Professionalism In Nursing Quotes

The difference between "active" and "busy" is that the former includes reflection and is directed, whereas the busy life feels out of control and does not seem purposeful or meaningful.

I realized that every healthcare professional — every single doctor, nurse, midwife, pharmacist, physical therapist, and paramedic — need to shout out about the reality of their work so the next time the health secretary lies that doctors are in it for the money, the public will know just how ridiculous that is. Why would any sane person do that job for anything other than the right reasons, because I wouldn’t wish it on anyone. I have so much respect for those who work on the front line because, when it came down to it, I certainly couldn’t.

Simple people with less education, sophistication, social ties, and professional obligations seem in general to have somewhat less difficulty in facing this final crisis than people of affluence who lose a great deal more in terms of material luxuries, comfort, and number of interpersonal relationships. It appears that people who have gone through a life of suffering, hard work, and labor, who have raised their children and been gratified in their work, have shown greater ease in accepting death with peace and dignity compared to those who have been ambitiously controlling their environment, accumulating material goods, and a great number of social relationships but few meaningful interpersonal relationships which would have been available at the end of life.

Simple people with less education, sophistication, social ties, and professional obligations seem in general to have somewhat less difficulty in facing this final crisis than people of affluence who lose a great deal more in terms of material luxuries, comfort, and number of interpersonal relationships.

His customers were mostly professional women: lawyers, nurses, a prostitute or

It’s not our place to judge the guilt or innocence of the prisoners, Nurse Webster. The sooner you learn that the better. Any other approach just leads to conflicts of duty and undermines the smooth running of the institution. We are here to ensure that the prisoners are dealt with firmly and professionally. It’s up to their lawyers to handle matters pertaining to their sentences.

The sobering truth is that the heroes of the immediate COVID-19 crisis, those who (at personal risk) took care of the sick and kept the economy ticking, are among the worst paid professionals – the nurses, the cleaners, the delivery drivers, the workers in food factories, care homes and warehouses, among others.

Over the course of his sixteen years, Charles Cullen had been the subject of dozens of complaints and disciplinary citations, and had endured four police investigations, two lie detector tests, perhaps twenty suicide attempts, and a lock-up, but none had blemished his professional record.

I was surprised and alarmed by the satisfaction I sometimes felt after I’d wrestled a patient to the floor so a nurse could give an injection, and I gradually realized how much of our professional training was geared to helping us stay in control in the face of terrifying and confusing realities.

This was him, an earnest health-care professional, lovesick and concerned, the sort of foolish heart who had told the policeman that he’d drive right over and did just that, on time. He figured that later, when the pills kicked in, he’d be Romeo, overwhelmed with love and poison, right on stage. The

It was as though they had so saturated themselves with professional behaviourism that they had lost the knack of being natural.

Bob neither smoked nor drank. In public or at professional events, if he felt he had to consume alcohol, he would sometimes order one drink and nurse it for the duration of the event.

We also see intra-professional friction, when, for example, nurses take on work that used to be exclusive to doctors, or paralegals are engaged to perform tasks that formerly were the province of lawyers.

Their task was to film the work of the Allied women. More than 20,000 American women served overseas during the war—10,000 as nurses in the army and navy and a few thousand under the auspices of the Red Cross, the YMCA, and the Salvation Army. Several hundred women were telephone operators with the Army Signal Corps and still others served as doctors, entertainers, canteen workers, interpreters, dentists, therapists, decoders, and in a myriad of other roles. Most of the one thousand professional entertainers who joined the war effort were connected to either the Overseas Theater League or the YMCA and over half were women.

I don't think this is a good idea. We all live on one planet so we cannot segregate the genders. If the Holy Mosque in Makkah, which is the holiest place on earth, does not segregate women, then why would the Ministry of Health want to segregate them?” She also went on to object to the selection of a physician based only on gender and not competence, expressing her disdain as follows: “I prefer doctors who are professional in studying my situation and solving my problem, regardless of whether they are male or female. I cannot imagine a men's hospital without female nurses and doctors, and I also cannot imagine women's hospitals without men playing a role in them.

Nazareth wasted no time in anything she did, and years of experience with her brood of nine had given her a firm way of bustling another person along that was impressive even to a professional nurse who did professional person-bustling.

Unlike earlier generations, they don’t learn how to be at ease with someone whose life is coming to an end. Illness and death have been moved out of the house and into the hospital or nursing home. Professionals provide the care; relatives and friends become spectators watching something occur—not in a continuous stream of emotions and experiences from which to learn, but in awkward chunks of time, determined by official visiting hours that leave them uncomfortable and unsatisfied.

If the mother can’t afford to hire a nurse, she should pretend she is one herself: “she must look upon herself while performing the functions of a nurse as a professional woman and not as a sentimentalist masquerading under the name of ‘Mother.

Tiffy: So … in your professional opinion … Me: As a palliative care nurse? Tiffy: As a vaguely medical person … Oh, no. These conversations never go well. People always assume they teach us all the medicine in the world at nursing school, and that we remember it five years later.

The trained nurse as a factor in life may be regarded from many points of view—philanthropic, social, personal, professional and domestic. To her virtues we have been exceedingly kind—tongues have dropped manna in their description. To her faults—well let us be blind. NURSE AND PATIENT, IN AEQUANIMITAS, 149.

There’s pushback on the legislative front as well. In 2013, California passed the nation’s only law that year to expand abortion access: Nurses and some other health professionals (midwives, nurse practitioners, and physician assistants) are now permitted to perform first-trimester nonsurgical abortions.30 (This is what can happen when a state is controlled by Democrats.)

But then, that's the question. Should you even pause to consider your own reactions? These men suffer so much more than he does, more than he can imagine. In the face of their suffering, isn't it self-indulgent to think about his own feelings? He has nobody to talk to about such things and blunders his way through as best he can. If you feel nothing -this is what he comes back to time and time again -you might just as well be a machine, and machines aren't very good at caring for people. There's something machine-like about a lot of the professional nurses here. Even Sister Byrd, whom he admires, he looks at her sometimes and sees an automaton. Well, lucky for her, perhaps. It's probably more efficient to be like that. Certainly less painful.

Missouria took in Mr. Morris’s information and this system of demarcating lives. Maps and lines had defined her entire life. They were drawn throughout history, straightened, elongated, bent up and down by people who met in town halls and state capitals and now in the federal government. She had spent too many years confined inside those lines, told where to go, when, and for how long. She had come here to change her life, to live as a professional, and to put down new roots.

It took me many more years of prospective follow-up, and many more years of emotional growth, to learn to take love seriously. What it looks like—God, a nurse, a child, a good Samaritan, or any of its other guises—is different for everybody. But love is love. At age seventy-five, Camille took the opportunity to describe in greater detail how love had healed him. This time he needed no recourse to Freud or Jesus. Before there were dysfunctional families, I came from one. My professional life hasn’t been disappointing—far from it—but the truly gratifying unfolding has been into the person I’ve slowly become: comfortable, joyful, connected and effective. Since it wasn’t widely available then, I hadn’t read that children’s classic, The Velveteen Rabbit, which tells how connectedness is something we must let happen to us, and then we become solid and whole. As that tale recounts tenderly, only love can make us real. Denied this in boyhood for reasons I now understand, it took me years to tap substitute sources. What seems marvelous is how many there are and how restorative they prove. What durable and pliable creatures we are, and what a storehouse of goodwill lurks in the social fabric. . . . I never dreamed my later years would be so stimulating and rewarding. That convalescent year, transformative though it was, was not the end of Camille’s story. Once he grasped what had happened, he seized the ball and ran with it, straight into a developmental explosion that went on for thirty years. A

