DiversityNursing Blog

Patients become difficult for many different reasons. They sometimes become challenging due to diseases that affect their reasoning, like dementia or Alzheimer’s. Other times, patients can become verbally or physically abusive due to high-stress situations or unmet wants or needs. Regardless of why some patients become difficult, Nurses can help handle and diffuse difficult patient interactions with these 5 helpful tips.

Stay Calm

It may be challenging to stay calm when dealing with a problematic or irrational patient, but controlling your emotions is one of the most important things you can do during a confrontation. Reacting to a patient with anger can only escalate the situation and make it worse.  

When dealing with a difficult patient, remember in most cases, they are only being difficult to get their needs met and not to cause trouble. However, other times, patients may be misdirecting their feelings of fear or uncertainty onto you, and it is our job to help them navigate their feelings and de-escalate the situation. Some Nurses have found practicing meditation and yoga helps to develop healthy coping methods and strategies to navigate stressful patient interactions.  

Control Your Body Language

It is only natural to become defensive during a controversial situation. Your body language can often speak louder than spoken words. When interacting with difficult patients, it is important to evaluate your nonverbal communication and ensure it is portraying the right message. You should also avoid standing with your arms crossed, as it can be interpreted as rude or standoffish. Learn to control your facial expressions, gestures, and posture during difficult interactions to help diffuse the situation.  

Listen

When a patient becomes loud or argumentative, it’s natural to respond with anger and defensiveness. In these times, it is essential to remember that the patient is coming from a place of needing to be heard. Whether their request is reasonable or not, we as Nurses must listen to their concerns or complaints.

If you set aside your own feelings about the situation and listen to what the patient is saying, you may be able to get more insight into the situation and come up with a better solution to the conflict. Many times, you may not need to come up with a solution for the patient. They just need someone to listen to them and feel heard. We have to remember, patients are usually in a vulnerable state when being cared for and can be scared, frustrated, or hurt. Listening is one of the easiest ways we can connect with our patients and help them to heal both physically and mentally.  

Have Empathy

Empathy is one of the most important traits of a Nurse. When dealing with difficult patients, it is important to remember they are going through a tough time, and they may be displacing their anger onto you as their Nurse. Make sure you always try to put yourself in your patient’s shoes to better understand where they’re coming from. Patients are only human. They want to be heard and understood. If we connect with them through empathy, it will help to diffuse many uncomfortable situations.  

Set Boundaries

As Nurses, it is our job to provide for the wants and needs of our patients, but it is important to do so within your set boundaries. Sometimes, patients demand things that are unreasonable. Make sure they understand the limitations of your role. As a Nurse, it is important to find the balance between meeting your patient's needs and also standing your ground and not letting a patient push you around. Some patients may try to take advantage of your kindness so it is important to set boundaries and stick to them.

Unfortunately, every Nurse has had the unfortunate experience of dealing with a difficult patient. Next time you find yourself in a challenging situation with a patient, keep these helpful tips in mind so you can get back to providing your patients with exceptional Nursing care. 

Choosing the right Nursing specialty can be a challenging decision, as there are many areas of Nursing to consider. Here are some steps that can help you choose the right specialty:

Assess your interests

Think about the areas of Nursing that interest you the most. Do you enjoy working with children or adults? Do you like working in a fast-paced environment or a more relaxed one? Do you prefer working in a clinical setting or a community-based one? Weighing your choices based on your interests and personality traits will help you narrow down your options.

Research Nursing Specialties

Once you have identified your interests, research the specialties that align best with them. Look for information about the scope of practice, work environment, patient population, salary, and required education and certification. You can also talk to other Nurses who work in these specialties to get a better understanding of what it's really like to work in these areas. 

Johnson and Johnson offers A Nursing Specialty Quiz to help guide you in learning more about specific specialties that fit what you're looking for.

Consider Your Strengths

Think about your strengths as a Nurse. Do you excel at critical thinking and problem-solving? Are you skilled at patient education and counseling? Do you have strong leadership skills? Are you able to work well under pressure? Looking at the areas you excel in will help you pick a specialty that suits you.

