Issue 9
5 Diamond EMR/EHR Rating
Issue 9 August 2011
Travel
Auspicious Saudi Arabia
+
Divinely Sized
Inked! Nursing Tips
From a Tattoo Parlor
Creating a
Low Fat diet Plan
Listen Like a
Nurse Leader
Tobacco Free Nurses
1
Fabulous Nurse Magazine
2
Issue 9
3
Fabulous Nurse Magazine
Elsie Ekwa
Writers
Editor-in-Chief Founder of Lissie Harrington Publishers, Elsie, is the vision behind Fabulous Nurse Magazine. As a nurse, she saw the need for a lifestyle magazine that all at once serves as a celebration of nurses, a guide for better living, and a guilt-free escape from the sometimes grueling shifts nurses work. She is also the managing editor for the Pacific Writer’s Corner online magazine. Elsie writes as Sonya Justice and speaks on health and wellness issues, the business of writing, and entrepreneurship.
Matthew Fowler Writer
Masthead/Contributor Masthead/Contributor Publisher Lissie Harrington Publishers
Editorial Elsie Ekwa
Art & Graphic Design To submit artwork / ad creative Email: ads@fabulousnurse.com
Matthew Fowler, founder of A Sodality of Wordsmiths, is currently a professional writer for the US government, namely, the US Department of Labor, where he adjudicates claims and writes formal decisions regarding labor issues. He got his start in the career field of language arts as an active duty soldier, civil affairs division, writing press releases and the like. As an active duty soldier he traveled, literally, around the world in various capacities and including combat operations in Bosnia, the Philippines, and Afghanistan to deliver the Army story. His practical experience is bolstered by considerable education, a B.A in Communications and an M.P.A in Public Policy.
Advertising & Marketing
Olusegun Iselaiye
Writers
Editor & Writer
Olusegun is seasoned freelance writer, researcher, and entrepreneur. He taught nursing students Human Anatomy in his home country of Nigeria before going into fulltime writing. Olusegun, whose mother happens to be a respiratory nurse, is also a huge fan of the nursing profession. His ambition is to offer a meaningful contribution to Africa and his home country. When some give his country a bad reputation, it is good to see that there are many who live by higher standards. It is thanks to Olusegun that Fabulous Nurse Magazine will be bringing you its rating system. Contact Olusegun via email at isedot@yahoo.com.
Karen Kalis Writer
Karen Kalis has ten years of experience as a professional copywriter. She has worked in industries such as education, real estate, healthcare, technology, and with non-profit organizations. With an M.A. in Creative Writing, Karen’s clients include: Fabulous Nurse Magazine, RMS Technologies, Lincoln Electric, Multi-Care Management, and The EPIC Group. An entrepreneur at heart, Karen focuses on helping businesses communicate what they have to offer with precision.
Margaret Smith Writer
Margaret Smith is a native Texan who loves God, family, country, and writing. She has a variety of interests, and has worked in diverse fields from retail to education. Although she is not a nurse, she has done volunteer work in hospitals, where she has always admired the dedication and skill of the nurses she has seen in action. She recently made the decision to become a full-time writer. Margaret enjoys the process of discovery and development in each new project. 4
For advertising opportunities Email: ads@fabulousnurse.com Contact our Sales Director, Rod Vickery Tel: (503) 877 – 3617 To submit articles for publication Email: editor@fabulousnurse.com
Reach Us By Post Lissie Harrington Publishers ATTN: Fabulous Nurse Magazine Department 29030 SW Town Center Loop E Ste. 202 Wilsonville, OR 97070-9490 info@fabulousnurse.com www.fabulousnurse.com
Editorial Issue 9
Mercivous! à
T
he process of launching Fabulous Nurse, educating the public about our one of a kind magazine, and effectively partnering with individuals and companies who opt to advance Nursing has been a challenging, albeit, a very enjoyable one. :). It is finally here, our inaugural issue which features advertisers. I am glad to say that there are many who recognize our vision and passion and also see the immense value of the one thing so many nurses take for granted; themselves. On behalf of the staff at Fabulous Nurse Magazine and our subscribers the world over, all 100, 000 plus strong, I extend a heartfelt thank you. It is thanks to you that we are exhibiting staying power. It is thanks to you that we continue on our mission to celebrate the nurse in everyone. As the French say, “Merci à vous!”
We want you to be happy always. So, we discuss different things you can do to enrich your relationships at work and at home. And as a gesture of good will, to show how much we love nurses, there is a special treat in the form of a recipe for homemade ice-cream. Let us know if it is a hit at your next cooking event. Treat your family. Treat your friends. Treat yourself. You deserve to. Nurses rule!
Each time we publish a new issue, we are a little wiser about the many and varied things that affect nurses on a daily basis. For example, while a co-worker and fellow nurse discussed the custom tattoo design she desired with a tattoo practitioner, I took a leisurely walk on the boardwalk of Venice Beach, CA. If you have been to Venice Beach, you’ll recall that there is plenty to distract the tourist. I could not help but wonder why so many people lined up to get hennas and tattoos. That thought was the genesis of the article, Inked! By the time Inked was completed, I must say I learned a lot about tattoos. Did you know that metallic pigments in some tattoo inks can affect MRIs and even risk your chances of getting an Epidural during childbirth? Who knew, right? As a subscriber, you know that while we revel in sharing fun tips about fabulous lashes or the best ways to blow dry your hair, Fabulous Nurse Magazine, probes further to reveal health and safety concerns we may take for granted. After reading the article on tattoos, I hope you do incorporate some of the valuable information that is shared into your patient care. 5
Table of Fabulous Nurse Magazine
Contents
COVER ARTICLES
FEATURES
P.61
Listen Like a Nurse Leader
P.68
Conduct Unbecoming of a Nurse
P.15
Inked! Nursing Tips From a Tattoo Parlor
P.40
Baby Boomer Fitness Options
P.26
Signs & Symptoms of Testicular Cancer
P.63
5 Diamond EMR/EHR Rating
P.55
Travel Auspicious Saudi Arabia
P.76
The Nurse’s Footprints
P.9
Divinely Plus-Sized!
P.80
Book Review: 1st Year As a Nurse
P.44
Tobacco Free Nurses
P.28
5 Happy Ways Couples Stay Close
P.36
Creating a Low Fat diet Plan
P.46
Educating Tomorrow’s Nurses
CONDUCT UNBECOMING OF A NURSE
68
6
W
hat happens when Professionalism is separated from nursing?
August 2011
EDITORIAL
P.5 Merci
Issue 9
HOME ORGANIZATION
P.50
Organize Kids School Stuff
HOBBIES P.51
Sewing a Scrub Top
PETS
FASHION WATCH
P.11
Back to School Clogs!
BEAUTY SECRETS
P.20
Best Blow-Dry Technique, Ever!
ATTITUDE RE-DEFINED
P.22
Keeping the Mind Healthy
LIVING WELL
P.25
Chronic fatigue Syndrome
P.67 5 Diamond Nursing School Rating: UCSF
FABULOUS FOODIE
Finance
P.32
Extend Summer Fruits Into Fall
P.33
Fabulous Recipes
P.72
Income Booster: Nurse Author
P.75
The Accounting Game
LAUGH OUT LOUD
P.78
Nursing Humor
PARENTING
P.78
General Humor
P.49
RESOURCES
FABULOUS & FIT
P.41
Good walking Shoes
Parenting the Attachment Challenged Child
P.53
Common Flea & Tick Prevention
THE NURSE’S STATION
P.64 5 Star Hospital Rating: Greene Memorial Hospital, OH Sydney Adventist Hospital, Australia P.66
P.81
5 Star Staffing Agency Rating: Trinity Healthcare Staffing Group
August Nursing Conferences Around The World
7
Fabulous Nurse Magazine
8
FASHION Watch
L
et’s face it. Being on a diet does not mean you cannot look absolutely fabulous. We’ve found 8 deliciously divine dresses in which to celebrate the end of summer.
Divinely
Issue 9
Plus-Sized A flowing v-neck sets you apart while diverting attention from arms and hips.
axi Strap M i t t e h g Spa art ley Stew by Ash
.99
$39
A self-tie belt hides any elasticized waist and accentuates your curves.
Desert Ra in Maxi by Kiyona 10 way Ashley Stewart ggest Bi e th on Dress Loser Finalist
Alexandra Ga Dress by K thered iyona
$59
$129
Floral Summers by Ashley Stewart
ress Legacy Wrap D a on from Kiy
$59
$98
Convertible dresses add punch to your wardrobe without breaking the bank.
Lun a colle Gown l im ction from ited Igigi
$128 Victoria by Swak Designs
$275
$64 9
Fabulous Nurse Magazine
10
H
Back to School
ow time flies. Summer is winding down and it is time to hit the books, once again. This is when we start wondering about the best clog styles for the new school year. It matters not if your classes are on campus or online. It matters not if you are the professor or a student. Check out these clogs that make a fierce statement and declare that you are “Back in school!”
Issue 9
! s g o Cl Birki’s Super-Birki (ALPRO - Foam) $79.95
AnyWear Women’s Zone Medical Clogs $29.99
Birky Boston Unisex Clogs $129
Classic Nursing shoes by Clinic $79 -$99
Crocs Islander Khaki-Chocolate $32 Easy Spirit denim white slip ons $59.99
White Arsenal Nursing shoes $15 - $69 Ted’s Black Belt ballet style nursing shoes $19 11
Men’s
Scrub Styles
Fabulous Nurse Magazine
9-102 Two-tone brown. Available in S-3XL. Get the latest styles. www.dressamed.com
12
9-102 Ciel. Available in S-3XL. Get the latest styles. www.dressamed.com
9-102 Solid brown. Available in S-3XL. Get the latest styles. www.dressamed.com
Beauty Secrets
Issue 9
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Fabulous Nurse Magazine
14
Inked! Issue 9
By Sonya Justice
Nursing Tips From a Tattoo Parlor used rakes, combs, chisels, and picks to puncture the skin before adding pigment. Indeed, some areas of the world perfected the art of tattoo placement by pulling a thread coated with soot through the skin. Ouch! 3. Tattoos have also been found on Egyptian mummies dating as far back as 2000 B.C. 4. The word “tattoo” comes from the Tahitian word “tattau,” which means “to mark,” and was first mentioned in explorer James Cook’s records from his 1769 expedition to the South Pacific. 5. Although some people, teens primarily, get tattoos as an act of rebellion, the actual creation of a tattoo requires rigid conformity and adherence to the outlines and technique
T
o some, it is a form of self-mutilation,
Each time I look at it, I am reminded of the
the result of deeply rooted psycholog-
many reasons I have to be grateful. Each day
ical issues. To others, tattoos conjure
I count one more reason like the beads on my
up images of road weary, leather jacket in the
rosary.” As she described her reasons for get-
summer wearing, tough as nails biker gangs in
ting a tattoo, her eyes welled up belying the
smoked filled dive bars. Whereas some use tat-
serene expression on her face. It was obvious
toos as an alternative to wearing makeup. Still,
this was not just another tattoo. It was a spiri-
to many others, tattoos are simply just another
tual journey; one that she embarked on daily.
form of self-expression and self-acceptance. There are many reasons why people get tattoos. Some get tattoos to commemorate an event or to honor a loved one. Others as Patricia Burke, RN, PhD stated of the rosary around her ankle, “It spoke to me. My tattoo represents my love of self, the world, and God.
Fun Facts 1. The main reason people regret getting a tattoo is because it spells out somebody’s name. Duh. Right? 2. In ancient times, a tattoo practitioner
applied. 6. When receiving a tattoo, your skin is pricked between 50 and 3,000 times per minute by a needle in the tattoo machine. 7. Not much has changed since tattoo machines were first introduced in the late 19th century. That’s more than 100 years of stagnation! 8.
Did you know that most tattoo machines
consist of four parts; a needle, a tube that holds ink, an electric motor, and a foot pedal to control the movement (just like a sewing machine). 15
Fabulous Nurse Magazine
Finding a Tattoo Practitioner Think before you act. Tattoos are meant to ink
mend that you keep the following in mind as
any problems. What is the artist’s availability
you search for the right tattoo artists:
should you have concerns about your tattoo
you for life. This is not the decision you want
•
to make on a drunken dare or in the heat of
tioner and request to see their license (if your
the moment. There are many questions you
state registers tattoo artists). It is okay to also
should ask yourself before you get a tattoo.
ask about their membership in professional or-
For example, what type of tattoo do you want?
ganizations because information gleaned from
How big a tattoo should you get? Where do
those organizations helps keep them up to date
you want your tattoo to be placed? How long
with the latest developments in their industry.
will it take to complete your tattoo? Under-
Check that they are a registered practi-
months from the date of application?
Tattoo Creation & Application Does it hurt? Well let’s think on this for a minute…A tattoo is a permanent mark or design made on the body when pigment is inserted into the dermal layer of the skin through ruptures in the skin’s top layer. What do you think,
Request to see their body of work or
now? Sounds painful, right? Thankfully, the
watch them actually apply a tattoo on someone
perception of pain is very subjective and var-
else. While proper credentialing assures that
ies by individual. While some nurses told us
Once you have thought through your decision,
they have been trained, it does not necessarily
that the sensation of getting a tattoo is similar
we recom-
mean they are following safety protocols and
to a bee stings or being pinched, others expe-
sterilization procedures.
rienced pins and needles. Location and size of
standing your reasons for getting a tattoo will help narrow your choices.
•
•
Require your tattoo practitioner to wear
gloves; blood is exposed during this process. As nurses we understand the potential danger in that. •
Take a mental sweep of the place. Do the
floors and surfaces look clean? Are all needles used new and disposable? •
Expect some discomfort. As a general rule of thumb, getting a tattoo over a bony prominence will produce more pain. A tattoo artists or practitioner should approach their work like a nurse does when anticipating contact with body fluids. As directed by the International Tattoo Artists Association, ITAA,
They absolutely must have an autoclave
to sterilize their equipment between clients. Hospital grade autoclaves kill every organism on the equipment through the use of heat, steam, and pressure. According to Discovery Health, “An autoclave uses time, temperature, and pressure in one of two combinations: A temperature of 250° F (121° C) under 10 pounds of pressure for 30 minutes. A temperature of 270° F (132° C) under 15 pounds of pressure for 15 minutes.” • Be sure that all dyes or ink and dressings used are sterile packed and unopened.
