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* News / What members of American congress can learn from nurses BY MARK LAZENBY by katty: January 16, 2017, 03:21:02 PM
Once again, the American public have rated nurses as the most trusted professionals, as they have for the past 15 years. Members of Congress were at the bottom of the list, as they have been for the past five years. What’s the difference between nurses and members of Congress when it comes to trust? And what can members of Congress learn from this difference?

We trust people when people prove themselves trustworthy. Trustworthy people, the philosopher Onora O’Neil says, are reliable, competent, and honest.



Anyone who has been cared for by a nurse knows that nurses are reliable. They’ll do what they say they’ll do. It may take them a while, but usually this is because they are busy. Research has shown that when nurses are less busy, they deliver even more reliable care.

After years of stubborn refusal to pass laws and perform basic duties, such as to confirm appointed judges, some members of Congress appear unrepentant about their unreliability.

Nurses pass a national certification exam, and they take mandated continuing education courses throughout their career. But nurses truly demonstrate their competence by delivering quality patient care day after day.

Perhaps Congress could institute training for newly elected members on how to govern. The syllabus might include Plato’s Republic or Rousseau’s The Social Contract. Yet many members of Congress come with government or law degrees. These degrees notwithstanding, they could prove their competence by performing their governing duties.

By and large, we trust that nurses are honest. For example, we trust they do not lie about the medications they are about to give. We often ask for them for verification, but we do so out of fear of human error, not fear that they may have malicious motives. After all, nurses have little reason to be dishonest. They don’t want to harm their patients, and they don’t gain income or promotion by bringing more money into the hospital or clinic through trumping up tests or treatments that aren’t necessary. Nurses gain no reward from their honesty beyond knowing that they’ve done their job well, but their patients do.

Members of Congress are not in office for underhanded reasons; surely they have a sense of public service. But unlike nurses, it seems that members of Congress are not disinterested. Many are rich. In 2015, the median net worth of a member of Congress was $1,029,505, compared to $56,355 for the average American household. And they tend to get richer during their time in public service.

But there’s one more quality – perhaps the most important – that makes nurses trustworthy. Nurses care. In hospitals, clinics, schools, prisons, and homes across America, nurses care for others. Sure, nurses earn a paycheck, but as a nurse, I can tell you that on many a day, the paycheck does not make up for the stress of having another person’s life in my hands. Nor does it soothe my aching feet, sore back, and hands cracked from repeated washing. We nurses care for others because it is the right thing to do. We care for others regardless of who they are. We show we care through our daily acts of nursing for all people who need it.

On the first day of the 115th United States Congress, a majority of the members of the House of Representatives voted to weaken the Office of Congressional Ethics. It makes one wonder for whom these members care. To be sure, there must be many members of Congress who care for all people in their constituencies, not just for those who are likely to re-elect them or those who may help them to enrich themselves. But to improve their position on the “Most Trusted” poll, perhaps members of Congress could follow nurses’ example. Perhaps the American public would trust members of Congress more if, through their repeated acts of governing on behalf of all Americans, they showed us they care.

Source : http://blog.oup.com/2017/01/what-members-of-congress-can-learn-from-nurses/

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* MCPDP / NMCN Releases CPD Guidelines for License Renewal, Other Courses Now Recognised by Idowu Olabode: January 16, 2017, 12:41:57 PM
In line with her promise to increase MCPDP requirements for License Renewal for Nurses at the recently concluded NANNM National Delegates Conference in Osogbo  The Nursing and Midwifery Council of Nigeria has Released New Conditions for Renewal of Professional Nursing Licence.
 
In a recently memo, the council noted that to promote continuous quality improvement in the delivery of nursing care and to encourage all Nurses and Midwives in Nigeria to participate fully in continuing professional education, it has reviewed the requirements for renewal of professional nursing licences.
 
The council further directed that with effect from June 30th 2017, every Nurse/Midwife wishing to renew his or her licence shall provide evidence of completion of continuing education programmes equivalent to a minimum of 6.0 Continuing Education Units(CEU).
 


