Jennifer Quade, RN, BSN, HNB-BC Board Certified Holistic Nurse Revolutionary Women's Holistic Health Care Holistic Stress Management Instructor
This week's guest blog reflection is written by Jennifer Quade, RN, BSN, HNB-BC.  Jennifer is a Board Certified Holistic Nurse with a passion for traditional healing and wisdom. She runs a thriving practice in Minneapolis, helping people find balance through self care.

Hi Natalie! Thanks for your invitation to be a guest on your blog. I really believe having dialogues about our practices is super important to keep us connected, cared for and inspired as we do our work.

So what is on my mind about nursing?

Self care.

I personally feel that this might be the most foundational, important aspect of nursing.  If we don’t give ourselves excellent care, it’s nearly impossible to give others our best.  Do you know the feeling of trying to give from an empty gas tank? I bet you do...and it doesn’t feel so great. I’ve been there...and I have to constantly be on alert to make sure I’m not slipping back into over-giving. When I feel irritable, depressed, or experience body pains, I know it’s time for some serious self care. No more "sucking it up" or dealing with the imbalances.

I have been a nurse for 10 years.  After my first few years of working on the Float Team at Children’s Hospital in Minneapolis, I was burning out because I truly didn’t know how to care for myself at the level that I was giving. That’s why I embarked on my own healing journey. I have dedicated my life and my private practice to learning how to care for myself, to staying in balance, and to supporting other women, caregivers, and nurses to do the same.

Why? Because I’m interested in living a vibrant my dream. I want to see nurses fully realizing their dreams, too. It has to begin with self care, which includes self awareness..."know thyself." What do you want? What do you need?

Self sounds like a simple concept, but it can actually be pretty difficult to put into practice, especially when there are so many demands on our time and energy. And since nurses are amazing and are generally good at just about everything (if I do say so myself), the demands are increased! Everyone wants a piece of the action.

Take a moment to consider where your creative energy goes. Be honest with yourself. Reflect on this: am I making myself a priority?  

After years of practicing basic self care techniques and receiving support from integrative therapy professionals and traditional healers, it became clear to me that what I really wanted in my heart of hearts is to take an extended time away from the winter to travel south. After 5 years of writing about it, praying about it, talking with friends who have done it, and saving for’s happening. In one week I leave for a three-month, extended trip to Costa Rica, Columbia, and Hawaii.

I’m thrilled that I have found a way to make this dream come true and I’m also excited about what this will mean for my practice and my work. I have been preparing to launch three signature speaking programs especially for nurses and caregivers. I’ll be taking time on my journey to put final touches on them so I can begin to share this message of mind-body-spirit emotional healing and self care with larger audiences.

Coming to a hospital near you in 2016:

Become the Eye of the Hurricane: Managing Stress Amidst Chaos

The Art of Self Care for Nurses

Stress & Human Spirituality

Taking three months away from my daily work is something I have never done before, so of course I have had to navigate fears and doubts along the way. Will my clients receive what they need while I’m away? Can I afford it? Am I being selfish? And more...

When these thoughts and fears arise, I take a deep, soft, belly breath. I feel my heart...and I remember why I am taking this time for myself: to fill my fuel tank so I have more to give upon my return, to take space to create my speaking programs from my center, to study with indigenous healers along the way, and to have fun. I'm realizing I can't afford NOT to do this for myself!

Let’s face it -- nursing can be (and often is) intense and exhausting. But we do it, because at the core, we have hearts of service. It is vitally important that we tend to our hearts.

Consider reflecting on the following:

  • What is your heart calling for?
  • If you had a magic wand, what would you change in your life?
  • What is one simple self care practice you can weave into your day today?

Also, consider looking at the resources page on my site. You will find a generous list of resources for self care. Enjoy!

If you’re interested in connecting with me about my speaking programs, please visit my website.

Take Care and Happy New Year!

