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The meaning in the work
After 30 years as a nurse and 20 years as a nurse practitioner, I’ve learned that nursing is both exhausting and deeply meaningful. This Nurses’ Week, I’m reflecting on burnout, resilience, patient care, and the purpose that keeps so many nurses going. Reflections on the realities of nursing, healthcare work, compassion, and finding meaning in a lifelong career of helping others.

Megan Filoramo
18 hours ago3 min read


Exhausted… But Not Depleted
Feeling burned out in healthcare?
You’re not alone. And if optimism feels out of reach right now—that makes sense.
But it’s not gone. It’s something you can train.
A simple daily gratitude practice—just 3 minutes—can start to shift how you think, feel, and experience your work.
When you consistently notice what’s going well, you start to see your days differently—and your future, too.
Small habit. Real impact.

Megan Filoramo
May 13 min read


Normal Labs, No Energy: What Nurses Miss About Fatigue
Persistent fatigue doesn’t always point to a medical issue. Many nurses and high-performers feel exhausted despite normal lab results, assuming something is wrong. In reality, chronic fatigue is often the result of cumulative energy output without adequate recovery. Rest isn’t optional—it’s essential. Understanding energy balance can help you stop chasing diagnoses and start restoring what your body actually needs.

Megan Filoramo
Apr 243 min read


Interrupt the Culture: How to Take Back Control at Work
Healthcare culture can feel overwhelming—but you don’t have to absorb it. This article shows nurses how to take control of their mindset, energy, and responses at work using practical, in-the-moment tools. Learn how to stay calm under pressure, set the tone in challenging environments, and stop waiting for the system to change. Discover how shifting your presence can improve your experience, your resilience, and the culture around you.

Megan Filoramo
Apr 163 min read


Just Because It’s Hard Doesn’t Mean You’re Not Meant for It
You can do hard things—even when you’re tired, overwhelmed, and questioning yourself. This is a reminder for anyone carrying a lot, especially caregivers and nurses, that resilience isn’t about getting it perfect. It’s about showing up, adjusting, and continuing. Give yourself some credit, allow yourself to rest, and remember: just because it’s hard doesn’t mean you’re not the right person for it.

Megan Filoramo
Apr 102 min read


Change Your Job (Without Changing Your Employment)
Do you ever feel overwhelmed by all the roles you carry? This blog explores a simple shift: becoming the project manager of your own life. Through a nurse coach’s lens, it offers a practical, compassionate approach to prioritizing what matters, letting go of the “shoulds,” and creating more meaning and peace in everyday decisions — without changing your career or doing more.

Megan Filoramo
Apr 34 min read


Why Enjoying Life Outside of Nursing Is Essential for a Sustainable Career
Nursing doesn’t always end when your shift does. Many nurses spend their days off recovering instead of living, believing exhaustion is part of dedication. But enjoying life outside of nursing isn’t a luxury — it’s essential for a sustainable career.

Megan Filoramo
Mar 274 min read


Reframing Difficult Patients Without Emotional Exhaustion
Difficult patients don’t just challenge our skills — they challenge our emotional energy. What if burnout isn’t only about workload, but the story we tell ourselves during hard interactions? This post explores how nurses can reframe difficult encounters, protect their energy, and practice empathy without emotional exhaustion. Sometimes changing the script changes everything.

Megan Filoramo
Mar 203 min read


Practical self-care for nurses who don’t have time
Nursing exhaustion builds quietly during busy shifts, leaving little time for traditional self-care. This practical guide shares simple, real-time strategies nurses can use between patients to prevent burnout, regulate the nervous system, and restore energy without adding extra tasks. Learn how small habits—gratitude, breathing, mindset shifts, and hydration—can support stress recovery and help nurses care for themselves while caring for others.

Megan Filoramo
Mar 133 min read


Stop waiting for the work to get better
Feeling stuck or unfulfilled at work? Many nurses quietly accept “this is just the way it is,” but real change starts with a personal choice. This blog explores why waiting for work to get better rarely works—and how taking the first step toward something different can lead to greater engagement, energy, and satisfaction in your career.