Think About Career Goals

Consider your long-term career goals and how a particular Nursing specialty can help you achieve them. Do you want to advance into a leadership role? Do you want to work in a specific healthcare setting or with a particular patient population? Understanding your career goals can help you better choose a specialty that aligns with them.

“One of the best things about being a Nurse is your career can change and flex as you grow,” says Ashleigh Woods, Clinical Assistant Professor of Nursing at Berry College. “Nursing is versatile. Unlike other professions, as a Nurse, you can specialize in ICU medicine, but then after a few years, you can become a specialist in another area.”

Gain Experience

Once you have narrowed down your options, try to gain experience in different areas through clinical rotations or job shadowing. Some Nursing schools offer part-time work for interested students which would allow you to make money and gain experience. Hands on experience can help you get a better sense of what it's like to work in these areas and make an informed decision about which specialty is right for you.

Ultimately, choosing the right specialty is a personal decision that depends on your interests, strengths, career goals, and experience. Take the time to explore your options and gather information before making a decision, and don't be afraid to seek guidance from experienced Nurses and healthcare professionals.

Using humor in Nursing can be a valuable tool for creating a positive patient experience, improving communication, and reducing stress and anxiety among patients and fellow healthcare providers.

Humor can help break down barriers and build trust between patients and Nurses, making it easier to establish rapport and provide compassionate care. It can also help alleviate fear and anxiety, both of which are common among patients receiving care.

According to a study in the Journal of Advanced Nursing, researchers found that humor "enhances feelings of closeness or togetherness when shared in the context of trust between the patient and Nurse and may be used as a coping mechanism in a stressful situation."

However, it is important to use humor appropriately and respectfully always being sensitive to the patient's needs and cultural background. Humor should never be used at the expense of a patient or in a way that could be perceived as unprofessional or insensitive.

Some ways that Nurses can incorporate humor into their interactions with patients include using lighthearted jokes or anecdotes to help patients feel more relaxed, finding common ground through shared interests or experiences, and using humor to diffuse tense situations or disagreements.

An article from the AMA Journal of Ethics states, "humor and laughter are shown to decrease levels of stress hormones, lower blood pressure, strengthen the immune system, decrease pain, and decrease inflammation. Laughter is an excellent addition to treating almost any condition."

Overall, humor can be a valuable tool in Nursing when used appropriately and in a manner that supports positive patient outcomes.

Nurses often use humor as a coping mechanism to deal with the stress and emotional impacts of their job. Humor can help reduce tension and provide a temporary escape from the demands of the work environment. 

Healthcare workers may use humor to help them deal with difficult patients, challenging coworkers, or stressful situations. Humor can help to create a sense of camaraderie and promote teamwork among staff.

According to the Atlanta-Journal Constitution, Sharon Mawby, MSN, RN, NEA-BC can attest to the power of humor. As the Vice President of Patient Care Services and CNO at Emory Decatur, she knows well how fast-paced and stressful the Nursing work environment can be. "As a result, Nurses, who are often at the very center of care with patients and families, can become overwhelmed and burned out," she says.

"We know that laughter relieves stress, so when Nurses take the time to share stories and laughter with their colleagues they build a sense of community within their teams. After all, Nursing is a team effort. As a CNO, when I round on units and hear laughter between the staff, I know that they are having a good day."

It is important to note, humor should never be used to mock or belittle patients or coworkers, and shouldn't be used as a way to cope with the emotional toll of traumatic events. In these situations, it is essential for Nurses to seek support from colleagues, loved ones or mental health professionals.

Using humor can be helpful for Nurses, as long as it's practiced in a way that doesn't compromise patient care or professional standards.

Hiring Nurses who reflect Diversity, Equity, and Inclusion (DEI) is an important step towards creating a healthcare system that is accessible and welcoming to all patients, regardless of their race, ethnicity, gender identity, sexual orientation, or any other characteristic.