Below is the content of the memo:

Please note that:
i. Every Nurse or Midwife is expected to earn a minimum of 6.0 Continuing Education Unit (CEU) which is equivalent to 60 continuing education contact hours within each three-year cycle of licensure.
 
ii. The CEU can be acquired from any recognized and accredited N&MCN Continuing Professional Development Programmes.
 
iii. Three (3) units of these CEU i.e. 30 contact hours must mandatorily be from the Council organized MCPDP.
 
iv. Conference certificates from International Confederation of Nurses (ICN), International Confederation of Midwives (ICM), National Association of Nigeria Nurses and Midwives (NANNM) and West African College Nigeria (WACN) - AGM/BGM that shows the credit unit earned will be recognized as stated but not more than 3 units.
 
v. Other recognized Nursing conferences, workshops and seminars by Nursing specialties and sub specialties that are recognized by NMCN will earn a maximum of 2 units.
 
vi. Foreign based Nurses requesting for renewal of licensing should present the following:

- Driver's license or state identity card or visa page
- Evidence of attendance of cumulative 60 contact hours of Continuing Education Programme in their country of residence over a period of 3 years
 
vii. Registered Nurses and Midwives currently undergoing full time Nursing programme are exempted from MCPDP until completion of their programme.
 
viii. Fresh graduates of any accredited Nursing programmes are also exempted within one year of graduation. Please ensure that this information is disseminated to all nurses and midwives in the State for maximum compliance.

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* Articles / Are our busy doctors and nurses losing empathy for patients? by Idowu Olabode: January 16, 2017, 11:10:10 AM
Every day, doctors, nurses and other health professionals are presented with situations that demand empathy and compassion.

Whether telling a 40-year-old man with cancer he doesn’t have long to live, or comforting an elderly woman who is feeling anxious, the health professional needs to be skilled in understanding what the other person is going through, and respond appropriately.

With more demand on doctors and nurses and a push for quicker consultations, clinical empathy is being dwarfed by the need for efficiency. But this doesn’t mean patients have stopped wanting to be treated in a caring and empathetic manner. And there is a growing body of evidence that this need is often not being met.

Empathy is key to good communication


In the novel To Kill a Mockingbird, Atticus Finch tells his daughter Scout that “you never really understand a person until you consider things from his point of view … until you climb into his skin and walk around in it”.

This is empathy – where one identifies with another’s feelings. It involves compassion and the ability to understand and respond to the feelings of others. Often, an empathetic response leads to a caring response.

Empathy is different to sympathy which is described as feeling sorry for another person. This does not require us to understand the other person’s point of view, but is an automatic, emotional response. In health care, feeling sympathy for another person can overwhelm us with sorrow and often preclude us from helping.

In recent times, poor communication, including lack of empathetic and caring behaviours, has resulted in an increasing number of complaints against health professionals in Australia.

Shocking cases of maltreatment at a United Kingdom public hospital between 2005 and 2009 reveal the extreme consequences of negligence, poor communication and lack of empathy in health care. Incidents ranged from patients being forced to drink from flower vases to lying in their own excrement. More than 300 deaths were directly linked to this neglect.

At the crux of the recommendations made in a report of the inquiry into the incidents was the need for improved communication between health care workers and patients.

Empathy is fundamental to effective communication. For doctors and nurses, this means placing the patient at the centre of care. This skill leads to increased levels of satisfaction not only in patients but also the doctors and nurses. Importantly, it is also associated with improved patient outcomes.

Why are nurses and doctors losing empathy?

Technology has greatly contributed to health professionals’ diminishing levels of empathy.

It has come at the cost of changing the way doctors and nurses interact with their patients. Because there are fewer opportunities for direct patient contact, it hinders the ability to develop a rapport with patients, monitor their non-verbal communication and elicit feedback on the interaction.

For instance, touch has historically been a large part of the work of a nurse. When nurses hold a patient’s hand or arm to take their pulse, for instance, it contributes to the kind of connection that has been shown to release the feel-good hormone oxytocin.

But taking a patient’s pulse manually is now more often than not replaced by a probe attached to a patient’s finger.

