General Discussions

Nursing Through the Prism of Childhood

By Kathy LaTour

Elizabeth Davis BSN, RN, CPN

Growing up in Memphis, Tennessee, Elizabeth Davis, BSN, RN, CPN, always knew that nurses and doctors at St. Jude Children’s Research Hospital cared for critically ill youngsters. Today, the hospital is the only workplace she has ever known.

With 5 years’ experience, Davis is a relatively new nurse, but her colleagues recognize her dogged determination to work for her patients and their families through a variety of councils, committees, and projects. During a fellowship at St. Jude, for example, Davis explored better ways for children to communicate their nausea levels by using the Baxter Animated Retching Faces (BARF) scale, an undertaking that reflects the values of a hospital committed to shared decision making.

“It is one of those things that [makes] you ask, ‘How did we not think of this before?’” says Davis, 27. “It is not a ‘yes’ or ‘no,’ but a scale the kids are living on every day. Zero means no nausea and 10 is serious nausea and vomiting.”

Davis explored better ways for children to communicate their nausea levels by using the Baxter Animated Retching Faces (BARF) scale.

After her project was finished and presented, it was implemented throughout the hospital, and Davis decided to stay in the fellowship role to mentor the nurses coming after her. “I helped the nurse who nominated me with her project, which looked at how nurses deal with fatigue while working,” she says.

Davis recognizes that many outside the hospital setting who hear about her job conclude that they could not deal with the pain of children and their families. But she handles this tough situation by giving her patients the best days she can, no matter what those days are like. “I try to understand this through the prism of childhood,” Davis says.

Due to her work, Davis understands what children are capable of, and in her estimation, they do not get enough credit. For example, some parents hold back health information from their children, particularly when the news is bad.

“The kids know, and they want to protect their parents. Near the end of life, they will be so worried about how their parents will take it,” Davis says. “They aren’t scared. They tell me they are going home to see Jesus, and they are excited. I have seen kids who see angels and talk about their loved ones who have died before them.”

The field of oncology seemed a natural fit for Davis from the first time she treated a patient. Since then, she has worked with patients from all over the world and looks forward to helping many more.

This year, Davis was honored as a finalist for the Extraordinary Healer® award for Oncology Nursing program conducted by CURE®, a sister publication to Oncology Nursing News®.

“The nurse who nominated me [Anna L. DeVine, BSN, BA, RN, CPN, a colleague from St. Jude’s] is the one I want to grow up and be,” Davis says. “She has the same drive to improve care. She is incredibly involved on many hospital committees, and she is inspiring. She is so special and opens her heart to every patient and caregiver.”
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