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DiversityNursing Blog

News for nurses roundup: Two new studies released on nurse happiness

Posted by Alycia Sullivan

Fri, Feb 15, 2013 @ 03:31 PM

BY SCRUBS EDITOR

veer.comEvery week we scour the Internet for controversy, quotes and stories related to nursing and the things you care about. Tune in to read our roundup every week!

1. Does your fatigue have anything to do with the length of your shift? According to this study — YES. It does! 

So how did this happen in the first place? Amy Witkoski Stimpfel, a fellow at the University of Pennsylvania School of Nursing, explains:

“Nurses traditionally worked eight-hour days. Then in the 1980s and 1990s, when some structural changes in health care and cost containment measures [were] put in, it was actually less expensive to have nurses work 12-hour shifts, because that [meant] only two nurses per day [were needed] instead of three. So nurses began working these 12-hour shifts. In fact, they decided that they really liked it because it offered better work life balance. Nurses could work three days instead of five, so they had more time off with their family and friends and fewer commutes. And they had more time to go back to school. So it’s really become very prevalent.”

Source: Knowledge @ Wharton

2. Nurses love their career choice, but 30% say they aren’t happy with their jobs.

Harvard Business School professor and author Clayton Christensen describes motivation like this: “[It] means that you’ve got an engine inside of you that drives you to keep working in order to feel successful and to help the organization be successful. It causes you to keep at it through thick and thin. Motivators are things like, ‘I have the opportunity to achieve important things,”I learn ways to be better,’ and ‘I’m an important part of a team.’ If you have those kinds of experiences every day, you’re motivated, and you’ll be satisfied.”

Source: Health Leaders Media

3. San Francisco nurse wins national award for her book detailing her transition to life coaching.

On why she flipped careers:

“I wanted to help people who wanted to make transformative, positive change in their own lives,” said Linda Bark, who runs the Alameda-based Bark Coaching Institute. “Coaching can be for life transitions, business decisions, health–either way, it is about helping a person make a change by listening to one’s whole self. What I invite people to do is to see what information they’re getting, not just from their thinking minds, but from their bodies.”

Source: The Oakland Tribune

Article Source: Scrubs Magazine

Topics: nurse fatigue, nurse happiness, nurse life coaching

50+ Valentine’s Day gift ideas for nurses!

Posted by Alycia Sullivan

Fri, Feb 15, 2013 @ 03:22 PM

BY SCRUBS
describe the imageGulp! That heart-pounding and sweat-inducing holiday is almost upon us…Valentine’s Day. Whether you have a sweetie or are flying solo this year, there’s always something about the holiday that causes some unrest. So we’re here to help take something off your (already full!) plate this V-Day–the dreaded gift brainstorm.

Is your significant other a nurse? These gifts will be right up their alley. If you want to shower some affection on your coworkers, we’ve got affordable options they’ll love. Just looking for a little something for yourself? Hey, we won’t tell! Be sure to let us know in the comments below if we missed an amazing gift idea!

1. Male nurse approved gift ideas!

We nurses (at least most of us) love to show off and strut our stuff. We love all the coffee mugs, pens, pins, trinkets, sweaters, sweatshirts, etc. that have ANYTHING nursing on them. Anything that boasts what we do is OK in our book. And who could go wrong with a coffee mug that says something about nursing for the one profession that KNOWS coffee?

2. The 10 best (and worst!) Valentine’s Day gifts for nurses

The best of the best:

  1. A spa gift certificate–we love massages with no strings attached.
  2. A really great pair of shoes that you know we have been eyeing for awhile.
  3. Flowers–we do enjoy these, just no baby’s breath.
  4. A sweater from our favorite store with the gift receipt (just in case).
  5. Something sentimental, like a nice picture frame with a photo from somewhere special.

3. Nurse bling: Keep calm and nurse on

Help keep your favorite nurse’s badge in place and in style with this adorable twist on the ever-popular “keep calm and carry on” slogan and poster.

