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DiversityNursing Blog

Alycia Sullivan

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U.Va. nursing program gets $5 million gift

Posted by Alycia Sullivan

Thu, Mar 28, 2013 @ 02:35 PM

CHARLOTTESVILLE, Va. (AP) - A $5 million gift from a Washington-area financier and his wife will double help double the enrollment in the clinical nurse leader's program at the University of Virginia School of Nursing.

The gift announced this week is from Bill Conway and his wife, Joanne. To be paid out over five years, the gift will fund need-based scholarships for students in the program, increasing enrollment from 48 to 96. The gift will also provide faculty support and operational funding for the program.

U.Va.'s clinical nurse leader program is the only master's entry program in the state that is open to students with a bachelor's degree in other field who are seeking a fast track into the nursing field.

Source: WSET-TV

Topics: scholarship, School of Nursing, University of Virginia, $5 million, Bill and Joanne Conway

The top 10 ways nurses boost their moods on the job

Posted by Alycia Sullivan

Wed, Mar 20, 2013 @ 04:37 PM

describe the image

More code browns than you can count? Patients driving you up the wall? Tired of being, well, tired? We feel ya! Nursing’s a tough job, and it’s guaranteed that every once in a while, you’re going to have one of Those Days when you wonder what possessed you to become a nurse in the first place. But on those days especially, it’s super important to have a way to cheer yourself up on (or after) your shift! We (Scrubs) asked our Facebook fans for their top mood-boosting tips when they’re having rough days—

1. I remind myself, “Self, as long as your patients are alive and pain-free at the moment, your day isn’t that bad and half the battle is over…the other half is charting to prove that my patients are alive and pain-free.” Deep breath, looooong sigh and carry on, girl, because you’ve got this!”

2. Maybe eat lunch or go pee…those are always nice. LOL!

3. We adopted a five-second dance-off at the top of the hour. Regardless of what you’re doing in the ER, when the music comes over the intercom, you have to stop and break it down! Doesn’t go over well with the director, but what he doesn’t know…and it really works!

4. I use my break to call the ones I love. My husband and my mom are great for reminding me why I do this job. My mom—one of my favorite people to call—is also a nurse, and has done three deployments in more than 25 years of military nursing. If I think I’m having a bad day, I know for sure she’s gotten through worse ones, and she gives great advice. A little perspective goes a long way.

5. Hand puppets. Life is better with hand puppets. Seriously. They make you laugh.

6. Sometimes I look at job listings for positions outside of the medical field. Every time I read them, it reminds me I would never, ever make as huge an impact on anyone’s lives like I can in nursing.

7. I’m gonna go with “drink.” After work, of course.

8. As corny as it is, I go into the bathroom, stare at myself in the mirror and start making funny faces. Gives me a chance for a breather, and hey, if you can’t laugh at yourself, then who can?

9. We send jokes to other departments via fax or tube system to try to brighten someone else’s day. It’s very rewarding. ;)

10. I remind myself that if I’m having to nurse someone for any reason, they are having a worse day than I am. A smile goes a long way, and seeing and making someone else smile ALWAYS makes me feel better…and them, too!

Source: SCRUBS

Topics: advice, nurses, Scrubs Magazine, mood booster

Code red! Nurses are forced to wear white

Posted by Alycia Sullivan

Tue, Mar 19, 2013 @ 05:06 PM

By / NEW YORK DAILY NEWS

nurse25n 1 web

Nurses at New York’s largest hospital network are crying code red over a new policy that will force them to wear white.

Staffers at Lenox Hill Hospital, Forest Hills Hospital and the rest of the North Shore LIJ Health System fear their new white scrubs will lead to a terrible trifecta of problems:

Blood stains, visible panty lines and unsightly sweat marks.

"When you buy white polyester, it turns yellow," said Patricia Kane, a nurse at Staten Island University Hospital.

“There's also the see-through factor, which is a real issue. We bend and we stretch and we push and we pull. It’s not good when you have to wear white and you’re wondering what the guy in the next bed is thinking,” Kane told Crain’s New York Business.

The dress code overhaul, set to go into effect next month, will affect most of the 10,000 nurses who work at the 15-hospital network.

Officials said the change is part of an effort to help patients better identify their nurses amid the kaleidoscope chaos of hospitals.

“Like most hospitals, our various clinical departments all wear different color scrubs,” said North Shore LIJ spokesman Terry Lynam. “It’s a camaraderie thing, but what makes it difficult as a patient is you have so many people coming in and out of your room and most people struggle to know who does what.”

