DiversityNursing Blog

For the 24th year in a row, Nurses have been rated as the most honest and ethical profession, a remarkable streak of trust that speaks volumes about the heart of the nursing profession.

In the most recent Gallup poll released January 12, 75% of Americans say Nurses have “very high” or “high” honesty and ethical standards, more than any other profession surveyed. In comparison, medical Doctors and Pharmacists earned majority positive ratings (57% and 53%, respectively), but still fell well behind Nurses.

A Legacy of Trust

Nurses first appeared on Gallup’s honesty and ethics list in 1999, and with one rare exception, firefighters in 2001 after the 9/11 attacks, they’ve held the top spot ever since.

This long-running recognition reflects how deeply the public values Nurses’ commitment to patient care. Whether in hospitals, clinics, or community settings, Nurses are often the professionals people see most frequently during vulnerable moments, earning their trust through compassion, accountability, and ethical practice.

Ratings Have Shifted Since the Pandemic

Interestingly, while Nurses remain the top-ranked profession for ethical standards, their score in this latest poll is slightly lower than recent highs. The current 75% is near the lower end of their historical range and about 14 percentage points below the record high seen in 2020 during the height of the COVID-19 pandemic.

Other professions tracked in the poll also showed declines from pandemic-era peaks, indicating that overall public confidence across many fields has softened in recent years.

How Nurses Compare

In contrast to Nurses’ strong rating:

• Medical Doctors and Pharmacists remain respected but notably behind in honesty and ethics scores.

• Professions such as telemarketers, members of Congress, and car salespeople ranked at the bottom with very low “high ethics” ratings.

Only four professions, including Nurses, Veterans, medical Doctors, and Pharmacists, earned majority positive ratings for high ethical standards.

Why This Matters

For Nurses, this poll isn’t just a statistic, it’s a reflection of the everyday realities of the profession:

• Ethical responsibility is core to nursing practice, embodied in codes of ethics that guide decision-making and patient advocacy.

• Nurses often serve as the primary point of contact for patients and families, building trust through communication, care, and consistency.

• That trust matters, it’s foundational to effective patient care, improved outcomes, and strong therapeutic relationships.

This year’s Gallup results remind us that, even in complex times, the nursing profession continues to stand out in the public mind as a beacon of ethics and honesty. That reputation has been forged over decades of compassionate care, and it endures even when public confidence in other professions wavers.

Halloween in the hospital may not come with haunted houses or costume parties (though sometimes a night shift feels close enough), but that doesn’t mean Nurses can’t get in on the spooky spirit!

Even if infection control won’t let you wear a full witch wardrobe, we can still imagine what your Halloween costume would be, based on your Nursing specialty.

🦸‍♀️ ER Nurse – Action Hero in Crocs

You thrive in organized chaos and move faster than a caffeine-fueled superhero. You’ve seen everything from paper cuts to sword fights, and you’re still standing.
Costume: Tactical vest, stethoscope holster, and a sidekick named “Charge Nurse.”
Catchphrase: “Another trauma? Let’s do this.”

👨‍🔬 ICU Nurse – Mad Scientist Meets Guardian Angel

You manage five drips, three monitors, and a code—all before breakfast. You’re precise, calm, and always in control.
Costume: Lab coat with glowing monitors, syringe wand, and superhero-level focus.
Catchphrase: “Don’t touch the pumps.”

👨‍🎤 OR Nurse – Surgical Superstar

You run the OR like a rock concert, everything in perfect rhythm, instruments shining, and the surgeon’s ego (mostly) in check. You keep the show going behind the scenes, hitting every cue like the pro you are.
Costume: Sparkly scrub cap, backstage pass badge reel, and a scalpel-shaped microphone.
Catchphrase: “You’re welcome for making you look good, doc.”

👸 Labor & Delivery Nurse – King/Queen Baby Whisperer

You turn chaos into calm and pain into laughter. You’ve got the magical touch that keeps new life entering the world with grace.
Costume: Sparkly scrubs, tiara, and a swaddle wand.
Catchphrase: “Push like you mean it!”

💫 Geriatric Nurse – The Time Traveler

You’ve heard stories from every decade and deliver care with patience, humor, and heart.
Costume: Vintage scrubs and magical hearing aid batteries.
Catchphrase: “I told you that joke yesterday, and yes, it was still funny.”