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4. Great gift books for the nurse

When you’re navigating the sometimes rough waters of your nursing job, you could use a little guidance, a little pick-me-up, a little hand-holding…we’ve all been there.

Any book on this list would make a great gift for any nurse on your team — or for your entire team (the quirky Don’t Try This At Home is only $5, for example).

Our top picks:

1. Your First Year as a Nurse: Making the Transition from Total Novice to Successful Professional by Donna Cardillo, RN

2. Chicken Soup for the Nurse’s Soul by Jack Canfield, LeAnn Thieman, LPN, and others

5. Lovely charity gifts for nurses to give and get

By their very profession, nurses give to others every day. On holidays, there are ways to continue that spirit of giving–you can ask for gifts where the proceeds will go to worthy causes or give presents that provide needed resources to charities. Check out these 10 charity gifts any nurse would be proud to receive.

1. Proceeds from The Hunger Site go to Mercy Corps, Feeding America (formerly America’s Second Harvest) and Millennium Promise. Check out the children’s hand-knit bumblebee hat and mittens starting at $10.95 or a hummingbird feeder that attaches to your window for $12.95.

2. One of the world’s largest fair trade organizations, Ten Thousand Villages “strives to improve the livelihood of tens of thousands of disadvantaged artisans in 38 countries.” Available gifts include disk and bead earrings from India for $14 and a silk wallet from Cambodia for $38.

6. Nurse bling: “Do not disturb” sign

If your family or roommates need a gentle reminder of your beloved down time, you might want to hint that you’d love this nifty sign from handmade shop More Than Letters to let them know when you’re catching some zzzz’s.

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7. Valentine’s Day gifts for the nurse in your life

What do you get for someone who’s constantly taking care of others?

Gives that will take care of them

  • Most nurses are just plain tired. Their feet hurt and they are exhausted from long hours and long shifts. Wouldn’t it be nice if, for once, someone took care of them?! How about a spa or massage?
  • Let’s not forget about our male nurses out there. The equivalent to a spa day for the men? A ticket to their favorite sporting event. Trust me.

8. Beautiful and fun Etsy picks for nurses!

Between the bedpans and the bureaucracy, life as a nurse can get ugly at times. On Those Days, every nurse needs a little extra beauty or humor in their life—something to look at that will make them smile. These 10 Etsy selections for nurses will do the trick!

“Scope” This Out!

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It’s a stethoscope cozy! Nursing student PaisleyMaizie makes stethoscope covers from fashionable fabric in a wide variety of colors and patterns. Each one is padded and then lined with ultra-soft Minky microfiber.

Source: Scrubs Magazine

Topics: Valentine's Day, V Day, Valentine's Day gift, present, nurses

Apps for nurses: Taber’s Medical Dictionary

Posted by Alycia Sullivan

Fri, Feb 15, 2013 @ 03:17 PM

BY SCRUBS EDITOR 

There are lots of medical dictionaries out there, but it seems that Taber’s Medical Dictionarydescribe the image for Mobile + Web–which is used a ton in nursing schools–is one of the top choices. If what they claim is true (“including 30% more medical terms than any other app,” “used most amongst healthcare professionals”), then we can see why!

Taber’s contains more than 60,000 terms, 1,000 photos, and 600 patient care statements, making it a hugely comprehensive health science dictionary. The iTunes page boasts that “Taber’s goes beyond in-depth definitions with nutrition and alternative therapy coverage, medical abbreviations, symbols and units of measurement, immunization schedules, nursing diagnoses, links to pronunciations, and more. This powerful app contains the information you need to answer critical questions at the bedside, in the classroom, at home, or in the office.”

What nurses love about Taber’s: 

“The index is super easy to use. Very nice to be reading my nursing e-textbook and switch to my e-Taber’s and get more info. I highly recommend this!” – Space Queen, Amazon.com

Taber’s Medical Dictionary for Mobile + Web features for all iOS devices:

• Optimized interface
• Universal Index Search – find topics across all indexes
• Personalized favorites
• Superior navigation

Taber’s Medical Dictionary for Mobile + Web features for iPad:

• iPad-specific interface – not just an enlarged iPhone app
• Side-by-side reading and navigation panes

PLEASE NOTE: This application requires a paid subscription to the online Taber’s Medical Dictionary for Mobile + Web service.