The nurses don’t quite see it that way.

Lenox Hill emergency room nurses joked last week they planned to protest the policy by wearing brightly colored or leopard-printed lingerie underneath their sterile whites, according to Crain’s.

Lynam noted the new rules apply to tops only — and he insisted that the nurses’ concerns are unfounded.

“A lot of it comes down to the quality of the fabric,” Lynam said. “As long as the quality of the fabric is high enough, you’re not going to have a problem with that.”

But Kane gave the dress code a poor diagnosis.

"It's demeaning to professionals to be told what to wear," Kane added.

Source: New York Daily News

Topics: New York Daily News, mandatory, white uniforms, nurses

D.C. looks to set nurse-to-patient minimums

Posted by Alycia Sullivan

Tue, Mar 19, 2013 @ 05:02 PM

District hospitals might soon face minimum nurse-to-patient thresholds, but the facilities are vowing an aggressive fight to defeat the strategy nurses contend will improve patient care.

"We're going to set a priority, and that priority is going to be patient care over profit," said Ward 1 Councilman Jim Graham, one of nine D.C. lawmakers who said they would support the measure when it is introduced Tuesday.

Under the plan, which must still make it through the legislative process but already has enough support to pass, hospitals would have four years to implement stringent nurse-to-patient ratios.

The precise ratios would fluctuate by specialty, but the proposal includes a mandate of one nurse for every two patients in critical care units and one nurse for every trauma patient in the emergency room.

Nurses said the changes are vital to protecting patients.

"Patient safety is regularly threatened because hospital corporations refuse to ensure there are enough registered nurses working," said Bonnie Linen-Carroll, a Washington Hospital Center nurse. "It is an absolute disgrace."

The labor union National Nurses United also pointed to a 2012 survey of D.C. nurses that found 57 percent thought "staffing is inadequate always or almost always."

But the DC Hospital Association, which represents 10 Washington hospitals, said the proposal was misguided.

"This makes no sense. No state in the entire country has taken this approach except for California and that was 10 years ago and no one else is even thinking about it," said Bob Malson, the association's president. "You're going to force the hospitals to hire people where they're not needed."

Both sides said research supports their views.

"The science and the academics and the people who actually do all of this stuff all the time will make the case," Malson said.

Hours earlier, the proposal's backers cited a study that said "outcomes are better for nurses and patients" in facilities that used the requirements codified in California.

Malson, who predicted lawmakers would ultimately spurn the proposal, wouldn't say whether his members might mount a legal challenge against the ratios.

But D.C. Council Chairman Phil Mendelson said he was ready for a confrontation.

"This bill is common sense," Mendelson said. "This bill is today's version of the eight-hour day, something that we will see business resist, but on the other hand makes good sense and will lead to quality care."

Source: Washington Examiner

Topics: Washington D.C., nurse-to-patient, minimums, nurse

More men turn to nursing but stereotypes remain

Posted by Alycia Sullivan

Tue, Mar 19, 2013 @ 04:58 PM

By TARA BANNOW

Male nurse Todd Ingram couldn't bring himself to finish the movie "Meet the Parents."

Ingram said he made it to the point in the movie when a group of men erupted into laughter upon learning Ben Stiller's character's profession: a male nurse. They assumed he was joking.

"The stereotypes are still out there, unfortunately, that nursing is women's work," Ingram, an associate professor of nursing at the University of Iowa, told the Iowa City Press-Citizen(http://icp-c.com/XTnJBw).

Despite the lingering stigma in popular culture, a recent U.S. Census Bureau report says the proportion of males working as nurses is slowly climbing. In fact, the percentage of registered nurses in the U.S. who are male has more than tripled since 1970, from 2.7 to 9.6 percent in 2011.

The proportion of male registered nurses at UI Hospitals and Clinics is slightly lower than the national average: 8 percent. Historical data on the proportion of male-to-female nurses could not be provided for this article. Local experts say they're surprised by the increase the Census Bureau numbers identified, as other research and anecdotal observation revealed a much more gradual uptick.

Some say the stereotypes that once prevented young men from viewing nursing as a viable profession are slowly losing their hold over the country. But while traditional gender roles have undergone dramatic shifts in some areas, the idea that such a nurturing line of work is only for women seems to be taking longer to dispel, said John Wagner, director of Clinical Services for Behavioral Health in UIHC's nursing department.