🧠 Psych Nurse – Empathic Enchanter

You de-escalate chaos with calm energy and intuition. You’re part therapist, part wizard, and 100% unshakable.
Costume: Flowing robe, clipboard of serenity, and invisible shield of empathy.
Catchphrase: “Let’s talk about that.”

🩻 Radiology Nurse – The Glow-in-the-Dark Skeleton

You appear and disappear through dark hallways and lead-lined rooms, glowing with quiet mystery.
Costume: Lead apron cape and flashlight crown.
Catchphrase: “Hold your breath... and don’t move.”

💞 Oncology Nurse – Hope Warrior

You bring compassion, courage, and comfort to every patient you meet. You may not wear a cape, but your strength shines through every smile.
Costume: Glittery armor with a stethoscope of hope.
Catchphrase: “One day at a time — we’ve got this.”

🧚 Pediatric Nurse – Sticker Fairy with a Clipboard

You make kids laugh, parents relax, and doctors behave. You can turn tears into giggles in under five seconds.
Costume: Rainbow scrubs, wings made of Band-Aids, and a sparkly pen wand.
Catchphrase: “Who wants a sticker?”

🧳 Travel Nurse – Nomadic Sorcerer

You appear at random hospitals, fix everything, and vanish before anyone learns your real name.
Costume: Rolling suitcase, glowing badge lanyard, and teleportation powers.
Catchphrase: “Wait—where’s the supply room again?”

🧙 Nurse Educator – Professor of Care Magic

You teach, mentor, and inspire. Your students may fear your quizzes, but they love your wisdom.
Costume: Color-coded cape, iced coffee scepter, and PowerPoint wand.
Catchphrase: “Pop quiz! Just kidding… or am I?”

🧤 Infection Control Nurse – The Germ Slayer

You see contamination like Neo sees The Matrix. You’re the reason we all wash our hands (or at least most of us).
Costume: Hazmat chic with sanitizer grenades.
Catchphrase: “Touch that without gloves—I dare you.”

🧹 Nurse Manager – Boss Witch

You juggle scheduling chaos, staff drama, and endless emails; and still show up with a smile.
Costume: Power blazer, pumpkin-spiced latte, and a magic broom for “team morale.”
Catchphrase: “Let’s circle back on that after shift report.”

🎃 Happy Halloween, Nurses!
No matter your specialty, your costume would come with equal parts compassion, caffeine, and chaos. Nurses bring the heart, humor, and heroics to every shift—and that’s the real magic of Halloween season. 💀💉🩺

As Nurses, we’re used to caring for everyone else, patients, families, friends; often leaving ourselves at the bottom of the list. But as the air turns crisp and the leaves show off their fiery colors, fall is the perfect reminder to slow down and savor life’s little joys.

Whether you’re coming off a 12-hour shift, finally getting some time off, or just trying to find balance between work and rest, here’s a list of fun autumn activities perfect for Nurses. Think of it as your fall self-care bucket list!

🍎 1. Go Apple Picking (and Bake Something Delicious!)

There’s something nostalgic and grounding about spending a sunny fall afternoon wandering through an orchard. Grab a fellow Nurse friend and fill a basket then challenge each other to bake the best treats or desserts. Bonus: bring a few treats to your next shift and instantly become the unit favorite.

🎃 2. Host a Pumpkin Decorating Night

Forget carving messes, get creative with paint, glitter, or even Nurse-themed designs (IV lines and EKG squiggles, anyone?). This is a great way to unwind with coworkers after a long week. Pro tip: turn it into a contest and let your unit vote for the winner.

☕ 3. Build the Ultimate Fall Night-In

After a string of back-to-back shifts, you deserve a cozy recharge night. Fuzzy socks? ✔️
Pumpkin spice latte? ✔️
Cheesy fall movie marathon (Hocus Pocus, Practical Magic, You’ve Got Mail)? ✔️
It’s the simple comforts that reset your mind and body for the next day of patient care.

🥾 4. Take a Scenic Hike or Nature Walk

Fall is the best time to reconnect with nature, the cooler weather and changing leaves make every trail feel magical. It’s also a great way to de-stress and get some gentle movement in after all those hours on your feet.

