Ciara Miller on Communication & Self-Care in ICU Nursing

Ciara Miller | Photo by Brooke Nipar

Reality TV star Ciara Miller, also a traveling ICU nurse, discusses how honest communication, supportive colleagues, and personal routines can help nurses manage burnout.


What does the word “strength” mean to you when you think of nurses?

Strength, to me, is the quiet resilience nurses carry every day. It’s not just physical — being on your feet for 12+ hours — it’s emotional. It’s being there for people on their hardest days and still showing up with empathy. That kind of strength is deep. It’s unspoken, but it’s so powerful.

What message would you share with nurses who may be feeling burnt out or unseen, especially when mental health isn’t openly talked about?

I’ve been there. Honestly, burnout is real, and it’s okay to say you’re not okay. You’re not weak for feeling exhausted; you’re human. I’d say to find your support system, whether that’s therapy, a trusted friend, or just a coworker who gets it. You deserve care, too. You can’t pour from an empty cup, and it’s not selfish to protect your peace.

Can you share a personal experience where communication, with either a patient or a coworker, made a real difference in your day?

I remember a shift where everything was chaotic — understaffed, high acuity. One of my coworkers pulled me aside and just said, “I’ve got your back. What do you need?” That moment changed the tone of my entire day. It reminded me I wasn’t alone, and we were in it together. That one check-in made a huge difference.

What are some small things that help you feel good and stay comfortable, even on tough days?

Skincare after a shift is my ritual. It sounds small, but it’s grounding for me. Music on the drive home, comfy clothes, and a moment of silence before bed. Also, I try to remind myself that I did the best I could that day. That mindset — grace over perfection — keeps me sane.

What role do you think communication plays in building strong, supportive teams in healthcare settings?

It’s everything. Honest, respectful communication creates trust. When people feel heard, they feel valued. That’s how you build a team that supports each other, where it’s okay to speak up, ask for help, or say, “I’m not okay today.” It’s what makes the difference between surviving and thriving at work.

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