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.

With ONS celebrating Oncology Nursing Month throughout May and recognizing National Nurses Week from May 6–12, it’s a season for nurses everywhere. Celebrate yourself, your colleagues, and the profession by empowering the incredible nurses caring for patients across the globe.

A successful nursing career requires resiliency in the face of uncertainty, Susan Orsega, MSN, FNP-BC, FAANP, FAAN, director of the Commissioned Corps Headquarters, said during a career forum hosted by the National Institute of Neurological Disorders and Stroke’s (NINDS’s) Building Engagement and Community for Nurses (BEACON) program in February 2022. She joined a plethora of nurse pioneers at the forum to share ways that nurses can collaborate and make significant contributions to and grow professionally in the nursing field.

Following the death of George Floyd in May 2020, I found myself surrounded by oncology nurses who recognized the need for immediate action to understand and deconstruct racism, and I began collecting resources to offer continuing education about the effects of racism on cancer outcomes and actions nurses can take to support health equity and diversity in the workforce. Under the mentorship of ONS Past President Mary Gullatte, PhD, RN, ANP-BC, AOCN^®, FAAN, I was charged by ONS to co-lead, with ONS member Randy Jones, PhD, RN, FAAN, a national team of ONS cancer disparities and health equity researchers to update the ONS Research Agenda.

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.

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.

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.

African American nurse leaders in ONS have paved the way in eliminating cancer disparities, identifying and tackling social determinants of health, and providing Black communities with educational and clinical resources. Their initiatives embody the importance of well-being for Black healthcare professionals, patients, and members of the community—as well as the 2022 Black History Month theme, “Black Health and Wellness.” This year’s theme brings a national emphasis not only on the important discoveries made in science and medicine by Black researchers and healthcare professionals, but also the health and wellness of Black communities across the United States.

The Oncology Nursing Society (ONS) launched its third ONS–ONCC Hackathon™ in November, designed to create innovative solutions for current and future nurses in the delivery of high-quality, evidence-based cancer care in all possible settings.

Clinical trials are led by a principal investigator (PI) with a research team that may include physicians, nurses, social workers, and other healthcare professionals. PIs can represent a variety of disciplines, and nurse scientists often hold that role.

To confront the disparities that minority populations face in health care, organizations across the United States are recognizing that cultural humility is a clinical competency. Implicit and explicit bias are part of human nature, but prioritizing cultural humility as a foundation, diversifying the workforce, and engaging in education and training can help providers overcome those tendencies and achieve patient-centered care.

When ONS reached out and asked me to participate in the inaugural ONS Hackathon, I wasted no time in confirming my interest. I had heard of hackathons before but never a nursing-specific one. It was an exciting experience full of growth for me and the other oncology nurses who participated.

Nurses don’t always have to venture beyond the bedside for unique career change opportunities. Always innovating and evolving, the profession identifies new roles for clinical practice nurses to meet patients’ needs.

Efficiently running an ambulatory infusion clinic is a complex process that requires evolving strategies to equip staff to provide high-quality cancer care. During the June 2021 ONS Hackathon^TM, oncology nurse innovators created solutions to address ineffective nursing resources in infusion centers across the United States.

More than 16 million people who identify as women and girls in the United States reported smoking in 2021, according to a May 2021 report from the Campaign for Tobacco Free Kids, of which ONS is an active member, who partnered with several leading women’s organizations on the study. Female smokers are also significantly more likely than men to use menthol cigarettes, and e-cigarette use among high school girls rose by 89% from 2017–2020.

A shining light to guide a burgeoning field—often referred to as “the lady with the lamp”—Florence Nightingale was a revolutionary figure in nursing, transforming care by simple but radical actions. Through scientific research she showed that sanitation and healthy diets improved patient outcomes, and through advocacy she fought for access to those conditions for all of her patients. She modeled the way for nurse advocates throughout history and into today. 

May is the month we celebrate nursing across the world. May 12, Florence Nightingale’s birthday, is International Nurses Day, designated as such since 1974 by the International Council of Nurses. This year’s theme is Nurses: A Voice to Lead, A Vision for Future Health Care in recognition of nursing's role on the front lines of the pandemic.

For a long time, like so many other nurses, I thought of myself as the “regular kind” of advocate for my patients, speaking out for their needs on an individual basis at the institutional level while supporting them as they navigate a cancer diagnosis. But I’ve more recently discovered an even more empowering role: I’m now a health policy advocate.