Source: Scrubs Magazine

Topics: Taber's Medical Dictionary, nurse apps, nurse iPhone, nurse iPad, medical dictionary

'Bedless hospital' marks sign of the times

Posted by Alycia Sullivan

Fri, Feb 15, 2013 @ 03:11 PM

By Jeff Ferenc

New delivery models will bring an increase in community-based facilities

With population health gathering momentum in the wake of health care reform, more hospitals are either constructing community-based settings or are including them in their plans. The goal is to offer sophisticated levels of care at patient-friendly sites and reduce costs with fewer hospital admissions.

Montefiore Medical Center is a perfect example of what is expected to become a growing trend. It recently announced plans to lease a new 11-story, 280,000-square-foot building at Hutchinson Metro Center, a mixed-use development in New York City.

The project, scheduled for completion in the third quarter of 2014, will provide space for multidisciplinary care and integrate technology that allows Montefiore to provide necessary treatments without the need for hospitalization.

"This new tower will allow Montefiore to bring the health care of tomorrow to our patients here in the Bronx," says President and CEO Steven M. Safyer, M.D. "We are reshaping outpatient care and establishing leading practices that provide Montefiore's world-class treatments through multidisciplinary teams at a hospital without beds."

The decision to develop a freestanding ambulatory facility emerged because of several factors, including the ability to provide high-tech imaging and surgical procedures in an outpatient setting, says Ed Pfleging, vice president of engineering and facilities.

The site will include 12 operating rooms and four procedure rooms that will allow difficult cases requiring a hospital-type setting to be scheduled more easily and completed quickly, he says.

While not all new off-campus facilities will be as large as this one, the 2013 Hospital Construction Survey conducted by H&HN's sister publication, Health Facilities Management, and the American Society for Healthcare Engineering also identifies a trend involving increased community-based health care.

Of the 612 survey respondents — who include vice presidents and directors of facilities management and operations at U.S. hospitals — future facility development plans and construction projects include:

  • 11 percent, ambulatory surgery centers, 
  • 11 percent, satellite offices catering to specialities;
  • 15 percent, outpatient facilities in neighborhood settings; 
  • 12 percent, urgent care facilities in neighborhood settings;
  • 15 percent, new medical office building construction.

According to the National Association of Community Health Centers, the number of Americans who rely on community health centers for care is expected to double to an estimated 40 million by 2015 — from about 20 million in 2010. The Affordable Care Act allocated $11 billion to expand these centers, including $1.5 billion for construction.

Richard Taylor, managing director, health care solutions group, Jones Lang Lasalle, a real estate services firm based in Chicago, says health care systems are evolving into integrated delivery systems that reach out to their customers through a variety of facility types.

"It's all part of that overall trend that you can track back to the health care legislation and consumer preferences," he says. Lower cost of delivery and competition are two other key factors in the trend, he adds.

Marisa Manley, president, Healthcare Real Estate Advisors, agrees that the drive is in full swing for hospitals to move urgent, ambulatory and primary care to community-based sites to meet patient preferences and to cut costs.

Another positive outcome of the trend is that hospitals likely will start to utilize some of the empty buildings and office spaces caused by the Great Recession in addition to building new facilities when necessary, she says.

Source: H&HN

Topics: community-based health facilities, bedless hospital, healthcare, hospital

The power of a smile and a handshake

Posted by Alycia Sullivan

Fri, Feb 15, 2013 @ 02:58 PM

By Laura Putre

Patient satisfaction scores soar after hospital trains staff to treat patients — and each other — with respect.