Here are some strategies that healthcare organizations can use to improve DEI in their Nursing workforce:

Develop A Diverse Recruitment Plan

Health Systems should develop recruitment strategies that target a Diverse pool of candidates. This may involve partnering with community organizations, attending job fairs and career events that attract a Diverse group of people, and actively recruiting from underrepresented communities.

Get Involved In Your Community

If you aren’t already involved in your community, it’s time to get started. Sponsor community information sessions such as signs to look for regarding specific illnesses including diabetes, weight control, high blood pressure, etc. See if there’s a local chapter of the NBNA (National Black Nurses Association), NAHN (National Association of Hispanic Nurses), AMN (American Men in Nursing) and become a member. Sponsor a local chapter recruiting event or attend their national conferences. Reach out to the schools in your area to get high school and college kids aware of the career opportunities available in healthcare. Your community is full of potential patients and employees so get your Diversity, Equity and Inclusion message out there in your community.

Consistent Communication

It is important that both your internal and external communications consistently promote your inclusive environment. Be honest and welcoming. Don’t be shy. It’s that simple!

Use Inclusive Language In Job Postings

Those responsible for hiring should use inclusive language in their job postings to attract a more Diverse pool of candidates. This includes using gender-neutral language, avoiding language that may be exclusive or discriminatory, and highlighting the organization's commitment to DEI.

Provide Cultural Competence Training

Healthcare organizations should provide cultural competence training to all employees, including management. These trainings can help staff understand the unique needs and perspectives of patients from all different backgrounds, and provide them with the skills and knowledge they need to provide culturally responsive care.

Foster An Inclusive Workplace Culture

It is important to foster an inclusive workplace culture where all employees feel valued and appreciated. This may involve implementing policies and practices that promote Equity and Inclusion, providing opportunities for professional development and advancement, and creating a safe and supportive work environment.

Measure And Track DEI Progress

Management should be measuring and tracking their progress towards Diversity, Equity, and Inclusion goals. This may involve collecting and analyzing data on the Diversity of the Nursing workforce, as well as conducting regular employee surveys to gauge their experiences and perceptions of the workplace culture.

Applying for a new job can be overwhelming and stressful. For candidates with disabilities, the hiring process can be a disheartening experience.  

According to the CDC, one in four adults in the U.S. has a disability; the unemployment rate for that community is double that of non-disabled workers.

Andrea Dalzell can relate to those who face unjust barriers when searching for employment. She is a disability advocate and New York State's first wheelchair-bound Registered Nurse. 

Dalzell fights for those like her, qualified candidates who face discrimination and obstacles when applying for jobs.

Andrea was diagnosed with transverse myelitis when she was 5 years old and using a wheelchair full-time by the age of 12.

Her experiences with Nurses inspired her to become one. She received her Nursing degree from the City University of New York, College of Staten Island.

Even with her Nursing degree it was difficult to find work.

"I once went through 76 clinical Nursing interviews. I was rejected from them all until COVID demanded my help during the peak in NYC. The rejection from ever having a bedside Nursing position was flipped on its head as my wheelchair was seen for what it is: a mobility device", said Dalzell in an American Nurses Association interview. 

Dalzell uses past negative experiences and turns them into a positive, as she can relate to patients who struggle with disabilities, and give them hope. She encourages them to persevere in the face of adversity. 

However, she finds it frustrating that in the field of caring, many still face discrimination.

According to Employee Benefit News, Dalzell said, "We're forgetting that [enabling] technology has advanced so much, and should allow our healing touch and compassion to come into the profession and give hope in a way that is normally not seen. And yet when [people with disabilities] are saying they want to be Nurses or be on a healthcare team, we're saying well, you have a disability — you're not good enough."

Employers need to do more than just talk about Diversity, Equity, and Inclusion (DEI), they need to actually be about it. 

"You cannot tell people you are an equal opportunity employer, tell them to come on in through the door," Andrea says, "but then be unprepared and your doors are not even big enough to accept someone."

