
What Nurses Carry That We Rarely Talk About
May 28, 2026We often think communication begins with words. But it doesn’t.
Long before we speak, people are already reading us. They sense our mood, our tension, our calm, our openness. We each carry an invisible presence into every interaction, and whether we realize it or not, that presence affects the people around us.
I was reminded of this during a simple trip to Dollar Tree.
I walked into the store expecting a quick errand when immediately I encountered a man whose energy seemed to fill the entire building. He was loud, frantic, talking on speaker phone, moving quickly from aisle to aisle. Before he ever spoke to me directly, my body instinctively pulled away. I remember thinking, “Nope,” and choosing another aisle.
It wasn’t really about the words he was saying. It was the energy surrounding him. The atmosphere felt unsettled.
That experience made me think about caregiving and healthcare. How many times do we enter a patient’s room carrying our own emotional clutter? Fatigue from a long shift. Frustration from a difficult conversation. Anxiety about the next task waiting for us. Patients often sense far more than our words.
As we assess them, they are assessing us too. “Is this someone I can trust?”
That question is often answered before we ever begin speaking.
The human body is remarkably perceptive. Even subconsciously, we are constantly reading the environment around us. We notice tone, posture, pace, facial expression, tension, calmness. Our nervous systems are always evaluating safety.
Healthcare workers know this intuitively. Families know it too. You can feel the difference between someone who enters the room rushed and distracted versus someone who arrives grounded and present.
Calm invites calm. Anxiety spreads anxiety.
The good news is that we have a choice in how we show up.
We may not control the circumstances around us, but we can choose how we carry ourselves within them. Sometimes that choice looks very small:
a breath before entering the room,
a pause between patients,
a silent prayer in the hallway,
a moment to reset before carrying one interaction into the next.
During my years as a critical care chaplain, I often witnessed how presence alone could shift an atmosphere. Sometimes patients needed words. Sometimes they simply needed someone calm enough to sit beside them without adding more fear into the room.
I remember once singing softly to a critically ill patient in ICU while cardiologists monitored him outside the room. Later they commented that his blood pressure stabilized while I sang. Perhaps it wasn’t the song itself as much as the calm, steady presence surrounding him in that moment.
Presence matters.
Jean Watson wrote that all behavior, verbal and nonverbal, communicates something. Before patients trust our knowledge, they often respond to our energy.
And this truth extends beyond healthcare.
What energy do we bring home to our families?
What follows us into the grocery store?
Who receives the overflow of the stress we never released?
If we are not careful, frustration clings to us like a cloud. We carry it from room to room, person to person, interaction to interaction.
But awareness gives us choice.
We can pause. We can recenter. We can protect our energy without hardening our hearts. We can choose intentionality over reactivity.
One simple ritual I developed in the hospital was using hand sanitizer as a reset moment. Every time I cleaned my hands before entering a room, I also paused internally. Breathe. Recenter. Leave the last room behind. Enter this room fully present.
Small rituals matter.
So perhaps the question is not only: “What am I going to say?”
But also: “What will people feel when I arrive?”
Your energy matters.
Your presence matters.
And healing often begins there.




