. But generally speaking, sensing people are very in-tune with details and facts, and tend to not think of the possible scenarios that could happen.
Feeling (F): As a person with the “feeling” characteristic, you have a strong inclination towards considering how things may affect people or society. When considering a decision, you tend to think of how other people may react, or how other people may be impacted by the consequences. As a result, people (or society in general) can be a big part of your decision making process. This can be a good characteristic to have as a nurse dealing with patients whose lives may be greatly affected by your actions.
Feelers have a very deep and empathetic heart to help people, and they genuinely care for others. If someone asks you how their new haircut looks, you’ll likely be very polite and try to focus on the positives to avoid hurting their feelings–even if the haircut looks terrible.
As a feeler, you also tend to have a strong need for happy relationships, both with yourself and people around you. If people aren’t getting along, it will tend bother you quite a bit. You’re a happy-go-lucky person who enjoys keeping in good standing with people. You also tend to have a natural affection for animals or pets.
This characteristic is in contrast to the “thinking” characteristic, in which people tend to make decisions based on logic, facts, or truth.
Perceiving (P): As a person with the “perceiving” characteristic, you generally like to live life in a care-free manner. You usually don’t like to make extensive plans, and you prefer to just “wing-it.” You tend to be very adaptable to any given situation. This adaptability and spontaneity gives you a reputation of being a fun and exciting person to hang around.
You are likely to live a somewhat disorganized life, at least internally. You probably have a relatively messy or unorganized home or office space, although this is not true for all ESFPs. This personality characteristic is in contrast to the “judging” type, in which people tend to live in a more organized and controlled manner.
You also tend to procrastinate with deadlines and tasks, but will get a burst of energy when something has to be done. Some ESFPs have a wild side, and are sometimes referred to as “daredevils.” You may enjoy activities such as skydiving, rollercoasters, surfing, or other similar activities that give you that “thrill.”
Nursing Career Possibilities for ESFPs
You are a fun and entertaining “people-person.” You like to live life in a fun-loving way. This can help you quickly and easily connect with patients. You also have the ability to focus on details, and you can easily empathize with other people’s problems. As you make decisions, you ponder how they may affect other people. This means you are likely to keep your patients best interests at heart.
For this reason, there are many areas of nursing that may appeal to you. Floor nursing, pediatric nursing, ER nursing, and other exciting areas may be of interest. For ESFPs who have a daredevil side, you may also enjoy flight nursing. Being a camp nurse is also a good possibility. If you have a strong faith, Parish Nursing may also be a good fit, as you’d love interacting with people on a spiritual level.
There are a few pitfalls you’ll want to avoid on the job. First, ESFPs tend to dislike having to do routine tasks. You like to be stimulated in your environment, and if you have to do dull tasks, you’ll get bored quickly. You also dislike having to read long documents or write reports.
Another area of frustration for ESFPs is working alone. You enjoy the company of people, and if confined to an empty office all day, you’d probably get very exhausted. You get energized talking and engaging with people. You enjoy team settings.
You dislike organizing things due to your spontaneous nature. You like to experience things in real time, and you don’t like to ponder the “what-ifs” in life. You also may struggle clocking in on time.
Possible Nursing Career Matches for ESFPs
- Home Nursing/Private Duty Nursing
- ER Nurse
- Parish Nurse
- Hospice Nurse
- Travel Nurse
- General Floor Nurse
- Ambulatory Nurse
- Pediatric Nurse
- Flight Nurse
- Camp Nurse
- Oncology Nurse
Are You an ESFP? Share Your Input
What areas do you hope to work as an ESFP? What jobs have you loved? What jobs have you hated? Please consider sharing your experience in the comment section below, as this may help other ESFP nurses in their careers.