Heart Attack Grill (20/20 ABC show) - page 3

Thought for sure I would see an uproar about this restaurant in Az featured on ACB's 20/20. The waitresses wear slutty porn-type 'nurses' outfits and roll their bloated patrons to their car in a w/c... Read More

  1. by   SandySummers
    Q: Come on. Even if the mass media does ignore nursing, or present it inaccurately, how can that possibly affect nursing in real life?

    A: It can because what people see affects what they think, and what they think affects what they do. This isn't just an observation of how humans act. It is a basic principle of education, art, advertising, or any other organized effort to influence people. Advertising, for instance, can affect behavior when people receive persuasive, one-sided flows of information on subjects where they may not have a great deal of prior experience or knowledge. Research suggests that youngsters are especially susceptible to media influence of this kind, but no one is immune. This is why major corporations spend millions on slick advertising campaigns to promote their products, and why powerful political ads can move polling numbers and affect election results.

    There is no reason to think this basic principle would not apply to health issues. Indeed, in recent years a consensus has emerged in the field of public health, based on considerable research, that what people see in the media has a significant effect on their health-related views and behavior. A wide range of public agencies, private groups and scholars now devote substantial resources to analyzing and managing health messages in the media. This is part of the public health field called "health communications."

    Health communications is a "hybrid" with roots in communications, health care and other fields. (Deborah C. Glik, ScD., 2003. "Health Communication in Popular Media Formats," American Public Health Association Annual Meeting presentation, p. 1) "Communications about health in the popular media comprise both planned and unplanned content which has the potential to communicate positive, neutral or negative health messages to the public." (Id., emphasis added) The inclusion of "unplanned" content is significant. People are influenced by media content whether or not the creators specifically intended that they take away the message received, just as a parent may influence a child to act a certain way without intending to do so. A media product need not have the intent to harm nursing to have that effect.

    What the media tells people about health care works much like advertising. As one public health scholar has noted, "[f]rom a social marketing perspective, messages in the media that promote specific desirable behaviors have the potential to persuade consumers to change their behavior if messages are viewed as compatible with consumers' own self-interest, competing messages are minimal, and resistance to change is low to moderate." (Id., emphasis added) And just as people influenced by commercial or political ads will also be affected by substantive health messages, people influenced by health messages will also be affected by how the media portrays the roles and conduct of health professionals. It makes little sense to think that people would learn something about cancer or AIDS from a media product, but that they would form no opinions about the health professional who is presenting the information in that product.

    "Researchers have long recognized that news media coverage affects what the general public believes about health care." (Turow and Gans, "As Seen on TV: Health Policy Issues in TV's Medical Dramas," Report to the Kaiser Family Foundation, 2002, p. 1 (citing five studies dating from 1997-2002, citations omitted)) Because treatment of health topics in the news media has a significant effect on public views and actions, advocates have worked hard to affect the frequency and accuracy of the media's coverage of health topics in which they have an interest. (Glik, pp. 1-2) For example, groups promoting the professional interests of physicians have worked aggressively for decades to manage the public image of physicians and the field of medicine. The American Medical Association has devoted considerable resources to promoting coverage of medical research and other physician-centered stories in the mass media. (Buresh and Gordon, From Silence to Voice, 2001; Chocano, 2002, "Same old mish-"M*A*S*H"! Stat!". Salon; Gordon and Buresh, "Doc Hollywood", The American Prospect, 2001) These efforts have been a resounding success. (Buresh and Gordon, From Silence to Voice) Physicians, indisputably a critical part of the health care team, are now portrayed and regarded by the news media as more or less the whole team: the directors and providers of all meaningful health care. (Buresh and Gordon, From Silence to Voice; "Woodhull study on nursing and the media: Health care's invisible partner," Sigma Theta Tau International, 1997; Buresh, Gordon and Bell, "Who Counts in News Coverage of Health Care?" Nursing Outlook, 1991) Physicians are consulted on issues, such as nutrition and breastfeeding, in which other professionals generally have at least as much if not greater expertise. Physicians' combination of economic and political power with social and perceived moral status is unrivalled by any other professional group.
    Many other professional, corporate and advocacy groups have also tried to influence media treatment of health issues relevant to their interests. One scholar has pointed to "the pervasive influence of certain organized or corporate interests who may use behind-the-scenes methods to unduly influence news reporting. An example reported is tactics used by the tobacco industry since the 1970's to minimize negative reports in the news media and maximize positive ones." (Glik p. 2) Why have groups made such efforts? Because "the power of the mass media to reach and influence large numbers of persons is indisputable." (Id.) Of course, by the same token, "news media credibility is often criticized." (Id.).