"Disability is the fastest- and largest-growing minority in the world. Without disability inclusion, you could very well be limiting opportunities for your future selves," says Dalzell. 

Andrea is a Pioneer and an inspiration to many. In recognition of her achievements, she's earned many spotlights, such as New Mobility’s Person of the Year (2021). She was also one of the inaugural recipients of the Craig H. Neilsen Foundation Visionary Prize of $1 million.

Dalzell is still figuring out how she will use the money, but has already started a 501c3 nonprofit foundation called The Seated Position to create awareness around those with disabilities in education and the workforce.

According to New Mobility, Andrea attributes her tenacity to her parents, first-generation immigrants from Guyana, who encouraged hard work and perseverance. “I told Andrea, don’t let anyone ever tell you there is something you can’t do,” says her mother, Sharon Dalzell. “Just look at them straight in the face and say, ‘Watch me.’ As long as you do it in the right way, you’ll reap the benefits in the years to come.”

Andrea knows it’s important for people to see someone like her — a black, disabled woman — out in the world, making a life for herself and changing the lives of others. 

You can follow Dalzell on Instagram @theseatedNurse where she posts her everyday life along with great motivational content. Also check out her website theseatednurse.com to learn more! 

Emergencies can happen anywhere and patients need to be transported to facilities via ambulance or flight. This is when Critical Care Transport Nurses (CCTNs) are needed.  

These Nurses travel with patients on the ground or in the air, providing dire medical care until they reach their destination. It is fast paced work often in smaller, more confined areas with limited equipment and tools.

“Critical care transport encompasses any type of critical care patient who needs to be moved from one facility to another to a higher level of care,” says Wanda Keaton, MHA, BSN, RN, CCRN, CFRN, Nurse Manager of Critical Care Transport at Cleveland Clinic. “We can transport these patients by ground in a mobile ICU, in a helicopter or in an airplane.”

The motto of the Cleveland Clinic critical care transport teams is “no patient too sick, no patient too far.”

CCTNs can work in a variety of settings such as:

• Government agencies
• Hospitals
• Independent transport companies 
• International medical organizations
• Long-term care facilities

The majority of their time is spent in:

• Ambulances
• Airplanes 
• Helicopters
• Ships specially outfitted for critical care transport

"Is it stressful and scary? Yes! Do I love every minute of it? Absolutely!" -- Alice Benjamin, APRN, MSN, ACNS-BC, FNP

Successful CCTNs should posses a range of skills such as:

• Advanced Nursing knowledge
• Excellent communication skills
• Ability to deal with stress and keep calm
• Confidence in your knowledge, training, and abilities
• Physical endurance
• Ability to adapt to changing circumstances
  
  

How to become a Critical Care Transport Nurse:

• Earn an Associate degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN) degree

• Pass the NCLEX exam to receive RN licensure

• Earn your advanced life support certification

• Gain experience in Emergency, Med-Surg, or Critical Care Nursing

• Consider becoming certified 

Nursing Certifications to consider:

• BLS – Basic Life Support
• ACLS – Advanced Cardiac Life Support
• CFRN – Certified Flight Registered Nurse
• TPATC – Transport Professional Advanced Trauma Course
  
  

The average Critical Care Transport Nurse salary in the United States is $91,700, according to Salary.com. 

“All of our Nurses feel like they learn something new every day,” says Keaton. “There’s never a dull day for a Critical Care Transport Nurse.”

To learn more about this field, visit Air & Surface Transport Nurses Association

Performance anxiety and low confidence can be common among new Nurses as the field can feel intimidating. For your new journey, here are helpful tips to boost your confidence and help you to become the strong and resilient Nurse we know you can be. 

Find a Mentor

Mentors can be beneficial as they offer advice, guidance and support. They ease the transition to practice for new graduate Nurses, re-entry Nurses, and Nurses new to a specialty area.