When Laurent Gueris took over the housekeeping department at Providence Little Company of Mary Medical Center in San Pedro, Calif., the staff of 15 was well-trained in cleaning, but any people skills they had, they'd picked up on their own. Some entered rooms without knocking, did their jobs wordlessly with heads down, and then rushed out. Wanting to be invisible, they instead came off as sullen and unhelpful.

"They would do their little cleanup and leave," recalls Gueris' boss, Providence CEO Nancy Carlson. "They were very intimidated by other staff in the hospital and they were not being respected and valued."

At first, Gueris, manager of environmental services, concerned himself with easy fixes in his department, like purchasing paper towel dispensers that didn't have to be changed as often and swapping out conventional mops for microfiber ones. But a trip to France to visit his dying mother in the hospital prompted him to think about bigger issues, such as getting his workers to say "hello," be pleasant, even chitchat occasionally with patients.

"One day, I would see a housekeeper who was very friendly and connected with my mom," he says. "And another day, somebody would just go into the room and not even knock on the door."

Gueris became a student of the hospital's staff, noticing how some were able to defuse difficult situations and others made it worse. He also saw how a few pleasantries — and treating difficult patients as otherwise decent people reacting with fear and anxiety to a very stressful situation — made a big difference.

Back home, Gueris introduced role-playing sessions. Every morning, the staff met to rehearse interactions with patients. Gueris offered guidelines, something they hadn't had: Knock on the door. Ask permission to come in. Introduce yourself and tell them you're from housekeeping.

At first, Gueris played the patient, really throwing himself into his role. Sometimes, he'd be angry, sometimes insulting — whatever he knew would push a particular worker's buttons. After the session, he gave pointers on such matters as looking people in the eye or defusing an overly flirtatious patient with "Thank you very much, I appreciate that, but I'm not interested."

Gradually, the staff started coming around. After six months, they grew confident to the point that they wanted to take turns playing the patient.

"They give each other a real hard time," Carlson says. "They come up with scenarios that really challenge their peers."

They also began challenging Gueris.

"I'd say, 'You didn't look me in the eye,' and they'd say, 'Yes, Laurent, I did.'" So he started recording the morning sessions, which the staff would watch, discuss and then erase.

He was expecting resistance with the videotaping, but didn't get much. "I'd been working with them for a while to build that trust," he says. "We did the first video, it broke the ice and, by the next day, they were fine with it.

"Seeing it on their own was very powerful," he adds. "Not just the eye contact, but their facial expressions, their body language. Maybe they thought they did not look nervous, but they were [twitching] their legs."

They now follow a script: "Hi, I'm here; my name is …. I'm here to clean your room. I'm hoping you're having a good day today; here's a flower," then hand the patient a card with a flower printed on it. Once the room is clean, they ask whether the patient would like his or her curtains open or closed and whether they need anything else.

"Even though they can't answer a clinical question or stop an IV from alarming," says Carlson, "they can move a telephone closer, get a blanket, or ask a nurse to come in and respond to a clinical concern or question."

The housekeepers' patient satisfaction scores have jumped from the 60th to the 70th percentile to the 90th percentile in 2012. For his efforts, the Hospital Association of Southern California named Gueris a Hospital Hero for 2012.

Gueris' training techniques are now rolling out to other parts of the hospital, starting with nurses' aides and administrative staff. "Our goal is to roll it out to anybody who has interaction with a patient, including the phlebotomist who comes in, sticks a patient with a sharp object and leaves," Carlson says.

Source: H&HN

Topics: power of a smile, patient satisfaction scores, respect, hospital, patient

Healthcare adds 23,000 workers as demand shifts

Posted by Alycia Sullivan

Fri, Feb 15, 2013 @ 02:53 PM

Hospitals employed a seasonally adjusted 4.8 million individuals last month, 3,600 more workers than in December, according to data released Friday from the Bureau of Labor Statistics.

While national unemployment rose one percentage point in January to 7.9 percent, the healthcare sector saw employment grow by roughly 23,000 jobs. Much of the gains in healthcare jobs came from ambulatory healthcare services, which employed a seasonally adjusted 6.4 million in January, up 27,600 from the month before.