16
the tattoo greatly affect the perception of pain.
before starting, the tattoo practitioner should do the following: Disinfect the work area with an EPA-approved viricide. Place plastic bags on spray bottles to prevent cross-contamination. Explain the sterilization process to the client. The autoclave is a popular way to sterilize any tattoo equipment that isn’t disposable. A combination of heat, steam and pressure kills all bacteria and organisms to prevent infection. Wash and inspect their hands for cuts and abrasions. Dorn gloves. Remove all equipment from its sterile packaging in front of the client. Shave and disinfect (with a mixture of water and antiseptic soap) the area to be tattooed. There are four basic steps in the tattooing process; outlining, shading, color, and finally, cleaning and bandaging.
After Care
• The artist should be available
Proper care of a new tattoo can prevent health
for the first 24 hours if you have
problems and protect the quality of the newly
Issue 9
minted image. Most reputable artists give cli-
route of transmission for blood borne patho-
too parlors must wait 12 months after receiv-
ents an aftercare pamphlet which details at-
gens such as syphilis, hepatitis B, tuberculo-
ing the tattoo to present to donate blood.”
home care and symptoms to report.
sis, and possibly HIV. Thankfully, no cases
For example, people who receive tattoos
of HIV transmission from tattoo applications
from states that do not regulate tattoo par-
have been documented by the CDC but that
lors, such as Washington must wait one full
does not minimize the potential for exposure.
year before they are eligible to donate blood,
•
Unless you are instructed otherwise, it is
generally acceptable to remove the bandage 1 – 2 hours after application. •
Wash area gently with cool or luke-
Blood & Ink:
again. Also, in case the humanitarian desire to donate blood overwhelms you while visiting Japan, refrain from doing so if you have
warm water, using a mild antibacterial soap.
A spokesperson for the American Red Cross
Avoid soaking the tattoo in water or letting the
Association in Portland, OR, Tara Trullinger,
shower pound directly on it. Pat and dub dry.
said that, “The rules for blood donation by
last year.
(Don’t rub!)
people with tattoos vary state by state.
Pregnancy & Breastfeeding Considerations
•
Apply very thin coats of antibacterial
ointment and work into the skin. Too much ointment can pull color out of the tattoo. •
Avoid direct exposure to the sun, sea, and
People with tattoos can present to donate blood if their tattoo was applied by a state-
had a tattoo of any kind placed within the
regulated parlor using sterile needles and ink
At present, very little information is avail-
that has not been reused. Those who receive
able with regard to the risks associated with
tattoos in a state that does not regulate tat-
skin dyes during pregnancy or to an in-
swimming pools until healed. •
Scabs after a tattoo are okay. Try not to
scratch or pick at the scab. They should fall off on their own within three weeks. Call a doctor if you notice signs of infection.
Cost According to various tattoo artists, tattoos of one inch or smaller in size should cost about $50 - $100. Expect larger sized tattoos and custom designed tattoos to cost more; often requiring multiple sessions with the tattoo artists.
Health Concerns Metals & MRIs Tattoos may be the last thing on your mind which will present an MRI risk. This can become a concern because some of the inks and pigments used contain metal which needless to say can make an otherwise painless MRI experience quite painful. The tattoo may even affect magnetic resonance imaging results (MRI). As a healthcare practitioner check to see if tattoos are mentioned in your pre-MRI check list.
Infection Concerns: Sharp items and exposure to blood present a 17
Fabulous Nurse Magazine
fant less than 12 weeks old. The American Pregnancy Association raises grave concerns about getting a tattoo while pregnant or during breastfeeding. It is possible to pass on an infection contracted during a tattoo session to your unborn child or infant. While some anesthesiologists or CRNAs may be resistant to placing an epidural if you have a tattoo on your back, there is no conclusive data about the risks. The henna which is discussed at the end of this article, may present an alternative for you during pregnancy and breastfeeding. Be sure to speak with your Nurse Practitioner or physician before any application. You may be surprised to learn that in spite of the safety risks associated with tattoo application, the U.S. Food and Drug Administra-
Tattoo removal
Non-permanent Alternatives
Most dermatologic surgeons caution that complete tattoo removal is not possible. Tattoos are meant to be permanent, so removing them is difficult. Few surgeons guarantee complete removal. That said, there are several methods of tattoo removal which have proven effective. The degree of remaining color variations or blemishes depends upon several factors, including size, location, the individual’s ability to heal, how the tattoo was applied and how long it has been in place. For example, a tattoo applied by a more experienced artist may be easier to remove since the pigment was evenly injected in the same level of the skin. New tattoos may also be more difficult to remove than old ones. Doctors say they can’t predict the exact degree of removal because they generally don’t know which of the 100 tattoo inks available today were used.
Want to get inked but not ready for a permanent tattoo? Unable to commit to a certain design or just curious which ones will look best on you? Skirmish around sharp penetrating objects such as needles? There are temporary alternatives for you. While a stick-on tattoo might be your thing, the henna is a very popular alternative.
Tattoo removal options include dermabrasion, cryosurgery, excision, and laser removal.
tion (FDA) does not regulate the inks used for tattoos. In addition, few states regulate tattoo parlors, so you assume all the risks when you step into a tattoo parlor.
Tattoos and Labor Laws: Fact. Visible tattoos make you un-hirable in certain job markets. Patricia Burke’s tattoo was strategically placed on her ankle which can be hidden with pants and stockings. I have heard of stories where nurses who are heavily inked wear bandages over their tattoos while at work. David Darsow, CEO of Montana Body Art states that employer, “Policies against having tattoos or piercings on the face, neck, hands or uncovered arms are allowable and not considered to be discriminatory in nature.” So, before you get a visible tattoo, think long and hard about your carrier goals and possibility of advancement. 18
According to the American Academy of Dermatology, Lasers (Light Amplification by the Stimulated Emission of Radiation) are the gold standard for tattoo removal. This is because laser removal procedures are effective, bloodless, low risk, and have minimal side effects. Each laser tattoo removal procedure is done on an outpatient basis. This can be in a single visit or a series of visits. Patients may or may not require topical or local anesthesia. Laser procedures have undergone several changes from short light pulsations to the presently used high-energy light pulsation technique known as Q-switching. During the procedure, the light passes harmlessly through the top layers of the skin and is selectively absorbed by the tattoo pigment. This laser energy causes the tattoo pigment to fragment into smaller particles which are then removed by the body’s own immune system. Surrounding skin is not damaged because researchers have determined which wavelengths of light to use in order to deliver the laser’s output for the safest and most effective ink removal.
Hennas are paste used to dye the skin similar to creating tattoos except it is temporary; designs last one day to four weeks. Our research for this article revealed that many women in the Middle East apply beautiful designs of henna on their pregnant bellies in the third trimester for “good luck.” Folklore and local customs say the henna brings safety in childbirth and a happy baby. Natural and synthetic forms of hennas are present in today’s marketplace. Synthetic henna contains para-phenylendiamine (PPD), which causes burns, blisters and various reactions that may last for months and is often difficult to diagnose and treat. Natural henna does not contain PPD. Natural henna will stain the skin orange, red, brown, cinnamon, brick, chocolate, or coffee. If other shades of henna are offered to you, chances are that it contains PPD. Synthetic henna which contains PPD is usually black or neutral. Think twice and make the safe henna choice. When I took it upon myself to reveal the secrets behind tattoos and body art, I had no idea what to expect. You may blame my Roman Catholic upbringing and very traditional home environment, either way, I approached this assignment with many pre-conceived notions and a rigid point of view; one I admit I am thoroughly ashamed of…I knew so much and yet I knew nothing. Talking to Ms. Burke and the many other nurses who have tattoos in visible and not so visible places has given me a new perception on getting inked. In fact, I am thinking of getting one, well, maybe just a temporarily one for starters. Nurse or not, I do have a fear of needles, especially when directed my way! LOL!
Issue 9
19
Fabulous Nurse Magazine
A
hhhh, the perfect blowout. How is it you never really look as put together as you do when you leave the salon after a professional blow dry? Is there magic to achieving the perfect blowout or is possible, just possible to do it yourself? Actually, it is, as long as, you follow the right steps.
way up the hair shaft. Finish by combing the product through hair.
“otherwise, moisture stays in the hair shaft and frizzes it up.”
If you have flat, limp hair, spritz a thickening spray (I swear by Bumble and Bumble Thickening Spray) or work in a mousse. Stay away from gels.
6.
Straight, glossy hair is rarely out of style and a good blowout can last several days. Once you learn how to do it the right way and you take your time, you should be able to keep the look for several days. If you find hair is getting greasy, a bit of baby powder along the crown not only soaks up oils, it adds body.
3.
Break out the blowdryer
If hair is still pretty wet, use a dryer to remove excess moisture before you start the blowdry or let hair airdry for a few minutes. 4.
Separate hair into sections.
•
Styling product for your hair type
•
Wide-tooth comb
•
Clips or ponytail holders
Divide combed hair into sections and secure with clips or ponytail holders. I find winding hair into mini buns -- two in the back and one on each side -- works best. If you have super thick or heavy hair, try dividing each of your sections. One above the other helps manage the blowout. Leave out a section to start with.
•
Blow-dryer
5.
What You Need:
• Wide-barreled brush, preferably a mix of boar and synthetic bristles Procedure 1.
Start with freshly-washed hair.
If you have dry hair, condition in the shower. If you have fine hair, condition only the ends. Blot hair -- never rub -- with a towel to get rid of excess moisture. You can’t do a blowout with super wet hair or it will take forever. 2.
Apply product to towel-dried hair.
A good styling product is key to the perfect blowout. It adds body to fine, limp hair, while women with thick, curly hair need to keep the frizzes at bay. The secret is to coat every strand of hair with product.
Start with your fingers.
Stylists know the secret to the perfect blowout is to start with your fingers. Pull your fingers through hair starting at the roots. Pull hair out a few inches and hold it while you use the dryer to shoot air at the crown on down. “A brush can only get so close in,” says Manhattan stylist David Dieguez, in the July 2007 issue of Lucky Magazine. Dieguez suggests holding hair super taut,
Move on the round brush.
Now that your roots are dry, it’s time to move on to a round-barreled brush (Ken Paves prefers a “mixed-bristle brush” -- a mix of boar and synthetic bristles). Pull the brush through hair as you blow-dry, pointing the nozzle downward onto hair (this supposedly helps with frizz). Celebrity stylist Ken Paves likes to start with the ends, because they tend to dry fastest. 7.
Pull hair super taut as you dry.
As you pull the brush through hair, follow the brush with the dryer. I love Dieguez’s tip in Lucky, “Imagine there’s a point six inches in front of your nose. Stretch the hair toward that point as you dry. It sounds crazy, but when you’re done, the tips won’t flip under or up -- they’ll just sort of fan out over your shoulders.” 8.
Lock in style with the “cool button.”
The last step for each section is to pull hair taut with the brush and blast it with cool air from your dryer. You can also each dried section up in a Velcro roller. 9.
Continue through all sections until hair is dry. 10. Finish off with a serum. Weigh down random frizzy bits with a shine serum or balm. Skip this step if you have limp, oily hair.
Best Blow-Dry Technique,
If you have dry hair, work in a leave-in conditioner, a straightening balm or shine serum. Start by coating the ends, working your
Ever! 20
By Julyne Derrick
Issue 9
Attitude
Re-defined
21
Fabulous Nurse Magazine
Keeping the
Often, the memory loss with loss of mental acuity associated with aging is not a natural part of aging at all. It’s simply a result of not staying mentally active. The old saying is true: use it or lose it! To keep your mind active and healthy, here are some ways you can challenge it. Challenge your mind. It is easy to keep your mind busy and to come up with activities to keep it functioning at a high level. When you do physical activity and exercise, you’re not only challenging your muscles, you’re challenging your mind too. Playing mind games that encourage you to think is another technique. Even learning a new skill can challenge your mind. This could be the perfect time to sign up for that class you always wanted to take but couldn’t justify spending the time. Start scrapbooking. Not only does scrapbooking challenge your mind to think creatively, it reinforces those memory skills. It will also keep your interest and train your brain to focus on an activity for a length of time.
Mind Healthy A
n Active Mind is a Healthy Mind. When we think about our health and fitness, we usually think about our muscles and bones and our heart, and everything we need to do to keep them working in top form. But do you make a conscious
decision to stop and treat your brain like muscle, too?
Play games. Crosswords puzzles, Sudoku,
your mind active. If they aren’t able to meet
checkers or chess can challenge your mind
with you, look for a group or club you can
too. These mind games force you to look at
join for some social interaction. Experts rec-
things from different perspectives, which is
ommend engaging in social activities at least
a brain-building activity.
once a week, possibly more.
Exercise. We’ve mentioned that exercise is
Find a hobby. Engaging in a hobby you en-
a good way to challenge your brain. Activi-
joy can also keep the mind sharp. It might
ties like Pilates and Yoga are gentle on the
be gardening, woodworking, or even writing
body but they also require a great degree of
your memoirs. The important thing is that
mental focus. Exercise your brain while you
you do it. You will have fun and also keep
move your body. Going for a walk or taking
your mind healthy.
a low-impact aerobics class is also a great brain workout.
of your overall health and fitness. By chal-
Socialize. Getting together with your friends
lenging your brain with some of the above
is not only enjoyable, it’s a mental activity.
ideas, you will keep your mind active. An
As we get older, we sometimes lose connec-
active mind is a healthy mind.
tions with family and friends. Now you have one more reason to meet with them – to keep
22
Looking after your mind is an important part
Issue 9
23
Fabulous Nurse Magazine
Living
Well 24
Chronic Fatigue is characterized by one main and quite severe symptom – debilitating fatigue. Even without a formal diagnosis, you might have Chronic Fatigue if you’ve suffered serious fatigue for more than six months. Chronic Fatigue isn’t normal tiredness. It’s the kind of fatigue that keeps you in bed literally unable to get up and do much of anything. It affects both your body and your mind. Other symptoms which are common for everyone with Chronic Fatigue include: •
Sore throat.
•
Headaches. Generally the headaches
will change in pattern and severity. They’ll be new headaches that you haven’t had before. •
Swollen and sore lymph nodes.
•
Sore muscles.
Chronic Fatigue
Issue 9
Syndrome
c
hronic Fatigue affects more than one million people in the United States and several million globally. It’s generally found in women in their 40’s and 50’s. However, it attacks people of all ages, genders, socioeconomic status, and
race. No one yet knows what causes it. However, the symptoms are quite similar across the board.
breath and a chronic cough are also all com-
learn to manage Chronic Fatigue and treat
mon symptoms; visual difficulties including
the symptoms. Get help from your healthcare
blurring, sensitivity to light and dry eyes.
practitioner. They can prescribe combined
If you have allergies, they may worsen or
•
Joint pain without swelling or redness.
