Archive for the ‘social media’ Category

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The Best Nurses Day Gift: Enough Time With Patients

May 22, 2013
What's Left Behind, oil, graphite, and mixed media on wood panel. 18" by 18." Copyright J. Paradisi.

What’s Left Behind, oil, graphite, and mixed media on wood panel. 18″ by 18.” Copyright J. Paradisi.

Julianna Paradisi, RN, OCN, writes a monthly post for this blog and works as an infusion nurse in outpatient oncology.

I can’t remember which handle on Twitter asked nurses last week for their stories about the best or worst Nurses Day gifts from their employers, so I will tell mine here. It began badly, but became the best.

Nurses Day in May is a cute little rhyme. In Oregon, where I live, May also brings hay fever allergy, which is neither cute nor rhymes, but like Nurses Day, is an annual event.

I woke up on the morning of Nurses Day with a headache and my voice hoarse from allergy. Previously, I had traded shifts to work this day in place of another nurse with an acutely hospitalized family member. If she and I were playing Rock, Paper, Scissors, her need was scissors to my paper.

Calling in sick was not an option. It’s part of the unwritten Nurse’s Code, which is really more of a guideline, but don’t test it. Calling in sick after agreeing to work for a coworker will not garner sympathy from your unit.

When I arrived for work, another nurse remarked that my hoarse voice sounded sexy, like actress Kathleen Turner’s. Despite my crankiness from inadequate respiratory gas exchange, that cheered me up, a little.

Then The Miracle occurred:

The hospital’s phone system, including our outpatient unit’s, went down. No phone calls came in or out, not even between departments. Overhead via the PA system, the hospital operator announced over and over instructions for summoning the rapid response or code teams, if needed. Non-emergent communications were sent by e-mail, or pneumatic tube system.

It took a little while to understand that, for our outpatient clinic, what felt like calamity was in fact a surprising gift: our scheduled appointments were all that we had that shift. Offices could not call to schedule new appointments that morning. The phones at the nurse’s desk were silent.

This created a leisurely pace for our shift, which I put to work at my patients’ bedside. My allergy symptoms reminded me how it feels to be sick, replacing crankiness with compassion. For each patient I pulled up the rolly stool and sat down, listening to their stories and concerns without time pressure or ringing phones. I had time to look up information, print handouts, and answer their questions the way I was taught to do in nursing school. In short, because the phones were down, I spent Nurses Day, well, nursing. I felt fully engaged in the work, and remembered why I chose this noble profession.

By noon, the phones were back up. My headache and hoarse voice were gone. I realized I was having a great day.

Later, while I was fetching a cup of water from the water cooler for a patient to swallow pre-meds, our manger stopped by. “Hey you, how’s your Nurses Day?” he asked, affably.

“Great!” I replied. “The phones were down the first half of the shift.”

Not missing a beat with his quick wit, he winked and said, “Oh yeah. I arranged that as a gift. Have a Happy Nurses Day.”

And I did.

Disclaimer:  No patients were harmed in the making of this post.

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Friday Nursing Blogs Roundup, More or Less

April 19, 2013

By Jacob Molyneux, AJN senior editor/blog editor

BostonAnother Friday in New York, and it’s time to do a quick tour of the nursing blogosphere after a grueling week in which the city I will always think of as home, Boston, took a major hit on a holiday that always marks the end of a long winter, the first stirrings of spring, the Red Sox playing in the morning, no one at work, glimpses of marathoners passing in the distance up still salt-stained avenues under barely budding trees, usually in bright sun and a gusty breeze with an underside of chill.

I have noted ad nauseam in the past that blogs have life cycles, wax and wane, flourish or fade out. And that’s okay. Though maybe blogs should go to a blog graveyard at some point, or be given a proper burial, or demolished like old buildings in a great controlled cinematic whoosh of collapsing pixels and pixel-dust. Or, in some cases, put in a museum to mark a moment in Web history or preserve particularly lively voices and experiences for posterity.

Enough throat clearing. There isn’t much out there to report this week. We try to collect links to sane, more or less active blogs on our nursing blogs page. A few nurse bloggers are perennially engaging and active, and a couple of these excellent bloggers even write occasional posts for this blog, so for once I won’t draw attention to them. But here’s what else I could find:

We the people. Many nurse blogs and Twitter streams and Facebook pages have been posting links to a petition to the White House to remove barriers preventing advanced practice nurses from practicing to their full scope. The petition has until just April 22 to reach the required 100,000 signatures; the last time I checked, admittedly about a week ago, it was only about a quarter of the way there. If you happen to know Justin Bieber, please ask him to publicize this. In lieu of that, consider sending it to your social media connections, and take a moment to sign yourself.