Jennifer Quade, RN, BSN, HNB-BC
Board Certified Holistic Nurse
Revolutionary Women's Holistic Health Care

Holistic Stress Management Instructor

The views and opinions expressed by our guest authors and by those who comment on their posts do not necessarily reflect the views and opinions of


A cherished personalized necklace from a crafty friend will forever remind me of the power of this one little word in 2015.
A cherished, personalized necklace from a crafty friend will forever remind me of the power of this one little word in 2015.

It's the final hour of 2015.  Although my husband and I are spending New Year's Eve in different locales for the first time in over 10 years...I'm in a happy place: reflecting and writing.  He's at a family wedding on the East Coast, and upon tucking our daughter in, I settled in with my hot date (my laptop) to recount some highlights of 2015 and to dream up some highlights yet to unfold in 2016.  The present moment is so quiet, all I can hear is the calendar page turning from 2015 to 2016.

For three years now, instead of amassing New Year's Resolutions, I've picked One Little Word a la Ali Edwards' online class.  The idea is to pick a word that represents what you want to attract more of in your life.  The online course delivers prompts on the first of each month to spark ways to live with your word through journaling, activities, and reflection as you go about your daily life.  My 2015 word was reflect - and I dare say, I rocked it.

Santa stuffed my stocking with some cards to help me bring others into the forum I've created to reflect and connect on practice.
Santa stuffed my stocking with some business cards to help me bring others into the forum I've created to reflect and connect on practice.

I've dreamed about creating a forum for nurses to connect and reflect on practice since I was a student nurse.  Nursing school was way off the grid from my undergraduate degree (communication with an English writing minor). My exposure to nursing in my work as a volunteer coordinator (for the pediatric hospital where I am now employed as a staff nurse) inspired my passion for this profession.  Practicing in other settings, earning my MSN, teaching, and advising students in advanced degree programs are opportunities I've had along my path to open my eyes and heart to some incredible nurses and partners in healing who further propelled my desire to start something I believed I could do.  So I did it!  This year I built a website, a blog, and a community of nurses and our partners in healing to grow the reflections and connections that deepen our relationship to practice.  It's been great fun - and it's only just begun!

The Reflective Nurse forum has served as a springboard for me to host nursing salons in my home, to dabble in blogging, and to collaborate with others who wish to enhance practice in between shifts and amidst the other joys and challenges in life.  I've had a rough couple months recovering from pneumonia in November, so I recently reached out to one of my favorite holistic health nurses (Jen Quade) to tap into her wisdom surrounding holistic compliments to Western medicine.  The outreach  lead to a collaborative effort to host an event in December featuring a class she designed.  Stay tuned for more offerings in this vein in 2016!

If you are interested in upcoming CEU-adventures, stay tuned to the blog or ask to be on The Reflective Nurse mailing list by emailing me at:

My article, The Nursing Salon Experience: A Tale of Hosting Conversations, appears in Creative Nursing, Volume 21, Issue 4. 2015.
My article, The Nursing Salon Experience: A Tale of Hosting Conversations, appears in Creative Nursing, Volume 21, Issue 4. 2015.

Dabbling with my blog got me warmed up to live my dream of becoming published in 2015.  I was tickled to be invited to submit an article to my favorite professional journal, Creative Nursing.  This exercise provided me with a platform to reflect on what's inspired and sustained my professional pursuits and it got me in back in touch with a couple key mentors.  When I went to school for communication and writing, I remember thinking, "now I just need something meaningful to talk and write about."  Insert nursing career, here.

The Writing Habit was a class-offering by Rosanne Bane at The Loft Literary Center this past summer that reignited my love of reading and writing.  What I learned in class primed my pump for my 2016 One Little Word: WRITE.  Being a part of a writing community reminded me that reading and writing are two of my most cherished joys.  Upon asking another writer what she does to sharpen her writing skills, she answered, "I read" -- insert 'aha' moment, here!

Three nurse-blogs I follow include:

Nurse Eye Roll, Marie Manthey's Nursing Salon, and my new favorite, End of Earth Nurse.  I'm inspired by these ladies.  Reading what they have to say about our profession encourages me to ask more colleagues and partners in healing the key question we ask and answer at nursing salons I host and attend: "What's on your mind about nursing?"

