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Content by Mijourney

  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

    NP program with low gpa

    I understand the need to admit fully qualified people to a program. You want nurses that will do well in studies and pass any applicable certification tests the first time around. But, if your BSN is over ten years old, I don't think a program should hold a low GPA against you especially if you have remained in nursing and have grown in your practice. This is evidenced by supportive managers, supervisors, and directors as well as the ability to obtain certifications.
  4. 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.
  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

    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.
  7. 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.
  8. 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.
  9. 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?
  10. 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. :)
  11. 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/
  12. 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.
  13. 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.
  14. 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.
  15. 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.
  16. 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!
  17. Mijourney

    Limited EHR program experience

    Hi kishykat. I believe that if you go to the site I posted, you will find the curriculum for the program. I think it is free to the public. You probably can study from that and perhaps challenge and pass the HIT Pro exam.
  18. Mijourney

    Which route do I take?

    Hi HJS13. I graduated from nursing school at a time when nursing and health care jobs were plentiful. I also paid out very little in education because my employer had an agreement with my nursing program and waived the fees. Now it appears that many new graduates no matter their speciality are having difficulty landing that first job within the first six months. Have you thought about an internship? I know don't know the specifics, but I do know that you may be able to apply for and land an internship at the local, state, or federal level. For instance, I am aware that at the federal level, there are internships for HIM professionals in the veterans administration. Do you have a RHIA or RHIT credential? If so, consider the internship route. Once you get your foot in the door and get past your first year, you may find that you can apply for nursing tuition assistance whereby your nursing education is paid in full. Or, you may have to get through the internship and get in a regular HIM position to get tuition assistance.
  19. Yes, Pink. Dream higher. Ready yourself for potentially bigger opportunities which may include coding but go beyond. If you think that you may want to work in nursing coordination or management, go for that BSN or MSN. Go for that therapy degree or other allied health degree. Everything is tight now, so new graduates from most diciplines are experiencing difficulty finding an entry level position. Be ready to relocate for a year or two for that entry level job, if need be, until you get experience to come back home.
  20. Mijourney

    EHR and Nurses

    I found an article in Health Data Management, April 30, 2012, about successful EHR rollout tips. The following tip was really encouraging. " Focus on nurses. When you hear about EHR implementations, a lot of attention goes to how you make it appeal to doctors, but once all your systems are automated, you realize that the nurses are the ones who interact with it on a daily basis, far more than doctors do. A lot of the success or failure of an implementation revolves around accommodating nurses' needs and their workflow. When we did CPOE and nursing documentation, we got a lot of great feedback from the nurses before the doctors had to interact with the system, and when they did, the system was more stable and responsive and better set up. Also the nurses were able to give a lot of assistance to the doctors." Here's the link to the article: http://www.healthdatamanagement.com/issues/20_5/EHR-electronic-health-records-hospital-physician-44380-1.html
  21. Mijourney

    Speak Up: Do you think this is a case for telehealth or not?

    I believe in this day and time, telehealth should become a major player with the elderly and disabled. However, I am aware that certain cultures may simply want the elderly to roll over and die without any additional stress and strain on the system. My concern is that as many of us live longer, we won't have that quality of life that is needed to participate fully in the mainstream. Telehealth, if done properly, will give elderly, the disabled, and their caregivers a certain freedom that is not found constantly going to the hospital or doctor. It will especially allow those elderly who are proactive in their health and well-being to stay in the thick of life. Telehealth can reduce overall health care costs and thus aid in reducing morbidity and mortality rates.
  22. Mijourney

    Nursing Information Officers and Health IT

    Nursing informatics is really catching attention: Informatics & the Future of Nursing Practice on ADVANCE for Nurses
  23. http://www.informationweek.com/news/healthcare/leadership/232601230?cid=SBX_iwk_related_news_CPOE&itc=SBX_iwk_related_news_CPOE The article above really demonstrates that nursing is coming into its own in the HIT leader world. This should give those of you considering nursing informatics hope and aspirations.
  24. The OP indicated that the material is available at no cost to the public. The links are included. You may need to create a user name and password to use it. I hope the material is made permanently available and is updated before the year is out. We may not know until the national elections are over if that has any impact on it.

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