In airplane crashes and chemical industry accidents, in the infrequent but serious nuclear plant accidents, in the NASA Challenger and Columbia disasters, and in the British Petroleum gulf spill, a common finding is that lower-ranking employees had information that would have prevented or lessened the consequences of the accident, but either it was not passed up to higher levels, or it was ignored, or it was overridden. When I talk to senior managers, they always assure me that they are open, that they want to hear from their subordinates, and that they take the information seriously. However, when I talk to the subordinates in those same organizations, they tell me either they do not feel safe bringing bad news to their bosses or they’ve tried but never got any response or even acknowledgment, so they concluded that their input wasn’t welcome and gave up. Shockingly often, they settled for risky alternatives rather than upset their bosses with potentially bad news. When I look at what goes on in hospitals, in operating rooms, and in the health care system generally, I find the same problems of communication exist and that patients frequently pay the price. Nurses and technicians do not feel safe bringing negative information to doctors or correcting a doctor who is about to make a mistake. Doctors will argue that if the others were “professionals” they would speak up, but in many a hospital the nurses will tell you that doctors feel free to yell at nurses in a punishing way, which creates a climate where nurses will certainly not speak up. Doctors engage patients in one-way conversations in which they ask only enough questions to make a diagnosis and sometimes make misdiagnoses because they don’t ask enough questions before they begin to tell patients what they should do.

As with all social service projects, a lexicon of terms accumulated around the Housing First movement. Permanent Supportive Housing (PSH) described the movement’s general aim and means, and a model program conducted in the 1990s in New York had shown that housing for chronically homeless people could indeed be long-lasting and beneficial, provided they received adequate support. This trial—The Consumer Preference Supported Housing Model (CPSH)—had involved 242 people who suffered from either mental illness or substance abuse or both. The model had housed them, via various grants and public subsidies, in apartments situated in “affordable locations throughout the city’s low-income neighborhoods.” And they had been supported by Assertive Community Treatment (ACT) teams, somewhat modified from the general prototype, but substantial. These included nurses, social workers, drug counselors, administrative assistants, and “peer counselors,” who directed the support services with the advice and consent of the tenants. Each team had access to psychiatrists and other professionals, and each stood ready to help the tenants every night and day of the week. After five years, 88 percent remained housed—a remarkable result.

As nurses, we’re supposed to compartmentalize, to be detached, to mentally separate our professional lives from our personal lives, like sorting medication into a pill sorter, clearly divided with thick plastic tabs. We were taught this in nursing school, though it’s not that easy and it’s not something that can be taught—to care for and about our patients, but to not let ourselves get emotionally attached because attachment, they say, leads to burnout, which causes nurses to leave an already hemorrhaging profession. It’s hard because as nurses, it’s in our nature to be compassionate, and these two things—detachment and compassion—are at odds with one another.

for the teens who were the first one that classmate with the wild hair and the dark makeup and the frightened eyes told about the things that were happening at home. the secret keepers, the unpaid crisis responders, the ones who took frantic calls at all hours of the night and went to the high school guidance counselor ostensibly for assessment for therapy, for support for the scars on their arms, but mostly to figure out how to become therapists themselves, because no adult can help a kid the way another kid can. for the ones who grew up to be social workers and nurses and psychologists and any other flavor of professional helper, because they were already doing the helping, so they might as well get paid for it too. because helping and holding and listening and caring were the only times we felt we knew what we were doing, even though we had no idea. because that was the way that other people loved us. because maybe, we thought in our secret hearts, that’s all we were good for. caregiver, i see you.

We live in a world where we have to sacrifice our comfort for the sake of others. Where we have to go an extra mile to meet others' needs. Where we have to dig deep in our resources to please others. I have gone out of my comfort zone for some people. Some people have gone out of their comfort zone for me. And I'm grateful. It's life. It's a common thing. There is no right or wrong to this behaviour. We do it because either we want to or that we must. By the way, our self-sacrificing service can be unhealthy to us. Some people burn themselves down trying to keep others warm. Some break their backs trying to carry the whole world. Some break their bones trying to bend backwards for their loved ones. All these sacrifices are, sometimes, not appreciated. Usually we don't thank the people who go out of their comfort zone to make us feel comfortable. Again, although it's not okay, it's a common thing. It's another side of life. To be fair, we must get in touch with our humanity and show gratitude for these sacrifices. We owe it to so many people. And sometimes we don't even realise it. Thanks be to God for forgiving our sins — which we repeat. Thanks to our world leaders and the activists for the work that they do to make our economic life better. Thanks to our teachers, lecturers, mentors, and role models for shaping our lives. Thanks to our parents for their continual sacrifices. Thanks to our friends for their solid support. Thanks to our children, nephews, and nieces. They allow us to practise discipline and leadership on them. Thanks to the doctors and nurses who save our lives daily. Thanks to safety professionals and legal representatives. They protect us and our possessions. Thanks to our church leaders, spiritual gurus and guides, and meditation partners. They shape our spiritual lives. Thanks to musicians, actors, writers, poets, and sportspeople for their entertainment. Thanks to everyone who contributes in a positive way to our society. Whether recognised or not. Thank you. Thank you. Thank you!

That hidden economy, which still exists today, is one of love. There is self-interest, certainly, in all of these women's endeavors; for their trouble, they get shelter and food. But you don't do any of that - the mind-numbing care of small children, the endless repetition of cooking and laundry, the indignity of having a mind as fine as any man's and no opportunity to exercise it - without love. Either love for the owners of the dirty underwear and the sticky little hands, or love for people whose survival depends on the pittance you make for doing it. Almost three hundred years after Dam Smith was born, women still dominate the "caring professions" - teaching, nursing, social work - and are scarce in positions of financial or political power. Married women who work full-time still do substantially more cleaning, food preparation, and child-engagement tasks than their male partners. And when professional women's work becomes too time consuming, the care of children and the household isn't shared more equally with male partners, but outsourced to other women, frequently poor women of color. It is men who are raised to participate in a strict economy of self-interest. Most women could never afford that.

I picked her up and carried her down the hall to the bathroom, just a pitiful skeleton with skin stretched over the top and a great red scar across her chest. She sank onto the plastic seat we had got from the hospital and closed her eyes as I washed her, leaning her poor bald head back exhaustedly against the back of the shower cubicle. "I'll just change the sheets," I said, "I won't be a minute - would you rather sit under the water, or shall I turn it off and wrap you up in a towel ?" "Under the water," she whispered. I had to strip the bed entirely, and two of the pillows were saturated. I replaced them with pillows from my bed, and while I was at it my duvet as well. Then I propped the poor woman up against the bathroom sink to dry and dress her, picked her up and carried her back to bed. Never have I been so grateful to be, after all, a strapping wench rather than a delicate wisp of a girl. As I pulled the covers up under her chin she opened her eyes, looked at me sternly and said with nearly her old decision, "This is not the way I wish to be remembered, Josephine." "I know," I whispered, the tears spilling unchecked down my cheeks. Nurses are supposed to be bright and matter-of-fact about these things: my bracing professional manner left a lot to be desired. "I'll get you some dinner." "No," she said. "Just my pills, love." Back in the kitchen I stood for a moment in a trance of indecision, wondering where the hell to start. It didn't really matter - when you're overcome with lethargy you just have to do something. And then the next thing, and then the next, and eventually, although you'd have sworn you were far too tired and depressed to accomplish anything, you're finished. I turned on the tap about the big concrete sink by the back door and began to scrub sheets and blankets.