The Reflective Nurse is now seeking guest bloggers to join and spark more conversation around the reflections and connections we make in our profession and practice.  I'd love to read your response to, "What's on your mind about nursing?"  Please email me at: to volunteer your voice!

A snapshot from The Reflective Nurse conversation salon in July 2015 -- we may not be able to carve a whole chicken together on the blog but we can still ask and answer the question, "What's on your mind about nursing?"
A snapshot from The Reflective Nurse conversation salon in July 2015 -- we may not be able to carve a whole chicken together on the blog but we can still ask and answer the question, "What's on your mind about nursing?"

In the meantime, look forward to guest posts from three dynamic and wandering nurses during the month of January...intrigued?  You should be!  I'm excited to feature posts from one nurse who is about to take the expansive, enriching, hiatus of her dreams, from another nurse who uses humor as an escape in her daily grind, and mission trips around the world in her vacation time, and finally, from a young nurse who has found a way to merge her dreams of practicing nursing AND yoga on new horizons beyond her wildest dreams.

Happy New Year!  I've effectively reflected and written my way into 2016...bliss.  Join me for more in the coming year.


Back-to-school is a time of year that has assumed a season in its own rite.  Sandwiched between summer vacation and the official start of fall later this month, a wave of nostalgia is sure to be resonating as fleets of yellow buses are back in mainstream traffic.  Social media outlets have hosted the annual surge in snapshots of students adorning backpacks and displaying homespun signs to mark the occasion of the coming school year.  This week I caught up with Tanya Ingvaldson, a dear friend and nurse colleague who proudly displayed her chalkboard proclaiming her first day of graduate school as she embarks upon her Master of Arts in Holistic Health Studies degree.

Registered Nurse, Tanya Ingvaldson embarks upon a journey to a graduate degree!
Registered Nurse, Tanya Ingvaldson embarks upon a journey to a graduate degree!

Tanya has let me in on some of the most profound moments of her internal and external evaluation of pursuing this advanced degree at this time in her life.  I'm humbled to feature her story this week as she faces a most personal phase of her understanding of health and healing in her role as primary caretaker for her mother, who is awaiting a new heart.  In the commentary following Tanya's essay for admission to her MA program, she lets us inside her pause to question whether this is the best time or the worst time to move forward with thoughtfully laid plans to expand her personal and professional horizons with a degree in holistic studies.

Deep thanks to Tanya for sharing the following pieces: her entrance essay for graduate school and her raw and honest assessment of taking the plunge in the weeks leading up to her successful start of graduate school, last week.  Tanya, here's to your successful finish as you move toward sticking the landing on this next leg of your nursing and personal journey.

A Personal Essay for St. Kate's MA in Holistic Studies by Tanya Ingvaldson

"My interest in Holistic Nursing started quite accidentally. Over the last two years I have been seeking ways in which to lead a healthier lifestyle and how to implement a healthier way of life into my family’s routine. During this time I was seeking new ways to care for myself and my family, essential oils took over my workplace. After a great deal of reading and talking to friends who were well versed in the many uses of oils, I took the leap and watched the essential oils work right before my eyes. It was in that moment of watching the oils work for my daughter that I became a believer in the potential and the power of essential oils and alternative modalities in care.

This revelation prompted me to start looking deeper into all of the alternative ways in which I could care for myself and I was exposed to a world in which I had no prior knowledge and a significant amount of skepticism. Our daughter suffers from Juvenile Idiopathic Arthritis.  During the same time that I was learning more about alternative modalities, she suffered a significant flare. We sought out alternative approaches to compliment her medication regimen.  It was my hope we could find an alternative that would offer a more immediate improvement while we waited for the systemic medications to take hold.  We began taking her to a chiropractor and saw a tremendous improvement with her level of pain, her mobility, and her overall wellness. The dramatic change I saw within her only furthered my belief and curiosity!