📝 5. Start a “Gratitude Journal” Challenge

Nursing can be emotionally demanding, and autumn with its season of thanksgiving, is a great time to reflect. Try writing down one thing you’re grateful for after each shift. Over time, it becomes a beautiful reminder of why you love what you do.

🥧 6. Plan a Shift Potluck with Fall Foods

Bring a little autumn cheer to the unit by organizing a themed potluck. Think: butternut squash soup, apple cider donuts, pumpkin muffins, or chili. It’s a great morale boost and a delicious way to connect with your team.

🌽 7. Visit a Fall Festival or Farmers Market

From hayrides and corn mazes to homemade jams, local fall events are packed with cozy charm. Plus, many markets offer seasonal produce, perfect for healthy meal prepping between shifts.

🕯️ 8. Create a Fall-Inspired Self-Care Ritual

Light a cinnamon-scented candle, run a hot bath with clove or vanilla bath salts, and take 30 minutes just for you. Even the most dedicated Nurse needs intentional downtime to recharge.

❤️ 9. Take a “Mental Health Day” and Do Nothing (Guilt-Free!)

Yes, this is an activity and an important one. Use a well-earned day off to do absolutely nothing on purpose. Sleep in, stay in pajamas, sip tea by the window, or read a book. Your patients benefit most when you’re rested and recharged.

🍁 10. Have a Cozy Friendsgiving with Your Work Family

Your unit is your second family, so why not celebrate together? A low-key Friendsgiving filled with comfort food, laughter, and gratitude is the perfect way to strengthen bonds and reflect on the impact you’ve made together this year.

This fall, remember: you’re more than your scrubs and stethoscope. You’re a whole person who deserves joy, rest, and connection. So grab your flannel, step into those crunchy leaves, and make time for the little things that make this season so magical.

After all, Nurses give so much of themselves every day. This autumn, it’s time to fill your own cup, too. 

Nurses, as frontline healthcare providers, are uniquely positioned to identify victims of human trafficking. Our holistic approach to patient care, coupled with the trust patients often place in us, makes us a crucial link in ending this horrific crime. However, recognizing the subtle signs of trafficking can be challenging. This article aims to equip you with the knowledge and resources to identify potential victims and provide them with a lifeline to safety.

Understanding Human Trafficking

Human trafficking involves the exploitation of individuals for profit through force, fraud, or coercion. It can take many forms, including sex trafficking, forced labor, and domestic servitude. It's a global issue that tragically exists in our own communities, affecting people of all ages, genders, and backgrounds.

Why Nurses are Key

We often interact with patients during vulnerable times. Traffickers may bring victims to emergency departments, clinics, or even home healthcare settings for treatment of injuries, illnesses, or routine care. These interactions can provide crucial opportunities to identify and assist victims who may be unable to seek help themselves.

Red Flags: What to Look For

While no single sign definitively indicates trafficking, a combination of certain indicators should raise suspicion. Be observant of both the patient's demeanor and physical condition, as well as the behavior of any accompanying individuals:

Patient Presentation:

• Physical Signs:
  • Unexplained injuries, such as bruises, burns, cuts, or fractures, that may be in various stages of healing.
  • Signs of malnourishment, dehydration, or poor hygiene.
  • Sexually transmitted infections (STIs) or pelvic inflammatory disease (PID).
  • Fatigue, sleep deprivation, or anxiety.
  • Evidence of forced medical procedures or denial of care.
• Behavioral Signs:
  • Appears fearful, anxious, or submissive.
  • Avoids eye contact or direct communication.
  • Seems coached or hesitant to answer questions independently.
  • Unable to provide their own identification or personal information.
  • Inconsistent or vague explanations of injuries or illnesses.
  • Restricted communication with family or friends.
  • Fear of law enforcement or authority figures.
• Lack of Control:
  • Limited access to their own money or belongings.
  • No freedom of movement or decision-making.

Accompanying Individual's Behavior:

• Speaks for the patient and is unwilling to leave them alone.
• Shows controlling or overly concerned behavior.
• Is reluctant to provide their own information or identification.
• Answers questions directed at the patient.
• Seems to profit from the patient's medical visit.