•
Sleep that is not refreshing. Meaning
medicine, outdoor elements, or chemicals.
you sleep all night and wake up feeling com-
Mood changes, dizziness, and balance prob-
pletely exhausted.
lems may be experienced. Understandably, if
•
Fatigue or malaise after activity. This is
an extremely common symptom. You head out for a walk with a friend and then cannot get out of bed for three days. Chronic Fatigue is worsened by mental and physical activity. •
Memory loss – generally short term
memory loss. •
Difficulty concentrating.
In addition to these common symptoms for
therapies to help you regain normalcy.
you may develop new allergies to foods,
you’re feeling exhausted for days, weeks in a row; you’re going to have emotional issues. Some common emotions that go hand in hand with Chronic Fatigue include depression, irritability, and anxiety. It’s also not uncommon to experience weight loss or weight gain with Chronic Fatigue Syndrome. It’s not known whether these secondary symptoms are caused by Chronic Fatigue directly or indirectly. It could be that Chronic Fatigue weakens your immune system thus causing other issues.
all Chronic Fatigue sufferers, there are some
If you suffer from Chronic Fatigue
less common symptoms. These include di-
it’s important to know that while
gestive disorders causing bloating, diarrhea,
there isn’t a cure, there are treat-
pain and nausea; difficulty regulating your
ments that can help you regain
body’s temperature; alternating between
control over your life. You can
chills and sweating; chest pain, shortness of 25
Fabulous Nurse Magazine
c
ommon to men who are young to
which occurs. However, a lump which is
middle age, testicular cancer is
detected in the testicle is a matter that does
curable if detected early. However,
require a biopsy.
if untreated, it can spread to the lymph nodes in the abdomen, chest, neck, and finally to the lungs. There seems to be no connection between the two testicles and thus the disease is unlikely to spread from one to the other.
ticle, surgery would be required to remove
system after surgery. A diet filled with pro-
the diseased testicle. You need not worry
tein is essential; exercise regularly; and
about fertility or potency, as the other testi-
avoid stress.
cle is fully functioning. In addition, radiation Moreover, if the cancer has advanced to the
tection of a lump in the testicle. Because the
lymph nodes, surgery would need to be per-
lump grows slowly, you may not be aware
formed to remove the nearby lymph nodes
of it. Therefore, you need to perform self-
for further examination.
hands, and gently roll it between your fingers and thumb. Feel the surface of each testicle to search for any lump or swelling. If you find a lump or swelling, call for an appointment to see your physician.
known, there are certain measures you can take to maintain your health and immune
The symptom of testicular cancer is the de-
a bath or shower, hold each testicle with both
While the cause of testicular cancer is not
If it is determined you have cancer of the tes-
or chemotherapy may be required as well.
examination of the testicles regularly. After
doctor just to be safe.
When anyone hears the word “cancer,” it is most difficult to deal with; not just the word itself, but the anticipation of not knowing what may eventually occur. Cancer research has produced amazing results, and there is no reason to think that testicular cancer –
It should also be noted that there are other
when caught early enough – can’t be treated.
conditions which may cause lumps in the
For men especially, testicular cancer has
testicle. For example: cysts, inflammation or
different connotations which invites denial;
physical injury may cause fluid to build up
worry; and questions the ability to perform.
in or around the testicles. So too, enlarged veins can cause swelling in the scrotum. A bacterial infection may cause inflammation
Also noteworthy to mention is that swelling
of the testicle; or in some cases, having the
in the scrotum may not signify any danger.
mumps can also be a contributing factor. If
There is often small, insignificant swelling
you detect any abnormality, check with your
Once again, having testicular cancer neither makes you infertile nor impotent. Once you remove negative thoughts from your mind, you are well on your way to physical, mental, and emotional good health.
Signs and Symptoms
Testicular Cancer 26
Issue 9
Marriage Dating
&
27
5 Fabulous Nurse Magazine
Happy Ways
has nearly taken hold, but she stopped as she re-
Couples Can
Stay Close
membered Eugene just worked a full shift with a private security firm after his regular patrol. They need the money from that extra shift to make up for the furloughs that hit the coun-
ty sheriffs department. She also remembered what an amazing sex life they had 10 years, 25
By Matthew Fowler
pounds, and two children ago. “Sure, babe, I’ll
urse Jesse was impressed with the gen-
married now; they could have sex as much as
As Jesse drives to swim practice she reflects that
eral feeling of contentment that seemed
they wanted without any guilt or other such con-
to drive her daily activities, and she
sequences. Fast forward 10 years, 25 pounds,
N
unloaded the boxes of her husband’s junk without complaint. She’d make room. After all, the most important thing was that she was with the man of her dreams, her new husband, forever. As she unloaded the dreadful contents of that last box and began to find a permanent home for those things, they saw each other. They were soon overcome with a longing to become one flesh. The feeling was palpable and overpowering. They embraced; all mundane activities ceased; and they made Olympic quality love for the third time that day. Why not? They were
28
help. The desire to bellow at the top of her lungs
take her to swim practice; I know you’re tired.” having sex once a week is not enough, but can’t imagine when else she could possibly have it.
and two children.
“What happened?” she wonders.
Jesse is underwhelmed at what her life has be-
Is it natural for passion to subside as you grow
come, and general contentment has been replaced with physical and emotional fatigue. She is just plain fed up with cleaning her husband’s and children’s messes; she cleans her patients’ messes all day. And dog gone it, if she has to tell anyone to pick up his or her clothes one more time, she’ll explode for sure. She sees her husband, Eugene, and is overcome with the feeling that she is about to be asked for another tedious favor the lazy jerk could have done without her
older? Is slowly drifting apart an expected consequence of a relationship’s longevity? What does “working on your relationship” really mean anyway? But what about the elderly couple next door? Their team work and intimacy make any NBA championship team’s movements look like the Keystone Cops. Surely, there must be Happy Ways Couples Can Stay Close. According to Self Growth, an online consortium
Issue 9
3.
5.
istic; couples often confuse fascination and sex-
that all time spent together is quality time, or
manner. Give your partner enough information
ual fulfillment with love; and unfortunately, one
in other words, shared drudgery serves to bond
to self analyze and self adjust without beating
partner begins mistreating the other emotionally
couples together. Jesse could help mow the
him or her over the head with repetition or vit-
and even physically. You don’t have to be a psy-
grass and ask for help with the laundry in return.
riol. Tell Eugene you are feeling overwhelmed,
chologist to understand these ideas. Simply put,
4.
disappointed, happy, tired, or “in the mood.”
of psychological advice, there are 3 main reasons couples drift and fall apart: couples expectations of each other and marriage in general is unreal-
the first reason means you fell in love with the concept of a person as opposed to the real person, and/or your idealized version of marriage belongs in a Disney movie, not your house. Then, reality reared its ugly head, and you were disappointed. The second reason means you allowed yourself to be overcome with emotions that are consequences of love as opposed to love
Spend less time as individuals and more time together, especially during mundane
activities or chores. USA Today also pointed out
Understand and accept the differences and
Finally, be open with your partner. Voice your concerns, disappointments, and yes,
joyous times with your partner in a constructive
failings of your partner. No one can ever
There are physiological changes that decrease
satisfy all your needs, all the time, and any rela-
sex drive over time, and increasing responsibili-
tionship has to have disappointments as part of
ties can push marriage aside in your hierarchy
its natural cycle. Know that you will suffer dis-
of priorities. However, couples who understand
appointments, and that your partner will be dis-
and employ the above principles can keep their
appointed in some of your actions as well. It’s
relationship strong and healthy and fresh.
not Olympic quality sex, but it is time together.
itself. When those feverish emotions fizzled, so did your perception of love. The third reason is tautological; no one wants to stay where he or she is being mistreated. However, this is not the end of the story. The July 17, 2008, edition of USA Today used much university research to offer some prescriptions for couples who love each other, but find themselves drifting apart.
1.
Find time to spend alone, free of children, financial consequences, or other
such stressors. “Date Night” may be part of the American lexicon, but might not be realistic. Dinner, movie, and a babysitter could easily run 150-200 bucks; try something different. You could enjoy a rendezvous lunch on Wednesdays at a locale where the meal is a six dollar lunch special. Watch a television program you both enjoy together; the idea is to have fun, not necessarily spend money. This is especially true for men, according to USA Today, because research shows men want their partner to be their best friend as well as their lover and partner.
2.
Be aware of gender differences as those differences apply to bonding and friend-
ship.
Idem research also shows that women
want to bond through intimacy and in-depth conversation, while men are disappointed that a date never means a round of golf or a ball game. Couples should accommodate each other’s needs. Jesse could suggest going to a ball game and have her long talk during the 7th inning stretch. 29
Fabulous Nurse Magazine
30
Issue 9
Fabulous
oodie F
31
Extend Summer Fruits Into Fall
Fabulous Nurse Magazine
T
he summer is a great time for growing. It offers unique flavors and treats including berries, apples, citrus and melons. Wouldn’t it be wonderful if you could enjoy these delicious fruits well into the fall and winter months? You can. Here are four ways to extend summer fruits well into the fall.
1.
Dehydrate Your Fruit
Dehydrated fruit is fantastic as a snack.
You can also add it to things like cereal, breads, muffins, and even sprinkle it on salads. You can make fruit leathers this way too by pureeing the fruit and then spreading it on a tray to dry. There are three main methods you can use to dehydrate fruit including:
Sun Drying This works well if you live in a hot climate where it is commonly sunny and warmer than 100 degrees. Position cleaned, washed fruit on a tray or foil and leave in the hot sun for four 100 degree or hotter days.
Oven Drying Because most fruits take 16-26 hours to dry, this is an expensive way to dry fruit. However, if you choose to oven dry you simply place your oven at 135 degrees Fahrenheit, prop the oven door open and let fruit dry.
Electric Dehydrating This is the most energy efficient and generally tasty way to dehydrate fruit. Electric dehydrators can be purchased online or in a kitchen store.
2.
lies with or without canning. In fact, you can make a basic jam in your kitchen in an hour and pop it in the freezer. No canning necessary.
3.
Freezing Fruit
If you want to be able to use the fruit in
the future without drying it or making it into a jam or jelly, then your next best option is to freeze it. The process is simple, you need washed berries, a baking sheet or other flat sheet and storage bags or a vacuum sealer. Wash the berries. Place them on a baking sheet and spread them out so they’re not touching or clumped together. Position them in the freezer. When they’re frozen, put them in an airtight bag and you’re good to go.
4.
Canning
Canning is another option. It’s a bit
more complicated than freezing or dehydrating. However, you can make some amazing spreads, jams and jellies that will last for years to come. There’s no reason to be sad when summer fades into fall. You can enjoy summer fruits
Jams & Jellies
What’s better than fresh berry jam?
32
Not much. You can make fresh jams and jel-
all year around. With a little preparation and a plan your summer fruit harvest can be enjoyed for months.
abulous F Recipes Issue 9
Homemade Ice Cream
Preparation:
In medium saucepan over low heat, stir to-
NOTE: Prep time is 10 mins, cook time is
gether sugar, milk and eggs. Cook stirring
20 mins, and total prep to table time is 8 1/2
continuously until mixture thickens enough
hours.
to coat the back of a metal spoon, 10 to 20
Ice cream comes in two basic styles: Custard
minutes. Remove from heat and let cool.
(or French custard-style) and Philadelphia
Yields:
8 servings
Prep time: 10 mins (see note below)
In a medium bowl, whip cream with electric
(also called “New York” or “American”).
Ingredients:
mixer until soft peaks form. Beat in vanilla
Unlike
• 1 cup white sugar
and lemon juice, and whip until stiff peaks
cream contains no egg yolks and does not
form. Fold whipped cream into cooled cus-
require cooking. It’s based purely on cream
tard. Chill in refrigerator 8 hours or over-
and sugar, and is very delicate-tasting, with
• 2 eggs
night.
few ingredients.
• 2 cups heavy cream
custards,
Philadelphia-style
ice
• 1 cup milk
Stir chilled mixture to recombine, and freeze
• 1 1/2 teaspoons vanilla extract
in ice cream maker according to manufac-
• 1 tablespoon fresh lemon juice
turer’s instructions.
33
Fabulous Nurse Magazine
Breakfast Granola Low-Fat Yields:
Preparation:
4 generous servings
Combine all the dry ingredients except the
Prep time: 40 mins
Ingredients: 2 1/4 cups rolled oats 1/4 cup sliced or slivered almonds 1 teaspoon cinnamon
Prep time: 10 mins
together the liquid ingredients (maple syrup, apple juice, and oil). Pour the liquid ingredients over the dry and stir thoroughly. Spread the mixture onto a baking sheet and bake at 350 degrees for half an hour. This makes about 4 generous servings of granola. To complete your low-fat breakfast, try eating this granola over fat-free, plain
2 tablespoons maple syrup or agave nectar
yogurt.
2 tablespoons unsweetened apple juice
NOTE: You can top it with fresh fruit like
1/4 cup raisins, dates, or a combination
1 serving
namon) in a bowl. In a separate bowl, whisk
1/4 teaspoon kosher salt
2 teaspoons safflower oil
Yields:
raisins or dates (oats, almonds, salt, and cin-
peaches, strawberries or blueberries. Makes 4 servings.
Greek Salad Wrap
Ingredients: • 1 whole wheat tortilla • 1 cup torn green or red leaf lettuce • 1/4 cup shredded carrots
Preparation:
• 2 tablespoons diced fresh tomatoes
In a bowl, place the lettuce, carrots, tomatoes, black olives, and onion. Toss with
• 1 tablespoon minced onion
a tablespoon or two of your favorite Greek dressing, or simply use olive oil and
• 1 tablespoon chopped black olives (optional) • 3-6 bell pepper strips, any color • 1 tablespoon crumbled, low-fat feta cheese • Low-fat Greek salad dressing to taste 34
vinegar. Spread the mixture across the center of the tortilla. Top with feta bell pepper strips. Roll up by bringing up and overlapping both sides over the center. NOTE: This single-serving lunch can be doubled, tripled, or whatever you need for your lunch. This can also be used to stuff a whole wheat pita pocket. Makes 1 serving.
Issue 9
35
Creating a Low Fat
Fabulous Nurse Magazine
Diet Plan
W
ithout a realistic plan, you may not reach your low fat diet goals. It’s easy to think around the issue - “I really should not eat that much fat” - but this is really too vague to help. Sometimes, though, it is hard to know where to start in making your low-fat diet plan. Here are some tips that may help.