During this same time of discovery and interest, I have found myself at a professional crossroads. The realization and acknowledgement of my situation has given me pause and has both forced me and empowered me to examine what I have a passion for, and what I want to spend the second half of my career doing.  As I began to learn more about alternative modalities, I felt as though an entire new world of possibilities had opened up that I had never before considered.

As an RN, I have a strong belief in the validity and necessity of modern medicine. That being said, I also believe that there is a strong body of knowledge that tells us that traditional approaches to health and healing have validity.  I know there is a way in which we can reach a balance an acceptance of alternative modalities, which at one time, were mainstream modalities to help our patients, and ourselves to be healthier, happier and more enriched.  This new personal realization has led me to ask more questions about the place that Holistic Nursing can fit into my life and my practice. Within myself I see and feel that the more information I gather, I am left with more questions and more excitement for the possibilities that lie ahead for both my future and the future of the nursing profession.

My nursing career began in a Level III NICU. I have been a NICU RN for 15 years. In the last three years, I have also had the opportunity to work with new moms as a postpartum nurse, giving me an entirely new view of nursing care.  As my journey towards Holistic Nursing has progressed, I have been reminded of a pivotal day I experienced as a new nurse. As a new graduate nurse, so many days were spent learning from individuals from various care areas. Although we met with many people, I continue to come back to the day we spent with the Occupational Therapist. Our day was spent learning about the developmental care of the tiniest of patients. What has so strongly remained with me over all of my years of practice is the power of touch. We were taught on that day, and during many other days to come that our tiny patients required a light touch. We were taught to be ever mindful of the weight and strength of our hand. We were taught to be mindful that these tiny patients cannot talk and we must watch and be aware, and as your are laying your hands upon them to realize how heavy they were and then readjust. It has always been important to me to be careful, mindful and aware of my touch.  As I reflect on Holistic Nursing and what that path might look for me in the months and years to come, I continue to be drawn to Healing Touch and all of the possibilities it holds.

While the idea of graduate school is daunting, I feel that I am ready for the challenge. As I approach this process, it has helped me to know that I can pursue the Certificate program, lessening the weight of my decision to apply for school. Furthermore, while participating in the Enhancing Practice Through Holistic Nursing class this spring I met with two women who are currently in the Holistic Studies program and are attending part time. This further propelled me to follow this path and reassured me this is a feasible and positive decision for me at this time in my life. Despite the fact that I have external stressors in my life, I know that I can work at my own pace. I know there is no deadline I must meet, because when all is said and done, I am doing this for myself. What I find appealing and reassuring is while I hope that this can lead me onto a a new career path, I also know that what I will be learning will be beneficial to me, as a person to care for myself as a whole, for the rest of my lifetime."

Behind the polished essay...there are raw emotions.  Tanya shared the following excerpt about two weeks before class started.  I include it here with her permission to highlight the range of hues in certainty when taking the leap to pursue an advanced degree.