Computers on wheels create a physical barrier for nurses when they use them to administer medications and access documents; and smart phones that support patient interviews have replaced the opportunity for a nurse to physically be present and develop a rapport with a patient.

Meanwhile, virtual reality games and experiences are often used to distract patients undergoing painful procedures, when in the past a nurse may have held the patient’s hand.

Learning often takes place using simulation technology, where students interact not with actual human beings but with computerised mannequins.

It is understandably difficult to respond to a mannequin as a patient with emotional needs. Students subsequently find it difficult, in a real clinical setting, to integrate desired communication skills – in particular, empathy.

University programs are often content-heavy, with graduates required to meet many competencies before they can be registered with professional bodies.

The result can sometimes be that students in health professional courses tend to focus on clinical and technical skills at the expense of good communication.

The disruptiveness of technology may also be a factor affecting the ability of nurses and doctors to be empathetic and compassionate. Technology encourages multitasking, which is good for efficiency, but can distract health care professionals from important interpersonal interaction with patients.

Funding constraints in the university sector, decreasing clinical placement opportunities, the increasing complexity of patients, and a heightened awareness of ensuring patient safety and the associated legal responsibilities, all contribute to the increasing use of the controlled learning environment laboratories offer.

Learning in laboratories using technology is being developed to maximise experiences that develop empathy. Good communication needs to be role-modelled, taught and assessed in university programs and throughout clinical practice.

We need a better understanding of empathy development in health professions and more research on how to improve the situation with changing technologies. Most importantly, though, we need always to listen to our patients.

Source : The Conversation https://theconversation.com/are-our-busy-doctors-and-nurses-losing-empathy-for-patients-68228

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* Exams / Re: Saunders NCLEX RN Questions and Answers 5th Edition Free Download in PDF by pilotswife: January 16, 2017, 03:35:33 AM
If anyone has the Saunders NCLEX-RN questions and answers 6th edition, please email me: thevictoriangirl@yahoo.com

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* Articles / Layoff Rumors? 5 Things to Do Now by Julia Quinn-Szcesuil by katty: January 15, 2017, 05:46:09 PM
Nurses today enjoy excellent career prospects with high job demand and nursing jobs opening up in many specialties. But nursing jobs tend to blossom in regions and if your region isn’t one of them, you might not be feeling a lot of job security.

If your position seems a little perilous, what’s your best plan? Always be prepared. Even if rumors of layoffs and reduced hours are just rumors, the stress they inspire in a staff cannot be understated. If you’re one of those nurses, the daily worry about if you’ll have a job or even enough hours to keep you gainfully employed is exhausting and can negatively impact your job performance.



Throughout your career, the best thing you can ever do is be ready for a job change. And that’s not always because you expect something bad to happen. You could also have an unexpected and fantastic job opportunity arise. In that case, you shouldn’t have to scramble to get your resume and your LinkedIn profile updated while also preparing for an interview panel.
Here’s how to always be ready for a change – expected or not.

1.Update Your Resume, Even If You’re Not Job Hunting


Keeping your resume and your LinkedIn pages updated and current is just smart business practice. You cannot predict what’s going to happen next, so you want to be ready for anything. And if you update everything as you go, you won’t forget a project or a skill that could be important enough to trigger an interview request.

2. Keep Learning


You might have the same job you had 10 years ago, but your skill set is different. With new technology, additional seminars, and on-the-job training, you have learned more. As a nurse, if your skills aren’t constantly refreshed, you’re falling behind. Don’t let that happen. Actively pursue an additional degree, even if it is one class at a time. Go for certifications in your specialty or a specialty you’d like to move into. Being ready for any opportunity increases your chances of success.

3. Network Every Chance You Get


When you’re actively looking for a job, networking will help you. The more networking you do, the more chances you’ll have to find a good match. But even if you aren’t looking, keeping up with others in the industry keeps your name, skills, and capabilities front and center. Someone might ask you to join a committee or to help spearhead a new campaign. Saying yes and working with peers opens up your nursing career.

