Patients have long lauded nurses’ essential role on their care team—and in an August 2022 podcast episode, healthcare agency leaders did too. Shannon Zenk, PhD, MPH, RN, FAAN, National Institute of Nursing Research director, described nurses as important members of care teams during a short conversation with Griffin Rodgers, MD, MACP, National Institute for Diabetes and Digestive and Kidney Disease director.

Throughout the COVID-19 pandemic, the American Nurses Foundation has monitored its effect on the nursing profession through a series of surveys, the most recent of which collected specific information on staffing, scheduling, organizational support, and solutions. More than 11,000 nurses contributed to the survey, but those who identified as retired were not included in the data analysis. As I read the findings, the report’s subhead—Nurses Not Feeling Heard, Ongoing Staffing and Workplace Issues Contributing to Unhealthy Work Environment—caught my attention. How does one confirm feeling heard?

Throughout history, many generations have used a hot cup of tea to promote mental and physical wellness. The discovery of tea dates to 2732 B.C., when leaves from a wild tree blew into Chinese Emperor Shen Nung’s pot of boiling water and the pleasant scent compelled him to take a sip. The legend says that the emperor described how the liquid gave him a warm feeling that invigorated his body and soul.

Health care is a hazardous professional industry. As a calling more than a career, providers understand the risks associated with patient interactions. Florence Nightingale’s environmental theory of nursing calls for nurses to tailor a patient’s surroundings to their treatment plan, and that includes creating a safe space for patients and providers alike.

Vision boards are a collage of images and phrases that represent your goals, dreams, and attitudes; they help you manifest your aspirations by physically placing your thoughts into the world. Although few studies have measured their effectiveness, experts suggest that creating a vision board can help you reach your goals.

As the most trusted professionals for 20 years in a row, nurses witness the needs of those in our care and are suited to translate them to legislatures, regulatory agencies, nongovernmental organizations, and insurers. We do that by speaking plainly about the impact that cancer has on patients and their families. As experts, our ideas and language can translate into practice changes to transform cancer care.

ONS reaps value and benefits from its many collaborations and teamwork—whether between members and staff the Society’s own partnerships with and memberships in other organizations. You may see the outcomes that ONS achieves from those organizational relationships, but you may not yet realize the direct benefit they have for you as well.

Summer is synonymous with vacations, and vacations require logistical preparation. (What will I pack? What should I plan to do?) But it’s also important to ready yourself mentally for a period of wellness and rejuvenation to reap the full benefits of a well-deserved getaway. Making a checklist can help eliminate the stress of both, before and during your travel.

Although healthcare providers have long faced challenges in the healthcare system, the COVID-19 pandemic exacerbated circumstances and ushered a rising healthcare worker burnout crisis in the United States, according to U.S. Surgeon General Vivek Murthy’s, MD, MBA, warning in May 2022.

Reinforcing the public perception of nursing as the most trusted profession, President Joe Biden awarded Sandra Lindsay, DHSc, MS, MBA, RN, CCRN-K, NE-BC, a critical care nurse, a Presidential Medal of Freedom in July 2022 for her work in the COVID-19 pandemic.

Cancer has affected my family, and I believe that experience made me more empathetic toward my patients. As an undergraduate nursing student, I had the privilege of participating in the Susan D. Flynn Oncology Fellowship program, which truly enabled me to appreciate just how special oncology nursing is before I entered the workforce. I have and always will continue to carry the lessons I learned from the experience throughout my professional career, and the opportunity it opened for me to get involved in ONS gave me an incredible resource and community as I advance in my practice.

Launched in 2016 as a pilot program from the Centers for Medicare and Medicaid Services Innovation Center to develop new payment and delivery system models, the Oncology Care Model had a lofty goal: drive improvements in providing high-quality and cost-effective care.

When you reflect on your career as an oncology nurse, do you see it as a journey? I do, and it is one marked by mentors, teachers, colleagues, and ONS.

Positive phrases or statements that challenge negative or unhelpful thoughts can motivate you, encourage positive lifestyle changes, and boost your self-esteem. Repeat self-affirmation mantras regularly to fully reap the benefits of this practice and make long-term changes to the way you think and feel.

My world changed on December 22, 2021. It is a day I will never forget: the day I tested positive for COVID-19. For nearly two years, all while caring for patients with the virus, I avoided contracting it. I prided myself on mask-wearing, handwashing, and social distancing, but what we know all too well is that COVID-19 does not discriminate.

I found a card from him the other day and my breath hitched. Then I remembered how annoying I thought he was the first time I heard him.

As I walk into the exam room, isolation mask and eye protection on against the COVID-19 pandemic, my heart feels heavy with the reality of the day, of this moment, of these years.