"The elation I felt after sending off my essay and having my interview for grad school quickly fell away. I was excited for a few weeks. Onward to new adventures! Tally ho! I am on my way! But after the excitement fell away and I didn't have an answer to, "So, what are you going to DO with your degree?" Why must SO MANY people ask this question? The luster wore off. Following the loss of excitement, full-fledged indifference took hold of me. What WILL I do with this degree? Why am I spending so much money on this…right now? Insanity!
My decidedness about this program promising to provide a lens of holistic reasoning that could be applied in any future role I serve…suddenly felt empty and flimsy. I was nearing my grad school orientation day. It had been on the calendar for two months. It was placed there with such anticipation, excitement, and promise. Now it sat looming as another thing to do. Orientation was another task to complete before I was able to move along to the next thing on the to-do list. In the two to three weeks preceding orientation, I had decided that I would defer my enrollment by a year. I had misgivings, worries. What if the other program at the other university was a better fit for what I envisioned? What if this truly was the worst time EVER to launch into such a big endeavor? Instead of the excitement, wonder and vision of what lie ahead, I was really feeling like this was a chore, and a bad one at that.
In the week preceding orientation, things were crazy at home, further propelling me to decide this was the worst decision ever, capped off with my 12 year old declaring with indignation the night before orientation, "WHAT? You are going back to school? You are NEVER home already!" Her assertion confirmed all of my doubts. I explained that I was going to go to orientation and we would decide after that. So, I set out to pack myself up, listen to what the nice people had to say, and then find the necessary people to defer my enrollment.
On the morning of orientation, unbeknownst to me, seemingly EVERY FREEWAY in Minneapolis had a detour, I was in fact CERTAIN that God was confirming my thoughts. This was NOT the time to go back to school. I arrived on campus late. You don't know me, but I am never late. Never. Being late just felt like another sign of this not being the right time to embark upon another adventure in an already-full life and schedule.
It was within moments of sitting down that I felt the familiar comfort of being "back to school". I was surrounded by like-minded women, (albeit younger women), and a few men. I spent two hours listening to volumes of information, offerings of the University and the amazing potential that was ahead of me. Halfway through the day we split off with our cohort groups to hear about our specific programs.
Those 2.5 hours were amazing. From the beautiful space in which we met, to the incredible energy generated by those of us who gathered together. The panel of professors shared about themselves, the program, and what to expect in the years to come. We all introduced ourselves and I was astounded by the variety of professions represented in this small space! I was surprised to learn there were only 3 RNs in this group of 22. The energy, excitement, and wonder were palpable. As we all talked and listened -- it was most reassuring to learn that not many of those around me had an answer to, "So, what are you going to do with this degree?" Even those on the student panel had no idea what they were going to do. All felt firm the path would open before them when the time was right. Their unwavering confidence and positivity about the path ahead made me more excited and confident than ever. This was the path for me! Right now. I knew after spending the time in that space, and in that company, that I was setting off on a course I couldn't quite see...but I knew it was right for me."

Tanya Ingvaldson is a NICU nurse, a mother, a daughter, a wife, a friend, and a graduate student.  Go, Tanya!  -TheRN

Thank you to Penny Peterson, MSN, RN, for jotting and sharing these reflections on her journey home from her service adventure.

"As I make my journey to home I am reflecting on the plane about my time spent in Guatemala. I am wondering what change it may make in the trajectory of my life. It is only fitting that as I reflect, I am reading the Creative Nursing journal given to me by my dear friend Natalie Lu as I departed on my journey. The journal speaks about many things, but the focus of this publication is Social Justice and Nursing. It provided more food for thought as I began my journey home.
I went to Guatemala to do a site visit to Mayan Families in Panajachel. The hope is that this will become a place to bring students during a Global Health class. I could never have imagined the poverty and the need of the people of Guatemala before visiting the area of Panajachel. According to Watson (2008) 60% of the people of this world live on 6% of the income. This is ever so evident in the region of Panajachel. I could never have imagined people living in places with a dirt floor and a leaking tin roof. The water (if there is water in the home) is contaminated with parasites. Watson spoke about holding other's lives in our hands and caring for humans when their survival is threatened. This we must do while having respect for another human being.
So a question to me personally is how can I make a difference? I began by co-sponsoring a student with another faculty that joined me on this journey through When we met him and his family we brought a food basket and a water filter so they have clean water to drink. While these were wonderful gestures, it is not enough to do these things and walk away. Mayan Families works to develop programs that can be sustained and empower people through education. My thoughts right now are trying to figure out how I can help them in that mission."
Watson, J. (2008). Social justice and human caring: A model of caring science as a hopeful paradigm for moral justice for humanity. Creative Nursing: A Journal of Values, Issues, Experience & Collaboration, 14(2), 54-61.

Travel bug, anyone?  The gateway to summer has opened.  Plans, maps, and visions for escape are unfolding in preparation for one of the hottest vacation periods of the year.

Penny's poolside postcard from Panajachel.
Penny's poolside postcard from Panajachel

An eyeful of images from a friend's trip to another spot on the globe is all it takes to spark an urge to fly, to inspire the pondering of our personal borders, and to double-check our passports to ensure they are ready when we are if the travel bug bites.