Blood pressure check!” The doorknob rattled, as if the nurse were intending just to walk in, but the lock held, thank God. The nurse knocked again. “Oh, shit,” Gina breathed, laughing as she scrambled off of him. She reached to remove the condom they’d just used, encountered . . . him, and met his eyes. But then she scooped her clothes off the floor and ran into the bathroom. “Mr. Bhagat?” The nurse knocked on the door again. Even louder this time. “Are you all right?” Oh, shit, indeed. “Come in,” Max called as he pulled up the blanket and leaned on the button that put his bed back up into a sitting position. The same control device had a “call nurse” button as well as the clearly marked one that would unlock the door. “It’s locked,” the nurse called back, as well he knew. “Oh, I’m sorry,” he said, as he wiped off his face with the edge of the sheet. Sweat much in bed, all alone, Mr. Bhagat? “I must’ve . . . Here, let me figure out how to . . .” He took an extra second to smooth his hair, his pajama top, and then, praying that the nurse had a cold and couldn’t smell the scent of sex that lingered in the air, he hit the release. “Please don’t lock your door during the day,” the woman scolded him as she came into the room, around to the side of his bed. It was Debra Forsythe, a woman around his age, whom Max had met briefly at his check-in. She had been on her way home to deal with some crisis with her kids, and hadn’t been happy then, either. “And not at night either,” she added, “until you’ve been here a few days.” “Sorry.” He gave her an apologetic smile, hanging on to it as the woman gazed at him through narrowed eyes. She didn’t say anything, she just wrapped the blood pressure cuff around his arm, and pumped it a little too full of air—ow—as Gina opened the bathroom door. “Did I hear someone at the door?” she asked brightly. “Oh, hi. Debbie, right?” “Debra.” She glanced at Gina, and then back, her disgust for Max apparent in the tightness of her lips. But then she focused on the gauge, stethoscope to his arm. Gina came out into the room, crossing around behind the nurse, making a face at him that meant . . .? Max sent her a questioning look, and she flashed him. She just lifted her skirt and gave him a quick but total eyeful. Which meant . . . Ah, Christ. The nurse turned to glare at Gina, who quickly straightened up from searching the floor. What was it with him and missing underwear? Gina smiled sweetly. “His blood pressure should be nice and low. He’s very relaxed—he just had a massage.” “You know, I didn’t peg you for a troublemaker when you checked in yesterday,” Debra said to Max, as she wrote his numbers on the chart. Gina was back to scanning the floor, but again, she straightened up innocently when the nurse turned toward her. “I think you’re probably looking for this.” Debra leaned over and . . . Gina’s panties dangled off the edge of her pen. They’d been on the floor, right at the woman’s sensibly clad feet. “Oops,” Gina said. Max could tell that she was mortified, but only because he knew her so well. She forced an even sunnier smile, and attempted to explain. “It was just . . . he was in the hospital for so long and . . .” “And men have needs,” Debra droned, clearly unmoved. “Believe me, I’ve heard it all before.” “No, actually,” Gina said, still trying to turn this into something they could all laugh about, “I have needs.” But it was obvious that this nurse hadn’t laughed since 1985. “Then maybe you should find someone your own age to play with. A professional hockey player just arrived. He’s in the east wing. Second floor.” She lowered her voice conspiratorially. “Lots of money. Just your type, I’m sure.” “Excuse me?” Gina wasn’t going to let one go past. She may not have been wearing any panties, but her Long Island attitude now waved around her like a superhero’s cape. She even assumed the battle position, hands on her hips.

Sylphid was beginning to play professionally, and she was subbing as second harpist in the orchestra at Radio City Music Hall. She was called pretty regularly, once or twice a week, and she’d also got a job playing at a fancy restaurant in the East Sixties on Friday night. Ira would drive her from the Village up to the restaurant with her harp and then go and pick her and the harp up when she finished. He had the station wagon, and he’d pull up in front of the house and go inside and have to carry it down the stairs. The harp is in its felt cover, and Ira puts one hand on the column and one hand in the sound hole at the back and he lifts it up, lays the harp on a mattress they keep in the station wagon, and drives Sylphid and the harp uptown to the restaurant. At the restaurant he takes the harp out of the car and, big radio star that he is, he carries it inside. At ten-thirty, when the restaurant is finished serving dinner and Sylphid’s ready to come back to the Village, he goes around to pick her up and the whole operation is repeated. Every Friday. He hated the physical imposition that it was—those things weigh about eighty pounds—but he did it. I remember that in the hospital, when he had cracked up, he said to me, ‘She married me to carry her daughter’s harp! That’s why the woman married me! To haul that fucking harp!’ “On those Friday night trips, Ira found he could talk to Sylphid in ways he couldn’t when Eve was around. He’d ask her about being a movie star’s child. He’d say to her, ‘When you were a little girl, when did it dawn on you that something was up, that this wasn’t the way everyone grew up?’ She told him it was when the tour buses went up and down their street in Beverly Hills. She said she never saw her parents’ movies until she was a teenager. Her parents were trying to keep her normal and so they downplayed those movies around the house. Even the rich kid’s life in Beverly Hills with the other movie stars’ kids seemed normal enough until the tour buses stopped in front of her house and she could hear the tour guide saying, ‘This is Carlton Pennington’s house, where he lives with his wife, Eve Frame.’ “She told him about the production that birthday parties were for the movie stars’ kids—clowns, magicians, ponies, puppet shows, and every child attended by a nanny in a white nurse’s uniform. At the dining table, behind every child would be a nanny. The Penningtons had their own screening room and they ran movies. Kids would come over. Fifteen, twenty kids.

If we consider the possibility that all women–from the infant suckling her mother’s breast, to the grown woman experiencing orgasmic sensations while suckling her own child, perhaps recalling her mother’s milk-smell in her own; to two women, like Virginia Woolf’s Chloe and Olivia, who share a laboratory; to the woman dying at ninety, touched and handled by women–exist on a lesbian continuum, we can see ourselves as moving in and out of this continuum, whether we identify ourselves as lesbian or not. It allows us to connect aspects of woman-identification as diverse as the impudent, intimate girl-friendships of eight- or nine-year-olds and the banding together of those women of the twelfth and fifteenth centuries known as Beguines who “shared houses, rented to one another, bequeathed houses to their room-mates … in cheap subdivided houses in the artisans’ area of town,” who “practiced Christian virtue on their own, dressing and living simply and not associating with men,” who earned their livings as spinners, bakers, nurses, or ran schools for young girls, and who managed–until the Church forced them to disperse–to live independent both of marriage and of conventual restrictions. It allows us to connect these women with the more celebrated “Lesbians” of the women’s school around Sappho of the seventh century B.C.; with the secret sororities and economic networks reported among African women; and with the Chinese marriage resistance sisterhoods–communities of women who refused marriage, or who if married often refused to consummate their marriages and soon left their husbands–the only women in China who were not footbound and who, Agnes Smedley tells us, welcomed the births of daughters and organized successful women’s strikes in the silk mills. It allows us to connect and compare disparate individual instances of marriage resistance: for example, the type of autonomy claimed by Emily Dickinson, a nineteenth-century white woman genius, with the strategies available to Zora Neale Hurston, a twentieth-century black woman genius. Dickinson never married, had tenuous intellectual friendships with men, lived self-convented in her genteel father’s house, and wrote a lifetime of passionate letters to her sister-in-law Sue Gilbert and a smaller group of such letters to her friend Kate Scott Anthon. Hurston married twice but soon left each husband, scrambled her way from Florida to Harlem to Columbia University to Haiti and finally back to Florida, moved in and out of white patronage and poverty, professional success and failure; her survival relationships were all with women, beginning with her mother. Both of these women in their vastly different circumstances were marriage resisters, committed to their own work and selfhood, and were later characterized as “apolitical ”. Both were drawn to men of intellectual quality; for both of them women provided the ongoing fascination and sustenance of life.