A brief note on the readability of blogs. By “readability,” I’m not talking about style, as you’d expect, but more about how easy and pleasant the blog is to read in an actual physical sense. The right word might instead be “legibility.” Or, put another way, did you choose a green or black or red background for your text? Though it’s nice to be reminded of the early days of the Web and the idiosyncratic appearance of many blogs, I now find blogs with such colored backgrounds almost impossible to read. Consider making a change to something closer to the traditional black text on a whitish background. And consider avoiding flowery fonts.

More on nurse staffing and why it matters: at the INQRI (Interdisciplinary Nursing Quality Research Initiative) blog, further confirmation that “better nurse staffing, education and work environment contribute to patient outcomes”:

A new study in Medical Care, conducted by Matthew McHugh, an RWJF Nurse Faculty Scholar,
finds that the lower mortality rates at Magnet Hospitals are achieved
in part because of investments in nursing. This study reflects many of
the findings of INQRI studies into the impact of nurse staffing, work environment and education on quality of patient care.

Conference tips. At In the Round, the blog at Nursing Center, a short post lists “tips and time-savers” for those of you who from time to time attend professional conferences. I used to go to a lot of them, and they really do take practice and some strategy.

Already sick of Nurses Week and Nurses Day (and still wondering about whether to use an apostrophe s or just an apostrophe or nothing with them)? At Impacted Nurse, there’s a strangely heartwarming yet appropriately skeptical piece called “Note to Nurse Day: I don’t need to write some silly note.”

And that’s really it for today. Have a great weekend, and let us know if you find a really good nursing blog we don’t know about yet.
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Some Recent Notable Posts from Nursing Blogs

January 25, 2013

Some posts of interest from the nursing blogs (those that are currently active; a fair number of familiar bloggers seem to be taking breaks, having kids, starting new jobs):

“Certified Medical Assistants Calling Themselves Nurses” can be found at The Nurse Practitioner’s Place. It’s not just inaccurate to do so, says the author. It’s often illegal.

Photo from otisarchives4, via Flickr.

Photo from otisarchives4, via Flickr.

At My Strong Medicine, a short post about men, women, USPSTF guidelines, becoming an NP, and reaching a certain age, called “Heard While Studying: Everything Falls Apart at Age 40.”

One blogger, among others, who has been pretty quiet for some months (and who used to organize a regular “blog carnival” that helped create a community among nurse bloggers) is Kim McCallister at Emergiblog. She popped back up several weeks ago with a post called “The Voice,” which is about exactly that—how a nurse blogger lost the sense of freedom she started with as a staff nurse jotting down experiences, and instead internalized a “Sister Superego” that cautioned her to be “prim and proper,” rapping her knuckles until she just fell silent instead. Frustration with computerized charting and the general state of health care seems to be part of it as well. We hope the spirit moves her to write more soon.

Lastly, there’s a nice post by Megen Duffy (who often writes AJN‘s iNurse column, and who writes some pretty funny tweets as well) at her blog (Not Nurse Ratched). It’s called “Gratitude: Lessons from Patients,” and I was glad I read it on a Friday, because it’s about the possibility of change, and is actually pretty hopeful.—Jacob Molyneux, senior editor

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Top 10 New AJN Posts of 2012

December 12, 2012
British Nurse and Baby, via Flickr/jdlasica

British Nurse and Baby, via Flickr/jdlasica

By Jacob Molyneux, AJN senior editor/blog editor

Maybe, who knows, some social media content isn’t really quite as ephemeral as we usually believe. Some of our posts seem to keep finding readers, like 2009′s “New Nurses Face Reality Shock in Hospitals–So What Else Is New?” They’re still relevant and timely, addressing as they do some of the more perennial topics in nursing.

Our 20 most-read posts for the year include several others that aren’t “new” this year: “Parting Thoughts: 10 Lessons Learned from Florence Nightingale’s Life”; “Confused About the Charge Nurse Role? You’re Not Alone”; “‘Go Home, Stay, Good Nurse’: Hospital Staffing Practices Suck the Life Out of Nurses”; “Is the Florence Nightingale Pledge in Need of a Makeover?”; “Do Male Nurses Face Reverse Sexism?”; “Fecal Impaction and Dementia: Knowing What to Look for Could Save Lives”; “Are Nursing Strikes Ethical? New Research Raises the Stakes”; and “One Take on the Top 10 Issues Facing Nursing.”