Andrea Tran, an RN and lactation consultant cautions new Nurses to choose experienced Mentors who also have a knack for teaching. "They will tell you to let them know if you have any questions and ask you if you want to watch or participate in something you haven't done before or haven't yet mastered. They will make you feel good about your progress."

Knowledge is Power

Consistently learning and growing your knowledge will make you feel more confident in your decisions. Always ask questions if you're unsure about something. There are numerous training courses and opportunities for improving your skills. 

Don't Compare Yourself To Others

It's normal to feel the need to compare yourself to others but it's important to remember every Nurses' path is different, every shift is different, and every experience is different. Your team members are exactly that, your team, not your competitors. Learn from them but also be proud of the skills you have and the work you do. 

Stand Up For Yourself

Unfortunately, we know bullying exists in the Nursing profession, but you don’t have to succumb to it. Being bullied can affect your self-esteem big time. Bullies feed off of low self-confidence and a passive communication style. Hold your head high, make eye contact, and stand up for yourself by speaking with a strong sense of self. Believing in yourself is a powerful tool! 

Spread Positivity 

Positivity is contagious and it feels good to lift others up. When you spread positivity, you’re creating a warm and inviting environment. Not only will people gravitate to you they will in turn feel better and spread that positivity further, boosting morale and confidence for all. 

Don't Seek Validation From Others

Sometimes Nursing can feel like a thankless job. Remember why you're here - to care for others. If you're looking for a 'job well done' as approval for your hard work, you might be let down. It is important to recognize and appreciate yourself internally for your contributions and all that you do for others. 

It’s imperative Management recognizes staff for the incredible work Nurses do. But recognition is different from approval. Validation should come from within and not from others. 

Self Care

Being a Nurse can have physical and emotional affects from stressful working conditions. Self-care and healthy lifestyles are crucial. Nurses should seek out help from their mentor, a therapist, or other trusted colleagues if they are feeling distressed. It is essential to be mindful about eating healthy, getting enough sleep  and maintaining routines. Positive affirmations and healthy rewards for your hard work are needed. 

In your Nursing career, have you experienced self-esteem issues? What helped you overcome those difficult times? Please share with us in the comment section below.

The Nursing profession would be nothing without the contribution of Certified Nursing Assistants (CNA). Certified Nursing Assistants play a vital role in healthcare by working directly under registered and licensed practical Nurses. CNAs assist patients with daily tasks like washing, dressing, and eating. The skills you learn as a CNA can be used throughout your Nursing career and will provide you with a solid foundation for building your knowledge. Here are some of the many reasons you should work as a CNA while in Nursing school.

More Comfortable Interacting with Patients

It can be an awkward adjustment for some Nursing students to become comfortable caring for their patients' intimate and personal care needs. However, Nursing students who have worked as CNAs have first-hand experience interacting with patients and do not have to spend their time in the clinical setting adapting to patient interactions. They can instead spend their time in the clinical setting developing other Nursing skills.  

Lays an Educational Foundation

Certified Nursing Assistants must have a basic knowledge of human anatomy, nutrition, infection control, communication, documentation, and basic patient care. The basic education you learn in CNA school and while practicing as a CNA, lays a solid foundation to build upon as you further your Nursing education. In addition, Nursing students with CNA experience have a leg up on other students who have yet to have the opportunity to gain first-hand Nursing experience.  

Time Management Skills

Efficient time management is an essential skill that all good Nurses must master. While working as a CNA, you will learn how to effectively manage your time which will help you navigate the intricacies of Nursing school. Effective time management results in greater productivity, efficiency, and reduced work stress. Nursing is a demanding profession, but Nurses who effectively manage their time see the worthwhile benefits.

Ideal Nursing School Candidate

Admission into Nursing programs is becoming increasingly competitive, and many students are looking for ways to help them stand out in the enrollment process. Becoming a CNA will help lay a strong foundation in Nursing skills and help you stand out in the admissions process. The invaluable experience you will have under your belt as a CNA can set your application apart from the rest.