Megan Filoramo
Mar 63 min read


5 Signs You’re Experiencing Nurse Burnout (And Not Just ‘Having a Bad Week’)
Are you experiencing nurse burnout — or just a bad week? Discover five overlooked signs of burnout, from dreading shifts and emotional numbness to irritability, physical symptoms, and loss of purpose. Learn why burnout isn’t a personal failure but a predictable response to chronic stress, and how self-assessment is the first step toward restoring your energy, compassion, and professional confidence.

Megan Filoramo
Feb 274 min read


Holding Both: Finding Resilience in the Highs and Lows of Healthcare
Healthcare is both deeply meaningful and deeply demanding. The duality of “the best of times and the worst of times” can lead to overwhelm if left unchecked. Resilience isn’t about eliminating stress — it’s a skill that can be learned and strengthened. Discover a practical, simple mindset shift to help healthcare professionals navigate hard weeks, prevent burnout, and stay grounded in purpose while weathering inevitable challenges.

Megan Filoramo
Feb 205 min read


This Week My Mind Caught Fire (And What I Learned)
A stressful week led me to apply root cause analysis to my own overwhelm. What I uncovered about unconscious patterns, burnout prevention, and reframing “running late” changed how I approach stress—and may change how you do too.

Megan Filoramo
Feb 136 min read


Burnout Didn’t Change My Work, But This Mindset Did
Leading with love is not about being soft or letting things slide. It is about choosing how you show up, even on the hardest days. When we decide to act from love, for our patients, our coworkers, and ourselves, we create a sense of grounding that makes the work more sustainable. Love is not at odds with science. It is the reason we care enough to do this work well.

Megan Filoramo
Feb 65 min read


Staying in Nursing Without Losing Yourself
Struggling in nursing? Change starts with breaking one pattern at a time. We have more agency than you may think to make our work experience fulfilling.

Megan Filoramo
Jan 303 min read


Beyond Burnout: Why “Getting By” Isn’t the Goal
Thriving—actually thriving, not just avoiding burnout—is possible. Feeling better isn’t a personality trait or a luxury; it’s a skill that can be learned. Many nurses are exhausted, unmotivated, and quietly just getting by. This piece explores why that makes sense, why it doesn’t have to stay that way, and how learning simple, practical strategies can help you feel better even in the midst of a demanding life.

Megan Filoramo
Jan 234 min read


Burnout Isn’t Just About Workload—It’s About Freedom
Burnout isn’t just about workload—it’s about freedom.
When systems feel rigid and reactions feel automatic, it’s easy to feel trapped. But what if one of our greatest freedoms is still available to us? This reflection explores how learned reactions shape our experience at work—and how pausing, noticing, and choosing a different response can change everything.

Megan Filoramo
Jan 164 min read


The Quiet Gratitude of Prevention
After 26 years in pain management, I’ve seen the profound impact of chronic pain on daily life. Today, I reflect on gratitude, prevention, and perspective—like the relief and protection a shingles vaccine provides. This story explores how reflection and intention can help healthcare professionals reconnect with purpose and approach their work with meaning and care in the new year.

Megan Filoramo
Jan 93 min read


Caring Is the Job:Ignoring Yourself Doesn’t Have to Be
Nurses are incredibly skilled at ignoring their own needs. We push through exhaustion, skip breaks, ignore full bladders, and silence our own discomfort so we can care for everyone else. Over time, self-ignoring becomes automatic—and burnout follows. Caring for yourself doesn’t mean caring less for others. You deserve rest, boundaries, and compassion too.

Megan Filoramo
Jan 33 min read


How to Stop Negotiating Your Rest
Many of us know how to stay busy, work hard, and care for others—but resting can feel harder than any of that. What if rest isn’t something you earn, but something you’re already worthy of? This is a reminder that downtime doesn’t need to be productive, justified, or deserved. Plan it. Protect it. Practice it. You are worthy of rest—no strings attached.

Megan Filoramo
Dec 26, 20253 min read
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