What to Do If You Suspect Trafficking

If you suspect trafficking, your immediate priority is the patient's safety. Follow your facility's specific protocols for reporting suspected abuse or neglect. Here's a more detailed breakdown of what to do:

Initial Steps & Immediate Actions

• Create a Safe Space: Your primary goal is to get the patient alone, away from the potential trafficker. This can be challenging in an emergency department, but it's crucial. You might say, "I need to do a private exam" or "I need to discuss some sensitive information with the patient." Be creative and firm, but not confrontational.
• Use a Trauma-Informed Approach: The patient is likely terrified, and they may not see you as a safe person. Approach them with empathy and without judgment. Ask open-ended questions in a gentle tone, such as "Are you feeling safe at home?" or "Is there anything you want to tell me that you can't right now?"
• Look for Cues: Since the patient may be unable to speak freely, look for nonverbal cues. You can write down a simple question like, "Are you in danger?" on a piece of paper and hand it to them, or even use a simple yes/no response system with a nod or a blink.

Documentation & Reporting

• Document Thoroughly: Your documentation is a legal record and can be critical for any future investigation. Document everything you observe, not just what the patient says. Include details about their physical condition, their demeanor, the behavior of the accompanying individual, and any statements made by either party. Be objective and factual. Use direct quotes whenever possible, for example, "Patient stated, 'I'm not allowed to be alone.'"
• Follow Facility Protocol: Every healthcare institution has a protocol for handling suspected abuse. This typically involves notifying a supervisor, a social worker, or a patient advocate. Your facility's protocol is your roadmap—stick to it.

You can also contact the following resources for guidance and support:

• National Human Trafficking Hotline: 1-888-373-7888 or text HELP to 233733. This hotline is available 24/7 and provides confidential support and resources for victims and those who suspect trafficking. Link to National Human Trafficking Hotline
• Polaris Project: This organization works to end human trafficking and provides resources for victims and professionals. Link to Polaris Project
• The Department of Health and Human Services (HHS), Administration for Children and Families (ACF): Offers resources and information on human trafficking. Link to HHS Anti-Trafficking Website

Education and Awareness

Staying informed is our collective responsibility. Advocate for ongoing training within your healthcare system on human trafficking recognition and response. By increasing our awareness and understanding, we can collectively become a powerful force in identifying and supporting victims of this heinous crime.

As Nurses, we are advocates for our patients' well-being. By learning to see the unseen signs of human trafficking, we can offer a beacon of hope and help pave the way for their freedom and recovery.

In Nursing, there are moments when the clock seems to slow down, not because the shift is quiet, but because the weight of the situation demands your full presence. Whether it’s holding a patient’s hand before a major surgery or being the first face they see after hearing life-altering news, these are the moments when trust is not just helpful, it’s essential.

The bond between a Nurse and patient isn’t built in grand gestures. It’s formed through small, intentional acts that convey, I’m here for you. And often, these acts happen during some of the hardest moments in a patient’s life.

Why Trust Matters Most in Crisis

When a patient is facing fear, pain, or uncertainty, trust becomes the bridge between their vulnerability and your care. In these moments, clinical skills alone are not enough. Compassion, honesty, and presence can calm anxieties and make patients feel safe enough to let you in.

For example, during an emergency trauma admission, you might not have the luxury of a long conversation, but you can look the patient in the eyes, introduce yourself clearly, and explain every step you’re taking. That simple act communicates: You’re not alone, and I will guide you through this.

Real-Life Moments That Build the Bond

The Pre-Op Promise

One Nurse recalls caring for a young woman about to undergo open-heart surgery. The patient’s hands were shaking as she signed her consent form. The Nurse pulled up a chair, sat at eye level, and said, “I’ll be here when you wake up.” Hours later, when the patient opened her eyes in recovery, that same Nurse was standing right beside her. The relief on her face said everything, trust had been earned.

Staying Present in Loss

Another Nurse shared her experience with a family in the ICU whose loved one wasn’t going to make it. She didn’t have the right words, there are no perfect words, but she stayed in the room, adjusting blankets, offering tissues, and answering questions gently. Sometimes, trust isn’t about fixing the unfixable. It’s about being the steady presence when the world is falling apart.

Respecting Patient Fears

A Pediatric Nurse remembers a little boy who was terrified of needles. Instead of rushing, she knelt beside him, let him “give her a shot” with a toy syringe, and explained step-by-step what she was going to do. When it came time for the real injection, he squeezed her hand and said, “Okay, I'm ready.” That trust turned a moment of fear into a moment of bravery.