The upstarts. Putting aside posts that have shown a certain longevity, here are the top 10 new posts of 2012, according to our readers, in case you missed them along the way. Are they our best posts of 2012? We will leave that to you. Thanks to everyone who wrote, read, and commented on this blog over the past year.

1. The Case of Amanda Trujillo
2. E-Cigarettes: Positive Smoking Substitute or a New Problem Replacing the Old?
3. Boards of Nursing and the Amanda Trujillo Case
4. Health Technology Hazards: Top 10 for 2012
5. Nurse Staffing: Are the Brits on the Right Track?
6. The Cruel Irony of Alzheimer’s Disease
7. States Easing Up, Pediatricians Buckling Down on Childhood Immunizations
8. More Evidence: Should We Get Rid of 12-Hour Nursing Shifts, Despite Their Popularity?
9. ‘How Can You Bear to Be a Nurse?’ Nurses Week Begins
10. ‘The Inexhaustible Well’–Notes from a Trauma Nurse on Mortality
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Where Do You Get Your News?

September 10, 2012

By Shawn Kennedy, MA, RN, AJN editor-in-chief

I’ve watched the recent political conventions and have been listening to the sound bites one hears on the radio and television news shows. The speakers and newscasters all sound intelligent and righteous and in command of “facts.” However, as we’ve learned from the widespread public misunderstanding of many aspects of the Affordable Care Act, it takes some deeper digging to know what’s “spin” versus what’s fact. (Indeed, fact-checking has become its own political issue, as it seems both parties have been playing a bit loose when it suits their messaging.)

I wonder how many people actually take the time to validate what they hear on the radio or television. Do most people take what they hear at face value? Will many people vote based only on what they heard from the convention coverage or in 30-second news clips (or worse, in the barrage of advertising paid for by the PACs, many of which are quietly funded by industries or wealthy individuals with a stake in who gets elected)?

It occurred to me that I’ve never seen my youngest son or nieces and nephews read a newspaper, yet they seem well-informed about the political issues. I asked my son where he gets his information. He said, “Well, there’s something called RSS feeds . . . .” (He was surprised that I not only knew what they were, but that I use them!) (RSS stands for really simple syndication.  For information on how to use RSS feeds, see our article. The illustration on the right is from it.)

He says most of his friends use these feeds—managed through such simple tools as Google Reader—to track content they want. The feeds are automatically updated, delivering new content right to his email or to the type of RSS feed reader he prefers. When he wants more information, he turns to Google and YouTube. All one needs to be smart is a smart phone.

Querying Google about an issue (say, “Romney Medicare cuts”) will yield far more information than I will get from my usual two daily newspapers. Up will pop articles from multiple newspapers, news outlets, and opinion sources: in addition to Mr. Romney’s Web site, Bloomberg News,  the Washington Post, New York Times, ABC and CBS news, Huffington Post, LA Times, and many more bona fide sites. (Of course, as with newspapers, some sites are more reliable than others and vet their content more closely or present a more balanced picture.)

From scanning the various articles (and blogs and other Web sites), one can sometimes get a better view of all the “angles” of a story than just by reading one or two sources. And then, you can often go to YouTube to view a newscast or a taped video of the actual event. Not too bad—and here I’d thought these “young’uns” weren’t plugged in.

But a caveat: this method of keeping up with the news only delivers what each person has already marked as areas of interest—it’s easy to miss out on the broader news pieces that may be truly important, or on perspectives that might cast your beliefs into a new light. When I read the newspaper (whether print or online), I’ll read interesting articles that I might never find in a targeted Web search. Because it’s right there in front of me, I may read it—and it will give me a broader view of the world.

How do you get your news?  Do you read only what’s on your “like” list, or do you cast a wider net?

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Tortoise and Hare: Top 15 AJN Blog Posts for Past Quarter

June 22, 2012

By Jacob Molyneux, AJN senior editor/blog editor

Dance Floor, via Flickr

We haven’t done as many posts as usual for the past few months. Various contributors are on the lam, vacationing, singing arias, earning PhDs, watching “Game of Thrones” episodes over and over and the like. So be it. 

But here is a list of the most popular posts over the past three months, in case you missed any of these at the time. Of necessity, since this is a blog, some are more ephemeral in their subject matter and relevance than others.

One or two, like “Do Male Nurses Face Reverse Sexism?”, are several years old but still hit the mark. Some were quick studies, grabbed all their readers in a matter of a few days and then tapered off quickly, while others came on slowly like the tortoise, steadily accumulating readers, asserting their charm via random Google searches.

