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Nurses speak out: 'What I wish I'd known before entering the profession'

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Nurses speak out: 'What I wish I'd known before entering the profession'

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FIRST ON FOX: With nearly two-thirds of nurses in the United States experiencing burnout — including 69% of those under 25 years of age, according to the American Nurses Association — many in the industry are calling for change.

A recent survey by AMN Healthcare, a health care workforce solutions company based in Texas, found that most nurses aren’t optimistic about improvements, with 80% saying they think the year 2024 will be either “no better or worse” than last year and 38% of nurses expecting it to be worse.

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“The concerns that many nurses have about their profession were not created by COVID-19 and have not gone away now that the crisis has passed,” Robin Johnson, group president of nursing solutions at AMN Healthcare, who administered the survey, told Fox News Digital.

NURSES CALL FOR CHANGE AS MANY REVEAL THEY’RE ‘EXTREMELY LIKELY’ TO LEAVE PROFESSION: ‘EMOTIONAL, STRESSFUL’ 

“Many nurses still feel overworked and undercompensated,” she said. 

“What they want to see is a change in their daily working conditions — better hours, fair compensation and more time with their patients.”

Left to right, Karie Ryan, Michele Acito, Katelynn Blackburn and Lisbeth Votruba shared insights into the nursing profession with Fox News Digital. Two other nurses shared thoughts as well.  (iStock/Karie Ryan/Michele Acito/Katelynn Blackburn/Lisbeth Votruba)

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Amid the ongoing challenges faced by today’s nurses, six people in the profession shared what they wish they’d known before they decided to enter the field and what advice they’d give to newcomers.

Lisbeth Votruba: ‘Nurses don’t have enough influence’

Lisbeth Votruba, a third-generation registered nurse in Belmont, Michigan, is also the chief clinical officer of AvaSure, a virtual health care platform. 

“When I first entered the profession in the 1990s, I was surprised to learn that although nurses are held to high ethical and legal standards, they do not have the influence to match that level of accountability,” said Votruba. 

“I see trends to show this is changing, and I am doing what I can as a member of the senior leadership team of a technology company to make sure the voice of nurses is heard as health care technology is being designed,” she said. 

Lisbeth Votruba, a third-generation registered nurse in Belmont, Michigan, is also the chief clinical officer of AvaSure, a virtual health care platform. (Lisbeth Votruba)

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“Nurses must be at the table for every discussion about technology that impacts the patient,” she said. 

Mat Wellnitz: ‘Wish I’d known the stress involved’

Mat Wellnitz, a registered nurse in Big Rapids, Michigan, recently retired from a rural hospital after more than 34 years, most of them spent in critical care.

“I wish I’d known the amount of stress that’s involved in nursing,” said Wellnitz. 

“I would have taken more time off for myself. It wasn’t until about a week after I retired that I realized how much stress I was blinded to.” 

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He added, “I used to lie down and instantly could feel my heart pounding, always thinking about work. But not anymore — and I sleep better.”

Larry Williams: ‘Your work impacts your overall health’

Larry Williams worked as a registered nurse at California’s Stanford Hospital in the intensive care unit before retiring in 2021.

“I went into nursing with my eyes wide open … There were no surprises because I worked in two different hospitals while going to school,” said Williams. 

“My advice to anyone considering nursing and health care in general is to find a way to actually work in a hospital prior to graduating. Pay attention to your strengths and weaknesses and choose an area that fits you as a person.”

“It is not the career for everyone, but it was for me.”

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He also told Fox News Digital, “While you are working, pay attention to how your work is impacting your overall health. Not everyone is cut out to work in the ICU. I still have occasional work dreams, and I remember the names and faces of people I cared for who did not survive.”

Said Williams, “That is balanced by the happy memories of my peers as well as lives that I have touched … It is not the career for everyone, but it was for me.”

Karie Ryan: ‘Bedside nursing is not the only option’

Karie Ryan, currently the chief nursing officer at health tech firm Artisight, spent 27 years as a nurse in Florida, with a specialty in medical/surgical/orthopedics.

Karie Ryan, currently the chief nursing officer at the health tech firm Artisight, told Fox News Digital, “There are so many specialty opportunities, including nursing informatics.” (Karie Ryan)

“I wish I had known that bedside nursing is not the only option available in order to make an impact,” she told Fox News Digital. 

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“There are so many specialty opportunities, including nursing informatics.”

She added, “If nursing schools offered exploration in nursing informatics and other subspecialties, it would open a new world of possibilities not only to those entering the field, but as a consideration for nurses later in their career who may want to transition but remain in the profession.”