Doremus Jessup, so inconspicuous an observer, watching Senator Windrip from so humble a Boeotia, could not explain his power of bewitching large audiences. The Senator was vulgar, almost illiterate, a public liar easily detected, and in his "ideas" almost idiotic, while his celebrated piety was that of a traveling salesman for church furniture, and his yet more celebrated humor the sly cynicism of a country store. Certainly there was nothing exhilarating in the actual words of his speeches, nor anything convincing in his philosophy. His political platforms were only wings of a windmill. Seven years before his present credo—derived from Lee Sarason, Hitler, Gottfried Feder, Rocco, and probably the revue Of Thee I Sing—little Buzz, back home, had advocated nothing more revolutionary than better beef stew in the county poor-farms, and plenty of graft for loyal machine politicians, with jobs for their brothers-in-law, nephews, law partners, and creditors. Doremus had never heard Windrip during one of his orgasms of oratory, but he had been told by political reporters that under the spell you thought Windrip was Plato, but that on the way home you could not remember anything he had said. There were two things, they told Doremus, that distinguished this prairie Demosthenes. He was an actor of genius. There was no more overwhelming actor on the stage, in the motion pictures, nor even in the pulpit. He would whirl arms, bang tables, glare from mad eyes, vomit Biblical wrath from a gaping mouth; but he would also coo like a nursing mother, beseech like an aching lover, and in between tricks would coldly and almost contemptuously jab his crowds with figures and facts—figures and facts that were inescapable even when, as often happened, they were entirely incorrect. But below this surface stagecraft was his uncommon natural ability to be authentically excited by and with his audience, and they by and with him. He could dramatize his assertion that he was neither a Nazi nor a Fascist but a Democrat—a homespun Jeffersonian-Lincolnian-Clevelandian-Wilsonian Democrat—and (sans scenery and costume) make you see him veritably defending the Capitol against barbarian hordes, the while he innocently presented as his own warm-hearted Democratic inventions, every anti-libertarian, anti-Semitic madness of Europe. Aside from his dramatic glory, Buzz Windrip was a Professional Common Man. Oh, he was common enough. He had every prejudice and aspiration of every American Common Man. He believed in the desirability and therefore the sanctity of thick buckwheat cakes with adulterated maple syrup, in rubber trays for the ice cubes in his electric refrigerator, in the especial nobility of dogs, all dogs, in the oracles of S. Parkes Cadman, in being chummy with all waitresses at all junction lunch rooms, and in Henry Ford (when he became President, he exulted, maybe he could get Mr. Ford to come to supper at the White House), and the superiority of anyone who possessed a million dollars. He regarded spats, walking sticks, caviar, titles, tea-drinking, poetry not daily syndicated in newspapers and all foreigners, possibly excepting the British, as degenerate. But he was the Common Man twenty-times-magnified by his oratory, so that while the other Commoners could understand his every purpose, which was exactly the same as their own, they saw him towering among them, and they raised hands to him in worship.

I’ve been twenty one years as a nurse, five years as a forensic nurse.” Bunmi was seducing Asa into accepting a fact that her interrogations were professional and infallible “I’ve come across countless MOs of various rapists. Many a rapist seems to be cautious of AIDS so they coerce their victims into stripping and only for them to penetrate in between the thighs.

The other feature of this list is that many of these signals could easily be viewed as obvious and redundant. For instance, do highly experienced professionals like nurses and anesthesiologists really need to be explicitly told that their role in a cardiac surgery is important? Do they really need to be informed that if they see the surgeon make a mistake, they might want to speak up? The answer, as Endmondson discovered, is a thundering yes. The value of those signals is not their information but in the fact that they orient the team to the task and to one another. What seems like repetition is, in fact, navigation.

My best friend looks at me and downs the shot of bourbon in his glass. His eyes are red and rheumy, a look of misery etched upon his face. Trey sniffs loudly and slams his glass down on the bar, drawing the attention of a few of the people sitting around us. “I loved her, man,”he says. I nod and pat him on the shoulder. “I know you did, man.”We're sitting at the bar in the Yellow Rose Lounge, a quiet place where people can go to have a drink and conversation. Furnished in dark woods, with soft, dim lighting, it's more peaceful than your average watering hole. The music is kept low enough that you don't have to shout to be heard, and the flat panel televisions showing highlights from various games are kept on mute. The Yellow Rose is a lounge that caters to business professionals and people who want to have a quiet drink, a mellow conversation, or be alone with their thoughts. There are plenty of bars in Austin that cater to the hellraisers and I've been known to patronize those places now and then. But, it's also nice to have a place like the Yellow Rose for times when I need some quiet solitude. Or, when I need help nursing a friend through a bad, bitter breakup. The bartender pours Trey another shot –which he immediately downs. “Might as well leave the bottle,”I say. The bartender pauses and gives me a considering look, knowing he shouldn't leave a bottle with customers. I think it's a law or something. Reaching into my pocket, I drop a couple of hundreds down on the bar, which seems to relieve him of his inner-conflict. He quickly scoops up the cash, sets the bottle down, and strolls down to the other end of the bar. I pour Trey another shot, which he downs almost instantly and then holds his glass up for another. Not wanting to see him pass out or die from alcohol poisoning, I know I need to pace him. I set the bottle back down on the bar in front of me and turn to my friend.

My best friend looks at me and downs the shot of bourbon in his glass. His eyes are red and rheumy, a look of misery etched upon his face. Trey sniffs loudly and slams his glass down on the bar, drawing the attention of a few of the people sitting around us. “I loved her, man,” he says. I nod and pat him on the shoulder. “I know you did, man.” We're sitting at the bar in the Yellow Rose Lounge , a quiet place where people can go to have a drink and conversation. Furnished in dark woods, with soft, dim lighting, it's more peaceful than your average watering hole. The music is kept low enough that you don't have to shout to be heard, and the flat panel televisions showing highlights from various games are kept on mute. The Yellow Rose is a lounge that caters to business professionals and people who want to have a quiet drink, a mellow conversation, or be alone with their thoughts. There are plenty of bars in Austin that cater to the hellraisers and I've been known to patronize those places now and then. But, it's also nice to have a place like the Yellow Rose for times when I need some quiet solitude. Or, when I need help nursing a friend through a bad, bitter breakup. The bartender pours Trey another shot –which he immediately downs. “Might as well leave the bottle,” I say. The bartender pauses and gives me a considering look, knowing he shouldn't leave a bottle with customers. I think it's a law or something. Reaching into my pocket, I drop a couple of hundreds down on the bar, which seems to relieve him of his inner-conflict. He quickly scoops up the cash, sets the bottle down, and strolls down to the other end of the bar. I pour Trey another shot, which he downs almost instantly and then holds his glass up for another. Not wanting to see him pass out or die from alcohol poisoning, I know I need to pace him. I set the bottle back down on the bar in front of me and turn to my friend.

Joanna had nobody – except paid professionals – willing to handle her. And, looking at her situation coldly, she probably never would. No one to love her. No one to hug her.

Nursing is sink or swim.  Nursing is a whirlwind.  Nursing will make you feel like the stupidest and most incompetent professional on the planet, and it’s going to ask that you show up the next day and do it all over again.

When Mom and Dad die, they’re taken care of by strangers in a nursing home two towns over. The kids don’t have to see them go. They don’t even have to see them after. They just get a “we’re sorry to inform you” call late that night from the institution’s management, for whom such calls are as routine as putting out the weekly garbage is for a suburban homeowner. The funeral home picks up the body. The cemetery buries it. Unless you’re a professional, you might live your whole life without seeing someone in the moment of leaving his own.

