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Monday, November 23, 2015

Importance of Nursing

Think back to a time when you were sick, whether it be when you were little or just last week. Who was the first person who took you back to the doctor’s office or saw you in the hospital? Chances are, it was a nurse. Nursing is a career that calls for the right kind of people. It takes a nurturing, selfless and committed person to become a nurse. One main point we wanted to give to our readers from our weekly blog posts is that nursing is immensely important to all of us as human beings. By bringing to light the myths of nursing, breaking the comparison of doctors and nurses, discussing stereotypes and crushing the negative ones, we hope that you will see how vital the nursing field is to your everyday health care and overall well being.
Myths of nursing come from a variety of different sources, television and media being a couple of them. In one of our blog posts, we discussed the controversy that occurred between the daytime talk show The View, and their thoughts on nurses. To give you an overview, if you haven’t heard of this controversy, Miss. Colorado 2015 gave a monologue speech on being a nurse. She talked about her experience dealing with a patient suffering from Alzheimer's. The View made comments such as “why is she wearing a doctors stethoscope?” which created an uproar from the medical field. Johnson & Johnson even blocked their own ads from being shown whenever The View airs. Another popular example of how media influences nursing stereotypes is in medical dramas. Shows such as “Grey's Anatomy.”  suggest false stereotypes, such as nurses not being directly involved in the care of patients. However, this is not the case in real life.
Incidentally, we want to put emphasis on the comparison of nurses to doctors. Some people believe that the burden of care taking is more on the nurses than on doctors. In our blog post on doctors and nurses, we shared a couple of things about how nurses provide direct care for patients. Mainly, nurses come into contact with the patients more than a doctor does. A doctor has lots of patients with whom they make a few big decisions, whilst a nurse has fewer patients with whom they make many smaller decisions and complete tasks for. A quote from Dr. Suzzane Koven states, “ Nurses work set shifts and are assigned specific patients whom the see frequently during that period. Doctors, on the other hand, visit the patient once, maybe twice a day, usually for a few minutes” (Koven). People think of nurses as being an aid to a doctor, when in reality nurses are performing a wide variety of tasks. Nurses must be able to communicate with doctors to make sure that everyone is on the same page with the patient's best interest in mind. Doctors, although highly trained, need nurses for the main care of the patients.

In our post Prompt 1: Nursing Stereotypes, we discuss a few of the common stereotypes about nurses. The most outrageous one is the common misconception that nurses are just a doctor’s assistant, as discussed above. The media has sexualized the nursing profession, and created the stereotype known as the “naughty nurse.” This stereotype discourages potential nurses, encourages disrespect, and in some cases causes sexual harassment. In another one of our posts, we discuss the nursing code of ethics that is in place to prevent the “naughty nurse” from being possible. The media also portrays nursing as a female profession, labeling male nurses as failed medical doctors, and considers them more feminine. This discourages men from pursuing this career, and influences the shortage in nursing. The portrayal of nurses on social media has an impact on the way nurses are viewed in the real world, so it is important that our readers understand that these are just stereotypes.
Additionally, our post on the "nursing shortage" shows the importance of nurses in our society. If there are not enough nurses in our healthcare system, negative consequences can come to both the nurses currently employed in this profession, and the general public. The website Nursing World cites, “Nurses often need to work long hours under stressful conditions, which can result in fatigue, injury and job dissatisfaction. Nurses suffering in these environments are more prone to making mistakes and medical errors. Patient quality can suffer”. A nurse has high demands and needs to be fully committed to helping their patients.

According to the American Association of Colleges of Nursing, 53% of physicians and 65% of the public cited the shortage of nurses as a leading cause of medical errors. Overall, 42% of the public and more than a third of US doctors reported that they or their family members have experienced medical errors in the course of receiving medical care”. They also stated that “more nurses at the bedside could save thousands of patient lives each year. Nurse researchers at the University of Pennsylvania determined that patients who have common surgeries in hospitals with high patient-nurse ratios have an up to 31% increased chance of dying”. Given the high costs of replacing burnt-out nurses and fixing their mistakes, having too few nurses may actually cost more money.
Many people fail to recognize the significance of nurses and what they do.  They are often described as “those who work next to doctors” or in other words, a secretary to one. To support our claim of ensuring the public that nurses are more than how they are generalized, below is chart providing a few of the variety of specialized occupations available in the field.


