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Mijourney's Latest Activity

  1. Mijourney

    Global Health anyone?

    Lifelong learning is important to keep you motivated and stimulated. Congratulations on your achievements thus far! I think you are doing plenty to impact a community. Whether it is one person at a time or a group of people, what you are doing is making a difference in somebody's life. My belief tells me that when God makes His final judgment on you, it won't be on the quantity, it will be on quality. However, if you are feeling a pull towards a population of people, I say work it out with your family and see what happens. Best wishes.
  2. Mijourney

    ANCC and the APHN-BC

    I too was informed that the reason for the discontinuance of the APHN-BC credential was due to low numbers of applications. I wonder, however, if that will change in the future as population health is growing in popularity. At some point, the public health specialty may change over to population health.
  3. Mijourney

    The Fat Doctor: Can You Trust Out of Shape Health Workers?

    Great information. Great responses. Even though I struggle with weight and empathize with those that do, I feel that I am a role model responsible for helping to set healthy standards. I do agree with the previous poster that quoted Hippocrates that food is medicine. While I don't feel that one should distrust health care professionals who are overweight or obese (we do not know that provider's personal struggles), I do feel that when providing information on nutrition or weight, we should indicate that it is unsafe to be overweight or obese.
  4. Mijourney

    Capitalism vs. Greed: What Has Been the Nursing Impact

    Oh and if anyone responds to my topic, please consider the ACHA that was announced today, which is supposed to be the answer to the ACA. The media accounts I reviewed, did not indicate where nurses and APRNs stood on the subject. We need to make our voices heard.
  5. Capitalism seemingly started off as a good ideal but has gone awry in the U.S. according to my readings. Capitalism has impacted healthcare for a long time. Now greed, or extreme capitalism, seems to be the prevailing force. Health and medical care is now an industry and not a ministry. Should we nurses accept the direction of the industry which is in crisis mode and may crash our economy or should we become proactive workers toward seeing healthcare turn back into a ministry of sorts. What is nursing's responsibility in truly improving access and the provision of healthcare and preventing healthcare from completely crashing from the weight of greed? How has nursing been part of the problem? What are steps that we can take to turn the ship around and be the solution? Keep in mind that research indicates the U.S. forks out the most amount of money for health and medical care but yet our country's health status does not reflect this.
  6. Mijourney

    So what's going to happen to health care now?

    OK, I have been on my computer for several hours now, sitting. That is a health risk in and of itself. Should I be punished by paying to be in a high risk insurance pool because my chronic disease(s) and risk factors are exacerbated from long sit times at work and at home? At work, I am expected to be efficient and productive (I work in a non-traditional health setting). I only get short periods of time for breaks and lunch. I also have genes that add insult to my injury. When there are only so many hours in the day to get tasks (such as reading) done along with the risk factors and chronic diseases, what is a person supposed to do? I do not consider myself as liberal in certain aspects of life, but I do believe that a person needs ready access to quality health services and meaningful education. For those of us who are gifted with the responsibility to serve as proficient health care providers for example, how do we to successfully carry out our purpose in life if we don't have the access to health care and education? I've been witnessing healthcare coming apart at the seams. It's not clear to me that any political party can save it.
  7. Mijourney

    How can I enter the world of Holistic Medicine ?

    It is true that nursing care should be directed holistically, but in this case there are actual graduate nursing programs that specialize in holistic nursing and that is what I was inquiring about. In fact, I have visited several practicing nurse practictioners over the years and they did not address my concerns in a holistic fashion. They more or less addressed me as a physician would, focusing on the specific reason for the visit with questioning not going beyond that. Specified holistic nurse practitioner programs are designed where one can study complementary or alternative methods of treatment and care while incorporating the traditional. This is the type of program I am looking into as far as expanding my knowledge and skills. I am most interested in getting a response regarding whether becoming a holistic nurse practitioner is worth the time, effort, and money.
  8. Mijourney

    How can I enter the world of Holistic Medicine ?

    Hi All, I have been an RN for a long time. I am ready to move from disease(d) or sickness care to prevention and wellness. I find that holistic nursing is an area of interest for me. Can anyone tell me the benefits of becoming a holistic nurse practitioner as opposed to pursuing holistic nursing at the undergraduate level? I presume that becoming a nurse practitioner will entail a whole different way of thinking, more investment in malpractice insurance, more time studying the trade journals, more time networking, and just basically more everything. Am I off base?
  9. Mijourney

    A difficult learning experience

    Hey_suz, your write-up was great and heart-felt. For me, it confirmed that life-long learning is not a fad. I also found myself humbled after I started my MSN program. :)
  10. Mijourney

    BSN isn't really needed in TN?