You’ll Experience the Realities of the Nursing Profession

The entertainment industry can glamorize Nursing as a profession. However, many of the day-to-day tasks we must perform as Nurses are far from glamorous and can be pretty disturbing to some. Some potential Nursing students may not fully understand the ‘dirty’ parts of Nursing, such as dealing with bodily fluids and helping people to the bathroom. Nursing students who have worked as CNAs have experienced the unflattering side of Nursing and are more prepared to handle the realities of the job. It takes a special person to be a Nurse, and Nurses who were once CNAs, have a deeper understanding of exactly what it takes to be a great Nurse.

Ability to Adapt

The job of a CNA can be monotonous, and care tasks are usually routine. However, even though most days are timed and planned, the needs of patients can change drastically without notice. Working as a CNA while in Nursing school can help you develop the skills and confidence needed to adapt to new situations and patient changes. The ability to adapt means that when changes occur, you can deal with the problem at hand and then reorganize your day to suit the needs of your other patients.

Working as a CNA while in Nursing school is not a requirement and is entirely optional. But the hands-on experience you will gain while working as a Certified Nursing Assistant will better prepare you for Nursing school and your future Nursing career.

Whether you are considering a career in Nursing or are a Nurse looking to switch pathways, something to consider is salary. Many factors play into salary such as location, employer, and experience. 

Here is a list of this year's highest paying Nursing positions.

1. Chief Nurse Anesthetist
Chief Nurse Anesthetists are responsible for supervising other Nurse Anesthetists and managing the day-to-day operations of the anesthesia department. They may also administer anesthesia to patients undergoing surgical procedures. They work closely with surgeons and other medical personnel to ensure patients receive high-quality care.
Average Annual Salary- $211,500

2. Certified Registered Nurse Anesthetist
A Nurse Anesthetist provides pain medication (anesthesia) care for patients before, during, and after surgery. They administer medications to keep patients asleep or pain-free during surgery and constantly monitor every biological function of the patient's body.
Average Annual Salary- $189,190

3. Dean of Nursing
The Dean of Nursing manages administrative functions of the College of Nursing, develops college strategic initiatives, and participates in university long-term planning and policy setting. As the Dean, you lead the college in fundraising, cultivate relationships with donors, as well as provide senior level administrative leadership in areas of curriculum development, institutional assessment and improvement, human resources, faculty development and performance appraisals, budget and finance, and facilities planning and management.
Average Annual Salary- $185,466

4. Chief Nursing Informatics Officer
A Chief Nursing Informatics Officer (CNIO) oversees the safe, secure implementation of technology in the workplace. They are familiar with current medical systems, and continually seek opportunities to organically integrate technology to a greater extent within these systems.
Average Annual Salary- $159,849

5. Chief Nursing Officer
On a day-to-day basis, the CNO of a healthcare organization is kept busy by a wide range of responsibilities. Between communicating with team members, implementing new protocols, and evaluating department performance, a CNO completes leadership tasks each day that allow the rest of the organization to function well.
Average Annual Salary- $146,250

6. Chief Nurse Practitioner
A Chief Nurse Practitioner is a Registered Nurse who has advanced training and experience in primary care. In addition to their clinical responsibilities, they play a role in leading and promoting best practices within their organizations. They are often involved in developing and implementing policies and procedures.
Average Annual Salary- $145,000

7. Travel Nurse
A travel Nurse is a Registered Nurse with a clinical background working in a non-permanent or temporary Nursing role. Travel nurses are typically employed by an independent Nursing staffing agency instead of a single facility.
Average Annual Salary- $118,270

8. Director of Nursing
A large health care facility will often have a Director of Nursing. The Director oversees all Nursing staff and performs both the duties of a Lead Nurse in a team and the administrative and leadership responsibilities of a manager. The Director of Nursing is a qualified Nurse who is often called upon to advise in difficult, sensitive or long-term care situations. In the role of manager or administrator, the Director of Nursing will communicate directly with the Physicians and other Directors in the department.
Average Annual Salary- $117,996