But not seasonally adjusted, hospitals employed 8,600 fewer people than in December, noted AHA News Now.

Meanwhile, online labor demand for healthcare practitioners and technical occupations fell by 25,900 to 616,300 postings in January, according to research association Conference Board.

But healthcare employment will likely continue, even with efforts to cut costs, according to a New York Times opinion piece. With a drop in hospital jobs comes an uptick in other healthcare-related jobs, such as home health aides, the commentary noted.

Home healthcare services employed 1,300 more workers last month.

The NYT opinion piece echoes an editorial published in June in the New England Journal of Medicine. Two Harvard economists said the focus on healthcare jobs is "misguided" and should be left out of cost-control debateFierceHealthcare previously reported.

Topics: jobs, shifts, employment, nursing, healthcare, nurses, hospitals

Milkshakes to pigs feet: Hospice volunteer does whatever he can

Posted by Alycia Sullivan

Wed, Feb 06, 2013 @ 11:27 AM

By ANGEL McCURDY 

Covenant Hospice Brice Horwell

On any given day you can see a group of people sitting in a small corner at Emerald Coast Center nursing facility.

Members of the reading club deal with disease, death and heartache, but there are no tears because of the special attention Covenant Hospice volunteer Brice Horwell gives them.

They enjoy their books, some conversation and milkshakes Horwell brings.

Horwell does more than visit with patients. He becomes their friend.

Horwell brings fresh flowers to the nursing facilities he visits each week. He tours the halls to say hello to each person he sees; he knows most by name.

He also visits hospital rooms and people’s homes.

“I feel like I’m doing something,” Horwell said. “I don’t want to see anyone die alone.”

Horwell, who is retired from the Navy, has volunteered with Covenant Hospice for eight years. He visits his clients weekly, runs errands and finds ways to make hard days better.

“I‘ve done some weird things,” Horwell said, laughing. “There‘s a patient that loves pigs feet. I would never eat pigs feet, but I’m happy to go and get them.”

Tim Morgan is a member of the Emerald Coast Center’s reading club. Morgan, who is no older than 60 but suffers from kidney failure, says Horwell’s weekly visits add joy to his day.

“Life wouldn’t be what it is without this guy,” Morgan said. “He brings us outside contact and is a great conversationalist. It means a lot to have somebody come to visit.

“It really makes a difference and lifts your spirit.”

In the last year, Horwell has accumulated more than 350 volunteer hours through his weekly visits, 11th-hour work and Hospice’s We Honor Veterans.

“He is the last face they will see as a measure of comfort,” said Dennis Krebs, Covenant Hospice’s volunteer services outreach assistant. “That means something to him and it means something to the people he’s with.

Topics: volunteer, Emerald Coast Center, Covenant Hospice, hospice

Medical Units Improved To Reduce Nursing Fatigue, Cut Costs

Posted by Alycia Sullivan

Wed, Feb 06, 2013 @ 11:25 AM

In hospitals, poor floor design, storage closet clutter and crowded corridors can contribute to nurse and medical staff fatigue. These distractions can hurt patient care quality and result in higher medical costs. 

Now, a new Cornell University study offers a spatial solution. 

Rana Zadeh, Cornell assistant professor of design and environmental analysis in the College of Human Ecology, analyzed the floor plans and work patterns within five medical-surgical units at U.S. hospitals and found numerous opportunities to boost nurses' efficiency through better design. Zadeh's research, "Rethinking Efficiency in Acute Care Nursing Units: Analyzing Nursing Unit Layout for Improved Spatial Flow," is published in the current issue of Health Environments Research and Design Journal (6:1). 

In some hospital wards, important spaces such as nourishment rooms are located far away from a nurse's typical path. Jammed patient-care corridors create excessive noise, and high foot traffic raises the potential for interruptions. Supplies are stocked in various rooms, leading nurses to "hunt and gather" to find materials. 

