Health
Nurses speak out: 'What I wish I'd known before entering the profession'
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.
“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.
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“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)
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)
“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.”
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.
“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.
“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.”
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.”
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.
“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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Federal health officials are attempting to track down the source of a microscopic parasite that triggers prolonged gastrointestinal illness, as domestic cases begin to climb for the summer season.
The Centers for Disease Control and Prevention had confirmed 145 cases of cyclosporiasis across 17 states as of mid-June 2026, all linked to infections acquired in the U.S.
The culprit is Cyclospora, a microscopic parasite known to cause cyclosporiasis.
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The hallmark symptom of the infection is watery, often “explosive” diarrhea that can last for weeks or even months if left untreated, the CDC says.
There is currently no evidence of a single, multistate Cyclospora outbreak linking all cases. (AP Photo/Jeff Amy, File)
Other symptoms include severe abdominal cramping, bloating, nausea, fatigue and significant weight loss.
The official outbreak season for the parasite runs from May 1 through Aug. 31, a window where warmer temperatures historically coincide with a spike in infections, according to the CDC.
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Cases have cropped up in states ranging from Texas to Alaska. New York has been hit the hardest so far, reporting between 31 and 80 cases, followed by Texas and Illinois, which have each reported between 11 and 30 cases.
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While the infection can sometimes clear up on its own, it frequently requires antibiotics. Out of the 145 confirmed cases, 20 patients have required hospitalization, per the CDC.
While the infection can sometimes clear up on its own, it frequently requires antibiotics. (iStock)
No deaths have yet been reported. Patients range from 5 to 86 years old, though the median age is 42, and women make up 61% of the reported cases, data shows.
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The CDC, alongside the Food and Drug Administration and state health officials, is actively investigating several multi-state clusters, but they have yet to find a cause behind the spread.
Officials urge patients with symptoms to seek help from a medical professional. (iStock)
“There is currently no evidence of a single, multistate Cyclospora outbreak linking all cases,” the CDC noted in its surveillance report.
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The CDC advises anyone experiencing symptoms of cyclosporiasis to contact a healthcare provider for testing and treatment.
A look back at the medical miracles of 2025
Fox News senior medical analyst Dr. Marc Siegel joins ‘Fox & Friends’ to highlight 2025 breakthroughs, from a pineapple-derived burn cream to a newly approved heart procedure.
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America has been at the forefront of medical innovation since the nation’s founding in 1776.
From groundbreaking surgeries to cancer breakthroughs, U.S. physicians have helped transform nearly every field of medicine.
As America marks its 250th anniversary, experts are highlighting some of the most influential medical innovations in the nation’s history.
No. 1: Orthopedic care
John Uribe, MD, orthopedic surgeon and system chief executive at Baptist Health Orthopedic Care in Florida, said he believes the greatest breakthrough in orthopedics is the evolution of joint replacement surgery, particularly of the hip and knee.
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“A generation ago, severe arthritis or joint damage often meant a lifetime of pain, limited mobility and loss of independence,” he told Fox News Digital.
“Today, orthopedic surgeons can replace a damaged joint with highly durable implants, use advanced imaging and navigation, and increasingly rely on robotic-assisted technology to personalize implant positioning and improve precision.”
“The future of orthopedics will be less one-size-fits-all and more focused on matching the right procedure, implant, recovery plan and technology to the individual patient,” a doctor said. (iStock)
Today, patients can walk the same day after joint replacement, return home sooner and recover with less disruption than in the past, according to Uribe.
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“Hip and knee replacements, arthroscopic procedures, advanced fracture care and spine treatments have allowed patients to stay active longer and maintain independence as they age,” the doctor said. “The biggest impact is that orthopedic care can give people back parts of their lives they thought they had lost.”
“For many patients, the goal is no longer just to relieve pain; it is to restore movement, independence and quality of life.”
No. 2: Mental health treatment
For most of America’s 250 years, mental illness was largely treated indirectly with medication, or not at all when medication was ineffective, according to Dr. Russ Voltin, a West Virginia-based practicing psychiatrist and medical consultant at BrainsWay.
The biggest breakthrough, Voltin told Fox News Digital, has been neuromodulation therapies like deep transcranial magnetic stimulation (TMS), which are “clinically proven to non-invasively target the brain circuits involved in conditions such as depression and OCD, helping rebalance neural activity at its source.”
“Mental health is brain health, and for the first time, we have treatments designed to address it that way.”
For most of America’s 250 years, mental illness was largely treated indirectly with medication, or not at all when medication was ineffective. (iStock)
A generation ago, a patient who didn’t respond to medication had very limited options, he said.
“Today, a clinician can offer noninvasive brain stimulation in an outpatient chair – no anesthesia, no sedation, none of the prominent side effects of medication, and all with limited lifestyle interruption.”
The FDA recently expanded clearance for an accelerated Deep TMS protocol that shortens the initial phase of depression treatment from about four weeks of daily visits to just six treatment days.
“Mental health is brain health, and for the first time, we have treatments designed to address it that way.”
“For someone in a depressive crisis, this is the difference between waiting and getting better,” the expert said.
In clinical trials, roughly 78% of patients reached remission and more than 80% were still in remission a full year later.
“The biggest shift is that for people who once cycled through medication after medication with no relief, durable recovery is now a realistic goal rather than a hope.” (iStock)
“As a clinician, that last figure is the one that matters most: People going back to work, repairing relationships and re-entering their own lives, not just scoring better on a questionnaire,” Voltin said.
“The biggest shift is that for people who once cycled through medication after medication with no relief, durable recovery is now a realistic goal rather than a hope.”
