Nurses Nurturing Nurses Interview With Jessica Smith, RN

Nurses Nurturing Nurses Interview With Jessica Smith, RN

In case you missed it, last week I was interviewed by the amazing Nurse Coach Jessica Smith and we talked about bouncing back from burnout.

Well, guess what?  I got ANOTHER chance to talk with Jessica this week about a topic that is near and dear to my heart:  nurses nurturing nurses!  (I had so much fun the first time, what can I say?!)

Our ‘Nurses Nurturing Nurses‘YouTube interview can be found HERE!

During the interview, we discussed:

  • Strategies you can use to attain a work-life balance with a busy nursing schedule;
  • How you can design your life around how you want to feel;
  • How doing simple things each day can make a BIG impact on your overall health and well-being;

I’d love for you to listen in – and even better – leave a comment!

Again, the link to listen in can be found here!

Take care,

Sarah

Additional Recommended Reading:
7 Ways To Beat Nurse Burnout
Nurse Burnout:  How Administration Can Help
How To Achieve A Work-Life Balance As A Nurse
Nurse Health:  Self- Care For 12 Hours Shifts

Bouncing Back From Burnout Interview With Jessica Smith, RN

Bouncing Back From Burnout Interview With Jessica Smith, RN

Nurse burnout sucks.  I’ve totally been there. 

So, it may seem odd at first to hear that I also LOVE talking about nurse burnout. In fact, I think every nurse experiences burnout at some point in their career (if you haven’t, please email me back and let me know your secret!). 

Here’s the kicker.  Once you admit you have an issue with nursing burnout, you open yourself to the idea of potential solutions.  But if you just pull your hoodie over your eyes and continue to suffer in silence, then nothing ever changes. And your burnout gets even worse.

So, let’s talk about solutions for nurse burnout!  

Bouncing back from nurse burnout
Last week I had an amazing opportunity to interview with nurse coach and fellow ER nurse Jessica Smith about bouncing back from burnout!

Our Bouncing Back From Burnout YouTube interview can be found here

During the interview, we discussed the following:

  • How you can find a work-life balance with a busy nursing schedule;
  • Why nurses need to make their own health a #1 priority;
  • How getting to the “why” in your burnout can help you find patterns that contribute to your burnout;
  • And why you should always surround yourself with positive support!

I’d love for you to listen in – and even better – leave a comment or share it with your fellow nurse friends!  

Again, the link to listen in can be found here!

I can’t wait for you to check it out!

Additional Recommended Reading:

7 Ways To Beat Nurse Burnout
Nurse Burnout:  How Administration Can Help
How To Achieve A Work-Life Balance As A Nurse
Nurse Health:  Self- Care For 12 Hours Shift

3 Ways Compression Socks And Stockings Help Nurses

3 Ways Compression Socks And Stockings Help Nurses

(This post contains affiliate links.  See our disclosure page for for information.  Post updated 7/29/19).

Nurses need to be wearing compression socks or stockings for every shift.  Especially nurses who are on their feet for 12 hour shifts!

I have been doing a bit of research lately on the effects of standing/walking for long hours.  The reason for this is that I am an emergency room nurse who has worked on my feet all the way through two entire pregnancies – until just a few weeks before I gave birth.

I had no idea that being on my feet for such long hours could actually be bad for my health. I figured that standing and walking all day was better then sitting for long periods. As it turns out, that may not be true. Even for those who aren’t even pregnant.

Compression stockings are often overlooked as a way to prevent some of the chronic issues that come from working in a profession where you are on your feet for such long hours.  There are enough occupational hazards for nurses as it is and this is an easier way for us to take better care of ourselves on the job!

Standing nurse leaning over to speak with patient

Nurses are standing or walking most of the time which is why it is so important to wear compression socks or stockings.

How Do Compression Socks Help Nurses?

#1.  Prevention of varicose veins

Standing for long periods of time causes valves in the veins to become weakened, causing blood to collect in the veins. This causes the veins to enlarge and increase in pressure. The veins then stretch from the increased pressure and cause varicose veins. Fortunately, varicose veins are not dangerous however then can be very painful.

#2.  Improved blood flow and decreased risk of blood clots

There are a ton of studies out there on using compression stockings to prevent blood clots in patients recovering from surgery. As a nurse, I have helped my own patients use them many times. As it turns out, nurses should probably be using them too.

