For many people, Nursing was all they ever imagined they would be doing as their career. For other people, becoming a Nurse was a second career for them. No matter which stage in life they chose to become a Nurse, these people are passionate about what they do and they are happy they made the switch to a job they love.

John McElroy worked in a local brick factory for about twenty-five years. He lost his job in 2007 after sufferring from a stroke. McElroy wanted to be a Nurse when he was younger and during one of his hopsital visits, his childhood dream was restored. John told CNN, the Nurse thought he would be a fantastic Nurse. She gave him advice and told him, "You will have loads of excuses to not do this, to fail, to quit. But you've got to carry on."

John attended college and even earned $4,000 in scholarships. In 2012 he graduated with a Nursing degree and every day McElroy sees pieces of his own journey reflected in his patients. He educates families on the unique needs of stoke survivors. By sharing his personal story, he hopes his patients will believe that there is life after recovery.

When Bob Evans was 20 years old he took an aptitude test that showed Nursing as a good match for him. Learning news that he was going to become a father Bob decided to take a job in the horticulture business, mostly in sales and customer-service positions in landscaping and lawn care.

In his late 50's, there was a restructuring where he worked. He wasn't sure what he was going to do for work. His wife Lou said, "Remember how you were interested in becoming a nurse when we got married?" I said, "It's too late," but she said, "I don't think so." Bob and his wife attended an information open house at Collin College and decided to go for it. He earned his associate's degree at Collin College in 2013 and a bachelor of science in nursing in 2016 at the University of Texas at Arlington. 

Bob told Dallas News the toughest part about changing careers is, "The transition from expert to novice. I knew that not being the expert on the job anymore would be an adjustment. Assuming the role of novice required a steady flow of swallowing my pride. It has been humbling, but learning and mastering skills that help others is really rewarding."

Laura Callens worked as a school admissions director and was taking care of her husband, Eddy, who had brain cancer. After Eddy passed away in 2011, Laura quit her job and spent some time in Mexico where she had a career epiphany. She heard about a nursing program and realized she had honed relevant traits and skills like compassion and deep listening while caring for her husband. Though hesitant to become a student again, she applied to Nursing school.

According to the NewYork Times, Ms. Callens happily graduated last December and will soon be a neurological nurse. She will work in the Rochester hospital unit where her husband was treated.

Changing careers is always a nerve-racking journey. For people in their 40s and 50s, making a change can be daunting. Experts believe assessing job opportunities, doing some smart skill-matching and getting technical training can help speed the process. But, you also have to love what you do for a living and these people luckily found their calling.

Technology is an integral part of almost every field of work and in order for Health systems to stay on the cutting edge you need a healthcare IT professional on staff. This is where the Nurse informatics specialist comes in.

Demand is growing for Nurse informaticists and according to the Healthcare Information and Management Systems Society, the average salary is more than $100,000 and 95 percent of their survey respondents “view health IT as a strategically critical tool to help healthcare organizations be successful.”

According to Forbes, "The shift to electronic health records has spurred a dramatic change in the way health care professionals work. Nurse informaticists design and maintain processes for how people use electronic records, finding ways to save nurses’ and caregivers’ time. And they test systems rigorously. For example, they must make sure a patient’s vital signs are accurately recorded by heart monitors, and that the data is accurately transferred to electronic health records."

Informatics Nurse isn't a new career choice. Joyce Sensmeier, vice president of informatics at HIMSS says, "The American Nurses Association blessed it as a specialty in the early 1990s." She also goes on to say, “Usually the East and West Coast have quite a few positions. The Midwest as well — Minnesota, Wisconsin, and Illinois. That’s where a lot of the biggest health systems are. To be paying nurses this salary, it takes a strong health system.” But hospitals aren’t the only organizations that need the specialists. Universities and health technology startups do, too.

allnursingschools.com beleives it is a great leadership role opportunity. Because you’ll be responsible for creating strategies, implementing policies and ensuring better patient care, specialists can be a great fit for someone looking to move into advanced nursing. According to the HIMSS survey, 71 percent of healthcare organizations employ a “clinical IT leader” such as a Chief Nursing Informatics Officer.