Practical Ways to Build Trust During Hard Times

• Be transparent – Even when the news is difficult, honesty fosters trust. Patients can sense when information is being withheld.

• Use their name – It’s a small thing, but it helps patients feel seen as a person, not a room number.

• Explain what you’re doing, even if it seems obvious – Especially in emergencies, a calm, clear voice can anchor a patient in chaos.

• Honor their dignity – Knock before entering, provide privacy, and respect personal boundaries.

• Show up when you say you will – Consistency builds reliability, which builds trust.

The Lasting Impact

Nurses may not remember every patient, but patients often remember their Nurses, especially the ones who showed compassion during their hardest days. The trust you build in those moments can be a source of comfort long after the hospital stay ends.

In the end, the nurse-patient bond isn’t just about care plans and medication schedules. It’s about creating a human connection strong enough to hold someone together when their world feels like it’s falling apart. And for Nurses, that’s both the privilege and the heart of the job.

As the calendar turns towards May, a special week shines a spotlight on the very heart and soul of healthcare: our Nurses. National Nurses Week, celebrated each year from May 6th to May 12th, is not merely a marked period on the healthcare calendar; it is a precious opportunity to pause, reflect, and deeply cherish the unwavering dedication, boundless compassion, and exceptional skills Nurses bring into our lives every single day.

Think about it. In moments of vulnerability, fear, and uncertainty, it is often a Nurse who stands by our side. They are the calm in the storm, the knowledgeable guide through complex medical journeys, and the comforting presence offering solace and hope. From the first breath of a newborn to the peaceful passing of a loved one, Nurses are there, providing not just medical care, but a profound level of human connection.

Florence Nightingale, the founder of modern Nursing, famously said, "Nursing is an art; and if it is to be made an art, it requires an exclusive devotion as hard a preparation, as any painter's or sculptor's work." This quote, though spoken centuries ago, still resonates deeply today. Nursing is far more than a job; it's a calling that demands immense knowledge, critical thinking, emotional intelligence, and a steadfast commitment to the well-being of others.   

Consider these facts:

• The World Health Organization (WHO) recognizes Nurses as making the largest contribution to health globally.
• For the 23rd consecutive year, Nurses have been named the most trusted profession in America, according to a Gallup poll released in 2025.
  
• The U.S. Bureau of Labor Statistics projects a 6% growth in employment for Registered Nurses from 2023 to 2033, which is faster than the average for all occupations.

Beyond the vital medical tasks they perform, administering medications, monitoring vital signs, educating patients and families, Nurses offer something immeasurable: empathy. They see beyond the diagnosis, recognizing the individual human being behind the illness. They listen to fears, answer countless questions with patience, and offer a reassuring touch when it's needed most.

As Val Saintsbury aptly stated, "Nurses dispense comfort, compassion, and caring without even a prescription." This simple yet powerful statement encapsulates the essence of Nursing. It's about the human connection, the ability to provide holistic care that addresses not just the physical needs but also the emotional and psychological well-being of their patients.

National Nurses Week serves as a vital reminder for all of us, patients, families, healthcare administrators, and the wider community, to acknowledge and celebrate the extraordinary contributions of Nurses. It's a time to say thank you for the long hours, the emotional toll, the sacrifices made, and the unwavering commitment to providing the best possible care.

This year, let's take a moment to truly appreciate the Nurses in our lives. Let's recognize their expertise, their empathy, and their tireless dedication. They are the backbone of our healthcare system, the compassionate caregivers who make a profound difference in the lives of countless individuals every day. Let us honor them, not just this week, but always. They are, without a doubt, the heartbeat of healthcare.

Every Nurse knows that a well-stocked bag can be the difference between a smooth shift and a chaotic one. While hospitals and clinics provide the basics, seasoned Nurses carry their own arsenal of essentials to ensure they’re ready for anything. We asked Nurses from various specialties to share what’s always in their bags. Here’s what they said:

The Must-Haves

Stethoscope – This is a given, but many Nurses opt for high-quality brands like Littmann for better acoustics. Some even carry a backup in case theirs goes missing.

Penlight – For neuro checks, pupil assessments, or just trying to find something in a dimly lit supply room.

