Monday, November 3, 2025

Choosing nursing as a career

 Choosing nursing is not only a career decision. It is also a personal journey. Nursing is a field that requires compassion, courage, patience, and continuous learning. When I think about why I want to become a nurse, I feel a deep motivation inside. What excites me most about nursing is the opportunity to care for others during difficult and vulnerable times. Nurses are often the first people who comfort patients, explain procedures, and provide emotional support. They do not only treat illness. They also treat human fear, pain, and uncertainty. This human connection inspires me.


I am motivated by the idea that even a small act of kindness can make a big difference in someone’s life. For example, holding a patient’s hand before a procedure, helping someone walk after surgery, or simply listening when they are scared. These moments are powerful. Many people remember the nurse who cared for them more than the doctor who treated their condition. This shows how meaningful nursing is. That meaning is what motivates me. I want to be someone who brings calm, hope, and respect to patients and families.


Nursing also excites me because it offers many different specialties. Unlike some careers that are limited to one role, nursing is open and flexible. A nurse can work in hospitals, clinics, schools, public health, home care, research, teaching, military health systems, and many other settings. This means I can explore and discover what fits my strengths and personality. I may start in one specialty and later move to another as I grow and learn.


There are many specialties I want to explore. For example, pediatric nursing interests me because I enjoy being around children. I want to help children feel safe and comfortable when they are sick. Children often respond to care with honesty and emotion, and I appreciate their innocence and courage. Another specialty that interests me is radiology nursing, especially because of my previous experiences shadowing in radiology departments. I like how radiology combines patient care with technology. I enjoy understanding imaging machines, procedures, and how to support patients who may be nervous.


I am also curious about critical care nursing, such as ICU or ER. These areas require fast thinking, problem solving, and strong teamwork. Although the work is stressful, it is also rewarding because nurses in those areas save lives every day. I admire nurses who remain calm and focused in emergency situations. I hope that with training, I can develop that same confidence and skill.


However, I know the nursing journey will not always be easy. There will be challenges physically, mentally, and emotionally. The work can involve long hours, night shifts, difficult patients, and emotional burnout. Nurses often deal with suffering, pain, death, and unexpected situations. I will need strength and resilience to handle these challenges. But I believe challenges are also opportunities to grow. Every challenge can teach me something about myself and make me a better nurse.


One strategy to overcome these challenges is self-care. I must remember to care for myself just as I care for others. This means getting enough sleep, eating healthy meals, exercising, and taking breaks when needed. It also means being kind to myself when I make mistakes. Nursing requires continuous learning, and mistakes are part of the learning process. I want to learn from my mistakes instead of letting them discourage me.


Another strategy is communication and teamwork. Nurses never work alone. They are part of a healthcare team that includes doctors, therapists, pharmacists, social workers, and other nurses. I must communicate clearly and respectfully with my team. Good teamwork makes patient care safer and more effective. When I feel overwhelmed or unsure, I must not be afraid to ask questions or request help. Teamwork is a source of strength in nursing.


A third strategy is to stay connected to my purpose. When I remember why I chose nursing—to help people, to ease suffering, to give hope—my motivation grows stronger. Purpose can carry me through difficult days. I want to remind myself that every patient is a human being with their own story, fears, family, dreams, and pain. I want to treat each patient with dignity, no matter who they are.


Building a strong professional support network will also help my growth. A support network can include classmates, instructors, experienced nurses, mentors, and coworkers. These are the people who will guide me, encourage me, and share knowledge with me. For example, I can join nursing student organizations, attend workshops, and participate in clinical study groups. I can also ask questions to experienced nurses about how they manage stress or handle difficult patients. Learning from others is an important part of nursing.


I also want to develop strong professional communication skills. In nursing, communication is not only about speaking. It is also about listening. Patients need to feel heard. They need to feel that their concerns matter. When I listen with empathy, I build trust. Trust is the foundation of healing. Nurses who communicate with empathy help patients feel safe, even when they are scared or in pain.