1. Develop a weekly menu It can be a hassle trying to reduce the fat in your existing recipes (it can also be fun to experiment in this regard). The best thing to do is sit down and make a menu for the week. See to it that your meals are low fat from breakfast to snacks to dinner, and you may be less likely to dive into high-fat snack foods when you’re hungry, or turn to your favorite fatty recipes when you’re trying to think of what to have to dinner when it’s late. Go ahead and plan low-fat snacks into your weekly menu to help prevent bingeing or impulsive snacking (it also gives you something to look forward to instead of always trying to avoid snacks).
36
2. The shopping list
When you make your shopping list, make sure it is in sync with your weekly menu. Buy those groceries that fit in with the diet plan and only allow “impulse buys” if it is something low-fat (say there’s a really good sale on fat-free yogurt or in-season produce). Maybe allow yourself only one impulse buy per shopping trip. Whatever you decide make sure your shopping list coincides with your low-fat menu.
3. Fat content of foods Take some time to learn the fat contents of various foods, especially those foods that you tend to eat regularly and/or often. You may be pleasantly surprised to find out that some favorite foods are not too high in fat or that the food contains healthy fats and therefore is okay to consume in moderation. You may also be shocked to find out how much
fat is in foods you thought were not very fatty! So take a little time and research the fat content of foods.
4. Read labels In addition to researching foods and their fat content, make sure you are reading the labels of prepared foods. Find out what the normal number of fat grams is for a man or woman of your weight and age, and bear in mind that a diet is classified as “low fat” if no more than 30 percent of total calories are from fat.
5. Look over your cookware If you have the sort of cookware that requires lots of grease and oil to prevent sticking, consider investing in non-stick cookware. You can avoid a lot of fat if you don’t have to keep oiling your casseroles, baking dishes, and skillets.
Issue 9
37
Fabulous Nurse Magazine
& Fit
Fabulous 38
Issue 9
Hope. Stop-in today for your daily dose. 24-Hour | Co-ed | Secure Access to over 1,500 clubs worldwide
Find the location near you online at: AnytimeFitness.com
Join today and receive: Complimentary Virtual Training Perfect for those who want to stay in-shape despite their long-shifts and odd-hours.
39
Fabulous Nurse Magazine
Baby Boomers
itness F Y
Balance and Flexibility You probably know at least one older person who suffered greatly after a fall; if not in your personal life, you probably provided patient care for one such elderly person.
ou often hear that the nursing popu-
With decreased range of motion that comes
lation is aging. This means that there
as a natural part of the aging process, you are
are baby boomers amongst us. Still,
more susceptible to injuries and prolonged
even if you are a newbie nurse who is still
recoveries after orthopaedic surgeries. Flex-
green in terms of life experiences and time
ibility exercises keep one from getting stiff
spent here on bountiful earth, I am willing to
as you grow older. Staying flexible will help
bet that health and fitness weigh heavily on
protect you.
your mind. It is the nature of our work. Staying fit is important at any age. Baby boomers
One way to build your flexibility is to include
and newbies, alike, wonder what to include
stretching at the end of every workout you
in a fitness regimen. This article focuses on
do. Your muscles should be warm when you
some exercises that are good at any age and
stretch. Take time to stretch your muscles af-
therefore ideally suited for boomers. As al-
ter your workout and increase your flexibil-
ways, do remember to consult a nurse practi-
ity. Adding a yoga routine is also a good way
tioner or doctor before beginning an exercise
to build your balance and flexibility.
program.
Strength Training
Cardio Exercise
In addition, exercises that develop and main-
Cardio exercise increases your endurance
tain a good sense of balance also protect you
This is an important component of any fit-
and strengthens your heart. This can be low
from falling injuries. So include balancing
ness program. It keeps your muscles strong,
or high impact exercises. Experts recom-
exercises as part of your fitness routine to
and can actually build your bone mass, as
mend 30 minutes of cardio exercise every
maintain your independence, mobility, and
well. When you’re starting a strength-train-
day. When you’re starting your cardio pro-
keep you active at home and at work. You
ing program, you will want to include exer-
gram, it’s important to choose an exercise
can protect yourself from age-related fall
cises for all your muscle groups.
you enjoy. Hopping on a treadmill is one
injuries by including balance exercises and
option, but if you think it’s boring, you prob-
stretching into your fitness routine.
If you’re new to strength building, you may want to start without weights and simply lift
ably won’t do it.
For baby boomers and newbies, alike, it’s
your own body weight. When you’re ready
Think of ideas like walking outside, biking,
important to stay fit by including the above
to move up, you can use small weights or
gardening, and playing tennis. If you have
types of exercise into your routine. Don’t
resistance bands to add more resistance
been sedentary for much of your life, start
worry if you can’t do it all at once. Start with
and keep developing your muscles. As you
an easy activity like swimming for just a
what you can do right now and add more ex-
progress, add more exercise sets to make it
few minutes each day. As your endurance
ercises as you gain strength, endurance and
more challenging and increase the number
increases, you can try other activities and in-
flexibility. The improvements you’ll see in
of weights.
crease the length of your workout.
your quality of life are well worth it.
40
Issue 9
Good Walking
Shoes“I
How important are good walking shoes to a nurse? Read this quote from All Nurses and decide if you can relate: was thinking about how many miles per shift an RN would walk if they were in med-surg, ICU, etc…I made the mistake of wearing shoes that were not comfortable for ex-
tended periods like that. Believe me, I will never do that again. When I got home that day, I was in so much pain it was crazy. Not trying to sound like a patsy but my knees HURT. I’ve never scoffed at the physical demands of health care jobs but until you shadow for a day, you don’t know how hard it is. Combine that with the physical requirements to move patients, etc. and I see why RNs burn out. So along those lines of reasoning, I wondered if anyone knew how much one walked during an average shift.”
The Test: How many miles do you walk
feet. Not only does everyone wear a differ-
curves high and this can put strain on the
in a given twelve hours shift? The general
ent size many people have wide feet or walk
muscles of your feet because you are tak-
consensus is 12,000 steps in a given 12 hour
on the insides or outsides of their soles and
ing almost all of the stress of walking on the
shift. To test this out, we handed pedometers
we all have different types of arches. Let’s
balls of your feet and your heels. If you have
to a couple of nurses and asked them to try it
discuss arch types.
high arches you should look for shoes that
out. Presto! It is true. Nurses walk an aver-
Arch Categories
age of 2-3 miles in one 12 hour shift! That’s
have extra padding in the arch area.
Low Arches
murder on the knees, the back, and yes, the
When purchasing walking shoes make sure
feet. Are we agreed then that the right kind
to consider the type of arch you have. Arches
Low arches are also commonly known as flat
of walking shoes is paramount? Yes? Okay.
have three basic categories, high, low, and
feet and there is typically not enough arching
Let’s talk about buying the right kind of
neutral.
in the foot. Walking shoes for flat feet will
nursing shoes. When buying walking shoes it’s important to make sure they are the right ones for your
High Arches
have some built up within the arch area but not as much as other types of shoes.
High arches are when the arch of your foot
41
Fabulous Nurse Magazine
Neutral Arches Neutral arches are considered normal and have just the right amount of curvature in the arch area. These shoes will not be built up or lowered; they will be a standard walking shoe.
More Options to Consider Some more ways to make sure that you are choosing the right walking shoe include: • Choose walking shoes that have supportive, rounded heels. • A flexible sole is important in order to allow the toe area to bend properly.
42
• A breathable, light weight shoe can make walking easier than a heavy shoe. • Make sure to maintain a half an inch from the tip of the shoe to the tip of your toe. • The heel of your foot should stay steady and not slip up or down. • Try walking shoes on with the socks that you will use while at work. • Take the shoes for a trial walk around the store or mall.
Learn to Let Go When you find a shoe that you really like it can sometimes be hard to let them
go once they are worn out but it’s important not to use them for walking shoes after they have reached that point. Most shoe stores suggest that you replace them after 300 miles if you are overweight or have very light weight shoes and to replace them after 600 miles if you have a higher end shoe that can take more mileage before breaking down. Buying some shoes may be all about the look but when purchasing nursing shoes you need to make sure that you are buying the correct ones for your body and feet. Don’t forget that most sales associates are trained to help you find the best shoe available for you
Issue 9
Walk inMy Clogs 43
Fabulous Nurse Magazine
Linda
Sarna By Margaret Smith
Initiative for T
he night was filled with the promise
we haven’t completely escaped the bonds of
Sarna is a professor at UCLA’s School of
of romance. An unmistakable aura
addiction to cigarette smoking. And unfortu-
Nursing. In collaboration with her team of
of intimacy emanated from the two
nately, nurses have their own place among
researchers, she reviewed information from
the afflicted.
a Nurses’ Health Study originally conducted
lovers as they paused on the bridge to watch the autumn leaves drifting along on the cur-
rent. They stared soulfully into each other’s
Advancing Through Research
eyes, and his hand lightly brushed hers as he
“We need to have a culture shift. While the
…..lit her cigarette.
vast majority of nurses do not smoke, those
Screeeech! Stop right there! What in heav-
that do are struggling in the same way other
en’s name were we thinking? How could the
smokers do when they try to quit a very,
images of nicotine-stained smiles and sour
very powerful addiction,” proclaimed Linda
tobacco breath ever have been considered
Sarna, DNSc, RN, FAAN, in Human Re-
romantic! We used to swoon over hand-
source Management Guide [HRM, January
some leading men and glamorous leading
2005]. The words “nurse” and “addiction”
ladies as they swept across movie screens,
are not usually associated with each other, at
elegantly gesticulating with the cylindrical
least not on such a personal level, but Sarna
sex symbols, but now we know better. Now
recognized the existence of a problem with
it’s mainly the bad guys who are blowing
nurses who smoke, and she made it her life’s
smoke in movie theatres. But, as a culture,
mission to address the issue.
44
in 1970, to create and implement a study of her own. The purpose of Sarna’s study was to determine the changes in smoking trends and death rates that had occurred among female nurses between 1976 and 2003. An article in Environmental Health & Safety Magazine [EHS, November 2008], revealed that Sarna and her associates calculated the differences in death rates among nurses who never smoked compared with former smokers and current smokers. Their study led to the discovery that approximately twice as many continuing smokers had died in comparison to nurses who never smoked.A shocking revelation, but not a surprise.
Issue 9
Many more studies have been done that fur-
with patients. We found it also affects inter-
pal sources for assistance are two websites
ther potentiate the value of Sarna’s research.
actions and behaviours among staff at the
custom designed to help the members of
A report published by the National Institute
workplace.”
Researchers discovered that
the nursing profession, whose unique needs
of Drug Abuse in 2009 stated that the use
among their colleagues, nurses who smoked
are further highlighted by their professional
of tobacco in various forms is the cause of
were perceived in a negative way. It was
roles as healthcare providers. The two web-
death for roughly 440,000 Americans every
a common belief that nurses who smoke
sites are: TobaccoFreeNurses.org and Nurs-
year, and one in five of those deaths is the re-
would be less available to patients because
es.QuitNet.com.
sult of smoking. It also continues to be a key factor in lung cancer, chronic lung disease, heart disease, and many other health problems, including asthma and allergies.
they tended to take more breaks.
These free website offer nurses a 24/7 sup-
Many nurses actually organized their work
port system, a wide variety of information to
routine to accommodate their need to sat-
empower them in their endeavour, and chat
isfy their craving for tobacco. Many of the
rooms where they can exchange experiences
nurses who smoked also felt inadequate to
and get peer support from colleagues who
Tobacco-Free N urses
But many people continue to smoke. Their
assist patients with their addiction problems,
are in the same boat. The website also ad-
lives are dominated by the intense craving,
since they shared the same affliction. In the
dresses the issue of weight gain, which is a
the overpowering force that disrupts their
EHS Today article, one concerned nurse
concern of many nurses wanting to quit.
daily lives and drives them into parking lots
made the comment that there was even some
and alleyways just to draw the noxious va-
worry “that nurses who smoke may be less
pour into their impaired lungs. When they
apt to support tobacco-control programs or
come to their senses and try to end the addic-
encourage their patients to quit.”
tion, many of them need help, and nurses are there to help them in the battle. Ironically,
Help For Nurses Who Smoke
some of those nurses are having difficulty
Sarna has always been sympathetic to the
winning their own personal fight. Therein
plight of nurses who want to rid themselves
lies an entirely different problem.
of the demon on their back; even though at
The Nurse’s Dilemma As Sarna continued to focus on the problem of nurses smoking, she uncovered some workplace issues. During her interview for the HRM Guide interview, she said that “Smoking among nurses affects interactions
one point she was the only non-smoking nurse at the National Cancer Institute. In 2004, she made a commitment to help nurses
The on-going program has been a success, with a gratifying number of nurses volunteering to participate in the program. As a result of her work, Linda Sarna received the 2005 Media Award at the 32nd American Academy of Nurses Annual Meeting. The highly regarded award recognizes her leadership in increasing public awareness of the value of nursing and her promotion of the Tobacco-Free Nurses Initiative through the media.
in their efforts to quit smoking by launching
What’s next for Linda Sarna? Well, accord-
the initiative “Tobacco Free Nurses.” Nurse
ing to Forbes Magazine [April 2011], there’s
Week revealed that this was the first effort
a pretty big smoking problem going on
conducted on a national level to help nurses
among health workers in China and Sarna’s
to rid themselves of the habit. The princi-
definitely interested! 45
Fabulous Nurse Magazine
Christine
Wynd, By Karen Kalis
Ph.D., R.N.
Educating Tomorrow’s Nurses
B
eing a nurse educator is a special calling within the field of nursing. Dr. Christine Wynd, the Dean of the Breen School of Nursing at Ursuline College, Pepper Pike, OH has spent her career as a nurse educator in the military and in traditional
settings, living out her passion for developing nurses.