"There's just as great a distribution in men in terms of men that want to help people," he said. "I think that is very strong within the male population, but I think it's only recently that that's been viewed as favorable by society."

Given how male nurses are portrayed in movies and TV, it's still likely that young men considering nursing could be concerned about being viewed as "less of a man" by the public, Ingram said.

Of the 3.5 million employed nurses in 2011, about 3.2 million were women and 330,000 were male, according to the Census data. Most of the nurses working in 2011 — 78 percent — were registered nurses. Another 19 percent were licensed practical and licensed vocational nurses — positions that Wagner said don't exist at UIHC — and 1 percent were nurse anesthetists.

Males weren't always a minority in nursing. In fact, until the 1800s, they represented a significant proportion of the industry because of its military and religious connections, according to Census data. The decline of males in nursing began in the 1900s when legal barriers were created that prevented them from entering the profession.

The Census report found that women working as full-time nurses earned 91 cents for every dollar that male nurses earned in 2011, or an average of $51,000 per year for women compared with $60,700 for men.

UIHC employees' pay is determined using a set formula based on education, level of experience and seniority, so one's gender has no impact on the amount of money they make, Wagner said.

"I think that most hospitals in particular have gone to great lengths to try to eliminate (wage disparities,)" he said. "I know we have."

Aside from the social changes, the nursing industry's low unemployment rate also could be contributing to the increase in males joining the ranks. Wagner said that's the message he hears from many adults who enter the profession later in life.

Some enter nursing as a safe escape from the trauma that comes with being laid off in a tough economy, Wagner said.

"If you lost a job and couldn't find another job, not ending up in that situation again is a big factor," he said.

But Ingram, who interacts with more students, said he doesn't see practicality being the reason that young people choose nursing. He said most of his male students were introduced to the profession by a parent or close family member who's a nurse. None of them, to Ingram's frustration, tell him they were introduced to nursing by a guidance counselor in middle or high school.

That was the case with Iowa City Veteran's Affairs Medical Center nurse Dan Lose, who graduated from UI's College of Nursing in May 2012. He learned about the profession growing up through his grandmother, who is a nurse. His father is a dentist.

"I was always around health care," he said.

Lose, 24, said he's noticed the shift toward more males entering nursing, which he attributes to more people being introduced at an early age. In the past, he said, it was probably more common for males interested in health care to think that becoming a doctor was their only option.

Lose said he personally has never experienced the negative end of male nurse stereotypes.

Back when Wagner was growing up, things were different.

"I remember in high school standing in this long line of women to talk to the nurse recruiter and literally getting kind of hazed by guys that were like, 'Wagner, what are you doing in that line?' It was kind of an uncomfortable experience," he said. "I just don't think young men today have that."

Source: KFOX14

Topics: male nurse, men, men in nursing, stereotypes

NURSING ARTICLE REVIEW: MULTIGENERATIONAL WORKFORCES

Posted by Alycia Sullivan

Tue, Mar 19, 2013 @ 04:44 PM

WRITTEN BY ROBIN HERTEL, MS, RN, CMSRN

This is an article written by my friend and colleague, Robin Hertel. Robin wrote this article several years ago but I recently re-read it while preparing for a discussion about generational influences in the workplace. I found the information to be so valuable and wanted to share it with my readers.

In her article, Robin describes the different generational levels and the key events, people and influences taking place in the world during their time period:
·Radio Babies (1930-1945) – Dr. Spock, Hiroshima, and Betty Crocker
·Baby Boomers (1946-1945) – John F. Kennedy, Charles Manson, and the Rolling Stones
·Generation X (1960-1980) – Bill Gates, Madonna and the internet
·Generation Y (1980-2000) – the Backstreet Boys, Barney, and chat rooms
I love how she provides an easy to read table that includes each generation and a short descriptor of their work ethic, leadership style, and views of authority. Robin describes each as it relates to potential conflict and helps the reader to anticipate and prepare for acceptance and understanding.
After describing common conflicts, Robin provides the reader with solutions:
 
1. Avoid stereotyping – realize that not everyone falls neatly into his or her generational “box”. Respect subtle differences and maintain flexibility.
2. Appreciate different skills and competenciesamong generations – Each generation brings a different skill set. Robin encourages each of us to embrace each other’s strengths.
3. Take steps to avoid the great divide – engage multi-generational groups in open dialogue and encourage sharing of fears, desires and goals.
Robin closes her article by challenging us to think beyond the Golden Rule by recognizing that “doing onto others as you would have them do unto you” may not fit within a multi-generational group. Instead, pause and consider the generational differences of your peers and treat them accordingly.