With nearly half a century of outstanding contributions to the field of oncology nursing, ONS member Betty Ferrell, PhD, MA, CHPN, FAAN, FPCN, was selected by the ONS Board of Directors to receive the Society’s 2021 Lifetime Achievement Award. Ferrell is the director of the division of nursing research and education at City of Hope in Duarte, CA, principal investigator of the End-of-Life Nursing Education Consortium (ELNEC) project, and a world-renowned author and lecturer.  

Oncology nursing awakens a sense of purpose that drives us to be true patient advocates. As chair of my institution’s shared governance committee, I have found that being conduits for our patients empowers nurses to find solutions that take care to the next level. It’s driven me to find better outcomes, care, and treatment for my patients simply because their health is important to me. I am at the bedside for my patients’ entire cancer journey.

Is anyone a better champion of the importance of vaccines to combat the COVID-19 coronavirus pandemic than a nurse? The National Institutes of Health (NIH) doesn’t think so. During a late-December videocast at the NIH Clinical Center, prominent healthcare leaders, including nurses, received the Moderna vaccine to demonstrate that it is safe and effective and to encourage others to get inoculated.

Through two letters—one to President Joe Biden and Vice President Kamala Harris and another to U.S. Senate and House leaders—the Nursing Community Coalition, on whose steering committee ONS sits, congratulated policymakers while outlining the need for continued support of nurses in health care. 

A nurse was the first U.S. citizen to receive the COVID-19 coronavirus vaccine. Biden also recently appointed a nurse to the COVID-19 advisory board. Clearly the country recognizes nurses’ consistent power and trustworthiness, and nurses can use that power to educate the public about the Biden administration’s tactics to get vaccines to the rest of the country and control the spread.

Each year, February marks Black History Month: a time of celebration, recognition, and awareness of the countless accomplishments and achievements of black leaders and trailblazers throughout history. In the oncology nursing community, it’s no different. ONS’s African American leaders have made a lasting difference to patients with cancer and the professional community, paving the way for future generations and championing excellence in oncology nursing.

The World Health Organization’s Year of the Nurse didn’t go as planned in 2020. Instead, Americans were forced to navigate unprecedented stressors, but among the conflict, fear, and uncertainty, nursing remained the most trusted profession in the United States, earning a record-breaking 89% score on the 2020 Gallup Honesty and Ethics poll, four percentage points greater than the profession’s 2019 rating. Trust has to be earned, and not only have nurses done so, but they continue to foster and grow trust for in an unparalleled way. 

Shortly after declaring victory in the 2020 president election, the Biden-Harris transition team created a bipartisan COVID-19 advisory board. Staffed by experts, the board was hailed as a science-driven committee eager to flatten the curve. However, it had one downfall: it lacked a nurse. In response to a viral petition for nurse representation, the transition team appointed Seattle, WA, nurse Jane Hopkins, RNMH, to the advisory board on November 28, 2020.

The November 2020 presidential election saw a historic turnout at the polls. Before election day, more than 99 million of the 240 million registered American voters had already cast their ballots, and some predicted that as many as 155 million voters would exercise their constitutional franchise to make their voices heard, a record 65% of the electorate. The distinct differences between the two major presidential candidates indicated that people were engaged and took to heart the grand idea of participatory democracy.

The Biden transition team needs full cooperation and all critical information regarding the COVID-19 coronavirus, he American Medical Association (AMA), American Hospital Association (AHA) and American Nurses Association (ANA) said in a November 2020 letter to the Trump administration.  

When a patient comes to the doctor’s office with a generalized symptom such as an ongoing cough or chest heaviness, they are bound to have anxiety. In Wayne’s case, a patient with a lung mass that was identified unexpectedly, his anxiety was further compounded by feeling alone: his wife has dementia and his grown children live out of state. He also lives in a rural area and must drive a significant distance to get to a center for testing and diagnosis.

Research shows that climate change is associated with profound disruptions to biodiversity and changes in biogeochemical flow, but what does the health of our planet have to do with oncology nursing? 

Many of her famous quotes reveal a dedication to advocacy as well. Here’s what the most well-known pioneer of nursing taught us about raising your voice for what’s right—in health care and policymaking.

Over the summer, I coordinated a now all-too-familiar exercise: a Zoom call with multiple ONS Kansas-area chapter members, nurse experts, patient advocates, and elected officials. Spearheaded by the ONS National Office, we hosted an incredibly personal and informative conversation to discuss the COVID-19 coronavirus, how it affects patients with cancer, and the legislative and regulatory environment throughout our state. Our bipartisan, multitiered event brought together oncology nurses from across the state, and, although some political views were different, we united in our commitment to nurses and public health.