A study by The Society of Occupational Medicine found that wearing compression stockings significantly decreased lower limb venous pressure in nurses who stood for very long hours. The data found that compression stockings protected against oxidative stress in those who work in long-standing occupations.

#3.  Decreased swelling of ankles and feet

I have been wearing graduated 30mm compression stockings for about the last 4 weeks during my 12 hour ER shifts. It has been a drastically better experience for me. I wouldn’t even consider going into work without them at this point because my legs start to hurt so badly by the end of the day.

Pregnancy exacerbates the problem of varicose veins and other venous issues since being pregnant increases blood flow in women by 50%. There are days when I hardly sit except for my 1 hour lunch break. That is a long time for anyone, much less a nurse who is already 7 months pregnant. If I didn’t wear compression stockings at this point, I don’t think I would even be able to make it through a shift.

Compression socks help prevent varicose veins..

Compression socks help nurses by preventing varicose views due to standing for long periods of time.

How do compression socks work?

Compression socks help increase circulation of blood flow and oxygen by helping increase the velocity, or speed of blood flow. By squeezing on the legs, the veins carrying blood to the heart are compressed. Think of how when you squeeze a hose, it squirts the water out faster. With compression stockings, the same volume of blood is able to move up the leg, but it has less area in which to move.

graduated compression socks

Compression socks and stockings help nurses by preventing varicose veins due to standing for long periods of time.

Waring compression takes some getting used to.

When I first started wearing compression stockings during my pregnancy I wasn’t happy about it.  My doctor recommended them for me because she knew I was a nurse.  I wore the ankle to waist 20-30mmHg compression stockings, and they are tight! It is not an exaggeration to say that it took at least 5 minutes to pull them up and get them situated. They are especially difficult to put on with a 7th month pregnant belly. I felt (and probably looked) like an awkward whale putting them on.

Compression socks or stockings are a non-negotiable for pregnant nurses… unless you enjoy varicose veins!


Now that I’m used to wearing compression stockings, I love them.  I can’t believe I used to work 12 hour shifts without them.

I have spoken to a lot of other nurses who say the same thing. A male co-worker I spoke with recently in the ER wears knee high compression stockings and says his legs “still feel energized at the end of a shift.”

It makes sense that standing up and working on your feet all day would be problematic in a matter of time. Swelling, varicose veins and decreased blood flow seem like an obvious result of being on your feet for 12 hours a day. Why wasn’t I wearing compression stockings sooner?

As long as I am working as a nurse, compression stockings will be a part of my life. Having pain or discomfort due to my hard work as an RN is so not OK with me. I don’t want future circulation and venous issues due to the fact that I worked hard as a nurse.

As a mom of small babies and an ER nurse I certainly don’t need any more wear-and-tear on my body!

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Additional recommend reading:

8 Ways Nurses Can Stay Healthy

8 Ways Nurses Can Stay Healthy

(This post may contain affiliate links.  You can read my disclosure page here.  For more information about collaborating with Mother Nurse Love click here).

Nurse, take care of yourself first.

This statement may appear counter intuitive.  After all, aren’t nurses supposed to be selfless humans who give care to total strangers without concern for their own well being?

Two words:  Absolutely NOT!

Nurses NEED to put themselves first so they have the stamina and good health to care for their patients and their own families.  This is non-negotiable.

Staying healthy as a nurse is a win-win for everyone.  First off, our families get a better version of us.  Second, we have the energy and stamina to keep up with heavy patient workloads.  And third, we have better relationships with our spouses and friends.

Most importantly though, nurses who take care of themselves are happier!

(Attention employers:  studies show that happy, healthy nurses give higher quality of patient care.   This results in a decrease in medical errors and improves patient satisfaction, which is very good for hospital PR and the overall patient experience.  So support your nurses in their quest for a healthier lifestyle!)

8 Simple Ways Nurses Can Stay Healthy When Working 12 Hours Shifts!

8 Simple Ways Nurses Can Stay Healthy When Working 12 Hours Shifts!

Here are 8 ways nurses can stay healthy and practice better self-care on a daily basis:

#1.  Protect your back:  do core work!

As a result of years of heavy lifting many RN’s are suffering from chronic back problems. I know several nurses who have had to go out on disability and sadly still suffer from permanent chronic back pain.

