Chapter 16 - Nursing's Challenge: To continue to evolve

What did Margaret Mead say?

"Never believe that a few caring people can't change the world. For indeed, that's all who ever have."

What 3 health disorders are rising with our harmful environment?

1. Acute and chronic respiratory diseases, 2. Cancers, 3. Allergic reactions to environment chemicals

3 important parts to the final challenge for nursing students

1. Collaborative power of nurses, 2. Powerful voice and presence as the largest health care profession, 3. Tolerance of differences and search for common ground

Outlets that the professional organization provides

1. Conferences, 2. Webcasts, 3. Position papers, 4. Websites for members only, 5. Journals

What strategy can be considered in keeping with the ANA beliefs on the future of nursing?

1. Develop multiple-payer systems, 2. Focus on acute care services, 3. Promote health care as a privilege, or 4. Use outcomes research to develop policies

7 healthy responses to true caring for self

1. Exercise, 2. sleeping, 3. eating well, 4. volunteering, 5. becoming involved in hobbies, 6. honoring spiritual traditions, 7. having a pet or source of renewal to keep one balanced and energetic

4 Basic Beliefs of ANA Nursing's Agenda for the Future

1. Health care is a basic human right, and universal access to a standard package of essential health care services should be provided to all citizens and residents. 2. The development and implementation of health policies should aim for safe, effective, patient-centered, timely, efficient, and equitable care based on outcomes research. 3. The health care system must turn away from the overuse of expensive, technology-driven, acute, hospital-based services and turn toward a more balanced system with emphasis on community-based and preventative services, 4. A single-payer system is the most desirable option for financing a reformed health care system

6 Burnout symptoms

1. Irritability, 2. Lack of motivation, 3. Careless mistakes, 4. Lack of concentration, 5. Bad eating habits, and 6. Forgetfulness

5 Occupational health hazards

1. Needle-stick and blood borne infections, 2. Accidents and back strains, 3. Exposure to chemicals, 4. Violence in workplace, 5. Shift work and sleep deprivation

6 changes to make a healthy work environment

1. Use safe needle stick devices and disposal containers, 2. High-efficiency ventilation systems, 3. Alternatives to latex gloves and products, 4. Adequate environmental services support, 5. Adequate lifting assistance with devices/additional personnel, 6. Reduction/elimination of shift rotation/double shifts and appropriate occupational safety and health training

What 3 things threatens to deplete the resources and damage the environment of the entire world?

1. World overpopulation, 2. Overdevelopment, 3. Overconsumption

What is The Truth About Nursing dedicated to?

A "watchdog organization" dedicated to changing how the world thinks about nursing

How is incivility manifested?

A bullying between colleagues and between faculty and students in academic settings

What is an example of a professional organization?

ANA and its constituent state members

Stress in work environment

Associated with work overload, inadequate staffing, and intense feelings generated by caring

What is the entry to practice

BSN

Continuum of incivility - extreme

Bullying, aggression, and violence

3 Challenges to self-care

Burnout, professional dynamics, and personal responses to nursing

What does shift work and sleep deprivation lead to?

Cause exhaustion, depression, interpersonal problems, accidents, and an increased risk to breast cancer

Continuum of incivility - start

Distracting, annoying, and irritating behaviors (talking on the phone in a restaurant or texting while talking to someone)

What is important to emphasize in the nursing profession referring to different specialties?

Each nurse provides their own significant to the nursing profession, not one specialty is better than the other

Dallas Mavericks of the National Basketball Association

Exploited the nurses uniform and used cheerleaders to reveal "naughty nurse"

Occupational Safety and Health Administration (OSHA)

For the protection in the work environment, health care providers are able to report any unhealthy work environment factors

What does Carolyn Cooper's The Art of Nursing (2001) say about caring?

Foundational to caring for others is caring for oneself. Knowledge of self allows understanding of changes both in self and the profession

Pharmacogenetics

Genetic variants that affect drug metabolism help determine correct drug, will use peoples genetics to look at how people metabolize drugs

2003 Human Genome Project

Initial mapping and sequencing of a composite set of human genes. Will help adults who want to get pregnant, to show what risks they have

What does economic downturn results in?

Keep nurses employed, the aging workforce, and the increasing need for professional nurses will create a shortage of nurses in the upcoming years

What is happening with MSN?

MSN for advanced nurses may eventually be replaced by doctor of nursing practice

How to develop a healthy work environment?

Nurses must take positive, effective, united action to ensure the basic dignity and safety of practicing nurses

What does Carolyn Cooper's The Art of Nursing (2001) say about the nursing profession?

Nursing teaches hard lessons

When does incivility occur and why?

Occurs when people are stressed and feel powerless. Can briefly give a sense of control or power (often misplaced or misguided)

Sandwich generation

Older nurses who are stuck between caring for elderly parents and raising teenagers

What happens with deforestation?

Takes away physical environment and how rainwater is naturally cleaned

Continuum of incivility - increasing

Taunting, ethnic slurs, and intimidation

What should nurses do in request to inappropriate images?

Protest these images commercially and for entertainment

What are "designer drugs"?

Refers to pharmacogenetics in the market

What are PhD nurses?

Remains the degree for nurse scientists with intense training of research methods and scholarship

What are nurses doing by not joining professional organizations?

Silencing their own voices by not participating in the work of this organization dedicated to the profession

Incivility on social media

Social media and faceless communication keep the other person's humanity at a distance because one is not able to hear the person's voice, so it does not seem like they are bullying the person

What happens with chemicals in the environment?

The fracking of natural gas is leading to bad chemicals in the environment

Body's response to stress

The general adaptation syndrome, recognized that unresolved stress over time eventually changes one's body as it attempts to restore homeostasis

What has lead to climate change?

The increase in CO2, lead/mercury poisoning, toxic shellfish beds, oil spills, pesticides/toxin spills in rivers, and release of radioactive steam

Why join professional organizations?

There is a lack of involvement of nurses in professional organizations

What is the Ebola nurse?

Trivialized their experience and ignored the vital work they did working with Ebola patients

"Nursing Secrets"

Trivializes nursing knowledge as a list of tips rather than a substantive science

What is a challenge in getting the media to pay attention to the expertise and work of nursing?

Underreporting and disappearance of nurses from media coverage of health-related events

What do professional organizations provide?

Up-to-date information about state of the clinical practice are in which you work or are interested in, and ways to keep practice current

What is a part of nursing that negates incivility?

Valuing others and treating each person with respect

What does Cooper recommend with incivility?

You do not have to be victimized by an uncaring and hurtful system, you do not have to bully to claim power, and you do not have to acquiesce to bullying