No. 3: Cancer care
Cancer care has advanced dramatically over the past 250 years, with breakthroughs in prevention, screening, diagnosis and treatment transforming patient outcomes.
Leonard Kalman, MD, acting system chief executive at Baptist Health Cancer Care and acting executive medical director at Baptist Health Herbert Wertheim Cancer Institute in South Florida, said one of the most important breakthroughs in oncology is the understanding that “at its core,” cancer is a genetic disease.
Today, physicians can cure certain leukemias and lymphomas that were “once far more difficult to treat,” an expert noted. (iStock)
“Cancer can be driven by inherited germline mutations or by somatic mutations that occur in normal tissue and lead cells to become malignant,” he told Fox News Digital. “That discovery has transformed how we understand, diagnose and treat cancer.”
Today, physicians can cure certain leukemias and lymphomas that were “once far more difficult to treat,” the doctor noted.
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“We can also extend life while preserving quality of life for many patients with metastatic cancers — including diseases such as lung cancer, melanoma and prostate cancer, where treatment options were much more limited a generation ago,” Kalman said.
Many of those advances have shifted cancer care toward more individualized treatment, allowing physicians to tailor therapies based on a patient’s specific disease.
“For many patients, the goal is no longer just to relieve pain; it is to restore movement, independence and quality of life.”
“Advances in targeted therapies, immunotherapy, molecular testing and supportive care allow physicians to better personalize treatment, manage side effects and help patients live longer with a better quality of life, even when cancer has spread beyond the primary tumor,” the doctor said.
No. 4: Cardiovascular care
Tom Nguyen, MD, system chief executive at Baptist Health Heart & Vascular Care and chief medical executive at Baptist Health Miami Cardiac & Vascular Institute in South Florida, highlighted the ability to diagnose heart disease earlier and treat “even the most complex conditions” with safer, more precise and less invasive therapies.
“Cardiovascular disease remains the leading cause of death worldwide, but patients who once might have died in their 40s or 50s are now routinely living into their 80s and 90s with an excellent quality of life,” he told Fox News Digital.
Although cardiovascular disease is the leading cause of death worldwide, patients who once might have died in their 40s or 50s are now “routinely living into their 80s and 90s with an excellent quality of life,” the doctor said. (iStock)
Procedures like open-heart surgery, coronary artery bypass surgery, coronary stents, catheter-based valve replacement, advanced imaging and robotic heart surgery have “completely transformed what is possible,” according to Nguyen.
“Robotic heart surgery is a powerful example of how far the field has come,” he said. “For appropriately selected patients, surgeons can now perform highly complex heart procedures through much smaller incisions using robotic technology that provides exceptional visualization, precision and control.”
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The biggest achievement, Nguyen said, is not only helping people live longer, but also helping them “live better.”
“Today, heart and vascular specialists can perform procedures that would have seemed almost unimaginable just one generation ago,” he said. “Patients are surviving heart attacks, valve disease, rhythm disorders and complex vascular conditions at rates that would have been difficult to imagine decades ago.”
“Many complex cardiac operations that once required opening the chest can now be performed through small incisions, or robotically – allowing patients to recover much faster with less pain and disruption to their lives,” a doctor said. (iStock)
Success isn’t measured only by survival, Nguyen added. “Our ultimate goal is to help patients feel better and return to the lives they enjoy.”
No. 5: Neurology
Michael McDermott, MD, system chief executive of Baptist Health Brain & Spine Care and chief medical executive at Baptist Health Miami Neuroscience Institute, said the ability to safely operate on the brain is the greatest advancement in American neuroscience.
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“Less than a century ago, a craniotomy was an extraordinarily risky operation, and survival itself was far from guaranteed,” he told Fox News Digital. “Today, advances in anesthesia, electrocautery, imaging, surgical navigation, brain mapping and intraoperative neurophysiologic monitoring have transformed brain surgery into a highly precise and much safer procedure.”
The ability to treat acute stroke in real time has been “equally transformative,” McDermott noted.
The growth of artificial intelligence is “beginning to transform spine surgery,” a neurologist said, by helping physicians identify which patients are “most likely to benefit from complex corrective procedures and by allowing implants to be precisely modeled before surgery.” (iStock)
“Using advanced imaging and mechanical thrombectomy, physicians can now remove a clot from the brain and restore blood flow before permanent damage occurs in many eligible patients,” he said. “At the same time, innovations such as high-intensity focused ultrasound for essential tremor demonstrate how neuroscience has become increasingly precise and less invasive.”
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Today, neuro experts can accomplish tasks that “would have been difficult to imagine just one generation ago,” McDermott noted.
“We can remove blood clots from the brain during an active stroke, implant deep brain stimulation devices for Parkinson’s disease, and perform highly sophisticated brain and spine surgery using advanced imaging, navigation and artificial intelligence,” he said.
Medical advancements have improved quality of life in patients with brain tumors and spinal complications. (iStock)
Advances like image-guided surgery, intra-operative brain mapping, neurophysiologic monitoring and radio-surgery allow surgeons to remove tumors more safely while protecting areas of the brain responsible for movement, speech and other critical functions, he said.
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Beyond brain tumors, other advances across neuroscience, like corrective spine surgery, have allowed doctors to restore posture and mobility in patients with severe spinal deformities. Meanwhile, focused ultrasound can “significantly reduce tremors that interfere with everyday activities such as writing, eating or drinking,” McDermott noted.
“Increasingly, our goal isn’t simply to help patients survive – we’re helping them maintain their independence, preserve function and return to the lives they want to live.”
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