4. Stay on Your Toes


Don’t get lazy when you aren’t directly working with patients and on patient care. When you’re at work or at an event with people from work, keep your professional attitude. Be someone who can make excellent and authentic small talk with everyone—from the person who delivers the packages to your floor to the CNO—and then do it.

5. Boost Other Nurses


Be the person who champions nurses and helps others understand all the things nurses do. Spread the word about nursing as a career. Enthusiasm is contagious and others will join you. You might not get a job offer, but you’ll get a great reputation as someone who is a positive force in the world of nursing.

So whether you’re wondering about layoffs or happy in your job, there are some things you should do as routine career maintenance. Being prepared helps your career whether you’re just starting out or 40 years in. And if you are worried about a career change, you’ll know you’re ready for anything.

Julia Quinn-Szcesuil
Julia Quinn-Szcesuil is a freelance writer based in Bolton, Massachusetts.

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* Exams / Re: How to Pass NMC CBT and Free NMC CBT Sample Questions by Karlo ayapana: January 15, 2017, 02:15:21 PM
Hello, where can I find the answers of the cat mock questions from the blueprint that you posted?thank you

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* Post Basic Courses / Neuropsychiatric Hospital Aro Abeokuta School of Psychiatric Nursing Form by katty: January 15, 2017, 11:15:02 AM
Admission into the School of Psychiatric Nursing Aro Abeokuta For May, 2017- November, 2018 Session

This is to inform the general public that admission forms are now available for sale to eligible and qualified Registered Nurses for admission into the Post-Basic School of Psychiatric Nursing Neuropsychiatric Hospital, Aro Abeokuta Ogun State.

Requirements:
1.   Five (5) Credits in WASC/SSSC/GCE or NECO to include: English Language, Mathematics, Biology, Chemistry, and Physics at not more than 2 sittings. Individuals with BNSC degree can apply for specialty in this field with evidence of NYSC Discharge or Exemption Certificate
2.   Registered Nurse Certificate (RN) of Nursing and Midwifery Council of Nigeria
3.   Minimum of one year Post Qualification/Registration with Nursing and Midwifery Council of Nigeria
4.   At least one year Post Qualification Working Experiences

Method of Application
1.   The application process and mode of payment is online, applicants are to pay a non-refundable fee of N7,500 (Seven thousand, five hundred naira) only through www.remita.net by following the prompt that appears on the screen
2.   For further information go to the school website at:  http://www.neuroaro.com

Note: Only Registered Nurses are eligible
Sale of Forms:
16th January, 2017 (tomorrow)- 24th February, 2017).
Entry closes on the 25th February, 2017.


For further enquiries  Please contact:

The ADNE/Principal,
School of Psychiatric Nursing,
08033473188

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* News / Opioid Crisis: Bill to Allow School Nurses to Administer Naloxone Advances by katty: January 15, 2017, 10:05:02 AM
New Jersey:  School nurses would be permitted to administer an opioid antidote to a student or staff member who overdoses under legislation sponsored by Senator Christopher “Kip” Bateman and advanced on Jan. 12 by the Senate Education Committee.

S-2635 would also require high schools, and permit any other schools, to maintain a supply of naloxone hydrochloride. The bill provides immunity from liability for a school nurse or trained employee who acts in good faith to administer an opioid antidote to a student or staff member.



“School nurses are battling the opioid epidemic right alongside our police and first responders, the only difference is they don’t have access to the only drug that can stop an overdose within seconds,” Senator Bateman said. “We can save lives by having Narcan on school grounds, or we can lose them waiting for an ambulance to arrive. It is time to arm the people we entrust to care for our children with the same lifesaving tool used by first responders in every county in this state.”

Senator Bateman worked on this bill with Janice Wagner, Director of Intensive Care and Respiratory Therapy at Hunterdon Medical Center.

“Unfortunately, opioid and prescription drug usage is increasing and our youth are not immune to this increase. One life lost while waiting for someone else to administer the life-saving medication in these situations is one life too many,” said Janice Wagner, BSN RN CCRN. “It is very exciting that a bill to allow school nurses in New Jersey to administer Naloxone to a potential opioid overdose victim is moving forward.”