The most important mystery of ancient Egypt was presided over by a priesthood. That mystery concerned the annual inundation of the Nile flood plain. It was this flooding which made Egyptian agriculture, and therefore civilisation, possible. It was the centre of their society in both practical and ritual terms for many centuries; it made ancient Egypt the most stable society the world has ever seen. The Egyptian calendar itself was calculated with reference to the river, and was divided into three seasons, all of them linked to the Nile and the agricultural cycle it determined: Akhet, or the inundation, Peret, the growing season, and Shemu, the harvest. The size of the flood determined the size of the harvest: too little water and there would be famine; too much and there would be catastrophe; just the right amount and the whole country would bloom and prosper. Every detail of Egyptian life was linked to the flood: even the tax system was based on the level of the water, since it was that level which determined how prosperous the farmers were going to be in the subsequent season. The priests performed complicated rituals to divine the nature of that year’s flood and the resulting harvest. The religious elite had at their disposal a rich, emotionally satisfying mythological system; a subtle, complicated language of symbols that drew on that mythology; and a position of unchallenged power at the centre of their extraordinarily stable society, one which remained in an essentially static condition for thousands of years. But the priests were cheating, because they had something else too: they had a nilometer. This was a secret device made to measure and predict the level of flood water. It consisted of a large, permanent measuring station sited on the river, with lines and markers designed to predict the level of the annual flood. The calibrations used the water level to forecast levels of harvest from Hunger up through Suffering through to Happiness, Security and Abundance, to, in a year with too much water, Disaster. Nilometers were a – perhaps the – priestly secret. They were situated in temples where only priests were allowed access; Herodotus, who wrote the first outsider’s account of Egyptian life the fifth century BC, was told of their existence, but wasn’t allowed to see one. As late as 1810, thousands of years after the nilometers had entered use, foreigners were still forbidden access to them. Added to the accurate records of flood patters dating back centuries, the nilometer was an essential tool for control of Egypt. It had to be kept secret by the ruling class and institutions, because it was a central component of their authority. The world is full of priesthoods. The nilometer offers a good paradigm for many kinds of expertise, many varieties of religious and professional mystery. Many of the words for deliberately obfuscating nonsense come from priestly ritual: mumbo jumbo from the Mandinka word maamajomboo, a masked shamanic ceremonial dancer; hocus pocus from hoc est corpus meum in the Latin Mass. On the one hand, the elaborate language and ritual, designed to bamboozle and mystify and intimidate and add value; on the other the calculations that the pros make in private. Practitioners of almost every métier, from plumbers to chefs to nurses to teachers to police, have a gap between the way they talk to each other and they way they talk to their customers or audience. Grayson Perry is very funny on this phenomenon at work in the art world, as he described it in an interview with Brian Eno. ‘As for the language of the art world – “International Art English” – I think obfuscation was part of its purpose, to protect what in fact was probably a fairly simple philosophical point, to keep some sort of mystery around it. There was a fear that if it was made understandable, it wouldn’t seem important.

Death will come for us all and yet medicine still sees it as a defeat. No wonder that legal physician-assisted suicide has caused such an uproar within medical circles. Research has shown that even in jurisdictions where it is legal, confusion about its ethics, processes and procedures abound. Why? Because physician-assisted suicide allies the doctor with their enemy, namely death. Health professionals generally don’t seem to have the training and skills to assist in the dying process and most don’t appear to want them. Research has shown a strong connection between the death attitudes of health professionals and the quality of end-of-life care that they provide. For example, nurses low in death acceptance tend to have negative attitudes towards end-of-life care and cultivate poorer relationships with terminal patients. Death anxiety among healthcare providers negatively affects their attitudes towards family members of the dying. Further, death anxiety has been shown to stop relevant health professionals from initiating discussions about advance care directives. This, of course, makes it extremely difficult to ensure that the wishes of the dying are adhered to when the moment comes.

Once the delivery was over and we were led to our hospital room for the night, Jordyn was famished, so I went down to the cafeteria to find her something to eat. I scoured for something that she might actually be able to stomach but retreated back to our room empty-handed, opting to perhaps order from the Jerry’s Deli across the street. I walked across the hall to the nurse station, where there was one nurse on duty, a large woman with Hulk Hogan’s build who barked at me in a thick eastern European accent, “CAN I HELP YOU?” “Yes . . . um, can you tell me if Jerry’s Deli delivers here?” She stared at me with her ice-cold eyes and growled, “I AM NOT AT LIBERTY TO DISCLOSE ANY INFORMATION ABOUT WHO IS DELIVERED HERE.” I smiled, realizing that she’d misunderstood my question, and said, “Hahaha . . . no . . . does JERRY’S DELI deliver here?” Looking like she was about to leap over her computer and strangle me with her giant, professional-wrestling hands, she raised her volume and repeated, “I TOLD YOU! I AM NOT AT LIBERTY TO DISCLOSE ANY INFORMATION ABOUT WHO IS DELIVERED HERE!!!” I scurried away in fear, walked across the street, and ordered a sandwich for Jordyn while standing next to Jennifer Lopez. Another night in Los Angeles. My mother was right, being a father to a daughter was indeed the most special relationship of my life. I was soon well versed in the art of a smudgeless pedicure, how to tie the perfect ponytail, and how to identify every Disney princess just by the color of her dress. This was easy, I thought.

But what really caught her attention was the small article on page 3 about the first native professional nurse in South Africa: Cecilia Makiwane. Vera hadn’t heard of her before but in her heart she saluted this fellow nurse who came from a poor mission family and against all odds had passed the Cape Colonial Medical Council examination in December 1907 and was now actively encouraging other young native women to follow in her footsteps.

But his own interpretation is that the improvement in medical outcomes was brought about primarily by “a shift in clinicians’ belief—by showing them that the rate of infection was not inevitable and could be controlled, in a way that appealed to their professional ethos as doctors and nurses.

When we compared the two indexes using diet data from the Nurses’ Health Study and the Health Professionals Follow-Up Study, the Alternative Healthy Eating Index was far better at predicting the development of cardiovascular disease and other chronic conditions

I wish the field could have some other name. Evolutionary psychiatry is not a special method of treatment, and professionals in other mental health fields will also appreciate an evolutionary perspective. A more accurate descriptor would be “Using the principles of evolutionary biology to improve understanding and treatment of mental disorders in psychiatry, clinical psychology, social work, nursing, and other professions.” But that is unwieldy, so this book is a report from the frontier of evolutionary psychiatry, viewed broadly.

The Code of Ethics for Nurses states that “the nurse practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems

patient-centric is a system that discounts the power or importance of a physician’s, or a nurse’s, professional impact on patient healing. The healing relationship is multi-faceted, and as Dr. John Burroughs describes it, the relationship combines three critical components: A patient who wants to be healed, practitioners who desire to provide healing services and a healthy organization to create the optimal environment for healing. But a patient-centric hospital can neither be a care-provider’s democracy nor a loose confederation of aligned interests. Medicine now is far too complex for cottage industry methods. In fact, the ideal healing environment is one of harmonious synergy in which the hospital is the focal point of coordination and responsibility for standards, continuity and competence—as well as the means of forming and supporting the care team. The patient’s best interests, however, must be the primary and overriding center of everything the team does.

When she was twenty-four, Florence indicated her interest in the nursing profession, but her parents were strongly opposed. It needs to be noted that, in the nineteenth century, nurses did not enjoy the reputation that they enjoy today. In fact, the reputation they enjoy today is largely due to the reforms brought about by Florence Nightingale. Nineteenth-century nurses fell into two categories: There were nursing nuns, who achieved a modicum of the respect due to their hard work and lives of strict sacrifice. Lay nurses, however, were another story. They were widely assumed to be alcoholics and victims, if not willing participants, of sexual harassment from patients and other medical professionals. Outside the church, nursing was the last refuge of a woman who could find no other way to earn her living. It was not, in brief, the career path that a young lady brought up in a wealthy Victorian home would consider—unless that young lady were Florence Nightingale.