Scissors and Hemostats – Trauma Nurses swear by their bandage scissors, while OR Nurses keep hemostats handy for a variety of quick fixes.

Pens (Lots of Them!) – Black ink is standard for charting, but colorful pens help highlight important notes. One Nurse admitted she carries extras just to lend out (because they never come back!).

Sharpies and Dry-Erase Markers – For labeling IV bags, patient belongings, or whiteboards in patient rooms.

Notepad or Pocket Notebook – Essential for jotting down patient details, reminders, or that elusive password.

Personal Survival Kit

Hand Sanitizer and Alcohol Swabs – “I use these more for myself than for patients,” one Nurse joked. The hospital might stock them, but it’s never enough.

Lip Balm and Lotion – Constant handwashing takes a toll. Most Nurses keep a small bottle of lotion and a reliable lip balm within reach.

Snacks – Energy bars, nuts, or protein-packed snacks keep Nurses fueled through long shifts when meals are a luxury.

Water Bottle or Coffee Tumbler – Hydration is key, and caffeine is survival. Many Nurses keep a reusable bottle to stay energized throughout the shift.

Compression Socks – Not in the bag, but definitely on the feet. Many Nurses stash an extra pair in case they need a fresh set.

Hair Ties and Headbands – “If I forget a hair tie, my shift is ruined,” one Nurse admitted.

Tech and Extras

Watch with a Second Hand – Vital for counting respirations or checking pulses when digital monitors aren’t available.

Portable Phone Charger – Some hospitals have limited charging stations, so a power bank lets Nurses stay connected in case of an emergency.

Reference Cards or Apps – Quick drug calculations, EKG interpretations, or lab values. Having a pocket guide or phone app can be a lifesaver.

Extra Scrubs or Socks – For those unfortunate moments when bodily fluids end up where they shouldn’t.

Personal Items

Essential Oils or Menthol Rub – A dab under the nose helps mask unpleasant smells in certain patient care situations.

Tampons and Pads – Even if you don’t need them, a coworker might.

Small First Aid Kit – “We care for patients, but sometimes we need a Band-Aid too,” one Nurse pointed out.

Mini Deodorant or Body Spray – A quick refresh between back-to-back patient rounds.

Final Thoughts

No two Nurses pack exactly the same bag, but the goal is always preparedness. Whether it’s a lifesaving tool, a time-saving hack, or a personal comfort item, these essentials help Nurses navigate the challenges of every shift.

What’s in YOUR bag? Share your must-haves in the comments!

Source: https://bhw.hrsa.gov/data-research/access-data-tools/national-sample-survey-registered-nurses

May is mental health awareness month, a time to raise awareness and promote education about mental health, as well as reduce the stigma associated with mental illness. Did you know, 1 in 5 American adults experience a mental health condition in a given year?

• Get enough sleep: Aim to get 7-8 hours of sleep.
• Eat a healthy diet: Make sure to eat a balanced diet that includes plenty of fruits, vegetables, whole grains, and lean protein.
• Stay hydrated: Drink plenty of water.
• Exercise regularly: Aim to get at least 30 minutes of moderate exercise most days of the week.
• Take breaks: Take short breaks throughout your day to rest and recharge.
• Practice mindfulness: Try incorporating mindfulness exercises into your daily routine, such as deep breathing or meditation.
• Connect with colleagues: Connect with colleagues who understand the challenges of being a Nurse. You can talk to them about work-related stress and share coping strategies.
• Seek professional help: If you're struggling with your mental health, seek professional help from a mental health provider. This can be a therapist, psychiatrist, or psychologist.
• Use employee assistance programs: Many healthcare organizations offer employee assistance programs that provide confidential counseling and support services.
• Set boundaries: It's important to set boundaries and say no to additional responsibilities if you're feeling overwhelmed.
• Pursue hobbies and interests: Make time for activities that bring you joy and help you relax, such as reading, listening to music, or practicing a hobby.
• Take care of your physical appearance: Dress in clothes that make you feel comfortable and confident, and take pride in your appearance.
• Practice gratitude: Take time each day to reflect on what you're grateful for, whether it's a supportive colleague, a successful patient outcome, or simply the beauty of nature.