The Path to Dean Dr. Wynd knew from a young age that she wanted to become a nurse. “I decided that I really wanted to go into nursing when I was 10 years old,” she said, “I really wanted to be a military nurse in the Army, this was in the 1970’s at the end of Vietnam. My dad convinced me to go into the Navy, and the Navy paid for the last two years of my education, and I gave them three years back.” Dr. Wynd graduated from St. John College in 1974, one year before St. John merged with Ursuline. After completing her nursing degree program, Dr. Wynd went to Officer Candidate School and became a military nurse. Once her military education was over, Dr. Wynd was stationed in San Diego where she discovered a heart for teaching. Her pursuit of nurse education began after 46
her initial military service with the Navy was complete. Dr. Wynd quickly received her Master’s degree from the Ohio State University. But, the military wasn’t done with her yet. Wynd said, “The Army National Guard and the Reserve was looking for nurses and I ended up staying with them part time until 2001. I became a full Colonel. While I was pursing my part time military career, I was also pursing my nurse educator career.” The next step in her nursing education was to finish her Ph.D., which she received from Case Western Reserve University. She continued to teach, and eventually ended up at the University of Akron as a nurse educator and the Director of Nursing Research. Dr. Wynd was also the Director of Nursing Research for the Cleveland Clinic Foundation for four years. Most recently, Dr. Wynd became the Dean of the Breen Nursing School of Ursu-
line College, where she has been since 2007. Throughout her career, Dr. Wynd’s family has been happy to have a nurse educator in their midst. “My husband was also in the military. He was in the National Guard. He’s been very supportive of my nursing education career. He sees it as a very good thing for the whole family.” Dr. Wynd’s personal and professional choices in life have allowed her the freedom to pursue her goals. “I have grown children, two of them, so that helps me balance work and career. My daughter was a senior in high school before I was able to do more with my career. She and I are very close. My work helps keep me busy and otherwise pre-occupied while she is in college so I don’t think about missing her. She’s graduating from Gettysburg College in May with a degree in History and is going off to graduate school after that.”
Issue 9
An Innovative Model Ursuline’s campus in Pepper Pike, Ohio, features both a focus on clinical and classroom learning, “We have full time instructors and professors in the classroom, who teach the didactic. While some of those instructors teach within the clinical setting, as well, we have additional faculty to help in the clinical setting,” said Wynd. She recognizes the challenges of learning how to be a nurse. “Both areas – the classroom and the clinical setting – have extreme challenges. Today we have much more focus on integrating the two. We are constantly looking to find new models that combine both,” said Wynd. With the dual focus of classroom and clinical practice, nursing students have the opportunity to integrate what they have learned. Wynd said, “[Nursing students] really don’t learn the material until they can apply it. We can give them schoolroom talk, but until they can apply it, it is hard to get them to understand it.” The focus of the Ursuline faculty is threefold: cognitive learning, practice through application and ethical comportment. These all teach the student nurse how to professional; how to communicate, dress, walk, and talk as a nursing professional. Apparently, this process is promising because according to BestNursingDegree.com, Ursuline’s NCLEX passing rate for RNs in 2010 was 83.3%.
most difficult career fields, and the public doesn’t realize it. Nursing is high science.” Another area that Wynd feels is misunderstood is nursing research. Said Wynd, “I get asked all the time: What kind of research does nursing do? Nursing research really works at how to enhance the interventions that we provide for patients and help them really recover. The physician is there to cure – their research may help them to learn new pharmaceuticals or procedures – but it’s up to the nurses to take the patients farther so they can care for themselves and then go home or back to the nursing home. Nursing research is all about finding better ways of helping patients fully recover.”
A Rewarding Challenge According to Wynd, being a nurse educator is a constant challenge. “We are never bored,” she laughed, “There are always new things coming at us. New techniques for teaching. You are always combining your nursing with education. You are always learning new nursing science and now we are learning better techniques for teaching-- online classes, online labs, mannequins to practice techniques. We have a lot of exciting things going on right now in nursing. We are always challenged by new things. Sometimes it is overwhelming, but it is the best thing.”
Nursing Myths & Misconceptions
Dr. Christine Wynd is still enjoying a long career of
Even with all of the education that is required to be
ian worlds in the Navy and as the Dean of Nursing for
a nurse, there are still myths about what nurses ac-
Ursuline College. She continues her life’s mission in
tually do. Wynd said, “People still see nursing as a
teaching nursing students how to combine profession-
custodial career, where you are taking care of people
alism and science to better serve their patients. With
when they are sick, but I think what the public needs
a focus on constant innovation, Dr. Wynd is leading
to realize is that it is so much more than that. We
the Breen School of Nursing at Ursuline College in
have to think on our feet, make quick decisions, and
Ohio to develop nurses who not only love to care for
have a good knowledge of science. It is one of the
patients, but have the best training to do so.
service that has straddled both the military and civil-
47
Fabulous Nurse Magazine
Life style 48
Issue 9
T
here is much literature on how to parent challenging children these days. Unfortunately, much of that
literature does not typically address the child with special parenting needs and a special
Parenting the Attachment
parenting understanding. A child that has been diagnosed with reactive attachment disorder, oppositional defiant disorder or even depression, requires an understanding not of the behavior itself, but rather of the underlying dynamics driving the behavior. Take for example the analogy of an iceberg. Typically
Challenged Child By Dr. Bryan Post
when we refer to an iceberg we are referring to what we see above the surface. However, 90% of every iceberg is invisible, lying under the surface. What you consider to be an iceberg is really only the tip. It’s an overwhelming thought when considering how enormous an iceberg is above the surface.
Imagine the other 90% lurking underneath. Negative behaviors demonstrated by chil-
side world. In addition, we rely on stress to
causes fear or stress. If you are seeing anger,
dren are much the same. Whereas we may
fight illness, digest food, and recover from
rage, jealousy, and more, it is arising from
attempt to remove an iceberg by hacking
difficult times. Just to laugh is to experience
fear, rather than the anger. Love is the space
away from the top down, we will only be
a state of stress. In considering parenting
between two people. It is always present and
spending endless time and energy focusing
techniques for severe behavior we will be
surrounds us each day. The only thing that
on the smallest aspect of the iceberg. When
relying on a theory of human behavior called
keeps us out of love is our fear. Since the
we encourage parents to only focus on al-
the Stress Model. The Stress Model is a very
presence of love is natural, it is up to us to
leviating behavior through simple behavior
simple theory of behavior that says, “All
put fear aside and step into the presence of
modification charts, boot camp tactics, or
behavior arises from a state of stress and in
love. You may have heard it said, “Perfect
logical consequences, we are actually miss-
between the behavior and the stress is the
love casts out all fear,” or “Love and fear
ing the most important part of the behavior.
presence of one of two primary emotions:
cannot co-exist.” What we have
Typically a focus just on the behavior may
Love or Fear. It is through the expression,
come to perceive as love is only fear in dis-
eliminate the behavior for a while to only see
processing, and understanding of the emo-
guise. Most times we do not see this because
it return another day with greater intensity.
tion that we can calm the stress and diminish
we fail to see our own fear the majority of the
Specific parenting steps can be taken to ef-
the behavior.
time. When talking about the specific severe
fectively help reduce problem behaviors in
Very important point: There are only two
behaviors, it will be important to remember
a rapid period of time. The steps will not be easy to implement, however, with a firm resolve to stay the course, the effectiveness of each approach is guaranteed to be effective.
The Stress Model
primary emotions --love and fear. Anger is not a primary emotion. It is a feeling that is
calmly
the fear and stress they create in the parent first. If you try to overcome fear by creating
secondary to the bodily experience of fear.
more fear, you only make fear greater.
A fear experience can occur through any of
Action exercise: Try to see fear in actions be-
the sensory pathways. Through what you
tween you and your child for one full week.
see, hear, touch, smell, taste, and even the
You’ll be amazed. Visit www.postfamily-
Stress plays a vital role in everything that
temperature of your body. The experience
system.com and www.parentingtheadopted-
we do. As an internal experience we rely on
of both stress and fear is cellular. It occurs
child.com to learn more!
stress daily to stay alive, and engage the out-
unconsciously. You won’t always know what 49
Fabulous Nurse Magazine
W
hen the kids come home from
student desks from schools that have gotten
at the kitchen or dining room table, putting
school, it is often accompa-
rid of old desks. Even a standard table and
everything back in their backpack when it is
nied by an avalanche of books,
chairs will work, as long as they are at a com-
done and then hung on their hook.
backpacks and sport equipment. It can be a
fortable height for the children. You can often
real challenge to keep things organized. But
pick things up at yard sales for a good price.
the more organized they are, the less chance
Add some hooks to the wall to hold back-
you’ll hear, “Mom, where is my homework?”
packs; shelves for reference books and you
It can sometimes be a challenge to find any
have a great study room. It is also a good idea
extra space, especially in smaller homes and
to make sure there is plenty of light.
apartments. However, with some creativity,
If you have more limited space available, you
wood and attach it to the door with hinges.
could put hooks in a hallway, possibly near
Be sure to use screws that don’t go all the
it is possible to make a nice homework center for the kids.
Another idea to consider is to make a foldaway desk. If there is a closet in each child’s room, you can create a foldaway desk that attaches to the closet door. Measure the door and cut a piece of wood to fit (allowing for doorknob and hinges). Sand and paint the
the entrance or in a closet, one for each child.
way through the door, or bolts that go from
Create a spot specifically for the kids’ school
They are responsible for making sure their
the other side of the door into the wood. At-
supplies in your home. Do you have a spare
backpack is on their hook when they come
tach another piece of wood vertically, also on
bedroom? It can be pretty easy to convert it
home and is only taken down when they
hinges that can be pulled out to support the
into a homework area. There are a few op-
are either doing their homework or going to
desk. When the children aren’t using it, fold
tions for workspaces, old office desks, or even
school. Then they can do their homework
the support and top back against the door and
Organize
Kids School
Stuff 50
the desk is out of the way. The key is to get a system in place and making sure everyone remembers to put their school things in the same place every day. It may take a few reminders before the kids do it on their own, but eventually it will become something they do automatically when they come home.
Sewing a Scrub Top
Issue 9
Directions Use the scrub top pattern to cut out appropriate shapes from the fabric. Patterns usually have six pieces, the front with a “v” neckline,
I
f you are a nurse like me, you would prefer a catalogue, a website or a stroll into a uniform store to buy the requisite scrub wear
for work. However, nurses who have basic to moderate sewing skills can learn to make a scrub top that is both stylish and professional. All you need are the right pattern, some fabric, and your imagination to make it uniquely yours.
Things you’ll need:
Find a scrub top pattern that suits your pal-
the back with the classic circle neck, and the
ette and adheres to dress code policies at your
front and back of each sleeve.
place of work. If you know other nurses who
Connect all the pieces with your sewing ma-
sew, you may be able to borrow a pattern from them. Fabrics can be found at stores like Michaels or Jo Ann’s Fabrics. You can also download or buy patterns online. Websites like Organic Cotton Plus, Vreseis, Ltd, Near Sea Naturals, and PM Organics, all specialize in “green” fabrics, for an alternative and more environmentally friendly approach to your work wear. When choosing fabric, think something soft,
•
Fabric
•
Scrubs pattern
colors and patterns that flatter your skin tone
•
Sewing machine
and body type. Feel free to use a shade that
•
Scissors and thread
•
Accessories, as desired
washable, durable, and comfortable. Choose
will make you look unique, yet fashion-
chine. Starting with the front piece and back piece, place them inside out next to each other. Sew them together along the seams. When you turn the top right side out you’ll see that the seams are nicely hidden on the inside. Keeping the garment inside out for now, sew together the front and back of one sleeve and then the other. Then sew the two sleeves onto the main part of the garment. And just as simply as that, you have a new home-sewn, professional looking scrub top. Go ahead, you can brag about it. You deserve to. Not every nurse has your talent.
able even though you will be dressed for work. Who said looking professional cannot be stylish? 51
Fabulous Nurse Magazine
52
&
Flea Tick r revention evention P
Issue 9
F
leas and ticks are common among pets, especially dogs. However, ticks also favor humans as well. In comparing flea and tick prevention methods, once the signs are recog-
nized you can effectively deal with the problem at hand.
Fleas
Ticks
Fleas tend to migrate indoors and outdoors. As they feed off your pet,
Ticks are nasty critters. They can cause a myriad of diseases in hu-
they multiply. Thus, a visit to the vet is indicated so that he can offer
mans and pets. To prevent ticks from attacking your pet and you, here
preventative treatment. There is a flea-comb available to brush your
are some suggestions:
pet as an immediate deterrent. Keep in mind that while there is no
When taking your pet out for a walk or, for that matter, hiking or va-
known treatment to destroy the fleas the medication prescribed will effectively prevent the fleas from procreating.
cationing at a camp site, avoid those areas where ticks commonly migrate; dense brush, wooded areas, and areas that are cool and offer
It will also be necessary to thoroughly clean your entire home. Vacu-
shade. Try not to brush again small trees as well.
um everywhere, including rugs, carpets, sofas, and chairs; then wash
Always check to see if any ticks have attached themselves to your
down every room and piece of furniture in your home with bleach. Ensure all windows are open before you commence cleaning. Take everything that can be washed and put it in the washer and dryer. As for the front lawn or yard, you may have to call in a professional who can rid all outdoor areas of fleas. Before doing so, however, find out what type of chemicals the professional may use and then talk to your vet to determine if these chemicals will have an effect on your pet. If you find this is not suitable, there is a product called diatomaceous earth which is non-toxic and organic. Considered safe to use (although a mask should be worn when it is spread around the infected areas) it will not harm your pet or family members. The next step is to get rid of anything your pet has been sleeping on, feeding out of, or playing with.
person. Wear clothing that is light in color so that you can see the ticks more easily. Bring along the flea-comb and frequently brush your pet when you are outdoors. While ticks are often found on pets, they are notorious for getting into clothing. If you are out with your pet in an area such as the ones described earlier, ensure you are fully covered from head to toe. Ticks cause Lyme disease and are active year round. The active months for immature ticks are May and June, and the adult ticks are most active in October and November in temperatures of 35 degrees or higher. Symptoms of a tick bite include: headache, pain and swelling in the joints, rash, and symptoms mimicking the flu. The more you know about fleas and ticks, the more you will be able to prevent them from infesting your home, infecting your pets and your family. 53
Fabulous Nurse Magazine
Travel 54
Travel Auspicious
Issue 9
Saudi Arabia By Karen Kalis
T
r a v e l
Arabia is governed by Sharia Law, so there
scrubs. Off duty, single women must travel
nursing
are few rights for women. All women, in-
in groups and live within their employer’s
can be an
cluding Americans, may be asked to wear an
compound. If you are non-Muslim, accord-
exciting opportunity to
abaya, a large scarf that covers a woman’s
ing to an article published by Jihadwatch.org
see the world and help oth-
clothes, or even a burka, a head to toe cover-
in 2007, the Saudi government will allow
ers at the same time. Tak-
ing when outside of the hospital. At work,
non-Muslim’s to worship, but it must be in
ing a post in Saudi Arabia
nurses wear traditional hospital-provided
private.
offers an experience unlike any other area of the world. Officially called the Kingdom of Saudi Arabia, Saudi Arabia has a population of 27 million people including 8.4 million foreign residents, and encompasses a variety of geographic regions, including everything from deserts that reach 110 degrees, grasslands, mountains, and forests.