Until she reached the nursing home, no doctor or other medical professional ever asked her for her goals of care. Did she want to live as long as possible? Or was day-to-day quality of life, independence, and level of functioning more important than longevity? In the same vein, no medical professional ever suggested or assembled a family meeting on this subject, even though Michael and I would surely have a role in how she met those goals.

Legal You will learn that there are restrictions placed upon you in some areas. These restrictions are for your own protection. You will be prohibited from administering medications, recording sponge counts, or carrying out direct physician’s orders regarding treatment of a patient out of your scope of practice. As soon as you overstep your limitations and boundaries and perform any of these actions, you are placing yourself in legal jeopardy. Whether functioning under the supervision of a surgeon or a registered nurse, a CST is always part of the surgical team and you must carry out your responsibilities within the scope of your practice. Never try to do a task that does not fall within that realm. All counts are significant and have important legal ramifications. When performing a count, it is crucial to ensure that the count is correct for the patient’s well-being. When you are scrubbed, you count sponges while the registered nurse observes and records the count. At any given time during a surgical procedure, the CST may request a sponge, and possibly a sharps count to take place. If you are assisting the circulating nurse in a nonsterile role, you may assist with the counts as long as the nurse verifies it. In this scenario, the nurse is legally acting as the surgeon’s agent. It is the responsibility of the registered nurse to obtain the required medications for a case. The CST draws the drugs into syringes and mixes drugs when scrubbed; during this process, the proper sequence of medication verification and labeling must occur. In any phase of your responsibilities, there are possible grounds for legal breaches. Shortcuts may cause a patient to suffer tragic complications, even loss of life. Negligence must be avoided. Both as an employed CST and as a student, you carry the responsibility to do no harm. If you should become discouraged in your role or begin to feel this responsibility is overwhelming, it could simply mean that you need a change; it isn’t always the other team players or the place of employment that are at

The scariest, ugliest stories about in-home nursing usually are the result of nurses demonstrating a lack of professionalism, bad morals or a disregard for the child for whom they are providing care.

As more medical professionals get smart meter sickness, the utility and government smart meter cover-up just gets so much harder for the vested corporate interests!

Most people will call Emergency medical helpline/Ambulance service only a few times during their lifetimes. Having the necessary information before calling Emergency Ambulance helpline will help them in sending you the appropriate help say first aid responder, ambulance service, doctor, nurse quickly. It can be a frightening moment, but few prior precautions that might help you to run the process smoothly for both, you and the operator. If you are ever in a life-threatening medical emergency, it is important to have the emergency medical helpline number of your area memorized. Being composed and prepared to assist could save the victim life. Don’t Panic: Obviously, when you are calling the emergency medical helpline, you are in an emergency. But, Panic does not help, it may obstruct your speech (talking too fast, too slow, begin stuttering). Make sure you are far enough away from the emergency to be safe. Call your local ambulance helpline: Call your local ambulance helpline say in Bangalore, Emergency helpline number is 080 67335555 or 108. Be aware that, sometimes, it takes time for the phone to connect to the correct answering point. Do not disconnect the call if you do not connect immediately!! Know what you will be asked from the emergency operator. Make sure you are aware of the following queries: Where is the emergency location? Location is the first question asked by all emergency responders to provide & send the help. Give the dispatcher your name and address. Be aware of emergency location & where you are. Nature/Type of the emergency? Be aware of the type of emergency that you are in & the type of assistance that you want. The assistance includes medical professionals, ambulance service, firefighters or other professionals. A detailed, yet concise, description: Be aware of what happened? What should have the most importance? And why & what type of assistance you need. Have your phone number memorised: The dispatcher may need to call back for further information or to provide some useful instructions or to know where you are. 4. Listen to the dispatcher & be prepared to assist: Listen to the dispatcher & follow their instructions. The faster & better you follow their instructions, the higher the rate of survival will be. The operator/first responder might explain how to do CPR, if the victim is unconscious, while help is on arrival. For example, he can instruct you first aid, or how to help a choking victim guide you on how to stop nose bleeding. 5. Know your local medical emergency number: The emergency number depends on the country that you are living in. So you should know the local emergency number memorised. The Emergency Ambulance number in Bangalore, India is 080 67335555 & 108. 6. Ask for the type of ambulance that you are looking for: The operator wants to know the type of ambulance that you need. The type of ambulance includes Advanced Life support, Air ambulance Service, and Basic life support depending upon the type of emergency. In this case, make it clear about the type of emergency condition or explain the emergency, the victim is suffering from. Call Blood for sure helpline number 080 67335555 immediately for any life-threatening medical Emergency & ambulance services. These include chest pain, choking, car crash or any vehicle accident, difficulty speaking, drowning, numbness, sudden intense pain, severe burns and other serious medical problems.

He may gain consciousness and feel like talking. I could leave a nurse here but their damned professional cheeriness depresses introspective men. Talk to him if he feels like it, and if he wants a doctor call me on this.

Despite all this bad news, there is real-world evidence that groups do confront bullies as a group—and it works! A shining example is the “Code Pink” technique used by surgical nurses. These highly skilled professionals are often berated and belittled by pompous surgeons, both men and women. In some hospitals, whenever a bullying surgeon steps over the line into mistreatment, “Code Pink” is called by the targeted nurse. Immediately, supportive nurses form a circle around the physician. Together, they declare their unwillingness to assist that person with current and future patients, if an apology is not given with a promise to behave in a civil manner. The interdependent nature of surgery makes the surgeon powerless without the help of the team in the operating room. All work stops and the physician is accountable for her or his bullying. It is the physician who is responsible for the patient’s life. “Code Pink” is the group displaying its power to the bully, demanding cooperation instead of controlling games.

Thinking about oneself invokes the logic of consequence: Will I get sick? Doctors and nurses can answer swiftly with a no: I spend a lot of time in a hospital, I don’t always wash, and I rarely get sick, so this probably won’t affect me. In general, we tend to be overconfident about our own invulnerability to harm. But thinking about patients prompts a logic of appropriateness: What should a person like me do in a situation like this? It changes the calculation from a cost-benefit equation to a contemplation of values, of right and wrong: I have a professional and moral obligation to care for patients.

A great story about a big company’s ability to do this comes from one of the world’s biggest businesses, General Electric. I learned about Doug Dietz a few years ago when I saw him speak to a group of executives. Doug leads the design and development of award-winning medical imaging systems at GE Healthcare. He was at a hospital one day when he witnessed a little girl crying and shaking from fear as she was preparing to have an MRI — in a big, noisy, hot machine that Dietz had designed. Deeply shaken, he started asking the nurses if her reaction was common. He learned that 80 percent of pediatric patients had to be sedated during MRIs because they were too scared to lie still. He immediately decided he needed to change how the machines were designed. He flew to California for a weeklong design course at Stanford’s d.school. There he learned about a human-centric approach to design, collaborated with other designers, talked to healthcare professionals, and finally observed and talked to children in hospitals. The results were stunning. His humandriven redesigns wrapped MRI machines in fanciful themes like pirate ships and space adventures and included technicians who role-play. When Dietz’s redesigns hit children’s hospitals, patient satisfaction scores soared and the number of kids who needed sedation plummeted. Doug was teary-eyed as he told the story, and so were many of the senior executives in the audience. Products should be designed for people. Businesses should be run in a responsive, human-centric way. It is time to return to those basics. Let TRM be your roadmap and turn back to putting people first. It worked for our grandparents. It can work for you.