Katelynn Blackburn: ‘Constant pressure took a toll’

Katelynn Blackburn, a former nurse who is now an entrepreneur, worked 12-hour night shifts for parent access care in Chico, California, for over two years before leaving the field.

Katelynn Blackburn worked 12-hour night shifts for parent access care in Chico, California, for over two years before leaving the field.  (Katelynn Blackburn)

“I wish I would have known more about how my personality would affect my profession in the medical field,” said Katelynn Blackburn. 

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“I am empathetic and caring; however, the field itself comes with a lot of pain and anxiety for patients and their families,” she said. 

“The constant exposure to hardships, on top of the pressure of providing comfort and support to patients and their families, definitely took its toll on me.”

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She added, “I wish I had thought less about the income and salary and more about what the actual job entails. You must find something you are passionate about and ensure that it will secure your family financially.”

Noted Blackburn, “I have always had an entrepreneurial mindset and a personality driven to achieve more — so I decided to leave to pursue something I felt more aligned with.”

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Michele Acito: ‘Emotional bond is deep’

Michele Acito is executive vice president and chief nursing officer at Holy Name Medical Center in New Jersey. She joined Holy Name in 1989 as a telemetry nurse, working in the cardiovascular and intensive care units before she was promoted. Earlier in her career, she worked as a staff nurse in orthopedics at St. Joseph’s University Medical Center.

“I wish I’d known about the emotional commitment I was making,” said Acito.  

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“We know we will be committed to providing the best care … but the emotional bond and commitment you make to patients and families as they navigate through life-changing events is deep. As a nurse, you quickly learn how to comfort, celebrate, support and educate patients and families through the good and the difficult times.”

She added, “Today, nearly 40 years into my career, I am able to reflect on how my training as a nurse helped me to help patients and families during their most vulnerable moments. It is what makes me proud to be a nurse.”

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Michele Acito is executive vice president and chief nursing officer at Holy Name Medical Center in New Jersey. She originally joined Holy Name in 1989 as a telemetry nurse, working in the cardiovascular and intensive care units. (Michele Acito)

“Another thing I wish I had known before entering the profession,” said Acito, “was how complex it would be to blend a career, a young family and a household.”

“Nursing was the perfect career for someone striving to manage it all.”

But “what I realized was that nursing was the perfect career for someone striving to manage it all and find fulfillment and purpose on a personal and professional level. It requires thoughtful prioritization, planning and support.”

Other insights: ‘A nurse is a career learner’

Acito also shared the importance of ongoing education to set up nurses for success.

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“Having graduated from a BSN program, I thought I was educationally set for my entire career,” she said. “I quickly realized that was not true.”

She noted, “A nurse is a career learner. Obtaining degrees is very important to remain current with theory — but learning through continuing education is paramount to staying current in practice.”

“Technologically, nothing remains the same in health care,” said Acito. “It’s an ever-evolving field. Pursuing a nursing career in hospitals and health systems that are committed to investing in innovation and technological advancements is critically important.”

Acito also pointed out, “What I did not know then, but I know today, is that I made the best career choice when I decided to be a nurse. The hours are difficult, the stress intense, the emotional commitment deep — but the rewards are innumerable.”

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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SCREENING DEBATE A new study questions whether annual mammograms are necessary for most women

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Aging-related joint disorder increasingly affects people under 40, study finds

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Aging-related joint disorder increasingly affects people under 40, study finds

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Cases of gout are rising in younger individuals, according to a global study.

The condition, which is a type of inflammatory arthritis, steadily increased in people aged 15 to 39 between 1990 and 2021, researchers in China announced.

Although rates vary widely between countries, the total number of young people with the condition is expected to continue rising through 2035.

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The study, published in the journal Joint Bone Spine, investigated 2021 data from the Global Burden of Disease (GBD), spanning 204 countries within the 30-year timeframe.

The data measured gout prevalence, incidence and years lived with disability, tracking global trends over time. The results showed a global increase across all three outcomes.

Gout is expected to continue rising in young people through 2035. (iStock)

Prevalence and disability years increased by 66%, and incidence rose by 62%. In 2021, 15- to 39-year-olds accounted for nearly 14% of new gout cases globally, the study found.

Men from 35 to 39 years old and people in high-income regions had the highest burden, but high-income North America topped the list for highest rates.

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Men were also found to have lived more years with gout due to high BMI, while women tended to have the condition as a link to kidney dysfunction, the study noted.

The total number of cases is expected to increase globally due to population growth, but the study projected that rates per population would decrease.

The researchers noted that data quality, especially in low-income settings, could have posed a limitation to the broad GBD data.

What is gout?

