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jmqphd's Latest Activity

  1. jmqphd

    NANDA history

    I'm having difficulty with students struggling to find the exact NANDA dx for their patient's problems. Rather than reason through their assessment data and synthesize in their own minds their patient's problems, I see them thumbing through NANDA to find a diagnosis that "fits". Language has two functions (it seems to me): First... we communicate our thoughts to others (I think this is where NANDA is most significant) and second... it is the way we put sensory data together, retain and categorize it in the cortex. Here I'm finding NANDA to be a hindrance. I don't think this is what the originators intended. Am I the only educator encountering this?
  2. jmqphd

    NANDA history

    [TABLE=width: 100%] [TR] [TD=bgcolor: #f3f1f0, colspan: 2]1973: Kristine Gebbie and Mary Ann Lavin call the First Task Force to Name and Classify Nursing Diagnoses. Members plan to meet biannually in St. Louis, MO.[/TD] [/TR] [TR] [/TR] [/TABLE] My question is... why? What was the pressing social or professional impetus to standardize nursing diagnosis?
  3. I teach at a proprietary school and there is a genuine equality in the sense that faculty in general ed are paid comparably to nursing faculty. It has to do with how many "face hours" you have, plus a factor for committee work, lecture prep and paper work (grading.) Across the entire company, there cannot be radical differences in the way employees are remunerated. AND, we are paid better than our university and community college colleagues.
  4. Hmmmm... interesting conversation. There hasn't been any "Xtian" input yet so, since I qualify, I'll put in my 2 cents worth. I think what some of you have experienced is "being witnessed to." If you view it from the stand point of the witness' beliefs that unsaved people will suffer terribly forever (and this is very real to them) it is (not always, but often) genuine concern for you that they take the time to try to explain their faith and the Bible etc. to you. So, that is the best spin I can put on it. We live in a secular society and the social rules about discussing politics and religion with strangers is probably good policy. But there are so many variants and shades of Christianity you just can't generalize. My beliefs arise out of the Genevan Reformation. The major point there is that God is sovereign over his church (duh!) and will gather its members as it pleases Him. Meaning, if God wants to save you, you will be saved. If not. You won't. It's refreshing for me to know that He is in charge of these things and not me. I used to be an "evangelical" like the ones you describe and I remember the heavy pressure that is put on everyone to go out and "witness". It's not that I won't do it... we are to be competent to explain our faith when asked to do so. (And yes, sometimes Christians are asked about these things.) The real irony here is that all of this means I'm a Calvinist, and most Evangelicals are more suspicious of us than they are of Pagans. Brainkandy... I was a sailor (or at least in the Navy) and I sometimes use very earthy language. But I try very hard to avoid profanity. I might get "earthy" at times, but would feel horrible if found myself useing God's name in vain. I don't know if puts me in the hypocrite pew or not. I figured it might help to give you a real target so you wouldn't have to keep working over your straw men.
  5. jmqphd

    Rookie of the Year!!!!

    One of our graduates from our 2nd cohort was just named ROTY. Candidates from all over the northern part of the state were nominated. We are so proud. She really is an outstanding nurse. A great accomplishment for her, and for the little school that could.
  6. jmqphd

    Cheating ADN STUDENTS in lecture

    Testing policy is in the student handbook and specifies much of what was stated above. All of our tests are on our website so it's done on line. We scramble the questions and the distractors. Same deal with water bottles, pens, scratch paper, calculators, hoodies, books and so forth. We let them use the calculators in the desktop of the computer. Per our policy... proven cheating and you're gone. Can reapply in a year but basically get to stand at the rear of the line. We had a terrible time a year and a half ago. Very ugly. Since firm policies put into place, it's gotten much better.
  7. jmqphd

    Instructor prep time

    I'm full time and 3 hours prep for 1 hour lecture is maybe close to fair. I'm OCD about this and may take longer. Takes longer especially if you're starting from scratch on a new topic. Gotta question if your employer is using part-time people appropriately. Just doesn't seem right. Where I work, only full time people are in the classroom. If the school does this a lot (using part-timers to lecture) then there isn't much continuity. A lecturer should be part of input on curriculum development and testing and grading. It's more than just standing and delivering.
  8. jmqphd

    "Caring behaviors"

    Thanks much... I'll talk to our librarian tomorrow! J
  9. jmqphd

    "Caring behaviors"

    Excellent. I think we should make our CET more expansive in regards to all the people in the patient care environment, including other care-givers, significant others, family members and so forth. But, what sorts of verbs do you use to describe these caring behaviors. I find that males demonstrate concern for patients differently than females. Some ethnic groups are much more emotive than others. (Our native American population does not typically make eye-contact in the way other folks do...) Some individuals are, because of personality or the way they were raised, very nurturing in the way they interact with others. Maybe I'm over-thinking this issue and making harder than it has to be.
  10. jmqphd

    Working for the Rich Population?