Experts say some nurses walk up to five miles during a typical shift. Even seemingly minor changes to improve the alignment of a facility layout for better caregiver workflow can have significant benefits. 

"Imagine if a pilot was flying an airplane and trusted with keeping passengers safe, but instead of located in the cockpit, the necessary tools and controls were spread around the cabin of the plane," Zadeh says. "New medical practices and technology have emerged during the past decade, and facility design should adapt to these changing practices so that caregivers can perform better on their critical tasks." 

Data confirms the average hospital has an infrastructure that is roughly 30 to 40 years old, says Zadeh. "They can be designed innovatively and smartly for today's fast pace of care. We hope this tool offers planners, designers and managers doing a facility renovation or addition a way to spot the missing links in their floor plans and to make work processes more efficient through research-based design." 

Original article posted on Medical News Today.

Topics: study, nurse fatigue, decrease fatigue, cut costs, efficiency, Cornell University

Day In The Life Of A Registered Nurse

Posted by Alycia Sullivan

Wed, Feb 06, 2013 @ 11:19 AM

By Tony Moton

It didn't take long for Annette Staack to realize that making the decision to pursue a career as a registered nurse (RN) was the right one for her.

"It was my calling," says the energetic Staack. "With the first thermometer that I put into my first patient's mouth, I loved it."

A 55-year-old mother of two adult children, Staack earned an associate's degree in nursing from an Iowa community college when she was in her 20s. She says she decided to go to school because she had long had an interest in a career that would allow her to help others.

And while circumstances are different for all nurses, Staack says that she was able to finish her nursing degree in two years, which led to a career that has provided her with a good living and a better work/life balance.

Staack currently holds the title of cardiac liaison and cardiac procedure nurse at her Los Angeles-area hospital, where she has worked for more than two decades. She specializes in testing and assisting in the treatment of patients with heart ailments. And most importantly, she enjoys every moment of it.

"You get to work with patients in all kinds of situations," she says. "You've got emergencies, patient contact, and being responsible for their lives. I like the hands-on aspect of it."

Here's a closer look at how Staack spends a typical day on the job at her hospital.

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6:45 a.m. - I check my outpatient bookings which tell me when and how many patients I will be in contact with throughout the day.

7:00 a.m - I head on up to the dedicated office for the cardiac liaison and cardiac procedure nurses. I call all the departments that I cover (EKG, echocardiology, radiology, and outpatient surgery) to see what in-patient tests are on the schedule. I call the doctors involved so I can get my day organized and coordinate times. I also check my work emails and respond as needed.

7:45 a.m. - I fax premed orders (medications patients need to take for procedures) given to me by doctors during earlier phone calls. I set up my equipment and supplies needed for my first 9 a.m. patient and call the patient transporter to ensure the patient will be on time for the procedure.

8:15 a.m. - I head to the EKG to run a dobutamine stress echo test on another patient with a doctor present.

8:45 a.m. - In the cardiac procedure room, I greet a new patient and call for an Armenian translator because the patient doesn't speak English. I check the patient's vital signs and they are all normal.

9:00 a.m. - The translator explains the process to the patient and she verbalizes her understanding. I finish my computer charting, obtain sedation IV medicines, and wait for the doctor. I text him that we are ready.

9:15 a.m. - The doctor arrives and we begin a procedure to look at the patient's heart and determine whether there are any abnormalities. Within two-to-three minutes the patient is sedated. Images are taken during a five-to-seven minute time period.

9:45 a.m. - The patient slowly wakes up and responds appropriately. I check the patient's vital signs, which are stable. I fill out a patient's chart on the computer. I also provide a written report of meds and findings for the bedside nurse to review.

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10:15 a.m. - I head to the cardiac surgery room and speak directly to surgeons to get an update on the progress of a coronary bypass surgery. I get to actually see a human heart being operated on. It's so amazing, truly a miracle. Then I go to the main lobby to speak with family of the surgery patient and give them an update and answer any questions.