    Thus, it is critical that anyone interested in health care, including nursing, understand how the media influences our lives. "Given the pervasiveness and potential power of the media to shape beliefs, attitudes and behaviors, the media literacy movement has emerged." (Id., p. 3) Though "media literacy" seems to be aimed primarily at helping children and teens "better deconstruct (analyze and assess) the ubiquitous media constructions" that are a key part of modern life, developing this skill is no less important for adults, especially those whose interests may not be served by prevailing media practice. Most media content, including advertising, is directed at adults. And achieving media literacy is not something that just happens on our 18th birthdays; it is not easy or automatic. It involves a process of "learning to analyze and question what is on the screen, how it is constructed, and what may have been left out." (Glik, p. 4 quoting Thoman, "Beyond Blame: Challenging Violence in the Media," Center for Media Literacy, 1995).

    The bottom line is that "while there is a tremendous potential for the popular media to include positive health messages, it is a double-edge sword...From a public health perspective, one needs to view the popular media in its entirety, as both a tool for progress and a source of ill health that is a reflection of the larger culture it represents. Thus, both media advocacy and media literacy become important strategies to influence the media to improve public health and, concurrently, to mitigate its unintended effects on the most vulnerable members of society--children and teens." (Glik p. 4).

    If the mass media is critical to modern health strategies, then it must also be a key means of addressing one of the most important global health problems: the crisis in nursing. The same impressionable "children and teens" whose health may be directly affected by media messages receive equally powerful messages about nursing. The result? Most students do not understand or respect nursing, and do not consider it as a career. In a study of primary and secondary school students, most respondents wrongly described nursing as a girl's job, a technical job "like shop," and an inappropriate career for private school students. (JWT Communications, Memo to Nurses for a Healthier Tomorrow on focus group studies of 1,800 school children in 10 U.S. cities, 2000)

    Of course, the effects of the media's undervaluing of nursing do not stop there. When adults without significant understanding of nursing--that is, the vast majority of adults who are not nurses or very close to nurses--receive a lifetime of inaccurate, stereotypical messages about the profession, they too do not consider nursing as careers later in life. (And many nurses complain that it is difficult to garner respect even from their close family members.) Likewise, public officials and health care decision-makers with little understanding of nursing's real importance do not allocate sufficient funds to nurse staffing, nursing education, or nursing research. For instance, when hospital administrators undervalue the work of nurses, they understaff nurses, which increases patient mortality and worsens the nursing shortage. Likewise, when Congress and the Executive Branch fail to understand what nurses do to save and improve lives, they grossly underfund nursing education and research, as evidenced by the fact that only $1 out of every $200 in the NIH budget is allotted to nursing research. (National Institutes of Health, Summary of the FY2005 President's Budget) (pdf).

    You might think physicians would have a better sense of nursing, and some do. However, much physician conduct seems to reflect a hierarchical, narrow and self-absorbed subculture that equates medicine with health care and is not known for questioning society's traditional assumptions. Representatives of this subculture typically see what they expect to see in nursing: not much. (We've heard physicians telling nurses that nurses receive "too much education" and that they could "train monkeys
    http://www.nursingadvocacy.org/cgi-b...20;start=23#23
    to do their jobs.") And nurses themselves are hardly immune to the effects of the media's ill treatment, which can sap their morale and professional pride, encourage cynicism and self-loathing, and discourage them from standing up for themselves and their patients. Few today doubt that pervasive media practices affect the self-image and conduct of other groups, such as women.