Senator Bateman’s legislation amends the “Overdose Prevention Act” to include schools, school districts and school nurses among the recipients that may be prescribed the opioid antidote naloxone hydrochloride through a standing order. Commercially available brands include Evzio and Narcan.

Under the bill, the opioid antidotes must be accessible in the school during regular school hours and during school-sponsored functions that take place in the school or on school grounds adjacent to the school building.

“I am proud to partner with people like Janice Wagner who recognize that we cannot turn a blind eye to the fact that the disease of addiction has found its way into the classroom,” Senator Bateman added. “Last month, Ocean County became the first county in New Jersey to supply all of its high school nurses with Narcan. It’s time for us to give every school statewide a legal right to save lives.”

The school nurse will have the primary responsibility for the emergency administration of an opioid antidote. However, school officials can designate additional employees who volunteer to administer an opioid antidote when the nurse is not physically present at the scene.

The New Jersey Department of Education would be responsible for establishing guidelines for school districts in developing policies associated with this legislation, including training requirements.

Source :https://www.tapinto.net/towns/plainfield/sections/other-nj-news/articles/bill-to-allow-school-nurses-to-administer-naloxon-7

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* Articles / A Nurse's Letter: My "Special" Patient with Everlasting Connection by Elizabeth by katty: January 15, 2017, 09:57:17 AM
Many people who work in health care talk about that one special patient they’ll always remember.

As a nurse, I feel blessed to have known many patients who will long remain in my heart. One, though, does stand out among the others — and I cherish my memories of him.

I met Angelo in 2004 while working in a family-practice office. He was already in his 80s then.

Angelo would call the office and pretend that he couldn’t hear our receptionist. She would call for me to take his call, joking that he has no problem hearing me because I talk “all soft and sweet to him.”

I remember visiting Angelo at a hospital once and noticing how surprised he was to see me. He said my visit meant so much.

The day I told him at my office that I was looking for another job, I immediately saw disappointment on his face. “Please don’t leave here until I’m gone,” he said.

During his doctor visits, Angelo would share stories with me about his childhood, his family home and the city of Columbus. He talked about the trains that ran near his house when he was a boy.

He shared stories about being in the choir at St. Ladislas on the South Side and how much he enjoyed singing.

A talented painter, Angelo had won many blue ribbons for his work. I referred to him as “the hidden talent” and was amazed at what I saw when, at his invitation, I visited him and his sister at their home.

As I approached the house, I realized that the home was the site of the tree farm where my sister and I would buy beautiful grave blankets for our father’s grave during the Christmas holidays before Angelo stopped selling them many years earlier.

Angelo and his sister welcomed me with such warmth that I felt as if I were family. He and his sister showed me family albums, detailing the lives behind the happy smiling faces in the photos.

I also saw many of Angelo’s beautiful paintings. When I suggested that he could have made a career out of his art, he smiled and said he’d never had professional training. I told him that he didn’t need such training.

Angelo gave me one of his beautiful paintings — a serene scene depicting trees and a stream. The painting hangs on a wall in my home, reminding me daily of him, his beaming smile and incredible talent.

God blessed me with compassion and caring — gifts that I enjoy using to help improve the lives of others.

Every now and then, a special patient touches a caregiver’s life in a way that makes her feel truly blessed to have had the chance to care for him.

I left my job shortly after Angelo passed away in 2007, and I have come to realize that God kept me there until then because I was still needed.

I think often of Angelo. Although his death saddens me, I believe that he is in a better place — where skies are blue and serene streams flow in the canvas of God’s promise.

Elizabeth Hall, 52, lives in Columbus.

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* Free Nursing Books / Re: The Royal Marsden Hospital Manual of Clinical Nursing Procedures 9th Edition by Jigi: January 14, 2017, 09:49:49 PM
Hi,

Thank you for the link as i was searching a free link to download the Royal Marsden manual..hope many will benefit by your selfless attitude..Keep up the good job.

Regards
Jigi

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