DiversityNursing Blog

Healthcare organizations strive to provide culturally competent care for individuals who identify as lesbian, gay, bisexual, transgender, or queer (LGBTQ). Recent changes in society, including the legalization of gay marriage have raised public awareness of LGBTQ issues. Yet many healthcare professionals lack knowledge in some areas when caring for LGBTQ patients.

Michael Johnson, PhD, RN, understands the barriers faced by LGBTQ patients and the assumption often made by healthcare professionals that all patients are heterosexual. 

According to a Nurse.com article, Johnson said, “Some members of the LGBTQ community avoid seeking healthcare services because of previous negative experiences in which they faced discrimination. Studies have shown most LGBTQ patients want to be able to share their sexual orientation or gender identity with their healthcare provider, but are often reluctant to open up because they fear they may be treated badly or even refused care."

LGBTQ individuals have a long history of discrimination at the individual and institutional levels, including the healthcare system. They may check to see if the environment is a safe place to reveal personal information, especially about sexuality. Some things an individual may take note of during their time in your waiting room area include:

• Your organization’s nondiscrimination policy: Is it in a visible location?
• A rainbow flag, pink triangle, or other symbol of inclusiveness
• Availability of unisex restrooms
• Health education literature with diverse images and inclusive language, including information about LGBTQ health
• Posters announcing days of observance such as World AIDS Day, Pride, and National Transgender Day of Remembrance

To understand LGBTQ populations and their health needs, it is important to first define the distinct core concepts of sexual orientation and gender identity. You can read about key LGBTQ terms here.

LGBTQ health requires specific attention from health care and public health professionals to address a number of disparities, including:

• LGBT youth are 2 to 3 times more likely to attempt suicide.
• LGBT youth are more likely to be homeless.
• Lesbians are less likely to get preventive services for cancer.
• Gay men are at higher risk of HIV and other STDs, especially among communities of color.
• Lesbians and bisexual females are more likely to be overweight or obese.
• Transgender individuals have a high prevalence of HIV/STDs, victimization, mental health issues, and suicide and are less likely to have health insurance than heterosexual or LGB individuals.
• Elderly LGBT individuals face additional barriers to health because of isolation and a lack of social services and culturally competent providers.
• LGBT populations have the highest rates of tobacco, alcohol, and other drug use.

 

Nurses should avoid asking any unnecessary questions. People are sometimes curious about LGBTQ people and their lives, which can lead them to want to learn more by asking the patient questions. However, like everyone else, LGBTQ people want to keep their medical and personal lives private. Before asking any personal questions, first ask yourself: “Is my question necessary for the patient’s care, or am I asking it for my own curiosity?" If for your own curiosity, it is not appropriate to ask. Think instead about: “What do I know? What do I need to know? How can I ask for the information I need to know in a sensitive way?"

Effectively serving LGBTQ patients requires you to understand the cultural context of their lives, and to modify your procedures, behavior, and language to be inclusive, non-judgmental, and helpful at all times. By doing this, healthcare staff can help ensure that LGBTQ patients receive the level of care that everyone deserves. What helpful information can you add regarding this topic?

Change is a constant in the healthcare environment, and employees’ needs change as new generations with different attitudes, values, and beliefs join the workforce. Leaders must view employee engagement as an ongoing journey that demands intentional interventions. During the past decade, healthcare agencies have experienced unusually low turnover, but this is changing, and turnover rates are beginning to increase. Engaging and retaining staff is a high priority. Below are a few ways to improve employee engagement.

Value

Leaders must create a positive work environment where employees feel valued and supported. It is essential to provide support such as material, human, and emotional resources. Genuinely acknowledge the significance and complexity of the work provided by caregivers. Recognition does not always have to involve rewards. Effective recognition can be as simple as showing empathy or acknowledgment in a sincere way such as a statement like “I understand what you went through today.”

Team-building Activities

Nursing is a stressful field. Working with the same group of people every day in a stressful environment can lead to conflict. Organizing team building activities helps staff blow off steam in a healthy manner. Having a department-specific holiday party, summer picnic, cookie exchange, etc. are just a few things that help promote teamwork while having fun.

Be Available

Skillful leaders are visible, available, and approachable in the workplace. Effective leaders engage with staff, patients, and families—not  to check up on employees, but rather to genuinely interact and converse and to be available to team members. Many managers proclaim to have an open-door policy, which generally refers to extending an open invitation for employees to visit and share ideas with the manager in his or her office. However, a better way to view this policy is to have the manager open the door and walk through it on his or her way to spending meaningful time in the workplace to build goodwill and engage with staff.