As I continue my nursing journey, I want to maintain a balance between science and compassion. Nursing involves medical knowledge, anatomy, pharmacology, infection control, and critical thinking. But nursing is also about humanity. A nurse must understand the medical needs of a patient, but also the emotional and spiritual needs. When these two aspects are combined, nursing becomes a powerful healing profession.


My long-term goal is to become a nurse who is confident, compassionate, skilled, and always willing to learn. I want to support patients in meaningful ways and contribute to a healthcare environment that is respectful and kind. I hope to inspire others the same way nurses have inspired me.


In conclusion, nursing motivates me because it allows me to care deeply, act with purpose, and make a positive difference in people’s lives. I look forward to exploring different specialties and finding where I belong. I know challenges will come, but I believe with self-care, teamwork, communication, and a strong support network, I can overcome them. Nursing is not just a profession for me. It is a calling, a service, and a journey of compassion and growth. I am ready to walk this path with dedication and heart.


Thursday, October 23, 2025

Her mom and sister were dying. Hospice eased the pain.

 When Valinda Gillis of Vallejo needed care and support for her 97-year-old mother and 74-year-old sister who were both nearing the end of their lives at the same time, the Kaiser Permanente Vallejo hospice program was there to help.

Gillis’ mother, Merle Betz, had dementia and her sister, Lynetta Robinson, 74, was developmentally disabled, unable to get out of bed, and suffered from cirrhosis of the liver. Both lived together at their home in Benicia.

“We had four different care givers from the Vallejo hospice program,” she said. “They were reassuring, kind, and caring.”

The hospice team began caring for them late last year, providing 24-hour telephone and in-home support, Gillis said. Gillis’ sister died on Dec. 18, and her mom died three days later.

“My mother took care of my sister all her life, so when my sister died, I think my mother, even though she had dementia, knew she could let go, and then she died, too,” said Gillis. 

Hospice is care provided to a person who is terminally ill and in the last stages of life. It seeks to reduce suffering and pain, care for emotional needs, and provide comfort to enhance quality of life.

The Vallejo hospice program was recently recognized as one of the best in the United States after receiving a 5-star rating from the Centers for Medicare and Medicaid Services.

We had lots of people who came to help us, and you couldn’t ask for a better organization. I just felt like they were a step above anything else.

The program is also one of only 9 hospices in California to receive a 5-star rating, according to the Centers for Medicare and Medicaid Services. Currently, there are 2,889 hospices in the state.

“Our incredible culture of caring is really what sets us apart at Kaiser Permanente Vallejo,” said Corey Schwartz, MD, hospice physician and medical director for the Kaiser Permanente Vallejo hospice program. “When people call, they know their needs are going to be met immediately. We have 24/7 availability with our nurses and physicians, including nurses who come to the home. That’s huge for people who are at home really sick and often times are very scared. To have that availability is just tremendous to families.”

The ratings for hospice programs are based on the family caregiver experience survey. The survey measures categories of care based on information from family caregivers, such as communication, getting timely help, treating the patient with respect, emotional and spiritual support, help for pain and symptoms, and training families to care for patients. In addition, the survey also asks how the family caregiver would rate the hospice and their willingness to recommend the hospice to others.

Dedication sets program apart

The Kaiser Permanente Vallejo hospice program began in 1990 and is made up of a team of physicians, nurses, social workers, home health aides, volunteers, spiritual counselors, and others. Last year, Kaiser Permanente in Vallejo cared for more than 1,100 hospice patients.

In addition to Kaiser Permanente Vallejo, there are 6 other Kaiser Permanente Northern California hospice agencies in Martinez, Oakland, Hayward, San Francisco, and the South Bay.

David Ainsworth, RN, Kaiser Permanente Northern California regional service director for hospice services, said staff engagement and dedication is what sets Vallejo’s program apart.