Erik Lannen is a compassionate nurse renowned for his dedication to providing exceptional care and support to those in need. Beyond his professional role, Erik is a versatile individual with a deep-seated passion for adventure, sports, and humanitarian efforts. His faith as a devout Christian serve as a guiding force, offering him strength and inspiration in his daily life.

This is your life and you're so deep in it that you can't unmake it, you can't unbirth your baby because she wishes to be alive, you can't remake your career, there's no way you'll be a professional dancer anymore or join the philharmonic, don't even fantasize about one day becoming that avant-garde independent filmmaker because you're here, feeling like you did when your mother died but now wondering who around you thinks it's of importance to know how difficult it is to nurse? Or how often you are covered— down to your elbows-in feces when changing diapers? What difference does it make if anyone knows the quantity of laundry that is created between these four walls? Or the hanging of the laundry, the folding of the laundry. Who wants to recognize the repetition? Who cares about what domesticity is made of? The very thing that brought us into this world and its conditions are spat upon.

As nurses, we’re supposed to compartmentalize, to be detached, to mentally separate our professional lives from our personal lives, like sorting medication into a pill sorter, clearly divided with thick plastic tabs.

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John Judis and Ruy Teixeira identified a useful distinction between members of this seemingly homogenous demographic—a distinction that can help to explain why two white-collar Americans might vote in opposite ways. They suggested that a group they call “professionals” tend toward the Democratic side. These professionals are typically white-collar workers with college or advanced degrees. They include “academics, architects, engineers, scientists, computer analysts, lawyers, physicians, registered nurses, teachers, social workers, therapists, fashion designers, interior decorators, graphic artists, writers, editors, and actors.” In the 1950s, according to Judis and Teixeira, such professionals represented only 7 percent of the workforce. Today, after a decades-long transition from a blue-collar, industrial economy to one where the engine of growth is ideas and services, they represent more than 15 percent of American workers.

While Alice had played her part in watching, waiting and attending on her father, Victoria herself hadn't been much use. ... Alice wasn't a trained nurse, but ... tradition and convention insisted in any case that a daughter was better than the most professional nurse available. (Tradition and convention were wrong about this, as Victoria herself later admitted.)

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Erik Lannen, a beacon of empathy in the world of healthcare. As a seasoned Nurse holding both a Nursing Degree and a Master's in Christian Ministry, Erik's professional journey is a testament to his passion for healing. Acknowledged for outstanding contributions, Erik is a member of esteemed healthcare associations, reflecting his commitment to excellence.

He was over by the wallscreen with the usual bunch of men, some his age, some younger. They were watching a football match being played on green grass somewhere, a contest between well-paid professionals in one of the commercial sportsground Neverlands that only existed on broadcasts; she couldn’t help thinking about the real game in the street only a short distance away. What brought the young men in out of the sunshine and turned them into the only slightly older ones here—slow of speech but quick to argue, shallow-swimming, content to sit and nurse a few beers through a long afternoon in a steamy warehouse? How could men start out so strong, so vital, and then turn so sour?

Teaching academic writing to Bachelor of Science in Nursing (BSN) students is crucial early in their academic journey and should continue throughout their program. Here's a breakdown: Foundation Level (First Year): Introducing basic academic writing skills at the onset helps students develop a strong foundation. This includes understanding essay structure, proper citation methods (APA, MLA), and critical reading and writing skills NURS FPX 4010 Assessment 2. Core Nursing Courses: As students progress into core nursing courses, integrating academic writing into these subjects is beneficial. Assignments related to evidence-based practice, research papers, case studies, and reflective writing can aid in linking theoretical knowledge to practical application through writing.NURS FPX 4010 Assessment 3 Clinical Practice Integration: Incorporating writing assignments that reflect on clinical experiences or patient interactions helps students articulate their observations, reflections, and professional development, enhancing their communication skills.online class help services Advanced Nursing Courses: In advanced years, focus on more complex academic writing, such as scholarly articles, thesis or capstone projects, and literature reviews. This phase aligns with deeper research and specialization within nursing fields. Continuous Improvement: Encourage ongoing improvement by providing resources, workshops, and feedback on writing. Additionally, revisiting and reinforcing academic writing skills periodically ensures students maintain and enhance these crucial abilities.nursfpx.com By introducing and reinforcing academic writing skills across various stages of the BSN program, students develop proficiency in communicating their ideas effectively, a skill essential for their future practice, research endeavors, and professional growth.

Why should the gross “under-representation” of Asian Americans in professional basketball be a “gap” to be closed, if Asian Americans do not have nearly as much interest in that sport as black Americans have? Why should the “under-representation” of women in chess clubs or men in nursing be a gap to be closed? The process goal of preventing biased decision-making from arbitrarily closing off opportunities is an understandable goal. Creating a tableau to match the preconceptions of a vision is something very different.

Beauchamp

Praise for Nurses and Health Professionals Back in 1976, Dr. Frank Speizer at the Channing Laboratory of Brigham and Women’s Hospital and the Harvard School of Public Health started the Nurses’ Health Study. Its initial aim was to investigate the potential long-term consequences of oral contraceptives, which were then being taken by millions of women. Nurses were chosen as the study population because of their knowledge about health and their ability to provide complete and accurate information about various diseases, thanks to their nursing education. The research team signed up 121,700 female registered nurses between the ages of thirty and fifty-five. Since then, the aims of the Nurses’ Health Study have broadened to look at the effects of diet and other lifestyle factors on cancer, cardiovascular disease, osteoporosis, mental health, and other conditions.

The professionals were heroes. The physicians and nurses and medical students and student nurses who were all dying in large numbers themselves held nothing of themselves back. And there were others. Ira Thomas played catcher for the Philadelphia Athletics. The baseball season had been shortened by Crowder’s “work or fight” order, since sport was deemed unnecessary labor. Thomas’s wife was a six-foot-tall woman, large-boned, strong. They had no children. Day after day he carried the sick in his car to hospitals and she worked in an emergency hospital.

There is something about a good nurse. Having a nursing license and job doesn’t make you a good nurse. Working for 30 years doesn’t make you a good nurse. It’s not about being good at starting IV’s or being best friends with all of the physicians. It’s not about having a commanding presence or knowing all of the answers to the 900 questions you get asked each shift. While all of these things are important, it’s not all there is. Being a good nurse is so much less defined and measurable than that. It isn’t measured in letters after your name, certifications, professional affiliations, or by climbing the clinical ladder. It’s something you feel when you see a good nurse care for their patients. It’s that security you see in their patient’s eyes when they walk in the room to provide care. It’s that sense of safety and security felt by the patient’s family that is so reassuring, they can finally head home for a shower and some sleep, knowing their loved one is being well cared for. Good nurses breathe instinct. They breathe discernment. Good nurses can pick out seemingly insignificant things about a patient, interpret an intricate clinical picture, somehow predict a poor outcome, and bring it to the provider’s attention, literally saving someone’s life. Did you read that? Save someone’s life. I have seen the lives of patients spared because of something that their nurse, their good nurse, first noticed. And then there’s that heart knowledge good nurses have that blows me away even more. They are those nurses who always know the right thing to say. They know how to calm an apprehensive and scared mother enough to let them take care of her son. They know how to re-explain the worst news a husband is ever going to hear because it didn’t quite make sense when the doctor said it 15 minutes ago. And they know how to comfort him when they see it click in his mind that his wife is forever gone.