10:45 a.m. - I return to my office and try to eat my yogurt, but I get called to EKG as I'm needed for a patient test.

11:15 a.m. - Another sedation procedure. On the way to the room, I get a call directly from another doctor that's needs me for an urgent electrocardioversion. I call anesthesia and meet them all at the patient's bedside. I call the transporter and tell him I will be delayed by 15 minutes for the other patient due to this urgent matter, but all goes well.

11:45 a.m. - I greet my patient in EKG, connect her to monitors, get her meds, and call the doctor.

12:30 p.m. - The doctor arrives.

12:45 p.m. - The patient tolerates the procedure just fine and is returned to the outpatient unit. I give a report to the patient's nurse.

1:15 p.m. - I go to the surgery room, where a heart surgery is just finishing. The surgery involves another one of my patients, so it's important for me to monitor their progress. I update the patient's family, tell them "all is well," and the MD will speak with them in about 30 minutes. They were so worried, but now are so grateful and give me a hug.

1:45 p.m. - I go to eat my lunch and, sure enough, I get interrupted by EKG. I do three back-to-back-to-back Lexiscan stress heart tests. Today is a pretty hectic day, which is usually the case. But no two days are exactly alike for me.

2:30 p.m. - I head back to my office - to a cold lunch - but I eat it anyway.

3:00 p.m. - I head to Telemetry Unit to speak with a patient and their family about tomorrow's coronary bypass surgery. I need a Spanish translator to help explain and repeat the process to the patient and family. They verbalize understanding and agree to proceed. I schedule the surgery with the OR (Operating Nurse) booking clerk.

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4:00 p.m. - I return to my office to just rest for a minute or two. Check to see if I have any new work-related emails and respond, if necessary.

4:15 pm. - I go to the ICU, where today's heart surgery patient is recovering. I review her chart and collect the surgery data. One of my main responsibilities is that I collect and record data on every cardiac surgery patient. It's a 14-page database form, very complicated but very important.

4:45 p.m. - I make a final check of any new work emails and get ready to head home.

5:00 p.m. - I look at my schedule for tomorrow, which gives me an idea of how many patients and procedures I might have the next day.

5:15 p.m. - I am out of here. Tired but fulfilled! I am thinking about what I might have for dinner and having a relaxing night at home in front of the TV. I'm usually in bed and asleep by 10 during the week because I need my energy for the next day.

Topics: work, day in the life of a nurse, daily schedule, nurse

The Joys and Challenges of Men in Nursing

Posted by Alycia Sullivan

Wed, Feb 06, 2013 @ 11:12 AM

BY DARIA WASZAK, RN, MSN, CEN, COHN-S

The Joys and Challenges of Men in Nursing

Gerardo Gorospe, RN, BSN, MSN, is frequently mistaken for a physician — not necessarily due to his skillset, expertise, white coat or bedside manner, but because of his gender.  “I am often asked why I am not a doctor. I politely say, ‘Because I wanted to be a nurse.’” 

Gorospe is the clinical nurse manager in the Department of Hematology and Hematopoietic Cell Transplantation at City of Hope in Duarte, Calif. He has been an RN for over 21 years and has his MSN in education and nursing administration. Although nursing is a predominantly female profession, he decided to become a RN because of his interest in health and science, helping patients achieve wellness and the “personal interaction aspect” of being a nurse.

He spends his workday managing a team of transplant coordinators and hematology clinical trial nurses, resolving problems, supervising staff and managing projects, among many other tasks. “I think because we are in a female-dominated environment, there is, in the community at large, not a great understanding of who we are and what we do,” he says. “There are some gender stereotypes when it comes to the territory of nursing.”

That couldn’t be more evident than when you take a look at older nursing textbooks, like a 1962 edition of Mosby’s Practical Nursing that Gorospe recalls picking up from a thrift store; the cover featured a picture of a woman in a white nursing dress, white cap and heels, holding a tray. “There is certainly gender bias in our early textbooks of nurses as women,” he says.