A Different Culture As Saudi Arabia is an Islamic-run nation, most nursing positions are for women, though there are a few positions available for male nurses on the male wards. As published in the US Department Reports on Human Rights Practices (2000-2001), Saudi 55
Fabulous Nurse Magazine
Fun Facts
Kingdom of Saudi Arabia 1. It is believed that the tomb of Eve is located in the Jeddah city of Saudi Arabia. 2. The official name of Saudi Arabia is the ‘Kingdom of Saudi Arabia’. 3. Saudi Arabia is one of the driest countries in the world, with rain only in the extreme north and south. 4. The first university in Saudi Arabia was founded in 1957 5. Saudi Arabia follows the system of ‘Absolute Monarchy’. 6. Saudi Arabia is the largest country in Middle East, in terms of area. 7. Saudi Arabia houses Mecca and Medina, the two holiest places in Islam. This is why, it is also known as “The Land of The Two Holy Mosques”. 8. Saudi Arabia is the leading petroleum exporter of the world. Oil accounts for more than 90 percent of exports and nearly 75 percent of government revenues. 9. The King Fahd Causeway that connects Saudi Arabia with Bahrain is 15.5 miles long and is one of the longest causeways in the world. 10. Prince Sultan Ibn Salman became the first Arab and first Muslim to travel in space, when he went aboard the space shuttle Discovery, in 1985. 56
Compensation Working conditions in Saudi Arabia are quite good. According to Professional Connections, work weeks are limited to 44 hours and the hospital providing not only healthcare coverage (except for dental), but a bonus of up to $2500-$5000 depending on the length of the contract, and a pre-paid airline ticket. Housing may be private or may be
Traveling to Saudi Arabia
shared, and families can visit, though most
To be eligible for a nursing position in Saudi
signed for single people.
Arabia, a nurse must have a minimum of two years post graduate work. (Time as a student nurse typically doesn’t fulfill that requirement.) American nurses must have an active and current nursing license in their possession when traveling to Saudi Arabia and it must stay current while there to continue working. A Saudi Commission for Health Specialties license is also required. No exam is necessary to receive this license, though there are documents required. The employer also pays for any nursing insurance that is required.
travel nursing posts in Saudi Arabia are de-
American Nurses Welcome Typically, American nurses who are willing to accept posts in Saudi Arabia are highly sought after and well-respected. As Helen Ziegler & Associates, a recruiting firm, attests that American nurses are given the highest rate of pay, with one year contracts typically include 45-54 days of leave, which can be taken after the initial 90 day probationary period. Costs for becoming a travel nurse in Saudi Arabia are minimal – there is no Saudi tax and housing, transportation,
Issue 9
and uniforms are provided. Visas for male nursing positions can be severely limited.
Opportunities for Non-American Nurses Non-American nurses are welcome in Saudi Arabia, as well, though they may not experience the same level of respect or compensation that nurses with American passports may receive. According to Zoom Harb, RN, a travel nurse who was in Saudi Arabia from 2002-2004, American nurses are the most sought after.
Saudi Arabia’s Clinical Setting In practice, a travel nurse may experience a clinical setting similar to that in America. There are military hospitals for members of the Saudi military and their families, and university-based hospitals not only educate medical professionals, but treat the Saudi public.
In addition, there are pri-
vate hospitals that are designed for profitbased treatments for specific populations or illnesses.
57
Fabulous Nurse Magazine
While moving into a Middle Eastern country can be challenging with new hospital policies and procedures to learn, the typical working language is English, so there is no language difference to contend with. One of the most major differences is dealing with the thousands of members of the Royal Family, who may tell you when to do tests, complete treatments or even provide medication. If, despite all of the benefits of working in
In Conclusion There are many positives to a travel nursing position in Saudi Arabia – favorable pay, work environments and challenging cases. Becoming a travel nurse can broaden the horizon of nurses who want to experience an entirely different culture in an exciting part of the world.
Editor’s Note:
Saudi Arabia, the job just isn’t for you, you
As always, travel to the Middle East is care-
can leave with a one month’s notice, though
fully monitored by the US State Department.
it can be virtually impossible to return to
The latest bulletin, dated 12/23/10, reads in
a travel nursing job in Saudi Arabia if you
part, “. . .[The State Department]continues to
Arabia. There is an ongoing security threat
leave before the end of your contract. While
warn U.S. citizens about the security situation
due to the continued presence of terrorist
there, nurses do have the opportunity to con-
in Saudi Arabia and reminds U.S. citizens of
groups, some affiliated with al Qaida, who
tinue their education through online courses
recommended security precautions. The De-
may target Western interests, housing com-
and affiliations that Saudi universities have
partment of State urges U.S. citizens to care-
pounds, hotels, shopping areas, and other
with American colleges.
fully consider the risks of traveling to Saudi
facilities where Westerners congregate. These terrorist groups may employ a wide variety of tactics and also may target Saudi government facilities and economic/commercial targets within the Kingdom.” For current travel information, visit the State Department website at: www.travel.state.gov
58
Issue 9
59
Fabulous Nurse Magazine
The
Nurse’s tation S
60
Listen Issue 9
Like
a Leader By Garrison Wynn
So what is the fastest and most effective way to show people that you care and you’re competent? Make sure they feel heard, which is more than just listening. I call it listening like a leader. You are not a leader unless you have followers; a leader without followers is called a failure. Regardless of your skills, if your staff doesn’t feel heard and doesn’t trust you, they will always do the minimum. They will watch the clock and be ready to leave at 06:45 or 19:45 for 12 hour shift nurses. They will do just enough each day to avoid getting fired, and they will hope the idea you came up with without their input fails. That’s right—you can spend your life delegating to people who want your projects to fail. How smart is that? OK, you have to listen; I am sure you already know that. The issue is, how well do people
O
ur studies of the most effective
Does it take time to build trust? The truth is
leaders in America’s healthcare
that you have known people for five years
industry show that the top 2 per-
who still don’t trust you, and you’ve known
cent are effective not because they executed
some for five minutes who do. Our research
best practices well but because they simply
shows that trust is usually created by show-
understood the truth about trust: Employees
ing a detectable level of concern. When
follow leaders they trust. Vendors do busi-
people truly believe you are concerned for
ness with people they also trust and like.
them, they tend to think you possess good
People like people they trust. They trust
judgment. After all, if you care about them,
people who have a detectable level of com-
you must know what you are doing. Right?
passion and competence.
really listen? Most studies show that 75 percent of the world’s population does not listen well. Here is an insight that you won’t find in many books, keynote speeches or training programs. As a whole, we don’t listen very well and it’s not our fault! That’s right, I am sure you are used to hearing and reading that all of our communication problems are of our making. However, most experts agree that from birth to 5 years of age, we learn more than we will for the rest of our lives. 61
Fabulous Nurse Magazine
Even if you earn 15 doctorate degrees in
And the first step requires recognizing and
your opinion or experience onto the person
your lifetime, you still acquired most of your
recovering from distractions.
as a solution to his or her problem. Instead
knowledge in early childhood. In those formative years, if a child does not feel heard by the adults in its life, it does not possess good listening skills. The bottom line is that it’s hard to listen when no one ever listened to you.
One day, as I listened to an employee talk about his wants and needs, my mind started to wander. There he was, sharing his core issues, and I’m thinking to myself, “Look at the size of this guy’s head!” It was hard to focus. Once I was trying to listen to a pros-
Listening is not hereditary. It’s an acquired
pect on a sales call when I noticed he had red
skill. Are we going to blame the parents?
hair, blonde eyebrows and a black mustache.
No! It’s difficult to listen to young children
I remember thinking, “It’s Mr. Potato Face!
when we are trying to look out for their wel-
Something has to be a stick-on; that’s not all
fare. When my stepdaughter was five, she
him.”
asked me if Dracula drives a taxi cab. I said, “Well…, I guess if it’s a night job. Uh, wait a minute! What kind of question is that?” She also asked me if she could have a tattoo—not a fake, stick-on tattoo from an ice cream parlor vending machine, but a real one. I said, “No, because you’re in kindergarten—and I’m taking the TV out of your room just for asking that question.” People are more likely to follow your example than to follow your advice. We create better listeners by being better listeners.
After we recover from our own distractions, we have to deal with the real issues at hand. The first of these issues is what I refer to as, “The pitch in your head.” It can be anything from a preconceived idea that a manager has about an employee, to a practiced presenta-
Sure, you ask a question just as you were taught to do in your nursing or management training program—you know a question like, “What is the rationale for your deci-
tion-training programs as better listeners. It
play; and when the prospect says something
doesn’t take a lot of research to figure out
that strikes a chord in you, triggering how
that poor listeners get very little from semi-
much you know, your pitch finds the pause it
nars on listening. So we don’t listen and it
was looking for and off you go.
to focus on making sure people feel heard.
62
with this scenario is that you rob people of their uniqueness. When you tell them you know exactly what the problem is, they tend to want to show you how unique they are. You actually create your own resistance and prevent your skills and even your empathy from making their mark. When people are talking, you are thinking about you or about what you can do to help them help you. It’s a natural thing for us to do, and it forces us to dictate instructions or focus on convincing rather than on gaining agreement.
ferently? They make sure the people they are
tend to listen, the pitch in your head starts to
in the condition we are in. The key, then, is
fore your spew was finished. The problem
suspecting staff victims (nurses, I mean).
dence of people returning from communica-
skills, we have to focus on what we can do
place. Any potential to build trust died be-
So what do the most effective people do dif-
sion?” As they talk and you diligently pre-
we can’t do much to improve our listening
judged, and communication does not take
tion that you are dying to spew on your un-
Unfortunately, we don’t have much evi-
prevents us from being effective leaders. If
of feeling heard, the person feels quickly
“I know exactly what you are talking about because I have had many people just like you with this same situation. As a matter of fact, it was this time last year and they even looked a lot like you.” You then project
dealing with feel heard and can retain their uniqueness. If you make other nurses feel important, you will be important to them! But an even bigger realization comes from all of this. When you focus on how your nurses feel about what they are saying, you increase the level of true concern you have for others. You actually start to become the person you thought you were pretending to be: a true leader! Garrison Wynn, CSP is a nationally known speaker, trainer, and consultant. He is the president and founder of Wynn Solutions, specializing in turning talent into performance, http://www.wynnsolutions.com.
Cerner Millennium Inpatient Sub Systems /Integrated Systems
Issue 9
Fabulous Nurse Rating Summary
Here is the summary of the Fabulous Nurse fivepoint rating for Cerner Millennium Inpatient Sub Systems / Integrated Systems:
Rating Parameter
Points
Reliability
8
User Friendliness (ease of use)
9
Technical Support
10
Technological Capability
9
Cost Effectiveness
9
Total
45
Fabulous Nurse EMR/EHR Rating Reliability
c
erner consists of numerous sub / integrated systems. It is manufactured by Cerner Cor-
poration, an international health care information technology company that specializes Although some lawsuits have in making complete systems available for hospitals and other related institutions to enbeen instituted against Cerner Corporation, they are mostly not related able them integrate and manage all electronic medical records, computerized physician order to non-reliability of Cerner CIS. Cerner entry (CPOE), and financial information. remains one of the most sought after Clinical Information Systems in the contempoonly. Cerner CIS is very detailed; it is divid- expected to set up an account and learn. Secrary health care setting all over the world. ed into various sections. The manufacturer ond is by setting up a “Project Team” that Nearly 70 percent of CIS purchases in 2009 by hospitals with over 200 beds were an Epic claims this makes it very easy to search for provides onsite training for members of staff, or Cerner integrated solution, according to specific questions, concerns, and/or topics. as well as, those to serve as educators for the a 2009 KLAS report, “CIS Purchase Deci- Software performance expert Jon Patrick of hospital. Third is via an online support team. University of Sydney in his study however Technology Capability sions: Riding the ARRA Wave.” While Cerner manufacturer claims their ma- underscores complexity as one of the probCerner is a complex customizable platform chine offers safe and reliable data entry, Jon lems with Cerner. with applications that can be modified or taiPatrick of Health Information Technology On the other hand, according to informalored to meet specific health systems. Research Laboratory (School of Information tion gleaned from a nurse’s opinion thread Technologies, The University of Sydney) comparing Cerner with other systems at Cost Effectiveness in his study argues the contrary. Jon cited Allnurses.com’s online community of nursThe cost effectiveness of Cerner CIS is a instances such as when a patient suffered es, Cerner is given an overall, “KUDOS!” little controversial. Nonetheless, feedbacks overdose of insulin due to an incorrect setup from users by and large indicate that it is of the completion date and time format in Technical Support cost effective. Cerner configuration. Cerner offers 24/7 year round assistance. Support is provided in three forms. First With total of 45 points (10 points make 1
User Friendliness
As claimed by manufacturer, Cerner offers user friendly order entry made by physicians
is through the Cerner’s education website where every employee of health system is
Diamond), Cerner CIS is therefore rated a 5-Diamond Clinical Information System. 63
Fabulous Nurse Magazine
The 5 Star Hospital Rating System
Fabulous Nurse Rating Summary Here is the summary of the Fabulous Nurse tenpoint rating system for SAH, Australia:
Rating Parameter
Points
Quality of Nursing Care
8
Nurse-Patient Ratio
10
Accessibility 10 Staff Quality & Welfare
10
Mortality Rate
7
Financial Base
8
Patient Volume
8
‘Green’ Factor
7
Academic Activity
10
Management Style
8
Total 86
Greene Memorial Hospital, Ohio Profile Greene Memorial Hospital (GMH), a member of Kettering Health Network (KHN), is the only hospital in the Dayton area to receive 2007 Most Wired award. GMH is also a winner of 2007 – Outstanding Achievement Award, American College of Surgeons Commission on Cancer in recognition of excellence in cancer programs, and many other awards. Quality of Nursing Care: GMH’s overall quality of nursing care rates slightly below national average. However, there is no significant difference between its readmission rate and national average. This rating is based on information obtained from Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), patients’ testimonies and reviews from peers and other rating bodies. Nurse-Patient Ratio: The patient ratio average for KHN ranges from minimum of 1:1 to maximum of 6:1, depending on the department. Accessibility: GMH’s accessibility is of a great advantage to the community. Of all the 11 hospitals available within 25 miles of ZIP Code 45385, GMH is the nearest –being 2.2 Miles away. 64
Staff Welfare: An array of benefits is available –including a yearly three-week vacation; educational leaves and funds; parental leave including maternity, paternity and adoption; a wide range of insurance such as medical, dental, disability, etc; free meals while on duty and on call; and complimentary holiday gifts, and so on. Mortality Rate: The 199-bed facility’s mortality rate is at par with national average according to HCAHPS hence the justification for the given point. Financial Base: In 2009, GMH paid over $25.6 million in salaries. As reported by DJ Moody’s, the umbrella organization, KHN, is in good financial shape –having modest debt ratios outlook. However, the outlook changed from “modest” to “negative” this 2011 following some recent unfavorable developments in the group’s finances. KHN’s Total Operating Revenue for Fiscal Year 2010 was $1.05 billion. Patient Volume: Relatively high patient volume; survey data for the latest year as presented by US News Health Rankings –one of America’s best rating bodies –confirm that 27,596 patients visited the hospital’s emergency room, 4,620 patients were admitted, and its physicians performed 963 inpatient and 3,387 outpatient surgeries in the year 2010.