Her hostess shuddered. ‘Ugh. A young woman has a duty to make the best of herself.’ As they went into the building, she said, ‘You’ll have to wear a uniform if you’re accepted. It’s rather dull, all the young women dressing alike. Still, the white pinafores and caps brighten the blue dresses up, and look quite smart and professional, considering.’ Phoebe wondered what white pinafores would look like when they were worn to help nurse men with bad wounds. They didn’t sound very practical. The secretary stood up to greet them. ‘Good morning, Lady Potherington. How nice to see you again! Miss Rufford is expecting you. I’ll show you in.’ ‘I do wish you’d at least call me Lady P,’ Beaty grumbled. ‘You know how I hate that name.’ ‘It wouldn’t be right. This way.’ Phoebe hid a smile. Rosemary Rufford was almost as beautiful as Beaty, and just as elegantly dressed. But she spoke far more crisply and her gaze was shrewd. After introducing them, Beaty left Phoebe to speak for herself. After only ten minutes of searching questions, Miss Rufford leant back and smiled at her. ‘You’re clearly a very suitable candidate, and we’ll be

Elizabeth Green’s New York Times article “Why Do Americans Stink at Math?” is funny and not so funny. In it, she recounts how, in the 1980s, A. Alfred Taubman, owner of the A&W chain, attempted to win over customers from McDonald’s. To lure customers from McDonald’s Quarter Pounder hamburger, he advertised the A&W better-tasting burger that was, in contrast to the McDonald’s Quarter Pounder, a full one-third pounder. One-third of a pound versus one-quarter of a pound and at the same price! Great idea, right? Well, not if you don’t know one-third is more than one-fourth! Taubman called in his cutting-edge marketing firm, Yankelovich, Skelly & White, to find out why the A&W campaign was failing. A study had shown that, without question, respondents preferred the taste of A&W’s burger over McDonald’s. Except for one small glitch. “Why,” respondents asked, “should we pay the same amount for a third of a pound of meat at A&W as we do for a fourth of a pound at McDonald’s?” Since three is less than four, reasoned more than half of those questioned, A&W was really ripping them off! And the problem is not confined to hamburger connoisseurs. Medical professionals, it turns out, aren’t immune to fallacious math either. Doctors and nurses have also been known to err when calculating dosages for medications. The problem is prevalent enough, in fact, to support services that help simplify math for doctors and nurses, including Broselow.com, whose tagline is “Taking the math out of medicine.

One of her best days in America was the day she was sworn in as a US citizen! She made a promise to herself to be an asset to this great nation, not a liability. Evangeline has worked as a licensed practical nurse since 2004 in the areas of rehabilitation, hospice, and home health while attending school towards her greater passion of affecting social change as a criminal justice professional. One of Evangeline’s worst moments in America happened when her husband was arrested for immigration irregularities, detained in Miami for eight months, and finally deported back to Cameroon. The nightmares—and God’s unending presence that followed these events—prompted the writing of Letters of Gratitude. Evangeline holds a master of science degree in criminal justice and is currently pursuing a Ph.D. degree in criminal justice at Walden University.

My best friend looks at me and downs the shot of bourbon in his glass. His eyes are red and rheumy, a look of misery etched upon his face. Trey sniffs loudly and slams his glass down on the bar, drawing the attention of a few of the people sitting around us. “I loved her, man,” he says. I nod and pat him on the shoulder. “I know you did, man.” We're sitting at the bar in the Yellow Rose Lounge, a quiet place where people can go to have a drink and conversation. Furnished in dark woods, with soft, dim lighting, it's more peaceful than your average watering hole. The music is kept low enough that you don't have to shout to be heard, and the flat panel televisions showing highlights from various games are kept on mute. The Yellow Rose is a lounge that caters to business professionals and people who want to have a quiet drink, a mellow conversation, or be alone with their thoughts. There are plenty of bars in Austin that cater to the hellraisers and I've been known to patronize those places now and then. But, it's also nice to have a place like the Yellow Rose for times when I need some quiet solitude. Or, when I need help nursing a friend through a bad, bitter breakup. The bartender pours Trey another shot – which he immediately downs. “Might as well leave the bottle,” I say. The bartender pauses and gives me a considering look, knowing he shouldn't leave a bottle with customers. I think it's a law or something. Reaching into my pocket, I drop a couple of hundreds down on the bar, which seems to relieve him of his inner-conflict. He quickly scoops up the cash, sets the bottle down, and strolls down to the other end of the bar. I pour Trey another shot, which he downs almost instantly and then holds his glass up for another. Not wanting to see him pass out or die from alcohol poisoning, I know I need to pace him. I set the bottle back down on the bar in front of me and turn to my friend

The truth of the matter is that many health professionals have an intrinsic mistrust of nature. We are taught as pediatricians, for example, that a baby is sick unless proved otherwise. This isn’t usually said in so many words, but it is the message behind what we do. The fear of litigation plays a large part in this. As pediatricians, we’re always assuming the worst,

Private schools aren't very inspiring when it comes to innovation (nor are private nursing homes, for that matter). In general they are as convention-bound as their public counterparts They mostly differ in an invidious way, much like their public school sisters. There's a hierarchy among them, based mostly on how choosy the institution can be about whom it accepts. The fact that the choosiest schools attract higher-status families and select only the most promising students ensures their success. They cannot serve as general models; their value and advantages depend on their scarcity. But if the marketplace is not a magical answer, neither, experience suggests, can we expect that forced change from the top down will work any better. What results from such bureaucratically mandated change is anger and sabotage on the part of the unwilling, unready parents and professionals as well as the manipulation of data by ambitious bureaucrats and timid administrators. The end result: a gradual return to the status quo.

So it was the work that would save them, their sense of themselves as professionals, the knowledge that they were part of something larger and more enduring than any one of them alone, and that something was the group.

from writing up a fake schedule of classes they’d take based on college course guides, to researching a “thesis” project in their subject, to doing work-study programs in the community. If someone wants to do an SWS major in premed, they have to figure out how to finance med school, how to get all their prerequisites taken without overloading on hours for any semesters, which labs they’ll need, what their books will cost, and which academic groups to join. Then they do a minithesis—ten pages at least—learn about med school entrance exams, and finally, in the last week before summer, shadow a professional in the field well enough to get a good recommendation. Grades are based on that recommendation, their educational plan, their financial plan, and their thesis. And the faculty who grade them are those who aren’t burdened with the grading of normal finals. A.k.a.: me. Me, the counselors, special-subject teachers, coaches, even the nurse. It’s all hands

According to the Family Caregivers Alliance, 46 percent of caregivers providing "complex chronic care perform medical and nursing tasks." Moreover, a majority felt they had no choice because nobody else would do it and/or insurance wouldn't pay for professional service.

today’s and tomorrow’s healthcare delivery system. To become engaged in advocacy, and to set the agenda for human resources and nursing resources for health care, nurses must be at the forefront of policy engagement, dialogue, and implementation.

Critical thinking helps us to more clearly understand situations, patients, colleagues, and our agendas, negative emotions, attitudes, motivations, talents, and growing edges. This not only helps us to have a greater grasp of reality but also stops the drain of psychological energy that is necessary to be defensive or to protect our image. Because critical thinking is not natural, although we may think it is for us, it takes discipline, a willingness to face the unpleasant, and a stamina that allows one not to become unduly frustrated when we do not achieve results as quickly as we prefer with respect to our insights and growth.

Consider doctors and nurses. These professionals deal with life-and-death situations every day, and none of these situations are scripted. Whether in the emergency room or the operating room, things often go wrong. Unanticipated complications surface at the worst possible times. The only way doctors and nurses can perform effectively is by regulating their emotions, accepting their current circumstances, and acting quickly when things go awry.

The profession becomes a part of their person. This person doesn’t merely do nursing, they are nursing (I am a nurse).