9. Certified Nurse Midwife
A Certified Nurse Midwife (CNM) is a primary health care provider to women of all ages throughout their lives. CNMs focus on gynecologic and family planning services, as well as preconception, pregnancy, childbirth, postpartum and newborn care. They also provide primary care such as conducting annual exams, writing prescriptions, and offering basic nutrition counseling.
Average Annual Salary- $117,552

10. Nurse Practitioner
Nurse Practitioners (NPs) are trained, licensed, and independent health care clinicians who concentrate on managing patients’ health conditions by treating injuries and illnesses, as well as supporting injury and disease prevention.
Average Annual Salary- $115,195

11. Pain Management Nurse
Pain Management Nurses are responsible for the care of patients with chronic or acute pain. Once they have assessed a patient’s pain, they work closely with Doctors and other Nurses to create a treatment plan. Pain Management Nurses administer medications and provide pain relief through other therapeutic methods. In addition, they teach patients and their families how to alleviate pain and make patients more comfortable.
Average Annual Salary- $114,450 

12. Neuroscience Nurse
A Neuroscience Nurse treats patients with neurological injuries and disorders, including head and spinal trauma from accidents, or illnesses such as Parkinson’s disease, Alzheimer’s, epilepsy and multiple sclerosis. It’s important for these Nurses to have a firm understanding of how the nervous system works and how it can affect both the mind and the body.
Average Annual Salary- $109,930

13. Nurse Educator
Nurse Educators are responsible for teaching and instructing Nurses at colleges, universities, and in clinical settings like Doctors offices and hospitals. They have advanced Nursing degrees and understand the workload, policies, and requirements of nursing. Nurse Educators influence healthcare by training future Nurses who will play vital roles in healthcare facilities.
Average Annual Salary- $108,060

14. Respiratory Nurse
A Respiratory Nurse is a specialized Nursing professional that helps treat patients who are suffering from respiratory problems. As a respiratory Nurse, you will often care for patients who suffer from acute and chronic respiratory illnesses. Some examples may include bronchitis, pneumonia, asthma, emphysema, and lung cancer.
Average Annual Salary- $107,280

15. Cardiac Catheterization Laboratory Nurse
A Registered Nurse in the Cardiac Catheterization Laboratory (shortened as Cardiac Cath Lab) assists Cardiologists during the entire catheterization process. They prepare the patient before and after the procedure to stabilize their health status. The type of patients they’ll work with have heart diseases or ailments that require constant monitoring.
Average Annual Salary- $106,550

16. Clinical Nurse Specialist
Clinical Nurse Specialists are Advanced Practice Registered Nurses who hold a master’s or doctoral degree in a specialized area of Nursing practice. In addition to conventional Nursing responsibilities, which focus upon helping patients to prevent or resolve illness, a Clinical Nurse Specialist’s scope of practice includes diagnosing and treating diseases, injuries and/or disabilities within his/her field of expertise.
Average Annual Salary- $106,407

17. Surgical Nurse
Surgical Nurses are also known as Perioperative Nurses, and work in the OR and with surgery patients before, during, and after their surgery. There are many specific things that a Perioperative trained Registered Nurse will do to help Surgeons and Nurse Practitioners during surgery. They usually work directly with a Doctor on specific surgery patients to ensure everything goes smoothly.
Average Annual Salary- $104,370

18. Clinical Nurse Leader
The Clinical Nurse Leader (CNL) is responsible for evaluating patient outcomes, assessing risk across groups of patients, developing or revising care plans, and coordinating care among the multidisciplinary health care team. The CNL acts as a liaison between Nursing administration and the Staff Nurse, serving as an invaluable resource to that frontline care provider.
Average Annual Salary- $104,107

19. Labor And Delivery Nurse
From admission to discharge, Labor and Delivery (L&D) Nurses are there for every step of the birthing process and postpartum care. This means that L&D Nurses monitor vitals of both mother and baby; track and measure contractions; proactively assess and address mothers’ needs (e.g., pain medications or other support); assist with delivery and provide care.
Average Annual Salary- $104,000