Sensmeier also told Forbes, "To become a nurse informaticist, you’ll need a nursing degree, project management skills, an understanding of data and the ability to analyze it. The best route is to get a nursing bachelor’s degree to start, then get some real-world experience as a nurse, so you understand the clinical environment. After that, a master’s degree in health or nursing informatics — offered at most major universities—will provide all the education you need, even if you’d like to rise to the level of CNIO. These programs take two years, full time. An alternative is a one-year certificate in informatics. You probably can’t get to the CNIO level without a master’s, but a certificate will give you the core skill set."

Occasionally I receive Ron’s eNewsletter and I always find them thoughtful, humorous and to-the-point. In this one, he offers examples of the importance of using humor while under stress, most of them in medical situations. I hope you find them clever and humorous too! 

I wish my brain consistently delivered me a funny and snappy comment like the people in this newsletter or my neighbor, Kay, who is always so witty and sharp at 86 years old! She is delightful to be around. How about you? Are you quick-witted and find the humor in most situations? Perhaps you have an example you’d like to share?

Written by Ron Culberson

For instance, a few years ago, while going through airport security, I was trying to remove my watch. I had recently changed the band and was having trouble unhooking it. As I attempted to take it off, the watch slipped out of my hand. I grabbed for it and accidentally smacked it twenty feet across the floor. Nervously, I turned to the TSA agent and said, “Time flies, doesn’t it?”

He laughed. I retrieved my watch. And I made my flight without incident.

Dropping your watch is not a huge problem. I understand that. But when we can find humor during life’s more challenging experiences, the situations feel a bit less challenging. So, I thought I’d share some of my favorite examples from family, friends, and colleagues who used humor to cope with their particular predicaments.

———

Recently, I spoke for the US District Court clerks in western North Carolina. The Clerk of the Court, Frank Johns, shared that he was diagnosed with an unusual type of intestinal cancer in 1999. His daily treatments consisted of two chemotherapy injections administered in each side of his, well, back side. Luckily, Frank is married to a nurse so she could administer the injections.

On some days, Frank noticed that the injections didn’t hurt at all while on other days, they hurt a lot. So one day, when he didn’t feel any discomfort from the shots, he asked his wife to mark the spots on each cheek with a Sharpie. A couple of days later, he went to a tattoo parlor and had two permanent bullseyes placed where the spots were. Oh, and by the way, Frank is an avid gun enthusiast so the bullseyes were appropriate on a many levels.

In Frank’s case, humor definitely hit the spot! And it made a challenging situation better. Today, Frank’s cancer is in remission.

———

Early in my career, I spoke at a local support group for people living with serious illnesses. I asked the participants how they used humor to cope with their health challenges. One man said that when he went to see his doctor for a checkup, he placed a Beanie Baby crab under his hospital gown. When the doctor lifted the gown to examine him, he said, “Sorry, I’ve got crabs.”

The doctor burst out laughing.

When you’re dealing with a serious illness, edgy humor can be one of the greatest reliefs for the tension. It’s like fighting fire with fire. In this case the patent’s reference to an STD lead to ROTFL.

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A colleague was telling me that when her father died, she went to the funeral home to purchase an urn for his ashes. However, she felt that the urns on display were too serious and that they didn’t fit her father’s fun personality. She felt that they were just too “urn-est.” Haha.

So, she solved the problem by burying her father’s ashes in a beer growler! He had always loved beer and she felt this represented his life much better than a more somber container. I guess you could say one bad urn deserved another (sorry).

———

My friend Theo Androus's dad was quite a gregarious guy. Once, Theo told him that his haircut looked awful. His dad said, “Son, the only difference between a bad haircut and a good haircut is two weeks.”

As Theo’s dad got older, he began to have physical problems due to diabetes. On one evaluation visit, his doctor told him that he would probably need to have his leg amputated at some point in the near future. 

Theo’s dad asked, “When you cut off my leg, can I have it back?”

The doctor responded, “Why?"

