Wow, what an exciting week for nurses! All the ado about The View and Miss Colorado has taken up lots of blogger time, so we won’t have as many contributions from the weekly Aspiring Nurse Bloggers group this week. Here’s what we have so far:
Lorie Brown offers a time she got in trouble at work in Dirty Little Secrets. I’ve had similar experiences, I’m not sure how many. Some people go into psych work because they like it, others because they see it as a place you can be lazy and bully patients. Others enter for good reasons but burn out and go down the bad path. When you call people out for not doing their job, sometimes they retaliate. One popular tactic is to offer the boss a distorted or frankly fictional complaint. I don’t encounter this problem very often. Why? I communicate clearly. I sell this sort of person the notion (the truth) that they don’t want war with me: too dangerous, too unpleasant, too expensive, too risky. Nothing abusive or criminal, mind you: that leaves lots of other great possibilities. I’m such a helpful guy, I go above and beyond so often and solve so many problems others’ can’t, that simply the prospect of losing that support is often more than enough. It’s a tactic drawn directly from the Harvard Negotiation Project and books like Getting Past No. If you make war untenable, folks will reluctantly learn to play nice and work with you. Plus, I work hard to build strong relationships across the hospital, which gives me the credibility I need to get through such meetings unharmed. when you learn how to defend yourself better, and to communicate and interact more effectively, everything gets easier: everything! you feel safer, more confident, better able to think clearly, set higher expectations for yourself and achieve them. Few nurses ever put any focused effort into such learning, relying instead on diffuse and unexamined experience. Trust me: experience teaches lessons, but many of them are just bad habits that cling to you like rust and hold you back, and steer the unwary down the bad path. Every nurse knows nurses who have travelled far down that path: it’s completely preventable, and a form of private hell well worth avoiding. I use such nurses as teaching examples, cautionary tales, much like Death showing Scrooge Christmas Future. You can learn something useful from anyone, one way or another…
Anne Llewellyn offers a great piece about an inspiring hospice case in The Final Transition of Care. It seems as health care has become more hectic and money-driven, providers spend far more time just keeping up and getting by, and far less time thinking past the current moment or considering human needs and values. Plus, the traditional do-everything mode is far more lucrative than hospice, and profits have become the top priority in many if not most areas of American health care, at least from a management perspective. Patients pay a heavy price, and it’s nice to see a case where they didn’t get chewed up in the money mill.
This piece reminds me of the initiation ritual they used in a Pre-Med group in college: it involved knight imagery, bravely fighting the enemy Death. A philosophy major, I’m used to examining ideas closely. As the ritual proceeded, I thought to myself, “Don’t they all realize that the way they’re framing the practice of medicine, they’re promising themselves certain failure in every case? We all die, after all.” I found that no one else in the group thought much of my point: they all wanted to play the Knight in Shining Armor. Healthcare today seems to still largely pretend that we save lives. We don’t, of course. We don’t know how. We don’t prevent death: we merely delay it, often only slightly, and often by inflicting tremendous suffering. From this perspective, preserving quality of life seems a far more practical goal and worthy in many cases. That goal we can achieve. What do you think?
Donna Carol Maheady offers Reassignment as a reasonable accommodation, a quick read that helps clarify the actual legal meaning of “reasonable accommodation” in relation to the Americans With Disabilities Act.
Rachel Danford Silva offers practical and important advise in FDA Reports on Inaccuracy of Blood Pressure Kiosks.
Elizabeth Scala offer tips on how to Beat Procrastination with 3 Simple Steps:
As for little old me, I shared my final piece about The View: Nurses, Closure, Miss Colorado, and The View.
- Why no graphics? Fair question: I’m curious myself. WordPress can be buggy at times: today the media loader is apparently dead. Not dead, actually: it’s alive enough to tell me something like “Error: I can’t help you right now.” Maybe the media loader is on strike or doesn’t work Sundays… In any case, when I regain the ability to load graphics, I’ll add them.
- As I get ready to publish, I learn that the Proofreader is hanging out with the Media Loader in Do Nothing But Say I Can’t Do It Land. Hopefully, my backup editor and due diligence will suffice…
Thanks for your patience, and have a great week!