20. Geriatric Nurse
Geriatric Nurses work with Doctors and other healthcare professionals to care for the physical, mental, and emotional well-being of elderly patients, helping them maintain independence and quality of life. These Registered Nurses (RNs) possess specialized knowledge and skills to treat common health issues affecting the elderly population.
Average Annual Salary- $103,800

Salary Source: Nursingprocess.org 

Nurse burnout is not a new concept. Nurses have been experiencing burnout for decades. However, since the COVID-19 pandemic, more Nurses than ever are experiencing burnout, making it a hot topic in the Nursing community. Nurse burnout is often brought on by everyday stressors like insufficient staffing, increased workload, high patient acuity, and even verbal or physical abuse from patients. These stressors result in physical, mental, and emotional fatigue. As a result, Nurse burnout has been a significant factor in the number of Nurses leaving bedside Nursing or even the profession altogether.

Identifying the symptoms of Nurse burnout is the first step in preventing it from progressing. Nursing burnout is not one size fits all, and there can be many different ways it manifests itself. Nurses can experience various symptoms, including fatigue, sleep problems, headaches, anxiety, loss of desire to go to work, feeling underappreciated, overworked, or unsupported, difficulty with interpersonal relationships, and may even isolate themselves or withdraw from activities.

With an emotionally demanding and stressful job, it can be normal to experience some ill feelings toward your job from time to time. However, when the ill feelings begin to linger for weeks or start to affect your personal life or how you feel toward your job, it may be time to take some time for yourself and implement some of these strategies to reduce the risk of becoming burnt out.

Develop Strong Relationships with Coworkers

Nurses work in stressful situations but having a good support system with those you work with can help lighten the load and decrease the risk of experiencing burnout. This is because Nurses in positive environments feel more supported by the people around them. Having good support from Nurse friends can reduce stress levels and the emotional exhaustion you may encounter in the clinical setting.

Prioritize Physical and Mental Health

A great way to prevent Nursing burnout is to prioritize your physical and mental health. Nurses cannot pour from an empty cup. Practicing yoga, meditation, or journaling are all excellent ways to relieve stress and work through frustrations or concerns. Nurses should also try their best to eat well, drink plenty of water, get adequate sleep and participate in physical exercise several times per week.

Set Boundaries

Setting boundaries is essential to prevent burnout. Nurses often work long shifts with varying schedules, which can be challenging to navigate for some Nurses as they work opposite shifts than friends and family. Although working extra hours can benefit your wallet, it may have different personal benefits. Taking the time to disconnect from work stressors and spend time with loved ones is essential for a work-life balance. Sometimes it's better to leave work at work and avoid work-related conversations while on your time off.

Find Support with Loved Ones

The Nursing profession can come with a heavy mental load contributing to burnout. Finding support from family and friends is essential. If you experience trauma in your workplace, sometimes talking to a therapist or counselor can help with coping strategies and processing your feelings. 

Find a Creative Outlet

Having a creative outlet can help release endorphins that can help to prevent Nurse burnout. Research has shown that Nurses with creative endeavors have enhanced mood, more energy, stronger immune systems, and lower stress. Some Nurses enjoy activities like crocheting or knitting, painting, or pottery. So if you have been looking for a way to decrease work stress, now might be a perfect time to learn a new skill and pick up a new hobby.

Consider Advancing Your Career

If all else fails and you continue to experience symptoms of Nurse burnout from chronic job stress, consider going back to school to advance your Nursing career. By advancing your Nursing career, you can become a Nurse leader, Nurse Educator, or a Nurse Practitioner. These career paths can provide autonomy, a change of pace, and remove you from your current clinical environment. Advancing your career also gives you a unique advantage to change how we practice Nursing and help prevent Nursing burnout for future generations of Nurses.

It takes a team effort to prevent Nursing burnout. Administration and Nurse leaders must prioritize the well-being of their Nursing staff, and Nurses themselves must strive to care for themselves as well as they care for their patients.