Feel free to let us know what topics you’d like to see covered in the future. We can’t promise we can deliver, but it’s good to get a variety of perspectives. A greater clinical focus? More on policy? More on the nuts and bolts of nursing subspecialties? More personal narratives from nurses or patients? More posts related to recent published research? More polls? Trivial gossip about celebrities? To repeat: Let us know! And enjoy the early summer weekend.

“The Case of Amanda Trujillo”

“New Nurses Face Reality Shock in Hospital Settings – So What Else is New?

“‘How Can You Bear to Be a Nurse?’ – Nurses Week Begins”

“The ‘Inexhaustible Well’: Notes from a Trauma Nurse on Mortality”

“E-Cigarettes: Positive Smoking Substitute or a New Problem Replacing the Old?”

“Grief: The Proposed DSM-5 Gets It Wrong”

“iPad Apps, the Future of Nursing, More: Notes from the Nurse Execs Meeting in Boston”

“Gym Class, or Physical Education?”

“Emergency—Bleeding Esophageal Varices: What Nurses Need to Know”

“Parting Thoughts: 10 Lessons Learned from Florence Nightingale’s Life”

“Is the Florence Nightingale Pledge in Need of a Makeover?”

“Confused About the Charge Nurse Role? You’re Not Alone”

“What to Do If the Nursing Board Takes Action Against You: A Lawyer and Former RN Advises”

“Do Male Nurses Face Reverse Sexism?”

“To the Nursing Class of ’12 (and ’84, and ’96, and ’01)”

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“Let Patients Help”: Nurses and e-Patients

March 30, 2012

 

Joy Jacobson is a health care journalist and the poet-in-residence at the Center for Health, Media, and Policy at Hunter College, where she teaches writing to nursing students.

In the March issue of AJN, a letter writer responds critically to my news report, “Leveling the Research Field Through Social Media,” published last October. My report summarizes some recent trends in medical research, including patients using Facebook and other social networking sites to push for the funding of research into treatments that the science may not support. I go on to discuss PatientsLikeMe, which describes itself as “a health data-sharing platform” designed to “transform the way patients manage their own conditions.”

The letter writer objects to the idea of patients sharing their own data online. Can vulnerable, mentally ill patients, she asks, consent to participate in online research? Is enough being done to safeguard them? “I suggest we disseminate information to nurses that helps them steer patients away from Web sites such as PatientsLikeMe,” she concludes, “until programs and processes are in place to better protect the public we’ve pledged to serve.”

Several PatientsLikeMe researchers responded to this nurse’s points; a synopsis of their responses was included along with the reader’s letter in the March issue. “What we are doing is new and as such should be scrutinized frequently and rigorously by peers to ensure we are meeting the ethical standards one would expect for our patients,” they write. “We believe our established processes and procedures are consistent with these expectations.”

While I think the letter writer’s urge to protect patients is laudable, I find unrealistic her suggestion that nurses “steer patients away” from social media, especially in this age of e-patients and participatory health care. As I understand it, e-patients are not reckless. Rather, they’re “enabled, equipped, engaged, and empowered.” But even those who aren’t knowledgeable might want to participate more fully with clinicians and researchers alike in seeking the best care available. Read the rest of this entry ?

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Kony 2012: A Real Villain, Plus a Few Questions

March 12, 2012

By Maureen ‘Shawn’ Kennedy, MA, RN, AJN editor-in-chief

Social media is once again proving its power to engage people around the world—this time, in the efforts to find and capture Joseph Kony, the leader of the Lord’s Resistance Army (LRA), a brutal militia group that waged a war of terror in Uganda for two decades and is now operating, in a diminished but still lethal capacity, in the Central African Republic, the Democratic Republic of the Congo, and South Sudan.

Kony was indicted for war crimes by the International Criminal Court in 2005 based on his record of murder, torture, rape, and the enslavement of thousands of people, mostly women and children. At its height, his army was said to be comprised mostly of child soldiers—the children he abducted and forced to become killers, whose first victims were often their parents. Filmmakers with Invisible Children, a nonprofit organization dedicated to influencing change in Africa, created Kony 2012, a film that “went viral” last week and fuelled widespread support for a campaign to support efforts to capture Kony.

Kony and the atrocities of the LRA are not new “news.” AJN reported on the issue of child soldiers in Uganda and numerous other countries in 2005, when we profiled the work of nurses Susan McKay and Dyan Mazurana, who researched and wrote about the plight of girl soldiers in their 2004 book, Where Are the Girls? The New York Times carried an article on LRA activities in 1997. For more than a decade there were official reports and fact-finding committees by the U.S. Congress, the United Nations, the World Health Organization, and others. In 2004, Uganda’s child soldiers was described by the UN as one of the “10 stories the world should hear more about.” In 2008, the UN Security Council passed Resolution 1856, condemning the LRA’s continued activities.

