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What was the knowledge gained from reading these articles?
I was unaware of the potential of cardiac toxicities with patients receiving immune checkpoint inhibitors.
I also was unaware of treatments steroid-refractory immune-related side effects from checkpoint inhibitors.
Will the research in this article change your practice? These articles reiterated the importance of a thorough assessment by the nurse and keeping providers informed of changes.
What other questions does the articles raise?
Like others have mentioned should there be any additional testing for those patients prior to initiating treatment.
I’ve seen provider obtain thyroid labs prior to starting treatment but haven’t seen any cardiac clearance. I know with trastuzumab echocardiograms are required every 3 months.I too have unfortunately witnessed ageism amongst my colleagues. After participating in this journal club I am going to be more aware of my own behavior. I will stand up for my colleagues when I witness such behavior.
I too am excited for the LSA program. I’m blessed to be in the financial position that I can use this additional money to pay for something to improve my overall health. Unfortunately, due to inflation some lower paying positions well have to use this money for cost of living, utilities.
I worry about the Patient Care Assistance that I’ve encounter in this healthcare system and whether or not they make enough to pay for their basic needs.Patti at SSCBC
1. What was the knowledge gained from the article?
It made me nervous that the average age of a nurse is in their 50’s. Does this mean we haven’t hit the bottom when it comes to the staffing shortage?
2. How will the research in the articles change current practice?
These articles have reinforced the importance of selfcare. I’ve been in this profession for almost 20 years and I have found myself setting boundaries with my employer. I work the hours I am scheduled and give my employer 110% and the rest of the week is for my family and I. I also have found leaving the unit during my lunch. When I leave and eat and take a walk it helps me to to refocus and I feel more refreshed.
3. Do you agree/disagree with the authors.
I agree with the article that healthcare is extremely stressful which in returns leads to several health issues. How often have you been given cookies or pizza as an appreciation for working hard? For nursing I’ve seen nurses over and over work 12 hours with out taking a 30 minute uninterrupted break. I challenge a healthcare system to invest in their employees and ensure they all get a 30 minute uninterrupted break and let that be their study.Kasey- I agree with you I’ve seen many patients choose alternative medicine as their primary treatment when initially diagnosed and then they come back to us with more cancer than they started with.
Is my view skewed because those that respond to the alternative treatment I never see again?What was the knowledge gained from the article?
High-dose vitamin C for cancer therapy appears more promising than I originally thought after reading these articles. It’s disheartening that more research hasn’t been pursued to find out whether or not this therapy is beneficial to cancer patients. The Mayo Clinic research seems like the picked the cheaper option. IV therapy would be more costly than oral therapy.
Stephanie I agree it would be interesting to see if Cantley and Yun were right in their findings that if you combined chemotherapy and high dose vitamin C we can improve the management of pain, and it can protect normal tissues from toxicity caused by chemotherapy. I think of my metastatic patients and how the goal I talk about so often is maintaining quality of life and for me this treatment gives me hope for my patients.Will the research/information in this article change or influence your practice? If so how?
Unfortunately, I feel more research needs to be done. I’m caught on the fact that vitamin C is not patentable, so where will the money come from for research. The stores that sell vitamins and hydration facilities should support this type of research.
These articles showed me that the United States Healthcare system is flawed and our focus isn’t always on improving the wellbeing of our patients.Do you agree/disagree with the conclusions of the author, and why?
I agree that High-Dose vitamin C could provide benefit to cancer patients. Hopefully more research is done.Jeff I agree that other countries seem to have a more balanced work-life.
Although my sibling work inpatient and they reminded constantly how lucky I am as a nurse to have weekends and holidays off. I worked several years sacrificing my holidays with family to be at work.
Greg I agree that telehealth can make a big difference to our patients. Gas is so expensive and most of the time patients are seeing multiple specialist.
What was the knowledge gained from the article? These articles were very interesting. I particularly enjoyed reading Work Life Balance is a Cycle, Not An Achievement. It reminded me that things in life are constantly changing. It is my responsible to acknowledge these changes so that I can be better balanced emotionally.
What other questions does the article raise about current practice? In the medical field the employer had to be flexible with ill time since the pandemic. Our ill policy is very limiting, a 6 month rotating calendar you can only call off three times. I know that if a company is too lenient then people take advantage of it but it a company is to strict people come to work sick. This is such a dilemma.
Do you agree/disagree with the conclusions of the author, why? The medical field is difficult to compare to other lines of business because of it’s unique needs. I do worry on how we are going to keep future generations interested in our field because it’s difficult to have a work/life balance.I have several more years in this profession I’m ready to work with my employer to figure out how to make staff feel valued.
Kelly you pointed out that relationships with coworkers can be used as a strategy to cope with burnout. During the last two years that’s one thing I’ve held onto is the support I receive from my coworkers. This is one of the best group of nurses I’ve worked with in my career.
Kelly thank you for hosting this journal club.
What was the knowledge gained from the article?
I learned the long term negative affects of burnout on the individual nurse. Nurses can have chronic fatigue, anger, feelings of helplessness and physical symptoms such as headaches, gastrointestinal problems, insomnia and depression (Davis,et, al). I disagreed with Davis when it was stated the most devastating impacts of burnout is its association with nurses leaving the profession. I don’t know about you guys but if my profession is interfering with my quality of life I may need to change my work environment.
I agree with the second article about massages in that they saw significant reductions in perceived stress, systolic and diastolic BP and HR.
Will the research/information in this article change or influence your practice? If so how?
Any opportunity I get to participate in stress reducing activities at work I’m going to take advantage of them. I also will continue to focus on mindfulness, journaling, and exercising on a daily basis.
What other questions does the article raise about current practice?
what are the burnout levels since the pandemic?
Do nurses have PTSD from the pandemic?
How many nurses take a two 15 minute break and a 30 minute lunch?
I was told by a OSU ER nurse that she was told by management due to the nursing shortage there would be no coverage for her to take a vacation this summer?
How do we encourage people to enter the nursing profession when the working conditions are this poor?
Do nurses feel undervalued by their employer after the pandemic?WHAT is the hospitals going to do to help improve the emotional wellbeing of their employees? Ensuring safe patient to nurse ratios which would allow for nurses to take adequate breaks.
I agree with many of you when you said that their is a mistrust when it comes to vaccine recommendations.
Education is a start to increase compliance, but will there always be those who refuse vaccines?
blackwell- please share what you’ve heard in regards to the vaccine being unsafe. Have you heard personal testimonies? When I pulled the vaccine up on the CDC website it states the vaccine is very safe. Thank you for your input. I love hearing from other nurses I feel like I have a narrow point of view working with just breast cancer patients and not general oncology patients.
