The Medscape 2020 nurse job satisfaction survey dove into fears, PPE woes, and other highs and lows of life in the workplace during the pandemic. Medscape surveyed 10,400 nurses across all regions of the US and analyzed responses from 5130 RNs, 2002 NPs, 2000 LPNs, 500 clinical nurse specialists (CNS), 401 nurse-midwives (NMs), and 391 CRNAs. Most respondents fell within the 35-54-year-old age group.
Despite the hardships of 2020, most respondents are still quite happy with their choice of career. A full 98% of NMs and CRNAs are glad they chose nursing, closely followed by 96% of CNS, 95% of LPNs and NPs, and 93% of RNs.
Given the chance of a do-over, though, some are not sure they would make the same choice. 85% of NMs and CNS say they would pick nursing again. Among RNs and CRNAs, 76% and 78% would stick with nursing.
The Impact of Covid-19
Among CRNAs, 73% have treated Covid-19 patients. Midwives came in second, with 60% of NMs saying they had treated Covid patients, followed by NPs (57%), RNs (53%), LPNs (50%), and CNS (38%). Have they had sufficient PPE? Responses were almost evenly divided, with a majority of LPNs (59%) and RNs (56%) affirming that they have enough PPE.
Who was furloughed? CRNAs were at the front of the line, with 34% saying they had been furloughed during the pandemic. NPs came in second, at 18%, followed by LPNs (15%) and RNs (14%). On average over 30% of the nurses surveyed lost income last year, but CRNAs took the biggest hit, with 59% saying they lost money in 2020.
Telehealth is becoming routine for nurse-midwives and NPs. In the 2020 survey, 77% of NMs and 75% of NPs told Medscape that they met with patients online or by phone, and 53% of the LPNs surveyed made virtual visits.
Fears and worries during this scary year were to be expected, of course. Nurses’ greatest concerns during the pandemic were concentrated on the fear of transmitting Covid to family and oneself, but 38% singled out the discomfort of wearing extra PPE as their main woe, and 23% worried most about higher patient loads.
Best and Worst Parts of the Job
Asked about their main source of job satisfaction, nurses offered a range of answers, but helping people and making a difference in their lives was the top choice for RNs, LPNs, and APRNs (click charts to enlarge).
Least satisfying aspect of the job: Workplace politics ranked first for RNs and LPNs at 23% and 21% respectively, and for 26% of CNS’s. LPNs also pointed to their paychecks as a source of dissatisfaction.
Yes, in 2021 we can continue to cite nurses as the most trusted professionals in the United States. It should come as little surprise that the events of 2020 elevated trust in nurses to a record high. This year, not only did nurses top the results of the annual Gallup Poll for 2020; their position rose by 4 percentage points since the 2019 poll.
According to the December 1-17 poll, Americans were asked to rate various professions with regard to honesty and ethical standards. Respondents gave nurses an 89% “high or very high” trust rating, securing the position of nursing at the top of the list. Doctors took second place, at 77%, grade school teachers, at 75%, were in third place, and pharmacists—who are on an upswing after falling in the rankings after 2012—drew 71%, making them the fourth most trusted profession.
ANA president President Ernest Grant, PHD, RN, FAAN said of the new poll, “I am extremely proud of my fellow nurses. Nurses have been tested in every way imaginable during 2020. The world watched as nurses lost numerous patients and colleagues to a highly communicable, deadly virus while trying to protect and preserve their communities with limited resources and support. Nevertheless, through it all, nurses have consistently proven they are resilient, selfless, and compassionate, risking their health and safety for the common good. Therefore, nurses are undoubtedly deserving of the public’s unwavering trust.”
The usual suspects haunted the lower end of the trust spectrum for 2020. Professions receiving a high trust rating from fewer than 30% of those polled included bankers (29%), journalists (28%), and lawyers (21%). Perennial objects of mistrust populated the bottom of the graph: members of Congress and car salespeople tied for an 8% trust ranking.