    Your question seems odd to me. What do you mean? In a hospital, a spa, cruise-ship??? The days of the boutique general hospitals as I remember them, is pretty much over.
  11. jmqphd

    "Caring behaviors"

    Our Clinical Evaluation Tool has an item that requires a rating on Caring behaviors. There's no definition of the term, not in the tool itself, or any syllabus, handbook or catalogue. Consequently, I don't think it's legitimate to rate the student in this regard. If a student was objectively cruel, well, sure... I could rate that (and fail the student.) But the language is too vague to use for anything else. It could never survive an appeal. We are an ADN program and at this time we don't have any content on nursing theory or theorists. This "caring behavior" element is probably a nod to Jean Watson, but that's just my assumption. (I should explain that the CET was pretty much pirated from a BSN program in which a faculty member taught. It's an awkward fit for us.) So, here is my question: Do you evaluate your students on their "caring behaviors" and, if so, what are your criteria for passing or failing?
  12. Not sure what you mean by nationally accredited. AACN is the agency that accredits schools awarding the BSN (like yours). NLNAC accredits ADN programs around the country. There are no other credentials that we can get. We've gotten them all.
  13. Our retention rate is very high. the vast majority that get into the clinical semesters will graduate... though sometimes they may need to repeat a course. We're even seeing that go down as a % because we're doing early and vigorous intervention. I recall when the auditors from ACICS came by they thought our retention rate figures were a typo or something... but they're for real. Are you counting (in terms of retention) students from their freshman year through to graduation? We have to include everyone from the day they walk through the doors to the day they graduate. I understand your University having admission standards. The University in question does also. But ONLY the school of nursing has this bias. THey appear to be in violation of their own rules.
  14. We are a proprietary nursing school that is doing a bang up job producing well respected graduates. Our first time pass rate is 91.4%. Our placement rates are excellent. Our students are in high demand and doing well. 4 of our best decided to earn a little money and then go right back to school at our local university. They all did well and are about to graduate with their BSN's. Suddenly that nursing program (whose NCLEX pass rate is significantly less than ours) has decided they don't want to accept credits from our school. Just ours. Credits from other ADN programs... no problem. Ours, not so much. And (isn't this wonderful) after our students have been there, meeting all requirements, doing very well academically... the University told them... ah, too bad guys. We've decided we don't like your credits after all and we're not going to give you the degrees we promised you. You would think this was a University Campus-wide policy. But it isn't. Credits from schools like ours are accepted in any other department. It is only the School of nursing doing this, and it is only doing it to us. Bigots.
  15. jmqphd

    The False Advertising of For-Profit Institutions

    There was a post from a former HR person who said any resume that mentions U of Phoenix or other proprietary school is dumped no matter what else the applicant has to offer. And speaking of which... I work alongside a bunch of faculty members that got their MSN's from Phoenix. I'll bet a lot of the people who posted here don't realize when they take their certifcation exams in their specialty, they are answering questions authored by one of our current faculty members who graduated from U of Phoenix. Everything in nursing education is web-based now (even in brick and mortar schools.) and I'm here to tell you, those Phoenix grads know their way around all that stuff... and the ones that work here are incredible when lecturing in their specialty. As you say, I think the OP mentioned the advertising campaign (which, yeah... I see those ads also, though I've never seen one for the school in which I work.) However, it was a very short hop-skip-and-jump from the advertisements to the nature of people dumb enough to believe them. The whole thread has been an interesting display of snobbery from people who hold themselves in very high esteem.
  16. jmqphd

    Switching Jobs

    It's not so bad and I'll bet you ramp up more or less gradually. Hopefully you get a good orientation and a good preceptor. In my view, the thing that makes the biggest difference is the team-work. Do you like the management, are your co-workers fun and helpful and is their unit cohesion? If it's a supportive environment... you'll do fine. (And just watch... people will be turning to you with questions about their patients with renal issues!)