marie-francoise

marie-francoise

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All Content by marie-francoise

  1. Mandated nurse patient ratios

    marie-francoise replied to General E. Speaking, RN's topic in General Nursing

    you should mention the aiken study. here are two links: http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=12387650...

  2. 7 Patients Feels like Too Many

    marie-francoise replied to luv2yoga's topic in First Year After Licensure

    The Aiken study from JAMA in 2002 is worth a look... She addresses nurse-patient ratios. Managed care and the way our health care system works today isn't doing nurses or patients any favors as far...

  3. Will the new Medicare payment revisions improve or worsen nursing working conditions?

    marie-francoise posted a topic in General Nursing

    Does anyone think the new Medicare payment revisions (see link below) will force hospitals to improve nurse-patient ratios? Paper by GWU on nursing implications of Medicare payment revisions:...

  4. Is there anything else I can do for you? I have the time. (new hourly rounding sheet)

    marie-francoise replied to FireStarterRN's topic in General Nursing

    But haven't nursing working conditions changed a lot since the 1980s? For example, with managed care leading to/exacerbating high patient-nurse ratios, JCAHO requiring more and more types of...

  5. Is there anything else I can do for you? I have the time. (new hourly rounding sheet)

    marie-francoise replied to FireStarterRN's topic in General Nursing

    Maybe the hourly checking & documentation has something to do with the new Medicare policy on reimbursement (lack thereof) for "preventable", "nursing-sensitive" inpatient mishaps:...

  6. Am I, as a nursing student, part of the problem?

    marie-francoise posted a topic in General Nursing

    NOTE: Please read the replies on this thread before you post a reply to this thread. Thanks. --------------------- OK, I might get "flamed" for this question, but... As a nursing student in an ADN...

  7. Am I, as a nursing student, part of the problem?

    marie-francoise replied to marie-francoise's topic in General Nursing

    Not at all. I was in a 1-year accelerated BSN program, and it was pretty fluffy. The ADN program I'm in is far better. I already have my undergrad and grad degrees, though, so that's one reason I'm...

  8. New Grads after 6 months: How do you feel?

    marie-francoise replied to RNcDreams's topic in First Year After Licensure

    You might want to ask the General Nursing Discussions forum as well, to get the perspective of nurses who have worked well beyond a year. I've heard that it gets better once the first year is done,...

  9. Am I, as a nursing student, part of the problem?

    marie-francoise replied to marie-francoise's topic in General Nursing

    I wasn't referring to competence - I've no doubt the many, many nurses out there are competent. I was more thinking about the awareness level of students regarding issues affecting nursing today, and...

  10. Done one year as a nurse, thoughts...

    marie-francoise replied to vss04's topic in General Nursing

    Wow! Maybe people are nicer & more professional in Sweden? I truly love my own country, America, but I'm just sayin'... Anyway, thanks for your positive thoughts - they are

  11. Am I, as a nursing student, part of the problem?

    marie-francoise replied to marie-francoise's topic in General Nursing

    Well said! Maybe nursing programs should include a 1-credit course on "Advocacy and Problems in Nursing Today" - basically, a course that tells it like it is, instead of pretending that everything is...

  12. Am I, as a nursing student, part of the problem?

    marie-francoise replied to marie-francoise's topic in General Nursing

    Migosh - I could have written this post! You put into words what I felt about the BSN program I was in. I was in a BSN program years ago that I had to leave (I was doing very well, but for family...

  13. Am I, as a nursing student, part of the problem?

    marie-francoise replied to marie-francoise's topic in General Nursing

    I have a very high veneration for nurses, and actually think the program I am in is a good one. A lot of my fellow students, though, don't seem to have much insight into the greater issues...

  14. What are your thoughts on Disney or AIDET "customer service" training?

    marie-francoise replied to marie-francoise's topic in Patient, Colleague Relations

    I did the AIDET training, or at least the version implemented by the unit I was on. Subsequently, I spoke to a nurse who told me his hospital was using the Disney model to teach their nurses about...

  15. What are your thoughts on Disney or AIDET "customer service" training?

    marie-francoise replied to marie-francoise's topic in Patient, Colleague Relations

    I wouldn't be surprised if this were the case, unfortunately, esp. since there was some oft-mentioned study - I think from the late 1990s - about how patients are less inclined to sue when they have a...

  16. When do you think it will end?

    marie-francoise replied to xxgreenfirexx's topic in General Nursing

    I think this particular nursing shortage has lasted about nine years now - that is the number I hear quoted. My guess is that the ramping up of managed care in the 1990s initiated the shortage (to put...

  17. What are your thoughts on Disney or AIDET "customer service" training?

    marie-francoise replied to marie-francoise's topic in Patient, Colleague Relations

    Ay ay ay!

  18. Badly needed advice..........

    marie-francoise replied to MoriahRoseRN's topic in General Nursing

    You could take an ACLS class perhaps? That might make you more comfortable in anticipating emergency situations. You might have to honestly ask yourself, though, was it the nasty group of people you...

  19. What are your thoughts on Disney or AIDET "customer service" training?

    marie-francoise replied to marie-francoise's topic in Patient, Colleague Relations

    It seems like so much "polishing of the turd" to me. Patients see the sheen and want to come back to that hospital, maybe. But whether or not their condition was handled appropriately there is another...

  20. What are your thoughts on Disney or AIDET "customer service" training?

    marie-francoise replied to marie-francoise's topic in Patient, Colleague Relations

    I agree treating patients with respect and in a caring manner is important - but the WAY the training was delivered in my case was pretty condescending. I don't know - maybe I'm just not one for...

  21. nursing shortage?

    marie-francoise replied to ilmbg's topic in General Nursing

    Here is a related thread: https://allnurses.com/forums/f8/there-no-real-nurse-shortage-268060.html Also, managed care is another contributor to the nursing shortage; to save money, many hospitals...

  22. How many nurses want their children to be nurses too?

    marie-francoise replied to pumpkin1984's topic in General Nursing

    Here is an interesting and related thread:

  23. The Image of Nursing

    marie-francoise replied to Tait's topic in General Nursing

    You're welcome. 1) I would think something like "Health Care Provider" or something along those lines might be more professional-sounding than "nurse". 2) Here is a thread on that point, with some...

  24. The Image of Nursing

    marie-francoise replied to Tait's topic in General Nursing

    My suggestions: 1) Yes, scrapping the title "nurse" I think would help. Would make nurses seem less servant-like. We're now calling patients "clients" and "customers", why not change "nurse" to...

  25. The Doctor said WHAT?

    marie-francoise replied to nurz2be's topic in General Nursing

    Women's rights benefited by women behaving the way the OP did, not by being "subordinate, pleasant and as less visible as possible". Thank you, suffragettes. A quote that pertains to women as well:...