Work/Life Balance

Some Nurses, on the other hand, prefer to continue some type of work or activities after retirement. Here are some job ideas for the retired Nurse who still wants to work a little bit.

reviewer for Nursing Licensure Exams

To be considered a full-fledged registered Nurse you need to pass the Licensure exam. Being a reviewer comes with flexible hours and good pay. Not only that, you gets to help out a new generation of Nurses fulfill their dreams of being professional nurses.

Freelance Nursing Writer

Nursing writers create content for test prep courses, instructional manuals, and other training materials. If you're interested in this sort of work, other terms to search for are, Nurse Certification Writers, Nurse Research Writers, Learning Development Writers, and Medical Writers.

Teach Health Classes In Schools

Nurses teaching health classes in high schools is common. They know the topic and have first-hand experience with actual cases and are just about the most qualified in teaching subjects like sex education and nutrition.

This can be a very rewarding job for a retired Nurse since he or she doesn’t need to take on fully loaded schedules and can also work part-time in the school clinic.

School or summer camp nurse

Nurses who love kids couldn’t ask for a better position. Schools and summer camps often hire RNs to provide basic care for their staff and students. They will avoid the hectic atmosphere of hospitals but still practice their medical skills in an energized environment.

Nurse Educator

Many opportunities exist for Nurse educators outside of the hospital setting. Common settings for Nurse educators include medical device manufacturing companies, community clinics and government offices, pharmaceutical companies, research facilities, textbook publishing companies, and, of course, colleges and universities. The opportunities are rapidly expanding due to the growth of online jobs, and the possibilities for self-employment.

Nurse Bill Auditor

Perform audits of medical records to identify over-payments/underpayments. Must be a licensed RN with excellent communication skills, 3+ years’ clinical experience, and at least one year of reviewing/auditing experience. Mostly remote, freelance role.

There are many opportunities for Nurses thanks to all the life skills and experiences that the profession provides. So long as you keep your eyes peeled and your spirit positive, the right opportunity will come your way.

To be appreciated for who you are and what you do makes us feel good about ourselves. It affirms that we’re doing a good job and we’re being recognized for it. Appreciation goes a long way at work, at home and how we connect with each other. We thought you’d “appreciate” reading this article because someone pretty special thinks Nurses are amazing and we do too!

"I thank her and I want you to know her name: Sister Cornelia Caraglio,” said Pope Francis as he remembered the nurse who saved his life at 20 years old. 

"When, at the age of 20, I was on the verge of death, she was the one who told the doctors, even arguing with them, 'No, this isn't working. You must give more,'" the Pope said during a meeting with thousands of nurses - members of Italy's national association of nursing professionals.

“And thanks to those things [her suggestions], I survived,” recalled the Pope. 

The Pope Thanks Nurses

Pope Francis thanked all nurses in attendance, "you are there all day and you see what happens to the patient. Thank you for that!" he continued, “many lives, so many lives are saved thanks to you!”

He spoke about the importance of the nursing profession and the unique relationships nurses form with all members of the healthcare team - patients, families, and colleagues. Pope Francis stated that nurses are at “the crossroads” of all these relationships. 

Furthermore, Pope Francis acknowledged the “truly irreplaceable” role nurses play in the lives of their patients. “Like no other, the nurse has a direct and continuous relationship with patients, takes care of them every day, listens to their needs and comes into contact with their very body, that he tends to,” stated Pope Francis. 

The Pope called nurses, “promoters of the life and dignity of the persons.”

He spoke about the sensitivity they acquire from “being in contact with patients all day," and addressed the healing power of listening and touch. Calling touch an important factor for demonstrating respect for the dignity of the person. 

He praised nurse’s continuous and tiring commitment to their individual patients despite the patient’s societal status. Calling a nurse’s care particularly important in a society which often leaves weaker people on the margin, only giving worth to people who meet certain criteria or level of wealth. 

Pope Francis called the nursing profession “a real mission,” and referred to nurses as, “experts in humanity.” 

When speaking of touch, Pope Francis told the story of when Jesus healed the Leper through touch. Encouraging the nurses, "we must recognize the importance of this simple gesture," Pope Francis said. "Mosaic law forbid touching lepers and banned them from approaching inhabited places. But Jesus went to the heart of the law, which is summarized in love for one's neighbor," stated Pope Francis.

While acknowledging the difficulty of the nursing profession, Pope Francis encouraged patients to have patience with nurses, to not demand things from nurses and to smile more at their nurses.

The Pope reminded nurses, "a caress, a smile, is full of meaning for one who is sick. It is a simple gesture, but encouraging, he or she feels accompanied, feels closer to being healed, feels like a person, not a number.”