His dad said, “Because I want to bury it under a tombstone that says, ‘The rest is yet to come.’”

Theo’s dad was the epitome of using sharp wit to battle serious life challenges. He was definitely a cut above the rest.

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My friend Michael Aronin was born with cerebral palsy. All his life, he has dealt with people who are uncomfortable with his speech and his unsteady gait. But, as a comedian, he has always responded to this discomfort with humor.

Once, when Michael was nine, he was in a department store with his mother. He tripped and fell. A sales person came over to help his mother pick him up. As they were lifting him to his feet, he said, “I shouldn’t have had that second beer.”

Michael has a brilliant way of straightening out the uneven road in his life.

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A couple of weeks before my father died, and when it seemed pretty clear that he would not get better, a few friends and family came to visit him in the hospital. My dad was a private person who didn’t like to talk about himself or the seriousness of his situation.

One day, our pastor and my dad’s friend Neal were in the room. The pastor asked, “Is there anything you want to tell anyone?”

In his typical witty way, my father said, “Well, Neal owes me five dollars.”

We all laughed and my dad successfully avoided one more serious conversation.

———

Sometimes it may feel like nothing is funny. Other times, humor is the only way we can get through the day. A touch of humor can be just the balance we need so that we don't get knocked off our feet by life’s challenges.

So, laugh a little. It’s good for what ails you.

Former Fleet Marine Force corpsman, George "Mik" Todd, released a new hip-hop album called Combat Medicine. George raps under the name Doc Todd and his main goal is to help veterans suffering from post-traumatic stress disorder, depression, or substance abuse.

According to NPR, Todd took several years before gettingt help for his PTSD. He was depressed and started drinking heavily. Eventually, he realized what he needed to be doing was helping other veterans. With savings from his job as a money manager and help from his wife, he was able to quit his job. He'd been making music since he was a teenager. Now, he wanted to use his music to help veterans heal. And he had plenty of material for his lyrics.

Some lyrics from his song, Not Alone, Doc Todd urges veterans to take action in their own recovery.

The struggle is real

Found a feast

And lost a soul

Eventually my drinking

It got out of control

There in darkness, I roamed

Struggling to find home

See Suddenly death didn't

Feel so Alone

Take those bottles out, dog

and pour 'em in the sink.

Take the needles out of your arm

And the gun away from your forehead.

It's time, man.

You've been through enough pain.

Stand up.

It's time to stand back up.

Learn more about Doc Todd in his interview here.

Drinks

Have Murse-y Margarita
1 oz. creme de banana
1 oz. gold tequila
1/2 oz. triple sec
3/4 oz. lemon juice
1/4 mashed banana
Apply lemon juice to the rim of a frosted double-cocktail glass and dip into caster sugar. Fill the glass with crushed ice, add the ingredients and blend briefly. Serve with a lemon juice-dipped slice of banana.

Nightingale Old Fashioned
mix 2 oz bourbon
1 1/2 teaspoons simple syrup
2-3 dashes of Angostura bitters
one orange slice, ice, and one maraschino cherry.  

The Night Shifter
1 oz. After Shock Fizzy Orange
1 oz. Sambuca liquor over ice.
Then, top off your glass with chilled Red Bull. 

Gin and Colonic 
6 mint leaves
1/4 lime, sliced
1 1/2 oz gin
and one tablespoon sugar to a shaker and muddle.
Then, add 4 or 5 cucumber slices to the shaker and shake vigorously. Finally, pour the mixture over a glass containing 4 ounces of tonic water and a few ice cubes. Stir, let sit for a few minutes.

Code Brown
1/2 oz. Butterscotch Schnapps
1/2 oz. Whiskey

Hematoma
2 oz. vodka
4 oz. tomato juice
Juice of 1/2 limes
1 1/2 tsp. Worcestershire sauce
6 dashes Tabasco sauce
salt and pepper
1 lime wedge
Add vodka, juices and sauces to a shaker with ice, adding salt and pepper to taste. Shake vigorously. Strain over ice cubes into a highball glass and garnish with lime wedge.