Chronic back pain in the nursing population is a common ailment. An evidenced based review at the Texas Women’s University reported that estimates of chronic low back pain among nurses range from 50%-80%. There is good news though: the review also presented an overwhelming amount of studies that found that regular yoga significantly reduced symptoms associated with chronic low back pain and greatly improved overall physicality.  Yoga poses (like plank pose) help you create a stronger core.  So say yes to yoga!

By working on your core at home, you can preemptively protect your back from some of the wear-and tear you are going to experience as a busy RN. You STILL NEED to use good body mechanics while lifting and turning patients- this is imperative!  But by working your core you help strengthen your back and help prevent injuries from occurring over the course of your nursing career.

#2.  Wear compression stockings

Compression stockings help increase circulation of blood flow and oxygen by helping increase the velocity, or speed of blood flow. By squeezing on the legs, the veins carrying blood to the heart are compressed. Think of how when you squeeze a hose, it squirts the water out faster. With compression stockings, the same volume of blood is able to move up the leg, but it has less area in which to move.

Standing for long periods of time causes valves in the veins to become weakened, causing blood to collect in the veins. This causes the veins to enlarge and increase in pressure. The veins then stretch from the increased pressure and cause varicose veins, which can be painful and unsightly!

study by The Society of Occupational Medicine found that wearing compression stockings significantly decreased lower limb venous pressure in nurses who stood for very long hours. The data found that compression stockings protected against oxidative stress in those who work in long-standing occupations.

(Learn more about the best compression stockings and socks for nurses here!)

#3.  Practice yoga

Yoga stretching not only increases flexibly, but increases muscle strength and prevents injuries such as chronic lower back pain. In a career as physically demanding as nursing, the more physically stable we are, the better care we can give to ourselves and our patients.

study published in the National Institute of Biotechnology Information investigated the effects of yoga on stress coping strategies of ICU nurses. After only 8 weeks of yoga the results showed that the participating ICU nurses had significantly better focus coping strategies and a major reduction in perceived mental pressure. If that is what can happen after only 8 weeks, imagine the impact a regular, permanent yoga practice could have on stress management levels.

Check out Yoga For Nurses for easy to follow instructional videos.  Then, read more about why nurses NEED yoga here.

#4.  Stay away from break room junk

Weight can creep up on healthcare workers who wear comfy, loose-fitting scrubs to work everyday, without you even noticing it!

Patients and staff often like to bring unhealthy snacks like donuts, cakes or cookies into the nurse break rooms as a “thank you” to nurses.  This gesture is very “sweet”  of them, however it doesn’t do our health or waistlines any good.  Suggest bringing in fruit or veggie platters as a healthy treat for nurses instead.

One of the best ways nurses can stay healthy by preventing weight gain is to grocery shop in advance and prepare meals the night before a shift.  That way you are not tempted to order take out or reach for high sugar goodies when you are starving at break time.

One day per week I make a big batch of quinoa and keep it handy in the fridge for myself. When I need it, I add veggies, nuts, seeds, dried cranberries, olive oil, tempeh or whatever else I have in the fridge at that moment. Not only does this help me make healthy lunches for work, but I also have delicious leftovers ready to eat when I get home from a long 12 hour shift.

(You can read more about how I prepare for a 12 hour shift here.)

#5.  Consider working per diem

Per diem means: for each day. As a nurse, I am literally employed “by the day.” Hospitals need per diem nurses to cover staffing needs in the hospital, which can vary by the day or season.

Per diem nursing has been a game-changer for me as a working mom. It is so flexible that I don’t know if I’ll ever be able to go back to being a career RN again.

Here are a few benefits I found when I became a per diem nurse:

  • Significantly higher per hour pay
  • Work as little as one day a week or as many as five days a week (as long as there is a need)
  • Make own schedule (if the hospital doesn’t need me they call me off)
  • Cancel at the last minute (as long as it is by 3am)
  • Add on a shift at the last minute
  • Incredible opportunities for learning and professional growth
  • Work in many different specialties: Emergency Room, Cardiac, Liver Transplant, Medicine, Neuroscience and Stroke, or Oncology, and more
  • Opportunities to “master in” to a unit that is chronically short on staffing needs for a period of time: this guarantees a certain number of hours and gives an opportunity to go to the same unit for weeks or months at a time

Of course, there are also several drawbacks to being a per-diem nurse as well.  It is not for every nurse.  (You can read more about how per diem nursing helped me find a work-life balance here).