Occupation
Description
Sources/Links
Trauma NurseUnknown.jpeg
Specialize in working with patients in need of urgent care; where often times the cause of the injury is unknown

Military NurseUnknown-1.jpeg
Share common responsibilities as registered nurses; however the workplace is a more dangerous environment
Pediatric NurseUnknown-2.jpeg
Specialize in working with children of ages ranging between birth and adolescence; most responsibilities are acute such as ear infections, asthma, and growth/development issues
Certified Nurse MidwifeUnknown-3.jpeg
Found working alongside the obstetrician with pregnant patients; providing prior to and post birth care and advice/statistics
Without nurses, as evident after reading this post, the way that we heal after breaking an arm or being sick with bronchitis would not be the same. If nurses did not participate in all of these different fields, the world would not exist as it does today. By looking at the statistics that come from the “nursing shortage,” we can see the profound impact nurses have on our ability to heal and get back to living our lives. Also doctors would be lost without nurses, as hospitals need them to function properly. Nurses selfless attitudes ensure that they will always put us, their patients, first. In our blog, we talked about how imperative nurses are and what makes a good nurse. Throughout our posts we continuously mentioned how important nurses are, because they are too often overlooked. Nursing is a challenging and respectable profession. Constant care and attention from a good nurse, male or female, has nothing but positive effects on a patient's outcome. I hope we have broadened your horizons on the profession of nursing.

By Kyra,  Samantha, Brooke, & Casey

Works Cited:

Koven, Dr. Suzzane. "In Practice: The Difference between Doctors and Nurses."BostonGlobe.com. Boston Globe Media Partners, 22 Oct. 2012. Web. 15 Nov, 2015.
"Nursing Shortage." American Association of Colleges of Nursing.  AACN, 24 April 2014. Web. 28 September 2015.
“Nursing Shortage.” Nursing World. American Nurses Association, n.d. Web. 14. Nov. 2015.
Summers, Sandy. "The Image of Nursing: The Naughty Nurse." Nursing Times. N.p., 20 Oct. 2010. Web. 16 Nov. 2015.



Sunday, November 22, 2015

Recipe for making the perfect nurse:

Preparation Time: 
  • Simmer on the thought that you want to become a nurse for however long it takes to decide what you think is best for you

Ingredients:
  1. Caring
  2. Strong willed
  3. Dedication
  4. Good communication
  5. Smart
  6. Can work on toes
  7. Flexible 
Add all ingredients together and continue on...

Baking Time:
  • Approximately 4 years of nursing school
Enjoy:
When adding everything together you become the perfect nurse! I know I will be using this recipe! Hope you enjoy. 
Kyra T.

Thursday, November 19, 2015

Who Manages Nurses?

Many people today assume that the doctors manage the nurses, but this is just a common misconception. In fact, nurses have another nurse who is dedicated to managing the them and making sure all patients are receiving exceptional care. This person is know as the nurse manager.

What do they specifically do?
Nurse managers are responsible for recruiting and retaining the nursing staff. They oversee all of the nurses, and sometimes even work alongside them since they are registered nurses as well. 
  • They supervise the other nurses.
  • Work and collaborate along side of the nurses and doctors.
  • Manage finances
  • Oversee paperwork, medical records, and disciplinary actions.
Instead of screening patients, checking vitals, and treating patients, they coordinate meetings, set up schedules, and make personnel decisions.
Nurse-Manager-Skills
Picture is from here

How do you become a nurse manager?

Step 1: Obtain a bachelors in the science of nursing 
Double major, minor, or take business classes as well.
Step 2: Take the National Council Licensure Examination to become a registered nurse.
Step 3: Get experience.
Step 4: Obtain a masters of the science in nursing or a masters in healthcare or business administration.
Step 5: Pass the nurse management certification exam through the American Organization of Nurse Executives.

How much do they make?
Since being a nurse manager requires more responsibility and schooling, the pay is higher. The average salary is $88,850 a year, compared to the $65,470 average pay for a registered nurse (Katz).

-Casey W

Katz, Katy. "What It Takes to Become a Nurse Manager." What It Takes to Become a Nurse Manager. Rasmussen College, 9 Apr. 2014. Web. 19 Nov. 2015.
"Nurse Manager." DiscoverNursing.com. Johnson and Johnson, n.d. Web. 19 Nov. 2015.


Wednesday, November 18, 2015

Prompt 3: Exploring Communication

I have had the opportunity to communicate with a nurse.  Since I have known her for almost my entire life, the responses received from the questions asked seemed to be more in depth as opposed to speaking with someone I do not know.  The comfort level of questioning a close family friend allowed me to come up with a complex list of things I am interested in knowing.  A few of the questions discussed are listed below.

