Notes from the Nursosphere: Blogging Ethics, Tar Ball Vacation, Treating the Whole Person

Here’s a few things that got our attention late this week:

Chronic Disease Expert: U.S. Health Care Needs to Treat the ‘Whole Person’: At Kaiser Health News, a Q & A with a Stanford University chronic disease expert (who started her health care career as a registered nurse) focuses on the fragmentation of our health care system. Here’s a sample:

Q. Could the health care system do a better job addressing chronic disease?

A. The system would probably need to be totally reorganized if it was really going to do that. Right now, it addresses diseases or even parts of diseases or small sub-parts of the body. It does not address the whole, complex person with multiple chronic diseases. So, right now, what happens, if you’re lucky, you go to a primary care doc who kind of does the day-to-day stuff and then you see four or five specialists each of which do their little specialty part — none of whom really talk to each other except maybe to look at your laboratory tests on an electronic medical record if you’re really lucky.

It is totally uncoordinated. It’s chaotic. It serves pieces of people, not whole people.

Mental Health Impact of BP Spill Multiplies: Feel depressed and hopeless about the Gulf Oil Spill? At Covering Health, an article sketches out some of the journalistic work being done to look at what some people have actually begun calling “Gulf Oil Syndrome.”

Speaking of the oil spill, Sean Dent, a nurse who blogs at My Strong Medicine, has a recent post called 

Nurses Change Presidents and Go Home

Wrapping up the 2010 ANA House of Delegates

By Shawn Kennedy, MA, RN, AJN interim editor-in-chief. See Shawn’s other blog posts from the ANA House of Delegates meeting here and here.

The ANA House of Delegates, the governing body of the American Nurses Association, ended its 2010 meeting on Saturday, June 21, saying goodbye to outgoing president Becky Patton and welcoming new president Karen Daley, PhD, MPH, RN, FAAN, from Massachusetts.

Daley, who’s held various state and national offices, is probably best known for her advocacy and leadership in working to pass federal legislation for safer needles and needlestick injury prevention programs. The next day, the first full day of her presidency, she made a trip to the White House (not her first visit—she was there in 2000 when President Bill Clinton signed the Needlestick Safety and Prevention Act). (See the ANA press release with the full list of newly elected officers; other House of Delegate actions are listed here.)

This year, the atmosphere was markedly different from past years—no angry delegates walked out; no groups plotted disruptive strategies; there was even little word-smithing of resolutions. Everyone seemed to be working together.  Maybe the cooperative atmosphere came about because there were no really controversial issues relating to organizational structure or dues or bylaws (perhaps the most controversial was whether to change terms of office from two years to four—it didn’t pass); or because the President of the United States […]

Nursing Education and Collective Bargaining: ANA Nurses Look Back to the Future

By Shawn Kennedy, MA, RN, AJN interim editor-in-chief. (She e-mailed Off the Charts this post at the end of the day yesterday.)  

There were no surprise guests today at the American Nurses Association (ANA) House of Delegates meeting here in Washington, DC. Today the House got down to business—Rebecca Patton addressed the House, reminding attendees that current accomplishments were built on work that began long before her presidency. This segued nicely into the insightful panel presentation by past presidents of the ANA, from Jo Eleanor Eliot through to Barbara Blakeny (Beverly Malone was absent). These past presidents reviewed their accomplishments with candor, noting accomplishments as well as regrets. For instance, Eliot noted that in retrospect, she wished that the ANA had developed an implementation plan to go with the proposal for basic educational preparation at the baccalaureate level. Barbara Nichols noted that the “elephant in the room” was collective bargaining, and that the ANA’s work in this area, whether one agreed with it or not, “forced the discussion” on what role and rights and influence nurses should have in their workplaces.

The threads of basic nursing education and collective bargaining ran through all the presidencies. After the distinguished panel and the standing ovation accorded to them, the House turned to resolutions and bylaws changes and clarifications of procedure . . . and this reporter was very grateful for the chocolate distributed by some of the candidates for ANA president.

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