    On the whole, the nursing crisis can be seen as the result of an entire society failing to value nursing adequately. The media is a key factor in that failure.

    http://www.nursingadvocacy.org/faq/m...s_nursing.html

    Also see the following related FAQ's:

    OK, fine. I can see that some media probably affects how people think about and act toward nursing, like maybe a respected newspaper or current affairs show on TV. But how can some TV drama, sitcom or commercial affect people that way? People know enough not to take that stuff seriously!
    http://www.nursingadvocacy.org/faq/m..._thinking.html

    I get that the public health community and even Hollywood itself believes that the entertainment media has a big effect on real world health. But is there any actual research showing it affects what people think and do about health issues like nursing?
    http://www.nursingadvocacy.org/faq/h..._research.html

    Well, if all that research shows how influential Hollywood is on health care--and Hollywood itself claims credit for improving the world through "medical accuracy"--why won't it admit that its portrayal of nursing is equally influential, and take steps to fix it? Especially since the nursing shortage is now a global public health crisis.
    http://www.nursingadvocacy.org/faq/h..._behavior.html
  2. by   General E. Speaking, RN
    [QUOTE=SandySummers;1932926] But there is little I can do to get them to choose which quotes they should use. The media is in control of their stories, not me.

    I understand the media has control over how a story is presented. I have read through your following astute posts and appreciate and applaude your organizations efforts. Perhaps, what I am wishing for is a more than a 7 minute segment where more information would be given. Maybe "poor job" was too harsh. It's just that the interview left me feeling that so much more should have been said.
  3. by   SandySummers
    Hi Kriso,

    Thanks for your comments. Of course I would have liked to talk for hours on the issue, but getting the media to do that is the trick... And getting them to cover nursing is an even bigger trick. There is this perception that nursing doesn't matter. So if doesn't matter, it doesn't merit media coverage, and it's a vicious cycle.

    Sandy
  4. by   Jussurfin
    Quote from SandySummers
    Hi Kriso,

    Thanks for your comments. Of course I would have liked to talk for hours on the issue, but getting the media to do that is the trick... And getting them to cover nursing is an even bigger trick. There is this perception that nursing doesn't matter. So if doesn't matter, it doesn't merit media coverage, and it's a vicious cycle.

    Sandy
    I don't believe this is true Sandy or perhaps it is your choice of words. I think the average person and the media will tell you that nurses do matter; nursing is always ranked among the 'most respected' professions in surveys answered by 'average people.'

    As I see it, the lack of media coverage has a lot less do with nurses 'not mattering' than it does with potentially low ratings of such a show. While the general public respects nurses, it has very little or no interest in knowing what the issues and problems face the profession today. And the TV execs know this. It is certainly a good subject, but most people really don't care NOT that nursing doesn't matter to them. The ratings would suffer. TV shows on major networks, even documentaries, have to appeal to the 'masses.' To wit, how much interest do nurses have in knowing the issues and concerns that face other professions today and in the future? We all live, work.......and suffer.......... in our own little worlds.
  5. by   teeituptom
    1 With all the major problems in the world why waste air time to glamorize this place. Just think how all this free advertising has helped their business.

    2. Let me know when they open 1 in Dallas. I always look for a good hamburger after a game of golf.
  6. by   SandySummers
    Quote from Jussurfin
    I don't believe this is true... I think the average person and the media will tell you that nurses do matter; nursing is always ranked among the 'most respected' professions in surveys answered by 'average people.'
    http://www.nursingadvocacy.org/faq/most_trusted.html

    Q: Why aren't you more excited that public opinion polls often put nurses at the top of the list of "most trusted" and "most ethical" professions?

    A: Of course, there's nothing inherently bad about being trusted! A desire to care for others (as opposed to money, power or status) has traditionally been a major factor in why people choose to become nurses. And the public has tended to recognize that such care givers generally have their patients' best interests at heart.

    The reason the "most trusted" poll results don't do too much for us is that this public view often goes hand in hand with the prevailing vision of nurses as devoted, angelic handmaidens. Of course, it's possible that a particular member of the public might fully understand how highly skilled nurses are and still "trust" them greatly. But given that public understanding of the nursing profession appears to remain very poor, we fear that the poll results are essentially an expression of a vague, sentimental affection for nurses flowing from the above stereotypes. As one experienced nurse lamented: "They trust us to hold their wallets while they're in surgery. But not to save their lives."