Antigua, Guatemala
Antigua, Guatemala

A new road has risen to meet the armchair traveler in light of social media, phone technology, and the internet.  My cherished scrapbooks are adorned with paper postcards from places that piqued my interest by way of others' travels.  This week, my friend and nurse-colleague Penny upped the postcard-ante by bringing her postcard moments to life from Panajachel, a town in the Southwestern Guatemalan Highlands near Antigua, and about 90 miles from Guatemala City.  On most days this week, Penny and I have poured over the details of her Guatemalan adventure via Facebook messenger.  The live chats over our morning coffee and evening tea have inspired my heart's desire to get going on a service trip I check my passport, now.

Some 14 years ago, while serving as a volunteer coordinator for the pediatric hospital where I work today as a nurse, I started planning a volunteer trip of my own to Tutova, a small Romanian town that is home to Tutova Hospital.  By way of Global Volunteers, a local tour operator for volunteer vacations, I partnered with a GV volunteer coordinator to travel with a group of hospital volunteers, nurses, and support staff to embark upon a two-week Adventure in Service.  Following a brown-bag lunch hosted by the volunteer services department to promote this trip, the overwhelming interest from staff filled not one, but two trips during that calendar year.  Fast forward a couple years, and the organizational demand to offer more opportunities for this kind of affiliate volunteer travel paved Adventures in Service to Ecuador, and later to Brazil.

Taking flight for Romania in 2002 with a group from Children's Hospitals and Clinics of Minnesota
Taking flight for Romania in 2002 with a group from Children's Hospitals and Clinics of Minnesota

My postcard chats with Penny this week inspired me to dust off my photo albums from these volunteer trips, and from service trips I did with Habitat for Humanity back in my college days.  I even turned up this little You Tube gem, an interview I did with Alix Kendall on Fox 9 Morning News about the trips I helped coordinate and served on in Romania and Ecuador.

Nurses volunteering in Romania
Some traveling volunteers teased that there was plenty of room in their suitcase for our new Romanian friends

Looking back over these memories, I am hit with the same sense of wonder I experienced on flights (or bus trips!) back from faraway places.  I wondered, what do I do now that I know about the need that exists in...(insert any locale of any service trip host, here).  Today, I'm as eager to explore this wonder with those of you who have been bit by a similar travel bug...what do we do with the exposures we've had  in service travel?

Penny and her nurse colleagues Cindy and Mary meet with staff at Mayan Families to set the course for their week of volunteering and plans for future visits
Penny and her nurse colleagues Cindy and Mary meet with staff at Mayan Families to plan for their week of volunteering and for potential future visits

I asked my friend Penny to expand on the postcard thoughts we exchanged during her trip to Panajachel.  Volunteering her nursing skills in this faraway place has fueled some new aspirations.  Come back to the blog next month to hear how Penny plans to further propel her answer to the call she heard from this community in Guatemala.

You can learn more about the host organization for Penny's volunteer trip at:

You can even volunteer resources to this Guatemalan community from your armchair.

A favorite memory from my 2002 trip to Tutova Hospital's failure to thrive clinic, rocking this sweet one to sleep each day for naptime
A favorite memory from my 2002 trip to Tutova Hospital's failure to thrive clinic, rocking this sweet one to sleep each day for nap time

If you have reflections on how travel has impacted your vision for your place in this world, I'd love to hear them here.  If you've always dreamed of going on a volunteer vacation, tell us where you would like to go with this vision.  This space is yours to reflect.



Over half my middle-aged life ago, I was gifted a copy of a poem with the title, "Man in the Glass".  I was a freshman in college trying to sort out who I was becoming, what I wanted to major in, and what motivated my impressionable sense of self.  Homesick for the identity I felt graduating high school, I burned through calling cards (that was a thing when I was in college) with a cherished gal-pal from my hometown.  We were on campuses separated by hundreds of miles and a state line.  But we called 'home' the same place, and we held up the mirror for each other in those marathon phone dates to reflect on who we were becoming in our respective new contexts. ...continue reading Reflection in Practice