    When applying for jobs, pay attention to the educational requirements. If it says BSN preferred, that means an associate or diploma nurse will be considered with the right background. Yes, TN is in the low pay range for nurses, but not in the top ten lowest states according to www.nursinglink.monster.com/
  11. Mijourney

    Nurses: Oppression Can Stop With You

    Very relevant article. Unfortunately, many nurses come from a unwholesome foundation and environment into the discipline or profession depressed and oppressed. Managers at every level exploit this to their advantage. It's much like leaders of a country, whether political or non-political, exploiting the masses to their benefit. Recognize if your leaders are also unwholesome and dysfunctional, then things will be chaotic. The silver lining in this is that there are good-hearted nurses out there willing to do their best for the best outcome of the patient and family and their co-workers or subordinates. All is not completely lost. Nursing should hold these shining examples up as often as possible. They're out there.
  12. Mijourney

    The 'De-Skilling' Of Nursing

    Actually Asystole, the MSN model seems to be similar to the physician model of education. Most MSN programs do the theory prior to the practicum. Usually, the practicum is done last in the MSN program. Generally, this practicum is a real world experience.
  13. Mijourney

    The 'De-Skilling' Of Nursing

    Brandon, I agree with you that nursing school typically does not provide real world experience. However, at least in my state to my knowledge, one is not required to have prior nursing experience to become a nurse-particularly at the ADN, BSN, or MSN levels. In fact, as I write, there are people entering the nursing profession that have no intention of "wiping butt" beyond their schooling. They seek to go into administration or specialize in non-physical contact areas. It's all about getting that buck for many people who enter nursing. Even though most bedside nurses do not feel they're getting well-compensated, nursing does provide a decent wage and some measure of security depending on where you work and who is in top management. To mitigate any problems with your step by step recommendation, nursing could go back to the days of old when nurses worked as "techs" in between semesters (back then it was a source of free help; I would not recommend no pay today) or nursing internship programs could be established.
  14. Mijourney

    The 'De-Skilling' Of Nursing

    Many nurses may not want to take on the responsibility of independent billing when they learn what they may face. Independent billing still would entail adding to our skill and knowledge set as I pointed out earlier in a post. To bill for services, you would have to know about clinical code sets and reimbursement; you would have to make sure that you are performing evidence-based practice to prevent being overly scrutinized by third party auditors; you would need to know a third party payer's policies, and I can tell you Medicare/Medicaid is very complex; you would need to be willing to talk with third party payers and auditors when they deny your services; your documention would need to be stepped up several notches in order to meet the criteria for payment from third party payers and demonstrate quality care; your malpractice insurance rates would skyrocket; you would become even more exposed to litigation. Is this something you think the average RN or LPN at the bedside could deal with or afford? Would the current scope of practice for LPN/LVNs and RNs warrant these additional headaches? I realize the scope of practice varies from state to state. I stand by my mantra that standardization is one way to address the conflicts that nurses face. Yes, let's grandfather whoever needs to be grandfathered, but we need unification through standardization.
  15. Mijourney

    The 'De-Skilling' Of Nursing

    Great article! Many good points. It's not clear to me that nursing is necessarily being de-skilled. It's just that we need to continually update our skill sets. As other posters have pointed out, what nurses do today, physicians use to do. In many cases, nurses have invaded other discipline's territory as it were and become the bain of that other discipline's existence. Health care facilities are in the money making business, for-profit or not, and if they deem their reimbursement levels to be too low to pay wages and benefits for licensed workers then unfortunately caregivers and our patients suffer. I do agree with some of the assessments that point out that nurses may need to make an effort to become independent practitioners while providing care at the bedside. I think those of us with graduate nursing degrees can make that case as long as the scope of practice supports it. Some nurses feel that the problem of de-skilling is as a result of too much focus on enhancing the educational requirements for nurses. I contend that the fact that our profession is so fragmented is the cause of much of our agony. We have unlicensed nurses, ranging from CNAs to RMAs, as well as licensed nurses, RNs and LPNs. Practically anyone calls him/herself a nurse, but you don't hear much of that with therapy or pharmacy. So, I contend (I know darts will be thrown in my direction) that part of the problem with de-skilling lies with us not accepting that we need to standardize nursing educational requirements. That will partly solve the nurse educator shortage as well as the de-skilling problem. Alright, let me have it!

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