Nurses serve a critical and proven role in reducing the burden of cancer and improving the lives of patients with cancer. Yet, for millions of people across the globe, access to health care is not a given, and nurses don’t have the educational and occupational support to perform to their full abilities.

The revolutionary declaration written 244 years ago, proclaiming that “all men are created equal,” maintains that a true democracy must be based on an individual’s right to vote and the freedom to exercise that power at the ballot box. Since 1998, women voters have embodied that concept, achieving a majority vote with higher rates than men. Of registered women voters, 55% went to the polls in 2018, compared to only 51% of registered men. Yet today women account for only 23.2% of the members of the U.S. House of Representatives and 26% of the U.S. Senate.

The cacophony that echoes through the 24-hour news cycle can be heavy on an average day but overwhelming during a global health pandemic. That is why relying on a trusted voice is essential when attempting to understand how to deal with the voluminous information that bombards us through radio, television, emails, social media, and any other channels that deem themselves news outlets these days.

Oncology nurses use many tools to help our patients, but one of the most effective is our words.  However, our terminology may be overwhelming to patients and feel like medical jargon. We also often use terms to describe how a patient is experiencing cancer, reporting adverse events, noncompliance, failing treatment, and palliative care, which can be confusing and misleading.

Mastering the rules and regulations of democracy has been a capital city—both federal and state—game of power for more than 200 years. Those written, and too often presumed, procedures govern the process and provide a roadmap for legislators to strategize on how best to advance their agendas and campaign promises.

Wearing a mask is critical to slowing the spread of the COVID-19 coronavirus pandemic, but the public hasn’t always been compliant. In an effort to provide education and understanding, the American Nurses Association, American Medical Association, and American Hospital Association joined forces to promote a new public health awareness campaign.

Cori Bush, a nurse and Black Lives Matter activist, beat U.S. Representative William Lacy Clay (D-MO), a sitting 20-year incumbent, to win the Democratic nomination in St. Louis, MO. Bush will be the newest nurse to U.S. Congress, should she win her seat in November, which is highly likely. She’d join the ranks of U.S. Representatives Lauren Underwood (D-IL) and Eddie Bernice Johnson (D-TX) to bring a critical nursing perspective directly to the United States’ legislative branch. 

As one of the youngest members of the 2018 freshman congressional class, U.S. Representative Lauren Underwood (D-IL) has already made quite a name for herself. Eschewing, for the most part in this heightened environment, partisanship and instead concentrating on health and economic issues, the representative champions access and affordability for all Americans.

The media fails to represent nurses as leaders in health care. Only 2% of health articles included nurses as sources, Diana J. Mason, PhD, RN, FAAN, and colleagues reported in a 2017 study. In a June 26, 2020, opinion piece published in USA Today, Mason called on universities and medical institutes to offer more nurses as sources for journalists, rather than just physicians.

One of the ways ONS celebrated Oncology Nursing Month in May was with CEO Brenda Nevidjon, MSN, RN, FAAN, interviewing U.S. Representative Donna Shalala (D-FL) about advocacy and nursing. Miami ONS Chapter Board Member Lissette Gomez-Rios, MSN, OCN®, ONS Director-at-Large Anne Ireland, MSN, RN, AOCN®, CENP, and I also had the opportunity to ask Shalala some questions.

A multitude of factors influenced by institutional inequality, such as underlying health conditions and employment opportunities, are to blame for the COVID-19 coronavirus’s disproportional effects on African Americans, Anthony Fauci, MD, director of the National Institute of Allergy and Infectious Diseases, said. His remarks were part of a June 23, 2020, testimony before the House Energy and Commerce Committee.

“There’s no way you can extricate what’s been going on and the outcomes of the (COVID-19 coronavirus) from the basic racism and social injustice and inequities that have existed in this country for so many years,” American Academy of Nursing Living Legend Catherine Alicia Georges, EdD, RN, FAAN, said in a June 17, 2020, podcast. “The chronicity of racism is the issue.”

Along with many other healthcare organizations, including ONS, last week the American Nurses Association (ANA) took a bold stand against racism, calling it a public health crisis. On June 12, 2020, ANA President Earnest Grant shared how racism is embedded in health care and what nurses should do to end it.

Fifty-seven organizations representing the Nursing Community Coalition (NCC), including ONS, sent a letter to the U.S. Congress acknowledging the federal government’s extraordinary attempts to bolster the economy and promote public health during the COVID-19 coronavirus pandemic. In the April 28, 2020, letter, NCC provided recommendations that could be used to further combat the coronavirus, adding that the 57 national nursing organizations are available as expert resources.