Maintain pressure on reforms to protect NHS
Mertha Nyamande RMN
UK
Trained at Kingston University in Surrey, graduated in 2002, worked in various Secure Care and community settings nationwide.
Recent activity
Comments (15)
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Comment on: How can nurses participate in or lead in change management?
Pardon my ignorance on this debate, but i am not sure how this became a Doctors vs Nurses debate. As i understand, this is about how Nurses can participate or lead in change management. You surely do not have to be a Doctor to participate in change management, even a janitor can. Nurses and doctors however, are not on opposing sides and therefore should not be working against each other, but compliment each other. In my experience, as a senior nurse, you often get junior doctors coming into a specialised environments and would not have an understanding or experience of how the systems work, nor understanding of the patient's history, background or complex medical/care needs. So we have to work together to guide each other, most importantly understand each other's limitations. Gone are the days where the doctor said and the nurses do. we are professionals in our own rights and have the right to disagree or question a course of treatment prescribed. This discussion has taken a different/wrong turn. It would be helpful if people commenting focus on the topics rather that taking this as an opportunity to have a rant about what they are not happy with.
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Comment on: Nursin' USA - Why do UK nurses consider restraints unacceptable?
For starters, i think you need to be specific with your titles... "Nurses" is a general term, so are restraints. Here we are talking about mechanically restraining confused elderly patients to something or someone, right? This then gets misconstrued into "restraints not allowed" or "Illegal", which is misleading, please be specific in your redresses to avoid confusion and mixed messages. This can easily raise problems with "restraining" in general
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Comment on: Over 90% of nurses experience violence or verbal abuse
The dilemma of the nursing profession is that nurses are expected to put up and shut up, due to the caring nature of the role. We deal with vulnerable individuals, yet at the same time the very vulnerable individuals are the ones being abusive and violent. As stated in earlier comments there is no support because there is no real evidence on how to deal with abusive individuals. a lot of the time, the ones being abusive is not due to their mental illness, but more behavioural or its just how they are used to interact and you cannot really change someone's personality in a short period, if at all. similarly, working with personality disordered patients, one has to be really patient, yet alert at all times to ensure boundaries are maintained as the patients can turn on you when you thought you were interacting well. so more research work is work is required in this area
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Comment on: Snow excuse for skiving off work
some managers dont really care about their staff and its obvious to them that nurses not turning up even in such extreme conditions is not acceptable to them because it means their budgets are compromised. they forget that not everyone drives and if they can make it to their friends for tea, so should staff make it to work. they also forget that the staff earn a lot less to afford reliable cars to get them to work safely in such weather conditions. not everyone owns a 4x4. Natural disasters happen and must accept this as a fact and make contingencies. provide a bus or some sort of transport for your staff to come in. its inconvinience to the purse, but its also inconvinient and unsafe for staff. if you can, then get in and help out. thats what leaders do, lead by example, not just point fingers, push blame and make threats not to pay your staff. This is nursing: having a heart is a requirement
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Comment on: Can optimism aid your vision?
Let's not forget how powerful the mind is and how our thoughts affect how we feel and behave (CBT). Upon mastering ones cognitions, it is believed that one can actually cure a desease by having a certain thought process: mind over matter. Facinating huh? "As a man thinketh"