The December 2020 poll asked a random sample of over 1000 people in all 50 states and the District of Columbia to rate the honesty and ethical standards of people in different fields, with options ranging from very high, high, average, low, or very low. Here were the overall results:
For full details on this year’s poll, visit the story on Gallup News.
In a year in which so many nurses displayed bravery, suffered hardships, and shone in countless ways, DailyNurse might easily have featured a “Nurse of the Day” instead of a Nurse of the Week.
Nurses have always gone the extra mile to communicate with patients and make them feel more comfortable and cared for, and we all know former patients who were so inspired by their nurses that they decided to enter the profession themselves. As 2020 raised the curtain on the Year of the Nurse, though, no one could have anticipated it would be a watershed year in which nurses became global icons of hope and courage.
Whether You’re a Hero, or Merely Awesome, Take a Bow…
The public has long admired nurses, but this year, the world has watched nurses brave the pandemic to work in seemingly impossible conditions, act as stand-ins for patients’ absent families, and leave home to speed to the relief of overwhelmed hospitals all over the US.
Nonetheless, many of our 2020 Nurses of the Week (NotW) eschewed the word “hero.” If you glance at remarks from our 2020 Nurses of the Week, you might note that while they take pride in their work, few sound like they are ready to accessorize their mask with a Superman cape. Naturally, they are happy to see their work recognized, but nurses constantly go out of their way to make patients feel less frightened and alone. As frontliner Tabatha Kentner said, “This is what we do. This is why we’re here.” Nurses save lives—and when they cannot, they comfort patients in their final hours and console distraught families. It’s not an occasional phenomenon; it is an everyday occurrence. The name and photo in Wednesday’s NotW feature could easily be your own because your expertise and empathy make you a Nurse of the Week every day of the year.
On the last Wednesday of 2020, DailyNurse salutes the Nurses of the Week who made their mark during the Year of the Nurse!
Great (and Caring) Communicators
A recurring theme is nurses who use their unique talents to raise patients’ and staff members’ spirits. Some, like Marc Perreault and Lori Marie Kay, shared their musical gifts. At Lenox Hill Hospital during the height of the New York City outbreak, Emily Fawcett helped boost morale in her ICU by meeting with staff for positive-thinking “hope huddles” before starting their shifts.
Danielle Fenn applied her language skills to comfort non-English speaking Covid patients. Others, like Tabatha Kentner, have been acting as “angels” (the word angel comes from the Greek angelos, which means “messenger”) and facilitating virtual visits so patients and their loved ones can commune even in isolation (and when necessary, say their final goodbyes).
Advocates and Public Servants
2020 was a year in which nurses stepped forward, spoke up, and got involved in public and civic health. Expect to see more of this in 2021 and years to come (we hope!). Metastatic breast cancer survivor Stephanie Walker is tirelessly advocating for cancer patients and patient education in North Carolina. Another indefatigable advocate, Andrea Dalzell, is on a mission to invite wheelchair-bound people to enter the nursing profession.
NYPD’s new Special Victims Unit head Michael King is a veteran SANE—and he is determined to improve the treatment of rape victims by police and other first responders. American Academy of Nursing (AAN) “Living Legend” Mary Wakefield is sharing her public health expertise and experience in the Obama administration with the Biden-Harris transition team.
Another AAN “Living Legend,” 85-year-old Marie Manthey, is promoting frank, open dialogues between Black and White nurses, and calling upon all White allies to combat structural racism and unconscious bias.
Tens of thousands of nurses this year packed their bags and took off to lend a hand in the nation’s hotspots. Reports on horrific conditions in hard-hit city hospitals were a virtual Bat-Signal for many nurses. They stashed extra masks in their suitcases, said goodbye to their loved ones, and flew to the most dangerous hotspots in the country (even nurses who had never been on a plane before!).