Topics: multigenerational, leaddership, authrority, Workforce, nursing, ethnicity

Nurses say they want minimum staffing levels to prevent mistakes

Posted by Alycia Sullivan

Tue, Mar 19, 2013 @ 04:38 PM

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Democrats in the Michigan Legislature and a nurses’ union are calling for a state law that would require hospitals to maintain staff levels without resorting to mandatory overtime.

Sixteen states currently have rules regarding staff-to-patient ratios.

Right now, California is the only state with a law that sets minimum staffing levels in hospitals.

State Representative Jon Switalski (D-Warren) is about to introduce legislation to set staffing requirements in emergency rooms and other hospital wards.

“Nurse staffing can literally be a life-or-death issue and affects families from Detroit to the Upper Peninsula,” said Switalski.

Scott Nesbit is a registered nurse from Muskegon. He says he and other nurses have experienced mistakes or a “very near miss” caused by short-staffing.

“I don’t think people realize that when your nurse is handling far too many patients, or working a double-shift or been mandated to stay over, it’s probably because the hospital wants it that way,” said Nesbit.

Similar legislation has failed in previous sessions of the Legislature.

The Michigan Health & Hospitals Association opposes the idea.

The group says a law that sets staffing requirements would rob administrators of the flexibility they need to meet different situations. The association says the bigger problem is a shortage of trained nurses.

Source: Michigan Radio

Topics: nurse staffing, staffing levels, Michigan, nursing

Health care job growth doubled in February

Posted by Alycia Sullivan

Fri, Mar 15, 2013 @ 05:51 PM

By: The Advisory Board Company

The health care industry added 32,000 jobs in February, accounting for 13.6% of the 236,000 nonfarm jobs created last month, according to preliminary data released Friday by the U.S. Bureau of Labor Statistics (BLS).

In comparison, revised BLS data show that the health industry added just 13,000 jobs in January, partly because the agency now estimates that hospitals lost about 3,100 jobs in January.

Latest report shows hiring across industry

Within the health sector, physician offices and outpatient health centers experienced the biggest gains in February, adding about 14,000 jobs for the month, according to BLS. Meanwhile, ambulatory health care services added 13,700 jobs in February, down from 26,700 in January. 

The agency also found:

  • Hospitals created 8,900 jobs in February;
  • Home health care added 6,100 jobs, up from 5,700 new jobs in January; and
  • Nursing homes added 9,000 new workers.

Overall, the national unemployment rate last month dropped to a four-year low of 7.7% (Selvam, Modern Healthcare, 3/8 [subscription required]; Baker, "Healthwatch," The Hill, 3/8).

Topics: jobs, growth, hiring, nurses, health care

A Student Nurse's Guide to Culture and Nursing

Posted by Alycia Sullivan

Fri, Mar 01, 2013 @ 01:54 PM

By: 

Every student nurse needs to have a strong understanding of culture and ethnic considerations so that they may be able to care for their patient's as whole. Many nurses when not faced with diversity are not fully understanding to exactly what culture is.

Culture is a set of learned values, customs, practices and beliefs that are shared by a group of people or are passed from one generation to another. A subculture shares many of the same characteristics with a primary culture but they may have patterns of behavior or ideals that differ and separate themselves from the rest of a cultural group.

Not all members of a culture will have the same behavior though; some of the differences are age, religion, dialect, socioeconomic backgrounds, geographic locations, gender identities, gender roles, and the degree of values that are adopted in a current country.

Stereotyping is something a nurse must learn not to do because culture can influence each person in varies ways and not each person from a certain culture may feel the same way as another person. Stereotyping is a generalized feeling about one group that is formed based on behavior, of an individual or a group. Ethnic stereotyping is a fixed concept of how all members of a certain group may think or act.

Race is considered a group of people who share biologic and physical characteristics, while ethnicity is a group of people who share a common social and cultural heritage based on beliefs, traditions, and national origin, physical and biologic characteristics.

Transcultural nursing is the understanding and integrating of the many variables in culture and subculture practices into all the aspects of nursing care. Different cultures have a variety of practices that may relate to response to illness and death, care of people of different age groups, childbirth, diet and nutrition, and even health care in general and treatment methods.

