AmberLB

It was still a waste. and I don't want you to do my homework, thanks.

WOW. YOU replied to ME. and you're the one wasting time. but good job trying. bye bye.

She isn't my professor and I wasn't asking permission. If you don't want to help, you're just wasting both of our time writing in this thread.

She doesn't care about that.

I'm not asking for anyone to do my work. and I could make a whole paper about it from my head, I was wanting sources. But anyone who doesn't want to help, please feel free to ignore the thread/not respond. Thanks.

Thanks for the help. :icon_roll If you didn't have time, why are you wasting your even replying? Makes a lot of sense. Good job.

I've seen it used interchangebly, but it is differentiated some places. Once article I found says "Undoubtedly, the ultimate intention of EBM is to provide a theoretical background on which evidence-based practice (EBP) is founded. " But I don't really understand the article because I need a foundation of the differences. And my nursing director chose the topics, so obviously she wants me to show the differences.

Hello, I'm an RN student, doing a paper over the differences in medicine versus nursing, as well as the differences in evidence based medicine versus evidence based practice. If someone knows any sources on comparisons or just good definitions of any of the four, that would be of great help to me. I need legitimate sources (.org, known nursing organizations, medical associations, things like that) Thanks in advance!

I realized this should be posted in the students section. Can someone delete this, and I will post it there?

Hello, I'm an RN student, doing a paper over the differences in medicine versus nursing, as well as the differences in evidence based medicine versus evidence based practice. If someone knows any sources on comparisons or just good definitions of any of the four, that would be of great help to me. I need legitimate sources (.org, known nursing organizations, medical associations, things like that) Thanks in advance! :)

Intact member is offensive? WOW. That doesn't even make any sense. A circumcised member doesn't have all the parts, so it's not fully intact. A member which has not had any parts removed is intact. It's not a jab, it's just a fact. Is natural member better?

This was the right forum for my post, just not the tangents in it,

You're right. Unfortunately my state is NOT that low, every baby boy I've seen this semester was either circumcised or going to be.

I want to thank everyone for their responses. I appreciate your thoughts and answers. My Clinical Instructor is a new teacher here (my families teacher) and I think she will be understanding when I explain to her my concerns. I'm wondering if I should email her soon, talk to her in clinicals if it becomes an issue, or talk to her in her office before the first week of clinicals it could be an issue. AOx1, you said talk to them in advance, which way do you think I should bring it up?

Wow on the first thing you said, but anyway not debating. Anyway, that's great if I can just not participate. That's why I asked the question in the first place. I didn't know if it was a mandatory/commonplace thing in nursing school that you HAD to observe/participate in such a thing.

I'm not opposed to helping the patient get what they want. But there is not a newborn in this world that would consent to circumcision! I know I can't come in and shove my opinions down the parents throat. But if they ask for information, there is plenty of facts I can give them about the whole thing. I can stick to facts, there are plenty. I know my feelings about the whole thing are pretty black and white, but it's where I draw the line. I know being a nurse, it's not about me, but I also sometimes have to look out for my morals. I wouldn't work in an abortion clinic, and I don't want to participate in circumcisions. Those are really my only lines I draw in general for limits on my nursing care.

I also want to say, I'm okay with caring for a circumcision after the fact, teaching parents how to care about one, all that, but as I am against the procedure I wish not to be involved in it at all, as a student or nurse. And for those of you saying there is other situations where I will be opposed to what is going on, the difference for me is that if an adult or someone who can decide and is informed chooses something for him/herself, that is one thing. I can put my feelings aside. If I have to perform routine nursing care on a patient who is doing something I am against, I can put my feelings aside and do my job. I CAN NOT, however, participate in the very act that I find to be an injustice and a violation of human rights. And I'm not making this a debate. Just giving my reasoning. That the prepuce is an important, functioning organ is just fact.

I beg to differ on circumcision hurting the babies. There is plenty of doctors who will tell you newborns can feel pain. A quote from Dr. Sears " Yes, it hurts. The skin of the member of a newborn baby has pain receptors completely sensitive to clamping and cutting. The myth that newborns do not feel pain came from the observation that newborns sometimes withdraw into a deep sleep toward the end of the operation. This does not mean that they do not feel pain. Falling into a deep sleep is a retreat mechanism, a withdrawal reaction as a consequence of overwhelming pain. Not only does circumcision cause pain in the member, the newborns over all physiology is upset. New research shows that during unanaesthetized circumcision, stress hormones rise, the heart rate speeds, and valuable blood oxygen diminishes. Babies should never be subjected to the shock of unanaesthetized circumcision. " And I understand sometimes you have to hold patients down, but usually it's for their own good. Routine infant circumcisions are purely cosmetic, and remove a functioning organ that has a purpose. And no, you don't have to be an RN to become a IBCLC but it makes it easier to find a job as one.

@asp40, I know I have to set my feelings aside at times, but I really don't think I could hold/strap a baby down to a table to be circumcised. I mean, I understand I have to set my feelings aside at times, but this wouldn't be a passive act. I would be forcing someone down who can't understand or consent to chop off a functioning organ. It's just one of those things I'm thinking I'm not going to be able to set my feelings aside for. I remember my instructors saying that sometimes you have to set your feelings aside and do your job, but if you know it's not something you will be able to handle, sometimes you have to excuse yourself from the situation. I'm hoping they will be understanding that I just can't be a part of that procedure.

I am starting my second semester of an RN program right now, the families semester. I'm really excited to start the semester, as I am becoming an RN on my way to become a lactation consultant, and this is my area of interest. One thing I am very concerned about, though, is that I will possibly be involved in the practice of infant circumcision. I am morally opposed to this, and I don't think I can be involved in such a thing. I know you have to put your own feelings aside sometimes in nursing, like if you are caring for a patient that does something you disagree with, like taking drugs while pregnant, and I think I will be able to take care of someone like that, even if I dislike it, because I am simply doing my job of providing them with nursing care. For me, I feel different about infant circumcision, because I would actually be involved in the procedure that I am against. Anyone know if we normally have to see/participate in infant circumcision during nursing school?

Thank you so much! I am gonna have to post a few times so I can send you a pm, or if you want to pm me your email address then I can write you through that?

Ok, so I am brand new to All Nurses. I will begin nursing school (RN Associates Program) at the end of this month. I need an interview with a nurse in my field of interest for my pre-nursing class. I want to do post-partum/newborn nursing and become a lactation consultant. Can someone in this field help me out, or if there is a better place to post this, then direct me there? I really didn't know where to post this. TIA Amber :)