Erica Fischer-Cartlidge, DNP, CNS, AOCNS®, EBP-C, will begin the role of the Oncology Nursing Society’s (ONS’s) chief clinical officer (CCO) on July 18, 2022. Fischer-Cartlidge is the former interim director of nursing evidence-based practice at Memorial Sloan Kettering Cancer Center in New York, NY.

Many nurses, even those in leadership, believe in the misconception that well-being is an indulgence or luxury they cannot afford, but this simply isn’t the case: it’s an investment that can improve your effectiveness, especially as a leader. 

Slowing down to recenter can often feel unrealistic amid a nurse’s competing priorities. However, cultivating internal and external stability can improve life at the bedside and beyond. A clean home and heart can make it easier for us to navigate day-to-day responsibilities and engage in the love and relaxation we deserve as the day winds down.

One day, years ago now, my son and my daughter were listening to a bedtime story. My husband was reading them the Cat in the Hat, one of their favorite stories. And at the end, my son gave one of those happy little hops that kids give and said to my husband, "Dad you're so cool, you're like the Cat in the Hat." And I was walking by, putting laundry away or something, and I sort of turned and said, "If Dad is the Cat in the Hat, then who am I?" I was thinking I was the absent, completely irresponsible mother or Thing One or Thing Two.

“It takes 20 years to be an overnight success,” classical Hollywood era star Eddie Cantor once said. For many, “instant” recognition comes after a long preparation of methodical strategy and hard work. It is the story of nurses.

A single patient. A team of nurses providing compassionate, patient-centered care. A family so thankful that it had to give back. Today, it’s touched more than 177,000 nurses around the world in recognition of what they do every day: deliver high-quality, transformational cancer care.

As I begin my ONS presidency, I want to acknowledge the challenges and stress we have endured the past two years, which were most likely the hardest years in our careers. We need time to grieve for loss of patients; changes in the nursing profession, including equipment and personnel shortages; and the personal things we have lost that give meaning to who we are—graduations, weddings, memorial services, vacations. It all matters.

Governing ONS—including fiduciary oversight for all investments and budgets and strategic decision-making that secures the future of the organization—is the ONS Board of Directors’ primary role. In even the best of times, it is a serious commitment to govern our complex association, but the unpredictable environment we have experienced since early 2020 has increased that challenge.

Paper folding, also known as origami, has roots in several cultures, including Japanese, Chinese, and European. Origami’s exact origin is unknown. Although we have no concrete evidence of origami existing before 1600, a reference to origami butterflies in a 1680s poem suggests that it was an established art form with much older origins.

We must make a dedicated effort to increase diversity among nursing students at the college and university levels and support the inclusion of underrepresented minority, sexual minority, gender minority, and male student populations. Because of the country’s expanding immigration, increasing globalization, and minority population growth, we must have a diverse nursing workforce to meet the needs of patients and families from all backgrounds and communities.

To achieve health equity and improve health outcomes for diverse and marginalized racial and ethnic minorities, the nursing workforce must mirror the U.S. population. Yet despite decades of effort, the profession remains predominantly female and White. As the United States marches toward a minority majority, nursing diversity has never been a more critical objective.

In response to the 2010 Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health, the Nurses on Boards Coalition launched an initiative to increase the number of nurses in decision-making leadership capacities with a goal to place 10,000 nurses on corporate, health-related, and other panels, boards, and commissions. Yet today, we still have more work to do to advance nurses into those positions and to educate the public about nurses’ role in providing high-quality, safe patient care.

Rewind. I adjust the strap on my mask and pinch it tightly around my nose and move it just under my lower eyelashes to prevent my goggles from fogging. These days, I am grateful for the face cover as it hides the pallor from six months in and the dark circles from long hours and anxious sleep. I wait at the valet circle for my team. Another SOS text out to them this morning. All hands on deck.

Six years ago, I signed up for the marrow registry through the German Bone Marrow Donor Center, also known as DKMS, which is an international organization that hosts stem cell registry drives. In late 2021, I received the call that I was a fully matched donor for a patient with chronic myeloid leukemia. As a hematology and oncology clinical nurse specialist, I have seen how valuable the gift of stem cells can be for a patient with hematologic disease. I didn’t think twice about completing the donation process.

Overall trust of scientists and their research during the COVID-19 pandemic has increased by nine percentage points between 2018 and 2020, according to the results from the November 2021 Wellcome Global Monitor 2020: COVID-19 report.

For better or for worse, the COVID-19 pandemic has affected nearly every aspect of life as we know it. As the virus evolves, so do we—from individuals to health systems, the country, public health policies, and more.