Texas nurse Anna Slayton, who parted from her family to spend 77 days on the New York frontlines, felt compelled to help, telling DailyNurse, “I ultimately knew it was my duty.” And in April, after flying from Tennessee to a desolate—but noisily grateful—NYC, ED nurse Kirsten Flanery declared, “I made the right decision on coming up here. I’m ready to make a difference!”
Difficult Takes a Day, Impossible Takes a Week
Many nurses combine massive multitasking efforts with hard work to pursue their studies, and some fight to overcome dire health and financial obstacles in their quest to start a nursing career. Felicia Shaner was so drawn to the profession that she embarked on her nursing studies while living in a homeless shelter… with a toddler and a baby on board! degrees while working as hospital custodians. Rebel NurseJalil Johnson (of Show me Your Stethoscope fame) had spent his last $5 when he enrolled in an LPN program. And Brianna Fogelman had a lung transplant in her junior year of nursing school and took her nursing finals with a tube in her chest.
Is There a Nurse in the House?
2020 was also a year in which nurses acted as first responders in unexpected times and places. Pamela Zeinoun saved the lives of three premature infants after the devastating August 4 explosions in Beirut. Indiana trauma nurse Colby Snyder rushed to the assistance of two people who collapsed in public within a 3-week period: the first had a seizure at her grocery store, and the second fell while Snyder was volunteering at the polls on Election Day.
Former CCN/cardiac care nurse Hollyanne Miley (whose husband is Joint Chiefs of Staff Chairman Mark Milley) is also a good person to have at hand when out-of-the-blue seizures occur. And VA nurse Maria VanHart impressed “official” first responders by her swift, efficient, and empathic treatment of survivors at the scene of a fatal highway accident.
DailyNurse salutes all of its readers, and all nurses. If you know of someone who warrants a Nurse of the Week nod, send your suggestion to email@example.com. Best wishes for a happier, healthier, evidence-based New Year!
The National Black Nurses Association (NBNA) has rolled out two major health campaigns for Black nurses under the auspices of their new wellness initiative, NBNA Resilient Nurse Resource™.
The first campaign, RETHINK, launched on December 7, urges Black nurses to trust the science behind vaccines and safeguard their health by getting annual flu/pneumococcal vaccinations. The site provides essential facts on the viruses that kill tens of thousands of Americans every year and seeks to counter vaccine hesitancy.
The RETHINK site also features a short video filled with evocative images of Black nurses vaccinating Black adults and children. (The video will be available to a variety of institutions, hospitals, schools of nursing, managed care organizations, and other places where nurses work). Anchored by strong, positive depictions of African American healthcare providers, the imagery shows Black nurses availing themselves of life-saving public health initiatives to stay healthy as they work toward a future that consigns America’s dark history of medical mistreatment of Black bodies to the past.
In fairness, that dark history casts a long shadow. The subjection of enslaved people to brutal experimental surgeries and treatments was followed by further inhumane practices after emancipation. And, although the notorious 1930-72 Tuskegee experiments might have been the last deliberate, organized program of medical abuse, numerous academic studies and countless patients attest to the present-day neglect, dismissal, ignorance, bias, and indifference displayed by many White HCPs. Renee Mahaffey Harris, president and CEO of the Center for Closing the Health Gap in Cincinnati, recently told CNN that people tend to place more trust in leaders who look like them than White officials from the CDC or FDA. Harris said, “It must be a Black person talking to a Black person. You’re not going to all of a sudden trust a group of people that you have [long] mistrusted just because the science says this.”
The NBNA RETHINK campaign calls upon Black nurses to get vaccinated to protect their health, and by looking after themselves, it is to be hoped that their example inspires other people of color to “rethink” their attitudes toward vaccination. In addition to the video, the site features an interactive “Test Your Flu IQ” quiz on the flu and flu vaccines, and a vaccination locator to find flu/pneumococcal vaccine providers throughout the US. To visit the site, click on www.nbnaRETHINK.com.