‘Green’ Policies: Sufficient information on GMH’s eco-friendly / environmental efforts is not available. However, GMH has been identified by Ohio Hospital Association as a tobacco-free hospital. Academic Programs: A unique opportunity for new graduate RNs to receive support as they transition into nursing practice is available; GMH offers RN residency program. Also, educational programs that cater for virtually all levels are provided through Kettering College of Medical Arts –whether an employee is fresh from high school and wants a quick route to an in-demand job. Inhouse trainings are also available. Management: An anonymous staff comments about GMH as follows: “Good people, friendly faces, respect for patients, small community, personal involvement, friends, relationships, and many other reasons to work for this hospital. Expectations for job performance can be high, as they can expect you to work several people’s jobs at the same time.” Overall, according to Glassdoor, an online career resource, management style is rated above average. With a total of 86 points, Greene Memorial Hospital, Ohio is rated 4 Stars.
Issue 9
Fabulous Nurse Rating Summary Here is the summary of the Fabulous Nurse tenpoint rating system for SAH, Australia:
Profile A winner of 2010 Special Recognition Award for Community Involvement – by APHA (Australian Private Hospital Association), Sydney Adventist Hospital is a not-for-profit South Division of the Seventh Day Adventist. The 352-bed facility is recognized as a national leader in the quality of private healthcare provided to patients. It has achieved numerous national healthcare quality awards – including Australia’s top private hospital award in 2006. SAH is the largest single campus private hospital in NSW and the first to be accredited by the Australian Council on Healthcare Standards. Quality of Nursing Care: SAH has consistently maintained high rating for quality of nursing care. The Quality Management Department oversees a comprehensive program to monitor, assess and improve the quality of patient care across the organization. The department also provides support to executive and directors to ensure the high standards set by accrediting bodies are being achieved. Nurse-Patient Ratio: Nursing staff to patient ratio of 1:1 exists for critically ill patients and 1:2 for others.. Accessibility: Of all the hospitals available within Wahroonga NSW, SAH is more easily assessible than the others.
Rating Parameter
Points
Quality of Nursing Care
8
Nurse-Patient Ratio
10
Accessibility
10
Staff Quality & Welfare
10
Mortality Rate
7
Financial Base
8
Patient Volume
8
‘Green’ Factor
7
Academic Activity
10
Management Style
8
Total
86
Sydney Adventist Hospital (SAH), Australia Staff Welfare: Comprehensive Health Insurance, Superannuation, Workplace Giving – Deductible Gift Receipt (DGR), Employee benefits and meal entertainment cards, Health Fund contributions (ACA), Rent/Mortgage, School Fees/Childcare fees, Cars –leased through SAH only, Employee Benefit Card – Everyday expenses, Tithe, Gender-specific Accommodation, etc are all available for employees.
160,000 outpatients annually at the facility.
Mortality Rate: Reports in the latest year for which data are available indicate that inpatient mortality is not significantly different from national average.
Academic Activity: Diploma in Nursing and other nursing related educational programs are available –through San Education and San College of Education. The latter operates as a fully functional ‘Registered Training Organization’ (RTO). Sydney Adventist Hospital provides comprehensive New Graduate Programs, which aim to facilitate the transition of nurses and midwives from the academia to the clinical setting as well as undergraduate nursing education through Avondale College Faculty of Nursing & Health.
Financial Base & Related Information: Since isolated report is not available, SAH’s financial footing is better assessed jointly with its parent organization, Adventist Development and Relief Agency Australia Trust (ADRAAT). ADRAAT as at Fiscal Year 2009 had total income of approximately Aus$9.8 million and total assets of Aus$11.4 million. Patient Volume: Emergency Care admits over 20,000 patients each year making it NSW’s largest and busiest private Hospital Emergency Department. 2,200 staff and 700 accredited medical officers provide services for more than 50,000 inpatients and over
‘Green Factor’: SAH introduced a new ecofriendly fruit and vegetable bag made from strong mesh fabric to patients and equally made further efforts, by upgrading its Beattie complex, to apply to the Green Building Council of Australia for the distinguished rating which recognizes environmental leadership.
Management Style: Management is proactive rather than reactive. It recognizes and rewards nurses for their excellent performance, involving them in managerial decision-making. With a total of 86 points, Sydney Adventist Hospital, Australia is rated 4 Stars. 65
5
Fabulous Nurse Magazine
The Star
Fabulous Nurse Rating Summary Here is the summary of the Fabulous Nurse tenpoint rating system for THSG, South Carolina:
Staffing Agency Rating
Rating Parameter
Points
Insurance Coverage Retirement Package Education Opportunity Incentive Programs Earnings Logistics Support
25 20 8 10 15 10
Total
88
Trinity Healthcare Staffing Group Profile Located in South Carolina, USA, Trinity Healthcare Travel Nursing Agency or Trinity Healthcare Staffing Group (THSG) is one of the fastest growing full-service supplemental staffing agencies in the United States today. Two times winner of Joint Commission’s Gold Seal of Approval –a symbol of quality that reflects an organization’s commitment to meeting certain performance standards, THSG holds to a simple motto: “Do what you say you’ll do.” Insurance Coverage: While their employees are covered , THSG is rather conservative and of the belief that one can never have too much insurance. Consequently, employees are not discouraged from having personal professional insurance. Retirement Package: 401-k retirement plan, a special type of account funded through pre-tax payroll deductions, is available for employees. Education Opportunity /International Placements: Trinity Healthcare Staffing Group offers travel, per diem, and temp to perm placement for nurses, therapists, techs, practitioners, and physicians across the United States. This arrangement affords their travel nurses an opportunity to advance their careers.
66
Incentive Programs: Major Medical, Dental, Vision, Prescription Drug Coverage, Life Insurance ($25, 000), Workers Comp, General Liability, Professional Liability, Completion Bonuses for most assignments, and Unlimited Referral Bonuses. Travel nurses receive all of this in addition to one of the highest pay packages in the industry. Earnings: THSG prides itself as having one of industry’s highest pay rates for travel nurses, having travel nurses referral bonuses and paying up to $5,000 Completion Bonus on select travel nurse assignments. Furthermore, tax-exempt travel pay is available and all travel expenses negotiated clearly and upfront.
Logistics Support: Private housing –no surprise roommates, no tenure system. THSG has one of the lowest recruiter-to-nurse ratios in the industry. Recruiters are available 24 / 7 to render personal services to travel nurses, who don’t even have to work several contracts to receive amenities like washer and dryer. This is the standard on the 1st assignment. Utilities are covered –with no surprise deductions; and in-house consultants are available to guide travel nurses through the entire process. With a total 88 points, which gives 4.4 when divided by 20, THSG is a 4-Star travel nursing agency.
University of California Nursing School (UCSF) San Francisco, California Profile
One of America’s “Top 20 Nursing Schools.” Academic Standards: The University of California, San Francisco (UCSF) is one of the world’s leading centers for health sciences research, patient care, and education. UCSF School of Nursing was ranked #2 among US Schools of Nursing in National Institutes of Health (NIH) research funding for 2009; #1 rankings were achieved in 2003, 2004, 2005, and 2006. The ranking covers research grants, awards, and contracts. UCSF School of Nursing was again top ranked in the US News America’s Best Graduate Schools survey for 2007.
Commission on Collegiate Nursing Education (CCNE). Persons who complete the prelicensure segment (MEPN) of the master’s program are eligible to apply for the Public Health Nursing Certificate issued by the California Board of Registered Nursing (BRN). The MEPN program of study, Certified Nurse Midwifery and the Nurse Practitioner programs are approved by the BRN. The Association of Certified Nurse Midwives accredits the Nurse Midwifery specialty within the master’s program.
Issue 9
Fabulous Nurse Rating Summary
Here is the summary of the Fabulous Nurse ten-point rating system for UCSF, California:
Rating Parameter
Points
Academic Standards Student Quality & Turnover Financial Aid Accreditation Peer Review Quality of Teaching Staff Academic Facilities Students’ Reviews Affordability Job Prospects for Students
10 9 10 10 9 10 10 9 9 9
Total
95
Student Quality and Turnover: According to U.S. News & World Report rankings, in addition to UCSF’s number two ranking among nursing schools, six nursing specialties also ranked among the top ten programs. Both family and pediatric nurse practitioner programs were ranked number one in the nation, and the adult nurse practitioner program came in third. Both gerontological and psychiatric/mental health nursing programs were ranked third, and community/public health nursing tied with University of Minnesota for seventh place. More than 600 students are enrolled yearly. Financial Aid: Financial assistance programs available to nursing students include loans, scholarships, grants, traineeships, fellowships, and employment opportunities. Many programs are available through the Student Financial Aid Office, while others are administered by the School of Nursing and by the Graduate Division. Nurse Faculty Loan Program is available to make loans to their students enrolled full-time in advanced degree nursing programs. UCSF’s current best ranking resulted from its favorable disposition to making financial aid accessible for its students. Accreditation: The master’s program, including the MEPN pre-licensure segment, of the School of Nursing is accredited by the
Peer Review: Peer ratings, by academic experts, for UCSF are top –indicating the school’s high standards. Quality of Teaching Staff: There are four departments of instruction and research within the UCSF School of Nursing: the Departments of Family Health Care Nursing (FHCN), Community Health Systems (CHS), Physiological Nursing (PN), and Social and Behavioral Sciences (SBS). Faculty members of the UCSF School of Nursing rank among leading scholars in their fields of study. The annual compendium of Faculty Research Activities highlights their areas of investigation. Academic Facilities: With state-of-the-art facilities, the school has more than 100 years
of experience training some of the finest nurses in the country, and it maintains the UCSF Nursing Press, publishing a variety of titles related to nursing. Students’ Review and Affordability: Nursing education is quite affordable at UCSF, which is why such high numbers are enrolled and graduated yearly. Job Prospects: The school produces some of the country’s finest nurses; therefore nurses graduating from the school have higher chances of being easily employed. Therefore, with total of 95 points, UCSF Nursing School is rated a 5 Diamonds since 1 Diamond is made up 20 points each 67
Fabulous Nurse Magazine
Why Nursing Is Different “Nursing is an art, and, if it is to be made an art, requires as exclusive a devotion, as hard a preparation, as any painter’s or sculptor’s work; for what is the having to do with dead canvas or cold marble, compared with having to do with the living body- the temple of God’s spirit? It is one of the fine Arts; I had almost said, the finest of the Fine Arts”
Florence Nightingale’s quote says it all. If there is one profession that requires the best of ethics in this world, it is the nursing profession. By and large, professionalism in nursing is all-encompassing as it concerns a very broad array of thoughts that are naturally meant to drive the profession to an unparalleled level while establishing a unique brand identity for every nursing practitioner.
Responsibilities And Duties Of A Nurse The distinction of the nursing field came into glare of publicity due to the ground-breaking effort of afore mentioned legendary English nurse, Florence Nightingale. While the basics of a nurse’s overall responsibilities are taught in nursing school, a nurse’s responsibilities are not often fully imparted through formal nursing education. They become
—Florence Nightingale (1868).
entrenched into the nurse as a fundamental
Conduct
ingredient of their code of ethics; both pro-
Unbecoming of Professionalism in Nursing
68
a Nurse
By Olusegun Iselaiye
Issue 9
fessional and personal. In other words, the
at their very best. This is what practically
through callous games such as photograph-
duties and responsibilities of a nurse are an
distinguishes nursing from other profes-
ing genitals. Also, according to the Digital
intricate part of professionalism in nursing.
sions. To put this point forward more sim-
Journal, another nurse has resigned over the
ply, nursing professionalism is more about
incidents, which are still being investigated
the nurse’s general disposition towards their
further by the Australian Federal Depart-
profession vis-à-vis the quality of patient
ment of Health and Ageing. In The Sunday
care provided.
Telegraph Australia report [March 6, 2011]
Professionalism in Nursing The nursing profession is hailed as one of the world’s most gratifying jobs, not only because it is “pocket” friendly, but also in terms of the noblesse which defines services
What Happens when Professionalism is separated from nursing?
that are being rendered to the society by the profession. The nursing profession is unique because it combines science (physical and social), nursing theory, and technology in caring for individuals of all age groups and
nurses,
graphed during the game.
unprepared
physicians
would be left to face the medically and psy-
cultural backgrounds.
chologically needy patients on a more per-
Professionalism in nursing should be per-
ly perceptible skills that nurses have, such as,
ceived as what adds fabulous (great) value
how to make a patient smile even when they
and significance to the nurses’ everyday
are at their lowest and feeling downright rot-
practice. To say in clearer terms, profession-
ten. You can therefore label nurses with com-
alism in nursing are set standards, expected
parable words like providers, comforters or
attributes, philosophies, work ethics, and
nurturers.
commitment that nursing individuals must incorporate into their personality in order to serve their community
lerton, in his response said it was not clear how many residents had their genitals photo-
Conducts Unbecoming: Without
William Cape Gardens’ spokesman, Tim Al-
sonal level, they’ll have to master such bare-
Perhaps unknown to the affected Australian nurses and others alike, but of course not surprising to the “entire world,” conducts unbecoming of a nurse are at total variance with professionalism in nursing. Hence the reason for firing nurses found blameworthy of unprofessional conducts. Professionalism in nursing, on the other hand, is often well appreciated by the patients, employers, and even the community in which they serve, too. Therefore, as nurses, we must always
This implies that a great deal of trust is vested
“wear” characters that are allowed within
on a nurse. The professional nurse lives
our profession because that is the only thing
up to this trust as she works all her
that can help us live up to and surpass the
life, but the unprofessional one
expectations of our patients, employers, and
does not. The unprofessional nurse fails to act within the confines of what is professionally and morally permissible. Contrary to what has been
community.