#6.  Get good sleep

Nurses work very long hours and night shifts, which interrupts the normal sleep pattern.

Help yourself by creating an environment at home that is conducive to sleeping, even during daytime hours.

  • Install blackout shades in your bedroom.
  • Disconnect electronics that artificially lighten a dark room.
  • Wear an eye mask.
  • Purchase quality ear plugs so that the guy mowing his lawn next door doesn’t wake you up at noon when you are finally entering your REM cycle.

When I first started working night shifts I even went so far as to use “blue blocker” sunglasses when I was driving myself home at 8’o clock in the morning.  (“Blue blockers” are the aviator style sunglasses that Zack Galifianakis and the baby wore in “The Hangover.”  Who new one of the best ways nurses can stay healthy involves also looking stylishly cool?).

“Blue blockers” have orange glass lenses that cut the blue portion of the light spectrum.   This helps prevent the light-inducted melatonin suppression and helps make it easier to fall asleep after seeing the morning sun.

#7.  Meditate for 5 minutes a day

One of the best ways nurses can stay healthy is through meditation.  Meditation is the practice of focusing your mind on a particular thought or activity to achieve a mentally clear and emotionally calm state.

A few benefits of meditation:

  • decreased burnout
  • better focus and ability to ignore distractions
  • boost compassion
  • better sleep
  • stress relief
  • happier state of mind

Headspace is an app for your phone that has many different meditations each lasting 1o to 60 minutes. If you can find 10 minutes in your day then you have no excuse not to meditate!  Meditation is attainable for even the busiest of nurses!

I listen to Headspace with my headphones most nights before I go to bed.  It helps me relax after a long day and even helps me to get a better nights sleep.

Like yoga, meditation is a practice. There is no good or bad. It is just what it is at the time. You can keep practicing to train your mind to do better the next time. And then eventually your brain is rewired by the habitual repetition of meditation and it becomes easier.

#8.  Practice gratitude

Intentionally choose gratitude.

Try keeping a gratitude journal.  Writing down what you are grateful for consciously reminds you that even though being a nurse is frustrating at times, the good stuff far outweighs the bad. It keeps you aligned with the positive aspects of being a nurse that we should keep our energy focused on:  giving great patient care and helping save lives.

I love being a nurse, despite the fact that is it overwhelming and at times even maddening.  Practicing gratitude helps me recognize how lucky I am to be a nurse who gets to help other people as my profession.   I go home everyday with a sense of accomplishment that even I can “be the change I wish to see in the world.”

Additional recommended reading:

Why Nurses Need To Practice Yoga:  Self Care For The Caregiver

Why Nurses Need To Practice Yoga: Self Care For The Caregiver

(This post may contain affiliate links.  My disclosure page is super boring but you can find it here.)

Many nurses are very good at encouraging patients to follow a regular exercise routine and at teaching ways to manage stress for optimal health. Taking their own advice about healthy lifestyle behaviors though, well, not so much.

As an emergency room nurse who has worked as a resource nurse on various units all over the hospital, I see first hand the outstanding care that is being given to our patients. The nurses I work with bend over backwards.  At times they even risk their own health and safety to care for total strangers.

The work can be back-breaking, literally. Most days are very physically demanding with little rest. Over time, the work is depleting to an RN.  Sometimes even resulting in permanent injuries (hello, chronic back pain!), extreme burnout or even depression.

How much work does it take to be a nurse?

Being a nurse in the hospital demands a lot on the body. The job often requires moving non-stop for grueling 12 hours shifts (or longer).  It can include lifting and turning patients several times throughout the day. In addition to physical stress, nurses are often multitasking multiple patients with unique medical issues and making clinical decisions in potentially life-threatening situations.

Nurse praticing yoga.

Yoga can help nurses take better care of themselves.

To say that being a nurse causes wear-and-tear on the body is an understatement. As a result of years of heavy lifting many RN’s are suffering from chronic back problems. I know several who have had to go out on disability and sadly still suffer from permanent chronic back pain.