The End-of-Shift Report (aka Irish Coffee)
1½ oz. Irish whiskey
1 tsp. brown sugar
6 oz. hot coffee
Heavy cream
Combine whiskey, sugar and coffee in a mug and stir to dissolve. Float cold cream gently on top. Do not mix.

Desserts

Frosted and sprinkle cookies. Idea from www.iheartsprinklescookies.com

Pretzel sticks dipped in white chocolate with frosting details. Idea from Pinterest

Brain cupcakes! Idea from blog.wantsandwishesdesign.com

Jello shot syringes. Idea from Pinterest

Cookie bandaids! Idea from partysupplies.art-spring.net

If you have any recipes you would like to share, please comment below!

Even though women comprise an estimated 90% of the Nursing industry, opportunities have been steadily increasing for men. Since 1970 the number of male Nurses has grown from 2.7 to 9.6% of the industry. Some of the reasons more men are attracted to Nursing is that jobs are secure and pay between $40,000 and $60,000. Here's a deeper look at opportunities for men in Nursing. 

Geography of Male Nurses

In some states the percentage of men in Nursing is much higher than the national picture. In Nebraska, for example, male Nurses outnumber female Nurses by a 3-1 margin. But in all other states women are the majority. In California, 20% of Nurses are male.

Excelsior College in Albany, New York has partnered with the American Assembly for Men in Nursing (AAMN) to encourage more male Nurses. The goal of the AAMN, a national organization with local chapters, is for male enrollment in Nursing programs to reach 20% by 2020. 

Changing Attitudes About Nursing

One of the reasons why women dominate the Nursing industry is due to  traditional perceptions in our society. One of the main stigmas men have faced in the past is the stereotype that Nursing is a woman's job. Another perception has been that men in Nursing are not able to be admitted to medical school.

Despite a long history of men in Nursing going back to ancient Rome, in the 19th century cultural gender roles began to favor women as medical assistants. Emphasis on Victorian values of that era in the United States escalated the stereotypes of gender roles. The low point for male Nurses was during the Great Depression, declining to 1%. 

These perceptions are changing, though, just as more women are becoming physicians. Already in the field of Nurse Anesthetists about 41% are male. The average annual salary for this occupation is $162,000. 

Reasons Men Should Consider Nursing

• Nursing shortage
• Nursing is an industry with growing opportunities 
• Variety of high-paying specialties
• Dispel outdated gender myths and provide industry diversity
• Work in a variety of settings - hospital, office, school, homecare, teaching, etc.

If you're a male who wants to pursue Nursing as a career, you should focus on Nursing more than gender. It's a rewarding occupation on many levels for both men and women, especially for people who enjoy caring for others. While Registered Nurses in America earn an average salary of about $52,000, more specialized Nurses earn over $72, 000. The job will also expand your knowledge about health, which you can apply to your own life and circle of friends. 

In many cases, patients are now able to access their health care providers through video conferencing, instant messaging, email and other forms of technology. This field, known as telehealth, is growing due to the demand for greater access and convenience in health care, according to Hospitals & Health Networks.

Advances in technology allow nurses to interact with patients remotely. This has led to the term “telenursing” or “telehealth nursing,” which is defined as “the use of telehealth/telemedicine technology to deliver nursing care and conduct nursing practice,” the American Telemedicine Association (ATA) says.

Telenursing is not a specialty area in nursing. Nurses in nearly all practice settings can provide care at a distance. And given the rapid rise of telenursing, current and future nurses can expect to have more career opportunities in this field.

Growth and Benefits

More than half of all U.S. hospitals use some form of telemedicine, according to the ATA. A survey shows that 90 percent of health care executives are developing or implementing a telemedicine program.

Other signs point to the growth of telemedicine and telenursing. State lawmakers are supporting legislation for telemedicine-related reimbursements. These changes have been accepted by private and public insurers. Providers are even extending services across the globe, and the ATA notes that more than 200 academic medical centers in the United States offer video-based consulting in other parts of the world.

Primary benefits associated with telemedicine include the following.