Pope Francis encouraged nurses, to not forget the “medicine of caresses.”

“Unless you really have a passion and a desire to be a Nurse educator, we don’t see people migrating to that field, because of the pay,” said Ron Moore, the recently retired vice president for Nursing at Charleston Area Medical Center. Moore said without qualified Nursing faculty to teach the people who want to be in a Nursing program, states like West Virginia aren’t going to be able graduate enough Nurses to meet the needs of its aging population. “So without an adequate workforce, hospitals can’t function to their capacity."

Nursing shortages are forcing hospitals to close beds, hire temporary Nurses at great expense to fill the gap and possibly provide less than optimal care to patients.

According to Benedictine University, with the amount of Nurses approaching retirement, there are a variety of concerns that there will not be enough Nursing professionals to fill this void. Demographic changes and the aging population are expected to become more serious as Nursing demands grow. Individual’s lifespans are increasing and require more attention to long-term care. Nurses educators are sought after for guidance and teaching to prepare seniors for long-term home care and educate future Nurses who will be the care providers.

“The average age of a Nurse is around 50,” says Dr. Knestrick. “It’s estimated that over 50% of Nurses that are practicing are over the age of 50. This means that within 10 to 20 years they will be retiring from Nursing, which will further add to the shortage.”

In some states, there are already strategies in place to address the shortage of Nurse educators. According to indeed.com, the Nurses for Wisconsin initiative provides fellowships and loan forgiveness for future Nurse faculty who agree to teach in the state after graduation. Some Nursing schools have formed strategic partnerships to help boost student capacity. The University of Minnesota has partnered with the Minnesota VA Health Care System to expand enrollment in the schools Bachelor’s of Science in Nursing program.

Nursing programs should emphasize the invaluable role of Nurse faculty, step up recruitment efforts for the next generation of Nurse faculty and provide Nursing education tracks that address the healthcare needs of today’s multicultural and growing society.

We’re posting this information about the “Give a Spit About Cancer” campaign to help spread awareness regarding healthcare disparities in bone marrow transplant recipients. As usual, white patients have a greater chance of finding a donor match than people of color. If more bone marrow donations are given by people of color, the % of matches in this population will increase. Please help us spread the word.

Since 2011, Give a Spit About Cancer has mobilized more than 8,000 young people to change patient lives through registering to become a bone marrow donor. Last year, Johnson & Johnson teamed up with DoSomething.org and the Give a Spit About Cancer campaign to help amplify those efforts.

Give a Spit About Cancer was established to help address a staggering health disparity that exists among bone marrow transplant patients: 77 percent of white patients have a chance of finding a viable donor, while black patients only have a 23 percent chance. By increasing the diversity of donor registries and targeting donors between 18 and 44, the campaign aims to do what nurses strive for every day: give all patients an equal chance, regardless of race.

Throughout this year’s campaign, DoSomething.org and Johnson & Johnson will take to social media to spread awareness and mobilize the community to take action. However, the campaign is much more than a social media movement – it is truly saving lives. Young people can help make a tangible difference by simply swabbing their cheeks with the provided swab kits, which adds them to the partner organization Be The Match®, operated by the National Marrow Donor Program® (NMDP), the largest and most diverse marrow registry in the world.

For donors like 19-year-old Veronica, diversifying the bone marrow registry is essential to providing life-saving operations, like those that could have saved the life of her friend Demarco, who had bone marrow cancer and passed away after a transplant rejection.

“I want to help people like my friend because he deserved to live his life and go to college, but wasn't able to achieve his dreams,” Veronica shared with DoSomething.org. “I'd hate to see more young people suffer from cancer when they are more than able to make this world a better place like Demarco did. For his memory - this is why I want to donate, to change someone’s life."

The Give a Spit About Cancer campaign launched on March 27 – now is the time to get involved. Visit DoSomething.org to find out how you can get a swab kit, start a drive on your campus, encourage your peers, and get involved in the movement. 

Good Communication

Emotional stability

Empathy

Attention to detail

Physical Endurance

Desire to continue learning

SENSE OF HUMOR

When it comes to healthcare, technology is not only convenient, but also life-saving. It is also constantly changing. We compiled a list of tech trends you should expect to see in the near future.

telehealth

Telehealth is the use of digital information and communication technologies, such as computers and mobile devices, to access health care services remotely and patients can manage their health care. They can use an online patient portal to see their test results, schedule appointments, request prescription refills or email their doctor. 

Virtual appointments enable them to see their doctor or Nurse via online live video. These appointments let them receive ongoing care when an in-person visit isn't required or possible. These web-based "visits" can also be used for minor illnesses, similar to the services available at a drop-in clinic. 