Gout is a common form of arthritis involving sudden and severe attacks of pain, swelling, redness and tenderness in the joints, according to Mayo Clinic. It most often occurs in the big toe.

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The condition occurs when urate crystals accumulate in the joint. These form when there are high levels of uric acid in the blood, which the body produces when it breaks down a natural substance called purines.

A gout flare-up can happen at any time, often at night, causing the affected joint to feel hot, swollen, tender and sensitive to the touch.

Urate crystals, described as sharp and needle-like, build up in the joint, causing intense pain and swelling. (iStock)

Purines can also be found in certain foods, like red meat or organ meats like liver and some seafood, including anchovies, sardines, mussels, scallops, trout and tuna, according to the Mayo Clinic. Alcoholic drinks, especially beer, and drinks sweetened with fruit sugar can also lead to higher uric acid levels.

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Uric acid will typically dissolve in the blood and pass through the kidneys into urine, but when the body produces too much or too little uric acid, it can cause a build-up of urate crystals. These are described by the Mayo Clinic as sharp and needle-like, causing pain, inflammation and swelling in the joint or surrounding tissue.

Risk factors for gout include a diet rich in high-purine foods and being overweight, which causes the body to produce more uric acid and the kidneys to have trouble eliminating it.

Experts urge patients to seek medical attention for gout flare-ups. (iStock)

Certain conditions like untreated high blood pressure, diabetes, obesity, metabolic syndrome and heart and kidney diseases can increase the risk of gout, as well as certain medications.

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A family history of gout can also increase risk. Men are more likely to develop the condition, as women tend to have lower uric acid levels, although symptoms generally develop after menopause.

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Untreated gout can cause worsening pain and joint damage, experts caution. It may also lead to more severe conditions, such as recurrent gout, advanced gout and kidney stones.

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The Mayo Clinic advises patients to seek immediate medical care if a fever occurs or if a joint becomes hot and inflamed, which is a sign of infection. Certain anti-inflammatory medications can help treat gout flares and complications.

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Fox News Digital reached out to the researchers for comment.

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New study questions whether annual mammograms are necessary for most women

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New study questions whether annual mammograms are necessary for most women

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A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography.

The WISDOM randomized clinical trial, led by study authors from universities and healthcare systems across the U.S., considered more than 28,000 women aged 40 to 74 years old, splitting them into a risk-based screening group and an annual mammography group.

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Researchers calculated each woman’s individual risk based on genetics (sequencing of nine breast cancer genes) and other health factors. 

A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer. (iStock)

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. Patients with elevated risk were told to get an annual mammography and counseling.

Average-risk women were guided to get mammograms every two years, while low-risk individuals were advised to have no screening until they became higher risk or reached age 50.

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The researchers found that risk-based screening did not lead to more advanced cancer diagnoses (stage 2B or higher) compared with annual screening, indicating that it is just as safe as traditional methods. The risk-based approach, however, did not reduce the number of biopsies overall, as researchers had hoped.

Among the risk-based group of women, those with higher risk had more screening, biopsies and detected cancers. Women at lower risk had fewer procedures.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography. (iStock)

“[The] findings suggest that risk-based breast cancer screening is a safe alternative to annual screening for women aged 40 to 74 years,” the researchers noted in the research summary. “Screening intensity matched individual risk, potentially reducing unnecessary imaging.”

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Fox News medical contributor Dr. Nicole Saphier, associate professor of radiology at Memorial Sloan Kettering Cancer Center in New Jersey, commented that while these findings are important, the study “completely sidelines” what screenings are designed to do — detect cancer early.

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“If you don’t measure stage 0, stage 1 or stage 2A cancers, you can’t tell whether personalized screening delays diagnosis in a way that matters for survival and treatment intensity,” Saphier, who was not involved in the study, told Fox News Digital in an interview.

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. (iStock)

More than 60% of breast cancers in the U.S. are diagnosed at stage 1 or 2A, where cure rates exceed 90%, the doctor noted.

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The trial doesn’t “fully evaluate” whether risk-based screening changes detection at the earliest and most treatable stages, where screening “delivers its greatest benefit,” according to Saphier.

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“Mammography is not without risk — radiation exposure, false positives, anxiety and potential over-diagnosis are real and should be acknowledged,” she said. “But it remains the most effective, evidence-based tool for detecting breast cancer early, when treatment is most successful.”

The expert added that labeling women under 50 as “low risk” is “outdated,” as breast cancer diagnoses are on the rise in younger females.

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“Until long-term mortality data support alternative approaches, annual screening beginning at 40 for average risk women should continue,” Saphier added. “Women should be assessed for breast cancer risk by 25 years old to determine if screening should begin earlier.”

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