And last October, President Obama notified Congress that he had “authorized a small number of combat equipped U.S. forces to deploy to central Africa to provide assistance to regional forces that are working toward the removal of Joseph Kony from the battlefield.”

So why the emphasis now? Social media and the activation of a grass roots campaign with a targeted message enabled the message to spread rapidly. The film has been viewed over 55 million times on YouTube and the campaign has made headlines and the evening news shows, with celebrities jumping on the bandwagon, calling via Facebook and Twitter for Kony’s capture. The idea has been to make Kony so famous that he will have no place to hide, and to move people to demand that policy makers intervene.

Emerging questions. As a number of criticisms of the film and the organization behind it have noted (see this New York Times article and this Foreign Policy blog post), the video doesn’t make it very clear that the Ugandan army targeted Kony and drove him out of the country a number of years ago, nor that his marauding forces have since shrunk to several hundred, with most of the original child soldiers considerably older now and no longer with him. The articles also cite a number of sources who have raised questions about Invisible Children and its finances as well as about whether this campaign, however well meaning, is likely to be the best use of resources in a region beset by human rights and public health issues. Read the rest of this entry ?

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Blogroll Housecleaning Note

February 9, 2012

"N-R-O-G super suds housecleaning week&qu...

This is just to say that we’ve done some minor housekeeping and deleted links to a number of blogs that have been asleep several months or longer. There’s nothing personal in this, and please let us know if one of these was yours and you’ve decided to revive your blog, give it an infusion of new design and energy, or the like. We want our blogroll to be useful, and it won’t be perceived as useful if we’re linking to sites that have gone dark. Please also let us know if there’s a really great nurse blog that we don’t know about, even if it’s yours. We can’t guarantee that we’ll link to it, but we’ll certainly check it out.—JM, blog editor

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Top 10 (New) AJN Posts of 2011

December 20, 2011

"Consumer Choice,' BdR76, via Flickr

Some of our posts, like this one from 2009 (“New Nurses Face Reality Shock in Hospitals–So What Else Is New?”) keep getting found and read. They remain as relevant today as they were when we posted them. Our top 20 posts for the year (according to reader hits, that is) include several others like this: “What Is Meaningful Use? One Savvy Nurse’s Take”; “Is the Florence Nightingale Pledge in Need of a Makeover?”; “Do Male Nurses Face Reverse Sexism?”; “Are Nursing Strikes Ethical? New Research Raises the Stakes”; and “Workplace Violence Against Nurses: Neither Inevitable or Acceptable.”

But putting aside these contenders (why do so many of them have questions in their titles?), here are the top 10 (again, according to our readers) new posts of 2011, in case you missed them along the way. Which doesn’t mean that these are (necessarily) our best posts, or a representative sample, or that many others didn’t hit home for various subgroups of readers.

While we all get a little tired of lists by this time in the year, we don’t really use them an awful lot here at Off the Charts. So please indulge us this once, and thanks to everyone who wrote, read, and commented on this blog in 2011.—Jacob Molyneux, AJN senior editor/blog editor

1. “Notes of a Student Nurse: A Dose of Reality,” by Jennifer-Clare Williams

2. “Placenta Facebook Photos: Nurse and Mommy Tribes See Expulsion Differently,” by AJN editor-in-chief Shawn Kennedy

3. “Dispatches from the Alabama Tornado Zone,” a series of posts by Susan Hassmiller, senior adviser for nursing at the Robert Wood Johnson Foundation

4. “Confused About the Charge Nurse Role? You’re Not Alone,” by Jacob Molyneux

5. “The Priceless Clarity of Inexperience,” by Marcy Phipps, an ICU nurse and regular contributor to this blog

6. “Don’t Cling to Tradition: A Nursing Student’s Call for Realism, Respect,” by Medora McGinnis

7. “Bullying Wars: Theresa Brown vs. ‘the entire profession,’” by Shawn Kennedy

8. “Remembering 9/11: Nurses Were There,” Shawn Kennedy

9. “Killing Traditional Nursing Duties #2,” Shawn Kennedy

10. This one’s a tie: “Nurses, Hospitals, and Social Media: It Depends What Business You’re In,” by Julianna Paradisi, artist/nurse/blogger, and “One Take on the Top 10 Issues Facing Nursing,” by Shawn Kennedy

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