Mental wellbeing is the focus of the second Resilient Nurse Resource™ program, RE:SET, rolled out on December 15. RE:SET offers a wide range of free mental health services to support NBNA members as they navigate the stressful environment of the pandemic at work and at home. With support from the Pfizer Foundation, RE:SET provides members and their families with access to free HIPAA compliant therapy sessions (with the option to choose African American therapists), 24/7 telephone support, text-based therapy, behavioral health programs, and work-life services. Other complimentary resources include a special webinar series on mental health issues, and wellness podcasts featuring Joe Clair, MC Lyte, and others, to aid NBNA members in maintaining their mental wellness throughout the pandemic.
RE:SET is also designed to encourage Black nurses to combat the stigma in the Black community surrounding mental health. This, in addition to the lack of providers from diverse racial/ethnic backgrounds and culturally competent providers, contributes to only one-in-three African Americans receiving mental health treatment. RE:SET addresses members of an underserved population at a time when nurses are experiencing unprecedented levels of burnout, anxiety, and uncertainty. Dr. Martha A. Dawson, NBNA President, said, “It is crucial that we protect our nurses’ physical and mental wellbeing during such an unprecedented time in our country. With RE:SET we are able to provide them with the tools necessary to recover from the daily stresses of exhausting working conditions and challenges. It is essentially PPE for their mental and emotional health, which will help to impact their physical health.”
To learn more about the RE:SET free tools and other resources, visit, www.nbnaRESET.com.
To become a member of the National Black Nurses Association and learn more about the services NBNA provides, visit www.nbna.org.
American nurses are becoming iconic images of hope as they receive the first SARS-CoV-2 vaccinations approved for emergency use. A gathering of reporters, officials, and healthcare providers applauded when they witnessed the first vaccination in Oklahoma, as Erica Arrocha, RN administered the state’s first Covid-19 vaccination to a colleague, RN Hanna White, at Integris Baptist Medical Center. White told reporters, “Hopefully this is the start of something better.”
New York ICU nurse Sandra Lindsay, the first US healthcare worker to receive a shot, told journalists, “I trust the science,” as her vaccination was recorded and livestreamed to millions of viewers.
The first in line for vaccination in Minnesota was Minneapolis frontline VA nurse Thera Witte, who declared, “I’m feeling hopeful that this is the beginning of the end” of the deadly pandemic that has so far taken over 377,000 lives in the US and 1.65 million lives worldwide.
There were even impromptu parties. When the first shipment of the Pfizer BioNTech vaccine arrived in Boston, there was dancing in the streets (or the hospital parking lot)—on a chilly Massachusetts day in December-—that immediately went viral.
The first Californian to be vaccinated had initially been dubious. ICU nurse and NP Helen Cordova at Kaiser Permanente Los Angeles Medical Center changed her mind, but she still understands the mistrust. Her training, though, prompted her to research the science behind the new vaccines: “That’s probably the best thing to do, educate ourselves, get the information ourselves,” she told ABC7 in LA. “As I started to dig in a little more, I felt more at ease. I started changing my stance on it. I went from ‘absolutely not’ to ‘sure, here’s my arm, let’s do it!’”
“It’s important not just for me, but for all of those that I love.” In New Jersey, the first to roll up her sleeve was Maritza Beniquez, an emergency department nurse at University Hospital in Newark. As state governor Phil Murphy looked on with journalists and healthcare workers, Beniquez was exuberant after receiving the state’s first SARS-2 shot on her birthday: “I couldn’t wait for this moment to hit New Jersey. I couldn’t wait for it to hit the U.S!”
And as humans cannot resist an opportunity to thrill one another with foreboding rumors of sinister events, false social media posts started to appear almost as soon as states began to vaccinate healthcare workers. So, if patients, friends, or family cite the nonexistent “42-y/o nurse in Alabama found dead 8-10 hours” later from anaphylactic shock, well, what did you expect? Share a real social media event like the Boston MC flash mob, and tell them you’re keeping your mask on even after your second vaccination, as epidemiologists say we will probably have to wait until mid-late 2021 to gauge the efficacy of the vaccines.