· Cost Savings: A heart failure telemonitoring program led to 11 percent cost savings, with an estimated return on investment of $3.30 in cost savings for every $1 spent on program implementation, according to the American Hospital Association. U.S. employers could save an estimated $6 billion by offering telemedicine, global professional services company Towers Watson says.

· Flexibility: About 20 percent of Americans live in rural areas without easy access to primary care or specialty care. More than 40 percent of hospitals surveyed said that a leading reason for investing in telemedicine tools is filling in gaps due to community remoteness. A survey of patients conducted by Software Advice, a company that compares electronic health records, revealed that 21 percent viewed the top benefit of telemedicine as not having to travel to receive care.

· Quality Care: Patient readmissions in the heart failure telemonitoring program were 44 percent lower over 30 days and 38 percent lower over 90 days, compared to patients not enrolled in the program. A study of 8,000 patient care outcomes using telemedicine services found no difference between the virtual appointment and an in-person office visit. In a Humana Cares remote health monitoring and management program for patients with congestive heart failure, at least 90 percent of patients felt more connected to their nurse, said the virtual care suite was easy to use and said they would recommend the program to their friends.

For patients who have not used a telemedicine service, 75 percent are interested in using one instead of an in-person medical visit, according to the Software Advice survey. For patients who have used telemedicine, 67 percent say that using telemedicine “somewhat” or “significantly increases” their satisfaction with their medical care.

Careers in Telenursing

“Telehealth nursing is practiced in the home, health care clinic, doctor’s office, prisons, hospitals, telehealth nursing call centers and

mobile units,” the ATA says. “Telephone triage, remote monitoring and home care are the fastest growing applications.”

Growth in telehealth has led to several telenursing practice areas:

· TeleICU

· Teletriage

· Teletrauma

· Telestroke

· Telepediatrics

· Telemental health

· Telecardiology

· Telehomecare

· Telerehabilitation

· Forensic telenursing

An example of telehealth transforming health care has been in the ICU. “Although the role of the bedside care-giver can never be replaced or diminished, it can certainly be augmented, enhanced, and facilitated,” Critical Care Nurse says. “The key to the long-term success is the continued consistent collaboration between the bedside team and the tele-ICU nurses, which can transform how critical care nursing is practiced.”

TeleICU has improved outcomes for critically ill patients by reducing ICU mortality, shortening stays in the ICU and in the hospital, increasing compliance with evidence-based best practices, improving outcomes for cardiopulmonary arrest patients and decreasing costs for patient care. ICU nurses use audio and video technology to assess and monitor patients at the patient’s bedside. At the click of a mouse, nurses have access to medical records, diagnostic images and laboratory results, as well as standard monitoring such as electrocardiography and hemodynamic values.

Major responsibilities for the teleICU nurse include making rounds via the camera and assessing all patients. The nurse will assess the patient’s physical appearance by video, check equipment for safety,

verify infusions and verbally interact with the patient, the patient’s family and staff. The nurse also acts as a resource for the bedside nurse, quickly retrieving vital pieces of information and data, and drafting detailed admission notes when a patient arrives in the unit to keep complete information about the patient available.

Future Opportunities

“As the US healthcare environment continues to evolve due to changes in reimbursement, legal issues, and shrinking healthcare resources, the expanding role of telehealth nurses will continue to evolve,” the ATA says. “Leadership and collaboration among international nurses is needed to outline the uses of ehealth/telehealth technologies to provide nursing care in an interdisciplinary manner to patients, regardless of staffing, time, or geographic boundaries.”

Career opportunities in areas such as telenursing will rely on candidates with a strong educational background. Educational standards are already on the rise, as more hospitals across the nation require nurses to hold a BSN degree. Aurora University’s online RN to BSN program equips graduates with the skills and knowledge needed to pursue advanced career opportunities. The program takes place in an online learning environment, allowing students the flexibility and convenience to complete their degree while maintaining their work and personal schedule.