In nursing school we are taught “proper body mechanics” that are supposed to prevent back injuries while moving, lifting or turning patients. Recently however, there is new evidence suggesting that their really is no safe way for nurses to lift patients.

In addition, being a nurse often requires walking up to 15,000 steps or more in a single shift. A study found in the National Library of Medicine reported that many nurses walk up to five miles in an average 10 hour shift. However, in the Emergency Room and on many other units, I would argue that we actually walk much more then that. In fact, I wear a pedometer at work and I have logged up to 35,000 or more steps in a single day. That is the equivalent of walking 14 miles in a single shift!

The emotional and physiological drain of being a nurse can be overwhelming.

Being in the hospital is stressful. As a result, sometimes patients or families take their stress out on the people they are in contact with the most: the nurses. Yet it is our job to remain compassionate and continue to advocate for our patients in spite of this.

Burnout in the profession is common. Even I have questioned my decision to become a nurse for this reason on a few different occasions. I’ve tried to explain to friends and family how incredibly complex and stressful being a registered nurse can be. I think it is just one of those things that you really can’t understand unless you experience it for yourself.

All venting aside, I’m not going to run off and chance careers, or encourage anyone from not becoming a registered nurse. I derive an immense amount of pride and passion for what I do.  I also enjoy working with intelligent people who have the same drive for helping people that I do.

It is, however, not a career for wimps.

Nurses need to practice yoga.

Nurse practicing yoga

There are so many physical and mental benefits to practicing yoga regularly.

Nurses need to make self-care a priority. Not only does self-care result in better overall patient care, but ultimately it replenishes our depleted reserves.  Yoga helps us take better care of ourselves and our families.

There is an endless amount of studies on yoga and its amazing benefits on physical and mental health. The Mayo clinic has stated that “yoga may help reduce stress, lower blood pressure and lower your heart rate” among many other benefits.

For the purpose of this article I am focusing on three of the biggest nurse health related issues. But don’t be mistaken, there several more benefits then I am not mentioning here.

Benefits of yoga for nurses:

Stress management

As I mentioned earlier, nurses have a high workload in many hospital wards. The stress is compounded by managing patient healthcare needs and treatments, daily occupational stressors and even the many frequent changes in technology.

A study published in the National Institute of Biotechnology Information investigated the effects of yoga on stress coping strategies of ICU nurses. After only 8 weeks of yoga the results showed that the participating ICU nurses had significantly better focus coping strategies and a major reduction in perceived mental pressure. If that is what can happen after only 8 weeks, imagine the impact a regular, permanent yoga practice could have on stress management levels.

Prevent or eliminate chronic low back pain

Chronic back pain in the nursing population is a common ailment. An evidenced based review at the Texas Women’s University reported that estimates of chronic low back pain among nurses range from 50%-80%. Fortunately, the review also presented an overwhelming amount of studies that found that regular yoga significantly reduced symptoms associated with chronic low back pain and greatly improved overall physicality.

Yoga stretching not only increases flexibly, but increases muscle strength and prevents injuries such as chronic lower back pain. In a career as physically demanding as nursing, the more physically stable we are, the better care we can give to ourselves and our patients.

Prevent burnout and compassion fatigue

Nurses practicing yoga

Urban Zen Integrative Therapy Program training at UCLA Medical Center. Nurses are learning how to integrate holistic healthcare like yoga with traditional medicine.

Lack of self-care can easily result in burnout and compassion fatigue in the nursing profession. As much as I hate to admit it, even I have questioned how long I can continue with the immense workload and emotional drain that is required of me as a nurse. Thankfully, I have found a productive way to manage this is through yoga and meditation.

A study published in Workplace Health & Safety on yoga for self-care and burnout prevention of nurses found that yoga participants “reported significantly higher self-care as well as less emotional exhaustion upon completion of an 8-week yoga intervention.” While the control group demonstrated no change throughout the course of the study, the yoga group showed a significant improvement in scores for self-care, mindfulness, and emotional exhaustion outcomes.

Yoga is good for you!

Yoga is a productive way to prevent some of the most common health ailments among nurses. Empowering nurses in self-care helps to create a happier, healthier and more productive work environment.

For better or worse, nurses serve as role models in the healthcare community. We need to practice what we preach. Why would a patient listen to our advice on how to life a healthy life if we are not living one ourselves?