Nurses and other healthcare professionals persevered through 2021 and its obstacles, including the COVID-19 pandemic, staff shortages, and increasing rates of burnout, and their selflessness, drive, and honesty have not gone unnoticed by the American public, according to Gallup’s annual Most Honest and Ethical Professions Poll. In results released in January 2022, Americans ranked nurses as the most honest professionals for the 20th consecutive year on a list that also included physicians, grade-school teachers, pharmacists, and other professions.

Driven by evidence-based practice and patient-centered care, nurses have earned the faith of the American public. For two decades, nurses have been ranked the most trusted and ethical profession in the United States. Although trust is critical, what it lacks is support for the profession through federal investment in research, education, and workforce issues for long-term stability.

Oncology nurses must have effective communication and team-based skills to work across disciplines with other members of the care team. In an oncology setting, teamwork promotes safer, more efficient, and higher quality care, as well as a more positive and supportive practice environment. Dana-Farber Cancer Institute (DFCI) has used team training to develop those skills in our staff over the past 15 years.

Nurse burnout can only be addressed at the health system level, and beginning in your unit is one way to get that process started.

Given the inherent nature of caregiving, burnout has been part of the nursing profession since the beginning. As the complexities of the profession increase, so do nurses’ vulnerability. Oncology nurses have multiple physical, emotional, and mental demands, which, if left unaddressed, can lead to burnout, compassion fatigue, and moral distress.

As we turn the calendar to the new year, it feels a bit like the film Groundhog Day. Information about the COVID-19 pandemic—and related topics like masks, vaccination, and protecting ourselves and our patients from infection—still dominates the news and the literature. Many areas are struggling with surges in winter cases, and we all feel the personal loss of friends and family, colleagues, and patients and the toll it has taken on our profession. It is, without doubt, a constant presence in our lives.

Embracing—not judging or hiding—our flaws and vulnerabilities makes us happier and more relatable, a research-supported concept called the beautiful mess effect. What we think are negatives or weaknesses, others see as courageous. Showing vulnerability can lead to stronger relationships, increased self-esteem, and better mental health.

As nurses, the inclination to nurture and care for others is in our nature, yet sometimes we forget to care for ourselves. That’s an easy routine to fall into, but optimizing our mental well-being improves both the quality of care we provide and our overall health. So today, right now, is all about you. Here are four simple, sustainable ways you can safeguard your mental health, which includes your emotional, psychological, and social well-being, amid the ever-present chaos.  

Although you may not always believe it, living a balanced life is not out of reach. Nurses have a variety of ways to achieve daily balance and well-being, both informally and through dedicated programs. Today, institutions and nursing organizations alike are prioritizing initiatives to support and strengthen nurses’ well-being.

In addition to her daily practice as a nurse practitioner at Memorial Sloan Kettering Cancer Center in New York, NY, ONS member Naomi Cazeau, RN, MSN, ANP-BC, AOCNP^®, is using her leadership skills to make a difference in advocating for patients on a broader level. In October 2021, the Sepsis Alliance appointed her to its advisory board to help guide the organization’s mission of improving awareness and care.

A balanced life allows us to function at our best. Our bodies do that naturally through homeostasis, a familiar term from nursing school, by self-regulating physiological processes to ensure equilibrium and optimal functioning. But our brains sometimes need help to self-regulate, and one way to do that is to practice silence. After a day of noise and action, silence and solitude can calm and restore you.

ONS member Christopher R. Friese, PhD, RN, AOCN^®, FAAN, oncology nurse researcher and professor at the School of Nursing in the University of Michigan in Ann Arbor, was named one of seven researchers and clinicians that President Joe Biden appointed to the National Cancer Advisory Board on September 15, 2021.

Stress is a normal and necessary part of life. However, prolonged emotional tension takes stress to a new level for many people, including oncology nurses. But what is the antidote to cumulative pressure? The evidence for compassion’s benefits during stress is compelling.

The nursing shortage has reached dire proportions and more needs to be done to ensure the United States has the nurses we need to care for the public, particularly during the COVID-19 pandemic, the American Nurses Association (ANA) said in a September 2021 letter to the U.S. Department of Health and Human Services (HHS) urging the agency to declare the shortage a national crisis and to take action against it.

Are you at—or well over—the brink of burnout? Do you feel like you give, give, give and cannot find the time to refill? Those are common feelings for nurses, whose profession is a service to humanity. Although our work is rewarding, it’s also physically, emotionally, and mentally draining. Never feel guilty or judge yourself for stepping away and taking time for yourself—it’s essential to maintain the high level of care you provide every day.