First article written by Frontier Nursing University
Second article Written by Marissa Silver

Frontier Nursing University believes in increasing awareness of the importance of cultural competency and decreasing health disparities. This article is about their 7th annual Diversity Impact Event. FNU states “Diversity Impact is designed to open the door for nurses to foster and strengthen collaborative discussions to address health disparities to improve minority health among underrepresented and marginalized groups.” Enjoy this informative article.

In a rapidly-changing, sometimes divided world, Frontier Nursing University (FNU) emphasizes the value of respecting and honoring diversity.

In the United States, there is a wide gap in health outcomes. Several populations face greater obstacles in obtaining good health based on their racial or ethnic group, religion, socioeconomic status, gender, age, mental health, sexual orientation, physical or mental disability, or geographic location. These disparities may exist because of social and economic inequality, inadequate health care providers or systems, and bias on the part of health care providers or patients.

The gap forming in the health of women before and during pregnancies is also a source of concern. Determinants of a mother’s health may include social factors, ethnic or racial group, or her previous health status. An infant child is also impacted by factors such as nutrition, family income, and the geographic location of their homes and neighborhoods.

Additionally, consider this: women living in rural areas have less access to health care than women living in urban areas. Where 22.8% of women live in what is defined as a “rural” area in the U.S.¹, there is a significant disparity between the health care they receive and the health care received by the “urban” population of women.

Although health care needs around the nation are diverse, health care providers do not reflect the population. In 2008, only 16.8% of Registered Nurses residing in the United States represented diverse racial and ethnic backgrounds². Additionally, underrepresented groups make up less than 10% of nursing school faculty³. The nursing profession faces the challenge of recruiting and retaining a culturally diverse workforce that mirrors the nation's demographics.

With these challenges in mind, it is important that our education system equips nurse practitioners, nurse-midwives and other healthcare professionals with the resources they need to eliminate these disparities, and ultimately achieve health equity.FNU would like to see the Frontier community impact health equity and move forward by uniting through diversity.

On June 1- 4, 2017, Frontier Nursing University held the 7th annual Diversity Impact Student Conference. Diversity Impact is designed to open the door for nurses to foster and strengthen collaborative discussions to address health disparities to improve minority health among underrepresented and marginalized groups. Students will engage in cross-cultural and intercultural workshop activities, along with leadership strategies on current diversity healthcare trends as it relates to patient-provider care.

This year’s Diversity Impact theme is Moving Forward: Uniting Through Diversity. Students will attend sessions hosted by nationally recognized nursing leaders; participate in teambuilding activities, cultural competency awareness training, and open dialogues; network with available FNU students, community leaders, faculty and staff; and learn more about the world with FNU’s International Food Menu.

Frontier Nursing University conference discusses healthcare diversity

Factors such as someone's age, race, gender and ethnicity can all play a role in their healthcare.

This weekend, Frontier Nursing University students attended a conference, to learn how those factors and other differences between populations may impact a patient's health and treatment. One factor, which may impact patients in Eastern Kentucky is living in rural communities.

"It's like a totally different population than what you see in urban areas," Vaishu Jawahar who attended the conference said. "Even though we think that sometimes urban populations have it bad, the sheer lack of resources that's out here makes being in a rural area that much harder."

Another topic discussed during the conference was caring for those in the Lesbian, Gay, Bisexual and Transgender (LGBT) community.

"As healthcare providers, no matter what your political views are you have to be able to take care of everyone or at least make them feel comfortable enough to seek out your care," said Jawahar.

As part of the discussion on serving the LGBT community, two Frontier Nursing University students talked about their experience treating patients during last year's mass shooting, at Pulse, a Gay nightclub in Orlando, Florida.

Overall, those who attended the conference said taking the time to get to know the patient and their background can make a difference.

"It's so easy for us to get caught up in our way of life, we forget there's very different realities for everyone," Wilvena Bernard, Diversity Pride Program Coordinator, Frontier Nursing University said.

More than 50 students and faculty attended the conference from across the country.

Last month, University officials announced they are moving student activities from the Hyden campus to Versailles by Fall of 2018.

Interested in learning more about Frontier Nursing University? Check out their Employer Profile! Just Click Here.