The nurse must be aware of personal culture beliefs and practices of their patient and understand that these beliefs put influence on their ability to care for those patients of different cultural backgrounds. By understanding these personal beliefs it gives the nurse the ability to react to different cultures with understanding, respect, openness, and acceptance of the differences between them. Depending on the location you work you may come across many different cultures and subcultures it is a nurse's duty to become versed in the different patients they may take care of.

Source: Yahoo Voices

Topics: student nurse, nursing, ethnic, cultural, patient, beliefs

Cultural Competence

Posted by Alycia Sullivan

Fri, Mar 01, 2013 @ 01:52 PM

To be culturally competent the nurse needs to understand his/her own world views and those of the patient, while avoiding stereotyping and misapplication of scientific knowledge. Cultural competence is obtaining cultural information and then applying that knowledge. This cultural awareness allows you to see the entire picture and improves the quality of care and health outcomes.

Adapting to different cultural beliefs and practices requires flexibility and a respect for others view points. Cultural competence means to really listen to the patient, to find out and learn about the patient's beliefs of health and illness. To provide culturally appropriate care we need to know and  to understand culturally influenced health behaviors.

In our society, nurses don't have to travel to faraway places to encounter all sorts of cultural differences, such as ethnic customs, traditions and taboos. The United States provides plenty of opportunities for challenges stemming from cultural diversity. To be culturally competent the nurse needs to learn how to mix a little cultural understanding with the nursing care they offer. In some parts of the United States culturally varied patient populations have long been the norm . But now, even in the homogeneous state of Maine where we reside, we are seeing a dramatic increase in immigrants from all over the world.  These cultural differences are affecting even the most remote settings.

Since the perception of illness and disease and their causes varies by culture, these individual preferences affect the approaches to health care. Culture also influences how people seek health care and how they behave toward health care providers. How we care for patients and how patients respond to this care is greatly influenced by culture. Health care providers must possess the ability and knowledge to communicate and  to understand health behaviors influenced by culture. Having this ability and knowledge can eliminate barriers to the delivery of  health care.  These issues show the need for health care organizations to develop policies, practices and procedures to deliver culturally competent care.

Cross, T., Bazron, B., Dennis, K., and Isaacs, M. (1989)  list five essential elements that contribute to an institution’s or agency’s ability to become more culturally competent. These include: 

1. valuing diversity; 
2. having the capacity for cultural self-assessment; 
3. being conscious of the dynamics inherent when cultures interact; 
4. having institutionalized cultural knowledge; and 
5. having developed adaptations of service delivery reflecting an understanding of cultural diversity. 

These five elements should be manifested at every level of an organization, including policy making, administration, and practice. Further, these elements should be reflected in the attitudes, structures, policies, and services of the organization.

Developing culturally competent programs is an ongoing  process, There seems to be no one recipe for cultural competency. It's an ongoing evaluation, as we continually adapt and reevaluate the way things are done. For nurses, cultural diversity  tests our ability to truly care for patients, to demonstrate that we are not only clinically proficient but also culturally competent, that we CARE..

Meyer CR.(1996) describes four major challenges for providers and cultural competency in healthcare. The first is the straightforward challenge of recognizing clinical differences among people of different ethnic and racial groups (eg, higher risk of hypertension in African Americans and of diabetes in certain Native American groups). The second, and far more complicated, challenge is communication. This deals with everything from the need for interpreters to nuances of words in various languages. Many patients, even in Western cultures, are reluctant to talk about personal matters such as sexual activity or chemical use. How do we overcome this challenge among more restricted cultures (as compared to ours)? Some patients may not have or are reluctant to use telephones. We need to plan for these types of obstacles. The third challenge is ethics. While Western medicine is among the best in the world, we do not have all the answers. Respect for the belief systems of others and the effects of those beliefs on well-being are critically important to competent care. The final challenge involves trust. For some patients, authority figures are immediately mistrusted, sometimes for good reason. Having seen or been victims of atrocities at the hands of authorities in their homelands, many people are as wary of caregivers themselves as they are of the care.

As individuals, nurses and health care providers, we need to learn to ask questions sensitively and  to show respect for different cultural beliefs.  Most important, we must listen to our patients carefully. The main source of problems in caring for patients from diverse cultural backgrounds is the lack of understanding and tolerance. Very often, neither the nurse nor the patient understands the other's perspective. 

Source: CulturalDiversity.org

Topics: nursing, cultural competence, transcultural, transcultural nursing

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