Heavy Lifting
So, does there continue to be a social stigma surrounding being male in a predominately female profession? What difficulties do men in nursing face today? Gorospe, 45, who went to nursing school in the early 1990s, says his patients never had a problem with his gender, but he did remark that since he is often the only male on duty, his female colleagues frequently turn to him for his physical strength. “I think when it comes to the physical work — lifting patients and heavy equipments — male nurses are often asked to assist,” Gorospe says, adding that his colleagues would often exclaim, “We are glad you are here today, so you can help lift.”

A Need for Role Models
Samuel Gomez, MSN, RN, PHN, CENP, was one of only two men in his nursing program in the early 1980s. Since men were even more uncommon in nursing at that time than they are now, he, like Gorospe, was frequently asked why he didn’t just become a doctor instead of a nurse.

Gomez, 48, explains that he was inspired to choose nursing as a career by a high school guidance counselor who was also a RN. “She told me that as a man, nursing was a great profession for me to explore and that it had many possibilities and opportunities,” he says. “She was absolutely right.” 

Now, Gomez is the one inspiring other men to join nursing. He is currently the executive director of cardiovascular services at Mission Hospital Regional Medical and Trauma Center in Mission Viejo, Calif., but he often speaks to medically underserved middle school youth. When he was a professor at the University of Southern California, he even started a special interest group for male nursing students. 

“What is most important to me as a nurse who is male is the importance of role-modeling for others, the importance men have in nursing and that as a profession, it is open and ready for more men to join,” he says. “I am always sure to point out to male students that nursing has been an outstanding career for me and it can be for them as well.”

A Tailored Fit
According to a 2005 “Men in Nursing” survey conducted by Hodes Research and published on the website of the American Assembly for Men in Nursing (AAMN), approximately 6 percent of nurses are men. Nearly half of the almost 500 respondents to that survey reported experiencing gender-related problems in the workplace, including being stereotyped as “muscle,” being a minority in the nursing profession, being perceived as not caring or having trouble communicating with female colleagues.

Scott Topiol, co-founder of the online men’s scrub store Murse World, adds that male nurses often face an additional problem: Nursing scrub stores rarely have a good selection or variety of scrubs for men. Unisex scrubs, which feature solid colors, a baggy fit and a V-neck cut, are no solution; they only come in a few styles and stores seldom carry all of those.         “Scrubs that are made specifically for men not only fit their bodies better,” says Topiol, “they also offer more masculine styling options that help male nurses and healthcare professionals look and feel their best on the job.“

Topiol says that one of the goals he and co-founder Alex Mayzels had in starting Murse World was to provide scrubs that are more attractive to men. “One thing we've found is that many men are looking for a more athletic, sporty cut and also want color accent options such as contrast color stitching,” he explains.  

Communication Styles
Like the respondents of the 2005 Hodes survey, 38-year-old Troy Gideon, RN, BSN, critical care clinical coordinator at St. Jude Medical Center in Fullerton, Calif., says that one of the biggest challenges male nurses face is continuing to improve their professional interactions with female colleagues. “A man in a female world must learn the intricacies of female communication and the dynamics of their interrelationships to be able to work collaboratively towards a goal,” he explains. 

Despite the communication hurdles, Gideon has seen improvement for men as nursing has evolved over time. “I think that the industry has changed greatly in its social context as the field has become more educated and professional,” he says. “With this change and the financial stability that comes with it, nursing has become a magnet for more males, thus dissolving preconceived stigmas.” 

Managing the Whole Patient
Gomez, Gideon, and Gorospe all spoke about how rewarding their nursing careers have been, whether they have involved teaching, leading and supervising other nurses or performing patient care.

“As nurses, we are for the whole individual, not just managing the medical condition or surgically managing a patient. We manage the patient holistically,” Gomez says. “That was all I needed to know about the profession of nursing — that it was aligned with who I was as a person and as a human being.”

Topics: men, men in healthcare, nursing, benefits, minority, challenges

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