    We can't help noticing that some of the professions near the bottom of the "trusted" list-- such as lawyers, journalists, and ad writers--do not seem to be suffering from any crisis in terms of supply of willing workers, working conditions, job benefits or social status. We wonder how many of the people who "trust" nurses so much would react if their son, or bright, ambitious daughter, announced that he or she wanted to be a nurse.

    Polling can measure many things, and much depends on the wording of questions and the context in which they are asked. In this case, we believe it would be a mistake to imagine that the word '"trust" implied genuine respect for professional skill. In this sense, putting too much stock in these poll results may actually be a dangerous illusion.

    Quote from Jussurfin
    As I see it, the lack of media coverage has a lot less do with nurses 'not mattering' than it does with potentially low ratings of such a show. While the general public respects nurses, it has very little or no interest in knowing what the issues and problems face the profession today. And the TV execs know this. It is certainly a good subject, but most people really don't care NOT that nursing doesn't matter to them. The ratings would suffer. TV shows on major networks, even documentaries, have to appeal to the 'masses.' To wit, how much interest do nurses have in knowing the issues and concerns that face other professions today and in the future? We all live, work.......and suffer.......... in our own little worlds.
    http://www.nursingadvocacy.org/faq/dramatic.html

    Q: Nurses are just wonderful, but you really can't expect Hollywood to focus on them, can you? After all, popular media products have to be dramatic and exciting. Why don't you just focus on getting a nursing documentary on PBS or basic cable?

    A: Because the work of nurses is at least as dramatic as that of physicians, and getting the wider public to understand that would be of great value in resolving the nursing shortage that is one of the world's most pressing public health problems. More than a few Hollywood insiders have expressed to us some version of the sentiments in the above FAQ. But contrary to the current popular and mass media image, nurses are expert professionals who save lives autonomously--that is, in pursuit of their unique nursing scope of practice, not physician commands. They confront some of the most exciting human, policy and technological challenges in modern health care. These range from the extreme high-tech of teaching hospital ICU's, to chaotic urban level one trauma centers, to major health policymaking and research centers, to small community health projects where lives are changed, to war zones and development and humanitarian relief projects around the world.

    Perhaps the most telling evidence of the drama of nursing is that the major hospital shows on U.S. television today--"ER," "House" and "Grey's Anatomy"--actually do spend a great deal of time showing work that in real life is done by nurses, including fighting for better care systems, catching and preventing deadly errors, educating patients and giving them skilled emotional support, monitoring patient conditions, and performing exciting procedures like defibrillation. It's just that they inaccurately show physician characters doing it.

    What do nurses do? Nurses, with their years of college-level training, are on the front lines of the health care delivery team. They assess and monitor patients, and taking a holistic approach, determine what patients need to attain and preserve their health. Nurses then provide care and, if needed, alert other health care professionals. Nurses thus coordinate care delivery by physicians, nurse practitioners, social workers, physical therapists and others. Nurses assess whether care is successful. If not, they create a different plan of action. Nurse are patient advocates, protecting the interests of patients when the patients themselves cannot. Nurses are educators, explaining procedures and treatments to patients, teaching them how to care for themselves and work toward full recovery. Hospital nurses are responsible for discharge planning, deciding together with other health professionals when patients can go home. Nurses work to prevent illness through education and community programs designed to decrease transmittable illnesses, violence, obesity and tobacco use, and provide maternal-child education--addressing some of the leading health problems of our time. Some nurses are independent scholars whose work is at the forefront of health care research. Many nurses obtain Master's and Ph.D. degrees in nursing, then work as scholars, educators, health policy makers, managers, or advanced practitioners such as Clinical Nurse Specialists or Nurse Practitioners.