Health care chat bots

Chat bots can help patients with a number of things such as book appointments, remind them to take their pills or assist them in refilling their prescriptions. Here are a few examples of health care chat bots and what they do.

• Florence — this chatbot Nurse tells patients to take their medicine, gives them instructions if they forgot to take a pill, monitors their health (and periods for women) and can help them find specialists and book appointments in their area.
• Your. MD — it replaces the assistant of a GP, asks about symptoms and puts enough questions approved by health professionals to identify a condition probabilistically then sets up appointments, referring patients to physicians.
• Safedrugbot — this messaging app helps doctors take notice of possible side effects of drugs during breastfeeding and helps to keep mothers safe.
• Babylon Health — another conversational healthcare assistant with the feature of booking a doctor.
• SimSensei — still in its experimental phase, it uses voice and face recognition to mimic a therapist, also interacting with the patient at deeper levels.
  
  

Smart Beds

Smart beds are continuing to gain popularity. For example, the Stryker S3 bed is a popular acute care/MedSurg that many hospitals use currently. The Stryker safety solution is called iBed. iBed allows the user to set up conditions for the settings on the bed and if the bed is set outside those parameters, visual indicators notify the user that the bed must be put back to the safest condition for that patient. Also, the beds are set up to be wireless, removing the need to remember to plug the bed into the wall and no more damaged 37-pin connectors. The bed is loaded with sensors including weight, brake, rails, and head-of-bed angle. This makes bed related patient safety easy requiring very little upkeep.

Patient and Staff identification systems

Patient and staff identifiers in the hospital setting have become increasingly important in light of patient mix-ups and unauthorized people entering a facility or accessing patient records.

According to an article by Americanmobile.com, "Bar codes, wristbands and radio frequency identification (RFID), all work to track and identify patients in an effort to reduce errors while also keeping the hospital population safe. New palm vein technology, eye scans and microchips have also been introduced as a way to identify both patients and healthcare professionals, and to cut down on unauthorized access to patient files."

Digital Patient Room Whiteboards

Interactive Digital Whiteboards integrate with a hospital’s real-time location services. It provides patients with their daily schedule, introduces staff as they walk into the room and logs which clinicians visited the patient.

According to NewYork-Presbyterian, "patient electronic boards digitize and improve upon traditional whiteboards. Instead of requiring providers to erase and re-write any new information, the boards integrate with the patient’s Electronic Medical Record (EMR) data to display any updates as they happen. Patients and providers can immediately see accurate pain scores, fall risks, and scheduled tests, and family members can see important phone numbers. The boards display data visually wherever possible, including pictures of a patient’s entire care team in real time.

Cloud Computing

Personalized medicine

How do you feel about the impact technology has on healthcare? Do you use any of these in your work place? If so, do you think it positively or negatively effects your work? Please share your comments below! 

The eighth annual Diversity Impact 2018 Student Conference will be held June 7-10, 2018, on FNU’s historic campus in Kentucky. This event is hosted by the Diversity PRIDE student organization and is open to all attendees who want to become part of FNU’s legacy of providing care to rural and underserved communities.

Join Us for an Impactful, Sight-Seeing, Cultural Excursion!

The Diversity Impact event opens the door for nurses to foster and strengthen collaborative discussions to address health disparities to improve minority health among underrepresented and marginalized groups. Students engage in cross-cultural and inter-cultural workshop activities, along with leadership strategies on current diversity healthcare trends as it relates to patient-provider care.

Click here for information on Diversity Impact 2018!

During the Diversity Impact weekend workshop, students will have the opportunity to:

• Attend sessions hosted by nationally recognized nursing leaders and field experts;
• Participate in inclusive teambuilding exercises and cultural awareness sessions;
• Network with FNU students, faculty and staff to strengthen collaborative discussions; and
• Engage in nurse-leadership strategies and cross-cultural activities…and much more!

Find a work buddy

In any job, especially Nursing, it’s easier to cope with emotional stress when you have a work buddy to help you through tough shifts. You can vent to your friend, share your frustrations and they understand what you're going through. If you haven’t found your best friend at work yet, don’t worry, you will.

Eat well

Most Nurses work in a fast-paced environment and are often short on time, which can lead to relying on fast food that is high in fat, sodium, sugar, and additives. Look for ways to add more lean proteins, fresh fruits, vegetables and whole grains. Try meal prepping for the week.

Meditate or find a quiet space

Try to find peace for at least 10 minutes in a quiet room or in a quiet place outside with no electronic distractions. Ten minutes of quiet is longer than you think, but you'll feel more refreshed afterwards. Just take a moment to focus on breathing and calming positive thoughts to boost you through draining times.