“It’s a very strong team. Our front-line staff are very engaged with the patients,” he said. “This is more than a job for people. Hospice work is a calling.”

Gillis was happy with the care she and her family received.

“We had lots of people who came to help us, and you couldn’t ask for a better organization,” Gillis said. “I just felt like they were a step above anything else.” 

Condition Help (Condition H)

 

Condition Help (Condition H)

Provider

University of Pittsburgh Medical Center (UPMC)

Program Leaders

UPMC:
Systemwide Executive Leadership
Quality & Operational Excellence Leadership
Hospital Executive Leadership

How the Program Came to Be

According to Tami Minnier, Senior Vice President, Health Services Division Chief Quality & Operational Excellence Officer, UPMC, “Listening to Sorrel King tell her tragic story left a lasting impression with me. ‘If I would have been able to call a rapid response team, I believe Josie would be here today,’ says Sorrel King. Providing the highest quality care for patients and their families is UPMC’s history. I knew that we had to bring a family lifeline to our patients.”

Program Description

The UPMC Condition H model was created to address the needs of the patient and family in case of an emergency or when the patient is unable to get the attention of a healthcare provider. The program provides our patients and families an avenue to call for immediate help when:

  • There is an emergency, and you cannot get the attention of the hospital staff. 
  • There is a change in the patient’s condition and the health care team is not recognizing the concern. 
  • There is a communication breakdown in how care is given or uncertainty over what needs to be done.

When Condition H is called, a response team is activated to address the concern.

Who may be on the Team

  • Administrator on Duty
  • Unit Director/Clinician/Charge Nurse
  • Nursing staff assigned to patient
  • Hospitalist
  • Patient Relations Representative

Goals for the Program

The program has been designed to be a safety net for patients as UPMC strives to make hospitals safer. In many cases, it is the family who knows the patient better than we do. It empowers patients and their families to help prevent medical errors and breakdowns in communication regarding patient care.

Our trained response team will arrive within minutes to stabilize the situation and work to meet patient and family needs. We believe in partnering in care delivery with the patients and families we care for; Condition H is for our patients.

How It is Implemented

Patient education is provided to patients at the time of hospital admission. Condition H educational information is provided to patients with instructions on how to call the Condition H line if necessary.

To call the Condition H line, patients and families are provided with the contact number for the specific location they are in. The trained hospital operator receives the call and facilitates the dispatch of the response team. Within minutes, the team arrives at the patient’s bedside to address the problem.

Why It Makes Sense

The implementation of a rapid response team that can be called by patients and families is beneficial to overall quality and safe care. Condition H can save lives and on patient and family interviews, we have found they feel it is the right thing to do. Patients and families reported that knowing that UPMC has Condition H makes them more confident in their loved one’s care and safety.

What People are Saying

UPMC is proud of this program and knows it is the right thing to do. Condition H can further support healthcare providers when challenging situations occur. Overall, feedback has been positive and well-received by patients, families, and staff.

Who Else is Implementing

The UPMC healthcare system is made up of over 35 hospitals throughout Pennsylvania, New York and Marland. The entirety of the UPMC system has implemented local Condition H programs. 

Due to the success of Condition H at UPMC, healthcare systems all over the country are beginning to implement patient- and family-activated rapid response teams.

How Other Hospitals Can Implement

  • Gain support from hospital leadership.
  • Build the response team.
  • Start small: one patient or one nursing unit.
  • Learn from the pilot and then expand to other units.
  • Show staff The Josie King Story DVD.
  • Talk one on one with staff and patients.
  • Involve patients and front-line staff in building the program.
  • Train all staff on the program.
  • Educate all patients on admission.
  • Collect data and meet monthly to learn from calls received.

How the Josie King Foundation Contributes

The Josie King Foundation funded some of the initial needs of UPMC’s Condition H program including educational brochure and the production of a video detailing Condition H.

For More Information