    Yeah, yeah, but what specifically do nurses do that a mass audience would care about? (links below are to specific examples)



    Is that dramatic enough? We know it is, because we've seen physician characters doing much of the above for years. And the nursing tasks that physician characters are not shown doing would often make for equally compelling drama, if media creators knew that they occurred.
    Unfortunately, the incorrect traditional assumptions about nursing have led to the matrix of physician-centric programming that has dominated popular media for decades, forming a persuasive but dangerous simulation of reality. Today, virtually every major character in the top three hospital shows named above is a physician--24 out of 25, to be exact, with the sole nurse being "ER"'s Sam Taggart. The combined viewership of new episodes of these three shows at the end of the 2004-2005 season was well over 50 million in the U.S. alone. Clearly, the idea that nursing is not dramatic must be overcome if we are to transcend the matrix, and help nursing gain the power it needs to meet the health challenges that lie ahead.
  7. by   SandySummers
    Quote from teeituptom
    1 With all the major problems in the world why waste air time to glamorize this place. Just think how all this free advertising has helped their business.

    Let me know when they open 1 in Dallas. I always look for a good hamburger after a game of golf.
    That's the way to support your profession!

    Sure, one result of our campaign may have been that the grill owner has had an increase in business. But our intended goal of getting people to think and talk about negative nursing images has been achieved. We cannot change the way people think and behave unless we first tell them this negativity is damaging and we ask them to stop. And just because the grill owner hasn't stopped yet, that doesn't mean the campaign has had zero effect. We have managed to educate millions of people about these damaging images, and hopefully the ones in the middle will just stop a minute and think.
  8. by   Ruby Vee
    [font="comic sans ms"]thank you, sandy! i was beginning to think that i was the only nurse "humor impaired" enough to see a problem with the "naughty nurse" image and the public's view of the nursing profession!
  9. by   ortess1971
    IMHO, this is a "major issue" in nursing. You cannot tell me that the nursing shortage is not impacted at all by the poor image nursing has. I attended an academically challenging private girls school and I can say firsthand that they are not encouraging the girls who are good in science and math to choose nursing. In the words of my old guidance counselor, "Nurses don't get treated well and the pay is horrible. You're too smart for that, go to med school." I wasted quite a few years thinking like that and thankfully, I realized that nursing was a great choice for me-I was exposed to some very smart nurses who impressed me with both their clinical knowledge and their way with patients. Through the years, various minority groups etc were often told to "lighten up" or "focus on bigger issues" The problem is that if you don't call the offending parties on the small stuff, it tends to get worse.
  10. by   justavolunteer
    Apparently, this place has shown up in the news recently because of their menu. They have something called a 'quadruple bypass burger' (4 patties, 8000 plus calories). Their only other menu items are french fries cooked in lard & cigarettes (true!).
    Aside from that, the whole 'naughty nurse' idea is just silly, IMHO. I probably feel like that because I volunteer on a pt unit & see plenty of real nurses. (Any group of people that could inspire me to start volunteering must be doing something right).
    As far as the general public not knowing what nurses do, that is very true. I have heard people say "well I hear nurses make halfway decent money, so why is there a shortage?" or something similar. Most people have no idea how hard a nurse's job is, or the high levels of knowledge & skill required to do it. I never did before I was a pt.
  11. by   Marie_LPN, RN
    Quote from ruby vee
    thank you, sandy! i was beginning to think that i was the only nurse "humor impaired" enough to see a problem with the "naughty nurse" image and the public's view of the nursing profession!

    you're not the only one. i have a great sense of humor, and i'm compleletely tired of the pornified nurse crap.
  12. by   Multicollinearity
    Quote from Marie_LPN
    You're not the only one. I have a great sense of humor, and i'm compleletely tired of the pornified nurse crap.
    I'm furious about it. I have to admit that it absolutely perplexes me to see some nurses who don't care or don't think this is important.
  13. by   P_RN
    I wonder how far it would go if say they had scantily clad TEACHERS? Miss Teacher sitting in a string in front of a class of 6 year olds advertising a bar and grill.

    I bet some of those patrons/ burger slobs wouldn't like it if it were their daughters being prostituted for a tv commercial.

    However, have you noticed how many of our members avatars aren't exactly complimentary depictions of nurses?

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