Resources

• Employee Assistance Programs (EAPs): Many hospitals and healthcare facilities offer EAPs that provide free, confidential counseling services to employees.
• National Alliance on Mental Illness (NAMI): NAMI offers support groups, educational resources, and advocacy for individuals and families affected by mental illness.
• Substance Abuse and Mental Health Services Administration (SAMHSA): SAMHSA offers a national helpline, treatment referral service, and resources for mental health and substance abuse disorders.
• Crisis Text Line: This free, 24/7 text messaging service provides support for individuals experiencing a mental health crisis. Text "HOME" to 741741 to connect with a trained crisis counselor.
• Mindfulness apps: Apps like Headspace, Calm, and Insight Timer offer guided meditations and mindfulness exercises to help reduce stress and improve mental well-being.

Remember, self-care is an ongoing process, and it's important to make it a priority in your life. By taking care of yourself, you'll be better equipped to care for your patients and thrive in your career as a Nurse.

Healthcare should be accessible to everyone regardless of socioeconomic status, age, gender, race, or ethnicity. Unfortunately, many people across the nation struggle to access affordable and reliable healthcare. Health equity can only be achieved when every person, regardless of the situation, has a fair and equal opportunity to be as healthy as possible.

Many factors can influence health equity, including health disparities, social determinants of health, and cultural competence. Therefore, Nurses must understand these concepts strongly to identify health inequalities and implement changes so our patients can achieve optimal health.

Health Disparities

Unfortunately, health disparities in the United States are more common than you may realize. Health disparities are any barriers that limit a person's access to quality medical care. Population groups most affected by health disparities include ethnic minorities, immigrants, and low-income families. Common barriers that people may experience include socioeconomic status, geological location, sexual identity or orientation, ethnicity, race, age, or disability.

Health disparities can look different for everyone. For example, some people may live in rural areas where they cannot easily access routine health exams. Others may need help understanding health recommendations due to language barriers. Whatever the disadvantage, health disparities can lead to poor health outcomes that negatively contribute to health equity.  

Nurses have a unique advantage in identifying health disparities and implementing changes so that more people can access care. There are many ways Nurses can implement change, including:

• Supporting telehealth and mobile health units so people in rural areas can access medical services
• Ensuring patients have access to interpreter services so they fully understand medical recommendations
• Creating community health projects so those in under-educated populations can better access health education.

Social Determinants of Health (SDOH)

Social determinants of health can often be confused with health disparities. Although similar, SDOH refers to an individual's personal circumstances apart from medical care and genetics that can affect health outcomes.

Social determinants of health fall into 5 groups that define how people are born, grow, work, live, and age. These groups are interwoven, causing them all to overlap and relate to each other. The five groups include healthcare, economic stability, education, social life, and neighborhood.

• Healthcare encompasses a person's access and quality of medical care, including access to primary care services, health insurance coverage, and understanding of health literacy.
• Economic stability is the connection between finances and access to healthcare. Employment, poverty, food, and housing security can all affect economic stability and access to healthcare.
• Education focuses on the link between access to quality education and how it relates to health. People who do not have access to secondary or higher education may not have the necessary language and literacy to understand medical needs and care.
• Social life has contributed to learned behaviors around healthcare access. How people live, work, play, and learn within their communities can change how people feel about medical care.
• The neighborhood considers how a person's quality of housing, transportation, access to healthy foods and clean water, as well as exposure to crime and violence play a role in a person's health.

Nurses play a significant role in addressing social determinants of health. You can promote health equity by getting involved in public policies and decision making. Advocating for better care can help prevent illness in underserved populations and improve health equity for all.

Cultural Competence

A strong understanding of cultural competency is essential to achieve health equity. Cultural competency is when healthcare providers provide effective healthcare, even if there may be cultural differences between the provider and the patient.

Nurses can become more culturally competent by learning to engage with a wide range of patients with different cultural, religious, and societal backgrounds. Nurses can show cultural competency by speaking to patients in language and terms they understand or by respecting a patient's cultural or religious values or beliefs.

As a Nurse, providing culturally competent Nursing care can break down communication barriers and improve the health outcomes of our patients.

To better serve our communities, Nurses must be able to identify inequalities in healthcare and implement the necessary changes to improve patient experiences and outcomes. Nurses have a unique position on the frontlines of healthcare to positively improve health equity by helping to provide effective and accessible medical care to all.