Concluding Thoughts Before concluding on this infinitely important discussion, it is very important to con-
recognized prima facie in
nect some final dots as to the relationship
this article - that profession-
between a nurse’s responsibilities and be-
alism is generally perceived
havior. A nurse’s responsibilities are those
as the backbone of nursing
“forces” that bind a nurse to the courses of
profession - the Digital Jour-
action demanded by the nursing profession
nal reports [March 7, 2011]
while behavior can simply be regarded as a
that a well-respected nursing
nurse’s disposition to her job. The role of a
home on the east coast
nurse, though more scientific in its approach,
of Australia, Wil-
is akin to a teacher’s or a mother’s role.
liam Cape Gar-
Nurses make available direct comfort and
dens, fired two
needed care to patients, fulfilling both their
of its nurses
physical and psychological needs. Any con-
for
abusing
residents
duct that undermines this is tantamount to mal-prudence and possibly malpractice. 69
Fabulous Nurse Magazine
70
Issue 9
Finance
71
F
Fabulous Nurse Magazine
ew careers offer the variety of experiences that nursing does.
pital.” Writers such as Cornety Davis, Judy Schaefer, Jeanne Bryner,
Many times nurses discover that they would love to share
Theodore Deppe and Veneta Masson have all contributed to the
their stories or professional expertise with others either in-
genre of nurse authors and have had their work published in journals
side or outside of the nursing community; stories of hope, healing,
such as The Kenyon Review, The Sun and The Hudson Review – all
and even technical knowledge. Becoming a nurse author may be a
prestigious journals that any full-time writer would be delighted to
natural extension for those who want to broaden their opportunities.
be listed in.
The founder of modern nursing, Florence Nightingale, was a major
Who Are Nurse Authors?
figure in literature, spanning the distance between Mary Wollstone-
Nurse authors are nurses who either want to publish professionally
craft and Virginia Woolf. According to Thomas Lawrence Long,
or choose to write in other genres to share their stories and expertise.
Associate Professor-in-Residence at the School of Nursing at the
While nurse authors may have been trained specifically as nurses,
University of Connecticut, in his blog Literature, Arts and Medicine
they may also have taken classes in journalism, composition or lit-
(2009) said, “And even at the origins of professional nursing in the
erature during college. Some nurse authors have a second degree
United States during the Civil War, one of America’s most beloved
in English, Communications or Creative Writing. Genres available
authors, Louisa May Alcott, started her literary career with Hospital
for nurse authors include professional writing for journals, medical
Sketches, an account of her experiences as a nurse in a military hos-
magazines, and nursing textbooks, as well as, more popular forms
urse N Author
such as fiction, non-fiction, and poetry.
By Karen Kalis
Ideas To Boost Your Income
72
Issue 9
According to L.M. Stepanski, in her article,
have in common is their commitment to
Becoming a Nurse-Writer: Advice on Writ-
nursing and their completion of some level
ing For Professional Publication (2002),
of nursing education. Once you have pub-
nurses already have what it takes to be ex-
lished your work, then it is time to promote
cellent authors, “Successful nursing profes-
it. Balancing book tours and speaking events
sionals already have what it takes to write for
with your work as a nurse can be challeng-
publication, namely, strong oral and written
ing, but is not impossible. As with any pro-
communication skills honed every day in the
fessional endeavor, communication is key.
workplace. Nurses spend much time and ef-
Being frank with your writing agent, as well
fort in training and actual practice refining
as, your nursing supervisor and having an
their rhetorical skills, that is, their ability
attitude of flexibility will lead to success.
to communicate ideas clearly and persua-
Primarily, you must know where your true
need formal training or experience related to
sively to a variety of audiences composed
love is – whether in nursing or in writing.
that topic.” For companies looking for medi-
of physicians, other nursing professionals,
Understanding your priority will lead you
cal writers, nurses are the perfect fit and can
pharmaceutical representatives, patients,
to
know
which opportunities take precedent. According to the Bureau of Labor Statistics, (Occupational Outlook Handbook, 2010-2011 edition), becoming a writer or author usually requires a bachelor’s degree or higher, though employers may look to people with writing skills and different backgrounds, “Those with other backgrounds and who can demonstrate good writing skills may also find jobs as writers. Writers who want to focus on writing about a particular topic may
expect to make a good income. The Bureau
and their families. Without a doubt,
of Labor Statistics, (Occupational Outlook
experienced nurses have what it
Handbook, 2010-2011 edition) reports that,
takes to write for professional
“Median annual wages for salaried writers
publication.”
and authors were $53,070 in May 2008. The
Becoming a Nurse Author
and $75,060.”
Education for nurse authors can vary from none to intensive graduate degrees in writing. One thing that all nurse authors
middle 50 percent earned between $38,150
Nurses have had a long history as writers. For nurses with creative communication skills, becoming a nurse author may be the natural next step in their careers. With a broad base of experience, nurses have the opportunity to share what they have learned about people, situations and crisis, with those who may have not have the privilege to serve in that way.
73
Fabulous Nurse Magazine
74
Issue 9
The Accounting
Game
M
any people fear accounting - they think it is too difficult and this fear might even prevent them from
starting their own business. The Accounting Game is a book that explains the important financial terms and accounting principles to laymen in easy to understand language. It uses the lemonade stands, you might have run yourself as a kid, as an example to give a basic introduction of accounting and financial concepts in an entertaining and fun way. Learn about assets, liabilities, balance sheets, cash flow, labor, accounts receivable, gross profit, net profit, taxes and whatever else you need to run your own small business. The book doesn’t lecture, but makes the concepts interesting and fun. The book includes charts and worksheets to make you participate and help you to understand certain principles. Overall, this isn’t a dry book to slog through, but a book that is easy to read and understand so you can apply the learning directly to your own business. I would certainly recommend this to anybody who wants to learn accounting principles, but has been too afraid to do so. 75
Fabulous Nurse Magazine
The Nurse’s Footprints Customized By E. Laureate
One night some nurses had the same dream. They dreamed they were walking along the beach with the LORD. Across the sky flashed scenes from each of their life. For each scene, the nurses noticed two sets of footprints in the sand; one belonging to each one, respectively, and the other to the LORD. When the last scene of their lives flashed before them, they looked back at the footprints in the sand. The nurses noticed that many times along the path of their lives there was only one set of footprints. They also noticed that it happened at the very lowest and saddest times of their lives. This really bothered many of them and they questioned the LORD about it. “LORD, you said that once we decided to follow you, you’d walk with us all the way. But we have noticed that during the most troublesome times in our lives, there is only one set of footprints; We don’t understand why when we needed you most you would leave us.” The LORD replied, “My precious and faithful nurses, I love you and I would never leave you. During your times of trial and suffering, when you see only one set of footprints, it was then that I carried you, each and every one of you.”
76
Issue 9
Laugh Out
Loud 77
Fabulous Nurse Magazine
General Humor The Beer Study One day, government scientists suggested that men should take a look at their beer consumption, considering the results of a recent analysis that revealed the presence of female hormones in beer. The theory is that drinking beer makes men turn into women. To test the finding, 100 men were fed 6 pints of beer each. It was then observed that 100% of the men gained weight, talked excessively without making sense, became overly emotional, couldn’t drive, failed to think rationally, argued over nothing, and refused to apologize when wrong. No further testing is planned.
Nursing Humor Get Well Quick A motorcycle patrolman is rushed to the hospital with an inflamed appendix. The doctors operate and advise him that all was well. However, the patrolman feels something pulling at the hairs on his chest. Worried that there was still something wrong, he gathers the energy to pull his hospital gown down so he can see what was making him so uncomfortable. There he sees taped firmly across his hairy chest three wide strips of extra-sticky adhesive tape. Written in large black letters on the tape was a message: “Get well quick...from the nurse you gave a ticket to last week.�
78
Issue 9
Resources
79
YourFirst Year
Fabulous Nurse Magazine
Nurse As A
Book reviewed by Matthew Fowler
M
s. Donna Cardillo, RN, MA is an
are as follows: Have realistic expectations,
accomplished nurse (with 17 years
Immerse yourself in the community of nurs-
of direct nursing experience) who
ing, Be proactive with your training and ori-
became a nursing guru, advocate, and men-
entation, Be a magnet for help and support,
tor. After serving as the Health-Care Careers
Be sociable, Ask lots of questions, and Work
Expert at Monster.com, perhaps the premiere
on staying positive and motivated.
jobs search engine in America, Ms. Cardillo began touring and lecturing around the country. Her lectures are renowned for their prescriptive advice to anyone facing dire medical situations from nurses to insurance claims adjusters and care givers providing in-home treatment to infirm family members. Ms. Cardillo is also the primary care giver to her husband who suffers from multiple sclerosis. Your First Year As A Nurse proceeds essentially as the title would suggest; it is a map to help recent nursing school graduates navigate their first year out of nursing school. It is not, however, a series of war stories that amount to self aggrandizement. Ms. Cardillo segments her thoughts into a list of helpful and prescriptive topics which run the gamut from career development to actual job challenges a nurse could face. Those topics 80
Amazon Books offers a positive characterization, ... it maintains a realistic outlook in a positive manner without sounding like it
tors, interacting with health care professionals, and creating the self confidence that leads to success.
was written by “Pollyanna.” Ms. Cardillo
First Year is enthusiastic and energetic, and
makes it all seem possible in the real world
it is obvious from the very beginning that
because she writes with honesty and takes
Ms. Cardillo loves nursing. The wide berth
difficult situations head-on. Instead of ask-
of topics combined with the practical and
ing “What’s the problem?” she asks, “What’s
proactive suggestions that address those is-
the solution?”
sues make for a comprehensive guide for
There is a considerable positive consensus about First Year; All Nurses, a website dedicated to the profession says Cardillo’s book also explains in depth how to be marketable in the nursing profession. Using her expertise in career development, Cardillo offers much advice the beginning nurse about how to advance his or her goals. The reader can learn and become comfortable in obtaining their own business cards, establishing men-
the new nurse. The mood is upbeat, and the prose is clear and profound in its simplicity as she navigates the complexities of water cooler politics, ethical dilemmas, and practical challenges. She marries theory to “real life” by using examples from her own professional experience to illustrate her points. Her use of graphics such as shadow boxes, line diagrams, and the like is an effective visual enhancement, and overall, First Year is a should-read for new nurses.
August Nursing Conferences
Issue 9
Around The World
8-8 August 2011 Brisbane, Queensland, Australia. 1-15 August 2011 Between St. Petersburg & Moscow. Russia. U.S. and Russian Nurses: Creating Collaborative Networks to Promote Global Health. Cruise the Russian waterways while US and Russian nurses learn about nursing education, practice and health care systems in their respective countries and dialogue on ways to improve care for patients and their families.
Fourth Passionate about Practice Conference, Advancing Professional Priorities and Future Directions. This conference is developed specifically for clinical nurses, midwives and leaders at all levels within health care settings across the continuum. The four themes of the 2011 conference are: Clinical Leadership in Practice, Research Providing Best Practice, Practice in Disasters, and Advanced Practice. Contact name: Michelle Bordignon
Web: http://www.us-russiannurses.com/
Web: http://www.iamevents.com.au/qh /passionateaboutpractice
3-5 August 2011 San Francisco, CA. USA.
13-20 August 2011 Seattle, WA. USA.
International Academy of Nursing Editors.
Family Medicine: Dermatology Review.
Join the annual conference, sponsored by editors
This is a Live Lecture 7-Night Alaska Cruise Confer-
of nursing journals and publishers. Program will
ence Round-trip Seattle, Washington. This cruise is
feature discussions related to improving the quality
designed for Family Physicians, Internists, Derma-
of nursing literature, the future of publishing in the
tologists, Physician Assistants, Nurse Practitioners,
electronic age, ethics of publishing, and many other
and Nurses. The purpose of this CME activity is to
topics of interest. In addition to all levels of editorial
review the diagnosis and management of derma-
and publishing staff, anyone interested in aspects of
tological conditions encountered by primary care
producing nursing literature such as editorial board
physicians. Preliminary Topics for Discussion: Cu-
members, peer reviewers, and authors are welcome.
taneous System, Techniques for Diagnosis, Structure
Web:http://www.nursingeditors-inane.org/
and Function I, II and III, Infectious Diseases I, II, Eczema and Dermatitis, Psoriasis and Papulosquamous Diseases, Acne, Warts, Barnacles, Keratoses and Skin Cancer, Oral Morphology and Examination, Acute Oral Ulcers and Recurrent Aphthous Stomatitis, Ten Tongue Troubles and the Burning Mouth Syndrome,Wrinkles, Spots & Aging of the Hair, Skin and Nails. Web: http://www.continuingeducation.net/coursedetails. php?program_number=841 81
Fabulous Nurse Magazine
19-21 August 2011 Newcastle, NSW. Australia.
25 August 2011 Kiev, Ukraine.
Homebirth Australia Conference: Challenging
Clinical Trials: ICH, GCP rules, regulatory
the Boundaries. Keynote Speakers - Robbie
(EMEA, FDA) GCP certification. Pharma regis-
Davis-Floyd & Ina May Gaskin.
tration. Key documents.
The 27th Homebirth Conference - Challenging the Boundaries is for midwives, midwifery students, doulas, women, men and doctors interested in home-
Contact: Kristina Zadorina Web: http://www.nbscience.com/reestre.html
birth. Homebirth itself brings about challenges for women and the midwives and doulas who support these women, particularly those who don’t fit within the medicalised definition of normal. All our speakers are passionate about homebirth and the right
8th Annual Vanderbilt-Ingram Cancer Center
of women to choose to birth at home, particularly
Oncology & Hematology Symposium.
when they are outside the boundaries of normal.
With 23 faculty, attendees will learn of new thera-
We have speakers from the midwifery and medical
peutic approaches, how they compare to current
profession, as well as consumers, doulas and birth
standards of care treatments, and be prepared to ap-
advocates. Contact: Sonja MacGregor
ply the most optimal strategies to improve outcomes
Web: http://homebirthaustralia.org/homebirth-australiaconference-challenging-boundaries-19-21-august-2011
for their patients.
25-28 August 2011 Seoul, South Korea. 21st World Congress on Psychosomatic Medicine. Hosted by the Korean Society of Stress Medicine and The International College of Psychosomatic Medicine. We cordially invite you to the 21st World Congress on Psychosomatic Medicine in Seoul, Korea. Who should attend: Medical Science, Traditional Oriental Medicine, Nursing, Psychology, Social Studies, Social Welfare, and Meditation. Contact name: Jessie Yoon Web: http://www.icpm2011.org
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26-27 August 2011 Nashville, TN. USA.
Contact: Cindi Kellam Web: http://www.vicc.org/2011/onchemrev/
Issue 9
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