What are some common misconceptions in your field and what types of communication is used to work around them?

"One misconception is that Doctors do all of the work related to patient care plans and treatment plans. Communication around that would be that Nurses are with patients the whole day and we have to have strong communication across all fields to bring out the best patient care.  Nurses need to speak up to doctors about their assessments and though on plan of care because they see day to day differences among patients and would know if something felt wrong or off with their patient.  Same goes with PT or OT or Respiratory.  Communication is face to face, in the chart, and over the phone.  Another one is that the hospital is paid for every patient.  This is changing with Obama Care that we are now reimbursed based on patient satisfaction.  We have to transition to providing the best patient care and making sure the patient is happy so we get money form the government to pay for the patient stay.  We have to focus on teaching the patient and keeping them from coming back to the hospital as well.  Another is that men are not big in our field.  They are not the majority, but we have to work as a team.  We count on our men to help us lift and move patients as well as use teamwork to get all tasks done."

What forms of communication are the most effective and ineffective in the hospital and why? 

" Verbal communication face to face is most effective.  Not always practical and doesn't happen the most but it is what you get the most from your patient or doctor.  You read nonverbal cues and facial expressions. Example is during your assessment, you evaluate for pain.  Pain is what the patient says it is not matter what, but you can evaluate pain based on facial grimaces, guarding the area, facial expressions, and you get an idea without even asking them to rate pain.    Ineffective is reading through doctor notes.  You are unable to ask questions, verify or confirm.  You can call and get more details but it is least effective.  It is always best to talk either on the phone or face to face." 

What was difficult to first understand about communication in the hospital environment and how long did it take you to adjust? What steps did you take to assist you in being able to comprehend the terminology and communication used?


"Probably 6-8 months to fully be capable.  It was difficult t learn how and when to call doctors.  They are busy people and they don't want to be bothered with silly questions.  You have to judge when to call them, use your intuition and judgment and know all the things you want to know from the conversation before you call because if you get off and you don't have all the answers you have to call back and they usually aren't too happy about it. What helped was practicing calling with someone and just doing.  Also learning medical terminology.  What little acronyms used meant and understanding when people talk a mile a minute and use all of these big words.  Listening a lot helped and asking a lot of questions.  It is better to ask a question if you don't know than to hurt or kill your patient because you didn't ask a question.  Medical terminology came over time, learning, understanding the basics and roots of big words. Like gastritis- gastro is stomach, itis- is inflammation, appendicitis- inflammation of the appendix, colonoscopy- looking with a camera using a scope at the colon, and arthroscopy- looking with a camera in a joint.  Learning all of that in school is very important so you can keep up.  Learning how to give and get reports is another important thing.  Picking out that important things to tell the next nurse coming on.  You learn over time, with preceptors and the nurses help and when you forget something calling and following up so they aren't left missing information."

In emergency situations, how are you informed of what is happening and what is the most effective way to communicate and get help quickly?


"In an emergency you are paged overhead, called or given signals like codes. Code red, code blue, amber alert- all have meanings and you need to know what they mean and what to do if it is called out. Your next person with information is your manager. They are in command so you go to a post or where you are supposed to go and do what is assigned to you. During a code or when someone is CPR one person is in charge and calling orders. Then all people fill in doing the tasks. You need one person in charge so you get all tasks done and nothing is missed but it can all be done at the same time. Someone giving meds, someone doing chest compressions, someone charting and keeping a log, someone calling for help."

How do you communicate with patients?


"Nurses and patients communicate with talking, assessment, asking questions. Asking them to rate pain on a scale from 1-10, looking at nonverbals, coaching them through tough times. Patients give signals beyond just talking and describing problems or pain they guard the sore area, they have facial expressions or grimaces. They show caring with physical touch, holding a hand, rubbing a back or arm during a procedure. Patients communicate through a guardian or power of attorney at times when the patient is incapable of making decisions. They use the call light from their bed. Nurses answer all questions and provide communication to and from the doctor to patients. We are the gateway to the doctors and medical personnel. We have the ability to call and page doctors where he patient is depending on you to communicate for them."

What did I discover about the uses of communication in this field?

Through this email interview I discovered that verbal communication is the most effective way to get things done quickly and efficiently in this field.  After reading through her responses, she also touched on a few topics we have discussed in previous blog posts.  Some of these include the stereotypes of nurses, that males are not a big part of this field, and also that nurses do not do as much as a doctor does.  Going through this interview provided me with a more open mind to the field and understanding the strengths and difficulties when encountering certain situations and what works best to solve them.

-Samantha B.