Sarah, Mother Nurse Love

Additional reading:

Recommended Reading

8 Ways Nurses Can Stay Healthy

Pregnant Nurse Precautions To Consider At Work

3 Crucial Reasons Nurse Need Yoga

Headspace:  How An App Is Making Meditation More Attainable

Headspace: How An App Is Making Meditation More Attainable

(This post may contain affiliate links.  My disclosure page is really boring but you can find it here.)

An app for meditation? Huh?

Those were my thoughts when my husband told me about an app called Headspace that he had been using for 30 days straight. And then he suggested that I start using it too (apparently he can tell when I’m not handling stress very well).

Headspace is an app that has many different meditations each lasting 10 minutes. So I really don’t have an excuse that I don’t have time because it’s only 10 minutes!

Meditation is harder than it looks.

Woman meditating

Meditation is harder than it looks.

I have been practicing yoga for about 11 years on a regular basis. In that time I have probably meditated (or attempted to meditate- it can be a challenge!) hundreds of times.

The only thing that is consistent for me in meditation for me is that it’s always a little bit different each time. In other words, it’s not consistent at all.

Some days when I reach Savasana at the end of my practice I drift peacefully and effortlessly into the depths of meditation and I feel like I’m floating on a cloud.

On other days, my brain won’t stop reminding me of my to do list or rehashing a conversation with a really mean, difficult patient from my last shift at the hospital.

Like yoga, meditation is a practice. There is no good or bad. It just is what it is at the time. You can keep practicing to train your mind to do better the next time. And then eventually your brain is rewired by the habitual repetition of meditation and it becomes easier.

Setting aside time for meditation is the first step.

Since the birth of my daughter 20 months ago meditation has been a stretch for me and it than it has in a really long time. It’s hard to train your brain to relax when your mother of a toddler with a career as an RN.

And I really just don’t have a time like I used to (isn’t that everyone’s dilemma?). Since Zoe graced us with her presence the only times I have really truly been able to meditate have been when I have been lucky enough to squeeze in an actual studio yoga class. Which to be honest, is not frequently.

I do some yoga at home every day. But it’s mostly some stretching, a couple a sun salutations, an inversion or two, and then I call it a day. Sometimes I may even get to do it twice (usually next to my daughter if she’ll play long enough by herself) for anywhere from 5 to 20 minutes or so.

Thing is I never actually get to the meditation part. And I am really craving more meditation in my life.

So one of my new goals is to try and fit in 10 minutes of meditation every day. No excuses!

This is where the app, Headspace, comes into play.

Do not disturb sign

Mediation requires at least a few minutes of uninterrupted time. Don’t confuse meditation with taking a nap!

As I mentioned earlier, my husband introduced me to this app a couple of months ago. He had just completed 30 straight days of practicing meditation with it. I had noticed that he had been chill in recent days, and now I know why.

I had thought he was just laying down to take a quick nap. Ha! He was actually listening to the app on his headphones under the covers. Sneaky…

I dabbled with the app for the first time a few weeks ago. I tried sitting still with my headphones on while sitting on my couch while my daughter was napping. But my heart wasn’t in it and I just couldn’t get into the idea of using an app for meditation. So I quit.

But this week I got some interesting news that reminded me that I need to be taking better care of myself and not stressing myself out to the max! I won’t go into that now. But the point is it can be a good thing to get a little nudge of consciousness that says the only person responsible for your health is you!

Funny, that’s the exact thing I say to my patients. Hmmm….

So now I’m giving this Headspace app thingy a whole new chance. If it works so well for my husband, why am I not all over this thing?

I tried it tonight and it was, well, nice actually. I definitely chilled out, felt my muscles melting into the floor, much like I used to after yoga class.

The instructor has a nice soft British voice that was calm and cool and walked me through the process of letting go of my thoughts.

It felt really awesome to be meditating again actually. I’m going to try to do it tomorrow before I get out of bed. If I happen to wake up before Zoe does.

Ill let you know how I feel after 30 days!

Sarah, Mother Nurse Love

Recommended Reading

8 Ways Nurses Can Stay Healthy

Nurse Life:   How To Find A Work Life Balance

Why Nurses Need To Practice Yoga:  Self Care For The Caregiver

7 Ways To Beat Nurse Burnout