Maintain pressure on reforms to protect NHS
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Comment on: 'Your enthusiasm and commitment will rub off on others'
Lol i wouldn't worry about writing style. your comments attract controversy. that's a good thing.
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Comment on: The image of nursing: Not good enough for a feminist?
michael stone | 1-Jul-2011 11:50 am I have no idea what you are getting at here or the relevance. Their feelings are of course their own but this is a fallacy in terms of how you do your job - objectively. I won't abide by the wishes of patients if they are contrary to my training education and best practice. Nor will i be subject to their whims - if indeed they are whimsical. In the ara i work in i have one goal which is to recover them from surgery and send them home. Failing a successful recovery i will care for them until theyare transferred somewhere else, sent home or die. I canno tgauge anything other than how they feel from 'how they feel' and even then i have to tread through a quagmire of psychological and sociological processes that may or may not be present. If feelings were as important as you say and not the end goal, why aren't psychologists and counsellors readiliy available to speak to patients. Why don't pre-assessment clinics employ people to quantify those fears etc so i can plan for them? The subject that you talk about is valid. But it has a finite conclusion - it is only useful to a degree and its outcome dependent on people and relationships which cannot be guaranteed. I chose science because then what you are talking about becomes clearer if the science is sound. Nurses wouldn't have to focus on combining science and psychology. Anonymous | 1-Jul-2011 3:32 pm Well i agree you aren't being sexist but you are missing the point which is self-evaluation existed before reflective tools were created. It is a human behaviour from lookingin the mirror and noticing weight gain and ageing to thinking about arguments and conversations you've had. It is a human behaviour and ones benefits from reflection are only mediated from your own opinions. All my university reflection without fail stated that 'i reflected and changed nothing as i did it the right way the first time and the outcome was good.' all of those assignments passed despite me noting that i had learntnothing from the process and several sharp criticisms of the process. Self evaluation is good. but it is only valid if the element you are reflecting on involves only you and no other elements that are out of your control. e.g empty beds, waiting times, delays, cancellations. you cannot reflectadaquately on giving a subcutaneous injection to a fresh new patient who felt it was very painful. You can't really ponder on your technique if you were trained and experienced. You cannot really say you could have given the patient more information and comfort if you already did and the patient was consenting and comfprtable prior to the injection. You cannot claim to have done anything different if your mental checklist, safety, right drug, correct site etc was correct. If the patient is not used to being injected then perhaps you could muse over that but what could you do the next time? How REALLY will it change your thinking? Will it make you MORE aware that injections hurt or were you unaware that injections are always usually painful but amazingly well tolerated? That you see no differences between foreign nurses are yourself is no measure of the difference in their style. Merely it is proof that you do not realize that the adaptation course they are often required to complete effectively denies them the ability to work as THEY were trained in order to align their vastly superior technical and knowledge with our care (not science0 based philosophy. If you want to see the difference ask them about the values of blood gases. Ask them to tell you about blood results or acute abdominal assessments. Ask yourself why for example in the philippines the nurses and not the doctors consented patients? Or why they alone could administer single drugs. Then ask them about their nurse:patient ratios. That you see no difference wither means that your own brand of nursing is essentially cultureless (unlikely) or that imagine a universal nursing culture with this country leading the way/ being the first amongst many. It is not, we are not. Open your eyes.
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Comment on: Nurses who wash uniforms at home may put patients at risk
I wonder what other credible health care professionals will look back and have what they wore and how their hair was as the main topic of discussion....
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Comment on: The image of nursing: Not good enough for a feminist?
Anonymous | 31-May-2011 12:55 pm i have been clearly succinct in what i intended to say and even broke it down into short paragraphs for you and without your suggestion. Please refrain from critiquing my plainly laid out non-complicated approach unless you wish to actually counter my points - which you may find easier to display in numerical order. The humanitarian aspect that nursing espouses is in our actions and our desire to 'be in that role'. what greater example do you require? Reflection has no credible critique within current nursing academia to discredit it but that doesn't mean it is right for me or other people who want an approach less 'feminine' and more appropriate to who we are as people, as men and as image equals. Reflection is a poor mans self evaluation whichis almost useless in what a nurse knows, it merely allows them 'epithemius' or afterthought. Utterly useless to students who need real knowledge to base their assessments and judgements of their care on. michael stone | 1-Jun-2011 10:59 am I have not included what a patient feels because it is something with which i cannot be certain and will not stoop to cheaply quantify. Feelings are something deeply more personal and difficult to espouse that even you realise and the complex sequences and ranges of emotions and reactions of individuals is not something you, me or any Nurse can realistically 'plan for' or 'deal with'. To pretend that your ability to relate and recognise feelings is an inherent part of your jobis rather gauche as they are an inherent part of our species and are omnipresent in society as normal instruments of our being. Furthermore to trivialize what patients might feel about things that generally will always produce a negative outcomeis labour-intensive guff. I spend my days looking after patients we give stomas to. Hmm, i wonder hoe they are going to feel about their body image??? Positively or negatively. Not sure how your assertions claim relevance and legitimacy when the correct amount of time is devoted to them.... Everything i say is true. Nurses have taken an excessively long, time wasting era to raise any standards or develop to the modern day required level of skill and ability utterly obvious in foreign graduates. The proof is therein. Copy their programmes and the improvements will appear instantly. I l
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Comment on: Read the transcript from today's webchat: 'Whisteblowing: what’s holding nurses back?'
Whistleblowing is definitely out of the question when the NMC appears to find it difficult to speak up about any issues affecting nursing as a whole. Their 'watching from the sidelines' regime has always been to our detriment. It's time for an overhaul.
